Fire Door Inspection Report - Rev 06.01 - 06/10/2016

• Inspection Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Site Address
  Address

• Personnel

• Door Inspections

Door

• Door Reference Number

Fixtures and Fittings

• Priority of door

  1 (eg. protection to fire escape route or staircase)

  2 (eg. lobby protection to staircase, cross corridor doors)

  3 (doors to risk room not on an escape route - eg plant room, kitchens)

• Type of Fire Door?

  Select FD20 FD20S FD30 FD30S FD60 FD60S FD90 FD90S Unknown

  • FD20
  • FD20S
  • FD30
  • FD30S
  • FD60
  • FD60S
  • FD90
  • FD90S
  • Unknown

• Number of Door leaves?

  1

  2 (includes 1/4 and 1/2 door leaves)

• Swing Type?

  Single

  Double

• Glazing?

  Glazed

  Not Glazed

• Number of Hinges?

  2

  3

  4

  Floor plate

• Type of door closer?

  Select Overhead Perco Surface mounted Sprung hinge Floor plate None

  • Overhead
  • Perco
  • Surface mounted
  • Sprung hinge
  • Floor plate
  • None

• Type of door holder?

  None

  Electromagnetic

  DorGard

  Door closer holdback

  Floor plate

• Smoke seals fitted?

  Door only

  Frame only

  Door and frame

  None fitted

• Intumescent strips fitted?

  Door only

  Frame only

  Door and frame

  None fitted

• Door release systems?

  Select None fitted Push bar to open Push pad to open Simple fastening (thumb turn) Redlam bolt (break glass release bolt) Break fastening (green box or button)

  • None fitted
  • Push bar to open
  • Push pad to open
  • Simple fastening (thumb turn)
  • Redlam bolt (break glass release bolt)
  • Break fastening (green box or button)

• Door signage?

  Select Fire door keep shut (or closed) Fire door keep locked Automatic fire door keep clear Fire door keep clear Push bar (or pad) to open Turn to open Break glass to open Push button to open None

  • Fire door keep shut (or closed)
  • Fire door keep locked
  • Automatic fire door keep clear
  • Fire door keep clear
  • Push bar (or pad) to open
  • Turn to open
  • Break glass to open
  • Push button to open
  • None

• Is the door satisfactory? <br>Indicating "yes" confirms that all the fixtures and fittings are correct and the door closes fully onto the door stops within 30 seconds and with no excessive gaps between the door and door frame (or other door leaf).

  Yes

  No

  N/A

Door Closer Operation

• 1. Is the door self closer fixed to door and frame securely?

  Yes

  No

  N/A

• 1a. Has door closing arm been separated from the frame?

  Yes

  No

  N/A

• 1b. Is there any oil leaking from the door SC device?

  Yes

  No

  N/A

• 1c. Does the door close fully onto the door stops?

  Yes

  No

  N/A

Door Handles

• 1. Is the door handle functioning correctly?

  Yes

  No

  N/A

• 2. Are they loose or missing?

  Yes

  No

  N/A

• 3. Can the door be opened without the use of a key?

  Yes

  No

  N/A

• 4. If required to do so, does the door open in direction of travel to the fire exit?

  Yes

  No

  N/A

Door Seals

• 1. Does the door have intumescent seals around the top and 2 edges (not the bottom of the door) or in the door frame?

  Yes

  No

  N/A

• 2. Are the fire seals in good condition? (i.e. not missing or damaged)

  Yes

  No

  N/A

• 3. Does the door (or frame) have cold smoke seals in the form of brushes or rubber strip?

  Yes

  No

  N/A

• 3a. Are they in good condition, missing or damaged?

  Yes

  No

  N/A

Glazing in Door

• 1. Is the glazing in the fire door loose, does it rattle or is it broken?

  Yes

  No

  N/A

• 2. Are the vision panels in the door clear and unobstructed to provide safety to door uses on both sides if the leaf?

  Yes

  No

  N/A

Door Hinges

• 1. Does the door leaf have have 3 or more hinges?

  Yes

  No

  N/A

• 2. Are they loose or are screws missing?

  Yes

  No

  N/A

Door Hold Open Devices

• Is electromagnetic hold open working? (If no please please give details)

  Yes

  No

  N/A

• 2. Is Dorgard Fire Door Retainer fitted?

  Yes

  No

  N/A

• 2a. Is Dorgard Fire Door Retainer holding door open?

  Yes

  No

  N/A

Door Damage

• 1. Is the door damaged?

  Yes

  No

  N/A

• 1a. Take a photo of damaged.

  Media

Doors Wedged Open

• 1. Has door wedged open with anything that is not a approved device complying with BS5839? (Remove obstruction and report persons if known)

  Yes

  No

  N/A

• 1a. Take a photo of obstruction

  Media

Faults & Remedial Actions

• What areas require remedial action?

  Select Fire door type incorrect Door damaged Door frame damaged Glazing missing or loose Hinges missing or loose Door closer missing or not functioning Door holder not functioning Smoke seals missing or damaged Intumescent strips missing or damaged Signage missing

  • Fire door type incorrect
  • Door damaged
  • Door frame damaged
  • Glazing missing or loose
  • Hinges missing or loose
  • Door closer missing or not functioning
  • Door holder not functioning
  • Smoke seals missing or damaged
  • Intumescent strips missing or damaged
  • Signage missing

• What level of repair is needed?

  3 (Significant repair or adjustment needed)

  2 (moderate repair or adjustment needed)

  1 (simple repair or adjustment needed)

• Description of Faults & Remedial Actions

• Photo of Fault

  Media