Title Page

  • Job No.

  • Premises

  • Conducted on

  • Prepared by

  • Location
    Door
  • Door No.

DOOR LEAF

  • Does the door leaf sit against the door stop, flush with the frame and is it free of distortion?

  • If the door veneered or lipped, is the glue still holding these products firmly in place

  • Is the door free from damage including dents, chips and holes?

DOOR FRAME

  • Is the door frame firmly attached to the wall

  • If a planted door stop is present, is it firmly attached

  • Is the frame to door leaf gap consistently 3mm?

INTUMESCENT/SMOKE/ACOUSTIC SEALS

  • Are intumescent seals in place

  • Are seals free from paint and varnish?

  • Are the seals well attached inside the groove in the frame or door leaf?

  • Are the seals free from damage

  • If you have a brush or fin type seal, is it free from damage or breakage?

  • If fitted, are the smoke and acoustic seals continuous around the frame or door leaf

HINGES

  • Are all the screws the correct size?

  • Are the hinges free of metal fragments and oil leakage, which are signs of wear?

  • Are the hinges free from packing?

  • Are the hinges marked with CE or BSEN 1935 grade 13?

  • Is there a minimum of 3 hinges with all screws fitted?

DOOR CLOSERS

  • Open the door to 5 degrees or 75mm. Does it close and engage with the lock?

  • Is the closer correctly attached to the door and frame?

  • Is the closer free from damage and not leaking?

  • If unlatched, does the closer hold the door in line with the frame and intumescent seal?

  • If hung in pairs, do the close in line if both opened and released together?

HOLD OPEN DEVICES

  • Does the hold open device release the door when required

GLAZING & GLASS

  • Is the intumescent seal continuous and attached to the glass and bead?

  • Are the glazing beads well attached to the frame and free from damage

  • Is the glass free from damage and cracking?

  • If the glass has been replaced, is it fire rated glass?

  • If glazing panels are below 1500mm from the bottom of the door, is the glass safety glass?

LOCK & LATCH

  • Does the latch hold the door firmly in place without rattling?

THRESHOLD GAP

  • Is there a consistent gap under the door that allows it to swing without touching the floor covering?

  • Is the door to floor covering gap consistently 10mm or less when the door is closed?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.