Title Page
-
RIA form sequential reference number:
-
Installation Job Reference:
-
Q-Mark Maintenance Approved person
-
Site Address:
-
Conducted on
-
Is this Installation covered under the Maintenance Scheme
-
Which Approved Repair Technique
- 1-Lipping Repair
- 2-Over Recessed Hardware
- 3-Door Frame Joints
- 4-Door Gaps incorrect to specs
- 5-Closer Missing
- 6-Door Leaf Out Of Alignment
- 7-Moisture Content Too High
- 8-Hinges Dropped or Damaged
- 10-Operational Maintenance
- 11-Damage To Preimeter Seals
- 12-Misaligned Matching Hardware
- 13-Hinge Fixings Are Loose
- 14- Damaged Glazing
- 16-Installation of Replacement or Refitting Architrave and Sealing to Structural Opening
- 17-Replacement Leaf
- 18-Recomend Replacement
- 19-Fire Door Signage
- 20-Replacement Frame
- 21-Repair Door Frame
- 22-Smoke Control
- 23-Calling in an Expert
- 24-Ineffective Fixings
Declaration
-
I declare that the work undertaken fully complies with the requirements of the Q-Mark Fire Door Maintenance scheme and that the work undertaken complies with Regulations 4 and 7 of the Building Regulations for England and Wales or in accordance with the local regulations in force at the specific job site location.
-
Signature: To be signed by Q-Mark Approved Person
Information of the installed fire stopping products
-
Where the same fire doorset type and style is used in multiple locations on the same site, use one row below but referencing all appropriate locations below and showing just example photographs only.
Installation
-
Door Ref.
-
Pictures before installation
-
Location of Installed Door
-
Intended Fire Resistance Period
-
Product Maufacturer
-
Has This Product Been Fitted to the Manufactures Specification
-
Installation Date
-
Installed By
-
Gold Label
-
Pictures after installation
-
Comments
Pricing Section
- Add SORs
-
Add SORs
-
Add the number of items or units
-
Any other work, not covered by the SORs?
Signature
-
Engineer Signature
