Fire doorset survey template

• Document No.

• Site:

• Maintenance Company:

• Maintainer's name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Doorset details:

Add doorset?

• Doorset reference

• Photo of the doorset

  Media

• Plugs / labels present?

  Off

  On

• Test evidence available?

  Off

  On

• Intended fire resistance?

  Select 20 min 30 min 60 min 90 min 120 min

  • 20 min
  • 30 min
  • 60 min
  • 90 min
  • 120 min

• Smoke control?

  Off

  On

Door leaf

• Overall condition acceptable?

  Yes

  No

  N/A

• Edge condition acceptable?

  Off

  On

• Bow / twist within acceptable limits?

  Off

  On

• Leaf thickness correct?

  Off

  On

• Door gaps ok?

  Off

  On

Door frame:

• Overall condition acceptable?

  Off

  On

• Dimensions acceptable?

  Off

  On

• Material

  Select Softwood Hardwood

  • Softwood
  • Hardwood

• Securely fixed and correctly installed?

  Off

  On

• Architrave condition ok?

  Off

  On

Seals:

• Overall condition ok?

  Off

  On

• Correct size fitted?

  Off

  On

• Smoke seal condition ok?

  Off

  On

Hardware:

• Hinge condition ok?

  Off

  On

• Hinge operation ok?

  Off

  On

• Lock / latch operation ok?

  Off

  On

• Door closer operates correctly and in good condition?

  Off

  On

• Hold open device operation ok?

  Off

  On

Glazing:

• Is glazing ok?

  Yes

  No

  N/A

• Glass type correct?

  Off

  On

• Glass condition ok?

  Off

  On

Other:

• Appropriate signage used?

  Off

  On

• undefined

• General comments:

Additional findings?

• Comments:

Photos:

• Add media

  Media

• Description / comments:

• Signed by:

• Signature

  Sign