Fire Smoke Damper Checklist

• Mercy Hospital CMS PoC Life Safety

• Conducted on

  Date

• Prepared by

FIRE RATING AND MODEL

• Model

• Rating

  Select 1.5 hour 3 hour

  • 1.5 hour
  • 3 hour

• Size

• Tag#

REVIEW WALL DAMPER INSTALLED IN

• Wall Fire Rating

  Select 1 HR 2 HR 3 HR 4 HR

  • 1 HR
  • 2 HR
  • 3 HR
  • 4 HR

• Wall Construction

REVIEW DAMPER PRIOR TO INSTALLATION

• Is Damper Tag # Correct

  Yes

  No

  N/A

• UL Sticker Applied and Correct Rating

  Yes

  No

  N/A

• Electrical Devices Installed and Sealed

  Yes

  No

  N/A

REVIEW DAMPER INSTALLATION

• Damper Blades are Running Horizontally and Installed within Wall/Floor

  Yes

  No

  N/A

• Damper Opening has Proper Clearance for Expansion

  Yes

  No

  N/A

• Mounting Angles Must Overlap the Partition Minimum of 1"

  Yes

  No

  N/A

• Fasteners for Two Angle Installation are Spaced at 8" O.C.

  Yes

  No

  N/A

• Break-away Connections are Installed per the SMACNA standards

  Yes

  No

  N/A

• Round Duct Installed within Screw Limits

  Yes

  No

  N/A

• Duct Sealed Properly with No Leakage

  Yes

  No

  N/A

• Damper has been Installed Square and Free from Racking

  Yes

  No

  N/A

REVIEW ELECTRICAL DEVICES INSTALLATION

• Fire Smoke Damper Interface (FSDI) Installed

  Yes

  No

  N/A

• Actuator is Installed and Wired to FSDI

  Yes

  No

  N/A

• SP-100 Switch Package is Installed and Wired to FSDI

  Yes

  No

  N/A

• Disconnect Switch has been Installed

  Yes

  No

  N/A

PHOTOS

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