Lady of the Sea Fire Door Inspection Report

• Site conducted

  Select Lady of the Sea Interim Hospital Lady of the Sea Dialysis

  • Lady of the Sea Interim Hospital
  • Lady of the Sea Dialysis

• Conducted on

  Date

• Prepared by

  Select Dwight Curole Paul Curole

  • Dwight Curole
  • Paul Curole

Fire Door Inspection

• Door ID / Number:

• Take Photo of Door ID

  Media

• Location:

• Door fire tag visible:

  Yes

  No

• Frame Fire tag/stamp visible:

  Yes

  No

• Single or double leaf:

  Single Leaf

  Double Leaf

• Fire Rating of each leaf:

  20 Mins

  30 Mins

  45 Mins

  60 Mins

  90 Mins

• Operator:

  Automatic

  Manual

• Gaps (Top) Between 1/8" (+ or - 1/16")

  Yes

  No

• Gaps (Hinge side) Between 1/8" (+ or - 1/16")

  Yes

  No

• Gaps (Lock side) Between 1/8" (+ or - 1/16")

  Yes

  No

• Gaps (Threshold) No more than 3/4"

  Yes

  No

• Door and frame free from holes and breaks in all surfaces?

  Yes

  No

• Are all the glazing, vision light frames and glazing beads intact and securely fastened?

  Yes

  No

• Are there any missing or broken parts?

  Yes

  No

• Does the active door leaf completely close when operated from the open position?

  Yes

  No

• Does the inactive door leaf close before the active leaf when a coordinator is used?

  Yes

  No

  N/A

• Latching hardware operates and secures the door(s) in the closed position?

  Yes

  No

• Has the door been modified since it was originally installed?

  Yes

  No

• Reccomended actions required to make Fire Door compliant

  Select New Hinges Required Adjust Leaf to Frame Gap New Gasketing/Seals Required Adjust Overhead Closer / Concealed Closer Door latching needs adjustment New Door Lock / Handle Required New Fire Door Required New Frame Required New Glass for Vision Panel, Side Panel or Overhead Panel

  • New Hinges Required
  • Adjust Leaf to Frame Gap
  • New Gasketing/Seals Required
  • Adjust Overhead Closer / Concealed Closer
  • Door latching needs adjustment
  • New Door Lock / Handle Required
  • New Fire Door Required
  • New Frame Required
  • New Glass for Vision Panel, Side Panel or Overhead Panel

• Additional comments