MSDL Fire Door Inspection Report.

• Site conducted:

  The Range

  Wilko
• Store Name/Location:
  Address

• Name Of Inspector:

  Select Michael Birks Chris Baldwin Brian Smibert Brett Mcintosh Mark Smith Nigel Cullum Tony Woods

  • Michael Birks
  • Chris Baldwin
  • Brian Smibert
  • Brett Mcintosh
  • Mark Smith
  • Nigel Cullum
  • Tony Woods

One Minute Risk Assessment:

TO BE COMPLETED DAILY BEFORE COMMENCING WORK

Assessment Checklist:

• Have you checked the full RAMS?

  Yes

  No

  N/A

• Do you know all the hazards and associated risks on this job?

  Yes

  No

  N/A

• Have all the people who may be affected been identified?<br>(including clients, sub-contractors and the public?)

  Yes

  No

  N/A

• Are you satisfied that all the measures to stop yourself and<br>others from being injured has been taken?

  Yes

  No

  N/A

• Are the activities, circumstances and control measures<br>outlined within the full risk assessment still the same?

  Yes

  No

  N/A

• Are you satisfied that all aspects of the job are controlled and<br>the full risk assessment is valid? Yes

  Yes

  No

  N/A

IF YOU HAVE ANSWERED 'NO' TO ANY OF THE ABOVE: Contact Mark Smith/Nigel Cullum before starting work on this Inspection.

Has The Current Door Literature Been Received?

• Yes

  No

  N/A

• If no, a general fire door installation protocol will be followed based on the ASDMA criteria and the BS8214 Standard. A visual inspection will follow of each element of the Fire Door-Set and reported individually below. Outlining the remedial action in order to conform.

  Yes

  No

  N/A

• Location Of Door:

  Ground Floor

  Mezzanine Floor

  Back Of House

• Is The Door Exposed To The Outside Elements?

  Yes

  No

  N/A

• Does The Door Have A MSDL Number:

  Yes

  No

  N/A

• Add Appropriate Identification Number To Door

• Take Photo Of Door To Include MSDL Door Identification Number

  Media

• Door Set Type:

  Select Single Single + Half Double Warehouse Doors Metal Metal Double Doors Impact/Flappy Doors

  • Single
  • Single + Half
  • Double Warehouse Doors
  • Metal
  • Metal Double Doors
  • Impact/Flappy Doors

• Material Of Door:

  Select Wooden Metal Wooden With Metal Plating (External Door) Plastic/PVC (Impact/Flappy Doors)

  • Wooden
  • Metal
  • Wooden With Metal Plating (External Door)
  • Plastic/PVC (Impact/Flappy Doors)

• Assumed Fire Door Resistance Based On Door Thickness:

  Select FD30 : 44mm FD60 : 54mm FD120 : 64mm N/A

  • FD30 : 44mm
  • FD60 : 54mm
  • FD120 : 64mm
  • N/A

• HEIGHT x WIDTH mm:

  Select 1981 x 838 2040 x 915 2040 x 926 2340 x 915 2340 x 926 Other

  • 1981 x 838
  • 2040 x 915
  • 2040 x 926
  • 2340 x 915
  • 2340 x 926
  • Other

• Door Set Measurements Taken From:

  Internal Frame Dimensions

  Other

• Photo To Show Tape Measure For Height:

  Media

• Photo To Show Tape Measure For Width:

  Media

• Existing Frame Thickness, mm:

• Is It The Engineers Recommendation That The Door Be<br>Replaced?

  Yes

  No

  N/A

• Reason For Recommendation With Photos:

• Is The Door Glazed?:

  Yes

  No

  N/A

• Glazing (Height X Width), mm:

• Opening Edge Of Leaf To Beading Edge, mm:

• Top Edge Of Leaf To Beading Edge, mm:

• Gap Between Vision Panels, Beading To Beading mm:

• Is The Vision Panel Free From Damage?

  Yes

  No

  N/A

• Frame Material:

  Wood

  Metal

• Frame Colour:

  Select White Blue Grey

  • White
  • Blue
  • Grey

• Leaf Finish:

  Select Laminated Paint Grade No Paint Grade (Blank)

  • Laminated
  • Paint Grade
  • No Paint Grade (Blank)

• Leaf Colour:

  Select Walnut White Blue

  • Walnut
  • White
  • Blue

• Architrave Style:

  Select Square Other N/A

  • Square
  • Other
  • N/A

• Architrave Size (W x H) mm:

• Architrave Size (W x H) mm:

  Yes

  No

  N/A

• Details & Add Photo:

  Yes

  No

  N/A

• Door Closer/Closers Present?:

  Yes

  No

  N/A

• Does The Door Closer/Closers Function Correctly?:

  Yes

  No

  N/A

• Does The Door Closer/Closers Require Replacing?

  Yes

  No

  N/A

• Type Of Door Closer/Closers Required?:

  Standard Closer x 1

  Powered Closer x 1

  Standard Closer x 2

  Powered Closer x 2

• How Many Hinges Are Present?:

  Three

  Four

• Are All Hinges In Good Working Order?:

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Do Hinges Require Replacing?:

  Yes

  No

  N/A

• Type Of Hinge Required?

  Square

  Radius

• Are Intumescent Fire/Smoke Seals Present?:

  Yes

  No

  N/A

• Are The Intumescent Fire/Smoke Seals In Working Order?:

  Yes

  No

  N/A

• What Type Of Intumescent Fire/Smoke Seal/Seals Are Required?

  Fire

  Smoke

  Fire & Smoke

• 10mm

  15mm

  20mm

• 10mm

  15mm

  20mm

• 10mm

  15mm

  20mm

• Is A Drop Down Intumescent Fire/Smoke Seal Required?

  Yes

  No

  N/A

• Does The Door Have A Door Leaver/ 'D' Handle?:

  Yes

  No

  N/A

• Does This Door Leaver/ 'D' Handle Require Replacing?:

  Yes

  No

  N/A

• Does The Door Have A Lock?:

  Yes

  No

  N/A

• Please Confirm The Locking Mechanism Type, Along with Size And Images.

  Deadbolt

  Thumbturn

  Other

  Disabled

• Does The Door Have Kick Plates Fitted?:

  Yes

  No

  N/A

• Are The Kick Plates In Good Condition?

  Yes

  No

  N/A

• Does The Door Kick Plates needs to be replaced?

  Yes

  No

  N/A

• State Reason For Not Replacing Kick Plates:

• Does The Door Require Kick Plated To Be Fitted?:?

  Yes

  No

  N/A

• What Size Kick Plate Is Required?:

• State The Reasons For Not Fitting A Kick Plate.

Tolerances

• Incorrect clearance (top of door to frame)

  Yes

  No

  N/A

• Incorrect clearance (hinge edge to frame)

  Yes

  No

  N/A

• Incorrect clearance (lock edge to frame)

  Yes

  No

  N/A

• Incorrect clearance (door bottom to floor)

  Yes

  No

  N/A

• Incorrect clearance (between pairs of doors)

  Yes

  No

  N/A

Door Frame

• Rust-through on frame

  Yes

  No

  N/A

Operational Test

• Door does not swing freely

  Yes

  No

  N/A

• Door does not close completely

  Yes

  No

  N/A

• Door does not securely latch

  Yes

  No

  N/A

• Electric/powered door closer release does not allow door to close

  Yes

  No

  N/A

• Door bottom drags against floor material

  Yes

  No

  N/A

Push Bars/Plate

• Missing strike (top bolt)

  Yes

  No

  N/A

• Missing strike (bottom bolt)

  Yes

  No

  N/A

• Bottom bolt does not engage strike

  Yes

  No

  N/A

• Top bolt does not engage strike

  Yes

  No

  N/A

Miscellaneous

• Is All Necessary Signage Visible On Door

  Yes

  No

  N/A

Other Checks

• Does the lock and or mag-lock function correctly?

  Yes

  No

  N/A

• Are There Any Corrective Actions Or Other Recommendations

• Full Name of Inspector

  Select Michael Birks Chris Baldwin Brian Smibert Brett Mcintosh Mark Smith Nigel Cullum Tony Woods

  • Michael Birks
  • Chris Baldwin
  • Brian Smibert
  • Brett Mcintosh
  • Mark Smith
  • Nigel Cullum
  • Tony Woods

• Signature of Inspector

  Sign