PASSIVE FIRE AUDIT

• Document No.

• Conducted on

  Date

• Audit Title

• Report prepared for

• For the attention of

• Site

• Location
  Address

• Prepared by

FIRE RATED AREA IDENTIFIED
• LOCATION
  Address

• ASSET ID

• COMPARTMENT COMPRISES OF?

  Select WALLS FLOOR CEILING FIRE DOORS ENTIRE ROOM ABOVE CEILING UNDER FLOOR SINGLE WALL STAIR WELL ACCESS HATCHES FIRE SHUTTERS DAMPERS

  • WALLS
  • FLOOR
  • CEILING
  • FIRE DOORS
  • ENTIRE ROOM
  • ABOVE CEILING
  • UNDER FLOOR
  • SINGLE WALL
  • STAIR WELL
  • ACCESS HATCHES
  • FIRE SHUTTERS
  • DAMPERS

• HAVE DRAWINGS INDICATING FIRE RATED AREAS BEEN PROVIDED?

  YES

  NO

  LIMITED

• TOTAL NUMBER OF PENETRATIONS ?

  Select NIL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20 +

  • NIL
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 20 +

• TYPE OF PENETRATIONS PRESENT?

  Select N/A CABLE THROUGH FLOOR CABLE THROUGH WALL CABLE THROUGH CEILING UNSEALED CABLE TRAY PVC PIPE THROUGH FLOOR PVC PIPE THROUGH WALL PVC PIPE THROUGH CEILING DAMAGED WALL/ FLOOR/ CEILING CORE HOLE CRACK CONDUIT THROUGH WALL CONDUIT THROUGH FLOOR CONDUIT THROUGH CEILING CABLE TRAY THROUGH WALL CABLE TRAY THROUGH FLOOR DUCT MECH SERVICES DUCT ACCESS/EGRESS DOOR

  • N/A
  • CABLE THROUGH FLOOR
  • CABLE THROUGH WALL
  • CABLE THROUGH CEILING
  • UNSEALED CABLE TRAY
  • PVC PIPE THROUGH FLOOR
  • PVC PIPE THROUGH WALL
  • PVC PIPE THROUGH CEILING
  • DAMAGED WALL/ FLOOR/ CEILING
  • CORE HOLE
  • CRACK
  • CONDUIT THROUGH WALL
  • CONDUIT THROUGH FLOOR
  • CONDUIT THROUGH CEILING
  • CABLE TRAY THROUGH WALL
  • CABLE TRAY THROUGH FLOOR
  • DUCT
  • MECH SERVICES DUCT
  • ACCESS/EGRESS DOOR

• ARE ANY PENETRATIONS UNSEALED OR ARE THERE ANY OTHER DEFECTS PRESENT?

  DEFECTS NOTED

  NO DEFECTS NOTED

• IS ALL EXISTING FIRE STOP CERTIFIED AND LABELLED INCLUDING INSTALLER, MATERIAL USED, FRL AND DATE INSTALLED?

  YES

  NO

  N/A

• DEFECT PHOTOS

  Media

• IS THIS CONSIDERED AN OLD OR NEW PENETRATION ?

  Select N/A OLD PENTRATION NEW PENTRATION UNKNOWN NEW ITEM THROUGH OLD PENTRATION NEW DAMAGE WITHIN FIRE RATED AREA NEW HOLE

  • N/A
  • OLD PENTRATION
  • NEW PENTRATION
  • UNKNOWN
  • NEW ITEM THROUGH OLD PENTRATION
  • NEW DAMAGE WITHIN FIRE RATED AREA
  • NEW HOLE

• ACTION TO RECTIFY?

  Select N/A ADD FIRE RATED PILLOWS ADD FIRE RATED MASTIC ADD INTUMESCENT SPRAY ADD INTUMESCENT SEAL ADD PIPE COLLAR REPAIR/ REPLACE DOOR SEAL REPAIR/REPLACE FIRE RATED DOOR/ FRAME REPAIR REPLACE FIRE RATED ACCESS PANEL NEW FIRE RATED CLADDING BUILDING REPAIR OTHER, SEE COMMENTS ADD FIRE BATT ADD THERMAL WRAP

  • N/A
  • ADD FIRE RATED PILLOWS
  • ADD FIRE RATED MASTIC
  • ADD INTUMESCENT SPRAY
  • ADD INTUMESCENT SEAL
  • ADD PIPE COLLAR
  • REPAIR/ REPLACE DOOR SEAL
  • REPAIR/REPLACE FIRE RATED DOOR/ FRAME
  • REPAIR REPLACE FIRE RATED ACCESS PANEL
  • NEW FIRE RATED CLADDING
  • BUILDING REPAIR
  • OTHER, SEE COMMENTS
  • ADD FIRE BATT
  • ADD THERMAL WRAP

• EQUIPMENT REQUIRED TO ACCESS ISSUE IDENTIFIED?

  Select N/A SHORT STEPS 1.8 Steps 3 .0 STEPS SCISSOR LIFT BOOM LIFT EASY, FLOOR LEVEL EASY, SHOULDER HEIGHT OR BELOW SCAFFOLD

  • N/A
  • SHORT STEPS
  • 1.8 Steps
  • 3 .0 STEPS
  • SCISSOR LIFT
  • BOOM LIFT
  • EASY, FLOOR LEVEL
  • EASY, SHOULDER HEIGHT OR BELOW
  • SCAFFOLD

• COMMENTS

• COMPLIANT?

  YES

  NO

  N/A

SUMMARY

• AUDITOR SIGNATURE

  Sign

• CLIENT SIGNATURE

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