SHSC Fire Door Survey / Inspection

• Site conducted:

  Select

• Date Survey Conducted:

  Date

• Project Name:

• Location:
  Address

• INSTRUCTIONS:
  ----------------
  1. Answer all the questions provided below.
  2. If response is "Fail", add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Actions click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Fire Door Survey

Door

• 1) Location:

• 2) YFS ID Reference:

• 3) Door Type:

  Single

  Double

  Leaf & Half

• 4) Rating:

  FD30

  FD60

  FD30 S

  FD60 S

  Other

• ♦ Please specify.

• 5) Door Material:

  Select Sapele Veneer Beech Veneer Oak Veneer Ash Veneer Paint Grade Other

  • Sapele Veneer
  • Beech Veneer
  • Oak Veneer
  • Ash Veneer
  • Paint Grade
  • Other

• ♦ Please specify.

• ♦ Please attach photo.

  Media

• 6) Door Dimensions: 1 (opening size), 2 (frame width), 3 (glass dimensions)

• 7) Overall Condition:

  Replacement Advised

  Repairs Allowed

• Select the ART No.

  Select

• 8) Door leaf thickness:

  44 mm

  54 mm

  Other

• 9) Door leaf condition:

  Pass

  Fail

• undefined

  Select

• 10) Frame Condition (If fail, please note the description of failure and attach photo)

  Pass

  Fail

• undefined

  Select

• 11) Frame type:

  Soft wood

  Hard wood

  Other

• 12) Architrave condition:

  Pass

  Fail

  N/A

• undefined

  Select

• 13) Hinge Condition:

  Pass

  Fail

• undefined

  Select

• 14) Door latching:

  Pass

  Fail

  N/A

• undefined

  Select

• 15) Lockset Condition (If fail, please note the description of failure and attach photo)

  Pass

  Fail

  N/A

• undefined

  Select

• 16) Glass type:

  GWPP

  Clear stamped

  n/a

• 17) Glass Condition (If fail, please note the description of failure and attach photo)

  Pass

  Fail

  N/A

• undefined

  Select

• 18) Beading Condition (If damaged, please add description of damage and attach photo)

  Pass

  Fail

  N/A

• undefined

  Select

• 19) Glazing Intumescent Seal Condition (If damaged, please add description of damage and attach photo)

  Pass

  Fail

  N/A

• undefined

  Select

• 20) Intumescent / Smoke Seal Condition (If damaged, please add description of damage and attach photo)

  Pass

  Fail

  N/A

• undefined

  Select

• 21) Door Closer Condition (If requires replacement, note the type of closer required)

  Pass

  Fail

  N/A

• undefined

  Select

• 22) Hold open device:

  Pass

  Fail

  N/A

• undefined

  Select

• 23) Gaps around perimeter - Door & Frame

  Pass

  Fail

• undefined

  Select

• 24) Signage:

  Pass

  Fail

  N/A

• undefined

  Select

• 25) Level test evidence:

  Select

Completion

• Audited By: (Name & Signature)

  Sign