Annual Fire Door Inspection Form PDF Details

Ensuring the safety and compliance of fire door assemblies within any facility is critical, a task that is rigorously outlined through the Annual Fire Door Inspection form. This comprehensive form acts as a meticulous checklist to evaluate the operational integrity and security of swinging fire door assemblies. It covers an array of critical inspection points, such as verifying the absence of holes and breaks in surfaces, the intactness of glazing elements, the alignment and functioning of doors, frames, and hardware, and the correct clearance measurements. Moreover, the form takes into account special features like locking arrangements, the number of leaves, and fire ratings of both leaves and frames, alongside the performance of automatic or manual operators and hold-open devices. The inspection process also scrutinizes any modifications made to the door since its installation, ensuring any alterations do not compromise its effectiveness. Guidelines from NFPA 80, 2010 Edition serve as the basis for these inspections, ensuring adherence to accepted safety standards. By identifying and documenting any deficiencies, the form plays a crucial role in maintaining not only the functionality but also the legal compliance of fire door assemblies, contributing to the overall safety of the facility.

QuestionAnswer
Form NameAnnual Fire Door Inspection Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesannual fire door inspection form, fire door inspection checklist template, fire door checklist template, fire door inspection form pdf

Form Preview Example

Annual Inspection of Swinging Fire Door Assemblies

Name of Facility: ____________________________________________________________________

Fire Door Assembly Location: ___________________________________________________________

Special Locking Arrangement?: __________________________________________________________

Number of Leafs: _________ Fire Rating of Each Leaf: _____________ Fire Rating of Frame: ________

Rating of Barrier: ___________ Purpose of Rated Barrier: _____________________________________

Automatic or Manual Operator?: _____________________ Hold-open Device?: ____________________

Inspected By: __________________________________________ Date: _________________________

Inspection Activity:

Yes

No

N/A

Comments

 

 

 

 

 

 

1.

Is the door and frame free from holes and

 

 

 

 

 

breaks in all surfaces?

 

 

 

 

 

 

 

 

 

 

2.

Are all the glazing, vision light frames and

 

 

 

 

 

glazing beads intact and securely fastened?

 

 

 

 

 

 

 

 

 

 

3.

Are the doors, hinges, frame, hardware and

 

 

 

 

 

threshold secure, aligned and in working order

 

 

 

 

 

with no visible signs of damage?

 

 

 

 

4.

Are there any missing or broken parts?

 

 

 

 

 

 

 

 

 

 

5.

Is the clearance from the door edge to the frame

 

 

 

 

 

no more than 1/8 inch?

 

 

 

 

 

 

 

 

 

 

6.

Is the door undercut no more than ¾ inch?

 

 

 

 

 

 

 

 

 

 

7.

Does the active door leaf completely closes

 

 

 

 

 

when operated from the full open position?

 

 

 

 

 

 

 

 

 

 

8.

Does the inactive leaf close before the active

 

 

 

 

 

leaf when a coordinator is used?

 

 

 

 

 

 

 

 

 

 

9.

Does the latching hardware operate and secure

 

 

 

 

 

the door in the closed position?

 

 

 

 

 

 

 

 

 

 

10.

Is the door assembly free from are auxiliary

 

 

 

 

 

hardware items which could interfere with its

 

 

 

 

 

operation?

 

 

 

 

11.

Has the door been modified since it was

 

 

 

 

 

originally installed?

 

 

 

 

 

 

 

 

 

 

12.

If gasketing and edge seals are installed, have

 

 

 

 

 

they been verified for integrity and operation?

 

 

 

 

 

 

 

 

 

All “No” answers must be fully explained.

 

 

 

SOURCE: NFPA 80, 2010 EDITION

Supervisor’s Initial: _________ Date: __________________ Work Order #: _______________________

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This form needs some specific details; in order to guarantee correctness, please be sure to heed the subsequent tips:

1. To begin with, once filling in the fire door inspection form, start in the section with the following fields:

Writing section 1 in nfpa 80 annual fire door inspection form

2. Soon after performing this step, head on to the next stage and fill out the essential details in all these blank fields - Are the doors hinges frame, threshold secure aligned and in, Are there any missing or broken, Is the clearance from the door, Is the door undercut no more than , Does the active door leaf, Does the inactive leaf close, leaf when a coordinator is used, Does the latching hardware, the door in the closed position, Is the door assembly free from, Has the door been modified since, and originally installed.

Is the door assembly free from, Does the latching hardware, and Is the clearance from the door in nfpa 80 annual fire door inspection form

People generally make some mistakes when completing Is the door assembly free from in this section. Ensure you revise everything you type in right here.

3. Your next stage is generally straightforward - fill out every one of the form fields in If gasketing and edge seals are, they been verified for integrity, All No answers must be fully, and Source NFPA edition to finish this part.

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