Fire Door INSP Form.pdf
PDF 517 KB Posted
- Solicitation number
- 36C24226Q0687
About this file
This is a Fire Door Inspection Form template used to document the condition and compliance status of fire doors at a facility.
The form captures inspection data across three primary assessment categories: door condition, frame condition, and operational functionality. The door inspection checklist evaluates door presence, visual damage, labeling legibility, modifications, hardware application, fusible links, and glass integrity. The frame inspection checklist assesses secure mounting, visual damage (dents, rust, delamination), proper alignment, labeling, hardware application, and modifications. The operational test inspection checklist verifies that doors swing and close freely, maintain proper clearances (3/16"-1/8" at top and jams, maximum 3/4" at bottom), have unobstructed surrounding areas, include fire exit hardware, have functioning closers, and feature properly operating electric hold-open systems where applicable. Each inspection item is evaluated as Pass, Fail, or Not Applicable.
The form includes administrative fields for facility, building, floor, door identification, inspector name and signature, and inspection date. It provides space to mark overall door compliance status (Yes/No) and repair status (Yes/No). The form also contains sections for documenting failures, repairs performed, repair completion dates, and the personnel responsible for completing repairs. This template is designed for compliance verification and record-keeping purposes related to fire safety standards.
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Text version
FIRE DOOR INSPECTION FORM
FACILITY: BUILDING:
FLOOR: DOOR IDENTIFICATION:
INSPECTOR: SIGNATURE:
DATE: DOOR COMPLIANT ⃝ YES ⃝ NO
REPAIRED ⃝ YES ⃝ NO
PASS FAIL N/A PASS FAIL N/A
⃝ ⃝ ⃝ Door Present ⃝ ⃝ ⃝ Correct fire rated hardware application.
⃝ ⃝ ⃝ No visual damage to door ⃝ ⃝ ⃝ Door uses fusible link
⃝ ⃝ ⃝ Label is present and legible. ⃝ ⃝ ⃝ Lite if present is compliant and intact
(Glass secured, and not cracked) ⃝ ⃝ ⃝ No improper modifications
⃝ ⃝ ⃝ Frame is mounted securely to wall ⃝ ⃝ ⃝ Label is present and legible.
⃝ ⃝ ⃝ No visual damage to frame ⃝ ⃝ ⃝ Correct fire rated hardware application.
(Dents, Rust, Delamination)
⃝ ⃝ ⃝ Frame is aligned properly ⃝ ⃝ ⃝ No improper modifications
⃝ ⃝ ⃝ Door swings and closes freely ⃝ ⃝ ⃝ Fire Exit hardware is present
⃝ ⃝ ⃝ Clearances ⃝ ⃝ ⃝ Closers installed and operating properly
(3/16”-1/8” Top and Jams) (Max ¾” Bottom)
⃝ ⃝ ⃝ Area surrounding fire door is not blocked ⃝ ⃝ ⃝ Electric Hold Open functions properly
DESCRIPTION OF FAILURES:
REPAIRS MADE:
DATE REPAIRS WERE COMPLETED:
REPAIRS COMPLETED BY:
FREFFIRE DOOR INSPECTION CHECKLIST
FREFFIRE DOOR FRAME INSPECTION CHECKLIST
FREFFIRE DOOR OPERATIONAL TEST INSPECTION CHECKLIST
File details come from the government source that posted it. Updated .