Fire Door INSP Form
Updated
A PDF document (517 KB) attached to No Award Amendment| WNY Chute, Barrier, & Door Inspections, from the Department of Veterans Affairs. Due Nov 12, 2026, 3:00 PM (UTC-5).
File name: Fire Door INSP Form.pdf
The full file is for paid members, or buy this bid alone.
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FIRE DOOR INSPECTION FORM
FACILITY:
FLOOR:
INSPECTOR:
DATE:
BUILDING:
DOOR IDENTIFICATION:
SIGNATURE:
DOOR COMPLIANT
REPAIRED
⃝ YES
⃝ YES
⃝ NO
⃝ NO
FREFFIRE DOOR INSPECTION CHECKLIST
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
⃝
⃝
⃝
No improper modifications
(Glass secured, and not cracked)
FREFFIRE DOOR FRAME INSPECTION CHECKLIST
PASS
FAIL
N/A
⃝
⃝
⃝
⃝
⃝
⃝
PASS
FAIL
N/A
Frame is mounted securely to wall
⃝
⃝
⃝
Label is present and legible.
No visual damage to frame
⃝
⃝
⃝
Correct fire rated hardware application.
⃝
⃝
⃝
No improper modifications
(Dents, Rust, Delamination)
⃝
⃝
⃝
Frame is aligned properly
FREFFIRE DOOR OPERATIONAL TEST INSPECTION CHECKLIST
PASS
FAIL
N/A
⃝
⃝
⃝
⃝
⃝
⃝
PASS
FAIL
N/A
Door swings and closes freely
⃝
⃝
⃝
Fire Exit hardware is present
Clearances
⃝
⃝
⃝
Closers installed and operating properly
⃝
⃝
⃝
Electric Hold Open functions properly
(3/16”-1/8” Top and Jams) (Max ¾” Bottom)
⃝
⃝
⃝
Area surrounding fire door is not blocked
DESCRIPTION OF FAILURES:
REPAIRS MADE:
DATE REPAIRS WERE COMPLETED:
REPAIRS COMPLETED BY:
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