Free Annual Fire Door Inspection Form in PDF

Free Annual Fire Door Inspection Form in PDF

The Annual Fire Door Inspection form serves as a detailed checklist to ensure the proper function and safety of swinging fire door assemblies, in compliance with NFPA 80 standards. This comprehensive form guides inspectors through a series of essential checks, from assessing the integrity of door and frame to the functionality of hardware and closure mechanisms. For maintaining the required safety standards, it is crucial that facility managers fill out this form meticulously every year. Fill out the form by clicking the button below.

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Ensuring the safety and compliance of fire door assemblies in buildings is a critical aspect of facility maintenance that hinges largely on thorough inspections. In essence, the Annual Fire Door Inspection form serves as both a checklist and a report for evaluating the condition and functionality of swinging fire door assemblies. This detailed form encompasses various facets critical to the effectiveness and reliability of fire doors, including the physical condition of doors and frames, the integrity of glazing elements, the alignment and operation of hinges, and the functionality of hardware and locking mechanisms. Additionally, it requires an assessment of the door's clearance, the presence and condition of gaskets and seals, and any modifications that could affect the door's performance. Inspectors are prompted to indicate whether each item meets the required standards (Yes), does not meet them (No), or if the item is not applicable (N/A), with space for comments to elaborate on issues found. This form not only underlines the vital features that must be inspected to comply with safety regulations, most notably the standards set forth by NFPA 80, 2010 Edition, but also ensures that any deficiencies are documented and addressed promptly to maintain the fire doors' integrity. By requiring the inspector's and a supervisor's initials, along with the date of inspection and work order numbers, it also provides a detailed record that helps in tracking the maintenance history of each fire door assembly within a facility.

Preview - Annual Fire Door Inspection Form

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 #: _______________________

Document Specs

Fact Name Detail
Form Purpose Annual Inspection of Swinging Fire Door Assemblies
Documented Information Facility Name, Fire Door Assembly Location, Special Locking Arrangements, Number of Leafs, Fire Ratings, and Inspector Details
Governing Law NFPA 80, 2010 Edition
Inspection Criteria Integrity of door and frame, secure and aligned hardware, clearance specifications, operational function of doors, and the integrity of gasketing and edge seals
Operational Checks Manual or Automatic operator, Presence of Hold-open Device
Required Responses Yes, No, N/A with mandatory comments for all "No" answers
Document Verification Inspected By, Supervisor's Initials, Inspection and Work Order Dates
Special Feature Check Special Locking Arrangement verification
Modification Check Documentation of any modifications since original installation

Instructions on Writing Annual Fire Door Inspection

Ensuring the safety and compliance of facilities with fire safety regulations is a cornerstone of maintaining a secure environment for occupants. The Annual Fire Door Inspection form serves as a critical tool in assessing the operational integrity of fire door assemblies within a facility. Proper completion of this form not only facilitates compliance with NFPA 80, 2010 Edition standards but also aids in identifying potential issues that could compromise safety. The steps below guide you through filling out this form to ensure thorough and accurate reporting.

  1. Start by entering the Name of Facility at the top of the form to identify the location being inspected.
  2. Fill in the Fire Door Assembly Location to specify where in the facility the fire door assembly being inspected is located.
  3. If there is a Special Locking Arrangement, describe it in the provided space.
  4. Record the Number of Leafs in the door assembly.
  5. Specify the Fire Rating of Each Leaf and the Fire Rating of Frame in the respective fields.
  6. Enter the Rating of Barrier and describe the Purpose of Rated Barrier.
  7. Indicate whether the operator is Automatic or Manual and if there is a Hold-open Device.
  8. Fill in the name of the person performing the inspection in the Inspected By field and record the Date of inspection.
  9. For each item listed under Inspection Activity, check "Yes," "No," or "N/A" to indicate compliance, non-compliance, or not applicable, respectively. Ensure to provide comments for clarification or explanation, particularly for any "No" responses.
  10. Any item marked with a "No" must have a detailed explanation in the Comments section to clarify the deficiency.
  11. After completing the inspection checklist, have the supervisor initial the form in the Supervisor’s Initial field and record the date again.
  12. Document the Work Order # if any repairs or actions need to be taken as a result of the inspection.

Completing the Annual Fire Door Inspection form with diligence and attention to detail is essential in fulfilling safety obligations and ensuring the well-being of all facility occupants. Proper documentation and follow-up on identified issues are vital to maintaining the integrity of fire safety measures.

Understanding Annual Fire Door Inspection

What is the purpose of the Annual Fire Door Inspection form?

The Annual Fire Door Inspection form is designed to ensure that swinging fire door assemblies within a facility are in proper working order and meet safety standards. It is a comprehensive checklist that assesses various components of the fire door, including its frame, hardware, and the door itself, to identify any damages or issues that may compromise its effectiveness in preventing the spread of fire and smoke. This form plays a crucial role in maintaining the integrity of fire barriers, thereby protecting the safety of occupants and property.

Who should complete the Annual Fire Door Inspection form?

The inspection should be carried out by a qualified individual with knowledge of fire doors and their components, often a safety officer, a maintenance staff member with special training, or an external fire door safety inspector. It's important that the person conducting the inspection understands the critical safety aspects of fire door assemblies to accurately assess their condition and identify any potential issues.

What happens if a "No" answer is marked on the inspection form?

Any item marked as "No" in the inspection form indicates a possible problem or deficiency with the fire door assembly. Each "No" must be fully explained in the comments section, detailing the specific issue found. This information is crucial for generating a corrective action plan to address and resolve any defects or damages, ensuring the fire door can perform its intended function during a fire emergency.

Are there any criteria for the clearance measurements mentioned (1/8 inch for door to frame and 3/4 inch for door undercut)?

Yes, the clearance measurements are critical for the proper function of the fire door assembly. A clearance no more than 1/8 inch between the door edge and frame ensures a tight seal to prevent the passage of smoke and flames, while a door undercut no more than ¾ inch guarantees enough space for the door to move without hindrance, yet not too much space to allow the spread of fire and smoke. These specific measurements are established standards that help maintain the door's integrity as a fire barrier.

What is meant by "special locking arrangement" in the inspection form?

A "special locking arrangement" refers to any locking system installed on the fire door other than the standard mechanical or electrical latching hardware. These special arrangements could include panic hardware, delayed egress systems, or electromagnetic locks that align with life safety and fire code requirements. Their purpose is to ensure security while allowing for safe egress during an emergency, and they must be inspected for proper operation.

How often is the Annual Fire Door Inspection form required to be completed?

As the name suggests, the fire door inspection form is to be completed annually. This frequency ensures that fire doors maintain their effectiveness as safety barriers throughout their lifespan. Regular inspections help identify wear and tear or any damages early on, allowing for timely repairs or adjustments that can prevent failure of the doors during an emergency.

Can modifications be made to fire doors after their original installation?

Modifications to fire doors after their original installation are permitted only if they do not affect the door's fire rating and safety performance. Any modification, such as installing a new vision panel or altering the door size, requires careful consideration and, in most cases, re-certification to verify it still meets the necessary fire safety standards. The inspection form includes a question about modifications to ensure that any changes have been assessed for impact on the door's performance.

What is the significance of inspecting gasketing and edge seals?

Gasketing and edge seals play a crucial role in preventing smoke and flame penetration through fire doors. Inspecting these components for integrity and proper operation ensures they can effectively seal the door assembly against the spread of fire and smoke. Compromised gasketing or seals can significantly reduce a fire door's performance, so it is vital to verify their condition and functionality during the annual inspection.

Common mistakes

One common mistake people make when filling out the Annual Fire Door Inspection form is not providing a thorough inspection of the door and frame for holes and breaks in all surfaces. It is crucial to inspect every inch of the door and frame to ensure there are no breaches in its integrity that could compromise its performance in the event of a fire.

Another mistake is overlooking the integrity of glazing, vision light frames, and glazing beads. These components must be intact and securely fastened to maintain the door's fire rating. A failure to verify these elements can lead to noncompliance with safety standards.

Frequently, individuals fail to check if all doors, hinges, frames, hardware, and thresholds are secure, aligned, and in working order without visible signs of damage. Ignoring these aspects may result in the door assembly's inability to function properly during a critical time, endangering people's lives.

Not identifying and documenting any missing or broken parts is another oversight. Each part of the fire door assembly plays a vital role in its overall functionality and safety. Missing or broken parts can render the fire door ineffective in preventing the spread of smoke or fire.

Insufficient attention to the clearance from the door edge to the frame and the door undercut measurements is also a significant mistake. Exceeding the specified clearance can compromise the door's ability to contain smoke and flames.

Failure to ensure that the active door leaf closes completely from a fully open position and that the inactive leaf closes before the active leaf when a coordinator is used is commonly overlooked. These operations are essential for the proper function of double door assemblies in an emergency.

Not testing the latching hardware to verify it operates and secures the door in the closed position is a critical mistake. Effective latching is necessary to prevent the door from being forcibly opened by the pressure of a fire.

An additional oversight is not verifying the absence of auxiliary hardware that could interfere with the door's operation. Unauthorized additions to the door assembly can negate its fire rating and certification.

Last, not noting any modifications made to the door since its original installation can lead to noncompliance issues. Any alteration to the fire door assembly needs to meet strict guidelines to maintain its effectiveness in halting the progress of a fire.

Documents used along the form

When conducting inspections or maintenance of fire safety systems within a facility, a variety of forms and documents are essential to ensure comprehensive review and compliance with safety standards. The Annual Fire Door Inspection form is crucial, but it is often accompanied by several other important documents. Each document serves a specific purpose and contributes to the overall safety and integrity of the building's fire prevention and protection strategy. Below is a list of other forms and documents that are commonly used alongside the Annual Fire Door Inspection form:

  • Fire Safety Plan: This document outlines the overall strategy for fire safety in a facility, including evacuation routes, fire department access, and the location of fire safety equipment. It is essential for coordinating inspections and maintenance.
  • Emergency Lighting Inspection Form: This form records the inspection results of emergency lighting systems to ensure they are functioning correctly and are in compliance with safety standards.
  • Fire Extinguisher Inspection Record: This document logs the inspection of fire extinguishers, noting their condition, location, and the date of the last inspection to ensure they are operational if needed.
  • Smoke Detector and Alarm Inspection Form: This form is used to document the inspection of smoke detectors and alarms, verifying their operability and compliance with safety regulations.
  • Fire Alarm System Inspection and Testing Form: It records the tests performed on the fire alarm system to ensure every component is working correctly and no faults exist within the system.
  • Hazardous Materials Inventory: This inventory lists all hazardous materials stored within the facility, including their locations and safety data sheets, important for evaluating fire risk and determining appropriate fire safety measures.
  • Fire Safety Compliance Audit: A comprehensive review of a facility’s adherence to fire safety laws and regulations, identifying areas of compliance and those requiring improvement.
  • Fire Drill Report Form: This form documents the execution and outcome of fire drills, providing insights into the effectiveness of evacuation strategies and areas that may need improvement.
  • Maintenance Log for Fire Safety Equipment: A log keeping track of maintenance activities on all fire safety equipment, including fire doors, to ensure they remain in optimal condition.

Each of these documents plays a vital role in maintaining a safe environment. Together with the Annual Fire Door Inspection form, they provide a comprehensive overview of a facility's readiness to handle fire emergencies. Proper documentation ensures compliance with safety regulations and standards, helping protect property and save lives.

Similar forms

The Annual Fire Door Inspection form shares similarities with the Elevator Inspection Report. Both are structured to ensure safety compliance within buildings, focusing on the operational integrity and safety of specific features. The Elevator Inspection Report checks items such as door operation, emergency signals, and overall condition, much like the fire door inspection emphasizes the door’s condition, alignment, and ability to close properly. Both forms serve to identify potential hazards and require action to address any failing conditions, contributing to the building's overall safety maintenance.

Like the Annual Fire Door Inspection form, the Building Safety Inspection Checklist is another essential document in the realm of property maintenance and safety compliance. This checklist covers a broader range of safety features beyond fire doors, including electrical systems, fire escape routes, and structural integrity. Despite its wider scope, the checklist operates on a similar principle: ensuring all parts of a building meet certain safety standards. Items are marked as compliant, non-compliant, or not applicable, demanding detailed inspection and maintenance records to safeguard occupants and property.

The Occupational Safety and Health Administration (OSHA) Inspection Form parallels the Annual Fire Door Inspection form in its dedication to safeguarding environments. While OSHA inspections might cover a broader range of workplace safety issues—like hazardous materials handling, ergonomics, and emergency exits—the detailed assessment and documentation process closely matches that of fire door inspections. Both forms identify potential risks and enforce standards designed to prevent accidents or injuries, thereby ensuring a safe environment for occupants.

A Fire Safety Plan Review is another document resembling the Annual Fire Door Inspection form, albeit with a focus ahead of potential issues. This plan outlines emergency procedures, escape routes, and the location and maintenance of fire safety equipment. Like the fire door inspection, the review involves an assessment of components critical to safety in the event of a fire, but it also includes pre-emptive measures and preparedness strategies. Both documents are integral to a comprehensive fire safety protocol, emphasizing prevention, preparedness, and maintenance.

Similar to the Annual Fire Door Inspection form, the Emergency Lighting Inspection Report ensures another aspect of safety compliance—adequate illumination to exit a building during an emergency. This report meticulously checks each component of emergency lighting systems, such as battery condition, bulb functionality, and unit integrity, in a manner that reflects the thoroughness of the fire door inspection checklist. Both forms are crucial for maintaining building safety, ensuring that in the event of an emergency, occupants can safely find their way out.

The Sprinkler System Inspection Form, akin to the fire door inspection, deals with a specific aspect of fire safety—sprinkler functionality and readiness. The form includes checks for pipe conditions, valve accessibility, and water pressure, paralleling the detailed checklist criteria seen in fire door inspections. Both documents are predictively preventive, focusing on ensuring systems function as intended during emergencies to protect both property and lives.

The Fire Extinguisher Inspection Record is another document that shares its core function with the Annual Fire Door Inspection form. This record concentrates on ensuring the availability and operational readiness of fire extinguishers, including checks on seals, tags, and pressure gauges, mirroring the specificity and safety-focus of the fire door inspection checklist. Both are crucial for immediate response capabilities, offering first-line defense in case of a fire.

The Gas Safety Inspection Form, while focusing on a different type of hazard, aligns with the Annual Fire Door Inspection form in its preventive and safety maintenance approach. This form examines gas lines, connections, and appliances for leaks or defects, similar to how the fire door inspection scrutinizes door mechanisms and integrity. Both documents are crucial for hazard prevention, addressing specific risks within their domains to maintain safety standards.

Last is the Health Department Inspection Checklist for Food Establishments, sharing a common goal with the Annual Fire Door Inspection form: upholding safety standards. Though focusing on sanitary conditions, pest control, and proper food storage, it parallels the methodical approach of checking compliance against a set of standards. Both forms are about preventing adverse conditions—whether related to fire safety or food safety—through regular and detailed inspections.

Dos and Don'ts

When filling out the Annual Fire Door Inspection form, it is crucial to ensure accuracy and thoroughness. To guide you through this process, here are things you should and shouldn't do:

Do:
  • Review the entire form before starting: Understand all the sections to ensure a smooth process.
  • Use clear and descriptive language in the comments section: Specificity helps in addressing any issues identified.
  • Verify all details: Double-check the facility's name, location of the fire door assembly, and special locking arrangements.
  • Measure accurately: For door edge-to-frame clearance and door undercut, use precise tools for measurement.
  • Check each requirement carefully: Assess every element against the listed criteria, such as the condition of the door, frame, hardware, and the operation of the door.
Don't:
  • Skip sections: Even if a section seems not to apply, examine it closely; 'N/A' is an option only when absolutely certain.
  • Assume details: If unsure about a particular feature or specification, verify it instead of guessing.
  • Forget to note modifications: Any changes made to the door assembly since its original installation should be documented.
  • Ignore signs of wear or damage: Minor issues can lead to failure in meeting the fire safety standards; report and address them promptly.

Taking the time to carefully and correctly fill out the Annual Fire Door Inspection form is critical in maintaining the safety standards and compliance of the facility. Remember, accuracy, and attention to detail can significantly contribute to the effectiveness of fire doors during emergencies.

Misconceptions

When it comes to the Annual Fire Door Inspection form, several misconceptions exist that can lead to confusion and potential compliance issues for facilities. Understanding these misconceptions is critical for ensuring that fire doors function correctly, offering the necessary protection in the event of a fire.

  • Misconception 1: The inspection form is only necessary for large facilities.

    This belief overlooks the fact that fire door inspections, as outlined in NFPA 80, apply to all buildings with fire doors, regardless of their size. This includes schools, hospitals, offices, and residential buildings.

  • Misconception 2: A visual inspection is sufficient.

    While visual elements are key components of the inspection, it involves more detailed checks, such as the operation of the door, the integrity of its components, and ensuring no modifications have been made that could impair its functionality.

  • Misconception 3: Any maintenance staff can perform the inspection.

    The inspection should be conducted by someone who is trained and knowledgeable about the specific requirements and protocols laid out by NFPA 80, to ensure a thorough and accurate inspection.

  • Misconception 4: Fire door inspections are optional.

    Fire door inspections are mandatory under the NFPA 80 and failure to conduct them annually can result in non-compliance issues, potentially risking health and safety.

  • Misconception 5: All doors in a facility need to be inspected.

    While it’s important to ensure all doors are in good working order, the specific annual inspection requirements are for doors designated as fire doors, which are used to prevent the spread of fire and smoke.

  • Misconception 6: The inspection form is overly complicated.

    The form is designed to be thorough to ensure that all aspects of the fire door’s functionality are checked. Understanding the form's components can make the process straightforward.

  • Misconception 7: If a door passes once, it does not need to be re-inspected.

    Annual inspections are required no matter the outcome of previous inspections, as changes to the door’s condition can occur at any time, affecting its performance during a fire.

  • Misconception 8: The form only needs to be completed if deficiencies are found.

    Completing the form is necessary for all fire doors inspected, documenting compliance and any issues needing attention, not just when deficiencies are observed.

  • Misconception 9: The inspection form is the only document needed.

    While the inspection form is a critical component of compliance, maintaining a comprehensive record of all maintenance, repairs, and replacements made to fire door assemblies is also necessary for complete documentation.

By clearing up these misconceptions, facilities can ensure they remain compliant with NFPA 80, safeguarding their occupants and property from fire-related dangers effectively through proper fire door maintenance and inspection.

Key takeaways

Filling out and using the Annual Fire Door Inspection form is essential to ensuring the safety and compliance of building operations. Here are eight key takeaways to guide the process effectively:

  • Accuracy is Key: Ensure that all information provided on the form, including the name of the facility and the specific location of the fire door assembly, is accurate and complete. This precise information is crucial for maintaining a reliable safety record.
  • Special Locking Arrangements: Pay special attention to any special locking arrangements. These details can significantly impact the functionality and compliance of the fire door assembly.
  • Understanding Fire Ratings: It’s important to note the fire rating of each leaf, the frame, and the barrier. These ratings determine the door’s resistance to fire and heat, and understanding these can help assess the overall safety of the environment.
  • Manual vs. Automatic Operations: Identify whether the fire door assembly operates manually or automatically. This affects how the door responds in an emergency and its maintenance requirements.
  • Inspection Checklist is Comprehensive: The inspection requires a review of physical conditions (e.g., absence of holes and breaks), integrity of components (e.g., hinges, frame, hardware), operational functionality (e.g., closing mechanisms), and much more. This exhaustive checklist ensures every aspect of the door’s capability is evaluated.
  • Attention to Details: Pay attention to specific measurements such as the clearance from the door edge to the frame, or the undercut of the door. These small details can have a big impact on the effectiveness of the fire door in an emergency.
  • Importance of Maintenance: The form queries about modifications and checks the integrity of gasketing and edge seals. Routine maintenance and check-ups prevent future failures and ensure the door functions as intended over time.
  • Documentation and Follow-up: After completing the inspection, it's important to document any issues found and initiate work orders for repairs as needed. Detailed records and prompt resolution of issues maintain compliance and safety standards.

By thoroughly completing the Annual Fire Door Inspection form and addressing any identified issues, facilities can ensure their fire doors are in optimal working condition, contributing to the overall safety of the building's occupants.

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