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The Annual Fire Door Inspection form serves as a critical tool in evaluating the integrity and safety of swinging fire door assemblies within any facility. This detailed form provides a structured framework for inspectors to assess various essential components of a fire door assembly, including its location, any special locking arrangements, the number of leafs, fire ratings of each leaf and the frame, and the rating and purpose of the barrier. The form further delves into specifics such as the operation mode of the door (automatic or manual), the presence of hold-open devices, and a comprehensive checklist. This checklist covers the condition of the door and frame, the security and alignment of doors, hinges, and hardware, the adequacy of clearance and undercutting, latching effectiveness, and the presence or absence of modifications post-installation. Each item on the inspection activity list prompts for a yes, no, or not applicable response, with a requirement for comments on any observed deficiencies. This systematic approach ensures thorough scrutiny of fire doors to maintain their functionality and compliance with safety standards. By capturing such detailed information, including the inspection date and the inspector's details, the form aids in maintaining up-to-date records that are crucial for safety audits, compliance verification, and ongoing maintenance schedules, in alignment with requirements delineated in NFPA 80, 2010 Edition.

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 #: _______________________

Form Data

Fact Name Detail
Document Purpose Annual Inspection of Swinging Fire Door Assemblies.
Facility Information Includes Name of Facility and Fire Door Assembly Location.
Fire Door Specifications Covers Special Locking Arrangements, Number of Leafs, Fire Rating of Each Leaf, Frame, and Barrier, plus the Purpose of Rated Barrier.
Operation Type Specifies if the fire door has an Automatic or Manual Operator and if there is a Hold-open Device.
Inspection Verification Inspected by, Date, and Inspection Activity with a checklist including conditions and functionalities of the door and its components.
Compliance Checklist Includes specific criteria to be marked as Yes, No, or N/A with a section for Comments.
Regulatory Source NFPA 80, 2010 EDITION
Document Validation Requires Supervisor’s Initials and Date, along with a Work Order # for record-keeping.

Instructions on Utilizing Annual Fire Door Inspection

Filling out the Annual Fire Door Inspection form is a critical step in ensuring the safety and compliance of a facility. This form helps to document the integrity and functionality of swinging fire door assemblies. It's a thorough check that covers everything from physical condition to operational effectiveness. Below are detailed instructions to complete this form accurately.

  1. Start by entering the Name of Facility at the top of the form to identify the location being inspected.
  2. Specify the Fire Door Assembly Location within the facility to pinpoint the exact door being evaluated.
  3. Indicate whether there is a Special Locking Arrangement. If yes, describe the arrangement in detail.
  4. Fill in the Number of Leafs to record how many door panels are in the assembly.
  5. Input the Fire Rating of Each Leaf and the Fire Rating of Frame, to note the fire resistance capabilities.
  6. Document the Rating of Barrier and the Purpose of Rated Barrier to understand the protective role of the barrier in case of a fire.
  7. Choose whether the door operator is Automatic or Manual and note if a Hold-open Device is present.
  8. Provide the name of the person who Inspected By and the Date of inspection to track who has conducted the review and when.
  9. For each item in the Inspection Activity section, mark Yes, No, or N/A based on the condition observed. If any item is not applicable, use N/A. Use the Comments section for additional notes or to explain any "No" answers.
    • Ensure there are no holes or breaks on the door and frame surfaces.
    • Check all glazing and components are intact and secure.
    • Verify the doors, hinges, and other parts are aligned, secure, and functional.
    • Inspect for any missing or broken parts.
    • Confirm the clearance and undercut measurements meet the specified limits.
    • Test if the door(s) close properly from the full open position and if the latching hardware operates correctly.
    • Assess if the door assembly has any modifications or interference.
    • Examine the integrity and operation of any installed gasketing and edge seals.
  10. After inspecting, the supervisor should initial and date the form, indicating oversight, and a Work Order # should be assigned if repairs or further action is required.

Completing this form with attention to detail not only ensures compliance with safety standards but also contributes to the overall security and protection of the facility and its occupants.

Obtain Answers on Annual Fire Door Inspection

Frequently Asked Questions about the Annual Fire Door Inspection Form

  1. 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 in a facility meet the safety standards as outlined in the NFPA 80, 2010 Edition. It involves a comprehensive checklist that covers the physical condition, operation, and alignment of the fire door components. This inspection helps identify parts that may need repair or replacement to maintain the door’s integrity and functionality in preventing the spread of fire and smoke.

  2. Who is required to perform the inspection, and can it be done internally?

    The inspection should be carried out by an individual who has knowledge of the fire door assemblies and understands the safety standards as per NFPA 80. While it is possible for internal staff, such as a facilities manager or a safety officer, to perform the inspection, they must be appropriately trained. In some cases, hiring an external certified professional may be necessary to ensure compliance and the safety of the premises.

  3. What should be done if a fire door fails the inspection?

    If a fire door fails the inspection, the specific issues must be documented in the "Comments" section of the form. All "No" answers need a detailed explanation. After identifying the problems, repairs or replacements should be scheduled promptly to fix the deficiencies. A work order should be generated (referenced by the Work Order # section of the form) to track the corrective actions taken. It is crucial to address failures immediately to ensure the safety of the facility.

  4. Are there any special considerations for doors with a "Special Locking Arrangement"?

    Yes, doors with a "Special Locking Arrangement" need extra attention during the inspection. Such arrangements must comply with egress and fire safety requirements, ensuring that they do not impede the door’s functionality in an emergency. The inspection should verify that these locking mechanisms operate correctly and automatically release if a fire is detected, allowing for safe and quick evacuation. Special locking arrangements are subject to rigorous testing and must be included in the inspection checklist.

Common mistakes

Completing the Annual Fire Door Inspection form requires a detailed eye and a thorough understanding of what ensures a fire door is functioning correctly. Unfortunately, several common mistakes can compromise the integrity of this crucial safety inspection. Recognizing and avoiding these errors can significantly enhance the effectiveness of fire door inspections.

  1. Failing to check for holes and breaks in all surfaces of the door and frame. Even minor damages can affect the door's performance during a fire.

  2. Overlooking the importance of intact and securely fastened glazing, vision light frames, and glazing beads. These components are crucial for the door's integrity and function.

  3. Not ensuring that the doors, hinges, frame, hardware, and threshold are secure, aligned, and in working order. Misalignment or damage can prevent the door from operating correctly.

  4. Missing or broken parts that are overlooked. Every component of a fire door assembly plays a vital role in its operation and safety features.

  5. Incorrect door clearance measurements. Clearances greater than 1/8 inch from the door edge to the frame or an undercut greater than ¾ inch can compromise the door's fire-resistance capabilities.

  6. Not verifying that the active door leaf completely closes from the full open position. Full closure is essential for the door to perform effectively in stopping the spread of fire and smoke.

  7. Ignoring the operation of the inactive leaf in pairs of doors where a coordinator is used, ensuring it closes before the active leaf is crucial for proper function.

  8. Failure to adequately check that latching hardware operates and secures the door in the closed position. Latching is key to the door's performance during a fire.

Avoiding these mistakes necessitates a diligent and informed inspection process. Below are additional errors often seen that can further compromise the safety and efficacy of fire door inspections:

  • Assuming modifications to the door since its original installation have not impacted its fire rating or operation.

  • Omitting to verify the integrity and operation of gasketing and edge seals, assuming they are less critical than other components.

  • Lack of awareness that auxiliary hardware items can interfere with the door's operation and compromise its effectiveness as a fire barrier.

  • Insufficient detail in the comments section. When answering "No" to any inspection activity, a full explanation is required to understand the issue and determine a remedy.

Adhering to these guidelines and paying close attention to each inspection point will ensure fire doors are held to the highest standard, contributing to the safety of all facility occupants.

Documents used along the form

The process of ensuring fire safety in a facility involves more than just the Annual Fire Door Inspection. This crucial inspection is part of a broader system of safety checks and documentations designed to protect the facility's occupants, property, and the community at large. For a comprehensive fire safety strategy, several additional documents and forms often accompany the Annual Fire Door Inspection form. Understanding these documents can help streamline the safety process and ensure thorough compliance with fire safety standards.

  • Fire Safety Plan: This document outlines the procedures for evacuating the building in case of a fire and identifies the roles and responsibilities of staff during an emergency. It includes the location of all exits, assembly points, and the location of fire extinguishers and other fire-fighting equipment.
  • Emergency Evacuation Maps: Displayed throughout the facility, these maps provide visual guidance on the quickest and safest routes to exit the building during an emergency. They include details such as fire exits, staircase locations, and designated assembly areas outside the building.
  • Fire Risk Assessment: This assessment identifies potential fire hazards within the facility, evaluates the risk associated with these hazards, and suggests measures to minimize or eliminate the risks. It is a dynamic document that should be updated regularly to reflect changes in the building’s use, occupancy, or structure.
  • Fire Equipment Inspection Records: This documentation tracks the inspection and maintenance of fire-fighting and prevention equipment, including extinguishers, fire hoses, sprinklers, and alarms. It ensures all equipment is in working order and available for use at any time.
  • Fire Drill Log: This log records the dates, times, and outcomes of all fire drills conducted within the facility. It helps evaluate the effectiveness of the fire evacuation plan and identifies areas for improvement to ensure everyone knows how to exit the building safely during an emergency.

When used alongside the Annual Fire Door Inspection form, these documents create a robust fire safety protocol that can significantly enhance the safety and preparedness of a facility. Regular reviews and updates of these documents, in accordance with the latest safety standards and regulations, are critical components of an effective fire safety strategy.

Similar forms

  • Building Safety Inspection Checklist: Just like the Annual Fire Door Inspection form, a Building Safety Inspection Checklist evaluates various safety features within a building, focusing on structural integrity, emergency exits, fire extinguisher locations, and electrical safety. Both documents aim to identify potential hazards and ensure compliance with safety regulations.

  • Electrical Inspection Form: This form, similar to the fire door inspection document, involves examining components for damage, wear, and proper operation - in this case, electrical systems and components. Both forms are crucial for maintaining safety and functionality within facilities, emphasizing the detection of issues that could lead to safety hazards.

  • HVAC System Inspection Report: Just as the fire door needs checking for operational integrity, an HVAC System Inspection Report focuses on heating, ventilation, and air conditioning systems. It assesses functionality, energy efficiency, and safety. Both documents are instrumental in ensuring that essential building systems are in optimal working condition.

  • Fire Alarm System Inspection Form: This form parallels the fire door inspection by examining another critical aspect of a building's fire protection strategy. It evaluates components like alarms, detectors, and control panels for proper operation, similar to how fire doors are checked for integrity and functionality to prevent fire spread.

  • Emergency Lighting and Exit Sign Inspection Checklist: Similar to the fire door inspection, this checklist ensures that emergency lighting and exit signs function correctly in a power outage or emergency, guiding occupants to safety. Both documents play a crucial role in emergency preparedness and safety compliance.

  • Equipment Safety Inspection Forms: These forms, akin to the fire door inspection document, are used to inspect various types of machinery and equipment within a facility for safety and operational efficiency. They focus on identifying risks and ensuring that all equipment meets safety standards, thereby preventing accidents.

  • Fire Extinguisher Inspection Record: Similar to inspecting fire doors, inspecting fire extinguishers involves checking for accessibility, proper operation, and physical condition. Both inspections are critical components of a comprehensive fire safety strategy, aiming to ensure readiness in the event of a fire.

Dos and Don'ts

When completing the Annual Fire Door Inspection form, it's essential to ensure accuracy and thoroughness. Below are ten dos and don'ts that should guide you through the process:

Dos:

  • Review the entire form before starting to understand all required information.

  • Ensure that the name of the facility and the location of the fire door assembly are accurately filled in to avoid any confusion.

  • Use a tape measure or appropriate tool to verify measurements such as door clearance and undercut to ensure they meet specified limits.

  • Inspect each item on the checklist carefully, paying close attention to the condition of the door, frame, and hardware.

  • For each inspection activity, select "Yes," "No," or "N/A" as appropriate based on the current state of the door assembly.

  • Provide detailed comments for any "No" answers to offer a clear understanding of the issues found.

  • Include the date of inspection and the inspector's name to validate the form.

Don'ts:

  • Rush through the inspection process, as overlooking details can result in non-compliance and safety hazards.

  • Guess measurements or conditions of components—only record verified information.

  • Leave sections blank unless they are truly not applicable to the specific door assembly being inspected.

  • Forget to review and double-check all entries for accuracy and completeness before finalizing the form.

Following these guidelines will help ensure that the Annual Fire Door Inspection is conducted thoroughly and effectively, promoting safety within the facility.

Misconceptions

There are several common misconceptions about the Annual Fire Door Inspection process. Understanding these can help ensure that the inspections are conducted thoroughly and effectively, contributing to better fire safety in buildings. Here are ten of the most common misconceptions:

  • Fire doors only need to be inspected when they are visibly damaged. This misconception overlooks the fact that some issues may not be readily apparent without a detailed inspection. Annual inspections are required to catch any potential issues early, regardless of visible damage.
  • All doors in a building require the same type of fire door inspection. Not all doors have the same fire rating or serve the same purpose in a fire safety plan. The inspection must account for the specific characteristics and requirements of each fire door assembly.
  • Inspecting the door alone is sufficient. The inspection must cover the entire fire door assembly, including the frame, hardware, and any glazing. Each component plays a crucial role in the door’s overall fire resistance capability.
  • Any handyman or maintenance staff can perform the inspection. Inspections should be carried out by individuals with specific knowledge and training in fire door assemblies to ensure they are conducted correctly.
  • If a door passes inspection, it doesn’t need to be re-inspected for several years. Fire door assemblies must be inspected annually to ensure they continue to function correctly and have not been compromised in any way throughout the year.
  • The clearance measurements are not crucial to the inspection. Proper clearance measurements are essential for ensuring the door can close properly to prevent the spread of fire and smoke.
  • Fire doors can be modified or repaired without affecting their fire rating. Any modifications or repairs to a fire door can potentially impact its fire rating. Such actions need to be carried out under the guidance of knowledgeable individuals and in compliance with applicable codes.
  • The presence of a hold-open device negates the need for an inspection. Even if a door is equipped with a hold-open device, it still requires an annual inspection to ensure the device itself and the door are in proper working order.
  • Door labels showing fire rating are enough to pass the inspection. While having the correct labeling is important, the actual condition and functionality of the door assembly must meet the requirements set out in the inspection form.
  • Automatic doors don’t require a manual test during inspection. Automatic doors should be tested manually to ensure they will close properly during a fire, regardless of their automatic operating features.

Clearing up these misconceptions is essential for the safety of all building occupants. As fire doors play a critical role in a building's fire protection plan, understanding the importance and specifics of their annual inspection can greatly enhance a property’s overall fire safety measures.

Key takeaways

Fulfilling the annual fire door inspection requires meticulous attention to detail and a thorough understanding of safety standards. Here are several key takeaways that can help ensure that fire doors at any facility are effectively inspected and maintained:

  • Accuracy in Documentation: Provide complete and correct information for the Name of Facility, Fire Door Assembly Location, and other specific details requested on the form. Accurate documentation helps in maintaining a clear record for future inspections and potential safety audits.
  • Special Features Inspection: Note any special locking arrangements or unique features the fire door assembly might have. These components play a critical role in the door’s operation during an emergency, and their functionality must be confirmed.
  • Part-by-Part Assessment: The inspection ensures each part of the door assembly - door, frame, hinges, hardware, and threshold - is secure, aligned, and operational. This detailed examination helps identify even the minor discrepancies that could compromise safety.
  • Clearance Measurements: For a fire door to function correctly, specific clearance measurements such as a maximum of 1/8 inch from the door edge to the frame and no more than ¾ inch undercut are required. These measurements are crucial for the door's integrity and operational efficiency during a fire.
  • Operational Testing: The door must be tested to ensure that it, and if applicable, its inactive leaf, closes fully and securely from a fully open position. This test is essential for verifying the door’s automatic function in case of a fire.
  • Inspection of Modifications: Any modifications made to the door since its original installation need to be carefully inspected. Unauthorized alterations can affect the door’s performance and might void its fire rating.
  • Annual Inspection Requirement: Remember, this inspection is not a one-time event but an annual requirement. Regular inspections ensure continuous compliance with fire safety standards and can significantly contribute to the protection of a facility’s occupants and assets.

Completing the Annual Fire Door Inspection form with diligence and attention to these details not only complies with the NFPA 80, 2010 Edition standards but also reinforces a commitment to safety and preparedness against fire hazards.

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