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Annual fire door assembly inspection per NFPA 80, Standard for Fire Doors and Other Opening Protectives
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Inspection Items
Mark the applicable column for each item: OK = Satisfactory | Fail = Not met | N/A = Not applicable. Record notes for any Fail.
| # | Inspection Item | OK | Fail | N/A | Notes / Action |
|---|---|---|---|---|---|
| Door Assembly | |||||
| 1 | No open holes or breaks in surfaces of door or frame | ||||
| 2 | Fire door label is intact and legible | ||||
| 3 | No missing or broken parts | ||||
| Frame and Hardware | |||||
| 4 | Frame label intact and legible | ||||
| 5 | Hinges in good condition, pins intact | ||||
| 6 | Latch bolt operates and secures door | ||||
| 7 | Door-mounted hardware is labelled or listed for fire door | ||||
| Closing Device | |||||
| 8 | Self-closing device operational, door fully closes and latches | ||||
| 9 | Door closer arm and body undamaged | ||||
| 10 | Hold-open device (if fitted) releases on alarm signal | ||||
| 11 | Coordinator (on pairs) ensures correct closing sequence | ||||
| Glazing | |||||
| 12 | Glazing intact, no cracks or missing panes | ||||
| 13 | Glazing is fire-rated and labelled | ||||
| # | Inspection Item | OK | Fail | N/A | Notes / Action |
|---|---|---|---|---|---|
| Signage | |||||
| 14 | "Fire Door - Do Not Block" signage visible (where required) | ||||
| 15 | No unapproved signs, stickers or attachments on door | ||||
| Clearances and Gaps | |||||
| 16 | Clearance under door does not exceed 19 mm (3/4 in.) | ||||
| 17 | Meeting edge gap on pairs within 3 mm (1/8 in.) + 3 mm | ||||
| 18 | Intumescent seals and smoke gaskets intact | ||||
| 19 | No door, frame or threshold modifications that void listing | ||||
| Operational Test | |||||
| 20 | Door swings freely without binding or dragging | ||||
| 21 | Door fully latches into frame on each closing cycle | ||||
| 22 | No obstructions or wedges preventing full closure | ||||
Declaration
I confirm that this fire door assembly has been inspected in accordance with NFPA 80 requirements. All items have been assessed as indicated above. Any deficiencies identified require corrective action before the assembly can be considered compliant. A copy of this record shall be retained for a minimum of three years.