5 sections, 20 items
1Labels and identification
- Yes / no
Opening reference and location confirmed *
- Pass / fail
Door and frame labels present and legible *
- Photo
Photo of the door and frame labels
2Door, frame and glazing
- Pass / fail
No open holes or breaks in the door or frame *
- Pass / fail
Glazing, vision light frames and glazing beads intact and securely fastened
- Pass / fail
Door, frame, hinges, hardware and threshold secure, aligned and in working order with no visible damage *
- Pass / fail
No missing or broken parts *
3Clearances
- Pass / fail
Clearance at the meeting edges of pairs and between door and frame within NFPA 80 limits (1/8 in. for wood, up to 1/8 in. plus or minus 1/16 in. for steel) *
- Number
Measured clearance at the top (inches)
- Pass / fail
Clearance under the bottom of the door within limits (3/4 in. maximum above a non-combustible floor) *
4Operation
- Pass / fail
Self-closing device closes the door completely from the fully open position *
- Pass / fail
Coordinator ensures the inactive leaf closes before the active leaf on pairs
Mark not applicable for single doors.
- Pass / fail
Latching hardware operates and secures the door when closed *
- Pass / fail
Auxiliary hardware does not interfere with door operation
- Pass / fail
No field modifications that void the label *
- Pass / fail
Gasketing and edge seals, where required, present and intact
- Pass / fail
Signage on the door does not exceed 5% of the face and is attached without screws
5Sign-off
- Text
Deficiencies noted and reported to the owner
- Text
Inspector name and qualification *
- Signature
Inspector signature *
* Required