FIRE RATED DOOR INSPECTION CHECK LIST DATE :

CONDITION OF ASSESSORIES
TYPE OF FIRE SMOKE
NO. BLOCK FLOOR LOCATION OF FD FIRE DOOR NO. DOOR DOOR CLOSER SEAL HINGES FRAME VISION PANEL LOCK OR LATCH
LEAF
OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK
1 WEST BASEMENT - 1 AHU ROOM NEAR LIFT NO. 7 CIMS/W.B/F.D/B-1/001 SINGLE

2 WEST BASEMENT - 1 ELECTRICAL ROOM NEAR LIFT NO. 7 CIMS/W.B/F.D/B-1/002 SINGLE

3 WEST BASEMENT - 1 CANCER OPD CIMS/W.B/F.D/B-1/003 DOUBLE

4 WEST BASEMENT - 1 PASSAGE NEAR LIFT NO. 6 CIMS/W.B/F.D/B-1/003 DOUBLE

5 WEST BASEMENT - 1 UPS ROOM BESIDE M.R.D CIMS/W.B/F.D/B-1/004 SINGLE

6 WEST BASEMENT - 1 UPS ROOM OPP. LIFT NO. 1 & 2 CIMS/W.B/F.D/B-1/005 DOUBLE

7 WEST GROUND FLOOR ELECTRICAL ROOM A WING CIMS/W.B/F.D/G.F/006 SINGLE

8 WEST GROUND FLOOR ELECTRICAL ROOM B WING CIMS/W.B/F.D/G.F/007 SINGLE

9 WEST GROUND FLOOR ELECTRICAL ROOM C WING CIMS/W.B/F.D/G.F/008 SINGLE

10 WEST FIRST FLOOR ELECTRICAL ROOM A WING CIMS/W.B/F.D/F.F/009 SINGLE

11 WEST FIRST FLOOR ELECTRICAL ROOM B WING CIMS/W.B/F.D/F.F/010 SINGLE

12 WEST FIRST FLOOR ELECTRICAL ROOM C WING CIMS/W.B/F.D/F.F/011 SINGLE

13 WEST SECOND FLOOR ELECTRICAL ROOM A WING CIMS/W.B/F.D/S.F/012 SINGLE

14 WEST SECOND FLOOR ELECTRICAL ROOM B WING CIMS/W.B/F.D/S.F/013 SINGLE

15 WEST SECOND FLOOR ELECTRICAL ROOM C WING CIMS/W.B/F.D/S.F/014 SINGLE

INSPECTED BY : HITESH BHARWAD CHECKED BY : DIGEN PARIKH

(ASST. FIRE & SAFETY OFFICER) (SR. FIRE & SAFETY OFFICER)
SIGNATURE SIGNATURE
 FIRE RATED DOOR INSPECTION CHECK LIST DATE :

CONDITION OF ASSESSORIES
TYPE OF
NO. BLOCK FLOOR LOCATION OF FD FIRE DOOR NO. DOOR DOOR CLOSER FIRESEAL
SMOKE HINGES FRAME VISION PANEL LOCK OR
LATCH
LEAF
OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK OK / NOT OK

1 EAST BASEMENT - 1 UPS ROOM ENTRY CIMS/W.B/F.D/B-1/001 DOUBLE

2 EAST BASEMENT - 1 UPS ROOM EXIT CIMS/W.B/F.D/B-1/002 SINGLE

3 EAST GROUND FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/G.F/003 SINGLE

4 EAST FIRST FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/F.F/004 SINGLE

5 EAST SECOND FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/S.F/005 SINGLE

6 EAST THIRD FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/T.F/006 SINGLE

7 EAST FOURTH FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/FR.F/007 SINGLE

8 EAST FIFTH FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/FT.F/008 SINGLE

9 EAST SIXTH FLOOR ELECTRICAL ROOM CIMS/W.B/F.D/SX.F/009 SINGLE

INSPECTED BY : HITESH BHARWAD CHECKED BY : DIGEN PARIKH

(ASST. FIRE & SAFETY OFFICER) (SR. FIRE & SAFETY OFFICER)
SIGNATURE SIGNATURE