HomeMy WebLinkAboutB18-2502 CF Fire Door Test (2) err/
ow/ 1300 Sumner Avenue,Cleveland,OH 44115-2851
r�� DAsmA Fax: (216)241-0105 Phone: (216)241-7333
err/
Door&Access Systems E-Mail:dasma@dasma.com
Ma nufacturers Assodation
International URL:www.dasma.com
DASMA ROLLING STEEL FIRE DOOR DROP TEST FORM
General
NFPA 80 and Model Codes require the inspection and testing of fire doors to demonstrate proper operation, full closure,
and proper reset. Perform the visual inspection before the operational check, or before the drop tests of the fire door, in
order to reduce the risk of failure during the drop tests. Use the form below to record the Visual, Operational, and Drop
Test results. Check Pass or Fail in the boxes. See the Guidelines for additional information.
NM
AWARNING
Door could close rapidly and could result in death or serious injury.
Perform drop test and reset per manufacturer's instructions.
The drop tests, reset, repairs and/or maintenance should be performed by a trained door system technician with complete
knowledge of this type of fire door and the manufacturer's instructions. Repair parts must be obtained from the original
door manufacturer. After repairs are completed, the door must be tested to assure proper door operation and automatic
closing capability. The fire door must be in the fully open position before the drop test. Reset the door following the drop
test and test again.
Project: ri-)( SS 'no,icd'-i Company: Tctr fir$ Z 1rx erYa-t-,O ,G I
Phone: Address:
E-mail:
Door Opening Size Door Mfr. Door Mfr. Visual Operational I Drop Test#1 I Test#2
Drop
Inspection Check
Location Serial No.
Width I Height r Pass I Fail I Pass I Fail I Pass I Fail I Pass I Fail
r Ob SOY) 12-n3133 i—WI
I I I I I I I I I I I
I I I I I I I I I I I I ,
Comments:
t
Tested By: '.;r 4I\_) YZ- 3 rj 41Z1S k , Witnessed By: ,' i i t S a c'V iJ
Company: Ile, 1C1nr- CO Sara i/ Representing: IRo t l-t. C u /,vat t`t 1?F
Address: r c'6 J/ i'/ S'i' (.)1,c O. (4- 959 'Title: ,!' >iE M t/e s t hu_
— t
1J Signature/Date: r / i /it Signature/Date: ; � , R.,,/ E J 1 /46
Rev.6/07 f,. '- DASMA Rolling Stee Fire oor Annual Drop Test Form - RDD-271° White—Building Owner
1 Yellow—Service Company
P') Cv .,..1 .'.."s,,. t.dx 4..., Caw I-J P^', --,& Cat DD., ta3 P,..� * i 1
ems.., Z` t.F.: 9 M w. a
("y 9'm x... r- ,` ry• &:,. C,: k t. .„,:+ p" ,.:�' '`.:' ? C. ..... J% .,...< M , '""' ',f= sit
a" ; " fi `' ` (
,.;,ss „ h' C C :. „, "' ,a s ". 'Tr;
.", , L'.: v _« f
.. m - C '„ ',�,.. [ri - r"s_ i w: . - n r ,-M"
' . f ;. :s t4 w "- P a -, y E. " " am „ -+; c' 6
" "a ` „ w •� „r ^. »
_ ma° (y 0- C _"* ; '- . s r; - � e. ".
"A 9
f:, ""'1 x"^9 ,.... ,'o` ,' .-"§ u 'J ,". 'T, P'v Q'd ' yam'^' ms 0- C 0. 0 et; :" '0 :S:^ _ :
4:::,.....„,..e.:,.,,,..t:': ,e,:<,,,‘_, i.%,rme.:1-... :,.'"' vi.,,,.".1-7.,,,,,., ;17:- 7..pne--.'"..: r:...,,,,,:,,,,,<-174W: ,....,,_;..s.,<S"':' '•--s
""" ''^` r ;mod ,' w. ,. r..," ,-a. t3s °,.: v .' "'3 '` "E..r
•
r-`' ry; yd.., ,4 w ram.•.•- 0 0 r'''. F; „u.
ter,,, F, n,, „""F.., .°"'t..,, ;XCz „,. `'` ^^ M.m,° > " ."_,, w
" CC r", E} C C
ems'
,7„
0
P
e r Cq `0 r
C C „it «M.c wtsC
fEGC r. < `: nCa.
v., €^ - C ; "°Y C'; ( , "J —. " o
Z.
' te. C.
C -