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B19-1647 CF Drop Test Fire Door
IIIDASMA 1300 Sumner Avenue,Cleveland,OH 44115-2851 Fax: (2161 241-0105 Phone:(216) 241-7333 Door&Access Systems E-Mail:dasma@dasma.com Manufacturers Associadon International URL:vvww.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. AWAN .„...., 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. `` r Project: J R c�- a trr ` i V4 Company: -1-1�i n n CO _t 5 _ _ . Phone: Address: 225 / I V>/ S 77 E-mail: Gel( CAI q c726 Visual Operational Drop I Drop Door Opening Size Door Mfr. Door Mfr. Inspection Check Test#1 Test#2 Location Serial No. Width I Height Pasqrl Fail I Pass I Fail I Pass i Fail I Pass I Fail 414e04 v"-, I I c1kt #F59 37 3 C I I I I I I I f I ivo I Aix I I I I I I I I I I12 I i3 i1 I I I I I I I I I I I I I I I I I I I I I Comments: _INIrcArZ i Tested By: Sr c v' D;I I o v1 Witnessed By: Corn an (// VftP( P Y: `r e ✓ Co��(l"��rr� _ Representing: Address: 2 \ Title: C- "` IWO Signature/Date: r ) ---<- 1 ' 2 1 ' '2 Signature/Date: \`')/" L -lib TiU Of . - y-27. 20 Rev.6/07 9' DASMA Rolling Steel Fire Door`l Drop Test Form - RDD-271© White—Building Owner Yellow—Service Company