Fire damper inspection form pdf

Damper number or location damper type tested fully closed latch checked fusible link removed moving parts. Life safety dampers selection and application manual. Fire, smoke, fire smoke damper matrix 4f air balancing nfpa 72, fire alarm system record of completion form 2010 edition. Just enter all the details of the inspection directly into the form, including any notes on the condition of the hvac duct or air ducts and any repairs made to the ventilation system, deficiencies found in. Linkages from actuators should be adjusted to insure blades of damper fully open or close within the stroke or travel of the actuator arm. Keep your building safe air and fire will perform a fire damper inspection and drop test on all fire dampers contact us for more information on our products and services fire damper inspections and testing ductwork can transfer flame and smoke at a drastic speed through a building when a fire occurs. Annual testing and inspections fire mains, fire pumps, hydrants, hoses and nozzles, visually inspect all accessible components for proper condition. Understand and list the legal requirements for fire damper inspection, test and maintenance e. Forms illinois national health service corps state loan repayment program.

Understand and list the appropriate guidance on fire damper inspection testing and maintenance e. Nfpa 72 fire alarm inspection and testing requirements 1. Since the inception of underwriters laboratories ul standard. Fire inspection forms south county fire department. For fire dampers the code can be found in nfpa 80 and for smoke dampers nfpa 105. Static rated fire dampers have no airflow closure rating and can only be applied in hvac.

Multiple blade fire dampers are easy to both test and reset since the blades can be operated and held open via a hand lever or a pair of pliers while the fuse link is replaced. Fusible link, if provided, is removed and damper closes completely and latches closed where latch provided. Combination fire smoke dampers must be qualified under ul standard 555 as a fire damper and under ul standard 555s as a smoke damper. Smoke detectors must be tested yearly and when they are released, the actuator of the smoke or combination fire and smoke damper will. The joint commission tjc as well as local authorities having jurisdiction ahj require that healthcare facilities perform periodic inspections of fire, smoke and combination dampers for proper function and operability. The fd series steel curtain fire damper is designed to stop. Fire damper checklist keep your facility safe in the event of a fire most health facility managers only maintain or test their fire dampers every six years when inspection takes place. Norfolk fire marshals office 100 brooke avenue suite 400 norfolk, va 23510. Fire and smoke dampers are fitted in ductwork where it passes through a fire compartment barrier, for example at fire rated walls and floors. Fire alarm and emergency communication system inspection and testing form to be completed by the system inspector or tester at the time of the inspection or test. Inspection of fire dampers, smoke dampers and combination fire smoke dampers 1 year after installation for all facilities, every 4 years thereafter in nonhealthcare facilities, every 6 years in hospitals. There is still valuable information regarding dampers in nfpa 90a but the newest code for inspection is npfa 80 and 105.

Nfpa 72 inspection and testing requirements for fire alarm systems presented by brent gooden, cet specializing in fire, building, and life safety fire safety consultants, inc. Below are listed the ten metalfab fire damper model numbers and a brief description of each. Apr 04, 20 an operational test must be completed once the fire damper is installed. Catching those issues early on saves time and money. Fire damper inspection, test and maintenance, for healthcare. How to properly inspect and test fire dampers facilities. The challenge for maintenance and engineering managers is to understand the gamut of issues related to damper installation and performance, including inspection, testing, and maintenance. Consideration must be made if recent renovations or modification have been made. Smcfd fee schedule and all inspection forms are below. Normally, it is the responsibility of the home house owner to ensure that all these equipment meet the minimum requirements.

Nfpa 80 is the national fire protection association standard that regulates the installation and maintenance of assemblies and devices used to protect openings in walls, floors and ceilings against the spread of fire and smoke within, into, or out of buildings nfpa 105 is the standard which prescribes the minimum requirements for smoke door assemblies and smoke dampers. For healthcare occupancies, the damper inspection testing requirement has been moved by the national fire protection association nfpa from nfpa 90a to nfpa 80 and nfpa 105. A guide to application of letter of compliance for. The following is a brief summary of the code requirements pertaining to fire and smoke fs dampers. Maintenance and testing of firesmoke dampers pdf minnesota. Following any repairs, the damper must be tested for proper operation. Minimum clearances required between the outside of fire damper sleeve assemblies and wallfloor openings are. I certify that all fire, smoke, and fire smoke dampers, existing and new, serving new construction and or renovated spaces have been tested, inspected and are operational per. Fire drills pdf fire drill report form pdf nursing home fire drill matrix form word systems out of service. After that one year mark, fire dampers must then be tested and inspected every four years except for hospitals which have a six year frequency. Periodic inspections, testing and maintenance of a combination firesmoke damper must also meet the inspection, testing and maintenance requirements contained in chapter 6 of nfpa 105. Guide for facility managers on the testing and maintenance of.

Inspection and testing form national fire protection. Installation, operation and maintenance instructions for. Ul standards for testing and rating of fire dampers. Referral inspection request form informational bulletin pdf new rate effective.

Fire, smoke and control dampers manual maintenance, testing. The way to complete the online fire damper test form on the internet. Related to fire damper inspection form pdf lic form 340 cdbs print page 1 of 10 approved by omb for fcc use only 30600029 january 2008 federal communications commission washington, d. Maintenance of fire protection systems and equipment. Fire and smoke damper testing and inspection explained what are fire dampers. They are designed to shut when a specified temperature or fire smoke condition is met, preventing the spread of fire and smoke. A fire damper that is listed and approved for use in duct systems where the hvac system blower will be cycled off during an alarm probably turned off by means of an automatic fire detector. Fire damper test form fill out and sign printable pdf. Code required for testing of fire, smoke, and combination dampers. The fire damper inspection is the evaluation and inspection all fire dampers within a building to ensure that they do not have any fault. If the damper is not operable, repairs must begin without delay.

List their achievements, priorities and aspirations relative to the inspection, testing and maintenance of fire dampers. Fire pump smoke dampers clean agent suppression drypipepreaction overhead fire doors elevator shunt trip mns override of fas other specify alarm initiating devices. One provision that bears examination is found in section 6. Guidance for inspecting and maintaining fire and smoke. With this electronic form, simply generate a new form on your smartphone that includes details of the ventilation systems being inspected. Any issues accumulate over time, becoming more difficult to repair. Matrix 4e fire, smoke, firesmoke damper matrix 4f air balancing nfpa 72, fire alarm system record of completion form. Nfpa code requirements for damper inspections inspecting. Fire dampers, smoke dampers, combination fire smoke dampers, ceiling radiation dampers, and other types of dampers that perform as part of a buildings. Fire resistance ratings less than 3 hours require 1. Below is a door inspection form that facilities may use. Then, each fire damper must be tested and inspected one year after the installation. Visually inspect all fire dampers, ceiling radiation dampers. The considerations listed above for both of these damper types apply to the selection and application of combination fire smoke dampers.

Fire damper test form fill out and sign printable pdf template. After you hit the one year mark, your fire dampers must then be tested and inspected every four yearsexcept for hospitals, which have a sixyear frequency. This information sheet provides guidance for duty holders on better practice in testing hvac fire dampers to achieve a reliability and availability. It appears that the only only exceptions to the inspection, testing, and maintenance requirements of chapter 5 are fire dampers chapter 19 and fabric fire safety curtains chapter 20. A fire damper that is listed and approved for applications where the hvac. Airflow closure ratings fire dampers can be either static or dynamic rated.

Fire dampers impose some resistance to air flow and therefore must be considered by the designer. Fire damper inspections and testing air and fire ltd. Fire dampers and combination inspection, testing and maintenance operate open and close the. It is not intended to address smoke dampers which are used for smoke managementcontrol only and are not used as fire separation protection. Although the primary purpose of a fire damper is to maintain the fire resistance of a fire separation, its inclusion in the hvac system of a building necessarily affects the air handling characteristics of the system during the normal operating mode. Most of the damper manufacturers are members of amca. Fire alarm and life safety system inspection certificate for 2018 sample inspection report 123 main street building phone 615 3379710 anywhere, state 90009 tested to nfpa 72 standards this inspection was performed in accordance with applicable nfpa standards. Based on these tests, dampers are then given a fire rating, leakage rating or both for. They are obtainable as a free download from the scottish executive website. It shall be permitted to modify this form as needed to provide a more complete andor clear record. No interference with damper operation by rusted, bent, or misaligned parts, damaged blades, or defective hinges. If fire rated access doors chapter 16 were exempt from inspections, why arent the specified mentioned in 5. Fire alarm and life safety system inspection report. Fire doors, test all fire doors located in main vertical zone bulkheads for local operation.

Fire damper inspection involves specific recommendations as given by the nfpa or national fire protection association. Have smoke dampers installed in duct work that penetrate a firewall been tested within the past 12. With this electronic form, simply generate a new form on your smartphone that includes details. Fire damper inspection report form mobile app iphone. I certify that all fire, smoke, and firesmoke dampers. Each damper needs to be tested and inspected 1 year after installation. If you have any questions regarding an inspection, please contact the fire prevention department at 28633473 or on the form below. Bs en 15423, bs en 15650, bs 9999 where this would supplement the objectives of fire damper inspection, testing and maintenance, htm 0502, htm 0301, besa sfg 20 htm aligned, besa dw 145. Smoke damper needs to be cycled through its closure and opening in accordance with nfpa 72. A fire inspector is assigned to each of these fire inspection districts and responsible for conducting inspections within hisher area. A fire damper 1 fire damper shall be provided between compartment walls fire damper is a vital device on stopping fire spread, it must be provided at openings where air ducts pass through compartment wall, floor or ceiling slab. The advanced tools of the editor will lead you through the editable pdf template. Inspection and testing form nfpa inspection and testing 1 of 4.

Fire, smoke, and combination damper inspection, testing and maintenance requirements. Fire damper and sleeve assemblies expand during periods of intense heat. For fire dampers installed by rgbc, a rscv should be engaged to inspect and certify that the fire dampers are in safe and efficient working order pursuant to clause e8. Fire and smoke door inspections qualified training. Systems out of service pdf fire alarm out of service policy word fire watch log word sprinkler systems out of service policy word emergency generators inspection and testing. Obstructions, dirt build up, and any rust or corrosion on or around any damper should be removed. Amca recommends the following in addition to the requirements stated previously. Note compliance to building codes of ductwork, ceiling dampers, hvac control systems, and other fire damper requirements as you track ventilation systems throughout the day. Fire, smoke, and combination damper inspection, testing and. Inspection and testing form nfpa inspection and testing 1 of 4 alarm notification appliances and circuit information quantity eeeecircuit style bells horns chimes strobes. Inspector pocket guide international firestop council. Nfpa is a quincy, massachusettsbased nonprofit organization that tirelessly works on a global scale to ensure that risks associated with fires or electrical and other such hazards are kept to the minimum and ideally done away with completely. The actual format of any log or record sheet can vary to suit.

The city is geographically divided into 17 fire inspection districts see fire inspection district map. Inspector pocket guide the following information is intended to provide construction and code enforcement professionals with basic checkpoints to ensure that the required fire resistance ratings are maintained when through penetrations and linear joints breach walls and floors. In general, partition walls of kitchen, mechanical plant room. Aircraft inspection form provider ems critical care transport application. For fire dampers installed by rscv, the same rscv could inspect and certify the fire dampers. An additional solution for round ducts is the use of a true round fire damper. Guide for facility managers on the testing and maintenance. Reference 2015 international building code, section 717. Maintenance of fire protection systems and equipment section 18. Inspecting fire dampers what is fire damper inspection. All ul listed dampers are tested according to ul test standards. Round fire damper allows the fusible link to be replaced easily then the damper can be.

First, an operational test must be completed after the installation of the fire damper is complete. Fire damper inspection report form mobile app iphone, ipad. Enter your official contact and identification details. State of illinois illinois department of public health. Commercial occupancies that have begun construction prior to permitting will incur an additional fee equal to the original fee payable directly to the. Testing and inspection requirements for fire dampers. After you hit the one year mark, your fire dampers must then be tested and inspected every four yearsexcept for hospitals, which have a sixyear. Combination fire smoke dampers must meet the test requirements for both ul test standards. Fire door assembly inspection checklist the 2007 and 2010 editions of nfpa 80 standard for fire do ors and other opening protectives section 5. An operational test must be completed once the fire damper is installed. Fire, smoke, and combination damper inspection, testing. Manual fire alarm boxes ion detectors photo detectors duct detectors heat detectors waterflow switches supervisory switches other specify. Note that this discussion applies only to fire dampers and combination fire smoke dampers.

Observe damper motors and actuators through an operating cycle to check for defects or binding. Fire dampers are usually passive devices used in hvac systems and must be made of fire resistant materials to meet flame spread. Any modifications or repairs made are described below. Code required for testing of fire, smoke, and combination. Fire damper inspection form fill online, printable. Periodic inspection and testing fire dampers, smoke dampers and combinations fs dampers, as applicable 1. Each fire damper must be tested and inspected one year after the installation. The comments and opinions made during the presentation are solely those of the presenter and do not reflect an official position of the. Our company specializes in the inspection of fire and smoke dampers throughout the united states and find that the inspection codes are consistent. Get and sign fire damper inspection checklist form. The damper shall be actuated and cycled as part of the associated smoke detector testing in accordance with nfpa72, national fire alarm code. Fire dampers can be extremely difficult to test and reset due to their design all manufacturers utilize the same basic curtain type design.

Hasawa, work place regulations, the regulatory reform fire. Fire damper inspection and recertification services in order to reduce the risk of. Tests and inspections then need to be completed in all buildings every 4 years, except in hospitals, where the frequency is every 6 years. The following requirements are from the 2009 edition of the standard. Fire dampers are installed in penetrations of fire rated walls and floors as required by the building code and access to the damper itself is normally through an improperly sized access door. Testing and inspection requirements for fire dampers confires. Guide for commissioning and periodic performance testing of fire.

Therefore, it is essential that openings in walls or floors be larger than the fire smoke damper and sleeve assembly to allow for this expansion. Fire dampers play a significant role in a buildings safety and it for this reason that the nfpa 80 and nfpa 105 were established. Visual inspections of smoke dampers as outlined in nfpa 105 are similar to the process for fire dampers. Fire and smoke damper testing and inspection explained. Fire protection certifications department of licenses. Operational permit application pdf demotank permit application pdf facility closure application pdf returning the application. To pay by credit card complete the cc authorization form pdf and fax it to 7574412537.