Repeat for each door. Each one asks:
Door referenceShort answer
Where on this floorShort answer
For example Flat 12 entrance or stair core door
Type of doorChoose one
Fire resistance rating shown on the door, if anyShort answer
Was access to the flat given, so both sides of the door could be checked?Yes or No
Shown when “Type of door” is “Flat entrance door”
Steps taken to gain accessTick all that apply
Shown when “Type of door” is “Flat entrance door” and “Was access to the flat given, so both sides of the door could be checked?” is No
Dates of each attempt, and the outcomeNotes
Shown when “Type of door” is “Flat entrance door” and “Was access to the flat given, so both sides of the door could be checked?” is No
- CheckAccess not granted. Regulation 10 requires a record of the steps taken to check flat entrance doors, including the steps taken to try to gain access.
Shown when “Type of door” is “Flat entrance door” and “Was access to the flat given, so both sides of the door could be checked?” is No
Has the door been replaced with one that may not be fire resisting?Yes or No
Shown when “Type of door” is “Flat entrance door” and “Was access to the flat given, so both sides of the door could be checked?” is Yes
- CheckWhere there is any doubt, the guidance says the resident will need to confirm that the new door is fire resisting and was installed by a competent person.
Shown when “Type of door” is “Flat entrance door” and “Has the door been replaced with one that may not be fire resisting?” is Yes
LetterboxChoose one
Shown when “Type of door” is “Flat entrance door” and “Was access to the flat given, so both sides of the door could be checked?” is Yes
Any damage or alteration to the door, frame or surrounding wall?Yes or No
Shown only when the answers above make it relevant
What is damaged or altered, and where?Notes
Shown when “Any damage or alteration to the door, frame or surrounding wall?” is Yes
Glass and glazing in the door or side panelsChoose one
Shown only when the answers above make it relevant
Hinges and other ironmongery free of obvious defects?Yes or No
Shown only when the answers above make it relevant
What is wrong? For example missing or loose screwsShort answer
Shown when “Hinges and other ironmongery free of obvious defects?” is No
Air transfer grillesChoose one
Shown when “Type of door” is “Plant room, service cupboard or riser door”
Intumescent strips and smoke sealsChoose one
Shown only when the answers above make it relevant
Where is the damage?Tick all that apply
Shown only when the answers above make it relevant
- GuidanceIf strips and seals were not originally fitted, this may be acceptable. It depends on the findings of the fire risk assessment, so refer it to the assessor.
Shown when “Intumescent strips and smoke seals” is “None fitted”
Door leaf height (mm)Number
From a photo, hold an A4 sheet flat on the door as the reference. The result is rounded to 10 mm: enough to identify the door set or brief a replacement survey, not to make a leaf. Measure the gaps with a gap gauge.
Shown only when the answers above make it relevant
Door leaf width (mm)Number
Shown only when the answers above make it relevant
Gap at the top (mm)Number
Shown only when the answers above make it relevant
Gap, hinge side (mm)Number
Shown only when the answers above make it relevant
Gap, latch side (mm)Number
Shown only when the answers above make it relevant
- CheckGap over 4 mm. GOV.UK guidance gives the industry standard: the gap between the door and the frame should never be more than 4 mm, except at the bottom of the door.
Shown only when the answers above make it relevant
Gap under the door (mm)Number
Shown only when the answers above make it relevant
Limit for this door, from its own documents (mm)Number
Shown only when the answers above make it relevant
- GuidanceGOV.UK guidance gives no figure for the gap under a door. It should be as small as practicable, without the door catching on the floor. Take the limit from the door's own documents or the fire risk assessment.
Shown only when the answers above make it relevant
Over the limit by (mm)Worked out by the form
Shown only when the answers above make it relevant
- CheckThe gap under this door is larger than the limit you entered for it. Record the remedial action below.
Shown only when the answers above make it relevant
How is the door kept closed?Choose one
Shown only when the answers above make it relevant
- GuidanceUse the test button, where there is one, to release the door. Do not pull the door from its magnet.
Shown when “How is the door kept closed?” is “Held open on a magnetic device”
Opened fully and let go: did it close fully into the frame?Yes or No
Shown only when the answers above make it relevant
Opened to about 15 degrees and let go: did it close fully into the frame?Yes or No
Shown only when the answers above make it relevant
- WarningThe door does not close fully. A fire door that does not close fully into its frame will not adequately hold back fire and smoke. Regulation 10 requires the check to make sure the self-closing device is working.
Shown only when the answers above make it relevant
What stops it closing?Notes
Shown only when the answers above make it relevant
ResultChoose one
Which looks most like the main defect?Choose one
Shown when “Result” is “Fail”
Photos of the defectPhotos
Shown when “Result” is “Fail”
Remedial actionNotes
Shown when “Result” is “Fail”
PriorityChoose one
Shown when “Result” is “Fail”
Why was the door not checked?Short answer
Shown when “Result” is “Not checked”
Photos of the doorPhotos