LifeSafetyWiki · Samektra
Fire door awareness walk
Fire Door Dojo · White Belt: Fire Door Basics — employer practical training and certification record
The person below completed the online White Belt course. Walk the fire doors in their work area together, cover Parts 1 and 2, then sign Part 3.
Part 1 — Your site (filled in by the employer)
| Fire doors in this work area and their ratingsFrom the door or frame labels, e.g. stair 1½ h, corridor 20 min | |
|---|---|
| Doors here that are held open, and how they releaseMagnetic holders or closers tied to the fire alarm (NFPA 80 6.1.3.3) | |
| Special fire doors in the buildingRolling steel, sliding, folding, service counter, access doors | |
| Who to report a damaged or propped fire door toWork order system, phone number, supervisor |
Part 2 — Hands-on check (by the supervisor or facility manager)
| The employee showed they can | OK | Not yet |
|---|---|---|
| Show where the door label and the frame label are on a fire door in your area, and read the ratingNFPA 80 (2013) 4.2.1, 4.2.2 | ☐ | ☐ |
| Open a self-closing fire door, let go, and show that it closes and latches by itselfNFPA 80 (2013) 6.1.3.2 | ☐ | ☐ |
| On a pair of doors, name the active and inactive leaf and point to the coordinator, flush bolts or astragalNFPA 80 (2013) 6.4.1.2, 6.4.4.5, 6.4.7 | ☐ | ☐ |
| Point out a door that is held open and say whether it uses a device that releases on alarmNFPA 80 (2013) 6.1.3.2.2, 6.1.3.3 | ☐ | ☐ |
Part 3 — Certification
I certify that the person named above was shown the fire doors in their work area, can identify their labels and parts, and knows how to report a damaged or propped fire door.
Keep a record of who completed the walk and when. This form does not replace the employer’s own program, and LifeSafetyWiki does not certify competence. Not an OSHA Outreach (10/30-hour) card.