Uniform Mitigation Verification Inspection Form ( Oir-B1-1802 ) Page 3

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7. Opening Protection: What is the weakest form of wind borne debris protection installed on the structure? First, use the table to
determine the weakest form of protection for each category of opening. Second, (a) check one answer below (A, B, C, N, or X)
based upon the lowest protection level for ALL Glazed openings and (b) check the protection level for all Non-Glazed openings (.1,
.2, or .3) as applicable.
Non‐Glazed 
Opening Protection Level Chart 
Glazed Openings 
Openings 
Place an “X” in each row to identify all forms of protection in use for each 
Windows 
opening type. Check only one answer below (A thru X), based on the weakest 
Garage 
Glass
Entry 
Garage 
or Entry 
Skylights 
form of protection (lowest row) for any of the Glazed openings and indicate 
Doors 
Block
Doors 
Doors 
Doors 
the weakest form of protection (lowest row) for Non‐Glazed openings.
  
  
  
  
  
  
N/A 
Not Applicable‐ there are no openings of this type on the structure 
  
  
  
  
  
  
Verified cyclic pressure & large missile (9‐lb for windows doors/4.5 lb for skylights) 
  
  
  
  
  
  
Verified cyclic pressure & large missile (4‐8 lb for windows doors/2 lb for skylights) 
  
  
  
  
  
  
Verified plywood/OSB meeting Table 1609.1.2 of the FBC 2007  
Verified Non‐Glazed Entry or Garage doors indicating compliance with ASTM E 
 
 
 
 
 
 
330, ANSI/DASMA 108, or PA/TAS 202 for wind pressure resistance 
Opening Protection products that appear to be A or B but are not verified  
 
 
 
 
 
 
Other protective coverings that cannot be identified as A, B, or C 
  
  
  
  
  
  
No Windborne Debris Protection 
A. Exterior Openings Cyclic Pressure and 9-lb Large Missile (4.5 lb for skylights only) All Glazed openings are protected at
a minimum, with impact resistant coverings or products listed as wind borne debris protection devices in the product approval
system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure
and Large Missile Impact” (Level A in the table above).
Miami-Dade County PA 201, 202, and 203
Florida Building Code Testing Application Standard (TAS) 201, 202, and 203
American Society for Testing and Materials (ASTM) E 1886 and ASTM E 1996
Southern Standards Technical Document (SSTD) 12
For Skylights Only: ASTM E 1886 and ASTM E 1996
For Garage Doors Only: ANSI/DASMA 115
A.1 All Non-Glazed openings classified as A in the table above, or no Non-Glazed openings exist
A.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level B, C, N, or
X in the table above
A.3 One or More Non-Glazed Openings is classified as Level B, C, N, or X in the table above
B. Exterior Opening Protection- Cyclic Pressure and 4 to 8-lb Large Missile (2-4.5 lb for skylights only) All Glazed
openings are protected, at a minimum, with impact resistant coverings or products listed as windborne debris protection devices
in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following
for “Cyclic Pressure and Large Missile Impact” (Level B in the table above):
ASTM E 1886 and ASTM E 1996 (Large Missile – 4.5 lb.)
SSTD 12 (Large Missile – 4 lb. to 8 lb.)
For Skylights Only: ASTM E 1886 and ASTM E 1996 (Large Missile - 2 to 4.5 lb.)
B.1 All Non-Glazed openings classified as A or B in the table above, or no Non-Glazed openings exist
B.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level C, N, or X
in the table above
B.3 One or More Non-Glazed openings is classified as Level C, N, or X in the table above
C. Exterior Opening Protection- Wood Structural Panels meeting FBC 2007 All Glazed openings are covered with
plywood/OSB meeting the requirements of Table 1609.1.2 of the FBC 2007 (Level C in the table above).
C.1 All Non-Glazed openings classified as A, B, or C in the table above, or no Non-Glazed openings exist
C.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level N or X in
the table above
C.3 One or More Non-Glazed openings is classified as Level N or X in the table above
Inspectors Initials _____ Property Address_____________________________________________________________
*This verification form is valid for up to five (5) years provided no material changes have been made to the structure or
inaccuracies found on the form.
Page 3 of 4
OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155

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