Information

  • Document No.

  • Agency name

  • Policyholder

  • Conducted on

  • Prepared by

  • Location
  • Inspector Number: 1600044977

Administrative

  • Photo

  • Client Name

  • undefined

  • Client phone

  • undefined

  • Client Email

  • undefined

  • Inspection Fee

  • undefined

  • Contract and fee approval

  • Add signature

Roof Systems

  • Type of Covering

  • Other

  • Style of Roof

  • Other

  • How Viewed

  • Other

  • Roof Covering

  • Satisfactory<br>

  • Lifted Shingles

  • Any tree branches hanging over roof

  • Aging, Cracking, Curling

  • undefined

  • Add media

  • Repair/Patching

  • Improper Drainage

  • undefined

  • Add media

  • Exposed Nail

  • Need Replacement

  • undefined

  • Add media

  • Pounding/Wet Rot

  • undefined

  • Add media

  • Chimney

  • undefined

  • Rain cap/spark screen

  • Damage/Deterioration

  • undefined

  • Add media

  • Unsafe/Insufficient for Occupancy

  • Ventilation

  • Satisfactory

  • undefined

  • Add media

  • Attachments

  • Rake/Drip Edge

  • Rake/Drip Edge Satisfactory

  • undefined

  • Add media

  • Gutters Type

  • Gutters Satisfactory

  • undefined

  • Add media

  • Fascia/Soffits Type

  • Fascia/Soffits Satisfactory

  • undefined

  • Add media

Exterior

  • Siding Type

  • Satisfactory

  • undefined

  • Add media

  • Storm windows

  • undefined

  • Add media

  • Deck/Patio

  • Deck/Patio

  • undefined

  • Add media

  • Exterior Door

  • Material

  • undefined

  • Add media

  • Screen Door

  • Material

  • undefined

  • Add media

  • Walkways Satisfactory

  • undefined

  • Add media

  • Exterior Drainage Satisfactory

  • undefined

  • Add media

  • Retaining Wall

  • undefined

  • Add media

  • Driveway

  • undefined

  • Add media

  • Grading Satisfactory

  • undefined

  • Add media

  • Fences

  • undefined

  • Add media

Garage

  • Garage

  • undefined

  • Add media

  • Garage Siding

  • undefined

  • Add media

  • Garage Roof

  • undefined

  • Add media

  • Garage Heating

  • undefined

  • Add media

  • Garage Floor

  • undefined

  • Add media

  • Garage Vehicle Doors

  • undefined

  • Add media

  • Garage Safety Reverse operational

  • undefined

  • Add media

Air Conditioning

  • Air Conditioning

  • Able to operate due to outdoor temp below 65

  • Condensate Line Clear

  • Electric Supply Disconnect Power

  • Satisfactory

  • undefined

  • Add media

Foundation Structure

  • Foundation/Structure

  • Foundation Type

  • External Foundation Satisfactory

  • undefined

  • Add media

  • Internal Foundation Satisfactory

  • undefined

  • Add media

  • Basement Type

  • How Accessed

  • Basement Windows

  • Basement Windows Satisfactory

  • undefined

  • Add media

  • Basement Ventilation Satisfactory

  • undefined

  • Add media

  • Piers/Posts

  • Satisfactory

  • undefined

  • Add media

  • Subfloor

  • Satisfactory

  • undefined

  • Add media

  • Joist Type

  • Satisfactory

  • undefined

  • Add media

  • Girder

  • Satisfactory

  • undefined

  • Add media

  • Foundation Floor

  • Wall Structure

  • Satisfactory

  • undefined

  • Add media

  • Moisture

  • undefined

  • Add media

  • Wall Structure

  • Satisfactory

  • undefined

  • Add media

  • Drainage/Sump Pump

Heating

  • Heating

  • Distribution type

  • Satisfactory

  • undefined

  • Add media

  • undefined

  • Thermostat

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Humidifier

  • undefined

  • Add media

  • Flue/Vent Pipe

  • undefined

  • Add media

  • Supply/Return/Ducts

  • undefined

  • Add media

Plumbing

  • Plumbing

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Water Supply

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Water Meter Location

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Main Shutoff Valve

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Drain/Waste/Vent/Sewer

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Water Heating Type

  • Satisfactory

  • undefined

  • Add media

  • Flue/Vent Pipe

  • Satisfactory

  • undefined

  • Add media

Gas and Electric

  • Gas/Fuel

  • Satisfactory

  • undefined

  • Add media

  • Electric Service

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Main Service Disconnect

  • Satisfactory

  • undefined

  • Add media

  • Size of Service

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Sub Panel

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Sub Panel

  • Satisfactory

  • undefined

  • Add media

Interior

  • Kitchen

  • Sink

  • Satisfactory

  • undefined

  • Add media

  • Counter Top

  • Satisfactory

  • undefined

  • Add media

  • Cabinets

  • Satisfactory

  • undefined

  • Add media

  • Faucet

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Range Hood/Ventilation

  • Satisfactory

  • undefined

  • Add media

  • Stove Connection

  • Satisfactory

  • undefined

  • Add media

  • Floor Covering

  • Satisfactory

  • undefined

  • Add media

  • Shower/Bathtub

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Toilet/Bidet

  • Satisfactory

  • undefined

  • Add media

  • Ventilation

  • Satisfactory

  • undefined

  • Add media

  • Cabinets/vanity/counter

  • Satisfactory

  • undefined

  • Add media

  • Faucet

  • Satisfactory

  • undefined

  • Add media

  • Sink

  • Satisfactory

  • undefined

  • Add media

  • Floor/covering

  • Satisfactory

  • undefined

  • Add media

  • Laundry Area

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Laundry Ventilation

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Dryer Connection

  • Satisfactory

  • undefined

  • Add media

  • Interior Doors

  • Satisfactory

  • undefined

  • Add media

  • Wall Covering

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Ceiling

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Molding

  • undefined

  • Satisfactory

  • undefined

  • Add media

  • Floors

  • Satisfactory

  • undefined

  • Add media

  • Windows

  • Satisfactory

  • undefined

  • Add media

  • Stairways

  • Satisfactory

  • undefined

  • Add media

  • Handrail Satisfactory

  • undefined

  • Add media

  • Fireplace, Wood stove, Chimney

  • Fireplace, Wood stove, Chimney

  • Satisfactory

  • undefined

  • Add media

  • Damper

  • Satisfactory

  • undefined

  • Add media

  • Smoke Detectors

  • Satisfactory

  • undefined

  • Add media

  • Blower/Fan

  • undefined

  • Add media

  • Carbon Monoxcide Detector

  • undefined

  • Add media

  • Space Ventilator

  • undefined

  • Add media

  • Attic roof structure

  • undefined

  • Add media

  • undefined

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.