Title Page
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Conducted on
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Prepared by
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Location
Lease Inspection Form
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Inspection Number:
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Date of Inspection:
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Inspector:
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Lease Contract Number:
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Building Number:
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Square footage:
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Fully Serviced:
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LAM/COTR Name:
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LAM/COTR Phone:
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LAM/COTR E-Mail:
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LCO Name:
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LCO Phone:
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LCO Phone
Lease Location & Information
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Building Name
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Address:
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City/State/Zip:
General
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Energy Star requirements met?
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LEED Certified?
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Computer/Server Room Present?
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Date of Last TSS Survey:
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Score:
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Response Rate:
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Next TSS Survery:
Cyclical Maintenance
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Carpet Replacement Last Completed:
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Cyclic Painting Last Completed:`
Lessor & Customer Agency(s) Information
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Lessor:
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Lessor Phone Number:
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Agency(s):
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Agency Representative(s)
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Agency E-mail:
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Agency Phone Number:
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Management Company:
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Address:
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City/State/Zipcode
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E-Mail:
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After Hours Telephone Number:
Non-Fully Serviced Leases
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Additional Services Provided:
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Type of Utility(s): (gas,water,electric)
Fire Line & Safety
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Date of Last Safety Inspection
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Date of Last Fire Drill
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Date of Last OEP:
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Fire Extinguishers Serviced:
Lease Inspection Form
A. Periodic Services
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A. Mop and spray buff resilient floor
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B. Damp wipe toilet partitions, etc.
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C. Entrance mats
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D. High Cleaning
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Stripping and waxing floors
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Shampoo corridor and lobby carpets
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Shampoo other office carpets
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Drapery cleaning
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Wall covering replacement
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Window washing
B. First Impressions: Grounds/Parking Lot/Lobby
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1. The exterior of the building appears in good condition. Roofing appears in place with no missing shingles/tiles; no chipping cracked or damaged walls in need of repair and/or paint. Entry doors are clean and without damage; no broken/cracked glass/ overhead light intact. Handicapped door available/functional. Garbage cans/cigarette receptacles available and clean. Overall appearance is not not run down.
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1(a). If marked (U) - see photo
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2. Parking lot and loading dock is free of debris and parking spaces are clearly marked with bumpers/curbs in place. Landscaping is well maintained/ Lights/lens are intact and not burning during daylight hours.
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2(a). If marked (U) - see photo
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3. Sidewalks, steps, ramps, driveways and parking are are free from snow, ice or other debris. Directional signs are adequate.
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3(a). If marked (U) - see photo
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4. Main lobby and public areas are clean and litter free. Trash cans available and clean. Interior signage is adequate:
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4(a). If marked (U) - see photo
Lease Inspection Form
C. Break-rooms and Kitchenette
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1. Ceilings - Ceiling tiles not stained, cracked, broken or missing
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1(a). If marked (U) - see photo
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2. Floor tile/carpet clean; no spots/stains/tears/missing pieces. Cupboards and counter tops clean; hardware intact. No signs of pest infestation.
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2(a). If marked (U) - see photo
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3. Ceiling tiles and lighting in good condition. No missing tiles; light lenses. Overall condition clean.
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3(a). If marked (U) - see photo
D. Finishes and Stairwells
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1. Ceilings-Ceiling tiles not stained, cracked, broken or missing.
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1(a). If marked (U) - see photo
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2. Ceilings - light fixtures working; lenses not cracked, broken or missing. Bulbs/tubes in place.
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2(a). If marked (U) - see photo
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3. Floors - Carpet in good condition without rips, tears, stains, or badly worn areas.
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3(a). If marked (U) - see photo
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4. Floors - Floor tile in good condition without loose, cracked or missing tiles.
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4(a). If marked (U) - see photo
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5. Floors - Cove base is securely fastened to the wall; no missing sections; colors matching.
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5(a). If marked (U) - see photo
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6. Walls - Walls in good condition; no holes or sloppy patching
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6(a). If marked (U) - see photo
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7. Walls - Paint is not peeling, flaking or mismatched; not badly soiled for cleaning.
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7(a). If marked (U) - see photo
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8. Walls - Electrical outlets appear to be in working order (spot checked).
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8(a). If marked (U) - see photo
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9. Walls - Wall covering is not torn, stained, or peeling form the surface. Repairs match.
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9(a). If marked (U) - see photo
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10. Windows - Window coverings are in good condition without tears, sagging hems, or missing hooks or panels.
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10(a). If marked (U) - see photo
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11. Windows - Windows and window seals are without cracks, holes or drafts
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11(a). If marked (U) - see photo
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12. Windows - Window blinds are clean and in good shape, i.e. blinds are not bent; tapes and cords are not damaged, drapes in good shape without holes, tears, or missing sections.
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12(a). If marked (U) - see photo
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13. Doors in good condition; clean, open, close, and latch property without scraping the door frame; not warped.
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13(a). If marked (U) - see photo
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14. Stairwells - No egress obstructions, well maintained, illuminated, emergency lighting, directional signage in place, and clean.
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14(a). If marked (U) - see photo
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15. Locks are intact and easily operable.
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15(a). If marked (U) - see photo
Lease Inspection Form
E. Restrooms/Locker Rooms
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1. Sinks are clean and in good condition. Faucets provide hot and cold water, are securely fastened, and are not leaking. Exposed piping under ADA sink is properly wrapped.
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1(a). If marked (U) - see photo
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2. Toilets are in good condition, can be flushed, and are not leaking or running. The toilet seat and bowl are securely fastened to its fixture (wall or floor) and are not broken. Toilet paper holder is properly secured without damage, and is stocked,.
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2(a). If marked (U) - see photo
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3. Partitions and stalls are in good condition, clean condition. Floor drains are clean, no odors.
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3(a). If marked (U) - see photo
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4. Adequate supplies, i.e. soap, paper towels, toilet seat covers and sanitary napkins all with working dispensers in good condition.
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4(a). If marked (U) - see photo
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5. Shower stalls are in good working order and cleaned regularly.
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5(a). If marked (U) - see photo
F. Offices and Corridors
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1. Trash cans not overflowing and appear to be emptied daily.
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1(a). If marked (U) - see photo
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2. Main traffic areas (floors) are clean showing only a day of accumulated dirt, dust and debris.
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2(a). If marked (U) - see photo
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3. Carpet not spotted or having appearance of not being cleaned over a one week period.
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3(a). If marked (U) - see photo
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4. Horizontal furniture surfaces, chair rails, are dust free or appear to have less than a one week period.
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4(a). If marked (U) - see photo
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5. Drinking fountains have no soil or lime deposits. Fountains show no visible signs of damage and the water pressure is adequate.
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5(a). If marked (U) - see photo
G. Elevators
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1. Elevators - Well maintained, illuminated, clean, leveling properly, emergency phones are operational.
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1(a). If marked (U) - see photo
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2. Emergency elevator telephone tested to reach operator.
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3. Elevator inspection certificate posted and current
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3(a). If marked (U) - see photo
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3(b). Date of Inspection
Lease Inspection Form
H. Safety and Enviornmental
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1. Tenant agency is not engaged in unsafe work practices, i.e. permanent use of extension cords, improper storage of chemicals or blocking exits, isles, or stairwells.
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(a). If marked (U) - see photo
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1.2. Has any spill or release of hazardous materials occurred?
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1.3. Is any disposal of hazardous waste planned?
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2. Lessor is not engaged in unsafe work practices, i.e. permanent use of extension cords, improper storage of chemicals, or blocking exits, isles, or stairwells.
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2(a). If marked (U) - see photo.
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3. Sprinkler heads are intact, clean, and unobstructed.
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3(a). If marked (U) - see photo.
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4. Deficient items from last Safety and Environmental Survey have been corrected
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4. 2(a). If marked (U) - see photo.
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5. Fire extinguishers in common areas are wall mounted; inspection tags current (Spot checks).
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5(a). If marked (U) - see photo.
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5(b). Date fire extinguishers were inspected.
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6. Battery pack emergency lighting appears effective (spot checks).
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6(a). If marked (U) - see photo.
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7. Exit signs are illuminated for egress.
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7(a). If marked (U) - see photo.
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8. Integrated Pest Management Plan in place.
I. Utility/Energy
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1. The HVAC system fans are quiet and operating properly. Temperatures are consistent throughout space; no areas noticeable warmer or colder than balance of the area.
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1(a). If marked (U) - see photo.
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2. The temperature setting/actual temperatures within lease requirements (if applicable).
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2(a). If marked (U) - see photo.
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3. The HVAC system operates during the agency's official working hours.
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4. Meter readings were taken for GSA contracted utilities only. They are above/below the readings given on the most recent invoices.
J. Preventative Maintenance
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1. Preventative Maintenance for above standard lease equipment is being preformed properly in accordance with manufacturer's recommendations.
Lease Inspection Form
K. Sustainability
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1. Recycling program is operating effectively, with containers & service in place. Tenants are aware and informed of the program.
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2. The Lessor has provided recycling records. (SA's waste diversion goal is 30% or better).
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3. The lessor's service providers, notably for janitorial and landscaping work are using Comprehensive Procurement Guidelines Items (CPG), environmentally preferable products, equipment and practices. (The lessor has responded to the environmental products and recycling letter).
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4. ?IF required in the lease, the lessor has made energy efficient upgrades or achieved Energy Star certification and provided documentation within the required time frame.
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5. If required in the lease, the lessor has obtained LEED certification and provided documentation within the required time frame. GSA's goal is LEED-NC SIlver or LEED-CI Certified.
