HOUSE/SITE INSPECTION

• Conducted on

  Date

• Prepared by

• Location
  Address

Living Room

• Is the living room clean?

  Yes

  No

  N/A

Bedroom

• Floors, walls and ceilings appear straight and level

  Safe

  At Risk

  N/A

Kitchen

• Are there leaks in pipes under the sink

  Yes

  No

  N/A

• Please show where the leak is

  Yes

  No

  N/A

Bathroom

• How clean is the bathroom