MNS-ERP Inspection Form

• Site conducted

  Media

• Client

• Conducted on

  Date

• Prepared by

• Occupant's Name

• Address

• Home Facing(direction) N-S-E-W

• Number of bedroom

• Building Type(i.e. mobile, bungalow

• Year Built

Exterior

• Skirting (mobile homes)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Anchorage (mobile homes)

  Yes

  No

  N/A

• Water storage / Septic tanks / Oil Tank

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Driveways / Parking

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Walkways

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Grade (Around Foundation)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Foundation (Above Grade)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Cladding / Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Vent Hoods, Trim

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flashing (Windows / Doors / Siding / Wall Finish)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Soffits / Fascia / Flashing

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Electrical outlet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Hose Bib

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Meter Socket/Mast

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Eavestroughs / Downspouts / Splashpads

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Roofing

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Roof Vents, Plumbing Vents, Flashings

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Chimney

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Attic Access

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Attic insulation

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Attic ventilation

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Main Entrance

• Location

• Entrance door

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Hand/Guard Rail

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Steps/Landings

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Balcony Deck

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Secondary Entrance

• Location

• Entrance Doors

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Hand/Guard Rails

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Steps/ Landings

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Balcony/Deck

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Basement/Crawlspace

• Basement / Crawl Space Floor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Perimeter/Rim Joist Insulation

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Foundation Walls / Grade beam

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Columns / Beams / Joists

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Stairs / Handrails / Entrance

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ventilation

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Evidence of Water / Moisture Infiltration

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Switches / Receptacles

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Systems – Heat/Ventilation

• Primary Heat Source - LIST AGE, FUEL TYPE & BTU'S

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Secondary Heat Source (if applicable) – LIST AGE, FUEL TYPE, BTU'S

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Date Last Serviced (if known)

• Heat Distribution System

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• HRV/ Air Exchanger

  No

  Yes

• Clearance to Combustibles

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

Systems – Plumbing/Sewer

• Sump Pump / Pit

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Water / Sewage pumps

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Hot Water Tank – LIST AGE, SIZE

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Drain / Supply lines

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Systems – Electrical

• Smoke Detector / CO Detector

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Electrical Panel

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Main entrance/Porch area

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles / switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Kitchen

• Cabinets/Countertops / Backsplash

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Sink / Faucets

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring / Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles / Switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• GFCI

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Living Room and Hallway

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Switches / Receptacles

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Door

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bathroom 1

• Location

• Vanity

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Sink / Faucet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• GFCI Plug

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Water Closet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub / Shower / Faucets

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub Surround / Enclosure

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Exhaust Fan

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures/switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bathroom 2

• Location

• Vanity

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Sink / Faucet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• GFCI Plug

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Water Closet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub / Shower / Faucets

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub Surround / Enclosure

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Exhaust Fan

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures/switches/

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bathroom 3

• Location

• Vanity

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Sink / Faucet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• GFCI Plug

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Water Closet

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub / Shower / Faucets

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Tub Surround / Enclosure

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Exhaust Fan

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures/switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bedroom 1

• Location

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Closet / Shelving

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles / switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Doors

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bedroom 2

• Location

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Closet / Shelving

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles / switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Doors

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bedroom 3

• Location

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Closet / Shelving

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures / switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Doors

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Bedroom 4

• Location

• Flooring/Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Windows (with # to be replaced)

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Closet / Shelving

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Receptacles

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Light fixtures / switches

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Doors

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Interior - General

• Stairs / Handrails

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Ceiling Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Wall Finish

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Flooring / Subfloor

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Built-In Closets / Storage / Shelves

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Evidence of Water / Moisture Infiltration

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

• Other

  Select Urgent, Immediate Short term within 1 year Medium Term 1 to 3 years Long Term 3 to 5 Years Adequate more than 5 years Not Applicable

  • Urgent, Immediate
  • Short term within 1 year
  • Medium Term 1 to 3 years
  • Long Term 3 to 5 Years
  • Adequate more than 5 years
  • Not Applicable

Overall condition of Home

• Overall condition of Home

  Excellenjt

  Above Average

  Average

  Below Average

  Poor

• Would the cost of repairs be estimated at 75% or more of a replacement cost?

  No

  Yes

• Disability/Accessibility

  No

  Yes

• To the best of your knowledge, do any of the occupants have a physical or cognitive disability? If yes, please describe and provide recommended accessibility improvements:

  No

  Yes

• Comments

• Inspector Name:

• Inspector Phone #:

• Inspection Date:

• Chester Brucks

  Sign