Title Page

  • Site conducted

  • Client's Name

  • Address

  • Home Facing(direction) N-S-E-W

  • Building Type(i.e. mobile, bungalow)

  • Year Built

  • Number of bedroom

  • Prepared by

  • Conducted on

Exterior

  • Skirting (mobile homes)

  • Anchorage (mobile homes)

  • Driveways / Parking

  • Walkways

  • Water storage / Septic tanks / Oil Tank

  • Grade (Around Foundation)

  • Foundation (Above Grade)

  • Cladding / Wall Finish

  • Trim (corner, door & window)

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

  • Vent Hoods

  • Soffits / Fascia / Flashing

  • Electrical outlet

  • Meter Socket/Mast

  • Hose Bib

  • Eavestroughs / Downspouts / Splashpads

  • Roofing

  • Roof Vents, Plumbing Vents, Flashings

  • Chimney

  • Attic Access

  • Attic insulation

  • Attic ventilation

Entrances

Main Entrance

  • Location

  • Entrance door

  • Hand/Guard Rail

  • Steps/Landings

  • Deck/Balcony

  • Other

Secondary Entrance

  • Location

  • Entrance Door

  • Hand/Guard rail

  • Steps/Landings

  • Deck/Balcony

  • Other

Basement/Crawlspace

  • Stairs / Handrails / Entrance

  • Basement / Crawl Space Floor

  • Perimeter/Rim Joist Insulation

  • Foundation Walls / Grade beam

  • Columns / Beams / Joists

  • Ventilation

  • Evidence of Water / Moisture Infiltration

  • Windows (with # to be replaced)

  • Fixtures

  • Switches / Receptacles

  • Other

Systems- Heat/Ventilation, Plumbing, Electrical

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

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

  • Date Last Serviced (if known)

  • Heat Distribution System

  • HRV/ Air Exchanger

  • Clearance to Combustibles

  • Other

Systems- Plumbing/Sewer

  • Sump Pump / Pit

  • Water / Sewage pumps

  • Hot Water Tank – LIST AGE, SIZE

  • Drain / Supply lines

  • Other

System- Electrical

  • Smoke Detector / CO Detector

  • Electrical Panel

  • Other

Interior

Main entrance/Porch area

  • Wall Finish

  • Flooring/Subfloor

  • Windows

  • Receptacles / switches

  • Light fixtures

  • Ceiling Finish

  • Other

Kitchen

  • Cabinets/Countertops / Backsplash

  • Light fixtures

  • Sink / Faucets

  • Flooring / Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Receptacles / Switches

  • GFCI

  • Range Hood

  • Other

Living Room and Hallway

  • Flooring/Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Light fixtures

  • Switches / Receptacles

  • Door

Bathroom 1

  • Location

  • Vanity

  • Sink / Faucet

  • GFCI Plug

  • Water Closet

  • Tub / Shower / Faucets

  • Tub Surround / Enclosure

  • Wall Finish

  • Ceiling Finish

  • Flooring/Subfloor

  • Windows (with # to be replaced)

  • Exhaust Fan

  • Light fixtures/switches

  • Other

Bathroom 2

  • Location

  • Vanity

  • Sink / Faucet

  • GFCI Plug

  • Water Closet

  • Tub / Shower / Faucets

  • Tub Surround / Enclosure

  • Wall Finish

  • Ceiling Finish

  • Flooring/Subfloor

  • Windows (with # to be replaced)

  • Exhaust Fan

  • Light fixtures/switches/

  • Other

Bathroom 3

  • Location

  • Vanity

  • Sink / Faucet

  • GFCI Plug

  • Water Closet

  • Tub / Shower / Faucets

  • Tub Surround / Enclosure

  • Wall Finish

  • Ceiling Finish

  • Flooring/Subfloor

  • Windows (with # to be replaced)

  • Exhaust Fan

  • Light fixtures/switches

  • Other

Bedroom 1

  • Location

  • Flooring/Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Closet / Shelving

  • Receptacles / switches

  • Light fixtures

  • Doors

Bedroom 2

  • Location

  • Flooring/Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Closet / Shelving

  • Receptacles / switches

  • Light fixtures

  • Doors

Bedroom 3

  • Location

  • Flooring/Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Closet / Shelving

  • Receptacles

  • Light fixtures / switches

  • Doors

Bedroom 4

  • Location

  • Flooring/Subfloor

  • Wall Finish

  • Ceiling Finish

  • Windows (with # to be replaced)

  • Closet / Shelving

  • Receptacles

  • Light fixtures / switches

  • Doors

Interior - General

  • Stairs / Handrails

  • Ceiling Finish

  • Wall Finish

  • Flooring / Subfloor

  • Built-In Closets / Storage / Shelves

  • Evidence of Water / Moisture Infiltration

  • Other

Overall condition of Home

  • Overall condition of Home

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

  • Disability/Accessibility

  • 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:

  • Comments

  • Inspector Name:

  • Inspector Phone #:

  • Inspection Date:

  • Chester Brucks

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.