Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Housing Audit pt. 1

  • REPORT OVERVIEW

  • THE HOUSE IN PERSPECTIVE

  • Add media

  • CONVENTIONS USED IN THIS REPORT

  • SATISFACTORY

  • MARGINAL

  • POOR

  • MAJOR CONCERNS

  • SAFETY HAZARD

  • THE SCOPE OF THE PERSPECTIVE

  • BUILDING DATA

  • GROUNDS

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  • Service Walks

  • None

  • Not Visible

  • Material:

  • Concrete

  • Flagstone

  • Gravel

  • Brick

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Trip Hazard

  • Typical Cracks

  • Pitched towards home

  • Settling cracks

  • Public sidewalk need repair

  • Driveway/Parking

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  • None

  • Not Visible

  • Material:

  • Concrete

  • Asphalt

  • Gravel/Dirt

  • Brick

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Settling Cracks

  • Typical Cracks

  • Pitched towards home

  • Fill cracks and seal

  • Trip Hazard

  • Porch

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  • None

  • Not Visible

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Railing/Balusters recommended

  • Support Pier

  • Concrete

  • Wood

  • Floor

  • Satisfactory

  • Marginal

  • Poor

  • Safety Hazard

  • Stoops/Steps

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  • None

  • Material:

  • Concrete

  • Wood

  • Railing/Balusters recommended

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Safety Hazard

  • Uneven Risers

  • Rotted/Damaged

  • Cracked

  • Settled

  • Patio

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  • None

  • Material:

  • Concrete

  • Flagstone

  • Kool-Deck

  • Brick

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Settling Cracks

  • Trip Hazard

  • Pitched towards home (see remarks)

  • Drainage provided

  • Typical cracks

  • Deck/Balcony

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  • None

  • Not Visible

  • Material:

  • Wood

  • Metal

  • Composite

  • Railing/Balusters recommended

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Wood in contact with soil

  • Finish

  • Treated

  • Painted/Stained

  • Safety Hazard

  • Improper attachment to house

  • Railing loose

  • Deck/Patio/Porch Covers

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  • None

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Posts/Supports need Repair

  • Earth to wood contact

  • Moisture/Insect damage

  • Recommend

  • Metal Straps/Bolts/Nails/Flashing

  • Improper attachment to house

  • Fence/Wall

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  • Not Evaluated

  • None

  • Type:

  • Brick

  • Block

  • Wood

  • Metal

  • Chain Link

  • Rusted

  • Vinyl

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Typical Cracks

  • Loose Blocks/Caps

  • Gate

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  • N/A

  • Satisfactory

  • Marginal

  • Poor

  • Planks missing/damaged

  • Operable?

  • Yes

  • No

  • Landscaping Affecting Foundation

  • N/A

  • Negative Grade

  • East

  • West

  • North

  • South

  • Satisfactory

  • Recommend additional backfill

  • Recommend window wells/covers

  • Trim back trees/shrubberies

  • Wood in contact with/improper clearance to soil

  • Retaining Wall

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  • None

  • Material

  • Brick

  • Concrete

  • Concrete block

  • Railroad ties

  • Timbers

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Safety Hazard

  • Leaning/cracked/ bowed

  • Drainage holes recommended

  • Hose Bibs

  • N/A

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • No anti-siphon valve

  • Recommend Anti-siphon valve

  • Operable

  • Yes

  • No

  • Not Tested

  • Not On

  • ROOF

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  • Roof Visibility

  • None

  • All

  • Partial

  • Inspected From

  • Roof

  • Ladder at eaves

  • Ground

  • With Binoculars

  • Style of Roof

  • Type

  • Gable

  • Hip

  • Mansard

  • Shed

  • Flat

  • Pitch

  • Low

  • Medium

  • Steep

  • Flat

  • Roof #1

  • Type:

  • Layers:

  • Age:

  • Location:

  • Roof #2

  • Type:

  • Layers:

  • Age:

  • Location:

  • Roof #3

  • Type:

  • Layers:

  • Age:

  • Location:

  • Ventilation System

  • Not Present

  • Type

  • Soffit

  • Ridge

  • Gable

  • Roof

  • Turbine

  • Powered

  • Flashing

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  • Material

  • Not Visible

  • Galv/Alum

  • Asphalt

  • Copper

  • Foam

  • Rubber

  • Lead

  • Condition

  • Not Visible

  • Satisfactory

  • Marginal

  • Poor

  • Rusted

  • Missing

  • Separated from chimney/roof

  • Recommended Sealing

  • Valleys

  • N/A

  • Material

  • Not Visible

  • Galv/Alum

  • Asphalt

  • Lead

  • Copper

  • Condition

  • Not Visible

  • Satisfactory

  • Marginal

  • Poor

  • Holes

  • Rusted

  • Recommend Sealing

  • Condition of Roof Coverings

  • Roof #1

  • Satisfactory

  • Marginal

  • Poor

  • Roof #2

  • Satisfactory

  • Marginal

  • Poor

  • Roof #3

  • Satisfactory

  • Marginal

  • Poor

  • Condition

  • Curling

  • Cracking

  • Ponding

  • Burn Spots

  • Broken/Loose Tiles/Shingles

  • Nail Popping

  • Granules Missing

  • Alligatoring

  • Blistering

  • Missing Tabs/Shingles/Tiles

  • Moss Buildup

  • Exposed Felt

  • Cupping

  • Incomplete/Improper Nailing

  • Recommend Roofer Evaluate

  • Evidence of Leakage

  • Skylights

  • N/A

  • Not Visible

  • Condition

  • Cracked/Broken

  • Satisfactory

  • Marginal

  • Poor

  • Plumbing Vents

  • Not Visible

  • Not Present

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • EXTERIOR

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  • Chimney(s)

  • None

  • Location(s):

  • Viewed From

  • Roof

  • Ladder at eaves

  • Ground (Inspection Limited)

  • With Binoculars

  • Rain Cap/Spark Arrestor

  • Yes

  • No

  • Recommended

  • Chase

  • Brick

  • Stone

  • Metal

  • Blocks

  • Framed

  • Evidence of

  • Holes in metal

  • Cracked chimney cap

  • Loose mortar joints

  • Flaking

  • Loose brick

  • Rust

  • Flue

  • Tile

  • Metal

  • Unlined

  • Not Visible

  • Evidence of

  • Scaling

  • Cracks

  • Creosote

  • Not evaluated

  • Have flue(s) cleaned and re-evaluated

  • Recommend Cricket/Saddle/Flashing

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend Repair

  • Gutters/Scuppers/Eavestrough

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  • None

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Rusting

  • Downspouts needed

  • Recommend repair/replace

  • Needs to be cleaned

  • Material

  • Copper

  • Vinyl/Plastic

  • Galvanized/Aluminum

  • Leaking

  • Corners

  • Joints

  • Hole in main run

  • Attachment

  • Loose

  • Missing spikes

  • Improperly slope

  • Extension Needed

  • North

  • South

  • East

  • West

  • Siding

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  • Material

  • Stone

  • Slate

  • Block/Brick

  • Fiberboard

  • Fiber-cement

  • Stucco

  • EIFS* Not Inspected

  • Asphalt

  • Wood

  • Metal/Vinyl

  • Typical cracks

  • Peeling paint

  • Monitor

  • Wood rot

  • Loose/Missing/Holes

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/painting

  • Trim

  • Material

  • Wood

  • Fiberboard

  • Aluminum/Steel

  • Vinyl

  • Stucco

  • Recommend repair/painting

  • Damaged wood

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Soffit

  • None

  • Material

  • Wood

  • Fiberboard

  • Aluminum/Steel

  • Vinyl

  • Stucco

  • Recommend repair/painting

  • Damaged wood

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Fascia

  • None

  • Material

  • Wood

  • Fiberboard

  • Aluminum/Steel

  • Vinyl

  • Stucco

  • Recommend repair/painting

  • Damaged wood

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Flashing

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  • None

  • Material

  • Wood

  • Fiberboard

  • Aluminum/Steel

  • Vinyl

  • Stucco

  • Recommend repair/painting

  • Damaged

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Caulking

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  • None

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend around windows/masonry ledges/corners/utility penetrations

  • Windows/Screens

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  • Condition

  • Satisfactory

  • Recommend repair/replace damaged screens

  • Failed/fogged insulated glass

  • Marginal

  • Poor

  • Wood rot

  • Recommend repair/painting

  • Material

  • Wood

  • Metal

  • Vinyl

  • Aluminum/Vinyl clad

  • Screens

  • Torn

  • Bent

  • Not installed

  • Storm Windows

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  • None

  • Not installed

  • Condition:

  • Condition

  • Satisfactory

  • Broken/cracked

  • Wood rot

  • Recommend repair/painting

  • Material

  • Wood

  • Clad comb

  • Wood/metal comb

  • Metal

  • Putty

  • Satisfactory

  • Needed

  • N/A

  • Slab-On-Grade/Foundation

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  • Foundation Wall

  • Concrete block

  • Poured concrete

  • Post-Tensioned

  • Not Visible

  • Condition

  • Satisfactory

  • Marginal

  • Monitor

  • Have Evaluated

  • Not Evaluated

  • Concrete Slab

  • N/A

  • Not Visible

  • Satisfactory

  • Marginal

  • Monitor

  • Have Evaluated

  • Service Entry

  • Underground

  • Overhead

  • Weather head/mast needs repair

  • Overhead wires to low

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Exterior Receptacles

  • Yes

  • No

  • Operable

  • Yes

  • No

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • GFCI present

  • Yes

  • No

  • Operable

  • Yes

  • No

  • Safety Hazard

  • Reverse polarity

  • Open ground(s)

  • Recommend GFCI Receptacles

  • Building(s) Exterior Wall Construction

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  • Type

  • Not Visible

  • Framed

  • Masonry

  • Condition

  • Not Visible

  • Satisfactory

  • Marginal

  • Poor

  • Exterior Doors

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  • Main Entrance

  • N/A

  • Weather Stripping

  • Satisfactory

  • Marginal

  • Poor

  • Missing

  • Replace

  • Door Condition

  • Satisfactory

  • Marginal

  • Poor

  • Patio

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  • N/A

  • Weather stripping

  • Satisfactory

  • Marginal

  • Poor

  • Missing

  • Replace

  • Door Condition

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  • Satisfactory

  • Marginal

  • Poor

  • Rear Door

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  • N/A

  • Weather stripping

  • Satisfactory

  • Marginal

  • Poor

  • Missing

  • Replace

  • Door Condition

  • Satisfactory

  • Marginal

  • Poor

  • Other Door

  • N/A

  • Weather stripping

  • Satisfactory

  • Marginal

  • Poor

  • Missing

  • Replace

  • Door Condition

  • Satisfactory

  • Poor

  • Exterior A/C -Heatpump #1

  • Unit #1

  • N/A

  • Location:

  • Brand:

  • Model #:

  • Serial #:

  • Approximate Age:

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Cabinet/housing rusted

  • Energy Source

  • Electric

  • Gas

  • Unit Type

  • Air cooled

  • Water cooled

  • Geothermal

  • Heat pump

  • Outside Disconnect

  • Yes

  • No

  • Maximum fuse/breaker (amps)

  • Fuses/Breakers installed (amps)

  • Improperly sized fuses/breakers

  • Level

  • Yes

  • No

  • Recommend re-level unit

  • Condenser Fins

  • Damaged

  • Need cleaning

  • Damaged base/pad

  • Damaged Refrigerant Line

  • Improper Clearance (air flow)

  • Yes

  • No

  • Exterior A/C -Heatpump #1

  • Unit #1

  • N/A

  • Location:

  • Brand:

  • Model #:

  • Serial #:

  • Approximate Age:

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Cabinet/housing rusted

  • Energy Source

  • Electric

  • Gas

  • Unit Type

  • Air cooled

  • Water cooled

  • Geothermal

  • Heat pump

  • Outside Disconnect

  • Yes

  • No

  • Maximum fuse/breaker (amps)

  • Fuses/Breakers installed (amps)

  • Improperly sized fuses/breakers

  • Level

  • Yes

  • No

  • Recommend re-level unit

  • Condenser Fins

  • Damaged

  • Need cleaning

  • Damaged base/pad

  • Damaged Refrigerant Line

  • Improper Clearance (air flow)

  • Yes

  • No

  • GARAGE/CARPORT

  • None

  • Type

  • None

  • Attachment

  • Detached

  • 1-Car

  • 2-Car

  • 3-Car

  • 4-Car

  • Automatic Opener

  • Yes

  • No

  • Operable

  • Inoperable

  • Safety Reverse

  • Operable

  • Not Operable

  • Need(s) adjusting

  • Safety hazard

  • Photo eyes and pressure reverse tested

  • Roofing

  • Material

  • Same as house

  • Type:

  • Approx. age:

  • Approx. layers:

  • Gutters/Eavestrough

  • Add media

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Same as house

  • Siding

  • N/A

  • Material

  • Same as house

  • Wood

  • Metal

  • Vinyl

  • Stucco

  • Masonry

  • Slate

  • Fiberboard

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Recommend painting

  • Trim

  • N/A

  • Material

  • Same as house

  • Wood

  • Aluminum

  • Vinyl

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Recommend painting

  • Floor

  • Material

  • Concrete

  • Gravel

  • Asphalt

  • Dirt

  • Condition

  • Satisfactory

  • Typical cracks

  • Large settling cracks

  • Recommend evaluation/repair

  • Safety hazard

  • Burners less than 18" above floor

  • N/A

  • Yes

  • No

  • Sill Plates

  • Not Visible

  • Floor level

  • Elevated

  • Rotted/Damaged

  • Recommend repair

  • Overhead Door(s)

  • N/A

  • Material

  • Wood

  • Fiberglass

  • Masonite

  • Metal

  • Recommend repair

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Hardware loose

  • Safety Cable Recommended

  • Weatherstripping missing/damaged

  • Loose/missing

  • Recommend Priming/Painting Inside & Edges

  • Yes

  • No

  • Exterior Service Door

  • None

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Damage/Rusted

  • Electrical Receptacles

  • N/A

  • Not Visible

  • Reverse Polarity

  • Yes

  • No

  • Open Ground

  • Yes

  • No

  • Safety Hazard

  • GFCI Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Handyman/extension cord wiring

  • Recommend GFCI Receptacles

  • Fire Separation Walls & Ceiling

  • N/A

  • Present

  • Missing

  • Condition

  • Satisfactory

  • Recommend repair

  • Holes walls/ceiling

  • Safety hazard(s)

  • Moisture Stains Present

  • Yes

  • No

  • Typical Cracks

  • Yes

  • No

  • Fire door

  • Not verifiable

  • Not a fire door

  • Needs repair

  • Satisfactory

  • Auto Closure

  • N/A

  • Satisfactory

  • Inoperative

  • Missing

  • KITCHEN

  • Countertops

  • Satisfactory

  • Marginal

  • Recommend repair/caulking

  • Cabinets

  • Satisfactory

  • Marginal

  • Recommend repair/adjustment

  • Plumbing

  • Faucet Leaks

  • Yes

  • No

  • Pipes Leak/Corroded

  • Yes

  • No

  • Sink/Faucet

  • Satisfactory

  • Corroded

  • Chipped

  • Cracked

  • Recommend repair

  • Functional Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Functional Flow

  • Satisfactory

  • Marginal

  • Poor

  • Walls & Ceiling

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Moisture stains

  • Heating/Cooling Source

  • Yes

  • No

  • Floor

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Sloping

  • Squeaks

  • Appliances

  • Disposal

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Oven

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Range

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Dishwasher

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Trash Compactor

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Exhaust Fan

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Refrigerator

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Microwave

  • N/A

  • Not Tested

  • Operable:

  • Yes

  • No

  • Other

  • Operable:

  • Yes

  • No

  • Dishwasher Airgap

  • Yes

  • No

  • Dishwasher Drain Line Looped

  • Yes

  • No

  • Receptacles Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • GFCI

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Recommend GFCI Receptacles:

  • Yes

  • No

  • Potential Safety Hazard

  • LAUNDRY ROOM

  • Laundry

  • Laundry Sink

  • N/A

  • Faucet Leaks

  • Yes

  • No

  • Pipes Leak

  • Yes

  • No

  • Not Visible

  • Cross Connections

  • Yes

  • No

  • Potential Safety Hazard

  • Heat Source Present

  • Yes

  • No

  • Room Vented

  • Yes

  • No

  • Dryer Vented

  • N/A

  • Wall

  • Ceiling

  • Floor

  • Not vented

  • Plastic dryer vent not recommended

  • Not vented to exterior

  • Recommend repair

  • Safety hazard

  • Electrical

  • Open ground/reverse polarity:

  • Yes

  • No

  • Safety hazard

  • GFCI Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Recommend GFCI Receptacles

  • Appliances

  • Washer

  • Dryer

  • Water heater

  • Furnace/Boiler

  • Washer Hook-Up Lines/Valves

  • Satisfactory

  • Leaking

  • Corroded

  • Not Visible

  • Gas Shut-Off Valve

  • N/A

  • Yes

  • No

  • Cap Needed

  • Safety hazard

  • Not Visible

  • BATHROOM #1

  • Bath

  • Location

  • Sinks

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Tubs

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Showers

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Toilet

  • Bowl loose:

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Cracked bowl

  • Toilet leaks

  • Whirlpool

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Not tested

  • No access door

  • Shower/Tub area

  • Ceramic/Plastic

  • Fiberglass

  • Masonite

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Rooted floors

  • Caulk/Grouting needed:

  • Yes

  • No

  • Where:

  • Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Water Flow

  • Satisfactory

  • Marginal

  • Poor

  • Moisture Stains Present

  • Yes

  • No

  • Walls

  • Ceilings

  • Cabinetry

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Window

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Receptacles Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • GFCI

  • Yes

  • No

  • Recommend GFCI Operable:

  • Yes

  • No

  • Open Ground/Reverse Polarity

  • Yes

  • No

  • Potential Safety Hazard

  • Recommend GFCI Receptacles

  • Heat Source Present

  • Yes

  • No

  • Exhaust Fan

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Noisy

  • BATHROOM#2

  • Bath

  • Location

  • Sinks

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Tubs

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Showers

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Toilet

  • Bowl loose:

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Cracked bowl

  • Toilet leaks

  • Whirlpool

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Not tested

  • No access door

  • Shower/Tub area

  • Ceramic/Plastic

  • Fiberglass

  • Masonite

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Rooted floors

  • Caulk/Grouting needed:

  • Yes

  • No

  • Where:

  • Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Water Flow

  • Satisfactory

  • Marginal

  • Poor

  • Moisture Stains Present

  • Yes

  • No

  • Walls

  • Ceilings

  • Cabinetry

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Window

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Receptacles Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • GFCI

  • Yes

  • No

  • Recommend GFCI Operable:

  • Yes

  • No

  • Open Ground/Reverse Polarity

  • Yes

  • No

  • Potential Safety Hazard

  • Recommend GFCI Receptacles

  • Heat Source Present

  • Yes

  • No

  • Exhaust Fan

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Noisy

  • BATHROOM #3

  • Bath

  • Location

  • Sinks

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Tubs

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Showers

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Toilet

  • Bowl loose:

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Cracked bowl

  • Toilet leaks

  • Whirlpool

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Not tested

  • No access door

  • Shower/Tub area

  • Ceramic/Plastic

  • Fiberglass

  • Masonite

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Rooted floors

  • Caulk/Grouting needed:

  • Yes

  • No

  • Where:

  • Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Water Flow

  • Satisfactory

  • Marginal

  • Poor

  • Moisture Stains Present

  • Yes

  • No

  • Walls

  • Ceilings

  • Cabinetry

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Window

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Receptacles Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • GFCI

  • Yes

  • No

  • Recommend GFCI Operable:

  • Yes

  • No

  • Open Ground/Reverse Polarity

  • Yes

  • No

  • Potential Safety Hazard

  • Recommend GFCI Receptacles

  • Heat Source Present

  • Yes

  • No

  • Exhaust Fan

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Noisy

  • BATHROOM #4

  • Bath

  • Location

  • Sinks

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Tubs

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Showers

  • N/A

  • Faucet leaks:

  • Yes

  • No

  • Pipes leak:

  • Yes

  • No

  • Not Visible

  • Toilet

  • Bowl loose:

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Cracked bowl

  • Toilet leaks

  • Whirlpool

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Not tested

  • No access door

  • Shower/Tub area

  • Ceramic/Plastic

  • Fiberglass

  • Masonite

  • Condition:

  • Satisfactory

  • Marginal

  • Poor

  • Rooted floors

  • Caulk/Grouting needed:

  • Yes

  • No

  • Where:

  • Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Water Flow

  • Satisfactory

  • Marginal

  • Poor

  • Moisture Stains Present

  • Yes

  • No

  • Walls

  • Ceilings

  • Cabinetry

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Window

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Receptacles Present

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • GFCI

  • Yes

  • No

  • Recommend GFCI Operable:

  • Yes

  • No

  • Open Ground/Reverse Polarity

  • Yes

  • No

  • Potential Safety Hazard

  • Recommend GFCI Receptacles

  • Heat Source Present

  • Yes

  • No

  • Exhaust Fan

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Noisy

  • ROOM #1

  • Room

  • Location:

  • Type:

  • Unit #:

  • Walls & Ceiling

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Damage

  • Moisture Stains

  • Yes

  • No

  • Where:

  • Floor:

  • Satisfactory

  • Marginal

  • Poor

  • Squeaks

  • Slopes

  • Tripping Hazard

  • Ceiling Fan

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Electrical

  • Operable:

  • Yes

  • No

  • Switches:

  • Yes

  • No

  • Operable

  • Receptacles:

  • Yes

  • No

  • Operable

  • Open ground/reverse polarity:

  • Yes

  • No

  • Safety hazard

  • Cover plates missing

  • Heating Source Present

  • Yes

  • No

  • Holes:

  • Doors

  • Walls

  • Ceilings

  • Bedroom Egress Restricted

  • N/A

  • Yes

  • No

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • Windows

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • ROOM #2

  • Room

  • Location:

  • Type:

  • Unit #:

  • Walls & Ceiling

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Damage

  • Moisture Stains

  • Yes

  • No

  • Where:

  • Floor:

  • Satisfactory

  • Marginal

  • Poor

  • Squeaks

  • Slopes

  • Tripping Hazard

  • Ceiling Fan

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Electrical

  • Operable:

  • Yes

  • No

  • Switches:

  • Yes

  • No

  • Operable

  • Receptacles:

  • Yes

  • No

  • Operable

  • Open ground/reverse polarity:

  • Yes

  • No

  • Safety hazard

  • Cover plates missing

  • Heating Source Present

  • Yes

  • No

  • Holes:

  • Doors

  • Walls

  • Ceilings

  • Bedroom Egress Restricted

  • N/A

  • Yes

  • No

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • Windows

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • ROOM #3

  • Room

  • Location:

  • Type:

  • Unit #:

  • Walls & Ceiling

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Damage

  • Moisture Stains

  • Yes

  • No

  • Where:

  • Floor:

  • Satisfactory

  • Marginal

  • Poor

  • Squeaks

  • Slopes

  • Tripping Hazard

  • Ceiling Fan

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Electrical

  • Operable:

  • Yes

  • No

  • Switches:

  • Yes

  • No

  • Operable

  • Receptacles:

  • Yes

  • No

  • Operable

  • Open ground/reverse polarity:

  • Yes

  • No

  • Safety hazard

  • Cover plates missing

  • Heating Source Present

  • Yes

  • No

  • Holes:

  • Doors

  • Walls

  • Ceilings

  • Bedroom Egress Restricted

  • N/A

  • Yes

  • No

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • Windows

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • ROOM #4

  • Room

  • Location:

  • Type:

  • Unit #:

  • Walls & Ceiling

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Damage

  • Moisture Stains

  • Yes

  • No

  • Where:

  • Floor:

  • Satisfactory

  • Marginal

  • Poor

  • Squeaks

  • Slopes

  • Tripping Hazard

  • Ceiling Fan

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Recommend repair/replace

  • Electrical

  • Operable:

  • Yes

  • No

  • Switches:

  • Yes

  • No

  • Operable

  • Receptacles:

  • Yes

  • No

  • Operable

  • Open ground/reverse polarity:

  • Yes

  • No

  • Safety hazard

  • Cover plates missing

  • Heating Source Present

  • Yes

  • No

  • Holes:

  • Doors

  • Walls

  • Ceilings

  • Bedroom Egress Restricted

  • N/A

  • Yes

  • No

  • Doors

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

  • Windows

  • Satisfactory

  • Marginal

  • Poor

  • Cracked glass

  • Evidence of leaking insulated glass

  • Broken/Missing hardware

Housing Audit pt. 2

  • INTERIOR

  • Fireplace

  • None

  • Location(s)<br>

  • Type

  • Gas

  • Wood

  • Solid fuel burning stove

  • Electric

  • Ventless

  • Material

  • Masonry

  • Metal (pre-fabricated)

  • Metal insert

  • Cast Iron

  • Miscellaneous

  • Blower built-in

  • Operable:

  • Yes

  • No

  • Damper operable:

  • Yes

  • No

  • Open joints or cracks in firebrick/panels should be sealed

  • Fireplace doors need repair

  • Damper modified for gas operation

  • N/A

  • Yes

  • No

  • Damper missing

  • Hearth extension adequate

  • Yes

  • No

  • Mantel

  • N/A

  • Secure

  • Loose

  • Recommend repair/replace

  • Physical condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend having flue cleaned and re-examined

  • Not evaluated

  • Stairs/Steps/Balconies

  • None

  • Satisfactory

  • Marginal

  • Poor

  • Loose/Missing

  • Handrail

  • Satisfactory

  • Marginal

  • Poor

  • Safety hazard

  • Hand Rail/Railing/balusters recommended

  • Risers/treads

  • Satisfactory

  • Marginal

  • Poor

  • Risers/treads uneven

  • Trip hazard

  • Smoke/carbon monoxide detectors

  • Present

  • Smoke detector

  • Operable:

  • Yes

  • No

  • Not tested

  • Recommend additional

  • CO detector

  • Operable:

  • Yes

  • No

  • Not tested

  • Recommend additional

  • Attic/Structure/Framing/Insulation

  • N/A

  • Access

  • Stairs

  • Pulldown

  • Scuttle hole/hatch

  • No access

  • Inspected from

  • Access panel

  • In the attic

  • Other

  • Location

  • Hallway

  • Bedroom closet

  • Garage

  • Other

  • Access limited by:

  • Flooring

  • Complete

  • Partial

  • None

  • Insulation

  • Fiberglass

  • Batts

  • Loose

  • Cellulose

  • Foam

  • Other

  • Vermiculite

  • Rock wool

  • Recommend baffles at eaves

  • Damaged

  • Displaced

  • Missing

  • Compressed

  • Installed in

  • Rafters/trusses

  • Walls

  • Between ceiling joists

  • Underside of roof deck

  • Not visible

  • Recommend additional insulation

  • Vapor barriers

  • Kraft/foil faced

  • Plastic sheeting

  • Not visible

  • Improperly installed

  • Ventilation

  • Recommend additional ventilation

  • Ventilation appears adequate

  • Fans exhausted to:

  • Attic

  • Yes

  • No

  • Recommend repair

  • Outside

  • Yes

  • No

  • Not visible

  • HV AC Duct

  • N/A

  • Satisfactory

  • Damaged

  • Split

  • Disconnected

  • Leaking

  • Repair/replace

  • Recommend insulation

  • Chimney chase

  • N/A

  • Satisfactory

  • Needs repair

  • Not visible

  • Structural problems observed

  • Yes

  • No

  • Recommend repair

  • Recommend structural engineer

  • Roof structure

  • Rafters

  • Trusses

  • Wood

  • Metal

  • Collar ties

  • Purlins

  • Knee wall

  • Not visible

  • Ceiling joists

  • Wood

  • Metal

  • Not visible

  • Sheathing

  • Plywood

  • OSB

  • Planking

  • Rotted

  • Stained

  • Delaminated

  • Evidence of condensation

  • Yes

  • No

  • Evidence of moisture

  • Yes

  • No

  • Evidence of leaking

  • Yes

  • No

  • Firewall between units

  • N/A

  • Yes

  • No

  • Needs repair

  • Electrical

  • Open junction box(es)

  • Handyman wiring

  • Visible knob-and-tube

  • BASEMENT

  • Stairs

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Typical wear and tear

  • Need repair

  • Handrail

  • Yes

  • No

  • Condition

  • Satisfactory

  • Loose

  • Handrail/railings/balusters recommended

  • Headway over stairs

  • Satisfactory

  • Low clearance

  • Safety hazard

  • Foundation

  • Condition

  • Satisfactory

  • Marginal

  • Have evaluated

  • Monitor

  • Material

  • ICF

  • Brick

  • Concrete block

  • Fieldstone

  • Poured concrete

  • Horizontal cracks

  • North

  • South

  • East

  • West

  • Step cracks

  • North

  • South

  • East

  • West

  • Vertical cracks

  • North

  • South

  • East

  • West

  • Covered walls

  • North

  • South

  • East

  • West

  • Movement apparent

  • North

  • South

  • East

  • West

  • Indication of moisture

  • Yes

  • No

  • Fresh

  • Old stains

  • Floor

  • Material

  • Concrete

  • Dirt/gravel

  • Not visible

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Typical cracks

  • Not visible

  • Seismic bolts

  • N/A

  • None visible

  • Appear satisfactory

  • Recommend evaluation

  • Drainage

  • Sump pump

  • Yes

  • No

  • Working

  • Not working

  • Needs cleaning

  • Pump not tested

  • Floor drains

  • Yes

  • Not visible

  • Drains not tested

  • Girders/beams

  • Not visible

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Stained/rusted

  • Material

  • Steel

  • Wood

  • Concrete

  • LVL

  • Not visible

  • Columns

  • N/A

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Stained/rusted

  • Material

  • Steel

  • Wood

  • Concrete

  • Block

  • Not visible

  • Joists

  • N/A

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Material

  • Steel

  • Wood

  • Truss

  • Not visible

  • 2x8

  • 2x10

  • 2x12

  • Engineered I-type

  • Sagging/altered joists

  • Subfloor

  • Not visible

  • Indication of moisture stains/rotting

  • PLUMBING

  • Water service

  • Main shut-off location:

  • Water entry piping

  • Not visible

  • Copper/galv.

  • PVC Plastic

  • CPVC Plastic

  • Polybutylene plastic

  • PEX Plastic

  • Lead

  • Lead other than solder joints

  • Yes

  • No

  • Unknown

  • Service entry

  • Visible water distribution piping

  • Copper

  • Galvanized

  • PVC Plastic

  • CPVC Plastic

  • Polybutylene Plastic

  • PEX Plastic

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Flow

  • Satisfactory

  • Marginal

  • Poor

  • Water pressure over 80 psi

  • Recommend plumber evaluate

  • Recommend pressure regulator box

  • Pipes supply/drain

  • Corroded

  • Leaking

  • Valves broken/missing

  • Dissimilar metal

  • Cross connection

  • Yes

  • No

  • Safety hazard

  • Drain/wast/vent pipe

  • Copper

  • Cast iron

  • Galvanized

  • PVC

  • ABS

  • Brass

  • Polyethylene

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Support/insulation

  • N/A

  • Type:

  • Traps proper P-type

  • Yes

  • No

  • P-Traps recommended

  • Drainage

  • Satisfactory

  • Marginal

  • Poor

  • Interior fuel storage

  • N/A

  • Yes

  • No

  • Leaking

  • Yes

  • No

  • Fuel line

  • N/A

  • Copper

  • Brass

  • Black iron

  • Stainless steel

  • CSST

  • Not visible

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend plumber evaluate

  • Main fuel shut-off location:

  • N/A

  • Well pump

  • N/A

  • Submersible

  • In basement

  • Well house

  • Well pit

  • Shared well

  • Pressure gauge operable

  • Yes

  • No

  • Well pressure

  • Not visible

  • Sanitary/Grinder pump

  • N/A

  • Sealed crock:

  • Yes

  • No

  • Check valve:

  • Yes

  • No

  • Shut-off valve:

  • Yes

  • No

  • Vented

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Water heater #1

  • N/A

  • Brand name:

  • Serial #:

  • Capacity:

  • Approximate age:

  • Type

  • Gas

  • Electric

  • Oil

  • LP

  • Combustion air venting present

  • Yes

  • No

  • N/A

  • Seismic restraints needed

  • Yes

  • No

  • N/A

  • Relief valve

  • Yes

  • No

  • Extension proper:

  • Yes

  • No

  • Missing

  • Recommend repair

  • Improper material

  • Vent pipe

  • N/A

  • Satisfactory

  • Pitch proper

  • Improper

  • Rusted

  • Recommend repair

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Water heater #2

  • N/A

  • Brand name:

  • Serial #:

  • Capacity:

  • Approximate age:

  • Type

  • Gas

  • Electric

  • Oil

  • LP

  • Combustion air venting present

  • Yes

  • No

  • N/A

  • Seismic restraints needed

  • Yes

  • No

  • N/A

  • Relief valve

  • Yes

  • No

  • Extension proper:

  • Yes

  • No

  • Missing

  • Recommend repair

  • Improper material

  • Vent pipe

  • N/A

  • Satisfactory

  • Pitch proper

  • Improper

  • Rusted

  • Recommend repair

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Water softener

  • N/A

  • Present

  • Loop installed

  • Yes

  • No

  • Plumbing hooked up

  • Yes

  • No

  • Plumbing leaking

  • Yes

  • No

  • HEATING SYSTEM

  • Heating system

  • Unit #1

  • Brand name:

  • Approximate age:

  • Model #:

  • Serial #:

  • Unit #2

  • Brand name:

  • Approximate age:

  • Model #:

  • Serial #:

  • Energy source

  • Gas

  • LP

  • Oil

  • Electric

  • Solid fuel

  • Warm air system

  • Belt drive

  • Direct drive

  • Gravity

  • Central system

  • Floor/wall unit

  • Heat exchanger

  • N/A

  • Sealed

  • Not visible

  • Visual w/mirror

  • Flame distortion

  • Rusted

  • Carbon/soot buildup

  • Carbon monoxide

  • N/A

  • Detected at plenum

  • Detected at register

  • Not tested

  • CO tester:

  • Combustion air venting present

  • N/A

  • Yes

  • No

  • Controls

  • Disconnect

  • Yes

  • No

  • Normal operating and safety controls observed

  • Distribution

  • Metal duct

  • Insulated flex duct

  • Cold air returns

  • Duct board

  • Asbestos-like warping

  • Safety hazard

  • Flue piping

  • N/A

  • Satisfactory

  • Rusted

  • Improper slope

  • Safety hazard

  • Recommend repair/replacing

  • Filter

  • Standard

  • Electrostatic

  • Satisfactory

  • Needs cleaning/replacement

  • Missing

  • Electronic (not tested)

  • When turned on by thermostat

  • Fired

  • Did not fire

  • Heat pump

  • N/A

  • Supplemental electric

  • Supplemental gas

  • Sub-slab ducts

  • N/A

  • Satisfactory

  • Marginal

  • Poor

  • #1 - System condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine

  • #2 - System condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine

  • System not operate due to:

  • Exterior temperature

  • Boiler system

  • N/A

  • Brand name:

  • Approximate age:

  • Model #:

  • Serial #:

  • Energy source

  • Gas

  • LP

  • Oil

  • Electric

  • Solid fuel

  • Distribution

  • Hot water

  • Baseboard

  • Steam

  • Radiator

  • Radiant floor

  • Circulator

  • Pump

  • Gravity

  • Multiple zones

  • Controls

  • Temp/pressure gauge exists

  • Yes

  • No

  • Operable

  • Yes

  • No

  • Oil fired units

  • Disconnect

  • Yes

  • No

  • Combustion air venting present

  • N/A

  • Yes

  • No

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine

  • Other systems

  • N/A

  • Electric baseboard

  • Radiant ceiling cable

  • Gas space heater

  • Solid fuel burning stove

  • Proper operation

  • Yes

  • No

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine

  • ELECTRIC/COOLING SYSTEM

  • Main panel

  • Location:

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Adequate clearance to panel

  • Yes

  • No

  • Amperage/voltage

  • Unknown

  • 60a

  • 100a

  • 150a

  • 200a

  • 400a

  • 120v/240v

  • Breakers/fuses

  • Breakers

  • Fuses

  • Appears grounded

  • Yes

  • No

  • Not visible

  • GFCI Breaker

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • AFCI Breaker

  • Yes

  • No

  • Operable:

  • Yes

  • No

  • Not tested

  • Main wire

  • Copper

  • Aluminum

  • Double tapping the wire

  • Not visible

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Branch wire

  • Copper

  • Aluminum

  • Solid branch aluminum wiring

  • Not visible

  • Safety hazard

  • Branch wire condition

  • Satisfactory

  • Poor

  • Recommend electrician evaluate/repair

  • Romex

  • BX cable

  • Conduit

  • Knob/tube

  • Double tapping

  • Wires undersized/oversized breaker/fuse

  • Panel not accessible

  • Not evaluated

  • Sub panel(s)

  • N/A

  • Location 1

  • Location 2

  • Location 3

  • Branch wire

  • Copper

  • Aluminum

  • Safety hazard

  • Neutral/ground separated

  • Yes

  • No

  • Neutral isolated

  • Yes

  • No

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend separating/isolating neutrals

  • Recommend electrician repair/evaluate box

  • Heat pump - A/C unit #1

  • Central system

  • Wall unit

  • Brand name:

  • Location:

  • Approximate age:

  • Serial #:

  • Evaporator coil

  • Satisfactory

  • Not visible

  • Needs cleaning

  • Damaged

  • Refrigerant lines

  • Leak/oil present

  • Damage

  • Insulation missing

  • Satisfactory

  • Condensate line/drain

  • To exterior

  • To pump

  • Floor drain

  • Secondary condensate line/drain

  • Present:

  • Yes

  • No

  • Needed:

  • Yes

  • No

  • Primary pan appears clogged

  • Recommend technician evaluate

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine/clean/service

  • Not operated due to exterior temperature

  • Heat pump - A/C unit #2

  • Central system

  • Wall unit

  • Brand name:

  • Location:

  • Approximate age:

  • Serial #:

  • Evaporator coil

  • Satisfactory

  • Not visible

  • Needs cleaning

  • Damaged

  • Refrigerant lines

  • Leak/oil present

  • Damage

  • Insulation missing

  • Satisfactory

  • Condensate line/drain

  • To exterior

  • To pump

  • Floor drain

  • Secondary condensate line/drain

  • Present:

  • Yes

  • No

  • Needed:

  • Yes

  • No

  • Primary pan appears clogged

  • Recommend technician evaluate

  • Condition

  • Satisfactory

  • Marginal

  • Poor

  • Recommend HVAC technician examine/clean/service

  • Not operated due to exterior temperature

Report Summary

  • REPORT SUMMARY

  • Items Not Operating

  • Major Concerns (Items that have failed or have a potential of failing soon)

  • Potential Safety Hazards

  • Deferred Cost Items (Items that have reached or are reaching their normal life expectancy or show indications that they may require repair or replacement anytime during the next 5 years)

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