Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
None
-
Not Visible
-
Condition:
-
Satisfactory
-
Marginal
-
Poor
-
Railing/Balusters recommended
-
Support Pier
-
Concrete
-
Wood
-
Floor
-
Satisfactory
-
Marginal
-
Poor
-
Safety Hazard
-
Stoops/Steps
-
Add media
-
None
-
Material:
-
Concrete
-
Wood
-
Railing/Balusters recommended
-
Condition:
-
Satisfactory
-
Marginal
-
Poor
-
Safety Hazard
-
Uneven Risers
-
Rotted/Damaged
-
Cracked
-
Settled
-
Patio
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
Not Evaluated
-
None
-
Type:
-
Brick
-
Block
-
Wood
-
Metal
-
Chain Link
-
Rusted
-
Vinyl
-
Condition:
-
Satisfactory
-
Marginal
-
Poor
-
Typical Cracks
-
Loose Blocks/Caps
-
Gate
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
None
-
Material
-
Wood
-
Fiberboard
-
Aluminum/Steel
-
Vinyl
-
Stucco
-
Recommend repair/painting
-
Damaged
-
Condition
-
Satisfactory
-
Marginal
-
Poor
-
Caulking
-
Add media
-
None
-
Condition
-
Satisfactory
-
Marginal
-
Poor
-
Recommend around windows/masonry ledges/corners/utility penetrations
-
Windows/Screens
-
Add media
-
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
-
Add media
-
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
-
Add media
-
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
-
Add media
-
Type
-
Not Visible
-
Framed
-
Masonry
-
Condition
-
Not Visible
-
Satisfactory
-
Marginal
-
Poor
-
Exterior Doors
-
Add media
-
Main Entrance
-
N/A
-
Weather Stripping
-
Satisfactory
-
Marginal
-
Poor
-
Missing
-
Replace
-
Door Condition
-
Satisfactory
-
Marginal
-
Poor
-
Patio
-
Add media
-
N/A
-
Weather stripping
-
Satisfactory
-
Marginal
-
Poor
-
Missing
-
Replace
-
Door Condition
-
Add media
-
Satisfactory
-
Marginal
-
Poor
-
Rear Door
-
Add media
-
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