Information
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Conducted on
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Inspection No.
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Inspector
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Audit Title
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Lease Contract Number
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Lease Account Manager (LAM) or COTR Name / Telephone
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Lease Contracting Officer Name / Telephone
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Building Number
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Rentable Square Feet
Lease Location and Information
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Building Name
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Building Address
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Number of Employees
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Lease Expiration Date
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HSPD-12
General
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Energy Star requirements met?
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LEED Certified?
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Computer or Server Room present?
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Date of last Tentant Satisfaction Survey (TSS)
Cyclical Maintenance
Carpet
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Carpet replacement last completed
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Carpet replacement next due
Painting
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Cyclic painting last completed
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Cyclic painting next due
Lessor and Customer Agency Information
Lessor
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Lessor Name
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Lessor Telephone
Customer
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Agency
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Agency Representative Name
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Agency Representative Telephone
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Agency Representative Email
Management Company
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Mgmt Company Name
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Mgmt Company Address
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Mgmt Company Email
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After Hours Telephone
Non-Fully Serviced Leases
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Is this a fully-serviced lease?
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Are additional services provided?
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Additional Services
Utility
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Which utilities are provided?
- Yes
- No
- N/A
Fire Life & Safety
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Date of last Safety Inspection
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Date of last Fire Drill
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Have fire extinguishers been serviced?
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Date fire extinguishers were last serviced
A. Periodic Services
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For section A. Periodic Services, please enter a comment identifying the frequency for each requirement.
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A. Mop & spray buff resilient floor
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B. Damp wipe toilet partitions, etc.
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C. Entrance mats
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D. High cleaning
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E. Strip and wax floors
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F. Shampoo corridor and lobby carpets
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G. Shampoo other office carpets
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H. Drapery cleaning
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I. Venetian Blind cleaning
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J. Wall covering replacement
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K. Window washing
B. First Impressions: Grounds/Parking/Lobby
Building Exterior
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Walls are in good repair (not chipped, cracked, or damaged; paint in good condition).
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Entry doors are clean and in good repair.
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Handicap door is available and functional.
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Waste bins / cigarette receptacles are accessible and clean.
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Overall appearance is not run down.
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Exterior appears to be in good condition.
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Roofing appears to be in place with no missing shingles or tiles.
Grounds
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Parking lot, sidewalks, steps, ramps, driveways and loading dock areas are free of debris.
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Parking spaces are clearly marked with bumpers/curbs in place.
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Directional signs are adequate.
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Landscaping is well maintained.
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Lighting / lens are intact and not burning during daylight hours.
Lobby
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Waste bins are available and clean.
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Interior signage is adequate.
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Main lobby and public areas are clean and litter free.
C. Breakrooms and Kitchenette
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Sink is in good condition (hot and cold water work; faucets not dripping or worn; sink not stained, chipped, dented, or worn).
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Backsplash is clean and without spots.
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Paper and soap dispensers are working and stocked.
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Waste bins are clean.
D. Finishes and Stairwells
Ceilings
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Ceiling tiles not stained, cracked, broken or<br>missing.
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Light fixtures working; lenses not cracked, broken or missing. Bulbs/tubes in place.
Floors
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Carpet in good condition without rips, tears, stains, or badly worn areas.
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Floor tile in good condition without loose, cracked, or missing tiles.
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Cove base is securely fastened to the wall; no missing sections; colors matching.
Walls
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Paint is not peeling, flaking, or mismatched; not too badly soiled for cleaning.
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Electrical outlets appear to be in working order (spot checked).
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Wall covering is not torn, stained, or peeling from the surface. Repairs match.
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Walls in good condition; no holes or sloppy patching.
Windows
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Window blinds are clean and in good shape, i.e. blinds are not bent; tapes and cords are not damaged, drapes in good shape without holes, tears, or missing sections.
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Window coverings are in good condition, without tears, sagging hems, or missing hooks or panels.
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Windows and window seals are without cracks, holes, or drafts.
Doors
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Doors in good condition; clean, open, close, and latch properly without scraping the doorframe; not warped.
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Locksets are intact and easily operable.
Stairwells
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No egress obstructions, well maintained, illuminated, emergency lighting, directional signage in place, and clean.
E. Restrooms / Locker Rooms
Sinks
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Sinks are clean and in good condition.
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Faucets provide hot and cold water, are securely fastened, and are not leaking.
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Exposed pipe under ADA sink is properly wrapped.
Toilets
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Toilets are in good condition, can be flushed, and are not leaking or running.
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Partitions and stalls are in clean and in good condition.
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Toilet seat and bowl are securely fastened to its fixture (wall or floor) and are not broken.
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Toilet paper holder is properly secured, is without damage, and is stocked.
Showers
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Shower stalls are in good working order and cleaned regularly.
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Floor drains are clean and without odors.
Supplies
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Adequate supplies, i.e. soap, paper towels, toilet seat covers, and sanitary napkins all with working dispensers in good condition.
F. Offices and Corridors
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Waste bins are not overflowing and appear to be emptied daily.
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Main traffic areas (floors) are clean and show only one day's accumulation of dirt, dust, and debris.
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Carpet not spotted or having appearance of not being cleaned for more than one week.
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Horizontal furniture surfaces and chair rails are dust free or appear to have been cleaned within the last week.
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Drinking fountains have no soil or lime deposits. Fountains show no visible signs of damage and the water pressure is adequate.
G. Elevators
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Elevators are well maintained, illuminated, clean, leveling properly, and emergency phones are operational.
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Emergency elevator telephone tested to reach operator.
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Elevator inspection certificate is posted and current.
H. Safety and Environmental
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Tenant agency is not engaged in unsafe work practices, i.e. permanent use of extension cords, improper storage of chemical, and is not blocking exits, isles, or stairways.
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Has any spill or release of hazardous materials occurred?
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Is any disposal of hazardous waste planned?
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Lessor is not engaged in unsafe work practices, i.e. permanent use of extension cords, improper storage of chemical, and is not blocking exits, isles, or stairways.
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Sprinkler heads are intact, clean, and unobstructed.
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Deficient items from last Safety and Environmental survey have been corrected.
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Fire extinguishers in common areas are wall mounted, and inspection tags are current.
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Battery pack emergency lighting appears effective (spot checks).
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Exit signs are illuminated for egress.
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Integrated Pest Management Plan is in place.
I. Utility / Energy
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The HVAC system fans are quiet and operating properly. Temperatures are consistent throughout space; no areas noticeably warmer or colder areas.
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The temperature settings/actual temperatures are within lease requirements.
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The HVAC system operates during the agency's official working hours.
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Meter readings were taken for GSA contracted utilities only. Readings are above or below readings on the most recent invoices.
J. Preventive Maintenance
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Preventive maintenance for above standard lease equipment is being performed in accordance with manufacturer's recommendations.
K. Sustainability
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Recycling program is operating effectively, with containers & service in place. Tenants are aware and informed of the program
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The lessor has provided recycling records.
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Is facility meeting GSA's goal to divert at least 30% of waste from landfills?
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The lessor's service providers, notably for janitorial and landscaping work, are using Comprehensive Procurement Guideline (CPG) items, environmentally preferable products, equipment, and practices.
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Lessor has responded to the environmental products and recycling letter.
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Are energy efficient upgrades or Energy Star certifications required by the lease?
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Lessor has made energy efficient upgrades or achieved Energy Star certification and provided documentation within the required time frame.
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Is LEED certification required by the lease?
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Lessor has obtained LEED certification and provided documentation within the required time frame.
Summary Comments
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Summary comments and remarks.
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Inspector
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GSA Property Manager
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Lessor Representative
