Preliminary Inspections Report Updated-2023

Quality Control Checklist

• Audit Title / Address

• Conducted by:

  Select Susan Meyerson Rana Nmair Peter Henry Mohamed Hussein

  • Susan Meyerson
  • Rana Nmair
  • Peter Henry
  • Mohamed Hussein

• Daniel R. Foster

• Pak Kin

• Samakiratana Ngoun

• Veasna Kong

• Soksal Tong

• Len Sok

• Conducted on

  Date
• Location
  Address

Property Address

• Unit No:

• Floor

• Street

Property Details

• Apartment or Villa or House

  Select Villa Apartment House

  • Villa
  • Apartment
  • House

• Nº of Bedrooms

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Nº of Bathrooms

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Swimming Pool - if Yes, use SHEM checklist.

  Yes

  No

Outside Area

• Railings on stairs and decks are adequate and secure?

  Yes

  Landlord

  FAC

  N/A

• Driveways, sidewalks, patios, entrance landings in good condition?

  Yes

  Landlord

  FAC

  N/A

• Door bell installed and working?

  Yes

  Landlord

  FAC

  N/A

• Exterior paint in good condition (no flaking)

  Yes

  Landlord

  FAC

  N/A

• Exterior light fixtures work?

  Yes

  Landlord

  FAC

  N/A

• Front porch entrance clean and clear from objects and trash?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Entry/Living Area

• Location

• Screen Door/Security Door in good condition? (If no, does it need cleaning, repair or replace?)

  Yes

  Landlord

  FAC

  N/A

• Entry door in good condition? Door stop?

  Yes

  Landlord

  FAC

  N/A

• Each door operates easily and latch properly.

  Yes

  Landlord

  FAC

  N/A

• Windows and sliding glass doors slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Child safety lock installed?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions? (If no, is it missing, torn, or bent)

  Yes

  Landlord

  FAC

  N/A

• Windows and doors to outside have weather stripping?

  Yes

  Landlord

  FAC

  N/A

• Are walls clean? Free of paint splatter?

  Yes

  Landlord

  FAC

  N/A

• Are ceiling in good conditions? (if no, patching; is it texture, smooth or popcorn)

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions? (If no, missing slats, how many? Or broken track)

  Yes

  Landlord

  FAC

  N/A

• Flooring in good condition? (If no, tile cracked, vinyl bad, carpet)

  Yes

  Landlord

  FAC

  N/A

• Light fixture/Ceiling fan in good condition?

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• Heating/cooling works?

  Yes

  Landlord

  FAC

  N/A

• Door knobs and latches are installed on every closet door, cabinet, or similar.

  Yes

  Landlord

  FAC

  N/A

• Smoke detector installed

  Yes

  Landlord

  FAC

  N/A

• Battery checked

  Yes

  Landlord

  FAC

  N/A

• Window bars/grills installed per RSO?

  Yes

  Landlord

  FAC

  N/A

• Front porch entrance clean and clear from objects and trash?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

• Is there a family room?

  Yes

  No

  N/A

Family room

• Location

• Screen Door/Security Door in good condition? (If no, does it need cleaning, repair, or replace?)

  Yes

  Landlord

  FAC

  N/A

• Entry door in good condition? Doorstop?

  Yes

  Landlord

  FAC

  N/A

• Each door operates easily and latch properly.

  Yes

  Landlord

  FAC

  N/A

• Windows and sliding glass doors slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Child safety lock installed?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions? (If no, is it missing, torn, or bent)

  Yes

  Landlord

  FAC

  N/A

• Windows and doors to outside have weather stripping?

  Yes

  Landlord

  FAC

  N/A

• Is ceilings in good conditions? (if no, patching; is it texture, smooth or popcorn)

  Yes

  Landlord

  FAC

  N/A

• Are walls clean? Free of paint splatter?

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions? (If no, missing slats, how many? Or broken track)

  Yes

  Landlord

  FAC

  N/A

• Flooring in good condition? (If no, tile cracked, vinyl bad, carpet)

  Yes

  Landlord

  FAC

  N/A

• Light fixture/Ceiling fan in good condition?

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• Heating/cooling works?

  Yes

  Landlord

  FAC

  N/A

• Door knobs and latches are installed on every closet door, cabinet, or similar.

  Yes

  Landlord

  FAC

  N/A

• Smoke detector installed

  Yes

  Landlord

  FAC

  N/A

• Battery checked

  Yes

  Landlord

  FAC

  N/A

• Window bars/grills installed per RSO?

  Yes

  Landlord

  FAC

  N/A

• Is there a stairway?

  Yes

  No

  N/A

• Does the stairway have railings?

  Yes

  Landlord

  FAC

  N/A

• Are the stairs in good shape?

  Yes

  Landlord

  FAC

  N/A

• Is there a balcony?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Other living area

Fireplace

Add fireplace

Fireplace

• Location

• Fireplace screen is in good condition?

  Yes

  Landlord

  FAC

  N/A

• Chimney has been swept?

  Yes

  Landlord

  FAC

  N/A

• Out of Order sign in place for decorative fireplace.

  Yes

  Landlord

  FAC

  N/A

• Carbon Monoxide detector installed.

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Dining Room

Add dining room

• Each door operates easily and latch properly. Doorstop?

  Yes

  Landlord

  FAC

  N/A

• Windows and sliding glass doors slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Child safety lock installed?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions? (If no, is it missing, torn, or bent)

  Yes

  Landlord

  FAC

  N/A

• Windows and doors to outside have weather stripping?

  Yes

  Landlord

  FAC

  N/A

• Are walls clean? Free of paint splatter?

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions? (If no, missing slats, how many? Or broken track)

  Yes

  Landlord

  FAC

  N/A

• Flooring in good condition? (If no, tile cracked, vinyl bad, carpet)

  Yes

  Landlord

  FAC

  N/A

• Door knobs and latches are installed on every closet door, cabinet, or similar.

  Yes

  Landlord

  FAC

  N/A

• Light fixture/Ceiling fan in good condition?

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• Is ceiling in good conditions? (if no, patching; is it texture, smooth or popcorn)

  Yes

  Landlord

  FAC

  N/A

• Cooling works?

  Yes

  Landlord

  FAC

  N/A

• Window bars/grills installed per RSO?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Kitchen Area

• Door in good condition? Doorstop?

  Yes

  Landlord

  FAC

  N/A

• Screen Door in good condition? (If no, does it need cleaning, repair or replace?)

  Yes

  Landlord

  FAC

  N/A

• Is ceiling in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Are walls clean? Free of paint splatter?

  Yes

  Landlord

  FAC

  N/A

• Flooring in good condition? (Tile cracked or loose, If vinyl is it in poor conditions)

  Yes

  Landlord

  FAC

  N/A

• Light fixture in good condition?

  Yes

  Landlord

  FAC

  N/A

• Ceiling fan in good condition?

  Yes

  Landlord

  FAC

  N/A

• All wall outlets in area have cover plates?

  Yes

  Landlord

  FAC

  N/A

• GFI Outlet has cover plate and is working properly? 30 mA to protect hot water heaters, 110v systems use 4 to 6 mA, 220v systems use 10 mA

  Yes

  Landlord

  FAC

  N/A

• Are cabinets clean and in good conditions inside and out? (if no, latches missing? Etc...)

  Yes

  Landlord

  FAC

  N/A

• Counter tops in good conditions? (Tile, Formica, granite?)

  Yes

  Landlord

  FAC

  N/A

• Sink and Faucet appear in good conditions without leaks when turned on? (Single handle or wall mount?)

  Yes

  Landlord

  FAC

  N/A

• Water flow/pressure is adequate?

  Yes

  Landlord

  FAC

  N/A

• Is the caulking around the sink and countertop in good condition?

  Yes

  Landlord

  FAC

  N/A

• There are no leaks under the sink when water is running?

  Yes

  Landlord

  FAC

  N/A

• Water filter installed and working?

  Yes

  Landlord

  FAC

  N/A

• Is the garbage disposal in working conditions when turned on and free of leaks?

  Yes

  Landlord

  FAC

  N/A

• Was dishwasher tested, in good working conditions and free of leaks?

  Yes

  Landlord

  FAC

  N/A

• Is stove & oven clean and in working condition?

  Yes

  Landlord

  FAC

  N/A

• Is stove vent in clean and working conditions? (if no, vent or bulb)

  Yes

  Landlord

  FAC

  N/A

• Fire extinguisher wall mounted in or near each kitchen? Inspection and serviced date recorded on extinguisher.

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Laundry Room

• Door In good condition? Doorstop?

  Yes

  Landlord

  FAC

  N/A

• Appliances operate properly

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• GFI Outlet has cover plate and is working properly? 30 mA to protect hot water heaters and washer

  Yes

  Landlord

  FAC

  N/A

• Gravity shutter at end of dryer vent hose?

  Yes

  Landlord

  FAC

  N/A
Add window

• Windows slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Window bars/grills installed per RSO?

  Yes

  Landlord

  FAC

  N/A

• Child Safety locks installed?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Windows have weatherstripping?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Bathroom

Add bathroom

• Location of bathroom

• Door in good conditions? Doorstop?

  Yes

  Landlord

  FAC

  N/A
Add window

• Windows slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Child safety locks installed?

  Yes

  Landlord

  FAC

  N/A

• Window bars/grills installed per RSO?

  Yes

  Landlord

  FAC

  N/A

• Weatherstripping installed?

  Yes

  Landlord

  FAC

  N/A

• Are walls clean? Free of paint splatter?

  Yes

  Landlord

  FAC

  N/A

• Is ceiling in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Floors are in good condition?

  Yes

  Landlord

  FAC

  N/A

• Floor drain has grate and cover?

  Yes

  Landlord

  FAC

  N/A

• Light fixture in good condition?

  Yes

  Landlord

  FAC

  N/A

• Exhaust fan in good and operable conditions?

  Yes

  Landlord

  FAC

  N/A

• Is Heat Lamp/Heater in working condition?

  Yes

  Landlord

  FAC

  N/A

• Is the caulking around the sink in good condition?

  Yes

  Landlord

  FAC

  N/A

• Sink and Faucet appear in good conditions without leaks when turned on?

  Yes

  Landlord

  FAC

  N/A

• Hot Water/Cold Water run properly when sink is turned on?

  Yes

  Landlord

  FAC

  N/A

• There are no leaks under the sink when water in running?

  Yes

  Landlord

  FAC

  N/A

• Sink and tub drain properly?

  Yes

  Landlord

  FAC

  N/A

• Is tub and faucet in good working condition? (single, two handles or three handles)

  Yes

  Landlord

  FAC

  N/A

• The caulking around the tub is in good condition?

  Yes

  Landlord

  FAC

  N/A

• There are no leaks when the tub faucet is in the off position?

  Yes

  Landlord

  FAC

  N/A

• Are shower and faucet on and off knob(s) in good working conditions?

  Yes

  Landlord

  FAC

  N/A

• Anti Scald shower head installed

  Yes

  Landlord

  FAC

  N/A

• Are shower walls in clean and presentable conditions?

  Yes

  Landlord

  FAC

  N/A

• Are shower doors/enclosure in clean and operable conditions? (if no, top rollers or bottom rollers?)

  Yes

  Landlord

  FAC

  N/A

• Shower curtain rod installed?

  Yes

  Landlord

  FAC

  N/A

• The toilet is secure and functions correctly? (Does the toilet rock, leak or has water running constantly?)

  Yes

  Landlord

  FAC

  N/A

• Are cabinets, countertops & mirror in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Towel bars & tissue roll bar in good conditions? (1 tissue roll bar, 1 towel rack near sink, 2 towel racks near shower)

  Yes

  Landlord

  FAC

  N/A

• All wall outlets and light switches in area have cover plates and are in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• GFCI Outlet has cover plate and is working properly? 220V systems-trip at10 mA

  Yes

  Landlord

  FAC

  N/A

• There are no power outlets within 3 feet of shower/bathtub enclosure.

  Yes

  Landlord

  FAC

  N/A

• The walls are free of any signs of mold, mildew or water damage?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Bedroom

Bedroom

Bedroom

• Location of bedroom

• Door in good condition? Doorstop?

  Yes

  Landlord

  FAC

  N/A

• If safe-haven has security lock & peephole?

  Yes

  Landlord

  FAC

  N/A

• Window screens are in place and in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Bedrooms window bars/grills must have inside release mechanism.

  Yes

  Landlord

  FAC

  N/A

• Windows and sliding glass doors slide easily and lock?

  Yes

  Landlord

  FAC

  N/A

• Child lock installed?

  Yes

  Landlord

  FAC

  N/A

• Are walls clean?

  Yes

  Landlord

  FAC

  N/A

• Is ceiling in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Drapes/Blinds in good conditions?

  Yes

  Landlord

  FAC

  N/A

• Flooring in good condition?

  Yes

  Landlord

  FAC

  N/A

• Light fixture/Ceiling fan in good condition?

  Yes

  Landlord

  FAC

  N/A

• Smoke detector installed?

  Yes

  Landlord

  FAC

  N/A

• Battery checked?

  Yes

  Landlord

  FAC

  N/A

• Wardrobe doors and drawers operate properly.

  Yes

  Landlord

  FAC

  N/A

• Heating/cooling source works

  Yes

  Landlord

  FAC

  N/A

• All wall outlets in area have cover plates in working conditions & matching?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Water Heater

Add hot water heater

• Location

• Water heater works?

  Yes

  Landlord

  FAC

  N/A

• GFCI outlet has cover plate and is working properly? 30 mA breaker installed?

  Yes

  Landlord

  FAC

  N/A

• PTRV installed and connected to drain pipe without any threaded at end?

  Yes

  Landlord

  FAC

  N/A

• Additional Comments

Electrical panel

• All openings in the electrical panel board have been sealed and box is secure?

  Yes

  Landlord

  FAC

  N/A

• Panel board labeled in the local language and English?

  Yes

  Landlord

  FAC

  N/A

• Minimum 2*20 amp small appliance circuits for kitchen, dining, breakfast, pantry area?

  Yes

  Landlord

  FAC

  N/A

• Transformers must be placed on a ceramic Tile

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Fall protection

• Supports are sturdy and have no openings more than 4" wide or a gap 4" from the floor?

  Yes

  Landlord

  FAC

  N/A

• Top of railing is 42" (107 cm) from floor or grade level?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

General

• Residence is grounded?

  Yes

  Landlord

  FAC

  N/A

• All unused or obsolete equipment has been removed?

  Yes

  Landlord

  FAC

  N/A

• All light bulbs installed/work? CFLs or LED bulbs installed where possible?

  Yes

  Landlord

  FAC

  N/A

• No light fixtures below 2.14 m (7 ft.) have exposed bulbs?

  Yes

  Landlord

  FAC

  N/A

• Light fixtures installed in closets are a minimum of 12 inches away from the edge of shelf?

  Yes

  Landlord

  FAC

  N/A

• Smoke detector in corridor leading to bedroom?

  Yes

  Landlord

  FAC

  N/A

• Smoke detector at top of internal stairwells?

  Yes

  Landlord

  FAC

  N/A

• Were utilities on during the inspection?

  Yes

  Landlord

  FAC

  N/A

• Additional comments

Comments

• Additional Comments:

Sign Off

• On Site Inspector

  Sign