Title Page

  • Job Number

  • Client / Site

  • Location
  • Conducted on

  • Inspector

  • Network Partner

Client Interview

Client Interview

  • Was the contractor professional and courteous?

  • Did the contractor arrive at scheduled time(s) and clean up after work was complete?

  • Was the homeowner satisfied with the work performed?

  • Was the homeowner shown how to use newly installed equipment? (HVAC, Thermostat, ect...)

Health & Safety

Health & Safety

  • Are Health & Safety findings acceptable?

  • Asbestos

  • Electrical

  • Mold / Mildew

  • Plumbing

  • Roof / Gutter

  • Ventilation Kitchen / Bath / Dryer

  • Water Infiltration

  • Other Health & Safety Issues

HVAC & DHW

Heating & Cooling

  • Are Heating & Cooling findings acceptable?

  • Air Filter

  • Clean & Tune

  • Electrical

  • Line set

  • Thermostat

  • Other Heating & Cooling Issues

Distribution

  • Are Distribution System findings acceptable?

  • Duct Sealing / Mastic

  • Other Distribution System Issues

DHW

  • Are DHW findings acceptable?

  • PRV Drip Tube

  • Other DHW Issues

Air Sealing & Insulation

Air Sealng

  • Are Air Sealing findings acceptable?

  • Attic Access Weatherstripping

  • Electrical Penetrations

  • Plumbing Penetrations

  • Rim / Band Joists

  • Top Plates

  • Other Air Sealing Issues

Insulation

  • Are Insulation findings acceptable?

  • Attic

  • Attic Access

  • Attic Baffles

  • Basement

  • Bath / Kitchen Exhaust

  • Crawl space

  • Kneewall

  • Rim / Band Joints

  • Other Insulation Issues

Baseload Measures

Baseload Measures

  • Are Baseload findings acceptable?

  • Aerators

  • CFL's

  • Pipe Insulation

  • Shower Head

  • Smart Strip

  • Other Baseload Measures

ASHRAE Compliance

Kitchen Fan Flow

  • Tested Kitchen Fan Flow CFM

  • Meets ASHRAE Requirements?

Bath Fan Flow

  • Bath Fan
  • Fan Flow CFM

  • Meets ASHRAE Requirements?

Whole House Ventilation

  • Tested Whole House Ventilation CFM

  • Meets ASHRAE Requirements?

  • Installed Location

  • Whole House Ventilation Notes

  • Whole House Ventilation photos

Completion Signatures

Inspector Signature

  • Inspector Signature

Homeowner Signature

  • Homeowner Signature

QA Inspection Summary

  • Inspection Rating

  • Inspection Result

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