Title Page
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Job Number
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Client / Site
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Location
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Conducted on
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Inspector
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Network Partner
- AHEC
- ALLEGHANY COUNTY
- BALTIMORE CITY
- C.A.R.E.
- CAC HOWARD COUNTY
- CAN
- COMPLETE HOME SOLUTIONS
- ECOMIZE
- EDGE ENERGY
- EFFICIENT HOME
- ELYSIAN
- FREDERICK CAA
- GARRETT COUNTY CAC
- GHHI
- GREEN STEP
- HAWKEYE
- HOWARD COUNTY HOUSING
- HOME ENERGY TEAM
- STANDARD ENERGY SOLUTIONS
- TOTAL HOME PERFORMANCE
Client Interview
Client Interview
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Was the contractor professional and courteous?
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Did the contractor arrive at scheduled time(s) and clean up after work was complete?
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Was the homeowner satisfied with the work performed?
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Was the homeowner shown how to use newly installed equipment? (HVAC, Thermostat, ect...)
Health & Safety
Health & Safety
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Are Health & Safety findings acceptable?
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Asbestos
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Electrical
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Mold / Mildew
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Plumbing
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Roof / Gutter
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Ventilation Kitchen / Bath / Dryer
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Water Infiltration
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Other Health & Safety Issues
HVAC & DHW
Heating & Cooling
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Are Heating & Cooling findings acceptable?
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Air Filter
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Clean & Tune
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Electrical
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Line set
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Thermostat
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Other Heating & Cooling Issues
Distribution
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Are Distribution System findings acceptable?
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Duct Sealing / Mastic
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Other Distribution System Issues
DHW
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Are DHW findings acceptable?
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PRV Drip Tube
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Other DHW Issues
Air Sealing & Insulation
Air Sealng
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Are Air Sealing findings acceptable?
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Attic Access Weatherstripping
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Electrical Penetrations
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Plumbing Penetrations
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Rim / Band Joists
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Top Plates
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Other Air Sealing Issues
Insulation
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Are Insulation findings acceptable?
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Attic
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Attic Access
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Attic Baffles
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Basement
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Bath / Kitchen Exhaust
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Crawl space
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Kneewall
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Rim / Band Joints
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Other Insulation Issues
Baseload Measures
Baseload Measures
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Are Baseload findings acceptable?
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Aerators
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CFL's
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Pipe Insulation
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Shower Head
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Smart Strip
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Other Baseload Measures
ASHRAE Compliance
Kitchen Fan Flow
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Meets ASHRAE Requirements?
Bath Fan Flow
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Meets ASHRAE Requirements?
Whole House Ventilation
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Meets ASHRAE Requirements?
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Installed Location
- Main Bath
- Secondary Bath
- Kitchen
- Hallway
- Bedroom
- Other
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Whole House Ventilation Notes
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Whole House Ventilation photos
Completion Signatures
Inspector Signature
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Inspector Signature
Homeowner Signature
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Homeowner Signature
QA Inspection Summary
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Inspection Rating
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Inspection Result