Quarterly HQS Inspection

• Quarterly HQS Inspection

• Select Unit Floorplan

  Select 2BR - LL 2BR - UL 3BR - LL 3BR - UL 2BR - HC 3BR - HC

  • 2BR - LL
  • 2BR - UL
  • 3BR - LL
  • 3BR - UL
  • 2BR - HC
  • 3BR - HC

• Select Type of Inspection

  Quarterly HQS Inspection

  Quarterly HQS Re-Inspection (Full)

• Select Resident Status/Unit Status

  Occupied

  Vacant - Ready

  Vacant - Not Ready

• If occupied, is resident present?

  Yes

  No

• If resident present, did resident allow access to unit for inspection? (if no, continue but mark all items as "no")

  Yes

  No

  Not Applicable
• Location
  Address

• Take Photo of Outside Including Unit #

  Media

• Inspector Name

Front Patio Condition (Exterior)

• Is front patio slab in good condition?

  Yes

  No

  Not Applicable

• Is unit number present on front of door?

  Yes

  No

  Not Applicable

• Is bulldog clip/notice clip present and in good condition?

  Yes

  No

  Not Applicable

• Does resident keep exterior patio in good condition (i.e. no trash, cig butts, dog feces, tidy, and presentable)?

  Yes

  No

  Not Applicable

Entry/Living Room

• Is entry/living room accessible for inspection? (if no, all items are marked "no" - make notes)

  Yes

  No

  Not Applicable

• Are all locks functional?

  Yes

  No

  Not Applicable

• Does front door seal properly?

  Yes

  No

  Not Applicable

• Is/are window(s) locked & sealed properly?

  Yes

  No

  Not Applicable

• Is/are window screen(s) present and in good condition?

  Yes

  No

  Not Applicable

• Are blinds functional and in good condition?

  Yes

  No

  Not Applicable

• Is ceiling fan in good condition & not wobbly?

  Yes

  No

  Not Applicable

• Light functional?

  Yes

  No

  Not Applicable

• Is entry/living room in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is entry/living area free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Is/are door(s) and window(s) accessible for entry/exit (ingress/egress)?

  Yes

  No

  Not Applicable

Laundry Area

• Is laundry area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Is washer in good condition and operable?

  Yes

  No

  Not Applicable

• Are washer water line and drain connections in good condition/free of leaks?

  Yes

  No

  Not Applicable

• Is dryer in good condition and operable?

  Yes

  No

  Not Applicable

• Is dryer vent hose connected and dryer set in proper placement for venting?

  Yes

  No

  Not Applicable

• Is laundry area in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is laundry area free of clutter and other hazards?

  Yes

  No

  Not Applicable

Kitchen/Dining Room

• Are kitchen and dining area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Light functional?

  Yes

  No

  Not Applicable

• Is microwave in good condition and functional?

  Yes

  No

  Not Applicable

• Are fire stops present and in good condition?

  Yes

  No

  Not Applicable

• Is dishwasher in good condition, operable?

  Yes

  No

  Not Applicable

• Are all range burners and oven functional?

  Yes

  No

  Not Applicable

• Are drip pans in good condition?

  Yes

  No

  Not Applicable

• Are drip pans and oven free of aluminium foil used for lining?

  Yes

  No

  Not Applicable

• Is refrigerator in good condition and operable, including inside light?

  Yes

  No

  Not Applicable

• Ice maker in good condition and operable?

  Yes

  No

  Not Applicable

• Is garbage disposal functional, not stuck, and free of debris?

  Yes

  No

  Not Applicable

• Is fire extinguisher present, charged, and in good condition?

  Yes

  No

  Not Applicable

• Is cabinet area below sink free of leaks?

  Yes

  No

  Not Applicable

• Are cabinets and counter tops in good/acceptable condition?

  Yes

  No

  Not Applicable

• Dining room light functional & fixture in good condition?

  Yes

  No

  Not Applicable

• Is dining area in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is dining area free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Is kitchen in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is kitchen area free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Take Photo of Fire Extinguisher

  Media

• Take Photo of Fire Stops

  Media

Bedroom 1 (Guest BR)

• Is Bedroom 1 (Guest BR) area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Bedroom door in good condition, latches properly?

  Yes

  No

  Not Applicable

• Light functional?

  Yes

  No

  Not Applicable

• Is ceiling fan in good condition & not wobbly?

  Yes

  No

  Not Applicable

• Is/are window(s) locked & sealed properly?

  Yes

  No

  Not Applicable

• Is/are window screen(s) present and in good condition?

  Yes

  No

  Not Applicable

• Are blinds functional and in good condition?

  Yes

  No

  Not Applicable

• Closet doors in good condition, latch properly?

  Yes

  No

  Not Applicable

• Closet light functional?

  Yes

  No

  Not Applicable

• Is Bedroom 1 in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is Bedroom 1 free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Is/are door(s) and window(s) accessible for entry/exit (ingress/egress)?

  Yes

  No

  Not Applicable

Bedroom 2 (Guest BR)

• Is Bedroom 2 (Guest BR) area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Bedroom door in good condition, latches properly?

  Yes

  No

  Not Applicable

• Light functional?

  Yes

  No

  Not Applicable

• Is ceiling fan in good condition & not wobbly?

  Yes

  No

  Not Applicable

• Is/are window(s) locked & sealed properly?

  Yes

  No

  Not Applicable

• Is/are window screen(s) present and in good condition?

  Yes

  No

  Not Applicable

• Are blinds functional and in good condition?

  Yes

  No

  Not Applicable

• Closet doors in good condition, latch properly?

  Yes

  No

  Not Applicable

• Closet light functional?

  Yes

  No

  Not Applicable

• Is Bedroom 2 (Guest BR) in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is Bedroom 2 (Guest BR) free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Is/are door(s) and window(s) accessible for entry/exit (ingress/egress)?

  Yes

  No

  Not Applicable

Bedroom 3 (Master)

• Is Bedroom 3 (Master) area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Bedroom door in good condition, latches properly?

  Yes

  No

  Not Applicable

• Light functional?

  Yes

  No

  Not Applicable

• Is ceiling fan in good condition & not wobbly?

  Yes

  No

  Not Applicable

• Is/are window(s) locked & sealed properly?

  Yes

  No

  Not Applicable

• Is/are window screen(s) present and in good condition?

  Yes

  No

  Not Applicable

• Are blinds functional and in good condition?

  Yes

  No

  Not Applicable

• Closet doors in good condition, latch properly?

  Yes

  No

  Not Applicable

• Closet light functional?

  Yes

  No

  Not Applicable

• Is Bedroom 3 (Master) in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is Bedroom 3 (Master) free of clutter and other hazards?

  Yes

  No

  Not Applicable

• Is/are door(s) and window(s) accessible for entry/exit (ingress/egress)?

  Yes

  No

  Not Applicable

Bathroom 1 (Master)

• Is Bathroom 1 (Master) area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Bathroom door in good condition, latches properly?

  Yes

  No

  Not Applicable

• All lighting works in bathroom?

  Yes

  No

  Not Applicable

• Ventillation fan works in bathroom?

  Yes

  No

  Not Applicable

• Bathroom hardware present & functional (shower rod, towel bars, toilet paper holders)?

  Yes

  No

  Not Applicable

• Tub hardware in good condition; tub drains properly?

  Yes

  No

  Not Applicable

• Toilet flushes properly, no running water, and secure to floor?

  Yes

  No

  Not Applicable

• Sink faucet in good condition, drain stopper functional?

  Yes

  No

  Not Applicable

• Is cabinet area below sink free of leaks?

  Yes

  No

  Not Applicable

• Cabinet doors, counter tops in good/acceptable condition?

  Yes

  No

  Not Applicable

• Is Bathroom 1 (Master) in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is Bathroom 1 (Master) free of clutter and other hazards?

  Yes

  No

  Not Applicable

Bathroom 2 (Guest)

• Are kitchen and dining area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Bathroom door in good condition, latches properly?

  Yes

  No

  Not Applicable

• All lighting works in bathroom?

  Yes

  No

  Not Applicable

• Ventillation fan works in bathroom?

  Yes

  No

  Not Applicable

• Bathroom hardware present & functional (shower rod, towel bars, toilet paper holders)?

  Yes

  No

  Not Applicable

• Tub hardware in good condition; tub drains properly?

  Yes

  No

  Not Applicable

• Toilet flushes properly, no running water, and secure to floor?

  Yes

  No

  Not Applicable

• Sink faucet in good condition, drain stopper functional?

  Yes

  No

  Not Applicable

• Is cabinet area below sink free of leaks?

  Yes

  No

  Not Applicable

• Cabinet doors, counter tops in good/acceptable condition?

  Yes

  No

  Not Applicable

• Is Bathroom 1 (Master) in clean and sanitary condition?

  Yes

  No

  Not Applicable

• Is Bathroom 1 (Master) free of clutter and other hazards?

  Yes

  No

  Not Applicable

HVAC/Mechanical Closet

• Is HVAC/Mechanical Closet area accessible for inspection? (if no, all items marked "no" - make notes)

  Yes

  No

  Not Applicable

• Is plumbing and condensation line in good condition & free of leaks?

  Yes

  No

  Not Applicable

• Hot water heater in good/acceptable condition and not leaking?

  Yes

  No

  Not Applicable

• Does resident use his/her own air filter?

  Yes

  No

• Is air filter in acceptable condition? (including resident's own filter if applicable)

  Yes

  No

  Not Applicable

• Is thermostat in good condition and operable?

  Yes

  No

  Not Applicable

• Does this resident have an old-style mercury thermostat?

  Yes

  No

• Is HVAC/Mechanical closet free of resident property?

  Yes

  No

  Not Applicable

• Is HVAC/Mechanical closet clean and free of dust/other debris?

  Yes

  No

  Not Applicable

• Take Photo of HVAC/Mechanical Closet & Thermostat

  Media

Flooring Condition

• Is unit carpet in good/acceptable condition (not wrinkled, seams ok) - Note Problem Areas/Photograph

  Yes

  No

• Carpet is free of excessive staining & resident damages?

  Yes

  No

  Not Applicable

• Is unit tile in good/acceptable condition (free of excessive cracks, loose grout, loose tile) - Note Problem Areas/Photograph

  Yes

  No

General Items

• Are all smoke detectors installed, functional, and not beeping?

  Yes

  No

  Not Applicable

• Are fire sprinkler heads in good condition?

  Yes

  No

  Not Applicable

• Is unit free of unpleasant odors which would indicate unsanitary conditions?

  Yes

  No

  Not Applicable

• Odors of pet urine, pet feces in unit? (N/A if No Pets)

  Odor Present

  No Odor

• If present, are pets properly cared for? (N/A if No Pets)

  Yes

  No

  Not Applicable

• Resident is compliant with pet policies with respect to pet types (dogs, cats, fish, birds only) - N/A if No Pets

  Yes

  No

  Not Applicable

• Is unit free of drug use (plain view/smell) and/or any other criminal activity?

  Yes

  No

  Not Applicable

• How many maintenance issues above were reported PRIOR to today's audit?

  Select None 1 2 3 4 5 6 7 8 9 10+

  • None
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

Photos of Unit

• Photos of Entire Unit

  Media

Additional Comments

• Additional Comments

Signature(s)

• Inspector Signature

  Sign

• Resident Signature (type "refused" if refused or "N/P" if not present)

  Sign

Scoring Model

• 90%-100% - Excellent 80%-89% - Good 70%-79% - Needs Improvement by Next Inspection 0%-69% - Fail (Re-Inspection Required)