Single BNI

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Vacant

  Off

  On

• Roof free of defects

  Yes

  No

  N/A

• Chimney is free of defects.

  Yes

  No

  N/A

• Address visible from the street.

  Yes

  No

  N/A

• Is the yard in good condition

  Yes

  No

  N/A

• Exterior wood is in good condition

  Yes

  No

  N/A

• Wall coverings are in good condition.

  Yes

  No

  N/A

• Service drop is free of defects.

  Yes

  No

  N/A

• Fencing and gates are free of defects.

  Yes

  No

  N/A

• Decks and patios are free of defects.

  Yes

  No

  N/A

• Roof is free of defects.

  Yes

  No

  N/A

• Walls are free of defects.

  Yes

  No

  N/A

• Doors and windows operate as intended.

  Yes

  No

  N/A

• Electrical service installed.

  Off

  On

• Electrical system is free of defects.

  Yes

  No

  N/A

• Storage only.

  Off

  On

• Room dimensions and location

3rd floor sleeping areas and room dimensions.

• Occupancy load

• Room dimension and locations.

• Ceiling and walls are free of defects.

  Yes

  No

  N/A

• Floor covering and subfloor are free of defects.

  Yes

  No

  N/A

• Doors and windows operate as intended. Egress window installed.

  Yes

  No

  N/A

• All electrical fixtures are free of defects and required amount of outlets are installed.

  Yes

  No

  N/A

• A permanent form of heat is installed.

  Yes

  No

  N/A

2nd floor bedrooms.

• Occupancy load.

• Room dimension and locations.

• A permanent form of heat is installed.

  Yes

  No

  N/A

• Ceiling and walls are free of defects.

  Yes

  No

  N/A

• Floor covering and subfloor are free of defects.

  Yes

  No

  N/A

• Doors and windows operate as intended. Egress window installed.

  Yes

  No

  N/A

• All electrical fixtures are free of defects and required amount of outlets are installed.

  Yes

  No

  N/A

Bathroom

• Ceiling and walls are free of defects.

  Yes

  No

  N/A

• Floor covering and subfloor are free of defects. Flooring is impervious.

  Yes

  No

  N/A

• Doors and windows operate as intended.

  Yes

  No

  N/A

• Plumbing and fixtures are free of defects.

  Yes

  No

  N/A

• Electrical fixtures are free of defects and required GFCI outlet is present and fully functional.

  Yes

  No

  N/A

• Mechanical ventilation is present and functional.

  Yes

  No

  N/A

1st floor rooms

Kitchen

• Floor covering and subfloor are free of defects. Flooring is impervious.

  Yes

  No

  N/A

• Ceiling and walls are free of defects.

  Yes

  No

  N/A

• Doors and windows operate as intended.

  Yes

  No

  N/A

• Plumbing and fixtures are free of defects.

  Yes

  No

  N/A

• Electrical fixtures are free of defects and required GFCI outlet is present and fully functional.

  Yes

  No

  N/A

Living room

• Ceiling and walls are free of defects.

  Yes

  No

  N/A

• Floor covering and subfloor are free of defects.

  Yes

  No

  N/A

• Doors and windows operate as intended.

  Yes

  No

  N/A

• All electrical fixtures are free of defects and required amount of outlets are installed.

  Yes

  No

  N/A

Basement.

• Bi-level style dwelling.

  Off

  On

• Plumbing is free from defects.

  Yes

  No

  N/A

• Water meter has a bonding strap installed.

  Yes

  No

  N/A

• Electrical system is free of defects.

  Yes

  No

  N/A

• Load center is fully labeled and free of defects.

  Yes

  No

  N/A

• Lighting fixtures have protective covers or are safety bulbs.

  Yes

  No

  N/A

• Flooring is concrete and free of defects.

  Yes

  No

  N/A

• Foundation is free of defects.

  Yes

  No

  N/A

House heater.

• Venting

  Select direct vent chimney

  • direct vent
  • chimney

• Heat transfer type

  forced hot air

  boiler water

  boiler steam

• Natural gas

  Off

  On

• Gas shutoff is present.

  Yes

  No

  N/A

• Sediment trap is present and correctly installed.

  Yes

  No

  N/A

• Emergency shut off is present within 6 feet of the heater.

  Yes

  No

  N/A

• Oil

  Off

  On

• Emergency shutoff is located at the top of the basement stairwell.

  Yes

  No

  N/A

• Electric

  Off

  On

• House heater has been inspected in the last 12 months.

  Yes

  No

  N/A

• House heater is free of defects.

  Yes

  No

  N/A

Water heater.

• Venting

  Select direct vent chimney N/A

  • direct vent
  • chimney
  • N/A

• Natural gas

  Off

  On

• Gas shutoff is present.

  Yes

  No

  N/A

• Sediment trap is present and correctly installed.

  Yes

  No

  N/A

• Electric

  Off

  On

• Water heater is free of defects.

  Yes

  No

  N/A