Unit Inspection

• Apartment Inspection

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Address
  Address

Kitchen

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceiling

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Stove

  Acceptable

  Not Acceptable

  N/a

• Refrigerator

  Acceptable

  Not Acceptable

  N/a

• Drain board

  Acceptable

  Not Acceptable

  N/a

• Faucet

  Acceptable

  Not Acceptable

  N/a

• GFI

  Acceptable

  Not Acceptable

  N/a

• Sink drains

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• Cabinets<br><br>

  Acceptable

  Not Acceptable

  N/a

• Range hood

  Acceptable

  Not Acceptable

  N/a

• Smoke detector

  Acceptable

  Not Acceptable

  N/a

Bathroom

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Toilet

  Acceptable

  Not Acceptable

  N/a

• Tub/shower

  Acceptable

  Not Acceptable

  N/a

• Basin

  Acceptable

  Not Acceptable

  N/a

• Sink drain

  Acceptable

  Not Acceptable

  N/a

• Soap dish

  Acceptable

  Not Acceptable

  N/a

• Towel bar

  Acceptable

  Not Acceptable

  N/a

• Shower bar

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• GFI

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• Medicine cabinet

  Acceptable

  Not Acceptable

  N/a

Living room /Dining Area

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• A/C unit

  Acceptable

  Not Acceptable

  N/a

Bedroom #1

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• A/C

  Acceptable

  Not Acceptable

  N/a

• Carbon monoxide detector

  Acceptable

  Not Acceptable

  N/a

Bedroom #2

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• A/C

  Acceptable

  Not Acceptable

  N/a

• Carbon monoxide detector

  Acceptable

  Not Acceptable

  N/a

Bedroom #3

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• A/C

  Acceptable

  Not Acceptable

  N/a

• Carbon monoxide detector

  Acceptable

  Not Acceptable

  N/a

Bedroom #4

• Doors<br>

  Acceptable

  Not Acceptable

  N/a

• Walls

  Acceptable

  Not Acceptable

  N/a

• Ceilings

  Acceptable

  Not Acceptable

  N/a

• Floors

  Acceptable

  Not Acceptable

  N/a

• Electric fixtures

  Acceptable

  Not Acceptable

  N/a

• A/C

  Acceptable

  Not Acceptable

  N/a

• Window

  Acceptable

  Not Acceptable

  N/a

• Carbon monoxide detector

  Acceptable

  Not Acceptable

  N/a

Miscellaneous

• Apartment front door

  Acceptable

  Not Acceptable

  N/a

• Screens

  Acceptable

  Not Acceptable

  N/a

• Foyer/hallway

  Acceptable

  Not Acceptable

  N/a

• Porch

  Acceptable

  Not Acceptable

  N/a

• Stairs

  Acceptable

  Not Acceptable

  N/a

• Circuit breaker box

  Acceptable

  Not Acceptable

  N/a

• Radiator covers

  Acceptable

  Not Acceptable

  N/a

Safety

• Window guards

  Acceptable

  Not Acceptable

  N/a

• Smoke detector

  Acceptable

  Not Acceptable

  N/a

• Carbon monoxide

  Acceptable

  Not Acceptable

  N/a

• Fire safety on front door

  Acceptable

  Not Acceptable

  N/a

• Fire escape blockage

  Acceptable

  Not Acceptable

  N/a

• A/C brackets

  Acceptable

  Not Acceptable

  N/a

• Terrace doors

  Acceptable

  Not Acceptable

  N/a

Rodent/insect Infestation

• Roaches

  Acceptable

  Not Acceptable

  N/a

• Mice

  Acceptable

  Not Acceptable

  N/a

• Is there peeling paint in any room?

  Acceptable

  Not Acceptable

  N/a

• Other/Remarks

• I certify that the foregoing report correctly represents the conditions of the above identified unit

• Family certification

  Sign

• I certify that the foregoing report correctly represents the condition of the above identified unit. The unit is in decent, safe and sanitary condition. If this report discloses any deficiencies, I certify that they will be remedied within 30 days.

• Owner's Certification

  Sign