UR - Inspection Form Template

• Customer Name

• Mobile:

• Email:

• Address:

• Property Age (In years):

• Property Type:

  Select CHS Individual House/Bungalow Flat Commercial Industrial Educational

  • CHS
  • Individual House/Bungalow
  • Flat
  • Commercial
  • Industrial
  • Educational

• Floors:

• Previous Structural audit done

  Yes

  No

  Not Sure

• Previous Repair work done

  Yes

  No

  Not Sure

• Inspection Date and Time:

  Date

• Inspected By:

• Impacted Areas/Rooms

Impacted Area

• Negative side Description

• Negative side photographs

  Media

• Positive side Description

• Positive side photographs

  Media

Inspection Checklists

• Checklist:

  Select WC Balcony Terrace External wall Internal painting

  • WC
  • Balcony
  • Terrace
  • External wall
  • Internal painting

Negative Side Inputs for Balcony

• Condition of leakage at adjacent wall

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Condition of leakage below floor of the balcony

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Leakage during:

  Monsoon

  All time

  Not sure

• Leakage due to concealed plumbing

  Yes

  No

  Not Sure

• Exposed Construction joint: Linear crack from outside/spalling of plaster

  Yes

  No

  Not Sure

• Leakage due to damage in Nahani traps/Brick Bat coba under tile flooring

  Yes

  No

  Not Sure

Positive Side Inputs for Balcony

• Gaps/Blackish Dirt observed in Tile Joints

  Yes

  No

  Not Sure

• Gaps around Nahani Trap Joints

  Yes

  No

  Not Sure

• Tiles Broken/Loosed Anywhere

  Yes

  No

  Not Sure

• Mechanical decoration, plants, pots etc observed in balcony

  Yes

  No

  Not Sure

• Loose plumbing joints/rust around joints and edges

  Yes

  No

  Not Sure

• Type of tile

  Ceramic

  Marble

  Stone Tile

  Porcelain

  Concrete

Negative Side Inputs For External Wall

• Condition of leakage at interior side

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Leakage during:

  Monsoon

  All time

  Not sure

• Leakage due to concealed plumbing

  Yes

  No

  Not Sure

• Internal WC/Bath/Balcony leakage observed

  Yes

  No

  Not Sure

Positive Side Inputs for External Wall

• Existing type of paint and manufacturer

  Select No Paint White wash Cement Paint Semi acrylic emulsions Acrylic Emulsion Premium waterproof acrylic emulsion Textured Paint Not sure

  • No Paint
  • White wash
  • Cement Paint
  • Semi acrylic emulsions
  • Acrylic Emulsion
  • Premium waterproof acrylic emulsion
  • Textured Paint
  • Not sure

Stuctural Condition of RCC Members

• Condition of cracks observed on RCC Column and Beam

  Good

  Moderate

  Poor

  N/A

• Condition of rust marks observed in RCC Beam and Column

  Good

  Moderate

  Poor

  N/A

• Condition of corrosion/spalling of concrete/exposed reinforcement observed in column/beams/roof slab ceiling

  Good

  Moderate

  Poor

  N/A

• Expansion joints condition if any

  Good

  Moderate

  Poor

  N/A

Condition of External wall

• Are there any major or minor cracks observed over external surface?

  Good

  Moderate

  Poor

  N/A

• Are the sealants applied on the window frame joints intact?

  Good

  Moderate

  Poor

  N/A

• Condition of wall mounted AC Frames, holes, drain pipes over the wall.

  Good

  Moderate

  Poor

  N/A

• Are the external plumbing pipes cracked and leaked? If yes its condition.

  Good

  Moderate

  Poor

  N/A

• Are the openings around the pipes in external wall properly grouted? If not its condition.

  Good

  Moderate

  Poor

  N/A

• Condition of any vegetation growth, dish antennas fixed on parapet wall observed?

  Good

  Moderate

  Poor

  N/A

Condition of Adhesion of old paint

• Chalking and flaking in paint film.

  Good

  Moderate

  Poor

  N/A

• Algae fungus and Moss observed on external wall?

  Good

  Moderate

  Poor

  N/A

• Bird droppings condition observed on external wall and Chajja

  Good

  Moderate

  Poor

  N/A

• Condition of corrosion on metal rods and MS window grills

  Good

  Moderate

  Poor

  N/A

Substrate condition of Plaster

• Patchwork plaster required? if yes its condition?

  Good

  Moderate

  Poor

  N/A

• Entire replaster required? if yes its condition?

  Good

  Moderate

  Poor

  N/A

• Condition of separation cracks observed at beam-column junction

  Good

  Moderate

  Poor

  N/A

• Condition of leakage observed from overhead water tank

  Good

  Moderate

  Poor

  N/A

• Loose plaster/hollow sound on external surfaces?if observed, its condition?

  Good

  Moderate

  Poor

  N/A

Negative Side Inputs for Terrace

• Condition of leakage in ceiling below terrace slab

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Condition of leakage near ceiling and wall corner junction

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Season of leakage

  Monsoon

  All time

  Not sure

• Leakage due to concealed Plumbing

  Yes

  No

  Not Sure

Positive Side inputs for terrace

• Existing waterproofing system

  Select BB Coba China Mosaic Concrete Screed Liquid applied chemical coating Cement sand low grade mortar Naked slab

  • BB Coba
  • China Mosaic
  • Concrete Screed
  • Liquid applied chemical coating
  • Cement sand low grade mortar
  • Naked slab

Structural Condition Assessment of Terrace

• Condition of existing waterproofing system

  Good

  Moderate

  Poor

  N/A

• Condition of debris on roof

  Good

  Moderate

  Poor

  N/A

• Condition of adequate slope provided (1:100 or 1:80)

  Good

  Moderate

  Poor

  N/A

• Adequate no. of rain water outlets provided

  Good

  Moderate

  Poor

  N/A

• Condition of waterponding , water getting accumulated at one place or near drain outlet point

  Good

  Moderate

  Poor

  N/A

• Condition of finishing around upstands of waterpipelines/solar water heater/solar PV or any other instruments etc

  Good

  Moderate

  Poor

  N/A

• Condition of leakage from supply lines/rainwater outlets

  Good

  Moderate

  Poor

  N/A

• Surface cracks condition observed on terrace/broken tiles

  Good

  Moderate

  Poor

  N/A

• Hollow surface condition identified and checked by nylon hammer

  Good

  Moderate

  Poor

  N/A

• Condition of surface finishing for chemical/membrane application

  Good

  Moderate

  Poor

  N/A

• Condition of any cracks/absence of proper watta/fillet at junction of roof terrace and parapet wall.

  Good

  Moderate

  Poor

  N/A

• Expansion joint condition if any

  Good

  Moderate

  Poor

  N/A

• Growth of vegetation

  Good

  Moderate

  Poor

  N/A

• Condition of parapet wall Top (specify: Naked/Tiled)

  Good

  Moderate

  Poor

  N/A

• Condition of damage due to dish antenna, manual drilling/any other damage on parapet wall

  Good

  Moderate

  Poor

  N/A

• Terrace staircase tops/Topi, exterior wall and threshold condition

  Good

  Moderate

  Poor

  N/A

• Condition of any concealed plumbing connections found at terrace

  Good

  Moderate

  Poor

  N/A

General Information of Structure

• When was the last paint done? (Month & Year)

• Type of Paint

  Select Dry Distemper Oil Based Distemper Water Based Emulsion Oil Based Emulsion Enamel Water Based Lustre Oil Based Lustre Textured Other

  • Dry Distemper
  • Oil Based Distemper
  • Water Based Emulsion
  • Oil Based Emulsion
  • Enamel
  • Water Based Lustre
  • Oil Based Lustre
  • Textured
  • Other

• Existing condition of paint

  Select Good, no action needed Fair, monitor condition periodically, plan necessary repairs Poor, immediate action needed NA

  • Good, no action needed
  • Fair, monitor condition periodically, plan necessary repairs
  • Poor, immediate action needed
  • NA

• Defects on paint surface

  Select Blistering Chipping Chalking Efflorescence Cracking Peeling off Faded Flaking Other

  • Blistering
  • Chipping
  • Chalking
  • Efflorescence
  • Cracking
  • Peeling off
  • Faded
  • Flaking
  • Other

• Existing condition of the surface (Remarks: Undulations and Offsets)

  Select Good, no action needed Fair, monitor condition periodically, plan necessary repairs Poor, immediate action needed NA

  • Good, no action needed
  • Fair, monitor condition periodically, plan necessary repairs
  • Poor, immediate action needed
  • NA

• Paint application finishing base. (Remarks: Previous Process)

  Putty

  POP

  Plaster Sanla

  Other

• Leakage observed on the walls:

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Gaps between walls and Floors:

  Select Good, no action needed Fair, monitor condition periodically, plan necessary repairs Poor, immediate action needed NA

  • Good, no action needed
  • Fair, monitor condition periodically, plan necessary repairs
  • Poor, immediate action needed
  • NA

• Significant Cracks or holes, dents on surface:

  Select Good, no action needed Fair, monitor condition periodically, plan necessary repairs Poor, immediate action needed NA

  • Good, no action needed
  • Fair, monitor condition periodically, plan necessary repairs
  • Poor, immediate action needed
  • NA

• Cracks connecting with door/window frames or other element

  Select Good, no action needed Fair, monitor condition periodically, plan necessary repairs Poor, immediate action needed NA

  • Good, no action needed
  • Fair, monitor condition periodically, plan necessary repairs
  • Poor, immediate action needed
  • NA

• Obstacles for Paint application:

• Customer Requirement:

• Overall Observation

• Type of Painting to be done?

  Fresh Paint

  Repair

  Rental

• Measurements:

• Additional Comments/Important notes, if any

Negative Side Inputs

• Leakage Status on adjacent wall

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Leakage status below floor of the bathroom

  Select No leakage Dampness Seepage/Mild leakage (waterproofing) Live Leakage (Plumbing)

  • No leakage
  • Dampness
  • Seepage/Mild leakage (waterproofing)
  • Live Leakage (Plumbing)

• Leakage due to concealed Plumbing

  Yes

  No

  Not Sure

• Leakage due to damage in Nahani Trap/Brick Bat Coba under tile flooring

  Yes

  No

  Not Sure

• Leakage During

  Monsoon

  All time

  Not sure

Positive Side Inputs

• Gaps/Blackish dirt observed in tile joints

  Yes

  No

  Not Sure

• Gaps around Nahani Trap Joints

  Yes

  No

  Not Sure

• Tiles Broken/Loosed anywhere

  Yes

  No

  Not Sure

• Loose Plumbing joints/rust around joints & edges

  Yes

  No

  Not Sure