Title Page
-
Conducted on
-
Prepared by
-
Site of water damage
-
Client's name - Phone number
Water Damage Restoration
-
Cause/s of water damage
- Toilet overflow
- Clogged drain
- Clogged gutter
- Water heater
- Sump pump
- Sewer backup
- Rubber/PVC supply line
- Air conditioning unit
- Inefficient drainage system
- Sprinkler systems
- Burst/leaking pipes
- Others (please specify)
-
undefined
-
Sign/s of water damage
- Water stains
- Mold or mildew
- Pools or puddles of water
- Sagging or soft spots
- Musty or damp odors
- Peeling or bubbling paint
- Structural damage
- Cracks on the ceiling or wall
- Swollen or warped materials
-
Take photos of water damage for insurance claims.
Water Damage Inspection
-
Identified and stopped the flow of the water source/s?
-
Water source/s
-
Contamination level
-
Water contamination category
-
Wet porous materials % of surface area
-
Low evaporation materials (such as carpet, gypsum board, fiber-fill insulation, Concrete Masonry Unit (CMU) and textiles) level of moisture absorption
-
Water damage class
Water Extraction
-
Standing water extracted?
-
Surface water extracted?
-
Extraction equipment used
- Industrial vacuums
- Submersible pumps
- Portable wet/dry vacuums
-
Checked again for pockets of saturation?
-
Tools used to identify moisture
- Moisture meter
- Infrared thermal imaging
Drying and Dehumidification
-
Opened windows and doors?
-
Turned on heavy-duty fans?
-
Used commercial-grade dehumidifiers?
-
Removed parts of walls and/or floors? If yes, add a note to give the reason why.
Cleaning and Sanitation
Personal Protective Equipment
-
Disposable clothing or protective overalls
-
Rubber boots
-
N-95 mask/respirator
-
Goggles
-
Gloves
Cleaning Equipment
-
Used a negative air machine with HEPA filter/s?
-
Negative air machine/s used
- Vacuum
- Air scrubber
- Other type (please specify)
-
undefined
-
Used antimicrobial solution to clean surfaces?
-
Antimicrobial solution used
-
undefined
-
Removed all mold and used mold control spray to prevent mold from reoccurring?
Repair/Reconstruction
-
Removed unsalvageable parts? (drywall below the flood line, low to medium density trim boards, carpet padding)
-
Sent carpet/s for deep cleaning?
-
Reused wooden trim boards?
-
Repaired drywall?
-
Major reconstruction necessary?
-
List or description of reconstruction needed:
Completion
-
Corrective Actions/Other Recommendations
-
Full Name of Inspector/Personnel-in-Charge