a Sample Report

Transcription

a Sample Report

Home Inspection Report
1704 Stone Slate Road, Bedrock, AL 12345
Inspection Date:
Thursday, October 1, 2015
Prepared For:
Fred & Wilma Flintstone
Prepared By:
Majestic Home Inspectors
1204 Hanna Ave
Maryville, TN 37804
(865) 264-0943
steve@majestichomeinspectors.com
Report Number:
1000tn09222015
Inspector:
Steve Mangham
1704 Stone Slate Road Bedrock, AL 12345 Page 2
Report Summary
Items Not Operating
Concerns
Roof: Some nail popping has occurred, recommend repair.
Roof: Some shingles are heaving/lifting up, recommend repair
Front Porch: Steps - Safety/Trip Hazard - uneven tread/not level, recommend repairBasement:
Firewall Door - No self closing mechanism, recommend installing self closing mechanism
Carbon Monoxide Detectors: None installed. With fuel heat, carbon monoxide detectors could be installed to detect for
carbon monoxide
Master Bath: Toilet bowl is loose recommend repair
Flashing has pulled away from the chimney - recommend repair
Potential Safety Hazards
Front Porch: Steps - Safety/Trip Hazard - uneven tread/not level, recommend repair
Garage: Source of ignition less than 18" of floor, Safety Hazard, Recommend raising ignition source above 18"
Water Heater Wiring: Safety Hazard: Wiring Exposed, recommend install wire inside conduit
Interior: Handrail to upstairs - Handrail missing, potential safety issue. Recommend installing handrial
Deferred Cost Items
Improvement Items
Exterior: Some screens are torn recommend repair
Water Heater: Missing or repair/replace water heater catch pan. Recommend installing/replace catch pan
Items To Monitor
Roof:Some nail popping has occurred, recommend repair.
Roof: Some shingles are heaving/lifting up, recommend repairRoof:
Front Porch: Carpet is starting to come unglued/lifting up. Recommend monitor or repairExterior:
Fascia loose,
recommending resecuring
Roof: Vent pipe boots cracking, recommend monitor or repair
This confidential report is prepared exclusively for Fred & Wilma Flintstone
© 2015 Majestic Home Inspectors
Report Overview
Scope of Inspection
All components designated for inspection in the ASHI Standards of Practice are inspected, except as may be noted in the
"Limitations of Inspection" sections within this report. It is the goal of the inspection to put a home buyer in a better position
to make a buying decision. Not all improvements will be identified during this inspection. Unexpected repairs should still be
anticipated. The inspection should not be considered a guarantee or warranty of any kind.Please refer to the pre-inspection
contract for a full explanation of the scope of the inspection.
Visual Inspection Only
Roof: REMAINING Life Expectancy
Roof: 5-10+
Main Entrance Faces
North
State of Occupancy
Occupied
Weather Conditions
Cloudy
Windy
Recent Rain
No
Ground Cover
Damp
House in Perspective
Receipt/Invoice
Majestic Home Inspectors
1204 Hanna Ave
Maryville, TN 37804
(865) 264-0943
1704 Stone Slate Road
Bedrock, AL 12345
Date: Thu. Oct. 1, 2015 1:15
Inspection Number: 1000tn09222015
Inspected By: Steve Mangham
Client: Fred & Wilma Flintstone
Inspection
Home Inspection
Fee
$370.00
Total
$370.00
Roof
General
None X All
Partial
Other
Visibility
Ladder at eaves
Ground
Inspected From X Roof
Style of Roof
X Gable
Hip
Mansard
Type
Low X Medium
Steep
Pitch
Type:
Roof
Shed
Flat
With Binoculars
Flat
Other
Asphalt
Layers:
1
Age: REMAINING Life Expectancy
Roof: 5-10+
Location:
Comments
Ventilation System
None
N/A
X
Soffit
X
Ridge
Type
Comments
Flashing
Material
Condition
Gable
Roof
Turbine
Powered
Other
X Not Visible
Galv/Alum
Asphalt
Copper
Foam
Rubber
Not Visible X Satisfactory
Marginal
Poor
Rusted
Missing
Separated from chimney/roof
Recommend Sealing
Other
Lead
Other
Comments
Valleys
Material
Condition
Comments
N/A
X Not Visible
Galv/Alum
Not Visible X Satisfactory
Asphalt
Lead
Marginal
Poor
Copper
Holes
Other
Rusted
Recommend Sealing
Condition of Roof Coverings
Satisfactory
Marginal X Poor
Curling
Cracking
Ponding
Burn Spots
Roof
Broken/Loose Tiles/Shingles X Nail popping
Granules missing
Alligatoring
Blistering
Missing Tabs/Shingles/Tiles
Moss buildup
Exposed felt
Cupping
Incomplete/Improper Nailing
Recommend roofer evaluate
Evidence of Leakage
Comments
Some nail popping has occurred, recommend repair.
Roof: Some shingles are heaving/lifting up, recommend repair
Photos
Nail popping up
Shingle ridge cap heaving
upwards
Skylights
Condition
Comments
Yes X No
Satisfactory
Not Visible
Marginal
Poor
Cracked/Broken
Plumbing Vents
X Yes
No
Satisfactory
X Marginal
Poor
Cracking/Broken
Condition
Vent pipe boots cracking, recommend repair
Comments
Photos
Leaking
Need Replaced or Repaired
Roof: Plumbing vent cracking,
monitor
Grounds
Service Walks
Condition
None X Concrete
Brick
Dirt Walkway / Gravel
Not Visible
Satisfactory
Marginal
Poor
Trip hazard
Typical cracks
Settling cracks
Public sidewalk needs repair
Other
Other
Pitched towards home
Comments
Porch/Stoop & Steps / Front
None
Not Visible
X Concrete
Wood
Metal
Other
Other
Material
Satisfactory X Marginal
Poor
Safety Hazard
Condition: Front Porch Floor
Painted - Potential Slip Hazard when Wet
Cracks / Pits / Holes / Heaving
Planks Lifting Up / Nails Lifting Up - Trip Hazard
Wood In Contact With Soil
No Attachment or Improper Attachement To Home - Repair
Pitch Towards Home
Typical Cracks
Settling Cracks
Trip Hazard
Recommend Fill Cracks and Seal
Recommend Re-Surface
Comments: Flooring - Front Porch Comments: Flooring - Front Porch
Front Porch: Carpet is starting to come unglued/lifting up. Recommend monitor or
repair
Wood
Metal
Other
Other
Step Material: Front Porch X Concrete
Satisfactory
Marginal X Poor X Safety Hazard
Condition: Steps: Front Porch
X Uneven Tread and/or Not Level
Railing Missing
Railing Loose / Repair
Baluster Missing
Balusters Loose / Repair
Recommend Railing
Recommend Balusters
Need Railing
Need Balusters
Need Steps
No Attachment or Improper Attachment To Home / Repair
Comments: Steps - Front Porch Comments: Steps - Front Porch
Front Porch: Steps - Safety/Trip Hazard - uneven tread/not level, recommend repair
Photos
Front Porch: Safety/Trip Hazard Steps uneven tread and Stepping
Stone not level
Porch/Stoop & Steps / Back
X None
Not Visible
Concrete
Wood
Metal
Other
Other
Material
Satisfactory
Marginal
Poor
Safety Hazard
Condition: Front Porch Floor
Painted - Potential Slip Hazard when Wet
Cracks / Pits / Holes / Heaving
Planks Lifting Up / Nails Lifting Up - Trip Hazard
Pitch Towards Home
Typical Cracks
Settling Cracks
Trip Hazard
Recommend Fill Cracks and Seal
Recommend Re-Surface
Comments: Flooring - Back Porch Comments: Flooring - Back Porch
Concrete
Wood
Metal
Other
Other
Step Material: Front Porch
Satisfactory
Marginal
Poor
Safety Hazard
Condition: Steps: Back Porch
Grounds
Porch/Stoop & Steps / Back cont.
Condition: Steps: Back Porch cont.
Comments: Steps - Back Porch
Uneven Tread and/or Not Level
Railing Missing
Baluster Missing
Recommend Railing
Recommend Balusters
Need Railing
Need Balusters
Need Steps
No Attachment or Improper Attachment To Home / Repair
Comments: Steps - Back Porch
Patio
Material
Condition
None
X Concrete
Flagstone
Kool-Deck
Brick
Wood
Metel
Poor
Settling cracks
Trip hazard
Pitched towards home (see remarks) X Typical cracks
Heaving
Other
Re-Surface / Repair
Comments
Deck/Balcony
None
Not Visible
X Wood
Metal
Composite
Conerete
Treated Wood
X Satisfactory
Marginal
Poor
Safety Hazard
Railing Missing
Balusters Missing
Recommend Railing
Recommend Balusters
Painted - Could Be A Slip Hazard when Wet
Planks / Nails Lifting Up - Trip Hazard
Support Bracing Underneath N/G Or Missing - Repair
Comments: Deck / Balcony
Satisfactory
Marginal
Poor
Safety Hazard
Uneven Tread And/Or Not Level
Deck/Balcony - Steps
Railing Missing
Balusters Missing
Recommend Railing
Recommend Balusters
Need Steps
Need Railing
Need Balusters
No Attachment or Imporper Attachment to Deck / Balcony - Repair
Comments: Deck/Balcony - Steps Comments: Deck/Balcony - Steps
Material
Condition
Deck/Patio/Porch Covers
X None
Satisfactory
Marginal
Poor
Condition
Moisture/Insect damage
Metal Straps/Bolts/Nails/Flashing
Recommend
Comments
Posts/Supports need Repair
Improper attachment to home
Earth to wood contact
None
Fence/Wall
Type
Condition
Gate
Comments
Not evaluated
None
Brick
Block
Wood
Metal X Chain Link
Rusted
Vinyl
X Satisfactory
Marginal
Poor
Typical cracks
Loose Blocks/Caps
Holes in Fence/Wall
N/A X Satisfactory
Marginal
Poor
Planks missing/damaged Operable: X Yes
No
Landscaping affecting foundation
X N/A
East
West
North
South
Satisfactory
Recommend additional backfill
Negative Grade
Recommend window wells/covers
Trim back trees/shrubberies
Wood in contact with/improper clearance to soil
Comments
Retaining wall
Material
Condition
Yes X No
Brick
Concrete
Concrete block
Railroad ties
Satisfactory
Marginal
Poor
Safety Hazard
Drainage holes recommended
Timbers
Other
Leaning/cracked/bowed
Comments
Grounds
Hose bibs
Condition
Operable
Comments
N/A
X Satisfactory
Marginal
Poor
No anti-siphon valve
Recommend Anti-siphon valve
No Splash Block
Recommend Add Splash Block For Drainage Away From Home
X Yes
No
Not Tested
Utilities Not On
Exterior
Chimney(s)
None
Location(s)
South
Ladder at eaves
Ground (Inspection Limited)
With Binoculars
Viewed From X Roof
No
Recommended
Rain Cap/Spark Arrestor X Yes
X Brick
Stone
Metal
Blocks
Framed
Chase
Holes
in
metal
Cracked
chimney
cap
Loose mortar joints
Flaking
Loose brick
Rust
Evidence of
X No apparent defects
X Tile
Metal
Unlined
Not Visible
Flue
Scaling
Cracks
Creosote
Not evaluated
Have flue(s) cleaned and re-evaluated
Evidence of
Recommend Cricket/Saddle/Flashing
No apparent defects
Marginal
Poor
Recommend Repair
Over All Condition X Satisfactory
Marginal
Poor
Monitor
Chimney Flashing X Satisfactory
Chimney Flashing:
Missing or Covered up
Bent/lifted up/rusting
Recommend maintenance
Satisfactory
Marginal X Poor X Monitor
Chimney Step Flashing
Chimney Step Flashing:
Missing or covered up X Bent/rusting/lifted up
X Recomment maintenance
Comments
Chimney: Flashing has pulled away from the chimney - recommend repair
Photos
Chimney step flashing lifting,
monitor or repair
Gutters/Scuppers/Eavestrough
None
X Satisfactory
Marginal
Poor
Rusting
Downspouts needed
Condition
Needs to be cleaned
Extensions Needed At Botton of Downspouts
X Galvanized/Aluminum
Vinyl/Plastic
Copper
Other
Material
Corners
Joints
Hole in main run X No apparent leaks
Leaking
Loose
Missing spikes
Improperly sloped X Satisfactory
Attachment
North
South
East
West
N/A
Extension needed
Comments
Siding
Material
Condition
Comments
Trim
Material
Recommend repair/replace
Splash Blocks Needed
Stone
Slate
Block/Brick
Fiberboard
Fiber-cement
Stucco
EIFS* Not Inspected
Asphalt
Wood X Metal/Vinyl
Other
Typical cracks
Peeling paint
Monitor
Wood rot
Loose/Missing/Holes
X Satisfactory
Marginal
Poor
Recommend repair/painting
Wood
Fiberboard
Aluminum/Steel X Vinyl
Damaged wood
Other
Stucco
Exterior
Trim cont.
Condition
Comments
X Satisfactory
Marginal
Poor
Soffit
Material
Condition
Comments
None
Wood
Fiberboard
Aluminum/Steel X Vinyl
Damaged wood
Other
X Satisfactory
Marginal
Poor
Stucco
Stucco
Stucco
Fascia
Material
Condition
Comments
None
X Wood
Fiberboard
Aluminum/Steel
Damaged wood
Other
Poor
Vinyl
Exterior: Fascia loose, recommending resecuring
Flashing
Material
Condition
Comments
None
Wood
Fiberboard
Aluminum/Steel
Damaged wood
Other
X Satisfactory
Marginal
Poor
Vinyl
Caulking
Condition
None
X Satisfactory
Marginal
Poor
Recommend around windows/doors/masonry ledges/corners/utility penetrations
Comments
Windows/Screens
X Satisfactory
Marginal
Poor
Wood rot
Condition
Recommend repair/replace damaged screens
Failed/fogged insulated glass
Window Glass Broken/Cracked
Wood X Metal
Vinyl
Aluminum/Vinyl clad
Material
X Torn
Bent
Not installed
Satisfactory
Screens
Comments
Exterior: Some screens are torn recommend repair
Storms Windows
Condition
Material
Putty
Comments
None
Not installed
X Satisfactory
Marginal
Poor
Wood
Clad comb.
Wood/Metal comb. X Metal
X Satisfactory
Needed
N/A
Broken/cracked
Wood rot
Slab-On-Grade/Foundation
Poured concrete
Post-Tensioned concrete
Not Visible
Other
Foundation Wall X Concrete block
X Satisfactory
Marginal
Poor
Have Evaluated
Not Evaluated
Monitor
Condition
N/A X Not Visible
Satisfactory
Poor
Monitor
Have Evaluated
Marginal
Concrete Slab
Comments
Service Entry - Electric
X Underground
Overhead
Location
X Satisfactory
Marginal
Poor
Weather head/mast needs repair
Condition
Overhead wires too low over Ground/Roof/Deck/Balcony
Exterior
Service Entry - Electric cont.
Service Riser Conduit Loose or Need Repair
Less than 3ft from balcony/deck/window
Condition cont.
Potential Safety Hazard
Exposed wiring - Romex/Extension Cord
No Operable: X Yes
No Condition: X Satisfactory
Marginal
Poor
Exterior receptacles X Yes
No Operable:
Yes
No
Safety Hazard
Reverse polarity
Open ground(s)
GFCI present X Yes
Recommend GFCI Receptacles
Comments
Building(s) Exterior Wall Construction
Not Visible X Framed
Masonry
Log
Other
Type
X Not Visible
Satisfactory
Marginal
Poor
Condition
Comments
Exterior Doors
Main Entrance
Patio
Rear door
Other door
N/A Weatherstripping: X Satisfactory
Door condition: X Satisfactory
Marginal
X N/A Weatherstripping:
Satisfactory
Door condition:
Satisfactory
Marginal
N/A Weatherstripping: X Satisfactory
Door condition: X Satisfactory
Marginal
X N/A Weatherstripping:
Satisfactory
Door condition:
Satisfactory
Marginal
Marginal
Poor
Marginal
Poor
Marginal
Poor
Marginal
Poor
Poor
Missing
Replace
Poor
Missing
Replace
Poor
Missing
Replace
Poor
Missing
Replace
Comments
Exterior A/C - Heat pump #1
N/A
Unit #1
Location:
North
Brand:
Goodman
Model #:
GPG1330070M41BA
Serial #: 1406391974
Approximate Age:
1 yr
X Satisfactory
Marginal
Poor
Cabinet/housing rusted
Condition
Other
Energy source Electric X Gas
X Air cooled
Water cooled
Geothermal
Heat pump
Unit type
No Maximum fuse/breaker rating (amps): 35 Fuses/Breakers installed (amps): 30
Outside Disconnect X Yes
Improperly sized fuses/breakers
X Yes
No
Recommend re-level unit
Level
Marginal
Poor
Damaged
Needs cleaning
Damaged base/pad
Condenser Fins X Satisfactory
Damaged Refrigerant Line
X Yes
No
Replace
Insulation
Marginal
Poor
Improper Clearance (air flow) X Satisfactory
Comments
Exterior A/C - Heat pump #2
X N/A
Unit #2
Location:
Brand:
Model #:
Serial #:
Approximate Age:
Satisfactory
Marginal
Condition
Gas
Other
Energy source Electric
Poor
Cabinet/housing rusted
Exterior
Exterior A/C - Heat pump #2 cont.
Air cooled
Water cooled
Geothermal
Heat pump
Unit type
Yes
No Maximum fuse/breaker rating (amps): Fuses/Breakers installed (amps):
Outside Disconnect
Improperly sized fuses/breakers
Yes
No
Recommend re-level unit
Level
Satisfactory
Marginal
Poor
Damaged
Needs cleaning
Damaged base/pad
Condenser Fins
Damaged Refrigerant Line
Yes
No
Replace
Insulation
Satisfactory
Marginal
Poor
Improper Clearance (air flow)
Comments
Garage/Carport
Type
None
X Attached
Type
Insulation Batt in Ceiling
Comments
Detached
N/A X Yes
1-Car X 2-Car
No
3-Car
4-Car
Carport
Automatic Opener
None
N/A
X Operable
Inoperable
Operation
Comments
Safety Reverse
Operation
None
N/A
X Operable
Not Operable
Need(s) adjusting
Safety Hazard X Photo eyes and Pressure reverse tested
Comments
Roofing
Material
Comments
X Same as house Covering type:
Gutters/Eavestrough
None
Condition
Comments
Satisfactory
Approx. layers:
Marginal
Approx. age:
Poor X Same as house
Siding
Material
Condition
Comments
N/A
X Same as house
Wood
X Satisfactory
Marginal
Metal
Poor
N/A
X Same as house
Wood
X Satisfactory
Marginal
Aluminum
Vinyl
Poor
Vinyl
Stucco
Masonry
Slate
Fiberboard
Recommend painting
Log
Trim
Material
Condition
Comments
Recommend painting
Floor
Material
Condition
X Concrete
Gravel
Asphalt
Dirt
Other
X Satisfactory
Marginal
Poor
Safety Hazard
Recommend evaluation/repair
Large settling cracks X Typical cracks X Bruners are Less than 18" above garage floor
Safety Hazard
N/A X Yes
No
Source of Ignition within 18" of the floor
Garage: Source of ignition less than 18" of floor, Safety Hazard, Recommend raising ignition source above
Comments
18"
Sill Plates
Type
Condition
Comments
None X Not Visible
Floor level
Elevated
Rotted/Damaged
Recommend repair
Overhead Door(s)
N/A
Wood
Fiberglass
Masonite X Metal
Material
X Satisfactory
Marginal
Poor
Hardware loose
Condition
Safety Cable Recommended
Garage/Carport
Overhead Door(s) cont.
Weatherstripping missing/damaged
Loose/missing
Condition cont.
Yes X No
Recommend Priming/Painting Inside & Edges
Comments
Exterior Service Door
None
X Satisfactory
Condition
Comments
Marginal
Poor
Damaged/Rusted
Recommmend repair
Recommend repair/replacement
Electrical Receptacles
X Yes
No
Not Visible Operable: X Yes
No
Yes X No
Safety Hazard
Reverse polarity
Yes X No
Safety Hazard
Open ground
No Operable: X Yes
No
Handyman/extension cord wiring
GFCI Present X Yes
Comments
Firewall between Garage & Living Area
N/A X Present
Missing
Recommend repair
X Satisfactory
Marginal
Poor
Safety hazard
Holes in walls/ceiling
Condition
Yes X No
Moisture Stains Present
Yes X No
Typical Cracks
X Not verifiable
Not a fire door
Needs repair
Satisfactory
Fire door
N/A
Satisfactory
Marginal
Poor X Missing
Inoperative
Self closure
Firewall Door: No self closing mechanism, recommend installing self closing mechanism
Comments
Dining Room
Dining Room
Location
First floor
Marginal
Poor
Typical cracks
Damage
Walls & Ceiling X Satisfactory
Yes X No
Moisture stains
Where:
X Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving/Buckling
Tripping hazard
Floor
X None
Satisfactory
Marginal
Poor
Ceiling fan
Switches: X Yes
No X Operable Receptacles: X Yes
No X Operable
Electrical
Open ground/Reverse polarity:
Yes X No
Safety hazard
Cover plates missing
No Holes:
Doors
Walls
Ceilings
Heating source present X Yes
X None
Satisfactory
Marginal
Poor
Cracked glass
Broken/Missing hardware
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Evidence of leaking insulated glass
Windows
Comments
Kitchen
Countertops
Condition
Comments
X Satisfactory
Marginal
Poor
Recommend repair/caulking
Cabinets
Condition
Comments
X Satisfactory
Marginal
Poor
Recommend repair/adjustment
Plumbing
Yes X No
Recommend Repair
Faucet Leaks
Yes X No
Recommend Repair
Pipes leak/corroded
X Satisfactory
Marginal
Poor
Cracked
Sink/Faucet
Marginal
Poor
Functional drainage X Satisfactory
Marginal
Poor
Functional flow X Satisfactory
Comments
Walls & Ceiling
X Satisfactory
Condition
Comments
Corroded
Marginal
Poor
Typical cracks
Marginal
Poor
Sloping X Squeaks
Chipped
Moisture stains
Recommend repair
Holes in wall/ceiling
Heating/Cooling Source
X Yes
No
Comments
Floor
Condition
X Satisfactory
Trip Hazard
Flooring heaving/buckling
Comments
Appliances
N/A
Not tested Operable: X Yes
No
Disposal
N/A
No
Oven
N/A
No
Range
N/A
No
Dishwasher
Not tested Operable:
Yes
No
Trash Compactor X N/A
N/A
No
Exhaust fan
N/A
No
Refrigerator
N/A
No
Microwave
: Operable:
Yes X No
Other
Yes
No X Not visible
Dishwasher airgap
Yes X No
Not visible
Dishwasher drain line looped
No Operable: X Yes
No
Receptacles present X Yes
X Yes
No Operable:
Yes
No Recommend GFCI Receptacles:
GFCI
Potential Safety Hazard(s)
Yes X No
Comments
Yes
No
Living Room
Living Room
Location
Walls & Ceiling
Moisture stains
X Satisfactory
Marginal
Poor
Typical cracks
Damage / holes
Yes X No
Where:
X Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving/Buckling
Tripping hazard
Floor
None X Satisfactory
Marginal
Poor
Ceiling fan
Switches: X Yes
No X Operable
Electrical
Yes X No
Safety hazard
No Holes:
Doors
Walls
Ceilings
X None
Satisfactory
Marginal
Poor
Cracked glass
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Interior
Fireplace
None
Location(s)
Gas X Wood
Solid fuel burning stove
Electric
Ventless
Type
X Masonry
Metal (pre-fabricated)
Metal insert
Cast Iron
Material
Blower built-in Operable:
Yes
No Damper operable: X Yes
No
Miscellaneous
Open joints or cracks in firebrick/panels should be sealed
Fireplace doors need repair
Yes
No
Damper missing
Damper modified for gas operation X N/A
No
Recommend repair - cracked/loose
Hearth extension adequate X Yes
Hearth Less-Than 18" / <3' opening / 8" beyond mouth
Hearth Less-Than 20" / >3' opening / 12" beyond mouth
N/A X Secure
Loose
Mantel
Marginal
Poor
Recommend having flue cleaned and re-examined
Physical condition X Satisfactory
Not evaluated
Comments
Stairs/Steps/Balconies
None
X
Satisfactory
Marginal
Poor
Loose/Missing
Condition
Satisfactory
Marginal
X
Poor
X
Safety hazard X Hand Rail/Railing/Balusters recommended
Handrail
Marginal
Poor
Risers/Treads uneven
Trip hazard
Risers/Treads X Satisfactory
Comments
Interior: Handrail to up stairs - Handrail missing, potential safety issue. Recommend installing
handrail
Smoke/Carbon Monoxide detectors
Not Present Operable: X Yes
No
Not tested
Recommend additional
Smoke Detector X Present
Safety Hazard
Comments
Present X Not Present Operable:
Yes
No
Not tested
Recommend additional
CO Detector
Safety Hazard
Carbon Monoxide Detectors: None installed. With fuel heat, carbon monoxide detectors could be installed to
Comments
detect for carbon monoxide
Attic/Structure/Framing/Insulation
N/A
Stairs
Pulldown X Scuttlehole/Hatch
No Access
Other
Access
Access limited by:
Access panel X In the attic
Other
Inspected from
Bedroom Closet
Garage
Laundry Room
Other
Other
Location Of Access X Hallway / Hall Closet
Complete
Partial X None
Flooring In Attic
X Fiberglass
Batts X Loose
Cellulose
Foam
Other
Vermiculite
Rock wool
Insulation
Depth: 8 inches
Damaged
Displaced
Missing
Compressed
Recommend additional insulation
X Between ceiling joists
Rafters/Trusses
Walls
Underside of roof deck
Not Visible
Installed in
X Ventilation appears adequate
Recommend additional ventilation
Recommend baffles at eaves
Ventilation
Yes X No
Recommend repair Outside: X Yes
No
Not Visible
Fans exhausted to Attic:
Bath Fan Exhausted to Attic
Stove Vent Hood Exhausted in Attic
N/A X Satisfactory
Damaged
Split
Disconnected
Leaking
Repair/Replace
HVAC Duct in Attic
Recommend Insulation
N/A X Satisfactory
Needs repair
Not Visible
Chimney chase
Yes X No
Recommend repair
Structural problems observed
Trusses
Wood
Metal X Collar ties X Purlins
Knee wall
Not Visible
Roof structure X Rafters
Other
Wood X Metal
Not Visible
Ceiling joists
Satisfactory
Marginal
Poor
Buckled
Plywood X OSB
Planking
Rotted
Sheathing
Interior
Attic/Structure/Framing/Insulation cont.
Stained
Delaminated
Sheathing cont.
Yes X No
Evidence of condensation
Yes X No
Evidence of moisture
Yes X No
Evidence of leaking
Yes
No
Needs repair/sealing
Firewall between units X N/A
X No apparent defects
Open junction box(es)
Handyman wiring
Electrical
Knob and tube covered with insulation
Safety Hazard
Comments
Laundry Room
Laundry
Laundry sink X N/A
Yes X No
Faucet leaks
Yes X None apparent
Cross connections
No
Heat source present X Yes
No
Room vented X Yes
N/A X Wall
Ceiling
Floor
Not vented
Plastic dryer vent not recommended
Dryer vented
Not vented to exterior
Recommend repair
Safety hazard
Open ground/reverse polarity:
Yes X No
Safety hazard
Electrical
Yes X No Operable:
Yes
No
GFCI present
X Washer X Dryer
Water heater
Furnace/Boiler
Appliances
Leaking
Corroded
Not Visible
Washer hook-up lines/valves X Satisfactory
Yes
No
Cap Needed
Safety hazard
Not Visible
Gas shut-off valve X N/A
Comments
Master Bedroom
Room
Location
Second floor
Type
Marginal
Poor
Typical cracks
Damage
Yes X No
Ceiling
Wall
Moisture stains
X Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving
Tripping hazard
Floor
None
X
Satisfactory
Marginal
Poor
Recommend
repair/replace
Ceiling fan
Switches: X Yes
No X Operable
Electrical
Yes X No
Safety hazard
No
Vent Register Missing/Bent
Recommend Replace/Repair
Yes
No
Bedroom Egress restricted X N/A
None X Satisfactory
Marginal
Poor
Cracked glass
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Bedroom 1
Room
2nd floor
Location
Type
Marginal
Poor
Typical cracks
Damage
Yes X No
Ceiling
Wall
Moisture stains
X Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving
Tripping hazard
Floor
None X Satisfactory
Marginal
Poor
Ceiling fan
Switches: X Yes
No X Operable
Electrical
Yes X No
Safety hazard
No
N/A
Yes
No
Bedroom Egress restricted
None X Satisfactory
Marginal
Poor
Cracked glass
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Bedroom 2
Room
2nd floor
Location
Type
Marginal
Poor
Typical cracks
Damage
Yes X No
Ceiling
Wall
Moisture stains
Satisfactory
Marginal
Poor X Squeaks
Slopes
Heaving
Tripping hazard
Floor
None X Satisfactory
Marginal
Poor
Ceiling fan
Switches: X Yes
No X Operable
Electrical
Yes X No
Safety hazard
No
Yes
No
None X Satisfactory
Marginal
Poor
Cracked glass
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Bedroom 3
Room
2nd floor
Location
Type
Marginal
Poor
Typical cracks
Damage
Yes X No
Ceiling
Wall
Moisture stains
X Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving
Tripping hazard
Floor
None X Satisfactory
Marginal
Poor
Ceiling fan
Switches: X Yes
No X Operable
Electrical
Yes X No
Safety hazard
No
Yes
No
None X Satisfactory
Marginal
Poor
Cracked glass
Doors
None X Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Bonus Room 4
Room
X N/A :
Location
Type
Satisfactory
Marginal
Poor
Typical cracks
Damage
Walls & Ceiling
Yes
No
Ceiling
Wall
Moisture stains
Satisfactory
Marginal
Poor
Squeaks
Slopes
Heaving
Tripping hazard
Floor
None
Satisfactory
Marginal
Poor
Ceiling fan
Switches:
Yes
No
Operable Receptacles:
Yes
No
Operable
Electrical
Yes
No
Safety hazard
Yes
No
Heating source present
N/A
Yes
No
Bedroom Egress restricted
None
Satisfactory
Marginal
Poor
Cracked glass
Doors
None
Satisfactory
Marginal
Poor
Cracked glass
Windows
Comments
Master Bathroom 1
Bath
Location
Sinks
Tubs
Showers
Toilet
Whirlpool
Faucet leaks:
Yes X No Pipes leak:
Yes X No
N/A Faucet leaks:
Yes
No X Not Visible
N/A Faucet leaks:
Yes
No X Not Visible
Bowl loose: X Yes
No Operable: X Yes
No
Cracked bowl
Toilet leaks
Yes X No Operable:
Yes
No
Not tested
No access door GFCI:
Yes
No
GFCI Recommended
Ceramic/Plastic X Fiberglass
Masonary/Tile
Other
Shower/Tub area
Caulk/Grouting needed:
Yes
No Where:
Floor Tile/Vinyl Cracked: Moisture could leak to sub-floor causing rot
Sink: Hot / Cold water supply reversed: Repair
Safety Hazard
Sink Stopper not working/missing: Repair
Tub: Hot / Cold water supply reversed: Repair
Safety Hazard
Tub Stopper not working/missing: Repair
Towel rack missing: Replace/repair
Condition:
Satisfactory
Marginal
Poor
Rotted floors
Comments:
X Satisfactory
Marginal
Poor
Drainage
X Satisfactory
Marginal
Poor
Water flow
Yes X No
Walls
Ceilings
Cabinetry
Moisture stains present
X Satisfactory
Marginal
Poor
Doors
None X Satisfactory
Marginal
Poor
Window
No Operable: X Yes
No
X Yes
No Operable: X Yes
No
Recommend GFCI
GFCI
Yes X No
Open ground/Reverse polarity
No
X Yes
No Operable: X Yes
No
Noisy
Exhaust fan
X Satisfactoryt
Marginal
Poor
Flooring
Tile cracked: Repair - moisture could get to sub-floor and cause rot
Vinyl cracked/split: Repair - moisture could get to sub-floor and cause rot
Comments
X Tile X Yes
Vinyl
Yes
Bathroom 2 (Hall)
Bath
Location
Sinks
Tubs
Showers
Toilet
Whirlpool
2nd floor
Faucet leaks:
Yes X No
N/A Faucet leaks:
Yes
No X Not Visible
N/A Faucet leaks:
Yes
No X Not Visible
Bowl loose: X Yes
No Operable:
Yes
No
Cracked bowl
Toilet leaks
Yes X No Operable:
Yes
No
Not tested
Yes
No
GFCI Recommended
Ceramic/Plastic X Fiberglass
Masonary/Tile
Other
Shower/Tub area
Yes X No Where:
Safety Hazard
Safety Hazard
Condition: X Satisfactory
Marginal
Poor
Rotted floors
Comments:
X Satisfactory
Marginal
Poor
Drainage
X Satisfactory
Marginal
Poor
Water flow
Yes X No
Walls
Ceilings
Cabinetry
X Satisfactory
Marginal
Poor
Doors
X None
Satisfactory
Marginal
Poor
Window
No Operable: X Yes
No
X
Yes
No
Operable:
X
Yes
No
Recommend
GFCI
GFCI
Yes
X
No
Potential
Safety
Hazard
No
X Yes
No Operable: X Yes
No
Noisy
Exhaust fan
X Satisfactoryt
Marginal
Poor
X Tile
Yes
Flooring
Vinyl
Yes
Comments
Bathroom 3 (1/2)
Bath
1st floor
Location
Faucet leaks:
Yes X No
Sinks
N/A Faucet leaks:
Yes
No X Not Visible
Showers
Bowl loose:
Yes X No Operable: X Yes
No
Cracked bowl
Toilet leaks
Toilet
X Satisfactory
Marginal
Poor
Drainage
X Satisfactory
Marginal
Poor
Water flow
Yes X No
Walls
Ceilings
Cabinetry
X Satisfactory
Marginal
Poor
Doors
X None
Satisfactory
Marginal
Poor
Window
No Operable: X Yes
No
X Yes
No Operable: X Yes
No
Recommend GFCI
GFCI
Yes X No
No
X Yes
No Operable: X Yes
No
Noisy
Exhaust fan
X Satisfactory
Marginal
Poor
Tile
Yes
Flooring
Vinyl
Comments
Yes
Bathroom 4
Bath
Location
Sinks
Tubs
Showers
Toilet
Whirlpool
X N/A Location:
Faucet leaks:
Yes
No Pipes leak:
Yes
No
N/A Faucet leaks:
Yes
No Pipes leak:
Yes
No
Not Visible
N/A Faucet leaks:
Yes
No Pipes leak:
Yes
No
Not Visible
Bowl loose:
Yes
No Operable:
Yes
No
Cracked bowl
Toilet leaks
Yes
No Operable:
Yes
No
Not tested
Yes
No
GFCI Recommended
Ceramic/Plastic
Fiberglass
Masonary/Tile
Other
Shower/Tub area
Yes
No Where:
Safety Hazard
Safety Hazard
Condition:
Satisfactory
Marginal
Poor
Rotted floors
Comments:
Satisfactory
Marginal
Poor
Drainage
Satisfactory
Marginal
Poor
Water flow
Yes
No
Walls
Ceilings
Cabinetry
Satisfactory
Marginal
Poor
Doors
None
Satisfactory
Marginal
Poor
Window
Yes
No Operable:
Yes
No
Receptacles present
Yes
No
Operable:
Yes
No
Recommend
GFCI
GFCI
Yes
No
Potential
Safety
Hazard
Yes
No
Heat source present
Yes
No Operable:
Yes
No
Noisy
Exhaust fan
Satisfactoryt
Marginal
Poor
Tile
Yes
Flooring
Vinyl
Yes
Comments
New Value
Location (20)
Basement
Stairs
Condition
X Satisfactory
Marginal
Poor
Typical wear and tear
Need repair
Risers Uneven
Safety Hazard
X Yes
No Condition: X Satisfactory
Loose
Handrail/Railing/Balusters recommended
Handrail
Low clearance
Safety hazard
Headway over stairs X Satisfactory
Comments
Foundation
Condition
X Satisfactory
Marginal
Poor
Efflorescence present
Have evaluated
Monitor
Not Elevated
ICF
Brick X Concrete block
Stone Masonry
Poured concrete
wood
Material
North
South
East
West
Horizontal cracks X None
X None
North
South
East
West
Step cracks
North
South
East
West
Vertical cracks X None
None X North X South
East
West
Finished Basement / Walls Covered
North
South
East
West
Movement apparent X None
Yes X No
Fresh
Old stains
North
South
East
West
Indication of moisture
Comments
Floor
Material
Condition
Comments
Concrete
Dirt/Gravel X Not Visible
Other
X Satisfactory
Marginal
Poor
Typical cracks
Not Visible
Seismic bolts
Condition
Comments
Drainage
Sump pump
Floor drains
Comments
X N/A
None visible
Appear satisfactory
Recommend evaluation
Yes X No
Working
Not working
Needs cleaning
Pump not tested
Yes X No X Not Visible
Efflorescence Present
Drains not tested
Girders/Beams
Condition
Material
Comments
X Not Visible
Satisfactory
Marginal
Poor
Stained/Rusted
Steel X Wood
Concrete
Block
Not Visible
Columns
Condition
Material
Comments
X Not Visible
Satisfactory
Marginal
Poor
Stained/Rusted
Steel
Wood
Concrete
Block
Not Visible
Joists
Condition
Material
Not Visible
X Satisfactory
Marginal
X Wood
Steel
Truss
Not Visible
Poor
Sagging/altered joist
Engineered I-Type (Knock-outs) X 2x8
2x10
2x12
Comments
Subfloor
Condition
Comments
X Not Visible
Satisfactory
Marginal
Poor
Indication of moisture stains/rotting
Crawl Space
Crawl space
X N/A
Full crawlspace
Combination basement/crawl space/slab
Type
Yes
No
Signs of moisture Moisture Reading:
Conditioned (heated/cooled)
N/A
Yes
No
Satisfactory
Marginal
Poor
Falling down
Insulation Batt in Ceiling
Install/Repair/Replace
N/A
Satisfactory
Marginal
Poor
Damaged
Split
Disconnected
Leaking
HVAC Duct
Repair/Replace
Comments
Access
Location
Inspected from
Exterior hatch/door
Interior hatch/door
Access Opening
In the crawl space
Access to low to enter
Via basement
No access
Could not enter because of debris
Comments
Foundation walls
Satisfactory
Marginal
Poor
Condition
Monitor
Have Evaluated
Concrete block
Poured concrete
Material
Comments
Floor
Material
Condition
Comments
Concrete
Gravel
Dirt
Typical cracks
Not Visible
Monitor
Cracks
Brick
Stone (7)
Other
Yes - Vapor barrier present
Movement
ICF
Efflorescence present
Wood
No - Vapor barrier not present
Seismic bolts
Condition
Comments
N/A
None visible
Appear satisfactory
Recommed evaluation
Drainage
Yes
No Operable:
Yes
Sump pump
Yes
No
Not Visible
Standing water
Yes
No
Evidence of moisture damage
Comments
No
Pump not tested
Ventilation
Location
Condition
Comments
N/A
Wall vents
Power vents
None apparent
Additional ventilation recommended
Evidence of moisture damage
Girders/Beams/Columns
Steel
Wood
Masonry
Material
Satisfactory
Marginal
Poor
Condition
Comments
Joists
Material
Condition
Comments
Not Visible
Sagging/Altered
Wood
Steel
Truss
Not Visible
2x8
2x10
Engineered I-Type (Knock-outs)
Sagging/Altered joists
Satisfactory
Marginal
Poor
2x12
Crawl Space
Subfloor
Condition
Comments
Not Visible
Indication of moisture stains/rotting
Insulation
None
Fiberglass
Rockwool
Type / on ceiling
Walls
Between floor joists
Location
Comments
Vapor barrier
Present
Material
Condition
Comments
Yes
No
Not Visible
Kraft/foil faced
Plastic
Satisfactory
Marginal
Batt
Other
Cellulose (Paper Fiber)
Foam
Not Visible
Improperly installed
Not Visible
Other
Poor
Plumbing System
Water service
Main shut-off location
In the garage
In Home main shut-off off valve location:
In garage
Not Visible X Copper/Galv.
Plastic
Unknown
Water entry piping
Yes
No
Service entry
Lead other than solder joints X Unknown
Marginal
Poor
Copper
Galvanized X PVC Plastic
Visible water distribution piping X Satisfactory
PEX Plastic
Other
X Satisfactory
Marginal
Poor
Water pressure over 80 psi
Recommend plumber evaluate
Flow
Recommend pressure regulator
Corroded
Leaking
Valves broken/missing
Dissimilar metal
Pipes Supply/Drain
Cross connection:
Yes
No
Safety Hazard
Recommend repair
Recommend a dielectric union
Satisfactory
Copper
Cast iron
Galvanized X PVC
ABS
Brass
Drain/Waste/Vent pipe
X Satisfactory
Marginal
Poor
Condition
N/A
Support/Insulation
Type:
No
P-traps recommended
Traps proper P-Type X Yes
X Satisfactory
Marginal
Poor
Drainage
Yes
No Leaking:
Yes
No
Interior fuel storage system X N/A
X N/A
Copper
Brass
Black iron
Stainless steel
CSST
Not Visible
Galvanized
Fuel line
Recommend CSST be properly bonded
X N/A
Satisfactory
Marginal
Poor
Recommend plumber evaluate
Condition
Comments
Main fuel shut-off location
N/A
Location
On the side exterior wall
Comments
Well pump
X N/A
Submersible
In basement
Well house
Well pit
Type
Yes
No Well pressure:
Not Visible
Pressure gauge operable
Comments
Shared well
Sanitary/Grinder pump
X N/A Operable:
Yes
No
Yes
No
Sealed Crock Sealed crock:
Yes
No
Check Valve Check valve:
Yes
No
Shut-off Valve Shut-off valve:
Yes
No
Vented
Comments
Water heater #1
N/A
Brand Name: Whirlpool Model #: E2F4RD045V Serial #: 1449100586236 Approx. age: 1 year
Capacity: 40
Unknown/Could not read label
Gas X Electric
Oil
LP
Other
Type
Yes
No
N/A
Combustion air venting present
X Yes
No Extension proper: X Yes
No
Missing
Recommend repair
Improper material
Relief valve
X Satisfactory
Marginal
Poor
Water Heater Catch Pan
Condition
X Water Heater Catch Pan - missing/damaged
X Water Heater Catch Pan - Recommend installing/replacing
Satisfactor
Marginal
Poor X Safety Hazard X Wiring is Exposed
Water Heater Wiring
General
Plumbing System
Water heater #1 cont.
Water Heater Wiring cont.
X Repair - Repair conduit / Install conduit over wire
Water Heater Wiring: Safety Hazard: Wiring Exposed, recommend install wire inside conduit
Yes X No
Water Heater: Recommend installing catch pan
Water Heater: Recommend installing catch pan
Comments
Water heater #2
X N/A
Brand Name: Model #: Serial #: Approx. age: Capacity:
General
Gas
Electric
Oil
LP
Other
Type
Yes
No
N/A
Yes
No Extension proper:
Yes
No
Missing
Recommend repair
Improper material
Relief valve
Satisfactory
Marginal
Poor
Water Heater catch pan
Condition
Water Heater Catch Pan - missing/damaged
Water Heater Catch Pan - Recommend installing/replacing
Satisfactor
Marginal
Poor
Safety Hazard
Wiring is Exposed
Water Heater Wiring
Repair - Repair conduit / Install conduit over wire
Yes
No
Recommend: installing/replace
Comments
Water softener
X None
Yes
No
Loop installed
Yes
No
Plumbing hooked up
Yes
No
Plumbing leaking
Comments
Heating/Cooling System - Evaporator/Heat
Exchanger
Heating system - Evaporator/Heat Exchanger
Marginal
Poor
Unit #1 - Evaporator/Heat Exchanger X Satisfactory
Brand name:
Goodman
Approx. age: 1 YEAR
Model #: GPG1330070M41BA Serial #: 1406391974 Max Fuse Size: 35
Size Breaker/Fuse installed: 30 Disconnect: X Yes
No
Disconnect Means:
Switch X Pull-Out
Breaker/Fuse
Wiring Exposed / Need Repair
Safety Hazard
Recommended HVAC technician examine
Natural Gas
LP
Oil
Solid fuel
Floor/wall furnace
Direct drive
Belt drive
Gravity
Warm air system X Central system
N/A
Sealed X Not Visible
Visual w/mirror
Flame distortion
Rusted
Heat exchanger
Carbon/soot buildup
Detected at plenum
Detected at register
Not tested
Carbon monoxide X N/A
Tester:
Yes
No
Combustion air venting present X N/A
Disconnect: X Yes
No
Normal operating and safety controls observed
Controls
Gas shut off valve: X Yes
No
Gas pipe Clean-Out Nipple: X No
Recommend installing Gas pipe Clean-Out Nipple
X Metal duct
Insulated flex duct
Cold air returns
Duct board
Asbestos-like wrap
Distribution
Safety Hazard
N/A X Satisfactory
Rusted
Improper slope
Safety hazard
Flue piping
X Standard
Electrostatic
Satisfactory
Needs cleaning/replacement
Missing
Filter
Electronic (not tested)
Did not fire Proper operation: X Yes
No
Not tested
When turned on by thermostat X Fired
X N/A
Supplemental electric
Supplemental gas
Heat pump
Satisfactory
Marginal
Poor Water/Sand Observed:
Yes
No
Sub-slab ducts X N/A
Exterior temperature
Other
System not operated due to X N/A
Comments
Marginal
Poor
Needs cleaning
Damaged
Evaporator Coil X Satisfactory
Marginal
Poor
Leak/Oil present
Damaged
Insulation missing
Refrigerant Lines X Satisfactory
Marginal
Poor
No P-Trap: install
Drain to exterior
Condensate Line/Drain X Satisfactory
Drain to a pump
Drain to floor drain
Operation / Differential Differential: 15 Temp reading at register: 85 Temp reading at return: 70
X Satisfactory
Marginal
Poor
Recommend HVAC technician examine/clean/service
Condition
Did not operated due to exterior temperature at or below 60°
Comments
Heating System #2 - Evaporator/Heat Exchanger
None
Satisfactory
Marginal
Poor
Unit #2 - Evaporator/Heat Exchanger
Brand name:
Approx. age:
Unknown/Could not read label Model #: Serial #:
Max Fuse Size: Size Breaker/Fuse installed: Disconnect:
Yes
Disconnect Means:
Switch
Pull-Out
Breaker/Fuse
Safety Hazard
Natural Gas
LP
Oil
Solid fuel
Central system
Floor/wall furnace
Direct drive
Belt drive
Gravity
Warm air system
N/A
Sealed
Not Visible
Visual w/mirror
Flame distortion
Rusted
Heat exchanger
Carbon/soot buildup
N/A
Detected at plenum
Not tested
Carbon monoxide
Tester:
No
Heating/Cooling System - Evaporator/Heat
Exchanger
Heating System #2 - Evaporator/Heat Exchanger cont.
N/A
Yes
No
Disconnect:
Yes
No
Controls
Gas shut off valve:
Yes
No
Gas pipe Clean-Out Nipple:
No
Recommend installing Gas pipe Clean-Out Nipple
Metal duct
Insulated flex duct
Cold air returns
Duct board
Asbestos-like wrap
Distribution
Safety Hazard
N/A
Satisfactory
Rusted
Improper slope
Safety hazard
Flue piping
Standard
Electrostatic
Satisfactory
Missing
Filter
Fired
Did not fire Proper operation:
Yes
No
Not tested
When turned on by thermostat
N/A
Supplemental gas
Heat pump
N/A
Satisfactory
Marginal
Yes
No
Sub-slab ducts
N/A
Exterior temperature
Other
System not operated due to
Comments
Satisfactory
Marginal
Poor
Needs cleaning
Damaged
Evaporator Coil
Satisfactory
Marginal
Poor
Leak/Oil present
Damaged
Insulation missing
Refrigerant Lines
Satisfactory
Marginal
Poor
No P-Trap: install
Drain to exterior
Condensate Line/Drain
Drain to a pump
Drain to floor drain
Operation / Differential Differential: Temp reading at register: Temp reading at return:
Satisfactory
Marginal
Poor
Condition
Did not operated due to exterior temperature at or below 60°
Comments
Boiler system
N/A
Brand name:
Approx. age:
Model #:
Serial #:
LP
Oil
Electric
Solid fuel
Energy source Gas
Hot water
Baseboard
Steam
Radiator
Radiant floor
Distribution
Pump
Gravity
Multiple zones
Circulator
Temp/pressure gauge exist:
Yes
No Operable:
Yes
No
Controls
Yes
No
Oil fired units Disconnect:
Yes
No
N/A
Yes
No
Missing
Extension
proper:
Yes
No
Relief valve
When
turned
on
by
thermostat:
Fired
Did
not
fire
Operated
Satisfactory:
Yes
No
Recommend HVAC technician examine before closing
Operation
Comments
General
Other systems
N/A
Electric baseboard
Type
Yes
No
Proper operation
Satisfactory
System condition
Comments
Radiant ceiling cable
Marginal
Poor
Gas space heater
Recommend HVAC Technician Examine
A/C Condenser Cooling System
A/C Unit #1 Condenser Cooling System
Marginal
Poor
Unit #1 - A/C Condenser X Satisfactory
Brand name:
Goodman
Approx. age: 1 yr
Unknown/Could not read label Model #: GPG1330070M41BA
Serial #: 1406391974 Max Fuse Size: 35 Size Breaker/Fuse installed: 30
Disconnect: X Yes
No Disconnect Means:
Switch X Pull-Out
Breaker/Fuse
Safety Hazard
Natural Gas (5)
LP (6)
Energy source X Electric
Did not fire Proper operation: X Yes
No
Not tested
When turned on by thermostat X Fired
X N/A
Yes
No
Heat pump
Marginal
Poor
Needs cleaning
Damaged
Condensation Coil X Satisfactory
Marginal
Poor
Insulation missing
Leak/Oil present
Damaged
Refrigerant Lines X Satisfactory
Marginal
Poor
No P-Trap: install
Condensate Lines/Drain X Satisfactory
X Satisfactory
Marginal
Poor
Recomment HVAC technician examine/clean/service
Condition
Did not operate due to temperature at or less than 60°
Comments
A/C Unit #2 Condenser Cooling System
Satisfactory
Marginal
Poor
Unit #2 - A/C Condenser X None
Brand name:
Approx. age:
Unknown/Could not read label Model #: Serial #: Max Fuse Size:
Size Breaker/Fuse installed: Disconnect:
Yes
No
Disconnect Means:
Switch
Pull-Out
Breaker/Fuse
Safety Hazard
Natural Gas (5)
LP (6)
Fired
Did
not fire Proper operation:
Yes
No
Not tested
N/A
Yes
No
Heat pump
Satisfactory
Marginal
Poor
Needs cleaning
Damaged
Condensation Coil
Satisfactory
Marginal
Poor
Insulation missing
Leak/Oil present
Damaged
Refrigerant Lines
Satisfactory
Marginal
Poor
No P-Trap: install
Condensate Lines/Drain
Satisfactory
Marginal
Poor
Recomment HVAC technician examine/clean/service
Condition
Did not operate due to temperature at or less than 60°
Comments
Boiler system
X N/A
Brand name:
Approx. age:
Model #:
Serial #:
LP
Oil
Electric
Solid fuel
Energy source Gas
Hot water
Baseboard
Steam
Radiator
Radiant floor
Distribution
Pump
Gravity
Multiple zones
Circulator
Temp/pressure gauge exist:
Yes
No Operable:
Yes
No
Controls
Yes
No
Oil fired units Disconnect:
Yes
No
N/A
Yes
No
Missing Extension proper:
Yes
No
Relief valve
When turned on by thermostat:
Fired
Did not fire
Operated
Satisfactory:
Yes
No
Recommend HVAC technician examine before closing
Operation
Comments
General
Other systems
Type
X N/A
Electric baseboard
Radiant ceiling cable
Gas space heater
A/C Condenser Cooling System
Other systems cont.
Yes
No
Proper operation
Satisfactory
System condition
Comments
Marginal
Poor
Recommend HVAC Technician Examine
Combo Unit - A/C-Heat System 1
Heating system
Brand name:
Unit #1
Approx. age:
Satisfactory
Marginal
Poor Disconnect Installed:
Yes
No Disconnect Meanns:
Pull-Out
Breaker/Fuse
Safey Hazard Max Fuse Size: Size Breaker/Fuse installed:
None
Unit #2
Brand name:
Approx. age:
Satisfactory
Marginal
Yes
Pull-Out
Breaker/Fuse
Safety Hazard Max Fuse Size: Size Breaker/Fuse installed:
Natural Gas
LP
Oil
Solid fuel
Central system
Floor/wall furnace
Direct drive
Belt drive
Gravity
Warm air system
N/A
Sealed
Not Visible
Visual w/mirror
Flame distortion
Rusted
Heat exchanger
Carbon/soot buildup
N/A
Detected at plenum
Not tested
Carbon monoxide
Tester:
N/A
Yes
No
Disconnect:
Yes
No
Controls
Gas shut off valve:
Yes
No
Recommend installing gas shut off valve
Metal duct
Insulated flex duct
Cold air returns
Duct board
Asbestos-like wrap
Distribution
Safety Hazard
N/A
Satisfactory
Rusted
Improper slope
Safety hazard
Flue piping
Standard
Electrostatic
Satisfactory
Missing
Filter
Fired
Yes
No
Not tested
N/A
Supplemental gas
Heat pump
N/A
Satisfactory
Marginal
Yes
No
Sub-slab ducts
N/A
Exterior
temperature
Other
Comments
Combo Unit - A/C-Heat System 2
Heating system
Brand name:
Unit #1
Approx. age:
Satisfactory
Marginal
Yes
No Disconnect Meanns:
Pull-Out
Breaker/Fuse
Safey Hazard Max Fuse Size: Size Breaker/Fuse installed:
None
Unit #2
Brand name:
Approx. age:
Satisfactory
Marginal
Yes
Pull-Out
Breaker/Fuse
Safety Hazard Max Fuse Size: Size Breaker/Fuse installed:
Natural Gas
LP
Oil
Solid fuel
Central system
Floor/wall furnace
Direct drive
Belt drive
Gravity
Warm air system
N/A
Sealed
Not Visible
Visual w/mirror
Flame distortion
Rusted
Heat exchanger
Carbon/soot buildup
N/A
Detected at plenum
Not tested
Carbon monoxide
Tester:
N/A
Yes
No
Disconnect:
Yes
No
Controls
Gas shut off valve:
Yes
No
Recommend installing gas shut off valve
Metal duct
Insulated flex duct
Cold air returns
Duct board
Asbestos-like wrap
Distribution
Safety Hazard
N/A
Satisfactory
Rusted
Improper slope
Safety hazard
Flue piping
Standard
Electrostatic
Satisfactory
Missing
Filter
Fired
Yes
No
Not tested
N/A
Supplemental gas
Heat pump
N/A
Satisfactory
Marginal
Yes
No
Sub-slab ducts
N/A
Exterior
temperature
Other
Comments
Electric System
Main panel
Location
Condition
Exterior wall
X Satisfactory
Marginal
Poor
Signs of moisture intrustion causing rusting
Enclosure damaged: repair/replace
Recommend licensed electrical technician to evaluate
Unknown
60a
100a X 200a
400a
120v/240v
Service (Main) - Amperage/Voltage
100a (Overhead Service)
200a OverHead Service
X Undergroud Service 200a Over Current Device: X Breaker
Fuse
Multiple tapping of Main Disconnect
N/G clearance from residential property (including windows) to OH Service: Recommend
Safety Hazard Location?:
N/G Clearance from ground/roof to OH Service, Reommend contacting Utility Company
Safety Hazard Location?:
No - Clearance should be: 30" wide & 36" in front
Adequate Clearance to Panel X Yes
X
Satisfactory
Marginal
Poor Open Grounds, where?: Reverse Polarity, where?:
Electrical Fixtures
GFCI not operation, where?: Ungrounded 3-prong outlets, where?:
Missing GFCI protection, where?: Recommend a licensed electrician to evaluate:
X Copper X Aluminum
Solid Branch Aluminum Wiring
Not Visible X Romex
BX Cable
Branch wire
Conduit
Knob & Tube
Multiple breaker/fuse tapping
Branch circuit undersized
Comments
No
Electric Panel: Breakers Labled X Breakers Labeled X Yes
Recommend Labeling Circuirs on Electrical Panel Door Legend
X ARCI Breakers X Breakers
Breaker(s) Off When Opened Panel Door How many?:
Other
Breakers
GFCI Breakers in panel:
Yes X No
Operated X Panel is full, no available breaker spaces
Neutral Bar Grounding Screw or Bonding Strap Missing: Install
Grounding / Bonding
X Satisfactory: Grounding Electrode Conductor Ground Rod visible: X Yes
No
Signs of physical conductor damage/loose
Loose conductor at ground rod/clamp
Improper/missing - nipple/enclosure/netural bar/ground bar bonding
Plastic/Metal/Bond Bushing missing
Recommend license electrical technician to evaluate
Marginal
Poor
Panel Cover / Dead front X Satisfactory
Dead Front cover missing/damaged/will not close
Breaker Blanks missing/damaged: repair/install
Dead Front cover missing mounting screews
Comments
Sub Panel #1
Location
Condition
Satisfactory
Marginal
Poor
Signs of moisture intrustion causing rusting
Enclosure damaged: repair/replace
120v/240v
Over Current Device - Amperage/Voltage Over Current Device Amperage:
Multiple tapping of line feeder
Safety Hazard
Yes
No: Clearance should be: 30" wide & 36" in front
Adequate Clearance to Sub Panel
Reason:
Copper
Aluminum
Solid Branch Aluminum Wiring
Not Visible
Romex
BX Cable
Branch wire
Conduit
Knob & Tube
Multiple breaker/fuse tapping
Branch circuit undersized
Comments
Breakers Labeled
Yes
No
Sub Panel: Breakers Labled
Recommend Labeling Circuirs on Electrical Panel Door Legend
ARCI Breakers
Breakers
Breaker(s) Off When Opened Panel Door How many?:
Other
Breakers
GFCI Breakers in panel:
Yes
No
Operated
Panel is full, no available breaker spaces
Yes
No
Isolate/Separate
Grounding / Bonding Neutral Conductors separated from Ground Conductors:
Neutral Bar bonded to Enclosure: Remove Bonding Screw/Strap to isolate
Grounding Bar needed: Install Grounding Bar
Improper/missing - nipple/enclosure/ground bar bonding
Plastic/Metal/Bond Bushing missing
Recommend license electrical technician to evaluate
Satisfactory
Marginal
Poor
Panel Cover / Dead front
Electric System
Sub Panel #1 cont.
Missing
Damaged
Will not latch Closed
Repair
Panel Cover / Dead front cont. Dead Front Cover:
Breaker Blanks missing/damaged - repair/install
Dead Front cover missing mounting screews - Add additional mounting screews
Comments
Evaporator Coil Section Unit #1
X N/A
Central system
Wall unit
General
Location:
Age:
Satisfactory
Not Visible
Needs cleaning
Damaged
Evaporator coil
Leak/Oil present
Damage
Insulation missing
Satisfactory
Refrigerant lines
To exterior
To pump
Floor drain
Other
Condensate line/drain
Yes
No Needed:
Yes
No
Primary pan appears clogged
Secondary condensate line/drain Present:
Recommend technician evaluate
Differential:
Operation
Satisfactory
Marginal
Poor
Condition
Not operated due to exterior temperature
Comments
Evaporator Coil Section Unit #2
X N/A
Central system
Wall unit
General
Location:
Age:
Satisfactory
Not Visible
Needs cleaning
Damaged
Evaporator coil
Leak/Oil present
Damage
Insulation missing
Satisfactory
Refrigerant lines
Recommend/Replace damaged/missing insulation
To exterior
To pump
Floor drain
Other
Condensate line/drain
Yes
No Needed:
Yes
No
Primary pan appears clogged
Secondary condensate line/drain Present:
Recommend technician evaluate
Differential:
Operation
Satisfactory
Marginal
Poor
Condition
Not operated due to exterior temperature
Comments

a Sample Report

Transcription

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