
| MOHAWK VALLEY HOME INSPECTIONS LLC |
5 Start: _______________ End: _______________ 6 Fee: ________ Payment method: Check / Cash / Invoiced / Escrow / ____________ 7 Present: Client / Owner / Tenant / Realtor / Builder / Contractor / ____________ 8 Occupied: Yes / No / No, but furnishings present / ____________ 9 Weather: Clear / Partly cloudy / Cloudy / Rain / Snow / Fog / ____________ 10 Temp: Cold / Cool / Warm / Hot / ____________ Ground: Wet / Damp / Dry / Frozen / ____________ 11 Front of structure faces: N / S / E / W / ____________ Entrance faces: N / S / E / W / ____________ 12 Foundation: Unfinished basement / Finished basement / Crawlspace / Slab / Post-pier / ____________ 13 Excluded: Septic / Security / Irrigation / Pool / Hot tub / Well / Shed / Playground / Sauna / Outdoor lighting / Vacuum / Water filter / Water softener / Sound / Intercom / Generator / Sport court / Sea wall / Outbuildings / ____________ 14 Excluded: Furniture, stored items: Many | Some Winterized 15 Utilities not on: Natural gas | Propane | Water | Electricity | Oil 16 General warnings: Gas leak No CO alarms Pre-1979 Abandoned oil tank Exterior 1 Footing material: Concrete / Masonry / Logs / None / Not visible / ____________ 2 Foundation material: Concrete / Concrete block / Post-pier / Brick / Stone / Steel on block (mfg homes) / ____________ 3 Wall structure: Wood frame / Steel frame / Concrete block / Pan Abode / Log / Brick / Stone / Straw bale / ____________ 4 Wall cover: Wood clapboard / Wood panels / Comp wood clapboard / Comp wood panels / Cement-based clapboard / Cement-based panels / Wood shingles / Wood shakes / Vertical wood / Brick veneer / Stone veneer / Stucco / EIFS / Metal / CAB / Vinyl / Masonite / ____________ 5 Driveway: Asphalt / Concrete / Aggregate / Gravel / Dirt / Permeable concrete / Porous pavers / Cobblestone / None / N/A / ____________ 6 Sidewalk: Concrete / Aggregate / Paving stones / Gravel / Wood / Brick / None / N/A / ____________ 7 Exterior door material: SC Wood / SC Steel / SC Fiberglass / Sliding glass / Wood panel / Glass panel / HC Wood / ____________ 8 Excluded: Vegetation, stored items: Foundation and/or walls | Retaining walls 9 Foundation: Cracks: Minor | Moderate | Major Large tree near Footing above grade 10 Retaining walls: Missing or inadequate guardrails above 11 Cracks or deterioration: Monitor, maintain | Repair-replace | Repair-replace w/ engineer 12 Rotten timbers: Monitor | Repair-replace | Repair-replace w/ engineer 13 Driveway: Minor cracks | Repair-replace | Trip hazard Reseal asphalt New gravel 14 Drain: Missing | Inadequate | Clogged 15 Sidewalks and patios: Minor cracks | Repair-replace | Trip hazard 16 Undermined: Minor | Major, replace slabs 17 Fences and gates: Repair-replace | Repair-replace (major) Repair gates 18 Soil contact: Soil w/in 6" of siding/trim | Soil w/in 6" of siding/trim, rot Unlined wood planter boxes 19 Rotten landscaping timbers: Replace | Replace steps 20 Vegetation: <1' from exterior Stump near exterior Large tree, fall hazard 21 Firewood contact Trees against roof | Trees against roof with damage 22 Drainage: Soggy yard or standing water Negative perimeter slope: Soil | Pavement 23 Downspouts: Loose or detached Missing Extensions missing or ineffective 24 Dented, crushed, damaged Terminate above roof surface 25 Gutters: Missing Damaged Leaking Poor slope End caps missing Rusted 26 Crawlspace vents: Blocked 27 Screens: Missing Deteriorated Clogged Wells: Missing Inadequate 28 Siding: Gaps at penetrations Deteriorated Incomplete or missing 29 Composition wood fiber: Minor, maintain | Moderate, maintain/replace | Major, replace 30 Brick veneer: Minor cracks | Moderate cracks/deterioration | Major cracks/deterioration 31 Cement-asbestos: Asbestos warning Deteriorated 32 Stucco: Repair-replace EIFS Repair-replace stucco 33 Logs: Uncaulked up-facing cracks Rot Sealant failed Masonry contact Bark 34 Soffits: Deteriorated Rot Water stains: Dry | Wet 35 Soffit vents: Screens missing or deteriorated Screens painted or blocked 36 Cantilever: No soffit cover | No insulation or soffit cover Unvented soffit 37 Fascia: Deteriorated Rot Rafter ends rotten 38 Deck: Reseal deck | Reseal deck & rail Repaint deck | Repaint deck & rail Narrow spacing 39 Substructure: Excluded Needs bracing Ledger board: No lag screws No flashing 40 Soil at support posts | Soil at support posts with rot Inadequate clearance to soil below 41 Stairs: Wobbly Rot: Base of stringers | Treads 42 Non-uniform risers: Warning | Repair Non-standard: Warning | Repair 43 Hand rails: Missing Ungraspable Loose Not continuous or too short 44 Guardrails: Wide gaps Missing Wobbly Low Climbable 45 Electrical: Cover plates: Missing | Broken 46 Receptacles: Open ground, rewire or replace with 2-prong | Open ground, rewire 47 Broken Scorched Hot-neutral reverse Loose No power Worn 48 Damaged waterproof cover | Not waterproof | Need in-use cover 49 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 50 Non-GFCI outside within 6'-6" of ground Damaged by paint Bad GFCI, can't verify others 51 Light fixtures: Inoperable No bulb(s) Loose or substandard Deteriorated 52 Not rated for use in wet location No caulk around back plate 53 Wiring: Exposed Not terminated Splices not in box Extension cord Lamp cord 54 Wires run overhead to trees 55 Exposed wiring at disconnect switch: Install lock | Repair (emergency disconnect) 56 Paint & caulk: Caulk missing or deteriorated Paint or stain failing: Entire | Some areas 57 Window glazing putty missing or deteriorated Caulked head flashing 58 Hose bibbs: No anti-siphon No water No handle Need screws Leaks Winterized 59 Supply pipes outside subject to freezing 60 Vents: Vent caps: Deteriorated Missing 61 Plumbing vents: <3' above opening | <10' from opening 62 Direct vent: Inadequate clearance to openings or ignition sources Installed upside down 63 Propane tank: <3' from opening | <3' from electric meter | <10' from ignition source 64 250/500 gal. tank <10' | 1000 gal. tank <25' | Underground 1000 gal. tank <10' 65 Hornet, bee or wasp nest Roof 1 Roof inspection method: Traversed / From eaves / From ground / From windows / Not inspected / ____________ 2 Roof type: Gable / Cross-gable / Hipped / Cross-hipped / Pyramidal / Shed / Flat / Mansard / Gambrel / A-frame / ____________ 3 Roof covering: Composition / Wood shakes / Torch down / Built up / Metal / Concrete tile / Clay tile / Slate / EPDM / Rolled / ____________ 4 Estimated age of roof: ____________________ 5 Gutter & downspout material: Aluminum / Steel / Plastic / Copper / Galvanized / Wood / Built-in / None / ____________ 6 Roof ventilation: Adequate / Inadequate / None visible / Unable to determine / ____________ 7 Excluded: Couldn't traverse 8 Snow obscures: Partially | Completely Debris obscures: Partially | Completely 9 Vegitation and maintenance: Clean gutters Clean roof Moss Trees overhanging 10 Trees against roof | Trees against roof with damage 11 Age: Beyond service life < 5 yrs left 12 New composition roof will need: Tear-off | Sheathing | Both 13 Flashing: Deteriorated, rusted Lead improper at top of vent pipes 14 At chimney: Deteriorated, substandard No counterflashing 15 Rubber boots: Deteriorated Lifting or improperly installed 16 Roof design: Slope-slope | Slope-wall | Slope-flat No cricket above wide chimney 17 Siding in contact with shingles below 18 Composition: Deteriorated or missing Popped nails Raised shingles Pressure washed 19 < 3/12 slope Pabco HO25 20 Shakes: Deteriorated | Clean and preserve | Both 21 Metal: Dented or damaged Failing paint Rust Asphalt or tar sealant 22 Concrete or tile: Chipped or cracked Slipped Missing 23pan> Flat roof: Coating failed Ponding Gaps: Seams | Penetrations | Both 24 Parapet walls: Deteriorated, substandard flashing | Slopes towards exterior 25 Masonite Woodruf: Warning | Repair-replace 26 Vents: Improper B-vent termination 27 Plumbing vent: <6" above surface | <12" from vert. surface Blocked: Caps | Debris Garage 1 Excluded: Stored items: Perimeter | Perimeter and center | Vehicle door(s) | All 2 Appliances with no protective barrier Walls or ceiling not fire-rated 3 Garage-house door: Not fire-rated | Pet door No auto-close | Repair/replace auto-close 4 Weatherstrip: Missing | Deteriorated | Both Gaps around when closed 5 Vehicle door: Replace | Repair/replace Water stains - caulk, paint Lock inoperable or difficult 6 Not balanced Broken spring No restraining cable on springs Difficult to open or close 7 Weatherstrip: Missing | Deteriorated | Both 8 Vehicle door opener: Inoperable Mechanical auto-reverse inoperable or needs adjustment 9 Lock not disabled Infrared photo eyes: Too high | Inoperable | None 10 Control button: Too low or within reach of children | Loose 11 Entry door: Deteriorated entry Weatherstrip missing or deteriorated Hollow core 12 Attic access: Hatch missing | Hatch not fire-rated Pull-down stairs not fire-rated 13 Stairs: Wobbly Garage-house step missing 14 Non-uniform risers: Warning | Repair Non-standard: Warning | Repair 15 Handrails: Missing Ungraspable Loose Not continuous or too short 16 Guardrails: Wide gaps Missing Wobbly Low Climbable 17 Electrical: Cover plates: Missing | Broken 18 Receptacles: Open ground, rewire or replace with 2-prong | Open ground, rewire 19 Broken Scorched Hot-neutral reverse Loose No power Worn 20 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 21 Non-GFCI in garage (excluding 1 for freezer) Damaged by paint Bad GFCI, can't verify others 22 Wiring: Exposed Not terminated Splices not in box Loose Extension cord Lamp cord 23 Rodent evidence: Light to moderate | Heavy Attic 1 Inspection method: Viewed from hatch / Traversed / Partially traversed / Not inspected / ____________ 2 Roof structure: Trusses / Rafters / Not visible / ____________ 3 Ceiling structure: Trusses / Ceiling beams / Not visible / ____________ 4 Insulation material: Fiberglass loose / Fiberglass roll/batt / Mineral wool loose / Mineral wool roll/batt / Cellulose loose / Cellulose roll/batt / Vermiculite / None / ____________ 5 Insulation depth: _______________ Estimated R value: ____________________ 6 Excluded: No attic | No access hatch | Hatch inaccessible | Some areas inaccessible 7 <1" clearance to flue Water stains on wood: Dry | Wet 8 Ceiling insulation: Vermiculite, asbestos warning Paper facing on batts exposed 9 Substandard | Uneven | Missing in some areas | None | None at skylight 10 In contect with recessed lighting: Not IC rated | No visible rating 11 Exhaust fans: No duct | Duct broken or collapsed | No vent cap 12 Access hatch: No insulation over | No weatherstrip Uninsulated pull-down stairs 13 Electrical: Cover plates: Missing | Broken 14 Wiring: Not terminated Splices not in box Loose Extension cord Lamp cord 15 Attic fan: Inoperable | Noisy, vibration 16 Vents: Blocked | Screens deteriorated or missing Inadequate ventilation 17 Water pipe insulation: None | Repair 18 Rodent evidence: Light to moderate | Heavy 19 Hornet, bee or wasp nest Electric service 1 Service type: Underground / Overhead / ____________ 2 Protection: Breakers / Fuses / ____________ 3 Amperage: 60 / 100 / 125 / 150 / 200 / 400 / ____________ Upgrade to 200 amp service 4 Voltage: 120 / 120/240 / 3 phase, 4 wire, 120/208 / ____________ 5 Location of main service switch: ________________________________________ 6 Location of sub panels: ________________________________________ 7 Location of main disconnect: Top / Bottom / Top bank / All / ____________ 8 Service entrance conductor material: Aluminum / Copper / Copper-clad aluminum / ____________ 9 System ground: Ground rod / Cold water / Concrete encased electrode / Copper / Rebar / ____________ 10 Main disconnect rating: 60 / 100 / 125 / 150 / 200 / N/A / ____________ 11 Branch circuit wiring type: NM sheathed / BX / Knob and tube / Copper / Aluminum multi-strand / Aluminum solid-strand / ____________ 12 Aluminum wiring present: No / Yes / Can't verify / ____________ 13 Smoke detectors: Yes / No / ____________ 14 Excluded: Interior low voltage lighting 15 Panel cover not removed: Stored items, debris Paint/wallpaper Arcing noises 16 Shelving, cabinets or structure Equipment energized Water: On floor | Leaking into panel 17 Service drop wires: Frayed In trees 18 < 10' above ground | < 12' above driveway | < 3' from openings 19 <3' above 3/12 roof or steeper | <8' above a flat roof | <18" above roof ridge 20 Service entrance wires: Frayed Loose point of attachment 21 Drip loop: None Substandard 22 Service mast: Loose Bent Broken or damaged 23 Meter: Missing or broken seal Tap before meter 24 Federal Pacific Zinsco panel | Zinsco breakers 25 Service panel (substitute "sub panel" as needed): Inadequate working space 26 Missing or inadequate legend Tap before main >6 switches or hand movements 27 Bushing missing Undersized wire Wires not terminated Contamination 28 Double or multi tap Doubled or bundled neutrals Open knockout 29 Burned or melted wires or insulation No anti-oxidant Old fuses: Eval | Replace 30 Burned or damaged circuit breaker 31 GFCI breaker: Won't trip Won't reset 32 AFCI breaker: Won't trip Won't reset Recalled (blue test button) 33 Service panel cover: None or not installed Not flush Open closure 34 Screws: Missing Pointed or too-long In contact with conductors 35 Grounding and bonding: Plastic pipe Dielectric connectors 36 Clamp on rod: Missing | Loose | Rusted or corroded 37 Clamp on pipe: Missing | Loose | Rusted or corroded 38 Sub panel: Neutrals and grounds bonded at sub-panel 39 Branch circuit wiring: Aluminum solid strand Knob and tube: Energized | Abandoned 40 Incompatible components: Undersized: Meter base | Service conductor | Main service panel Water heater 1 Estimated age: ____________________ Type: Tank / Instantaneous / ____________ 2 Energy source: Electricity / Natural gas / Propane / Oil / ____________ 3 Capacity: 30 / 40 / 47 / 50 / 52 / 65 / 66 / 80 / Not visible / ____________ 4 Manufacturer: American / American Proline / American Standard / A.O. Smith / AquaStar / Bosch / Bradford White / Envi-Ro-Temp / General Electric / Hotpoint / Reliance / Rheem / Richmond / Row Con / Rudd / State / Takagi / U.S. Craftmaster / Vanguard / Whirlpool / ____________ 5 Model: ________________________________________ 6 Water temperature: ____________________ 7 Excluded: Shut off 8 Obscured by: Insulated jacket | Stored items | Permanent enclosure 9 Temp > 120 Flame or source of spark <18" from garage floor Reverse plumbed 10 Undersized No catch pan or drain Circulation pump installed 11 Age: Near 8-12 years | 8-12 years or older | Unknown, may be old 12 Corrosion: On tank | Water stains below | Both On fittings 13 Earthquake straps: Missing | Substandard 14 Supply valve: Missing | Handle missing 15 T-P valve: Missing | Leaking 16 Drain line: Missing Routed up >6" from floor <6" from floor Undersized In crawlspace >4 elbows 17 Electric: Substandard wiring No insulated pad 18 Gas: Inadequate combustion air Melted insulation by draft hood 19 No drip leg Scorch marks Scale on burner, pilot assemblies or at draft hood 20 Flame: Yellow | Noisy (whistling) | Floats | Too high 21 Flame sheild missing or loose: Inner | Outer | Both Heating and cooling 1 Estimated age: ____________________ 2 Primary heat energy source: Natural gas / Electric / Oil / Wood / Propane / Solar / Coal / ____________ 3 Primary heat type: Forced air / Heat pump / Baseboard / Fan wall units / Radiant / Hot water / Gravity / Circulating pump / Steam / Up draft / Down draft / Horz draft / Standard / Medium / High / Gas fireplace/stove / ____________ 4 Primary A/C energy source: Electric / Natural Gas / Propane / N/A / ____________ 5 Primary A/C type: Split system / Heat pump / N/A / ____________ 6 Distribution: Sheet metal / Flex / Metal pipe / Plastic pipe / Not visible / N/A / ____________ 7 Manufacturer: Amana / American Standard / Armstrong / Bryant / Carrier / Coleman / General Electric / Goodman / Heil / Intertherm / Janitrol / Lennox / Luxaire / Payne / Rheem / Ruud / Tempstar / Thermopride / Trane / York / ____________ 8 Model: ________________________________________ 9 Filter location: Return air above / Return air below / Behind grill / Base of furnace / Top of furnace / ____________ 10 Last service date: ____________________ 11 Excluded: <60 degrees, can't eval A/C Can't verify heat source in every room 12 No response: Furnace | Boiler | Heat pump | A/C 13 Shut off: Furnace | Boiler | Heat pump | A/C condensing unit 14 Age: Furnace: Near 15-20 years | 15-20 years or older | Unknown, may be old 15 Heat pump condensing unit: Near 15-20 years | 15-20 years or older | Unknown, may be old 16 A/C condensing unit: Near 8-15 years | Older than 8-15 years | Unknown, may be old 17 Service: Now & annually (heat pump or AC) Now & annually (gas or oil) Now & annually (hydronic) 18 Now & every few years Perform heat exchanger CO test 19 Return air: Open in basement - gas & oil Gaps in attached garage No gaps below interior doors 20 Fresh air: Fresh air timer not set Keep air supply ports open 24-7 21 Filters: Replace now | Wash now | Maintain in future 22 Deteriorated | Not secure | Wrong size | None 23 Ducts: Broken or disconnected Broken hangers Lying on ground 24 Flex duct: Sagging | Supports > 5' apart | Narrow support straps | All 25 Asbestos on ducts: Warning | Deteriorated 26 Ducts need cleaning: Debris, dirt, dust | Rodents | Mold | New construction 27 Insulation: None | Deteriorated 28 Combustion air, clearances and disconnect: Inadequate combustion/dilution air 29 Flame or spark <18" above floor in garage <1" from B-vent flue <2" from double wall flue 30 Single wall flue: <18" w/o draft hood <9" w/ draft hood and oil <6" w/ draft hood and gas 31 Cabinet: <6" from top or sides of furnace/boiler <24" from front of oil furnace/boiler 32 <18" from front of gas/electric furnace or boiler 33 Gas: Rusted or cracked heat exchanger No drip leg 34 Gas supply lines: Rust Flexible connector: Through cabinet | Subject to damage 35 Flame: Yellow/orange | Floating | Noisy or dancing | Pop | Rollout | Changes with fan on 36 Oil: Flame not orange to yellow-white, or sooty Oil smell or soot 37 Oil tank: Buy replacement insurance Leaking | Rust 38 Buy contamination & clean up insurance (for tanks still in use in WA state only) 39 Oil supply lines: Leaking Subject to damage No shut-off valve No filter 40 Barometric draft damper: Defective Spilling exhaust gases 41 Air handler: Noise or vibration Loose v-belt No catch pan in attic - heat pump or A/C 42 Evaporator coils: Ice Cooling fins: Deteriorated | Dirty | Both 43 Outside condensing unit: Not level Noise or vibration No disconnect 44 Refrigerant line insulation deteriorated or missing Cooling fins: Deteriorated | Dirty | Both 45 Inadequate clearance: Vegetation | Structure 46 A/C supply air: Not cool enough | Too cool 47 Hydronic: Open system, Legionnaire's disease Plumbing and laundry 1 Water pressure: ____________________ 2 Location of main water shut-off: ________________________________________ 3 Location of main water meter: ________________________________________ 4 Location of main fuel shut-off: ________________________________________ 5 Visible fuel storage systems: ________________________________________ 6 Type: Public / Private / Community well / ____________ 7 Service pipe: Copper / Galvanized / PE / Lead / Not visible / ____________ 8 Supply pipe: Copper / Galvanized / CPVC / PE / Polybutylene / Not visible / ____________ 9/span> Vent pipe: Plastic / Galvanized / Cast iron / Copper / Not visible / ____________ 10 Drain pipe: Plastic / Galvanized / Cast iron / Copper / Not visible / ____________ 11 Waste pipe: Plastic / Galvanized / Cast iron / Copper / Not visible / ____________ 12 Excluded: Laundry appliances Washer had clothes in it 13 Main shut-off not found Meter not found Inspect, pump septic 14 Pre-1986 lead solder warning Lead service pipe Polybutylene 15 Public supply pressure: > 80 psi | < 40 psi, warn | < 40 psi, repair Need expansion tank 16 Galvanized steel supply: Old, advise, monitor | Corrosion, leaks or low flow 17 Copper supply: Pin holes or corrosion Steel hangers 18 Drain and waste: Active leak Stains: Monitor | Repair 19 Oakum packing deteriorated or missing Hanger straps: Broken | Substandard 20 Waste cleanout: Cap missing Bad seal Shows wear: Public sewer | Private septic 21 Laundry: No catch pan or drain for washer | No visible drain Fan timer not set 22 Laundry sink: Unanchored Concrete cracked | Concrete cracked and leaking 23 Dryer duct: Plastic or foil Kinked Broken or disconnected None 24 Needs cleaning Too long Routed vertically Sheet metal screws 25 Water softener discharge: To septic system To sump pump Near foundation 26 Air gap: None or substandard Inaccessible 27 Sump pump: Installed Inoperable Couldn't test No GFCI Not on dedicated circuit 28 No check valve No pit liner Fireplaces, woodstoves and chimneys 1 Fireplace type: Masonry / Masonry with metal liner / Metal prefab / ____________ 2 Woodstove type: Metal / Metal insert / Ceramic / ____________ 3 Chimney type: Masonry / Metal / ____________ 4 Excluded: Fireplace firebox obscured by ashes or debris 5 Gas: No gas | No response | No controls found 6 Hearth: <18" deep | Deteriorated 7 Clean flue: Annually for all Now: Fireplace | Woodstove 8 Fireplace: Rusted liner Gaps between firebox and face 9 Fireplace firebrick: Minor cracks | Repair, replace 10 Refractory panels: Repair | Replace 11 Damper: Stuck open or closed Deteriorated Missing 12 Woodstove: In garage Replace firebrick Eval and verify safe installation 13 Inadequate clearances: Flue pipe | Stove | Heat shield 14 Chimney: Missing: Screen | Rainproof cover | Both 15 Too short Pie plate Wood burning flue shared with oil or gas flue 16 Repoint mortar Crown deteriorated Cracked flue tiles Major masonry repairs 17 Unlined wood burning | Unlined with gas appliance | Unlined with oil furnace 18 Gas: Vent-free warning Glass: Fogged | Soot 19 Conversion: Damper can close No glass doors Crawl space 1 Inspection method: Traversed / Partially traversed / Viewed from hatch / Not inspected / ____________ 2 Insulation material: Fiberglass roll/batt / None / ____________ 3 Pier/support post material: Wood / Bearing wall / Concrete / Masonry / Steel / ____________ 4 Beam material: Solid wood / Built up wood / Laminated wood / Steel / ____________ 5 Floor structure above: Wood joists / Engineered wood joists / Wood trusses / 2x6 T&G / Not visible / ____________ 6 Vapor barrier present: Yes / No / Not visible / ____________ 7 Excluded: Some areas inaccessible 8 Structural: Post-beam missing ties Undermined footing Overspanned: Joists | Beams 9 Joist notches and bored holes: Joists, various substandard 10 Notches: In middle 1/3 | >1/6 of depth | >1/4 of depth at end 11 Bored holes: <2" from edge | >1/3 of depth 12 Venting: None or substandard Blocked 13 Water: Standing water | Past water intrusion 14 Vapor barrier: Repair | Replace | None | None in some areas 15 Floor insulation: Repair | None | None in some areas Paper facing on batts exposed 16 Water pipe insulation: None | Repair 17 Cellulose: Paper footing forms Cellulose debris Stored items 18 Wood-soil: At support posts Rotten support posts Inadequate clearance to soil below 19 Electrical: Cover plates: Missing | Broken 20 Wiring: Not terminated Splices not in box Loose Extension cord Lamp cord 21 Rodent evidence: Light to moderate | Heavy 22 Hornet, bee or wasp nest Basement 1 Insulation material: Fiberglass roll/batt / None / ____________ 2 Pier/support post material: Wood / Bearing wall / Concrete / Masonry / Steel / ____________ 3 Beam material: Solid wood / Built up wood / Laminated wood / Steel / ____________ 4 Floor structure above: Wood joists / Engineered wood joists / Wood trusses / 2x6 T&G / Not visible / ____________ 5 Structural: Post-beam missing ties Overspanned: Joists | Beams 6 Notches and bored holes: Joists, various substandard | Studs, various substandard 7 Joist notches: In middle 1/3 | >1/6 of depth | >1/4 of depth at end 8 Joist bored holes: <2" from edge | >1/3 of depth 9 Stud notches: >40% of depth | >25% of depth, bearing wall 10 Stud bored holes: Bored hole <5/8" from edge | >60% of depth | >40% of depth, bearing wall 11 Water: Standing water or wet areas | Past water intrusion 12 Entry door: Deteriorated entry Repair/replace lockset 13 Weatherstrip: Weatherstrip missing or deteriorated | Replace 14 Stairs: Wobbly 15 Non-uniform risers: Warning | Repair Non-standard: Warning | Repair 16 Hand rails: Missing Ungraspable Loose Not continuous or too short 17 Guardrails: Wide gaps Missing Wobbly Low Climbable 18 Electrical: Cover plates: Missing | Broken 19 Receptacles: Open ground, rewire or replace with 2-prong | Open ground, rewire 20 Broken Scorched Hot-neutral reverse Loose No power Worn 21 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 22 Damaged by paint 23 Wiring: Exposed Not terminated Splices not in box Loose Extension cord Lamp cord 24 Rodent evidence: Light to moderate | Heavy Well 1 Location of well equipment: ________________________________________ 2 Location of tank shut off valve: ________________________________________ 3 Age: Pump: Near 15-20 years | 15-20 years or older 4 Steel pressure tank: Near 15-25 years | 15-25 years or older 5 Test well water Pressure <40 psi Sediment or murky Unused or abandoned well 6 Well casing: <12" high In depression Near: Downspout | Sump pump discharge 7 <50' from septic field <30' from house 8 Well equipment: Rust or corrosion | Leaking | Both 9 Pressure gauge: Broken | Missing 10 Pressure tank: Rust or corrosion Cycles quickly | Sounds waterlogged 11 Electrical: Cover plates: Missing | Broken 12 Wiring: Exposed Splices not in box Kitchen 1 Appliances older than 10 or 15 years 2 Dishwasher: Inoperable No water No high loop or air gap | No air gap 3 Loose or missing bracket Water beneath Noisy Kick plate missing, loose or deteriorated 4 Bad door seal Door handle loose or missing Leaking at air gap 5 Refrigerator: Inoperable Ice maker turned off No ice or water 6 Bad door seal Broken or missing shelving Door handle(s) loose or missing Uses GFCI 7 Range hood: None Light: Light inoperable | Missing bulb(s) 8 Fan: Inoperable Noisy Vents indoors Filter(s) missing Undersized exhaust duct 9 Microwave: Inoperable Turntable inoperable No turntable Digital display defective 10 Range/Oven/Stove top: Inoperable: Bake | Broil | Burner(s) | Oven light 11 No anti-tip bracket Knob(s) missing or damaged Door handle(s) loose or missing 12 Bake element standoffs missing or damaged Downdraft exhaust: Inoperable | Noisy 13 Food disposal: Inoperable Noisy Substandard wiring Corroded or at end of life 14 Hot water dispenser: Inoperable Disconnected 15 Electrical: Cover plates: Missing | Broken 16 Receptacles: Open ground, rewire or replace with 2-prong | Open ground, rewire 17 Broken Scorched Hot-neutral reverse Loose No power Worn 18 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 19 Non-GFCI within 6' of sink Damaged by paint Bad GFCI, can't verify others 20 Light fixtures: Inoperable No bulb(s) Loose or substandard Deteriorated 21 Closet lighting: Open lamp Incandescent <12" clearance | Fluorescent <6" clearance 22 Exhaust fans: Inoperable or inadequate Noisy 23 Plumbing: Shut-off valve handle missing Supply line leak 24 Faucets: Loose or missing handle Leaks when off Leaks when on Reverse plumbed 25 Sinks: Sprayer inoperable or defective Enamel deteriorated 26 Sink drains: Leak Clogged or drains slowly Substandard repair Flexible pipe 27 No trap S-trap 28 Cabinets: Deteriorated Loose Missing shelving or components 29 Hardware loose and/or missing Drawers difficult to operate No pulls or handles 30 Water damage below sink: Minor | Needs repair 31 Countertops: Minor deterioration Deteriorated Loose laminate 32 Needs caulk at backsplash Cracked or broken concrete 33 Tile, stone and grout: Deteriorated Reseal grout 34 Floors: Refinish wood floor Gaps between tiles in wet areas 35 Vinyl: Deteriorated | Deteriorated in wet areas 36 Tile, stone and grout: Deteriorated | Deteriorated in wet areas Reseal grout Bathrooms 1 Electrical: Switch within reach of shower Cover plates: Missing | Broken 2 Receptacles:u> Open ground, rewire or replace with 2-prong | Open ground, rewire 3 Broken Scorched Hot-neutral reverse Loose No power Worn 4 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 5 Non-GFCI within 6' of sink Damaged by paint Bad GFCI, can't verify others 6 Light fixtures: Inoperable No bulb(s) Loose or substandard Deteriorated 7 Closet lighting: Open lamp Incandescent <12" clearance | Fluorescent <6" clearance 8 Exhaust fans: None with shower Inoperable or inadequate Noisy 9 Plumbing: Shut-off valve handle missing Supply line leak 10 Faucets: Loose or missing handle Leaks when off Leaks when on Reverse plumbed 11 Sinks: Enamel deteriorated Cracked or broken Loose Stopper missing or defective 12 Sink drains: Leak Clogged or drains slowly Substandard repair Flexible pipe 13 No trap S-trap 14 Toilets: No water Loose | Loose w/ wet or damaged floor Clogged or weak flush 15 Runs Flapper valve did not reseat Cracked or broken: Bowl | Tank | Tank lid | All 16 Bathtubs: Enamel deteriorated Clogged or drains slowly Tile or grout deteriorated 17 Caulk missing or deteriorated: At floor | At surround | At base of spout | All 18 Jetted tub GFCI: None visible | No access, cannot verify 19 Showers: Clogged or drains slowly Tile or grout deteriorated Diverter valve defective 20 Caulk missing or deteriorated: At floor | Around surround | All 21 Cabinets: Deteriorated Loose Missing shelving or components 22 Hardware loose and/or missing Drawers difficult to operate No pulls or handles 23 Water damage below sink: Minor | Needs repair 24 Countertops: Minor deterioration Deteriorated Loose laminate 25 Needs caulk at backsplash Cracked or broken concrete 26 Tile, stone and grout: Deteriorated Reseal grout 27 Floors: Refinish wood floor Gaps between tiles in wet areas 28 Vinyl: Deteriorated | Deteriorated in wet areas 29 Tile, stone and grout: Deteriorated | Deteriorated in wet areas Reseal grout Interior rooms 1 Heating and cooling: No visible source of heat 2 Recalled Cadet heaters, FW, FX, LX, TK, ZA, Z, RA, RK, RLX, RX, RW, ZC 3 Registers: Missing Loose or not flush Damaged Weak flow or no flow 4 Baseboard heaters: Baseboard heater deteriorated Electric receptacles above 5 Electrical: Doorbell: Inoperable Button loose or damaged 6 Smoke alarms: None >10 years old Replace batteries Too few | Damaged or missing | Both 7 Cover plates: Missing | Broken 8 Receptacles: Open ground, rewire or replace with 2-prong | Open ground, rewire 9 Broken Scorched Hot-neutral reverse Loose No power Worn Childproof caps 10 Few receptacles | 2-pronged receptacles | Few & 2-pronged receptacles 11 GFCI receptacles: Won't trip | Won't trip with tester Won't reset Energized when tripped 12 Non-GFCI within 6' of sink Damaged by paint Bad GFCI, can't verify others 13 Light fixtures: Inoperable No bulb(s) Loose or substandard Deteriorated 14 Old fixtures Need 3-way switches at both ends: Hall | Stairs 15 Closet lighting: Open lamp Incandescent <12" clearance | Fluorescent <6" clearance 16 Wiring: Exposed Not terminated Splices not in box Extension cord Lamp cord 17 Fans: Whole-house fan: Inoperable Noisy 18 Ceiling fans: Inoperable Wobbly, unbalanced <7' from floor 19 Ceiling: Minor cracks Dry stains, monitor Wet stains: Roof leak | Plumbing leak 20 Pre-1979 asbestos popcorn: Intact, warn | Deteriorated, needs repair or abatement 21 Walls: Minor cracks 22 Windows: Won't open Lock missing or inoperable Springs broken Vents closed 23 Glass: Broken Double pane seal(s) failed Non-tempered w/in 18" of floor 24 Screens: Missing Holes or tears 25 Bedroom egress: Too high | Won't open, or opening too small | Both 26 Doors: Deteriorated interior Won't latch Binds in jamb No gap for return air 27 Keyed lock or deadbolt on interior door 28 Locksets: Missing Loose Damaged Installed backwards 29 Entry door: Deteriorated entry Weatherstrip missing or deteriorated Hollow core 30 Deadbolt: Key-only, no handle Inoperable or difficult 31 Sliding glass doors: Deteriorated Difficult to open/close Lock inoperable or difficult 32 Double pane seal(s) failed Handle missing or loose 33 Sliding screen doors: None for only source of ventilation Deteriorated 34 Holes or tears Difficult to open/close 35 Stairs: Door swings out over stairs 36 Non-uniform risers: Warning | Repair Non-standard: Warning | Repair 37 Handrails: Missing Ungraspable Loose Not continuous or too short 38 Guardrails: Wide gaps Missing Wobbly Low Climbable 39 Floors: Not level Refinish wood floor Squeaky 40 Vinyl: Deteriorated | Deteriorated in wet areas 41 Gaps between tiles in wet areas 42 Carpet: Loose | Loose with trip hazard Needs cleaning Deteriorated 43 Tile, stone and grout: Deteriorated | Deteriorated in wet areas Reseal grout 44 Miscellaneous: 45 Trim: Missing | Damaged | Both 46 Fixtures: Missing | Damaged | Both 47 Rodent evidence: Light to moderate | Heavy 48 Lead paint: Intact | Poor condition |