I. Foundation, Basement and Structure
Foundation Type:
Concrete Block Brick Other
Basement Crawlspace Slab
Thickness: inches
Method used to observe under floor crawlspaces:
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Grade at Foundation |
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SAMPLE |
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Walks/Driveway |
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Retaining Walls |
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Foundation Walls |
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Sill Plate |
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Footing Drain Pipe |
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Floor Joists |
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Sub-flooring |
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Beam Supports |
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Insulation |
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Cracks |
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Ventilation |
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Prior Water Infiltration |
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Vapor Barrier |
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Sump Pump |
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Chimney Foundation |
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Dist. 1st Wood to Ground |
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Comments:
SAMPLE
II. Exterior: Siding, Windows, Doors, and Other Elements
Wall Structure Type:
Masonry Frame
Material:
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Siding Condition |
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SAMPLE |
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Cracks (Masonry) |
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Windows |
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Doors |
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Trim work |
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Paint & Caulk |
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Storm Doors & Windows |
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Porch |
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Decks |
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Steps |
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Balconies |
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Railings |
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Shed |
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Carport |
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Garage |
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Garage Door Rev. Mech. |
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Comments:
SAMPLE
III. Roof
Type of Roof
: Flat Shed Gambrel Gabled Hip
Method used to observe Roof Surface:
Materials: Asphalt Asbestos Ceramic Slate
Wood Metal Fiberglass
Layers: Original One Layer Two Layers
Rain Gutters: Galvanized Aluminum Copper Vinyl None
Attic Access Method:
Attic Ventilation: Soffit Vents Ridge Vents Gable Vents
Power Fan Wind Turbine Vent Caps
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Condition of Shingles |
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SAMPLE |
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Flashing & Joints |
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Soffits & Fascias |
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Skylights |
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Vent Pipes |
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Chimney |
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Gutters |
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Downspouts |
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Attic Ventilation |
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Attic Water Infiltration |
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Attic Insulation |
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Attic Wood Condition |
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Joists & Rafters |
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Sheathing |
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Trusses |
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Comments:
SAMPLE
IV. Plumbing System
Water Supply:
Water Piping:
Waste Disposal: Waste Piping:
Hot Water Heater: Gallon Capacity
Manufacturer: Model Number:
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Condition and existence of vent pipe system to exterior |
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SAMPLE |
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Water Pressure (Functional Flow) |
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Functional Drainage |
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Condition of water piping |
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Main Water Shut Off Valve |
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Plumbing Fixtures Connectors including Faucets & Traps |
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Interior Drain, Sewer and Vent Piping |
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Hot Water Heaters |
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Bathroom Plumbing Fixtures |
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Bathroom Tile and Grout |
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Shower Pans |
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Whirlpool Tub |
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Laundry Tubs |
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Bar Sinks |
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Exposed Water Storage Tanks |
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Septic System and Well System |
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Condensate Pump |
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Drainage Ejector Pump |
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Water Filter |
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Comments:
SAMPLE
V. Electrical System
Main Service Capacity:
[] Amps 110 Volts 110/220 Volts
Service Entry Conductor Type: Copper Aluminum
Location of Main Panel: Overhead Underground Seal Intact
Weatherproofing of service entrance: Satisfactory Unsatisfactory
Main Panel Box Type: Breakers Fuses
Additional Spaces Available: Yes No
Number of Disconnects to cut all power: [] (6 max.)
House Wiring: Copper Aluminum Copper-Clad Aluminum
Other: Receptacles: Grounded Not-Grounded
Polarity: Satisfactory Unsatisfactory
Ground Fault Circuit Interrupters (GFCI): Yes No Operating: Yes No
Location of Distribution & Sub Panels:
Distribution of Receptacles: Adequate Marginal
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Service Ground and Bonding Wires |
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SAMPLE |
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Main Service Cable Attached to House |
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Service Panel Box |
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Breaker/Fuse Condition |
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Interior House Wiring |
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Receptacles, Switches, & Fixtures |
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Wiring to Central Heat/AC Systems |
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Wiring to other Major Electrical Equipment |
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Outside Receptacles and Fixtures |
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Comments:
SAMPLE
VI. Central Heating System
Type:
Brand:
Model:
Condition:
Size of Filters:
S = Satisfactory U = Unsatisfactory O = Operating NA = Not Applicable NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Flue Pipes |
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SAMPLE |
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Chimneys |
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Slope |
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Joints |
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Oil Tank |
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Oil Tank Vent |
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Draft Device |
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Heat Exchanger |
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Furnace |
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Carbon Monoxide Detector |
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Thermostat |
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Heat Pump |
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Emergency/Aux. Heat Strips |
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Coil |
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Evaporator |
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Refrigerant Lines |
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Outside Fan |
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Air Ducts |
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Supply / Return Plenums |
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Inside Fan |
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Fireplaces |
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Gas Piping / Connection |
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Comments:
SAMPLE
VII Air Conditioning System
Type:
Brand:
Model:
Condition:
Tested System:
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Filters |
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SAMPLE |
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Controls |
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Fan |
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Coil Fins |
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Condensation Drain |
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Temperature Drop Test
15 - 25 Degrees = normal
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Comments:
SAMPLE
VIII. Interior: Walls, Ceilings, Floors, Windows, & Doors
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Walls |
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SAMPLE |
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Ceilings |
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Floors |
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Stairways |
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Steps |
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Closets |
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Railings |
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Doors |
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Trim work |
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Insulation |
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Kitchen Cabinets |
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Kitchen Counter Tops |
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Locks |
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Fire Alarms/Smoke Detector |
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Ceiling Fans |
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Comments:
SAMPLE
IX. Kitchen Appliances
S
= Satisfactory
U = Unsatisfactory
O = Operating
NA = Not Applicable
NV = Not Visible
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Checkpoint |
Rating |
Comments |
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Sinks |
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SAMPLE |
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Dishwasher |
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Range |
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Oven |
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Microwave |
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Refrigerator |
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Fan/Hood |
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Vent: |
Interior |
Exterior |
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Garbage Disposal |
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Trash Compactor |
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Central Vacuum System |
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Clothes Washer |
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Clothes Dryer |
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Comments:
SAMPLE
Summary Sheet for:
NOTE: This summary page is only a portion of the home inspection report for the above named property. The complete report consists of this summary sheet and a nine part detailed home inspection checklist. The checklist may include additional information of concern to the client. It is strongly recommended that the client read the entire report.
The following items are considered to be Unsatisfactory:
I. Foundation
SAMPLE
II. Exterior
III. Roof
IV. Plumbing
V. Electrical
VI. Central Heating System
VII. Air Conditioning System
VIII. Interior
- Appliances
As prescribed: "This summary is not the entire report. The complete report may include additional information of concern to the client. It is recommended that the client read the complete report.".
SAMPLE
Subject to change without notice
