Housing Unit Inspection Checklist Form

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UNIT INSPE TION HE KLIST
D TE NOTICE OF ENTRY SERVED
PROPERTY N ME / NUMBER
___________________________________
________________________________________________________________________________________________________________________
SAMPLE
INSPECTION D TE
INSPECTED BY
BUILDING #
UNIT #
UNIT TYPE
___________________________________
________________________
_________________________________
_________________________________
________________________
GENERAL
YES
NO
COMMENTS
Housekeeping acceptable?
c
c
_________________________________________________________________________________________________________________________________________________________
Yard acceptable?
c N/A
c
c
_________________________________________________________________________________________________________________________________________________________
Indication of pets?
c
c
_________________________________________________________________________________________________________________________________________________________
Indication of bugs/pests?
c
c
_________________________________________________________________________________________________________________________________________________________
ALARMS
WORKING
NEEDS BATTERY
REPLACE
COMMENTS
Smoke Alarm in Hallway
c
c
c
______________________________________________________________________________________________________________________________________
Smoke Alarm in Bedrooms
c
c
c
______________________________________________________________________________________________________________________________________
CO Alarm
c N/A
c
c
c
______________________________________________________________________________________________________________________________________
FLOORING
MATERIAL
LIKE NEW
ACCEPTABLE
REPLACE
COMMENTS
Entry
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Kitchen
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Laundry
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bathroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bathroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bathroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Living
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Dining
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Hallway
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bedroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bedroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bedroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bedroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
Bedroom
c
c
c
_________________________
______________________________________________________________________________________________________________________________________
APPLIANCES
LIKE NEW
ACCEPTABLE
REPLACE
COMMENTS
Fridge
c
c
c
______________________________________________________________________________________________________________________________________
Stove
c
c
c
______________________________________________________________________________________________________________________________________
Microwave
c
c
c
______________________________________________________________________________________________________________________________________
Dishwasher
c
c
c
______________________________________________________________________________________________________________________________________
Garbage Disposal
c
c
c
______________________________________________________________________________________________________________________________________
Washer
c
c
c
______________________________________________________________________________________________________________________________________
Dryer
c
c
c
______________________________________________________________________________________________________________________________________
PLUMBING
LIKE NEW
REPAIR
REPLACE
COMMENTS
Sinks/Faucets
c
c
c
______________________________________________________________________________________________________________________________________
Toilets
c
c
c
______________________________________________________________________________________________________________________________________
Shower/Tub
c
c
c
______________________________________________________________________________________________________________________________________
Water Heaters
c N/A
c
c
c
______________________________________________________________________________________________________________________________________
CABINETS
LIKE NEW
REPAIR
REPLACE
COMMENTS
Kitchen
c
c
c
______________________________________________________________________________________________________________________________________
Bathroom
c
c
c
______________________________________________________________________________________________________________________________________
Hall
c
c
c
______________________________________________________________________________________________________________________________________
OTHER
LIKE NEW
ACCEPTABLE
REPLACE
COMMENTS
Exhaust Fans
c N/A
c
c
c
______________________________________________________________________________________________________________________________________
HVAC
c
c
c
______________________________________________________________________________________________________________________________________
Light Fixtures
c
c
c
______________________________________________________________________________________________________________________________________
Blinds
SAMPLE
c
c
c
______________________________________________________________________________________________________________________________________
Screens
c
c
c
SAMPLE
______________________________________________________________________________________________________________________________________
Deck/Patio
c
c
c
______________________________________________________________________________________________________________________________________
c
c
c
______________________________________________
______________________________________________________________________________________________________________________________________
SAMPLE
c
c
c
______________________________________________
______________________________________________________________________________________________________________________________________
SAMPLE
c
c
c
______________________________________________
______________________________________________________________________________________________________________________________________
SAMPLE
SEE FORM # M108b FOR HELPFUL TIPS
ON SITE
RESIDENT
M IN OFFICE (IF REQUIRED)

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