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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 1 of 31!
Client!name:!__________________________________________________________________________________________!
!
Inspected!property!address:!________________________________________________________________________!
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Date!and!time!of!the!inspection:!_____________________________________________________________________!
!
Weather!conditions:!__________________________________________________________________________________!
!
Approximate!outdoor!air!temperature:!_____________________________________________________________!
!
People!present!at!the!time!of!the!inspection:!_______________________________________________________!
!
Estimated!year!built:!__________________________________________________________________________________!
!
Type!of!structure!inspected:!__________________________________________________________________________!
!
!
Company!name:!_____________________________________________________________________________________!
!
Inspector!name:!_____________________________________________________________________________________!
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Company!phone:!____________________________________________________________________________________!
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Company!email:!______________________________________________________________________________________!
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Company!address:!___________________________________________________________________________________!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 2 of 31!
This!checklist!is!based!upon!the!International!Standards!of!Practice!for!Performing!a!General!
Home!Inspection,!which!is!located!at!www.nachi.org/sop.!
!
This!checklist!may!be!used!to!perform!a!visual!inspection!of!a!home!and!provide!the!inspector!
with!a!written!report!identifying!the!defects!that!were!(1)!observed!and!(2)!deemed!material.!
!
The!purpose!of!clarity,!the!following!terms!may!be!used!by!the!inspector:!
!
A!material!defect!is!a!specific!issue!with!a!system!or!component!of!a!residential!property!that!
may!have!a!significant,!adverse!impact!on!the!value!of!the!property,!or!that!poses!an!
unreasonable!risk!to!people.!!!
!
A!major!defect!is!a!condition!of!a!system!or!component!that!renders!it!non-working,!non-
performing,!non-functioning!or!unsafe,!and!requires!a!professional!contractor!to!further!evaluate!
and!repair,!correct!or!replace.!!
!
A!minor!defect!is!a!condition!of!a!system!or!component!that!renders!it!non-working,!non-
performing,!or!non-functioning,!and!may!be!repaired,!corrected!or!replaced!by!a!professional!
contractor!or!the!homeowner.!!
!
A!cosmetic!defect!is!a!superficial!flaw!or!blemish!in!the!appearance!of!a!system!or!component!
that!does!not!interfere!with!its!safety!or!functionality.!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 3 of 31!
ROOF!
!
INSPECT:!
!
_____!I!inspected!the!roof-covering!materials:!
! _____!!from!the!ground!level!
_____!!from!the!eaves!
_____!!from!a!ladder!
_____!!from!the!roof!surface!
_____!!from!a!window!
_____!!using!binoculars!
_____!!using!a!camera!extension!pole!
______________________________________________________________________________________________!
!
_____!The!roof-covering!materials!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!gutters:!
! _____!!from!the!ground!level!
! _____!!from!the!eaves!
! _____!!from!a!ladder!
! _____!!from!the!roof!surface!
______________________________________________________________________________________________!
!
_____!The!gutters!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!from!ground!level!or!the!eaves!the!downspouts.!
!
_____!The!downspouts!were!not!inspected,!becau se! they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 4 of 31!
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!
_____!!I!inspected!the!vents,!flashing,!skylights,!chimney,!and!other!roof!penetrations:!
_____!!from!the!ground!level!
_____!!from!the!eaves!
_____!!from!a!ladder!
_____!!from!the!roof!surface!
_____!!from!a!window!
_____!!using!binoculars!
_____!!using!a!camera!extension!pole!
______________________________________________________________________________________________!
!
_____!The!vents,!flashing,!skylights,!chimney,!and!other!roof!penetrations!were!not!inspected,!
because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!from!ground!level!or!the!eaves!the!general!structure!of!the!roof:!
_____!!from!readily!accessible!areas!
_____!!from!readily!accessible!panels!
_____!!from!readily!accessible!doors!
_____!!from!readily!accessible!stairs!
______________________________________________________________________________________________!
!
_____!The!general!structure!of!the!roof!from!the!readily!accessible!panels,!doors!or!stairs!was!not!
inspected,!because!it!was:!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!type!of!roof-covering!materials!I!observed!can!be!described!as:!
_____!!asphalt!shingle!
_____!!wood!shingle!or!shake!
_____!!concrete!or!clay!tile!
_____!!metal!
_____!!slate!!!
_____!!other!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 5 of 31!
______________________________________________________________________________________________!
!
REPORT:!
!
_____!!I!observed!indications!of!an!active!roof!leak.!Correction!is!needed.!!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 6 of 31!
EXTERIOR!
!
INSPECT:!
!
_____!!I!inspected!the!exterior!wall-covering!materials,!flashing!and!trim.!
!
_____!The!exterior!wall-covering!materials,!flashing!and!trim!were!not!inspected,!because!they!
were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!all!exterior!doors.!
!
_____!!All!exterior!doors!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!adjacent!walkw a ys!and!driveways.!
!
_____!The!adjacent!walkways!and!driveways! w ere!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!stairs,!steps,!stoops,!stairways!and!ramps.!
!
_____!The!stairs,!steps,!stoops,!stairways!and!ramps!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
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!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 7 of 31!
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_____!!I!inspected!the!porches,!patios,!decks,!balconies!and!carports.!
!
_____!The!porches,!patios,!decks,!balconies!and! ca rports!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!railings,!guards!a n d!handrails.!
!
_____!The!railings,!guards!and!handrails!w ere! not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!eaves,!soffits!and!fascia.!
!
_____!The!eaves,!soffits!and!fascia!were!not!inspect ed, !because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!a!representative!number!of!windows.!
!
_____!!A!representative!number!of!windows!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!vegetation,!surface!dra in age,!retaining!walls!and!grading ! of!the!property,!
where!they!may!adversely!affect!the!structure!due!to!moisture!intrusion.!!!
!
!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 8 of 31!
_____!The!vegetation,!surface!drainage,!retain in g!walls!and!grading!of!the!property,!where!they!
may!adversely!affect!the!structure!due!to!moisture!intrusion,!were!not!inspected,!because!they!
were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!type!of!exterior!wall-covering!materials!can!be!described!as:!
_____!!vinyl!
_____!!stucco!
_____!!aluminum!siding!
_____!!cement-fiber!panels!or!siding!
_____!!exterior!insulation!finish!systems!(EIFS)!
_____!!wood!panels!or!siding!
_____!!masonry,!brick!and!stone!
_____!!other!
______________________________________________________________________________________________!
!
REPORT:!
!
_____!!I!observed!indications!of!improper!spacing!between!intermediate!balusters,!spindles!and!
rails.!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 9 of 31!
BASEMENT,!FOUNDATION,!CRAWLSPACE!&!STRUCTURE!!
!
INSPECT:!
!
_____!!I!inspected!the!foundation.!
!
_____!The!foundation!was!not!inspected,!beca u se!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!basement.!
!
_____!The!basement!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!crawlspace.!
!
_____!The!crawlspace!was!not!inspected,!beca u se!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!structural!components.!
!
_____!The!structural!components!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 10 of 31!
!
DESCRIBE:!
!
The!type!of!foundation!can!be!described!as:!
_____!!basement!!
_____!!crawlspace!
_____!!slab-on-grade!
_____!!concrete!block!
_____!!poured!concrete!
_____!!other!
______________________________________________________________________________________________!
!
The!location!of!the!access!to!the!under-floor!space!is!
______________________________________________________________________________________________________________.!
!
REPORT:!
!
_____!!I!observed!indications!of!wood!in!contact!with!or!near!soil.!Correction!is!needed.!
!
_____!!I!observed!indications!of!active!water!penetration.!Correction!is!needed.!
!
_____!!I!observed!indications!of!possible!foundation!movement,!such!as!sheetrock!cracks,!brick!
cracks,!out-of-square!door!frames,!and!unlevel!floors.!Correction!is!needed.!
!
_____!!I!observed!indications!of!cutting,!notching!and!boring!of!framing!members!that!may,!in!my!
opinion,!present!a!structural!or!safety!concern.!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 11 of 31!
HEATING!
!!
INSPECT:!
!
_____!!I!inspected!the!heating!system,!using!normal!operating!controls.!
!
_____!The!heating!system!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!location!of!the!thermostat!for!the!heating!system!is!
________________________________________________________________________________________________________.!
!
The!energy!source!of!the!heating!system!is:!
_____!!natural!gas!
_____!!electricity!
_____!!fuel!oil!
_____!!propane!
_____!!geothermal!
_____!!solar!
_____!!solid!wood!
_____!!pellets!
_____!!coal!
_____!!kerosene!
______________________________________________________________________________________________!
!
The!heating!method!of!the!heating!system!is:!
_____!!warm-air!!
_____!!hydronic!!
_____!!steam!!
_____!!electric!!
_____!!other!
______________________________________________________________________________________________!
!
REPORT:!
!
_____!!A!heating!system!did!not!operate.!Correction!is!needed.!
!
_____!!A!heating!system!was!deemed!inaccessible.!Correction!is!needed.!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 12 of 31!
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_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 13 of 31!
COOLING!
!
INSPECT:!
!
_____!!I!inspected!the!cooling!system!using!normal!operating!controls.!!
!
_____!The!cooling!system!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!location!of!the!thermostat!for!the!cooling!system!is!
________________________________________________________________________________________________________.!
!
The!cooling!method!can!be!described!as:!
_____!!a!central!air!conditioning!system!
_____!!a!split!or!ductless!air!conditioning! !!
_____!!a!packaged!air!conditioner!!
_____!!a!evaporative!cooling!unit!
_____!!a!window!air!conditioner!
_____!!a!through-wall!unit!!
_____!!a!portable!unit!
_____!!other!
______________________________________________________________________________________________!
!
REPORT:!
!
_____!!A!cooling!system!did!not!operate.!!Correction!is!needed.!
!
_____!!A!cooling!system!was!inaccessible.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 14 of 31!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 15 of 31!
PLUMBING!
!
INSPECT:!
!
_____!I!inspected!the!main!water!supply!shut-off!valve.!
!
_____!!The!main!water!supply!shut-off!valve!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!main!fuel!supply!shut-off!valve.!
!
_____!!The!main!fuel!supply!shut-off!valve!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!water!heating!equipment,!including!the!energy!source,!venting!connections,!
temperature/pressure-relief!(TPR)!valves,!Watts!210!valves,!and!seismic!bracing.!
!
_____!!The!water!heating!equipment,!including!the!energy!source,!venting!connections,!
temperature/pressure-relief!(TPR)!valves,!Watts!210!valves,!and!seismic!bracing,!were!not!
inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!interior!water!supply,!including!all!fixtures!and!faucets,!by!running!the!
water.!
!
_____!!The!interior!water!supply,!including ! all!fixtures!and!faucets,!were!not!in sp ected,!because!
they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 16 of 31!
!
!
_____!!I!inspected!all!toilets!for!proper!op era tion!by!flushing.!
!
_____!!The!toilets!were!not!inspected,!because! t hey!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!all!sinks,!tubs!a n d!showers!for!functional!drainage.!
!
_____!!The!sinks,!tubs!and!showers!were!not! in spected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!drain,!waste!and!vent!system.!
!
_____!!The!drain,!waste!and!vent!system!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!drainage!sump!pumps!with!accessible!floats.!!
!
_____!!The!drainage!sump!pumps!with!accessible!floats!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
_____!Based!upon!observed!indications,!the!water!supply!is!public.!
!
_____!Based!upon!observed!indications,!the!water!supply!is!private.!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 17 of 31!
The!location!of!the!main!water!supply!shut-off!valve!is!
________________________________________________________________________________________________________.!
!
The!location!of!the!main!fuel!supply!shut-off!valve!is!
_______________________________________________________________________________________________________.!
!
The!location!of!the!observed!fuel-storage!system!is!
_______________________________________________________________________________________________________.!
!
The!static!water!pressure!reading!was!measured!at!!
_______________________________________________________________________________________________________.!
!
The!capacity!of!the!water!heating!equipment!was!measured!at!!
_______________________________________________________________________________________________________.!
!
REPORT:!
!
_____!!I!observed!indications!of!deficiencies!in!the!water!supply!by!viewing!the!functional!flow!in!
two!fixtures!operated!simultaneously.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!deficiencies!in!the!installation!of!hot!and!cold!water!faucets.!!
Correction!is!needed.!
!
_____!!I!observed!indications!of!mechanical!drain!stops!that!were!missing!or!did!not!operate!if!
installed!in!sinks,!lavatories!and!tubs.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!toilets!that!were!damaged,!had!loose!connections!to!the!floor,!
were!leaking,!or!had!tank!components!that!did!not!operate.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 18 of 31!
ELECTRICAL!
!
INSPECT:!
!
_____!!I!inspected!the!service!drop.!
!
_____!!The!service!drop!was!not!inspected,!because! it !was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!overhead!service!conductors!and!attachment!point.!
!
_____!!The!overhead!service!conductors!and!attachment!point!were!not!inspected,!because!they!
were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!service!head,!gooseneck!and! drip !loops.!
!
_____!!The!service!head,!gooseneck!and!drip!loops!were! n ot!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!service!mast,!service!conduit!and!raceway.!
!
_____!!The!service!mast,!service!conduit!and!raceway!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!electric!meter!and!base.!
!
!
!
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!
Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 19 of 31!
!
!
_____!!The!electric!meter!and!base!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!service-entrance!conductors.!
!
_____!!The!service-entrance!conductors!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!main!service!disconnect.!
!
_____!!The!main!service!disconnect!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!panelboards!and!over-current!protection!devices!(circuit!breakers!and!fuses).!
!
_____!!The!panelboards!and!over-current!protection!devices!(circuit!breakers!and!fuses)!were!not!
inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!service!grounding!and!b on ding.!
!
_____!!The!service!grounding!and!bonding!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
!
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______________________________________________________________________________________________!
!
_____!!I!inspected!a!representative!number!of!switches,!lighting!fixtures!and!receptacles,!including!
receptacles!observed!and!deemed!to!be!arc-fault!circuit!interrupter!(AFCI)-protected!using!the!
AFCI!test!button,!where!possible.!
!
_____!!The!representative!number!of!switches,!lighting!fixtures!and!receptacles,!including!
receptacles!observed!and!deemed!to!be!arc-fault!circuit!interrupter!(AFCI)-protected!using!the!
AFCI!test!button,!where!possible,!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!all!ground-fault!circuit!interru p ter!receptacles!and!circuit!breakers!observed!
and!deemed!to!be!GFCIs!using!a!GFCI!tester,!where!possible.!
!
_____!!The!ground-fault!circuit!interrupter!receptacles!and!circuit!breakers!observed!and!deemed!
to!be!GFCIs!using!a!GFCI!tester,!where!possible,!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!smoke!and!carbon-monoxide!detectors.!
!
_____!!The!smoke!and!carbon-monoxide!detectors!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!main!service!disconnect's!amperage!rating,!if!labeled,!is!________________________________.!
!
The!type!of!wiring!observed!can!be!described!as:!
! _____!!type!NM!(nonmetallic!sheathed)!
! _____!!type!UF!(underground!feeder)!
! _____!!type!AC!(armored!cable)!
! _____!!aluminum!branch!circuit!!
!
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!
Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 21 of 31!
! _____!!knob!and!tube!!
!
REPORT:!
!
_____!!I!observed!indications!of!deficiencies!in!the!integrity!of!the!service-entrance!conductors’!
insulation,!drip!loop,!and!vertical!clearances!from!grade!and!roofs.!Correction!is!needed.!
!
_____!!I!observed!indications!of!unused!circuit-breaker!panel!opening!that!was!not!filled.!
Correction!is!needed.!
!
_____!!I!observed!indications!of!the!presence!of!solid!conductor!aluminum!branch-circuit!wiring.!
Correction!is!needed.!
!
_____!!I!observed!indications!of!a!tested!receptacle!in!which!power!was!not!present,!polarity!was!
incorrect,!the!cover!was!not!in!place,!the!GFCI!devices!were!not!properly!installed!or!did!not!
operate!properly,!indications!of!arcing!or!excessive!heat,!and!where!the!receptacle!was!not!
grounded!or!was!not!secured!to!the!wall.!Correction!is!needed.!
!
_____!!I!observed!indications!of!the!absence!of!smoke!detectors.!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 22 of 31!
FIREPLACE!
!
INSPECT:!
!
_____!!I!inspected!readily!accessible!and!visible!portions!of!the!fireplaces!and!chimneys.!
!
_____!!The!readily!accessible!and!visible!portions!of!the!fireplaces!and!chimneys!were!not!
inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!lintels!above!the!firep l ace!openings.!
!
_____!!The!lintels!above!the!fireplace!opening s! were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!damper!doors!by!opening!and!closing!them,!if!readily!accessible!and!
manually!operable.!
!
_____!!The!damper!doors!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!cleanout!doors!and!frames.!
!
_____!!The!cleanout!doors!and!frames!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
!
!
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!
Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 23 of 31!
!
!
DESCRIBE:!
!
The!type!of!fireplace!can!be!described!as:!!
_____!!masonry!solid!fuel-burning!!
_____!!factory-built!solid!fuel-burning!
_____!!decorative!gas-burning!
_____!!solid!fuel-burning!stove!
_____!!solid!fuel-burning!fireplace!insert!!
______________________________________________________________________________________________!
!
REPORT:!
!
_____!!I!observed!indications!of!joint!separation,!damage!or!deterioration!of!the!hearth,!hearth!
extension!or!chambers.!Correction!is!needed.!
!
_____!!I!observed!indications!of!manually!operated!dampers!that!did!not!open!and!close.!
Correction!is!needed.!
!
_____!!I!observed!indications!of!the!lack!of!a!smoke!detector!in!the!same!room!as!the!fireplace.!
Correction!is!needed.!
!
_____!!I!observed!indications!of!the!lack!of!a!carbon-monoxide!detector!in!the!same!room!as!the!
fireplace.!Correction!is!needed.!
!
_____!!I!observed!indications!of!cleanouts!not!made!of!metal,!pre-cast!cement,!or!other!non-
combustible!material.!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
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!
Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 24 of 31!
ATTIC,!INSULATION!&!VENTILATION!
!
INSPECT:!
!
_____!!I!inspected!the!insulation!in!unfinished!spaces!from:!
_____!!readily!accessible!areas!
_____!!readily!accessible!panels!
_____!!readily!accessible!doors!
_____!!readily!accessible!stairs!
______________________________________________________________________________________________!
!
_____!!The!insulation!in!unfinished!spaces!wa s! not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!ventilation!of!unfin ished! spaces,!including!attics,!crawlspaces!and!
foundation!areas.!
!
_____!!The!ventilation!of!unfinished!spaces!was! n ot!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!the!mechanical!exhaust!systems!in!the!kitchen,!bathrooms!and!laundry!area.!!
!
_____!!The!mechanical!exhaust!systems!in!the!kitchen,!bathrooms!and!laundry!area!were!not!
inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
The!type!of!insulation!observed!can!be!described!as:!!
_____!!fiberglass!blanket!
_____!!blown-in!fiberglass!
_____!!loose-fill!fiberglass!
!
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_____!!mineral!rock!or!slag!wool!
_____!!blown-in!cellulose!
_____!!loose-fill!cellulose!
_____!!spray-foamed!or!foamed-in-place!
_____!!structural!insulated!panel!
_____!!concrete!block!insulation!!
_____!!foam!board!or!rigid!foam!
_____!!insulated!concrete!forms!
_____!!natural!fibers!
_____!!others!
______________________________________________________________________________________________!
!
The!approximate!average!depth!of!insulation!observed!at!the!unfinished!attic!floor!area!or!roof!
structure:!
!______________________________________________________________________________________________!
!
The!approximate!average!thickness!of!vertical!insulation!observed!from!the!unfinished!attic!
area:!
!______________________________________________________________________________________________!
!
REPORT:!
!
_____!!I!observed!indications!of!the!general!absence!of!insulation!or!ventilation!in!unfinished!
spaces.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
! !
!
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!
Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 26 of 31!
DOORS,!WINDOWS!&!INTERIOR!
!
INSPECT:!
!
_____!!I!inspected!a!representative!number!of!doors!and!windows!by!opening!and!closing!them.!
!
_____!!A!representative!number!of!doors!and!windows!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!floors,!walls!and!ceilin g s.!
!
_____!!The!floors,!walls!and!ceilings!were!n ot !inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!stairs,!steps,!landings,!stairways!and!ramps.!
!
_____!!The!stairs,!steps,!landings,!stairways!and!ramps!were!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!railings,!guards!and!handrails.!
!
_____!!The!railings,!guards!and!handrails! w ere!not!inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
_____!!I!inspected!garage!vehicle!doors!and!the! op eration!of!garage!vehicle!door!openers,!using!
normal!operating!controls.!!
!
!
!
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!
_____!!The!garage!vehicle!doors!and!the!operation! of! garage!vehicle!door!openers!were!not!
inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
DESCRIBE:!
!
_____!!The!garage!vehicle!door!is!manually-operated.!
!
_____!!The!garage!vehicle!door!is!installed!with! a !garage!door!opener.!
!
REPORT:!
!
_____!!I!observed!indications!of!improper!spacing!between!intermediate!balusters,!spindles!and!
rails!for!steps,!stairways,!guards!and! ra ilings.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!photo-electric!safety!sensors!that!did!not!operate!properly.!!
Correction!is!needed.!!!
!
_____!!I!observed!indications!of!a!window!that!was!obviously!fogged!or!displayed!other!
indications!of!broken!seals.!!Correction!is!needed.!
!
_____!!I!observed!indications!of!a!material!defect.!!
!
_____!!I!observed!indications!of!a!major!defect.!!
!
_____!!I!observed!indications!of!a!minor!defect.!!
!
_____!!I!observed!indications!of!a!cosmetic!defect.!!
!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
!
!
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Copyright!©!2013!InterNACHI.!All!rights!reserved. Page 28 of 31!
OPTIONAL!SYSTEMS!&!COMPONENTS!
!
DISHWASHER!
!
_____!!I!inspected!the!dishwasher!by!using!normal!operating!controls!to!demonstrate!one!primary!
function.!
!
_____!!The!dishwasher!was!not!inspected,!because! it !was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
FOOD!WASTE!DISPOSER!
!
_____!!I!inspected!the!food!waste!disposer!by!using!normal!operating!controls!to!demonstrate!one!
primary!function.!
!
_____!!The!food!waste!disposer!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
RANGES,!COOK!TOPS!AND!OVENS!
!
_____!!I!inspected!the!range,!cook!top!and!oven!by!using!normal!operating!controls!to!
demonstrate!one!primary!function.!
!
_____!!The!range,!cook!top!and!oven!were!n ot !inspected,!because!they!were:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
!
!
!
!
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MICROWAVE!OVEN!
!
_____!!I!inspected!the!microwave!oven!by!using!normal!operating!controls!to!demonstrate!one!
primary!function.!
!
_____!!The!microwave!oven!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
TRASH!COMPACTOR!
!
_____!!I!inspected!the!trash!compactor!by!using!normal!operating!controls!to!demonstrate!one!
primary!function.!
!
_____!!The!trash!compactor!was!not!inspected,!because!it!was:!!
_____!!inaccessible!
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
DOOR!BELL!!
!
_____!!I!inspected!the!door!bell!by!using!normal!operating!controls!to!demonstrate!one!primary!
function.!
!
_____!!The!door!bell!was!not!inspected,!beca u se!it!was:!!
_____!!inaccessible! !
_____!!unsafe!
_____!!not!present!
_____!!not!within!the!scope!of!the!inspection!
______________________________________________________________________________________________!
!
!
LAWN!AND!GARDEN!SPRINKLER!SYSTEMS!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
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!
SWIMMING!POOLS,!SPAS,!HOT!TUBS!AND!EQUIPMENT!
!
Type!of!construction:!!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
OUTBUILDINGS!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
OUTDOOR!COOKING!EQUIPMENT!
!
The!energy!source!of!the!outdoor!cooking!equipment:!
_______________________________________________________________________________________________________________!
!
!
GAS!SUPPLY!SYSTEMS!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
PRIVATE!WATER!WELLS!
!
The!type!of!pump:!
_______________________________________________________________________________________________________________!
!
The!type!of!storage!equipment:!
_______________________________________________________________________________________________________________!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
PRIVATE!SEWAGE!DISPOSAL!(SEPTIC)!SYSTEMS!
!
The!type!of!system:!
_______________________________________________________________________________________________________________!
!
!
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The!location!of!the!drainage!field:!
_______________________________________________________________________________________________________________!
!
!
WHOLE-HOUSE!VACUUM!SYSTEMS!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
OTHER!BUILT-IN!APPLIANCES!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
SECURITY!SYSTEMS!
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________!
!
!
!
!
!