MAINTENANCE CONDITION SURVEY CHECKLIST
INSPECTED BY:______DATE:______
BUILDING NAME/LOCATION:______
BUILDING # ______YEAR BUILT/RENOVATED:______
BRIEF BLDG. DESCRIPTION:______
REFERENCES TO 7300-1: Utilize these references to establish a more accurate, thorough, condition survey. This set of references should be able to aid you in performing each 7300-1.
1. A-C FOUNDATION & 2. A-B BASEMENTS
(1) Foundation, type & spacing:______
(8) Condition______
(3) Floor Joist., size, material, & spacing o/c______
(4) Bottom of Joists off ground, inches, average______
(5) Adequate ventilation beneath building?______
(6) Termite/Carpenter Ant Activity?______
(7) Drainage or evidence of flooding?______
(9) Rotting or Decay______
(10) Insulation______
3. A-B CHIMNEYS
(1) Chimney cap condition______; Screen______
(2) Type of construction (brick, metal, asbestos, etc.)______
(3) Mortar condition______
(4) Liner condition______
(5) Roof to chimney seal______
(6) Proper anchoring, snow/ice build-up protection______
(7) Proper height, downdrafts______
(8) Drafting properly, cleanliness______
(9) Number of appliances per flue______
(10) Number of flues______
(11) Overall condition______
4. A-O CARPENTRY WORK
A. Wall Sections (Exterior)
(1) Distance from ground to bottom of wood structure______
(2) Last year painted (Ext.)______
(3) Condition______
(4) Type of siding (Ext.)______
(5) Insulation type and thickness ______
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B.,C. Exterior Millwork, Exterior Trim
(1) Material/Condition______
(2) Last Year Painted______
D.,E.,F. Porch Posts, Steps, Floors
(1) Material/Condition______
(2) Hazards______
(3) Proper Railing______
G. Windows
(1) Do all windows operate properly?______If not, which?______
(2) Types/material of windows______
(3) Need for weather stripping______If so, which?______
(4) Need for storm windows______
(5) Storm windows - effective dead air barrier?______
(6) Condition (framing, sills, etc.)______
(7) Latches securing properly______
(8) Glazing - putty/cracked/broken/weatherstripping______
H. Doors (Exterior)
(1) Do all operate properly?______If not, which?______
(2) Properly weather stripped______If not, which?______
(3) Need for storm doors______If so, which?______
(4) Material/Condition______
(5) Paint or finish______
(6) Latches securing properly______
(7) Condition of jambs______
(8) Glazing - putty/cracked/broken/weatherstripping______
I. Shutters
(1) Operation______
(2) Material/Condition______
J. Screens (doors, windows, crawl space vents)
(1) Condition______
(2) Need for them______
K.,L. Carport/Garages
(1) Hazardous storage/hazards______
(2) Type of floor, condition______
(3) Structural damage______
(4) Door type & condition______
M. Hardware (Refer to 9 A through C)
N. Siding (Refer to 4 A)
O. Puttying/Painting (Refer to 4. A through N. and 5. A through I)
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General exterior maintenance requirements/notes (incl. presence of hazardous materials or safety issues)
______
______
______
5.A-I INTERIOR WOODWORK
A.,D. Doors (Interior), including sliding
(1) Do all operate properly?______If not, which?______
(2) Material/Condition______
B. Sidelites
(1) Operational______
(2) Material/Condition______
C. Trim and Moulding
(1) Material/Condition______
(2) Finish______
E.,F.,G.,H.,I. Closets, Cabinets
(1) Operational______
(2) Finish/Material/Condition______
(3) Latches working______
(4) Doors hanging straight______
5.A-I BUILDING INTERIOR - GENERAL
(1) Ceiling -Type of material______Appearance______
Light reflectivity______
Need for repainting______
(2) Walls -Type of material______Appearance/condition______
Need for repainting______
(3) General - Number of rooms______
Size of each(Length x Width x Height) OR DRAW SKETCH ON BACK OF PAGE 9 -
THIS INFORMATION NOT REQUIRED IF PLANS ARE AVAILABLE:
Living Room______
Dining Room______
Bedroom(s)______
Kitchen______Bathroom(s)______Storage______Garage______Office(s)______
Others (identify)______
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6. STAIRS
(1) Condition______Handrail height/dia______
(2) Height of risers______Depth of tread______Stairwell width______
(3) Hazards/tread material & condition______
(4) Construction materials______
(5) Storage underneath properly utilized?______
7. FLOOR COVERING
(1) Type of subfloor/underlayment______
(2) Type of finish floor or covering______
(3) Condition & soundness______
(4) Estimated remaining life of finish or covering______
(5) Base cove & molding condition______
8. ROOFING
(1) Type of roofing______
(2) Condition______
(3) Age______
(4) Moss build-up (wood only)______
(5) Treatment need (wood only)______
(6) Evidence of leakage______
(7) Ice build-up (need for heat cables?)______
(8) Snow load capacity______(design)______or (est.)______
A.,B.,C. Gutters, Downspouts, Draintile
(1) Condition______
(2) Cleanliness______
(3) Operational______
(4) Is drainage directed away from building?______
D. Shingles
(1) Refer to Item 8, under roofing.
E., F. Roof trusses, purlins, beams, joists, & ridgeboards
(1) Adequate for snowload______
(2) Condition/Damage______
(3) Truss/Beam material, span & spacing______
(4) Purlin/Joist material, span, & spacing______
G. Flashing
(1) Condition/Existance______
(2) Evidence of leakage______
H. Attic and ventilation
(1) Flooring/runner plank condition______
(2) Hazards______
(3) Venting adequate ______
(4) Evidence of moisture build-up______
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9.HARDWARE
A. Windows - Refer to Item 4g. - Windows
B. Doors - Refer to 4h. - Doors
C. Bathroom - Refer to item 5e. - Cabinets/Closets
D. Kitchen - Refer to Item 5e. - Cabinets/Closets
10.GLASS
A., B., C., D. (Refer to 4 G & 4 H)
11.PLUMBING/SEWER
A.WATER SERVICE - Within Building & to Meter (not distribution system)
(1) General: Service size______in. Type of pipe______Age:______yrs., Condition:______
(2) Kitchen:Sink______Faucets______Drain______
Shutoffs______Strainer/Plug______
(3) Bathrooms: Sink______Faucets______Drain______
Shutoffs______Strainer/Plug______
Toilet______Seal______Shutoffs______Shower/Tub______Faucets______Head______Drain______Strainer/Plug______Other______
(4) Laundry: Tub______Faucet______Drain______
Strainer/Plug______Washer Connections______Other______
(5) Water Heater: Capacity______, Temp. Setting______
Pressure/Temp. Relief Valve______Plumbed to Near Floor______
Fuel______Fuel supply/plumbing______
(6) Outside hydrants: Number______, protected from freezing______
Is location or installation hazardous______Appearance______
B. SEWER - Within Building & to Cleanout (not collection/treatment system)
Type (Septic tank, sewer, other)______
Pipe Material______
(1) Properly plumbed______
(2) Are all drains vented within 5 feet?______
(3) General Condition______
C. PLUMBING COMMENTS: ______
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12. TERMITE OR DECAY DAMAGE
(1) Refer to Items 1 a & c, 2 a & b.
13. FIREPLACE / WOOD HEAT STOVE
(1) Condition - Fire box______Flue (Liner)______Chimney______Hearth______
(2) Type______
(3) Cleanliness______
(4) Efficiency to heat______
(5) Damper______
(6) Heatilator______Insert______
(7) Glass doors______
(8) Screen______
14.ACCESSORIES - If Government owned (ie: refrigerator, cook stove, microwave)
Item______
Make______Model______
Year Purchased______Size______
Present Condition______
Item______
Make______Model______
Year Purchased______Size______
Present Condition______
Item______
Make______Model______
Year Purchased______Size______
Present Condition______
Item______
Make______Model______
Year Purchased______Size______
Present Condition______
Item______
Make______Model______
Year Purchased______Size______
Present Condition______
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15.ELECTRIC
A. Wiring
(1) Condition______
(2) Connection tight, outlets______, switches______
(3) Outlets grounded______, polarity______
B. Service & Circuit Controls/Breakers
(1) Type______
(2) Conditon/Age______
(3) GFCI's on bath, kitchen, work areas______
C. Other
(1) All boxes covered______
(2) Electrical condition survey conducted______Date______
16.HEATING & AIR CONDITIONING
A. Primary Heating
(1) Fuel type: ____Nat.gas ____LPG ____Oil ____Wood ____Coal ____Electric
(2) Method: ___Individual Room/Area (type:______)
___Radiators (___water ___steam) ____Central Forced Air
(3) Unit capacity (BTU/hour) ______, ______, ______, ______, ______
(4) Is heating adequate?______
(5) Year last maintained (needed annually)______
(6) Cleanliness: register, chimney flues, furnace room - hazards______
(7) Stack condition (pipe to chimney seal)______
(8) Filter - oil/air (condition)______
B. Auxilliary Heating
(1) Fuel type/method______
(2) Safety - insulation/vents/controls______
(3) Is heating adequate______
(5) Condition______
C. Cooling
(1) Type: ______Refrigeration ______Evaporative Cooler
(2) Capacity or size______Central ______Single Room/Area
(3) Is cooling adequate______
(4) Condition______
17.SPACE HEATERS (Refer to 16 B)
18.WATER HEATERS (Refer to 11 A.5)
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ADDITIONAL ITEMS
The following information may or may not pertain to the present structure that you are inspecting.
Complete any pertinent items.
A. DRAINAGE
(1) Is structure adequately drained?______
(2) What drainage structures exist?______
(3) What is needed?______
B. SECURITY
(1) Is building fenced? ____ No ____Front ____Back ____Complete
(2) Is fencing required?______Is fencing desired by occupant?______
(3) Are gates operable?______Lockable?______
(4) Outside lighting: ______None ______Some ______Fully
(5) Is lighting adequate?______
(6) Any past security problems?______
(7) Is private and Government property adequately protected?______
(8) Comments:______
C. ACCESS AND PARKING
(1) Pedestrian access surface______, width______ft. grade______%
(2) Is access adequate?______
(3) Is structure on main roads?______Should it be on main roads?______
(4) Parking for ______vehicles; surface mat'l.______, grade______%
Is parking adequate?______
(5) Condition of roads/parking:______
D. LANDSCAPING
(1) Is building landscape plan available?______. Has it been used?______
(2) Is structure landscaped?______
(3) Is landscaping adequate?______
(4) Is adequate water/hydrants available for landscaping?______
(5) Does building present an acceptable appearance?______Suggestions______
______
______
______
______
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E. LIQUID FUEL SYSTEM
(1) Fuel Type: _____L.P. Gas _____Natural Gas _____Fuel Oil _____Other:______
(2) Does Oil Tank meet U.M.C. Std. #5-1?______
(3) Does L.P.G. Tank meet N.F.P.A. #58? ______
(4) Are supports adequate? ______
(5) Condition/Use of Flex Connectors ______
(6) Are Barriers needed/adequate?______
(7) Is Clearance adequate?______
(8) Do Pipe & fittings meet UPC 12XX?______
(9) Does Service cock meet UPC 12XX?______
F. FIRE PROTECTION SYSTEM
(1) Brief description______
______
(2) Smoke detectors installed per Code?______Operating?______
(3) Date of last sprinkler system (if any) inspection______
(4) Are exits and exit routes adequate & adequately identified?______
(5) Is there adequate clearance around the structure from fuels?______
(6) Is the structure fire resistant? ______What could be done to improve fire resistance? ______
______
(7) Nearest fire hydrant______
(8) Does location & spacing meets FSM requirements, _____Yes _____No.
Comment:______
(9) Adequate protection _____Yes, _____No
Condition: _____Excellent_____Good _____Fair _____Poor. Comment______
I. OTHER
(1) Are the facilities adequate for their current use?______
(2) Is the facility effectively located in relationship to the overall site layout? ______
______
(3) Do people living or working in this structure like it?______
(4) Occupant remarks concerning the maintenance condition of this building:
______
______
______
(5)Other comments about this structure (incl. presence of hazardous materials or safety issues): ______
______
______
______
Use the reverse side of this sheet to sketch a measured drawing of the building, if there is not a set of plans on file. Be sure to show all windows, doors, fixtures, heating, and appliances.
Attach photos of the building showing all four exterior sides (taking photos at opposite corners allows showing 2 sides in one photo) and any distinctive interior features or areas needing maintenance.
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