Disaster Damage Inspection Checklist
Use this checklist to document post-disaster property damage, safety concerns, and recommended next steps.
Incident Details
Incident Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspection Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Property Address or Location
*
Property Type
*
Residential
Commercial
Industrial
Public Facility
Vacant Lot
Other
Disaster Type
*
Flood
Fire
Windstorm
Earthquake
Storm Surge
Hail
Landslide
Other
Area or Room Inspected
*
Exterior
Roof
Kitchen
Living Area
Bedrooms
Bathrooms
Basement
Attic
Garage
Mechanical Room
Other
Damage Assessment
Structural damage level
*
None
Minor
Moderate
Severe
Collapse risk
Roof damage
*
None
Minor
Moderate
Severe
Collapsed
Unknown
Exterior damage
*
None
Minor
Moderate
Severe
Unknown
Interior damage
*
None
Minor
Moderate
Severe
Unknown
Water intrusion or moisture present
*
Yes
No
Water intrusion or moisture details
Electricity status
*
Please Select
Operational
Disrupted
Unknown
Gas status
*
Please Select
Operational
Disrupted
Unknown
Water status
*
Please Select
Operational
Disrupted
Unknown
Debris or hazardous materials present
*
Yes
No
Debris or hazardous materials description
Immediate safety concerns
Repair or mitigation priority
*
Urgent
High
Medium
Low
Photos and attachments
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Inspector Review
Inspector Name
*
First Name
Last Name
Inspection Notes / Recommendations
Follow-up Required
*
Yes
No
Preferred Next Action
Please Select
Re-inspect
Emergency repair
Contractor estimate
Monitoring only
Other
Submit Checklist
Should be Empty: