Building Facade Safety Assessment

Building Facade Safety Assessment
Use this form to record an inspection of a building facade and assess visible safety conditions, risks, and recommended actions.
Building & Inspection Details
Building Name
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Building Type / Use
Number of Floors
Facade Type / Materials
Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time of Inspection
Hour Minutes
AM/PM Option
Inspector Name
First NameMiddle NameLast Name
Inspector Organization / Company
Contact Email
example@example.com
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Facade Condition Assessment
Cracks severity

1
2
3
4
5
6
7
8
9
10
1 is Absent, 10 is Severe
Cracks location / area affected
Spalling severity

1
2
3
4
5
6
7
8
9
10
1 is Absent, 10 is Severe
Spalling location / area affected
Loose materials severity

1
2
3
4
5
6
7
8
9
10
1 is Absent, 10 is Severe
Loose materials location / area affected
Facade condition indicators
Rows Absent Present Not Observed
Rust / corrosion
Water ingress
Missing / damaged seals
Bulging / deformation
Unsafe attachments
Debris hazards
Overall facade safety rating

1
2
3
4
5
6
7
8
9
10
1 is Unsafe, 10 is Safe
Overall risk level

Facade condition table

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