Building Enclosure Assessment Form
Complete this form to document the condition and observed issues of a building's enclosure systems.
Property/Site Name or Address
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Assessor Contact Email
*
example@example.com
Building Type/Primary Use
*
Please Select
Residential
Commercial
Industrial
Institutional
Mixed-Use
Other
Enclosure System Areas Evaluated
*
Exterior Walls
Roof
Windows & Doors
Foundation/Basement
Balconies/Decks
Other
Component Condition Assessment
*
Rows
Condition
Observed Defects
Exterior Walls
Good
Fair
Poor
Not Accessible
Not Applicable
Roof
Good
Fair
Poor
Not Accessible
Not Applicable
Windows & Doors
Good
Fair
Poor
Not Accessible
Not Applicable
Foundation/Basement
Good
Fair
Poor
Not Accessible
Not Applicable
Balconies/Decks
Good
Fair
Poor
Not Accessible
Not Applicable
Other
Good
Fair
Poor
Not Accessible
Not Applicable
Defect Severity
*
None
Minor
Moderate
Severe
Moisture/Water Intrusion Indicators
*
Staining
Efflorescence
Visible Mold
Dampness
None Observed
Other
Air Leakage / Insulation / Thermal Performance Concerns
*
Drafts
Condensation
Cold Spots
Insufficient Insulation
None Observed
Other
Overall Building Enclosure Condition
*
1
2
3
4
5
Repair Priority
*
Immediate
Short-Term (within 1 year)
Long-Term (1-5 years)
No Action Needed
Additional Notes or Recommendations
Submit Assessment
Should be Empty: