Building Health Inspection Report

Building Health Inspection Report
Use this form to document a building health inspection, record findings, and note follow-up actions.
Inspection Details
Inspection Date
MonthDayYear
Date
Inspection Time
Hour Minutes
AM/PM Option
Inspection Type / Status
Other
Building / Property Name
Building Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Unit / Floor / Location
Inspector Name
First NameMiddle NameLast Name
Department / Company
Building Health Assessment
Areas Inspected
Other
Overall Condition by Area
Rows Pass Needs Attention Unsafe Not Applicable
Lobby
Restrooms
Stairwells
HVAC/Mechanical Room
Kitchens
Common Areas
Storage Areas
Observed Issues Log
Visible Hazards Observed
Other
Cleanliness and Sanitation
Ventilation and Air Quality
Moisture, Leaks, or Mold Signs
Pest Evidence
Corrective Actions and Follow-Up
Recommended Corrective Actions
Priority Level
Responsible Party
Target Completion Date
MonthDayYear
Date
Reinspection Needed
Follow-Up Inspection Date
MonthDayYear
Date
Inspector Remarks / Summary Comments
Should be Empty:

Select theme: