Defensible Space Inspection Checklist
Use this form to inspect defensible space conditions around a property, record checklist findings, note hazards, and document corrective actions.
Inspection Details
Inspector Name
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Agency / Company / Department
Site / Property Name
Site Address or Location Description
*
Property Type
*
Residential
Commercial
Mixed-Use
Vacant Land
Other
Weather / Conditions at Time of Inspection
Please Select
Clear
Cloudy
Overcast
Rainy
Windy
Hot and Dry
Cool and Damp
Other
Defensible Space Checklist
Defensible space compliance
*
Rows
Compliant
Partially compliant
Non-compliant
Not applicable
Vegetation clearance near structures
1
2
3
4
Grass height
5
6
7
8
Tree branch clearance
9
10
11
12
Ladder fuels
13
14
15
16
Separation between shrubs and trees
17
18
19
20
Clearance around decks and fences
21
22
23
24
Debris accumulation
25
26
27
28
Roof and gutter cleanliness
29
30
31
32
Firewood/storage placement
33
34
35
36
Access for emergency response
37
38
39
40
Notes: Vegetation clearance near structures
Notes: Grass height
Notes: Tree branch clearance
Notes: Ladder fuels
Notes: Separation between shrubs and trees
Notes: Clearance around decks and fences
Notes: Debris accumulation
Notes: Roof and gutter cleanliness
General comments on deficiencies
Hazards, Corrective Actions, and Outcome
Identified Hazards or Deficiencies
*
Recommended Corrective Actions
*
Priority Level for Corrections
*
Low
Medium
High
Urgent
Follow-Up / Reaudit Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Inspection Result
*
Pass
Pass with Corrections
Fail
Inspector Remarks / Final Comments
Submit Inspection
Should be Empty: