• Heritage Building Survey Form

    Complete this survey to document the building's heritage context, condition, risks, and recommended preservation actions.

  • Building Identification

  • Survey Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Heritage Status and Context

  • Original / known historic function

  • Site Access and General Observations

  • Site access limitations*
  • Inspection coverage*

  • Condition Assessment

  • Condition Summary by Building Element*
    Rows
  • Visible Defects – Roof
  • Visible Defects – Walls
  • Visible Defects – Foundations
  • Visible Defects – Floors
  • Visible Defects – Windows and Doors
  • Visible Defects – Decorative Features
  • Visible Defects – Interiors

  • Materials, Services, and Risk Factors

  • Observed building materials*
  • Condition of observed materials*
    Rows
  • Electrical services condition
  • Plumbing, heating, and drainage condition
  • Observed environmental or external risks

  • Documentation, Recommendations, and Follow-up

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Recommended Actions
  • Powered by Jotform SignClear
  • Should be Empty:
Select theme: