Vehicle Mold Inspection Checklist Form
Record vehicle details and observed mold-related conditions.
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location
Visible Mold Observed?
*
Yes
No
Unable to determine
Areas with Visible Mold or Suspected Growth
Carpet or floor mats
Seats or upholstery
Headliner or trim
Trunk or cargo area
Air vents or cabin filter area
Other area
Musty or Mold-Like Odor Detected?
*
Yes
No
Unable to determine
Signs of Moisture or Water Intrusion
Damp surfaces or materials
Water staining
Visible condensation
No signs observed
Other sign
Inspection Notes
Submit Inspection
Should be Empty: