Georgetown Housing Authority Stonehaven s2

Unit Inspection Form Date Development: ______

Unit # Address Tenant

OD= Observed Deficiency NOD= No Observed Deficiency NA= Not Applicable INSPECTION ITEM O NOD N COMMENT INSPECTION ITEM O NOD N COMMENT D A NUMBER D A NUMBER SMOKE DETECTOR HEALTH AND SAFETY Inoperable/Missing AIR QUALITY FIRE EXTINGUISHER Mold and/or Mildew Charged ( Y / N ) Tag Date ( / ) Propane/Natural Gas/Methane Gas Detected KITCHEN Sewer Odor Detected Cabinets – Missing/Damaged ELECTRICAL HAZARDS Countertops-Missing/Damaged Exposed Wires/Open Panels Exhaust System-Excessive Grease/Inoperable Water Leaks On or Near Electrical Equipment Plumbing – Clogged Drains EMERGENCY/FIRE EXITS (does not apply to individual units) Plumbing – Leaking Faucets/Pipes Emergency /Fire Exits Blocked/Unusable Range/Stove – Missing/Damaged/Inoperable Missing Exit Signs Refrigerator – Missing/Damaged/Inoperable FLAMMABLE MATERIALS Sink – Missing/Damaged Improperly Stored BATHROOM GARBAGE AND DEBRIS Bathroom Cabinets – Damaged/Missing Outdoors Lavatory Sink – Damaged/Missing Indoors Plumbing – Clogged Drains HAZARDS Plumbing – Leaking Faucets/Pipes Other (specified by inspector) Shower/Tub – Damaged/Missing Sharp Edges Ventilation/Exhaust System - Inoperable Tripping Water Closet/Toilet – Damaged/Missing INFESTATION HVAC SYSTEM Insects Convection/Radiant Heat System Covers Rats/Mice/Vermin General Rust/Corrosion HOT WATER HEATER Inoperable Rust/Corrosion Misaligned Chimney/Ventilation System Inoperable Unit/Components Noisy/Vibrating/Leaking Leaking Valves/Tanks/Pipes ELECTRICAL SYSTEMS Pressure Relief Valve Missing Blocked Access to Electric Panel Missing/Misaligned Chimney/VentilationSystem Burnt Breakers FLOORS Evidence of Leaks / Corrosion Bulging/Buckling Frayed Wiring Floor Covering Damage Missing Breakers/Fuses Missing Tiles/Flooring Missing Covers Peeling/Needs Paint GFCI - Inoperable Rot/Deteriorated Subfloor CEILINGS Water Stains/Water Damage/Mold/Mildew Bulging/Buckling DOORS Holes/Missing Tiles/Panels Damaged Frames/Threshold/Lintels/Trim Peeling/Needs Paint Damaged Hardware/ Locks Water Stains/Water Damage/Mold/Mildew Damaged Surface (Holes, Paint, Rusting) OUTLETS/SWITCHES Deteriorated/Missing Seals (Entry Only) Missing/Broken/Burned Damaged/Missing Screen/Storm/Security Door Missing/Broken Cover Plates Missing Door WALLS WINDOWS Bulging/Buckling Cracked/Broken/Missing Panes Damaged/Deteriorated Trim Damaged Window Sill Damaged Peeling/Needs Paint Peeling/Needs Paint Inoperable/Not Lockable Water Stains/Water Damage/Mold/Mildew Deteriorated/Missing Caulking/Seals CALL FOR AID PATIO/PORCH/BALCONY Inoperable Baluster/Side Railings LIGHTING STAIRS Missing/Inoperable Fixture/Damaged Broken/Missing Hand Railing Broken/Missing Steps

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Inspector