<p> Texas Weatherization Assistance Program Technical Field Rating Sheet March 2010</p><p>Program Year ______Date ______House # ______$______</p><p>______Dwelling Type Job # ______Single Family Assessor Name: ______Mobile Home Contractor/Crew Address ______Multi Family Final Inspector ______Funding Source______</p><p>Assessment  Improvement needed  Acceptable  Unacceptable  Call Back required  Final Inspection  Improvement needed  Acceptable  Unacceptable  Call Back required  Health & Safety Assessment Work Final Inspection Smoke Detector – CO Detector- LSW – Gas Stoves------Comments:</p><p>Diagnostics – (Blower Door/Air Sealing) Pre Weather @ 50Pa ______Assessment Work Final Inspection Intermediate @ 50Pa ______Post Weather @ 50Pa ______Target ______Could Not Perform ______BTL ______Stories ______Comments: </p><p>Attics Unfinished – Finished Kneewall –------Assessment Work Final Inspection Insulation – Vents (High-Low) – Adequate Ventilation-- Hatch Boxed – Barriers--Insulation Cert. Posted – Knob and Tube Comments:</p><p>Walls Assessment Work Final Inspection Insulation -- Knob and Tube ------Comments:</p><p>Foundation - (Floor) Assessment Work Final Inspection Insulation –Crawl-Vapor Barrier-Slab--Repairs-Crawl-Scuttle Door Adequate Ventilation Comments: </p><p>Windows Pane/Frame Caulk – Glass Replacement-Glazing-Adjust Sash Lock- Assessment Work Final Inspection Glass Replacement –Replacement-Storm Windows Comments:</p><p>Windows-Mobile Home Assessment Work Final Inspection Drip Cap- Insider Storm-Replacement ------Comments: Doors Assessment Work Final Inspection Weatherstrip-Sweep-Pane/Frame Caulk-Replacement------Lock-Set-Hinges-Adjustment Striker Plate- Comments:</p><p>Furnace Assessment Work Final Inspection Clean & Tune – Replacement-Repair- Thermostat ------Gas Shutoff-LP Gas Line-(Black or Copper)- Comments:</p><p>Water Heater Assessment Work Final Inspection Gas Shutoff-Replacement-Discharge Pipe------Revent W/H-Elec. Comments:</p><p>Baseload Measures Assessment Work Final Inspection CFL’s- Refrigerators- Water Savers------Comments:</p><p>Air Conditioning Assessment Work Final Inspection Duct System- Filters- Return Air Comments:</p><p>Energy Repair Assessment Work Final Inspection Roof ------Electrical------Repair ------Other------Comments:</p><p>Audit Priority List</p><p>Program Officer: ______Date:______</p>