XXX DO NOT USE Annual Unit Inspections, HQS Pre-inspection
Check where a deficiency is noted
Mark "all is well" where no deficiencies are present
Mark "N/A" where rooms don't exist
XXX DO NOT USE Annual Unit Inspections, HQS Pre-inspection
Check where a deficiency is noted
Mark "all is well" where no deficiencies are present
Mark "N/A" where rooms don't exist
IF NOT ABLE TO ENTER (AUTOMATIC FAIL)
if the answer is "oneOf [FAIL,FLAG]"
NO ENTRY ALLOWED EXPLANATION
KITCHEN
if the answer is "oneOf [OTHER]"
NOTES FOR KITCHEN OTHER
LIVING ROOM
LIVING ROOM NOTES
BATHROOM 1
BATHROOM 1 NOTES
BATHROOM 2
BATHROOM 2 NOTES
BEDROOM 1
BEDROOM 1 NOTES
BEDROOM 2
BEDROOM 2 NOTES
BEDROOM 3
BEDROOM 3 NOTES
BEDROOM 4
BEDROOM 4 NOTES
GENERAL UNIT CONDITIONS (FAIL)
GENERAL UNIT CONDITIONS (FLAG)
NOTES/COMMENTS
Evidence of Unauthorized Occupant(s) (FLAG)
if the answer is "oneOf [Yes]"
WHAT IS THE EVIDENCE?
Evidence of pet(s) in Unit? (FLAG)
if the answer is "oneOf [Yes]"
DESCRIPTION AND NAMES OF PETS ALL INFO
OVERALL STATUS? PASS OR FAIL (FLAG)
INSPECTOR SIGNATURE
Click here to sign
Date Signed
Source: YWCA SEATTLE (Community Member)