FACILITY CONDITION ASSESSMENT SURVEY
Garages/Carports/Unheated Structures:
Overall Condition: S

M
P
SH
FE
NA
NI
 Old/worn  Leaning  Bowed/sagging roof  Rot/damaged
Inspection limitations:  None
 No/restricted access
 Storage/finishes limited inspection:  Floors
%
 Walls
 Ceilings:
%
%
Type:  Attached  Detached
Comments:
Exterior:
1. Foundation:
Overall Condition: S
M
Inspection Limitations:  None
Material: Concrete
Cracks:  None
P
FE
NA
NI
 Entirely covered by ground/flashing/etc.
 Concrete block
 Numerous
SH
 Stone
 Brick
 Not visible at:
 Terra-cotta/ceramic veneer
 Small/minor/common/typical
 Medium/moderate
 Wood
 Other:
 Large/major/unusual
 Need to be monitored
 Settled
 Deterioration/damage
 Spalling
 Moisture stains/damage
 Tuck-pointing and/or repairs needed
 Paint or stucco is peeling
Comments:
2. Drainage:
Overall Condition: S
M
P
SH
FE
NA
NI
M
P
SH
FE
NA
NI
 Poor drainage
Comments:
3. Siding:
Overall Condition: S
Inspection Limitations:  None
 Shrubs/vines restricted view
Material:  Wood
 Hardboard
 Plywood
 Stucco
 Vinyl
Cracks:  None
 Steel
 Other:
 Aluminum
 Exterior insulated finish system (EIFS)
 Stone
 Asbestos-cement
 Concrete Block
 Fiber-cement
 Brick
 Asphalt
 Other:
 Small/minor/common/typical
 Numerous
 Medium/moderate
 Large/major/unusual
Paint/Finish:  Recently finished/painted/stained  Needs refinishing/painting/staining/caulking  Worn surfaces
 Peeling/flaking paint
 Possible lead based paint - health hazard
 Loose sections  Warped sections  Damaged sections at:
Rot: None  Minor/typical  Major
 No drip flashing on horizontal trim
 Mold/mildew - health hazard
 Insufficient clearance to/contact with soil (minimum clearance of 8" required) at:
Masonry:  veneer pulling away from walls:  Minor  Major
Rusted/corroded metal lintels:  None  Minor/typical  Major
Comments:
1
 Tuck-pointing needed:  Minor  Major
4. Overhangs/Trim:
Overall Condition: S
 Loose sections
M
P
SH
FE
NA
 Warped sections  Damaged sections
NI
 Areas of mold/mildew - health hazard
 Water stains/damage
Material:  Wood
 Other:
Cladding:  Metal
Finish:  Recently finished/painted/stained
 Vinyl
 Needs refinishing/painting/staining/caulking
 Worn surfaces
 Peeling/flaking paint  Possible lead based paint - health hazard
Rot:  None  Minor/typical
Soffit Vents:  None
 Major
 Blocked
Where:  Soffits
 Facias
 Other:
 Painted over
Comments:
5. Pedestrian Doors:
Overall Condition: S

 Nailed shut
Material:  Wood
 None
M
P
SH
 Difficult to open/close (binding)
 Metal
NA
NI
 Warped
 Damaged
 Broken/cracked glass
 Other:
Finish:  Recently finished/painted/stained

FE
 Needs refinishing/painting/staining/caulking
 Worn surfaces
 Peeling/flaking paint - possible lead based - health hazard
Rot:  None  Minor/typical
 Major
 No cap/drip flashing - maintain caulking
Storms/screens:  None  Missing
 Needs weatherstripping
 Not counted
 Not located
 Damaged
 Broken/cracked glass/screens
Comments:
6. Vehicle Doors:
 None
Overall Condition: S
M
 Warped
Material:  Wood
P
 Damaged
 Metal
Type:  Sectional overhead
SH
FE
NA
NI
 Broken/cracked glass  Difficult to lift  Needs adjustment
 Fiberglass
 Other:
 One-piece overhead
Finish:  Recently finished/painted/stained
 Hinged
 Sliding  Roll-up
 Needs refinishing/painting/staining/caulking
 Other:
 Worn surfaces
 Peeling/flaking paint - possible lead based - health hazard
Rot:  None  Minor/typical
 Major
 No cap/drip flashing - maintain caulking
Comments:
7. Vehicle Door Openers:
Overall Condition: S
M
 None
P
SH
 Operates properly
 Does not operate
 Reversed properly
 Reversed at safety beam
FE
 Old/worn
NA
NI
 Door needs bracing
 Did not mechanically reverse - safety hazard
 Did not easily mechanically reverse - safety hazard - adjust reverse sensitivity
 No stop/reverse for accidental closing on person/object
Comments:
2
8. Windows:
 None
Overall Condition: S
 Warped
Material:  Wood
M
P
 Damaged
 Metal
SH
FE
NA
 Broken/cracked glass
 Vinyl
NI
 Covered with boards/siding
 Other:
Finish:  Recently finished/painted/stained
 Needs refinishing/painting/staining/caulking
 Worn surfaces
 Peeling/flaking paint - possible lead based - health hazard
Rot:  None
 Minor/typical
 Major
Storms/screens:  None  Missing
 No cap/drip flashing - maintain caulking
 Not counted
 Broken/cracked/ripped glass/screens
 Not located
 Old/worn
 Damaged
 No storm window weep holes - need to be added
Comments:
9. Roofing:
Inspection Limitations:  None
 No/restricted access  Slippery surfaces (wet, snow, ice) - safety hazard
 Fragile surfaces
 Height - safety hazard
 Snow/ice/debris restricted inspection:
 Steep slope - safety hazard
% covered
 Edge trim/roof configuration obscures counting of roofing layers
 Remove old roofing layers prior to re-roofing
Number of roofing layers observed:
Inspected By:  Walking on roof
 Other:
 Ladder at roof edge(s)
 Binoculars
 From ground
 Other:
Pitched/Steep Slope Roofing (> 3:12):
Overall Condition: S
M
P
SH
FE
Material:  Composition asphalt/fiberglass shingles
 Metal
 Aged
 Slate
 Granule loss
 Bald spots - exposed asphalt
 Popped/protruding nails
 Sagging
 Split  Buckled/Bowed
 Rust/corrosion
 Missing shingles/tabs
 Evidence of improper repairs - patching with tar/mastic/caulking
 Lacks drip edge
 Wood shakes  Wood shingles
 Other:
 Cracked
 Shrinkage
NI
 Asphalt roll roofing
 Clay/concrete tile
 Curled
NA
 Opened/closed blisters
 Staining/algae discoloration
 Low spots
 Moss build-up
 Hail damage  Lacks drip edge
 Poor maintenance/cleaning
 Remove roofing layers prior to re-roofing
Comments:
Flat/Low Slope Roofing (≤3:12):
Overall Condition: S
M
P
SH
Material:  Built-up roof membrane (BUR)
 Metal
 Aged
 Cracked
 Hail damage
 Poor maintenance/cleaning
NA
 Blisters
 Composition asphalt/fiberglass shingles
 Rust/corrosion
 Seams exposed/cracked/open
 Alligatoring
 Damaged
Comments:
3
 Other:
 Missing ballast/gravel
 Low spots/evidence of ponding water
 Shingles misapplied to flat/low sloped roof
 Evidence of improper repairs - patching with tar/mastic/caulking
Flashings:  Missing
NI
 Single-ply (EPDM, modified bitumen, PVC, asphalt roll roofing)
 Sprayed polyurethane foam-based
 Granule loss
 Holes/gaps
FE
 Lacks drip edge
10. Flashings:
Overall Condition: S
Material:  Metal
 Worn
M
P
SH
FE
NA
NI
 Probably Lead at:
 Patched
Inadequate size
 Buckled
 Other:
 Gaps
 Holes
 Not properly installed
 Damaged
 Rusted/corroded - needs painting
 Need step flashing at:
Comments:
11. Valleys:
Overall Condition: S
M
P
Type:  Open (metal or roll roofing)
Material:  Metal
 Worn
SH
FE
NA
 Closed (Composition asphalt/fiberglass shingles)  Lap
 Composition asphalt/fiberglass shingles
 Top layer worn away
NI
 Patched
 Buckled
 Asphalt roll roofing
 Gaps
 Holes
 Woven
 Other:
 Damaged
 Rusted/corroded - needs painting
Comments:
12. Roof/Wall intersections:
Overall Condition: S
Material:  Metal
M
P
SH
FE
NA
NI
 Other:
 No flashing visible
 Evidence of prior repairs
 Sealed with tar/mastic/caulking - expect leaks/repairs
 Insufficient clearance between roof and bottom of siding (2" minimum) - expect leaks/rot/insects
Comments:
13. Gutters/Downspouts/Drainage:
Overall Condition: S
M
Inspection Limitations:  None
Material:  Metal
 Plastic
P
SH
NI
 Wood
% covered
 Other:
 Possible previous ice dam and water leakage problems
 Integral/built-in/internal
Gutters:  Missing sections
 Worn
 Peeling/flaking paint
 Loose straps/spikes/hangers
 Rotted  Improperly pitched/sloped
Rust/corrosion:  None  Minor
Downspouts:  Missing sections
 Holes
NA
 Snow/ice/debris restricted inspection:
 Heat cables on roof/gutters/downspouts
Type:  Exterior mounted
FE
 Worn
 Peeling/flaking paint
Rust/corrosion:  None
 Discharge onto roof
 Minor
 Damaged
 Holes
 No flashing to roof
 Cracked
 Clogged
 Major
 Loose section/straps
 Damaged
 Improper joint connections
 Splits
 Open seams
 Clogged - need cleaning
 Major
 Discharge directly into gutters
 Discharge above grade
 Discharge onto pavement - possible slipping safety hazard
 Need extensions/splash blocks (6 feet minimum away from facility)
 Discharge below grade, underground piping
 Piping abandoned
 Piping clogged/leaking
 Monitor for damage/freezing/blockage
 Piping connected to dry wells
Comments:
4
 Piping to daylight
Interior:
1. Floors:
Overall Condition: S
Material:  Concrete
Cracks:  None
M
P
 Wood
 Dirt
 Numerous
 Excessive cracking
FE
 Gravel
NA
NI
 Other:
 Small/minor/common/typical
 Water stains at cracks
Wood rot:  None  Minor/typical
 Settled
SH
 Medium/moderate
 Large/major/unusual
 Heaving
 Major
 Poor drainage - not sloped/pitched toward vehicle door (minimum of ¼” per foot slope/pitch)
Comments:
2. Interior Door(s):
Overall Condition: S
 Warped
Material:  Wood
 None
M
P
 Damaged
 Metal
SH
FE
NA
NI
 Broken/cracked glass
 Other:
Finish:  Recently finished/painted/stained
 Needs refinishing/painting/staining/caulking
 Worn surfaces
 Peeling/flaking paint - possible lead based - health hazard
Rot:  None  Minor/typical
 Major
 Difficult to open/close (binding)
 Needs to be fire-rated (fire hazard)
 Needs door closer
Comments:
3. Electrical:
Overall Condition: S
M
Panelboard (sub-panel):  None
P
SH
FE
 Circuit breaker
 Adequate capacity
Rating (amperes):
 Improper wiring - safety/fire hazard
NA
NI
 Fuse
 Inadequate capacity
 Old wiring unsafe
 Extension cord wiring to vehicle door opener - not allowed - safety hazard
Receptacle Outlets:  None found
 Worn/damaged
 Ungrounded - safety hazard
 Miss-wired - safety hazard
 Not GFCI protected (required) - safety hazard
 GFCI tested - not operating - safety hazard
Light Fixtures:  Adequate light levels
 Inadequate number of outlets
 Inadequate light levels  Need impact protection
 Lighting fixture(s) supported by cord(s) - not allowed
Comments:
4. Wall/Ceiling Surfacing:
Overall Condition: S
Material:  Plaster
M
 Drywall
 None
P
SH
 Plywood
FE
NA
 Other:
5
NI