UNIT INSPECTION REPORT

Project Name:______Type of Inspection:______ MOVE IN

Name of Family:______ MOVE OUT

Unit No.______No. of Bedrooms:______Date______ PERIODIC

Acceptable RepairsNeededor Comments Acceptable Repairs Needed or Comments

ENTRANCE / YES / NO / BEDROOM NO. 1 / YES / NO
Steps and Landings / Walls
Handrails / Doors
Doors / Door Hardware/Locks/Stops
Door Hardware/Locks/Stops / Ceiling
Floors / Floor
Walls / Electrical Outlets
Ceilings / Lighting
Windows/Coverings / Windows/Coverings
Lighting / Closets
Electrical Outlets / BEDROOM NO. 2
Closets / Walls
LIVING/DINING AREA / Doors
Floors / Door Hardware/Locks/Stops
Doors / Ceiling
Walls / Floor
Ceilings / Electrical Outlets
Windows/Coverings / Lighting
Lighting / Windows/Coverings
Electrical Outlets / Closets
Closets / BEDROOM NO. 3
Other / Walls
KITCHEN / Doors
Ceiling / Door Hardware/Locks/Stops
Doors / Ceiling
Door Hardware/Locks/Stops / Floor
Walls / Electrical Outlets
Floor / Lighting
Countertops / Windows/Coverings
Range / Closets
Range Hood/Fan / BEDROOM NO. 4
Refrigerator / Walls
Refrigerator Coils / Doors
Sink/Faucets / Door Hardware/Locks/Stops
Electrical Outlets / Ceiling
Lighting / Floor
Cabinets / Electrical Outlets
Garbage Disposal / Lighting
Dishwasher / Windows/Coverings
Closets/Pantry / Closets
Other / SAFETY EQUIPMENT
HALLWAY / Smoke Detectors
Floor / Fire Extinguisher
Walls / Medical Alert
Electrical Outlets / Stovetop Firestops
Lighting / Notes:
Closets

Lighting= Fixtures, bulbs, switches and timers.

Closets = Floor/Walls/Ceiling/, shelves/rods and lighting.

Acceptable RepairsNeededor Comments Acceptable RepairsNeededor Comments

BATHROOM NO. 1 / YES / NO / MISCELLANEOUS / YES / NO
Doors / Washer/Dryer
Door Hardware/Locks/Stops / Doorbell/Knocker
Walls / Showed resident where cut-off values are located Yes No
Ceiling / HVAC EQUIPMENT
Closets / Furnace
Floor / Filter
Toilet / Thermostat
Basin/Faucets/Vanity / Hot Water Heater
Tub or Shower
Shower Curtain Rod / NOTES:
Towel Rack(s)
Soap Dish/T.P. Holder
Electrical Outlets
Lighting
Windows/Coverings
Exhaust Fan
Medicine Cabinet
BATHROOM NO. 2
Doors
Door Hardware/Locks/Stops
Walls
Ceiling
Closets
Floor
Toilet
Basin/Faucets/Vanity
Tub or Shower
Shower Curtain Rod
Towel Rack(s)
Soap Dish/T.P. Holder
Electrical Outlets
Windows/Coverings
Exhaust Fan
Medicine Cabinet

Management Certification: This unit is in decent, safe and sanitary condition. Any such deficiencies identified in this report will be

remedied within 30 days of the date the tenant moves into the unit; or if found during a periodic inspection, within 30 days of discovery.

Management Signature: ______Date: ______

  

Family Certification: I have inspected the apartment and found this unit to be in decent, safe and sanitary condition. Any deficiencies

are noted above. I recognize that I am responsible for keeping the apartmentin good condition, with the exception of normal wear. In the

eventof damage, I agree to pay the cost to restore the apartment to its original condition.

Signature of family member(s) who made this inspection: ______Date: ______

______Date: ______

Move-Out: Tenant agrees with move-out inspection.

Tenant disagrees with move-out inspection. If disagree, list specific items of disagreement below:

______

Signature of family member(s) who made this inspection: ______Date: ______

______Date: ______

Management Signature: ______Date: ______

Copy of completed form must be provided to tenant.

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