Unit Inspection Form - Monthly
Please complete this form to document the inspection of an apartment unit.
Date of Inspection
*
-
Month
-
Day
Year
Date
Unit Number
*
Tenant Name (if occupied)
First Name
Last Name
Inspector Name
*
First Name
Last Name
Emergency Readiness
*
Rows
Suitable
Needs Repair
Smoke detectors present and functional
Emergency Exit unobstructed
Door locks function properly
If failed, please provide details.
Room Conditions
*
Rows
Suitable
Needs Repair
N/A
Wall, ceiling and floor in good repair
No exposed wiring or damaged outlets
Windows intact and operable
Door hinges secure
No water damage, mold or leaks
Adequate cleanliness
No pest activity observed
Adequate ventilation
If failed, please provide details.
Compliance
*
Rows
Yes
No
In compliance of THV/Shelter Standards
Additional Comments or Findings
Submit Inspection
Should be Empty: