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Inspection Data Entry
Form for collection inspection information outside of Salesforce
Step
1
of
2
50%
Subject Information
Insured Name
Property Name
Address
Request Date
(Required)
Month
Day
Year
City/State/Zip:
Account
Transaction
Type of Property
New or Update
Subject Property
Residential - Total # of Units
Commercial - Total # of Units
Age of Wiring
Date Last Rewired if Bldg > 10 yrs
Date of Last Service or Upgrade to Plumb
Date of Last Service or Upgrade to HVAC
Fire Alarms - How Often Tested
Fire Sprinkler - How Often Tested
Are Fire Extinguishers Properly Tagged?
Yes
No
Per Unit
N/A
Roof Anchor
Rebar / Integrally Attached
Metal Bolts / Anchor / Straps
Toe Nailing
Unknown
Section 2
Opportunity
Property Considered
Property Usage
Residential
Recreational
Specified common elements
Commercial
Office
Educational
Religious
Governmental
Building Occupancy Types
Residential Condominiums
Residential Townhomes/Villas
Rental Apartments
Commercial
Residential - Total # of Units
Approx. SF of Commercial Space
Local Area Description
Residential
Commercial / Mercantile
Industrial / Manufacturing
Isolated City / Rural
North
Paved Road - North
Residential - North
Commercial - North
Industrial - North
Shopping Center - North
Pond - North
Lake - North
Canal River - North
Atlantic Ocean - North
Gulf of Mexico - North
Intracoastal Waterway - North
Bay - North
Gold Course - North
School - North
Park - North
Preserve - North
Municipal - North
Amenities - North
Under Construction - North
Undeveloped - North
Recreational - North
Other - North
South
Paved Road - South
Residential - South
Commercial - South
Industrial - South
Shopping Center - South
Pond - South
Lake - South
Canal River - South
Atlantic Ocean - South
Gulf of Mexico - South
Intracoastal Waterway - South
Bay - South
Gold Course - South
School - South
Park - South
Preserve - South
Municipal - South
Amenities - South
Under Construction - South
Undeveloped - South
Recreational - South
Other - South
East
Paved Road - East
Residential - East
Commercial - East
Industrial - East
Shopping Center - East
Pond - East
Lake - East
Canal River - East
Atlantic Ocean - East
Gulf of Mexico - East
Intracoastal Waterway - East
Bay - East
Gold Course - East
School - East
Park - East
Preserve - East
Municipal - East
Amenities - East
Under Construction - East
Undeveloped - East
Recreational - East
Other - East
West
Paved Road - West
Residential - West
Commercial - West
Industrial - West
Shopping Center - West
Pond - West
Lake - West
Canal River - West
Atlantic Ocean - West
Gulf of Mexico - West
Intracoastal Waterway - West
Bay - West
Gold Course - West
School - West
Park - West
Preserve - West
Municipal - West
Amenities - West
Under Construction - West
Undeveloped - West
Recreational - West
Other - West
Any Landmarks or Historical Building?
Net sq. Foot of Key Bldg.
Total Net Square Feet
Construction Class (ISO)
Frame (1)
Joisted Masonry (2)
Non-Combustible (3)
Masonry Non-Combustible (4)
Modified Fire Resistive (5)
Fire Resistive (6)
Mixed Construction, If Yes, See Narrative
Yes
No
Exterior Wall Construction
Reinforced Masonry w/ Stucco
Reinforced Masonry w/ Brick
Reinforced Masonry w/ Fiberboard Siding
Reinforced Masonry w/ Wood Siding
Reinforced Masonry w/ Paint
Wood Frame w/ Stucco
Wood Frame w/ Wood Siding
Wood Frame w/ Paint
Wood Frame w/ Fiberboard
Metal
Frame w/ Stucco
Other
Interior Wall Covering
Drywall
Wood
Tile
Paint
Other
Floor Construction
Reinforced Concrete
Wood
Metal
Other
Common Area Floor Coverings
None
Wood
Pavers
Hardwood
Ceiling Covering
Drywall
Wood
Tile
Paint
Other
Roof System
Built-Up Roof
Concrete Fill
Metal Sheathing / Shingle
Membrane Roof
Comp. Shingles
Concrete / Clay Tiles
Wood Shingles
Other
Roof Geometry
High Pitch (>14:12)
Medium Pitch (7:12 - 13:12)
Low Pitch (1:12 - 6:12)
N/A
Roof Structure
Wood Purlins / Trusses
Cast-in-Place or Pre-cast Reinforced Conrete
Metal Beal / Bar Joist
Other
Elevator/s
Yes
No
If Yes, Number and Condition
Fireplaces
None
Wood Burning; Good
Gas Burning; Good
See Comments
Porches/Decks
None
Reinforced Concrete
Wood
Pavers
Metal
Other
See Comment
Balconies/Walkways
None
Reinforced Concrete
Wood
Pavers
Metal
Other
See Comment
Balcony, Walkway, Porch Condition
Good
Fair
Poor
N/A
Feet Between Multiple Buildings
Date of Last Service or Upgrade to Elect
Varies
New
As Needed
Type of Plumbing
PVC
Iron
Copper
Lead
Brass
Type of Heating
None
Individual
Central
HVAC Fuel
Electric
Oil
Gas
Other
Type of Air Conditioning
None
Central
Individual
Adequate Number of Fire Extinguishers?
Yes
No
Smoke Detectors
None
Hardwired
Battery
Smoke Detectors
None
Hardwired
Battery
Fire Alarms
None
Local
Central Station
Fire Department
Fire Sprinkler System
None
Wet System
Dry System
Other
Areas Covered by Sprinkler System
Manual Pull Stations
Yes
No
Standpipes
Yes
No
Generator
Yes
No
Fire Department
Paid
Volunterr
Distance to the Fire Department
Security Systems
None
Local
Central
Police
Contacts/Beams
Security Camera System
Security Guards
None
Employees
Contracted
Regular Rounds
Guard Hours
Gated Community/Secured Building
None
Keyed
Electric
Supervised
Gate Hours
Crime Exposure
Low
Average
Medium
High
ISO Public Fire Protection Class (1-10)
Miles to Tidal Water
Roof Parapets
Yes
No
Roof Parapet (Height Inches)
Cladding system
Reinforced Masonry
Brick Veneer
Wood
Laminated Glass
Non-Protected Glass
Unreinforced Masonry Metal
EIFS
Other
Grade Floor Design
Partially Enclosed
Fully Enclosed
Breakaway Walls
Open Parking
Crawl Space
Other
Basement
No Basement
Basement w/ Fire Protection
Basement w/o Fire Protection
Basement w/ Unknown Fire Protection
Contents Vulnerability
Low
Average
Medium
High
Very High
Hurricane Shutters
No
Partial
Full
Impact Resistant Windows and Doors
Yes
No
Partial
Unknown
Procedures for Unprotected Openings
Yes
No
Doors, Windows, Appear Properly Sealed?
Yes
No
Equipment on Walls
None
Secure
Unsecure
Equipment on Roof
None
Secure
Unsecure
Construction
Operations
Hazards
Protections
Prior Losses
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