Date:
Time:
Exterior Check Points:
[ ] Property entry points and perimeter
Undisturbed [x] Visited [ ] ___________ Intrusion [ ]
___________
[ ] Dwelling entry points/ doors and windows
Undisturbed [x] Leaking [ ] ___________
Intrusion [ ] ___________
[ ] Trees and limbs fallen or damaged [ ] Normal [x]
[ ] Roof snow load or wind damage/ shingle status:
[ ] Animal or insect presence Yes [ ] ___________
No [x]
[ ] Overall exterior countenance Normal [x] Disturbed [ ]
___________
[x] Pictures Taken
[x] Temperature in Celsius:
Water temperature in Celsius:
[ ] Extreme weather conditions since last visit Yes [ ]
___________ No [x]
Interior Check Points:
[ ] Ceiling/ windows/ doors
Normal [x] Leaks [ ] ___________
Cracks/Broken [ ] ___________
[ ] Animal or insect detection Yes [ ] ___________
No [x]
[ ] Plumbing and electrical Normal [x] Leaks [ ] Thompson plumbing
does opening and closing
[ ] Intrusion theft or vandalism Yes [ ] ___________
No [x]
[ ] Heating source fuel levels [ ] Fire place and several space
heaters
[ ] Flooding crawl space Yes [ ] ___________
No [x] Temperature in Celsius
[x] Pictures Taken[x]
Temperature in Celsius:
Additional Comments:
_________________________________________________
Pictures Taken:
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