Lead-Based Paint Site Review Worksheet
Site Information
Project/Site Name
Site Address
City / State / Zip
Assessor's Name
Date of Review
Property Details
Building Type
Year Built
Number of Units
Lead-Based Paint Assessment
Assessment Performed
Visual Assessment
Paint Testing
Risk Assessment
Other
Findings / Observations
Lead Hazards Identified
Areas Effected
Recommendations
Abatement / Interim Controls
Actions Taken or Required
Date Work Completed
Notes
Reviewer Signature
Name
Date