Lead Paint Remediation Inspection Template

Property Information

Address Owner/Contact Name Phone Number Date of Inspection Inspector Name

Remediation Details

Remediation Contractor Work Start Date Work End Date Areas Remediated

Inspection Checklist

Item	Pass/Fail	Comments
Work area containment established	Pass Fail
Lead paint removal performed	Pass Fail
HEPA vacuum cleaning completed	Pass Fail
Waste disposal documented	Pass Fail
Final visual inspection completed	Pass Fail
Clearance dust wipe sampling	Pass Fail

Observations & Recommendations

Inspector Signature Date