| Date | Inspector | ||
|---|---|---|---|
| Property Address | |||
| Owner/Occupant | Contact | ||
| Item | Pass | Needs Attention | Comments |
|---|---|---|---|
| Doors and Windows Sealed Properly | |||
| Wall Insulation | |||
| Attic Insulation | |||
| Basement/Crawlspace Insulation |
| Item | Pass | Needs Attention | Comments |
|---|---|---|---|
| HVAC Filter Condition | |||
| Thermostat Functionality | |||
| Visible Duct Leaks |
| Item | Pass | Needs Attention | Comments |
|---|---|---|---|
| Pipe Insulation | |||
| Water Heater Age/Condition | |||
| Hot Water Temp Setting |
| Item | Pass | Needs Attention | Comments |
|---|---|---|---|
| LED or CFL Bulbs Installed | |||
| ENERGY STAR Appliances |
| Item | Pass | Needs Attention | Comments |
|---|---|---|---|
| Exhaust Fans Operational | |||
| Ventilation Ducts Clean |