Tornado Aftermath Building Assessment Form
Assessment Date
Assessor Name
Contact Phone
Property Information
Property Address
Owner Name
Owner Phone/Email
Type of Building
Residential
Commercial
Public
Other
Number of Floors
Year Built
Observed Damage
Roof Condition
Intact
Partially Damaged
Major Damage
Collapsed
Walls/Structure
Intact
Cracked
Partially Collapsed
Collapsed
Windows/Doors
No Damage
Broken
Missing
Utilities Functional?
Yes
No
Partial
Flooding Present?
No
Minor
Significant
Other Hazards
Details & Notes
Additional Comments / Description of Damage
Assessment Summary
Overall Structural Integrity
Safe
Unsafe
Restricted Entry
Immediate Actions Required