Hurricane Structural Damage Inspection Form

Property Information

Exterior Damage Assessment

Component	Damage Observed	Severity	Comments
Roof		Minor Moderate Severe
Walls		Minor Moderate Severe
Windows/Doors		Minor Moderate Severe
Foundation		Minor Moderate Severe

Interior Damage Assessment

Area	Damage Observed	Severity	Comments
Ceilings		Minor Moderate Severe
Walls		Minor Moderate Severe
Floors		Minor Moderate Severe
Other		Minor Moderate Severe

Utilities & Safety

Additional Notes

Inspector Signature