Housing Choice Voucher Program Inspection Checklist (Omb Approval No. 2577-0169) Page 5
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No
In -
Item
6. Building Exterior
Final Approval
Comment
No.
Pass
Fail
Conc.
Date (mm/dd/yyyy)
6.1 Condition of Foundation
6.2 Condition of Stairs, Rails, and Porches
6.3 Condition of Roof/Gutters
6.4 Condition of Exterior Surfaces
6.5 Condition of Chimney
Not Applicable
6.6 Lead Paint:
Exterior Surfaces
Are all painted surfaces free of deteriorated
paint?
If not, do deteriorated surfaces exceed 20
square feet of total exterior surface area?
6.7 Manufactured Home: Tie Downs
7. Heating and Plumbing
7.1 Adequacy of Heating Equipment
7.2 Safety of Heating Equipment
7.3 Ventilation/Cooling
7.4 Water Heater
7.5 Approvable Water Supply
7.6 Plumbing
7.7 Sewer Connection
8. General Health and Safety
8.1 Access to Unit
8.2 Fire Exits
8.3
Evidence of Infestation
8.4
Garbage and Debris
8.5
Refuse Disposal
8.6
Interior Stairs and Commom Halls
8.7
Other Interior Hazards
8.8
Elevators
8.9
Interior Air Quality
8.10 Site and Neighborhood Conditions
8.11 Lead-Based Paint: Owner's Certification
Not Applicable
If the owner is required to correct any lead-based paint hazards at the property including deteriorated paint or other hazards identified by a
visual assessor, a certified lead-based paint risk assessor, or certified lead-based paint inspector, the PHA must obtain certification that the
work has been done in accordance with all applicable requirements of 24 CFR Part 35. The Lead -Based Paint Owner Certification must be
received by the PHA before the execution of the HAP contract or within the time period stated by the PHA in the owner HQS violation notice.
Receipt of the completed and signed Lead-Based Paint Owner Certification signifies that all HQS lead-based paint requirements have been
met and no re-inspection by the HQS inspector is required.
Page 5 of 8
Previous editions are obsolete
form HUD-52580 (3/2001)
ref Handbook 7420.8
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