Free 4 Point Inspection PDF Template Open 4 Point Inspection Editor Here

Free 4 Point Inspection PDF Template

The 4 Point Inspection Form is a crucial document used to assess the condition of a property's roof, electrical, HVAC, and plumbing systems. This inspection is typically required by insurance companies to determine whether a home meets their underwriting guidelines. Completing this form accurately is essential for ensuring your property is eligible for coverage.

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Key takeaways

Filling out and utilizing the 4 Point Inspection form is crucial for ensuring the insurability of a property. Here are some key takeaways to keep in mind:

  • Complete Information: Ensure that all sections of the form are filled out accurately. This includes the insured/applicant name, application or policy number, address inspected, and details about the property’s systems.
  • Photo Documentation: Adhere to the minimum photo requirements. Photos must be provided for each side of the dwelling, each slope of the roof, and key plumbing and electrical components. This visual evidence supports the written findings.
  • Licensed Inspector: Only a Florida-licensed inspector may complete, sign, and date the form. This requirement ensures that the inspection meets state standards and is credible for underwriting purposes.
  • Condition Assessment: The inspector must evaluate the condition of the roof, electrical, HVAC, and plumbing systems. Each system should be certified as satisfactory or unsatisfactory, with detailed explanations for any deficiencies noted.
  • Additional Comments: Use the comments section to elaborate on any updates, hazards, or deficiencies. Providing thorough descriptions helps the underwriting team make informed decisions.
  • Agent Review: Before submission, the writing agent must review the completed form to ensure compliance with all requirements. Applications for properties with significant deficiencies or hazards should not be submitted.

4 Point Inspection Preview

4-Point Inspection Form

Insured/Applicant Name:_________________________________________________ Application / Policy #:__________________________

Address Inspected:___________________________________________________________________________________________________

Actual Year Built:________________________

Date Inspected: ______________________________________________

 

 

Minimum Photo Requirements:

 

Dwelling: Each side

Roof: Each slope

Plumbing: Water heater, under cabinet plumbing/drains, exposed valves

Main electrical service panel with interior door label

Electrical box with panel off

All hazards or deficiencies noted in this report

A Florida-licensed inspector must complete, sign and date this form.

Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected.

Electrical System

Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician.

Main Panel

 

 

Second Panel

 

Type:

Circuit breaker

Fuse

 

Type:

Circuit breaker Fuse

 

Total Amps: __________

 

 

Total Amps: __________

 

Is amperage sufficient for current usage?

Yes No (explain)

Is amperage sufficient for current usage?

Yes No (explain)

 

 

 

 

 

 

 

Indicate presence of any of the following:

Cloth wiring

Active knob and tube

Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):

* If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided.

Connections repaired via COPALUM crimp Connections repaired via AlumiConn

Hazards Present

 

 

Double taps

Blowing fuses

 

 

Exposed wiring

Tripping breakers

 

 

Unsafe wiring

Empty sockets

 

 

Improper breaker size

Loose wiring

 

 

Scorching

Improper grounding

 

 

Other (explain)

Corrosion

 

 

 

Over fusing

 

 

 

 

 

 

 

General condition of the electrical system:

Satisfactory

Unsatisfactory (explain)

Supplemental information

Main Panel

Second Panel

Wiring Type

Panel age: __________

Panel age: __________

Copper

Year last updated: __________

Year last updated:__________

NM, BX or Conduit

Brand/Model: __________

Brand/Model: __________

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

HVAC System

Central AC:

Yes

No

Central heat:

Yes

No

If not central heat, indicate primary heat source and fuel type: _________________________________

Are the heating, ventilation and air conditioning systems in good working order?

Yes

No (explain)

Date of last HVAC servicing/inspection: ______________

 

 

 

 

 

 

 

 

 

 

 

 

Hazards Present

 

 

 

 

 

 

 

Wood-burning stove or central gas fireplace not professionally installed?

Yes

No

 

Space heater used as primary heat source?

Yes

No

 

 

 

Is the source portable?

Yes

No

 

 

 

 

 

Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area?

Yes No

Supplemental Information

Age of system: _____________

Year last updated: _____________

(Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate)

Plumbing System

Is there a temperature pressure relief valve on the water heater?

Yes

No

 

Is there any indication of an active leak?

Yes

No

 

 

 

Is there any indication of a prior leak?

Yes

No

 

 

 

Water heater location: _______________________________________________

 

 

 

 

General condition of the following plumbing fixtures and connections to appliances:

 

Satisfactory Unsatisfactory

N/A

 

Satisfactory Unsatisfactory

N/A

 

Dishwasher

 

 

 

Toilets

 

Refrigerator

 

 

 

Sinks

 

Washing machine

 

 

 

Sump pump

 

Water heater

 

 

 

Main shut off valve

 

Showers/Tubs

 

 

 

All other visible

 

 

 

 

 

 

 

If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.).

Supplemental Information

Age of Piping System:

 

Type of pipes (check all that apply)

 

_____

Original to home

 

Copper

 

 

 

 

 

_____

Completely re-piped

 

PVC/CPVC

 

 

 

 

 

_____

Partially re-piped

 

Galvanized

 

 

 

 

 

(Provide year and extent of renovation in the comments below)

 

PEX

 

 

 

 

 

 

 

 

Polybutylene

 

 

 

 

Other (specify)

 

 

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.)

Predominant Roof

Covering material: __________

Roof age (years): __________

Remaining useful life (years): __________

Date of last roofing permit: __________

Date of last update: __________

If updated (check one):

Full replacement Partial replacement

%of replacement: __________

Overall condition:

Satisfactory

Unsatisfactory (explain below)

Any visible signs of damage / deterioration?

(check all that apply and explain below)

Cracking

Cupping/curling

Excessive granule loss

Exposed asphalt

Exposed felt

Missing/loose/cracked tabs or tiles

Soft spots in decking Visible hail damage

Any visible signs of leaks? Yes No

Attic/underside of decking Yes No

Interior ceilings Yes No

Secondary Roof

Covering material: __________

Roof age (years): __________

Remaining useful life (years): __________

Date of last roofing permit: __________

Date of last update: __________

If updated (check one):

Full replacement Partial replacement

%of replacement: __________

Overall condition:

Satisfactory

Unsatisfactory (explain below)

Any visible signs of damage / deterioration?

(check all that apply and explain below)

Cracking

Cupping/curling

Excessive granule loss

Exposed asphalt

Exposed felt

Missing/loose/cracked tabs or tiles

Soft spots in decking Visible hail damage

Any visible signs of leaks? Yes No

Attic/underside of decking Yes No

Interior ceilings Yes No

Additional Comments/Observations (use additional pages if needed):

All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct.

Inspector Signature

 

Title

 

License Number

 

Date

 

 

 

 

 

 

 

Company Name

 

License Type

 

Work Phone

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

Special Instructions: This sample 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable.

Photo Requirements

Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include:

Dwelling: Each side

Roof: Each slope

Plumbing: Water heater, under cabinet plumbing/drains, exposed valves

Open main electrical panel and interior door

Electrical box with the panel off

All hazards or deficiencies

Inspector Requirements

To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include:

A general, residential, or building contractor

A building code inspector

A home inspector

Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.)

Documenting the Condition of Each System

The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies.

Additional Comments or Observations

This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection:

Updates: Identify the types of updates, dates completed and by whom

Any visible hazards or deficiencies

Any system determined not to be in good working order

Note to All Agents

The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies.

Sample Form Insp4pt 01 18

Similar forms

The Home Inspection Report is similar to the 4-Point Inspection Form in that both documents assess the condition of a home. Home inspectors evaluate various systems, including plumbing, electrical, and HVAC, much like the 4-Point Inspection focuses on these same areas. However, a Home Inspection Report typically provides a broader overview, covering more aspects of the home, such as structural integrity and safety features. This comprehensive approach helps potential buyers understand the overall condition of a property before making a purchase.

Understanding the legal aspects of vehicle ownership can be crucial for both buyers and sellers. When transferring ownership of an all-terrain vehicle in California, using a valid bill of sale is essential. This document not only solidifies the transaction but also minimizes the risk of misunderstandings in the future. For those looking to facilitate this process smoothly, a useful resource can be found at https://templates-guide.com/california-atv-bill-of-sale-template/, which provides a template that ensures all necessary details are captured effectively.

The Roof Inspection Report shares similarities with the 4-Point Inspection Form, particularly in its focus on the roof's condition. Both documents require detailed information about the roof's age, material, and any visible damage. While the 4-Point Inspection includes roof assessment as part of a larger evaluation, a Roof Inspection Report usually concentrates solely on the roofing system. This focused analysis is essential for homeowners or buyers concerned about potential leaks and the roof's remaining lifespan.

The Electrical Inspection Report is another document akin to the 4-Point Inspection Form. Both reports examine the electrical systems within a property, identifying potential hazards and ensuring compliance with safety standards. The 4-Point Inspection Form includes specific questions about the electrical panel and wiring types, while an Electrical Inspection Report may provide a more detailed analysis of the electrical system's overall safety and functionality. This distinction is crucial for homeowners seeking to ensure their electrical systems are up to code.

Lastly, the HVAC Inspection Report is comparable to the 4-Point Inspection Form in that it evaluates heating, ventilation, and air conditioning systems. Both forms assess the condition and functionality of these systems, including their age and maintenance history. However, the HVAC Inspection Report often delves deeper into the performance of the system, providing recommendations for repairs or upgrades. This level of detail is particularly valuable for homeowners looking to optimize their energy efficiency and comfort.

How to Use 4 Point Inspection

Completing the 4 Point Inspection form is a crucial step in assessing the insurability of a property. This process requires careful attention to detail and accurate reporting of the condition of key systems within the home. Follow the steps below to ensure that the form is filled out correctly and thoroughly.

  1. Fill in the Insured/Applicant Information: Write the name of the insured or applicant at the top of the form. Include the application or policy number and the address of the property being inspected.
  2. Document the Year Built and Inspection Date: Record the actual year the property was built and the date when the inspection took place.
  3. Gather Minimum Photo Requirements: Take clear photos of each side of the dwelling, all slopes of the roof, and specific plumbing and electrical components as outlined in the form.
  4. Complete the Electrical System Section: Indicate the type of main and second panels, their total amperage, and whether the amperage is sufficient for current usage. Note any hazards present and assess the general condition of the electrical system.
  5. Assess the HVAC System: Answer questions regarding the central AC and heating systems. Document the date of the last HVAC servicing and any hazards present.
  6. Evaluate the Plumbing System: Confirm the presence of a temperature pressure relief valve on the water heater and check for any leaks. Assess the general condition of plumbing fixtures and connections.
  7. Inspect the Roof: Fill in details about the roof covering material, age, and overall condition. Note any visible signs of damage or leaks.
  8. Provide Additional Comments: Use this section to elaborate on any issues found during the inspection, including updates or visible hazards.
  9. Sign and Date the Form: Ensure that a Florida-licensed inspector completes, signs, and dates the form, certifying that the information provided is accurate.

Once the form is completed, it is essential to review it thoroughly before submission. This ensures that all necessary details are included and that the inspection meets underwriting requirements. Proper documentation and clarity can significantly impact the insurability of the property in question.

Documents used along the form

The 4-Point Inspection Form is a crucial document used in property insurance applications, particularly in Florida. Along with this form, several other documents are often required to provide a comprehensive assessment of a property’s condition. These documents ensure that all relevant information is available for underwriting decisions. Below is a list of additional forms and documents commonly associated with the 4-Point Inspection Form.

  • Roof Inspection Form: This document specifically assesses the condition of the roof. It includes details about the roofing material, age, and any visible damage. Photographic evidence is typically required to support the findings.
  • HVAC Inspection Report: This report provides an in-depth evaluation of the heating, ventilation, and air conditioning systems. It details the age, condition, and maintenance history, ensuring that these systems are functioning properly.
  • Plumbing Inspection Report: This document focuses on the plumbing system, including water supply lines, drainage, and fixtures. It identifies any leaks or potential hazards and assesses the overall condition of the plumbing infrastructure.
  • Electrical Inspection Report: This report evaluates the electrical systems in the property, including the main panel and wiring. It identifies any safety hazards and ensures that the electrical systems comply with local codes.
  • Appraisal Report: An appraisal report provides an estimated value of the property based on its condition and comparable sales in the area. This document is essential for determining coverage limits and premiums.
  • Vehicle Bill of Sale Forms: Necessary for documenting the sale and transfer of a vehicle's ownership, ensuring compliance with registration requirements in Maryland. For more information, visit Vehicle Bill of Sale Forms.
  • Insurance Application: This form collects essential information about the property and the applicant. It includes details such as the property address, ownership history, and any previous claims.
  • Property Disclosure Statement: This statement is provided by the seller and outlines any known issues with the property. It serves to inform potential buyers and insurers about existing problems that could affect insurability.
  • Supplemental Documentation: This may include any additional reports or certifications from licensed professionals, such as pest inspections or environmental assessments, which provide further insight into the property's condition.

In summary, these documents work in conjunction with the 4-Point Inspection Form to provide a thorough evaluation of a property. Together, they help ensure that all necessary information is available for making informed underwriting decisions. Proper documentation is vital for protecting both the insurer and the insured, ultimately contributing to a smoother insurance process.

Common mistakes

  1. Incomplete Information: Failing to fill out all required fields, such as the insured's name, application number, or address, can lead to delays in processing. Ensure every section is complete before submission.

  2. Missing Signatures: The form must be signed and dated by a Florida-licensed inspector. Without this, the form will not be accepted, regardless of the completeness of the information provided.

  3. Insufficient Photo Documentation: Not including the required photos can result in rejection. Each side of the dwelling, all roof slopes, and critical plumbing and electrical components must be photographed.

  4. Neglecting Hazards: If any hazards or deficiencies are present, they must be noted in the report. Omitting this information can mislead underwriters and affect insurability.

  5. Incorrect System Evaluations: It's essential to accurately assess the condition of each system. Labeling a system as “satisfactory” when it has issues can lead to serious consequences later.

  6. Overlooking Supplemental Information: Providing details about the age and type of systems is crucial. Missing this information can create gaps in understanding the property's condition.

  7. Inaccurate Descriptions: If the description of any system, like electrical or plumbing, is vague or incorrect, it can lead to misunderstandings. Clear and specific descriptions help in accurate assessments.

  8. Failing to Document Updates: Any updates to the systems should be clearly documented, including dates and the nature of the work done. This information is vital for assessing the property’s current state.

  9. Ignoring Agent Review: Before submission, the writing agent must review the form to ensure all rules and requirements are met. Skipping this step can result in rejected applications.

Dos and Don'ts

When filling out the 4 Point Inspection form, it is crucial to adhere to specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do:

  • Do ensure all required sections are completed fully, including the insured/applicant name and address.
  • Do provide clear and detailed descriptions of any hazards or deficiencies observed during the inspection.
  • Do include all necessary photographs that meet the minimum requirements outlined in the form.
  • Do have the form signed and dated by a Florida-licensed inspector to validate the inspection.
  • Don't omit any significant details regarding the condition of the roof, electrical, HVAC, or plumbing systems.
  • Don't submit the form without ensuring it has been reviewed for completeness and accuracy by the writing agent.