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GreenHome
Inspection Form
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Assessor Name
*
First
.
Last
Email
*
Email
Confirm Email
Assessor Company
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Main contact name for property
First
.
Last
Main contact Email
Main contact phone
Address of Audit
*
Street Address
Layout
Address Line 2
City
ZIP / Postal Code
.
State / Province / Region
Date of audit
*
Home Energy Score
*
Other or N/A
1
2
3
4
5
6
7
8
9
10
If any
Building # Home Energy Score
If any
Upload any relevant energy rating files
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Overall Expressed Goals & Concerns of the owner
0 of 2000 max characters
This is a good time to interview the person who lives in or manages the property. Ask about comfort, health issues, their feelings on the cost of utility bills, do they want to save energy or carbon. What are their goals or concerns for their home?
File
Click or drag a file to this area to upload.
Max. file size: 1000 MB
Photos of exterior elevations of the home
Remediation measures
LEAD Inspection for Pre 1978 Homes
*
Did not review lead issues
Home was built post 1977
Home was inspected, notes are below
Someone else inspected this home before, details will be sent.
Lead was already remediated, detailed provided
Notes on LEAD
Photos lead concerns
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Dropdown
Did not inspect asbestos
No Asbestos
Asbestos found but safe to test
Asbestos found - will not blower door
Photos of Asbestos
Click or drag a file to this area to upload.
Max. file size: 1000 MB
Only if relevant
Knob & Tube Wiring Present?
*
Unknown or didn't check
No
Yes
Visible Mold Present?
*
Unknown or didn't check
No
Yes
Moisture meter readings in basement / ground connected floors
Any Structural issues present?
*
Unknown or didn't check
No
Yes
Water Management Around Foundation
*
Other or NA or Did not check
Gutters installed and discharging away from home
Grounded sloped away from home
Gutters missing or improperly Installed
Mature plants near foundation?
*
Other or NA or did not check
18 inches or more away
Closer than 18 inches
Adequate roof ventilation?
*
NA / Did not review
Yes
No - roof should be ventilated to ensure better durability
Old Chimney present?
*
Did not check this
No
In attic only
Penetrating to exterior through the roof
On the side of the house
Details about carpeting
*
Did not check for this
Carpeting within 3 feet on entry doors
Carpeting in the kitchen
Carpeting in laundry area
Carpeting in basement?
No concerns or issues with carpeting in moisture rich areas
Avoid carpeting in moisture-rich areas for silver level.
Radon Testing
*
No test or NA
Home had radon test done
Radon System Installed
Test was left with homeowner
Test was activated at home
Further radon details on systems or structure
Photos of radon systems or reports
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Passive or active systems or radon protection
Water leak testing
*
NA or did not test
No water leak detected
Water leak detected
Water leak specific locations
No leak issues
Pipe issue - water leaks found on walls or ceilings
Toilet issue - Running or silent leak
Faucet leak issue - Severity Weep
Faucet leak issue - Severity Drip
Faucet leak issue - Severity Stream
Select all that apply and give more details in the notes below along with photos.
Water Leak Details
Water Pressure Test
*
NA - Didn't test
Completed - 55 - 65 PSI
Completed - Below 55 PSI
Completed - Above 65 PSI
Photos of water leak issues and pressure
Click or drag a file to this area to upload.
Max. file size: 1000 MB
Only if relevant
Safety Issues
Gas leakage testing
*
Did not test gas leaks
No gas leaks
Gas leaks found
Home is all electric
Gas leak details
Photos of gas leak details
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Details of the water heater
*
Did not review the water heater or none present
Water heater is naturally drafting
Water heater is sealed combustion
Water heater is electric
Water heater Tankless gas
Water heater is a heatpump
Other details see notes
Other notes or concerns with the water heater
Combustion Analyzation Testing
*
Did not test and did not review
Did not test but water heater is naturally drafting
Tested - CO and/or back drafting issues
Did not test but furnace is naturally drafting
Did not test but both water heater and furnace are naturally drafting
Sealed combustion or power venting present -No testing required
Tested - No backdrafting or CO issues
No Combustion on property
Ambient CO @ PPM
Cooking stove type
*
Did not evaluate the stove
Gas, wood or bio fuel (combustion)
Electric or Induction
None present but gas hook up where stove goes
None present
Gas Stove/Oven CO @ PPM
Photos of stove
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Carbon Monoxide Detector Details
*
Did NOT review for CO alarms
1 on each floor
Only one one floor but missing from the other(s) - Add 1 to remaining floor(s)
None found - Recommend adding 1 on each floor.
Are cleaners, solvents or other toxic chemicals within view or reach?
*
Did not review
None
A few
Yes
Example, under the sink, exposed in the basement, near ventilation system or sitting out in a garage.
Fireplace
*
Did review if there was a fireplace
No fireplace
Fireplace in but shut down / can't be used
Fireplace installed but not indoor air plus or equivalent
Fireplace installed and certified indoor air plus or equivalent
Explain any potential indoor air quality issues
*
Examples include toxic chemicals under the sink, in the basement in the garage, 2nd or 3rd hand smoke off-gassing, animal smells and etc.
Spot Ventilation
Bathroom ventilation details
*
Did not review bathfan 1
Completed toilet paper test on bath fan 1
All Bath fan(S) vent to exterior
All Bath fan(s) ducts are insulated in unconditioned attic
All Bath fan(s) vent to attic
All Bath fan(s) are energy efficient
All Bath fan(s) are running through an ERV/HRV
Other
No bath fan present
CHECK ALL THAT APPLY
Bath fan notes & CFM Rates 1
Put in at the very least all CFM rate of bathroom tested or details on toilet paper test
Photos of bathfan and label of device
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant - Including testing data
Bathroom ventilation details 2
*
Did not review bathfan 2
Completed toilet paper test on bath fan 2
All Bath fan(S) vent to exterior
All Bath fan(s) ducts are insulated in unconditioned attic
All Bath fan(s) vent to attic
All Bath fan(s) are energy efficient
All Bath fan(s) are running through an ERV/HRV
Other
No bath fan present
CHECK ALL THAT APPLY
Bath fan #2 notes & CFM Rates
Put in at the very least all CFM rate of bathroom
Photos of bathfan and label of device
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Kitchen Hoodrange Details
*
Did not review
Hoodrange is vented out the attic and insulated
Hoodrange is recirculating
Hoodrange Vents to Attic
Hoodrange vents outdoors
None present please add!
Kitchen is vented through ERV or HRV
Smart ventilation system
Hoodrange CFM
Required for GreenStar Certification to ideally meet 100 CFM. If range is too big to test fully note the flow rate and get the spec off the microwave as well as review the ducting to ensure it is straight up or straighout
Photo of rangehood
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Is the dryer properly vented?
*
Did not review dryer venting
Yes
No
Electric Dryer
No Dryer
Heatpump Dryer
Condensing Dryer
Dryer Venting notes
Photo of dryer venting
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Other Items to improve
Are the hot water pipes wrapped?
*
Did not review
No
Yes
Partial
No hot water pipes
Are the cold water pipes wrapped?
*
Did not review
No
Yes
Partial
No hot water pipes
Rim Joist Detail
*
Did not review rimband joist
Rimband is hidden or barried
Insulated and air sealed
Insulated only
Air sealed only
Not insulated or air sealed
No Rimband present
Rim Joist Details
Lighting in high use rooms and outdoors
*
Did not review lighting
Mostly CFLs or LEDs
All LEDS
Mostly CFLs
Mostly Incandescent or HID
No lights
Are appliances Energy Star?
*
Dryer
Washer
Fridge
Dishwasher
No appliances in the home
None of the appliances are energy star
Check all that are
Photos of appliances and the labels on them
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Enter in bathroom flow rate(s) on the aerator(s)
Enter in Shower head flow rate(s) on the heads
Enter in toilet(s) gallons per flush or note dual flush rate
Photo water flow devices and their labels
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Furnance and/or ERV MERV rating #
Please write did not review if you did not
Photo MERV filter and install of filter box
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Electrical Upgrade Opportunities
Did not review
Open breakers available or unused
NEMA plug in garage our outside near parking
NEMA plug on it's own circuit
Electric car and heatpump ready review
Photo of electrical box and other plugs or car charger
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 1000 MB
Only if relevant
Solar PV Potential
*
Did not review solar
Home appears to be shaded greatly
Home may be shaded lightly
No shading on the roof
Older roof - needs replacement
Adequate spacing facing East, West or South
NA
Check all that apply
General Photos from Inspection
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You can upload up to 5 files.
Max. file size: 5 GB
2 - 4 photos of the exterior of the home from all sides
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You can upload up to 5 files.
Max. file size: 5 GB
HES Feature Notes
Basement or Crawlspace notes
Basement / Crawl insulation detail
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 5 GB
HVAC + Water heating details
HVAC + Water heating details
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You can upload up to 5 files.
Max. file size: 5 GB
Above grade wall insulation details
Above grade wall insulation details PHOTO
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You can upload up to 5 files.
Max. file size: 5 GB
Attic insulation details
Attic insulation details PHOTO
Click or drag files to this area to upload.
You can upload up to 5 files.
Max. file size: 5 GB
Recommendations to improve your home & score
Auditor Notes
Drop in other details or recommendations for the home
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