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Health Hazard Inspection Checklist
Inspector
Inspector Name
Address or Name of Property Being Inspected
Unit # Being Inspected
Kitchen
Kitchen Faucet Dripping?
Yes
No
Kitchen Sprayer Dripping?
Yes
No
Under Kitchen Sink Leak?
Yes
No
Dirty Dishes Accumulated?
Yes
No
Kitchen Unclean or Unsanitary?
Yes
No
Kitchen Notes
Bathroom
Bathroom Faucet Dripping?
Yes
No
Under Bathroom Sink Leak?
Yes
No
Shower/Tub Spout Dripping?
Yes
No
Toilet Running?
Yes
No
Bathroom Unclean or Unsanitary?
Yes
No
Bathroom Notes
Pets
Pet(s) Live in Unit?
Yes
No
Pet Odor Present?
Yes
No
Pet Feces or Urine Present?
Yes
No
Litter Box or Kennel Issues?
Yes
No
Pet Notes
Odors
Smoking Odor Present?
Yes
No
Other Odor Present?
Yes
No
Paraphernalia Present?
Yes
No
Oder Notes
Egress
Obstructed Path to Windows or Doors?
Yes
No
Cluttered or Unkept Bedrooms or Common Areas?
Yes
No
Egress Notes
Sanitation
Floors Unsanitary?
Yes
No
Garbage Stored in Unit?
Yes
No
Junk Accumulation in Unit?
Yes
No
Empty Food Container Accumulation in Unit?
Yes
No
Rodent or Bug Evidence or Concerns?
Yes
No
Sanitation Notes
Instructions
Reinspect?
Yes
No
Additional Comments
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