Homepage Printable 4 Point Inspection Form in PDF

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

Documents used along the form

The 4-Point Inspection Form is an essential document used primarily in the insurance industry to evaluate the condition of a property. However, several other forms and documents often accompany it to provide a comprehensive overview of the property’s condition. Below are four commonly used documents that work in conjunction with the 4-Point Inspection Form.

  • Roof Inspection Form: This document specifically focuses on the roof's condition. It details the type of roofing materials used, the age of the roof, and any visible signs of damage or leaks. This form helps insurers assess the roof's integrity, which is critical for determining insurability.
  • Motor Vehicle Bill of Sale: A document that records the sale of a vehicle between the seller and buyer, serving as proof of purchase. For further details, view the form.
  • HVAC Inspection Report: This report evaluates the heating, ventilation, and air conditioning systems in a property. It includes information about the age of the systems, their current working condition, and any maintenance history. A well-documented HVAC system can influence insurance premiums and coverage options.
  • Electrical Inspection Report: This document provides a thorough assessment of the property's electrical system. It covers aspects such as the type of wiring, the condition of the main panel, and any potential hazards. Insurers require this report to ensure that the electrical systems meet safety standards and are free from risks that could lead to claims.
  • Plumbing Inspection Report: This report outlines the condition of the plumbing systems within the property. It includes details about the types of pipes used, any signs of leaks, and the condition of fixtures. This information is crucial for insurers to evaluate potential water damage risks.

Each of these documents plays a vital role in the overall assessment of a property’s insurability. Together with the 4-Point Inspection Form, they provide insurers with a detailed understanding of the property's condition, helping to ensure that homeowners receive appropriate coverage.

Similar forms

  • Home Inspection Report: Similar to the 4-Point Inspection Form, a home inspection report provides a comprehensive overview of the property's condition. It covers major systems such as plumbing, electrical, and HVAC, often highlighting issues that may affect safety or value.

  • Roof Inspection Report: This document focuses specifically on the roof's condition, detailing materials, age, and any visible damage. Like the 4-Point Inspection, it requires photographic evidence and is crucial for assessing potential insurance risks.

  • Electrical Inspection Report: An electrical inspection report evaluates the safety and functionality of a home's electrical system. It shares similarities with the 4-Point Inspection in that it identifies hazards and compliance with current codes, ensuring the system's reliability.

  • HVAC Inspection Report: This report assesses heating, ventilation, and air conditioning systems. It parallels the 4-Point Inspection by documenting system age, condition, and any maintenance needs, which are vital for ensuring comfort and safety in the home.

  • Birth Certificate Verification: The process of verifying a birth certificate is significant for various legal purposes, similar to how the CDC U.S. Standard Certificate of Live Birth is utilized. This verification ensures that the document is legitimate and accurately reflects the details necessary for identity confirmation, as highlighted by resources such as https://legalpdfdocs.com.

  • Plumbing Inspection Report: Like the 4-Point Inspection, this document examines the plumbing system for leaks, corrosion, and overall functionality. It provides essential details that can impact a property's insurability and habitability.

  • Insurance Underwriting Report: This report is used by insurers to evaluate risk before issuing a policy. It shares a common goal with the 4-Point Inspection, as both documents provide critical information about the property's condition and potential hazards.

Misconceptions

Misconceptions about the 4 Point Inspection form can lead to confusion and misunderstandings. Below are some common myths along with clarifications to help you better understand the purpose and requirements of this important document.

  • The 4 Point Inspection is optional for insurance applications. This is not true. Many insurance companies require this inspection to assess the condition of key systems before providing coverage.
  • Any inspector can complete the 4 Point Inspection. In reality, only a Florida-licensed inspector can fill out and sign this form. This ensures that the inspection meets state regulations and standards.
  • The form guarantees that my home is insurable. The 4 Point Inspection does not guarantee insurability. It serves as a tool for underwriters to evaluate the property, but other factors also influence the final decision.
  • All sections of the form must be completed by the same inspector. While one inspector must sign the form, different licensed professionals can complete specific sections based on their expertise, such as an electrician for electrical systems.
  • The inspection only focuses on visible issues. The 4 Point Inspection assesses both visible and potential hidden issues that could affect the safety and functionality of the home’s systems.
  • Photos are not necessary if the form is filled out correctly. Photos are a crucial part of the inspection process. They provide visual evidence of the conditions described in the form and are required for submission.
  • The 4 Point Inspection is the same as a home inspection. Although both types of inspections assess a property, the 4 Point Inspection specifically focuses on four key systems: electrical, HVAC, plumbing, and roofing, whereas a home inspection covers a broader range of areas.
  • Once completed, the form does not need to be reviewed. It is essential for the writing agent to review the 4 Point Inspection Form before submission. This ensures compliance with all rules and requirements, preventing potential delays in the application process.

Understanding these misconceptions can help you navigate the requirements of the 4 Point Inspection form more effectively. Always consult with a licensed professional for accurate assessments and guidance tailored to your specific situation.

Understanding 4 Point Inspection

  1. What is a 4 Point Inspection Form?

    A 4 Point Inspection Form is a document used primarily in Florida to assess the condition of a home’s four major systems: the roof, electrical, plumbing, and HVAC (heating, ventilation, and air conditioning). This inspection is often required by insurance companies to determine the insurability of a property.

  2. Who is qualified to complete a 4 Point Inspection?

    The inspection must be performed by a Florida-licensed professional. This can include general contractors, building code inspectors, or home inspectors. It is crucial that the inspector is licensed and has the expertise to evaluate each system thoroughly.

  3. What information is required on the form?

    The form requires details such as the insured's name, application or policy number, address of the property, year built, and date of inspection. Additionally, it includes specific information regarding the condition of the roof, electrical systems, plumbing, and HVAC systems, along with photographs of each component.

  4. What are the minimum photo requirements?

    Photos are essential for a complete inspection. The minimum requirements include images of each side of the dwelling, each slope of the roof, the water heater, under-cabinet plumbing and drains, exposed valves, and the main electrical service panel with the panel door open. These visuals help provide a clearer understanding of the property's condition.

  5. What if issues are found during the inspection?

    If any hazards or deficiencies are noted, the inspector must detail these in the report. This could include problems like leaks, improper wiring, or HVAC issues. The inspector should also provide comments on the overall condition of each system, indicating whether they are satisfactory or unsatisfactory.

  6. How does the inspection affect insurance coverage?

    Insurance companies rely on the findings from the 4 Point Inspection Form to assess risk and determine whether to provide coverage. If significant issues are found, it may affect the ability to obtain insurance or result in higher premiums. It is important for homeowners to address any deficiencies before applying for coverage.

  7. What happens if the form is not completed correctly?

    If the form is incomplete or lacks the necessary details, insurance agents may reject the application. It is the responsibility of the writing agent to review the form before submission to ensure that all requirements are met.

  8. Can I use a different inspection form?

    While this specific 4 Point Inspection Form is not mandatory, any alternative form submitted must include at least the same level of detail. The information must still cover the same four systems and meet the minimum requirements set by underwriting guidelines.

  9. What should I do if my home has had recent repairs or updates?

    Any recent repairs or updates should be documented in the additional comments section of the form. Include details about the type of updates, when they were completed, and by whom. This information can be crucial for the insurance evaluation process.

  10. How can I ensure my inspection goes smoothly?

    To facilitate a smooth inspection, ensure that the property is accessible and that all areas are clean and free of obstructions. Discuss any known issues with the inspector beforehand, and provide any previous inspection reports if available. This transparency can help the inspector provide a thorough evaluation.