Fill Your 4 Point Inspection Template

Fill Your 4 Point Inspection Template

The 4-Point Inspection Form is a crucial document used to assess the condition of four essential systems in a property: the roof, electrical, HVAC, and plumbing. This inspection is typically required for insurance purposes, especially for older homes, to ensure that these systems are functioning properly and do not pose any risks. It is imperative to have this form completed by a licensed Florida inspector to facilitate the underwriting process and secure your insurance coverage.

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The 4 Point Inspection form serves as a crucial tool for evaluating the key systems of a residential property, particularly in Florida. This form focuses on four primary areas: the electrical system, HVAC (heating, ventilation, and air conditioning), plumbing, and the roof. Each section requires detailed information to assess the condition and safety of these systems. For the electrical system, the inspector must document the type and age of the main panels, check for hazards like aluminum wiring, and evaluate overall functionality. The HVAC section ensures that heating and cooling systems are operational, while the plumbing section checks for leaks and the condition of fixtures. Lastly, the roof assessment includes details about the covering material, age, and any visible damage. Photographic evidence is required for each aspect, reinforcing the need for thorough documentation. A licensed Florida inspector must complete and sign the form, ensuring that underwriting can accurately evaluate the property's insurability based on the findings. This inspection is not merely a formality; it plays a vital role in determining whether a property meets the necessary standards for insurance coverage.

Documents used along the form

The 4-Point Inspection Form is an essential document used in the insurance industry to assess the condition of a property. Alongside this form, several other documents may be required to ensure a comprehensive evaluation of the property. Below is a list of commonly used forms and documents that complement the 4-Point Inspection Form.

  • Home Inspection Report: This document provides a thorough evaluation of the property, covering various aspects such as structural integrity, systems functionality, and potential safety hazards. It is usually prepared by a certified home inspector.
  • Roof Inspection Report: A detailed assessment of the roof's condition, this report includes information about the roofing materials, age, and any visible damage or leaks. It may be separate or included in the 4-Point Inspection.
  • Electrical Inspection Report: This document specifically focuses on the electrical systems within the property. It outlines the condition of wiring, panels, and any potential hazards, ensuring compliance with safety standards.
  • HVAC Inspection Report: An evaluation of the heating, ventilation, and air conditioning systems, this report details the systems' operational status, age, and any maintenance issues that may exist.
  • Plumbing Inspection Report: This document assesses the plumbing systems, including pipes, fixtures, and appliances. It identifies leaks, corrosion, and the overall condition of the plumbing infrastructure.
  • Insurance Application Form: A standard form completed by the applicant, providing personal information, property details, and coverage requests. This form is often the first step in obtaining insurance coverage.
  • Disclosure Statement: A document that outlines any known issues or defects with the property, this statement is typically provided by the seller or current owner and helps inform the buyer and insurer.
  • Repair Estimates: If any issues are identified during inspections, repair estimates from licensed contractors may be required. These estimates provide a cost assessment for necessary repairs.
  • Articles of Incorporation Form: Necessary for formalizing a business entity, this document lays out the corporation's crucial details such as name, purpose, and structure. To begin the process, you can visit https://californiapdfforms.com/articles-of-incorporation-form/.
  • Photos of Property: Accompanying photos of the property, including the roof, electrical panels, and plumbing fixtures, are often required to visually document the condition of the systems being inspected.

Each of these documents plays a vital role in the overall assessment of a property, helping insurers make informed decisions regarding coverage and risk management. Ensuring that all necessary documentation is complete and accurate can significantly streamline the insurance application process.

Document Preview Example

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

Guidelines on How to Fill Out 4 Point Inspection

Completing the 4 Point Inspection form involves gathering essential information about the property and its systems. This ensures that all necessary details are captured accurately for underwriting purposes. Follow these steps to fill out the form effectively.

  1. Begin by entering the Insured/Applicant Name at the top of the form.
  2. Fill in the Application / Policy #.
  3. Provide the Address Inspected in the designated space.
  4. Record the Actual Year Built of the property.
  5. Write the Date Inspected in the appropriate area.
  6. Ensure you have the required photos: each side of the dwelling, each slope of the roof, plumbing details (water heater, under cabinet plumbing/drains, exposed valves), and the main electrical service panel (with the interior door label).
  7. Complete the Electrical System section, noting the type and total amps for the main and second panels. Indicate if the amperage is sufficient for current usage and describe any hazards present.
  8. Assess the general condition of the electrical system and provide details if it is unsatisfactory.
  9. Fill out the HVAC System section, indicating whether central AC and heat are present and their condition. Include the date of the last servicing.
  10. In the Plumbing System section, answer questions about leaks and the condition of plumbing fixtures. Provide details if any fixtures are unsatisfactory.
  11. Complete the Roof section by noting the predominant covering material, roof age, and overall condition. Include any visible signs of damage or leaks.
  12. Use the Additional Comments/Observations section to provide further details or observations as needed.
  13. Finally, have the form signed and dated by a Florida-licensed inspector, including their title, license number, and company information.

Similar forms

The Home Inspection Report shares similarities with the 4-Point Inspection Form, focusing on the overall condition of a property. Like the 4-Point form, it evaluates critical systems such as electrical, plumbing, and HVAC. However, the Home Inspection Report often provides a more comprehensive overview, including structural elements and potential safety issues. Both documents require a licensed inspector's signature, reinforcing the importance of professional evaluation in ensuring the property’s safety and functionality.

The Roof Inspection Report is another document akin to the 4-Point Inspection Form. This report specifically assesses the roof's condition, similar to the roof section of the 4-Point form. It details materials, age, and any visible damage, helping homeowners and insurers understand the roof's viability. Just like the 4-Point form, a Roof Inspection Report typically includes photos to substantiate findings, ensuring transparency and clarity in the assessment process.

The Electrical Inspection Report also mirrors the 4-Point Inspection Form, particularly in its examination of electrical systems. This report delves deeper into the specifics of wiring, panel conditions, and safety hazards. While the 4-Point form provides a snapshot of electrical systems for insurance purposes, the Electrical Inspection Report often includes more detailed recommendations for repairs or upgrades, emphasizing safety and compliance with local codes.

A Last Will and Testament is a legal document that outlines how an individual's assets and affairs should be managed upon their passing. This form allows individuals to specify their wishes regarding the distribution of property and care of dependents. Understanding its importance can help ensure that personal intentions are honored after death. For those looking to create such a document, resources like fastpdftemplates.com can be invaluable in providing guidance and templates.

The HVAC Inspection Report is similar to the HVAC section of the 4-Point Inspection Form, focusing on the heating and cooling systems of a property. It evaluates the operational efficiency and condition of these systems, much like the 4-Point form. Both documents may require documentation of service history and any visible issues, ensuring that the HVAC systems are functioning correctly and efficiently for the occupants.

Lastly, the Plumbing Inspection Report parallels the plumbing section of the 4-Point Inspection Form. It assesses the plumbing systems, including water supply and drainage, and identifies any leaks or potential hazards. Both reports require thorough documentation and often include photographs to illustrate conditions. They serve as essential tools for homeowners and insurers to ensure that plumbing systems are in good working order and free from significant issues.

Consider Common Documents

Misconceptions

Misconceptions about the 4 Point Inspection form can lead to confusion and misunderstandings. Here are ten common misconceptions along with clarifications.

  1. It guarantees insurability. Many believe that completing the 4 Point Inspection form guarantees insurance coverage. In reality, it only helps assess the property’s insurability.
  2. Any inspector can complete the form. Some think that any inspector can fill out the form. However, only a Florida-licensed inspector can complete, sign, and date it.
  3. It covers all aspects of the property. Many assume the 4 Point Inspection covers every detail of the property. It specifically focuses on the roof, electrical, HVAC, and plumbing systems.
  4. Photos are optional. Some individuals believe they can skip the photo requirements. In fact, photos of specific areas are mandatory for the form to be accepted.
  5. It serves as a warranty. There is a misconception that the inspection serves as a warranty for the systems inspected. The form does not provide any guarantees regarding the condition or longevity of the systems.
  6. Only one inspection is needed. Some think one inspection suffices for all future needs. However, regular inspections are recommended to maintain the property’s condition.
  7. It’s only for older homes. Many believe the 4 Point Inspection is only necessary for older properties. In truth, it is required for homes of all ages, especially when applying for certain insurance policies.
  8. All issues must be resolved before inspection. Some think they must fix all problems before the inspection. While addressing major issues is advisable, minor deficiencies can still be noted.
  9. It’s the same as a home inspection. There’s a common belief that the 4 Point Inspection is equivalent to a full home inspection. However, it focuses on specific systems rather than the entire property.
  10. Once completed, it never needs updating. Many think that once the form is filled out, it remains valid indefinitely. In reality, updates may be necessary if significant changes occur in the property’s systems.

Understanding these misconceptions can help property owners navigate the 4 Point Inspection process more effectively.

File Features

Fact Name Description
Purpose of the Form The 4-Point Inspection Form is designed to assess the condition of four key systems in a home: the roof, electrical, HVAC, and plumbing. This evaluation helps determine the insurability of the property.
Completion Requirements A Florida-licensed inspector must complete, sign, and date the form. This ensures that the information provided is credible and meets state standards.
Photo Documentation The form mandates specific photo documentation for each inspected system. Photos must include each side of the dwelling, all slopes of the roof, and relevant plumbing and electrical components.
Governing Law The use of the 4-Point Inspection Form is governed by Florida law, specifically the regulations set forth by the Florida Department of Financial Services.
Inspection Validity The inspection results are not warranties of system suitability or longevity. They merely reflect the condition at the time of inspection and are used for underwriting purposes.