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.
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.
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.
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
Circuit breaker Fuse
Total Amps: __________
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
Wiring Type
Panel age: __________
Copper
Year last updated: __________
Year last updated:__________
NM, BX or Conduit
Brand/Model: __________
Sample Form Insp4pt 01 18
HVAC System
Central AC:
Yes
No
Central heat:
If not central heat, indicate primary heat source and fuel type: _________________________________
Are the heating, ventilation and air conditioning systems in good working order?
No (explain)
Date of last HVAC servicing/inspection: ______________
Wood-burning stove or central gas fireplace not professionally installed?
Space heater used as primary heat source?
Is the source portable?
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?
Is there any indication of an active leak?
Is there any indication of a prior leak?
Water heater location: _______________________________________________
General condition of the following plumbing fixtures and connections to appliances:
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.).
Age of Piping System:
Type of pipes (check all that apply)
_____
Original to home
Completely re-piped
PVC/CPVC
Partially re-piped
Galvanized
(Provide year and extent of renovation in the comments below)
PEX
Polybutylene
Other (specify)
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:
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
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
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.
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.
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.
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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.
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Misconceptions about the 4 Point Inspection form can lead to confusion and misunderstandings. Here are ten common misconceptions along with clarifications.
Understanding these misconceptions can help property owners navigate the 4 Point Inspection process more effectively.