HUD-52580-A Inspection Form - Housing Choice Voucher Program

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Inspection Form

Housing Choice Voucher Program

OMB Approval No. 2577-0169
(exp. 04/30/2018)

Public reporting burden for this collection of information is estimated to average 0. 25 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.
Privacy Act Statement. The Department of Housing and Urban Development (HUD) is authorized to collect the information required on this form by Section 8 of
the U.S. Housing Act of 1937 (42 U.S.C. 1437f). Collection of the name and address of both the family and the owner is mandatory. The information is used to
determine if a unit meets the housing quality standards of the section 8 rental assistance program. HUD may disclose this information to Federal, State and local
agencies when relevant to civil, criminal, or regulatory investigations and prosecutions. It will not be otherwise disclosed or released outside of HUD, except as
permitted or required by law. Failure to provide any of the information may result in delay or rejection of family participation.
Assurances of confidentiality are not provided under this collection.
This collection of information is authorized under Section 8 of the U.S. Housing Act of l937 (42 U.S.C. 1437f).
a unit meets the housing quality standards of the section 8 rental assistance program.

The information is used to determine if

PHA

Tenant ID Number

Date of Request (mm/dd/yyyy)

Inspector

Date Last Inspection (mm/dd/yyyy)

Date of Inspection (mm/dd/yyyy)

Neighborhood/Census Tract

Type of Inspection

Initial

A. General Information

Project Number

Special

Housing Type (check as appropriate)

Street Address of Inspected Unit
City

Reinspection
Single Family Detached

County

State

Zip

Duplex or Two Family Row
House or Town House

Name of Family

Current Telephone of Family

Current Street Address of Family
City

County

State

Zip

Low Rise: 3,4 Stories, Including
Garden Apartment
High Rise; 5 or More Stories
Manufactured Home
Congregate
Cooperative

Number of Children in Family Under 6

Independent Group Residence
Name of Owner or Agent Authorized to Lease Unit Inspected

Telephone of Owner or Agent

Single Room Occupancy
Shared Housing

Address of Owner or Agent

Other:(Specify)

Previous editions are obsolete

Page 1 of 19

ref Handbook 7420.8 form HUD-52580­A(04/15)

B. Summary Decision on the Unit
(to be completed after the form has been filled in)
Housing Quality Standard Pass or Fail
1. Fail If there are any checks under the column headed “Fail” the unit
fails the minimum housing quality standards. Discuss with the owner the
repairs noted that would be necessary to bring the unit up to the standard.
2. Inconclusive If there are no checks under the column headed
“Fail”
and there are checks under the column headed “Inconclusive,” obtain
additional information necessary for a decision (question owner or tenant as
indicated in t he i tem i nstructions gi ven in this c hecklist). O nce additional
information is obtained, change the rating for the item and record the date of
verification at the far right of the form.
3. Pass If neither ( 1) nor ( 2) above is checked, the unit passes the
minimum housing quality standards. Any additional conditions described in the
right hand column of the form should serve to (a) establish the precondition of the
unit, (b) indicate possible additional areas to negotiate with the owner,

(c) ai d i n assessing the r easonableness of the r ent of t he uni t, and ( d) ai d
the tenant in deciding among possible units to be rented. The tenant is
responsible for deciding whether he or she finds these conditions
acceptable.
Unit Size: Count the number of bedrooms for purposes of the
FMR or Payment Standard. Record in the box provided.

Year Constructed: Enter from Line 5 of the
Request for Tenancy Approval form. Record in the box provided.
Number of Sleeping Rooms: Count the number of rooms which

could be used for sleeping, as identified on the checklist. Record in the box
provided.
C. How to Fill Out This Checklist
Complete the checklist on the unit to be occupied (or currently occupied) by
the tenant. Proceed through the inspection as follows:
Area
Checklist Category
room by room

1. Living Room
2. Kitchen
3. Bathroom
4. All Other Rooms Used for Living

basement or utility room

5. All Secondary Rooms Not Used for Living
6. Heating & Plumbing

outside

7. Building Exterior

overall

8. General Health & Safety

Each part of the checklist will be accompanied by an explanation of the item
to be inspected.
Important: For each item numbered on the checklist, check one box only
(e.g., check one box only for item 1.4 "Security ”in the Living Room.)
In the space to the right of the description of the item, if the decision on the item
is: “Fail” write what repairs are necessary; If “Inconclusive” write in details.
Also, if ”Pass” but there are some conditions present that need to be brought to
the attention of the owner or the tenant, write these in the space to the right.

If it is an annual inspection, record to the right of the form any repairs made
since the last inspection. If possible, record reason for repair (e.g., ordinary
maintenance, tenant damage).
If it is a complaint inspection, fill out only those checklist items for which
complaint is lodged. Determine, if possible, tenant or owner cause.
Once the checklist has been completed, return to Part B (Summary
Decision on the Unit).
Previous editions are obsolete

1.

Living Room

1.1

Living Room Present

Note: If the unit is an efficiency apartment, consider the living room
present.
1.2
Electricity
In order to qualify, the outlets must be present and properly
installed in the baseboard, wall or floor of the room. Do not count a
single duplex r eceptacle as two out lets, i.e., there must be two of
these in the room, or one of these plus a permanently installed
ceiling or wall light fixture.
Both the outlets and/or the light must be working. Usually, a room
will have sufficient lights or electrical appliances plugged into
outlets t o determine w orkability. B e s ure light f ixture doe s not f ail
just because the bulb is burned out.
Do not count any of the following items or fixtures as
outlets/fixtures: Table or floor lamps (these are not permanent light
fixtures); ceiling lamps plugged into socket; extension cords.
If t he electric service to t he unit h as been t emporarily turned of f
check ‘’Inconclusive.’’ Contact owner or manager after inspection to
verify that electricity functions properly when service is turned on.
Record this information on the checklist.
1.3
Electrical Hazards
Examples of what this means: broken wiring; non-insulated wiring;
frayed w iring; i mproper t ypes of w iring, c onnections or i nsulation;
wires lying in or located near standing water or other unsafe places;
light fixture hanging from electric wiring without other firm support
or fixture; missing cover plates on switches or outlets; badly
cracked outlets; exposed fuse box connections; overloaded circuits
evidenced by frequently ‘’blown’’ fuses (ask the tenant).
Check “Inconclusive’’ if you are uncertain about severity of the
problem and seek expert advice.
1. 4 Security
“Accessible t o o utside” m eans: d oors o pen t o t he o utside or t o a
common public hall; windows accessible from the outside (e.g.
basement and first floor); windows or doors leading onto a fire
escape, porch or other outside place that can be r eached from the
ground.
“Lockable” means: the window or door has a properly working lock,
or is nailed shut, or t he window i s not designed to be opened. A
storm window lock that is working properly is acceptable. Windows
that are nailed shut are acceptable only if these windows are not
needed for ventilation or as an alternate exit in case of fire.
1.5
Window Condition
Rate the windows in the room (including windows in doors).
“Severe deterioration” means that t he w indow no longer has the
capacity to keep out the wind and the rain or is a cutting hazard.
Examples are: missing or broken-out panes; dangerously loose
cracked panes; windows that will not close; windows that, when
closed, do not form a reasonably tight seal.
If more than one window in the room is in this condition, give details
in the space provided on the right of the form.
If there i s only “ moderate deterioration” of the w indows the item
should "Pass." "Moderate deterioration” means windows which are
reasonably weather-tight, but show evidence of some aging, abuse,
or lack of repair. Signs of deterioration are: minor crack in window
pane; splintered sill; signs of some minor rotting in the window
frame or the window itself; window panes loose because of missing
window putty. Also for deteriorated and peeling paint see 1.9. If
more than one window is in this condition, give details in the space
provided on the right of the form.
Page 2 of 19
ref Handbook 7420.8 form HUD-52580­A (04/15)

1.6

Ceiling Condition

“Unsound or hazardous” means the presence of such serious defects that either a potential exists for structural collapse or that large
cracks or holes allow significant drafts to enter the unit. The
condition includes: severe bulging or buckling; large holes; missing
parts; falling or in da nger of falling loose s urface materials ( other
than paper or paint).
Pass ceilings that are basically sound but haves some
nonhazardous defects, including: small holes or cracks; missing or
broken ceiling tiles; water stains; soiled surfaces; unpainted
surfaces; peeling paint (for peeling paint see item 1.9).
1.7
Wall Condition
“Unsound or hazardous” includes: serious de fects such that t he
structural safety of the building is threatened, such as severe
buckling, bulging or leaning; damaged or loose structural members;
large holes; air infiltration.
Pass walls that are basically sound but have some non hazardous
defects, including: small or shallow holes; cracks; loose or missing
parts; unpainted surfaces; peeling paint (for peeling paint see item 1.9).

1.8

Floor Condition

“Unsound or hazardous” means the presence of such serious defects
that a potential exists for structural collapse or other threats to safety
(e.g., st ripping) or large cracks or hol es al low substantial dr afts f rom
below the floor. The condition includes: severe buckling or major
movements under walking stress; damaged or missing parts.
Pass floors that are basically sound but have some nonhazardous
defects, including: heavily worn or damaged floor surface (for ex-ample,
scratches or gouges in surface, missing portions of tile or linoleum,
previous water damage). If there is a floor covering, also note the
condition, especially if badly worn or soiled. If there is a f loor covering,
including paint or sealant, al so note the conditions, specially if badly
worn, soiled or peeling (for peeling paint, see 1.9).

Previous editions are obsolete

Page 3 of 19

1.9 Lead-Based Paint
Housing Choice Voucher Units If the unit was built January 1,
1978, or after, no child under age six will occupy or currently
occupies it, is a 0-BR, elderly or handicapped unit with no children
under age six on the lease or expected, has been certified leadbased paint free by a certified lead-based paint inspector (no leadbased paint present or no lead-based paint present after removal of
lead-based paint.), check NA and do not inspect painted surfaces.
This requirement applies to all painted surfaces (building
components) within the unit. (Do not include tenant belongings).
Surfaces to receive a visual assessment for deteriorated paint
include walls, floors, ceilings, built in cabinets (sink bases),
baseboards, doors, door frames, windows systems including
mullions, sills, or frames and any other painted building
component within the unit. Deteriorated paint includes any painted
surface that is peeling, chipping, chalking, cracking, damaged or
otherwise separated from the substrate.
All deteriorated paint surfaces more than 2 sq. ft. in any one
interior room or space, or more than 10% of the total surface
area of an interior type of component with a small surface
area (i.e., window sills, baseboards, and trim) must be
stabilized (corrected) in accordance with all safe work practice
requirements and clearance is required. If the deteriorated
painted surface is less than 2 sq. ft. or less than 10% of the
component, only stabilization is required. Clearance testing
is not required. Stabilization means removal of deteriorated
paint, repair of the substrate, and application of a new protective
coating or paint. Lead-Based Paint Owner Certification is required
following stabilization activities, except for de minimis level
repairs.

ref Handbook 7420.8 form HUD-52580­A (04/15)

Description

Inconclusive

For each numbered item, check one box only.
Decision
No, Fail

Item
No.

Living Room

Yes, Pass

1.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

1.1 Living Room Present
Is there a living room?
1.2 Electricity
Are there at least two working outlets or one working
outlet and one working light fixture?
1.3 Electrical Hazards
Is the room free from electrical hazards?
1.4 Security
Are all windows and doors that are accessible from
the outside lockable?
1.5 Window Condition
Is there at least one window, and are all windows
free of signs of severe deterioration or missing or
broken out panes?
1.6 Ceiling Condition
Is the ceiling sound and free from hazardous defects?
1.7 Wall Condition
Are the walls sound and free from hazardous defects?
1.8 Floor Condition
Is the floor sound and free from hazardous defects?
1.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?

Not Applicable

Additional Comments: (Give Item Number)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 4 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

2.

Kitchen

2.1

Kitchen Area Present

2.11 Refrigerator

Note: A kitchen is an area used for preparation of meals. It may be
either a separate room or an area of a larger room (for example, a
kitchen area in an efficiency apartment).
2.2 - 2.9 Explanation for these items is the same as that
provided for "Living Room’’ with the following
modifications:
2.2 Electricity
Note: The requirement is that at least one outlet and one
permanent light fixture are present and working.
2.5 Window Condition
Note: The absence of a window does not fail this item in the
kitchen. If there is no window, check “Pass.”
2.10 Stove or Range with Oven
Both an oven and a stove ( or range) w ith t op burners must be
present and working. If either Is missing and you know that the
owner is responsible for supplying these appliances, check “Fail.’’
Put check in ‘’Inconclusive’’ column if t he t enant is r esponsible f or
supplying the appliances and he or she has not yet moved i n.
Contact tenant or prospective tenant to gain verification that facility
will be supplied and is in working condition. Hot plates are not
acceptable substitutes for these facilities.
An oven is not working if it will not heat up. To be w orking a s tove
or range must have all burners working and knobs to turn them off
and on. Under “ working c ondition,” also look for hazardous gas
hook-ups evidenced by s trong ga s smells; these s hould f ail. ( Be
sure that this condition is not confused with an unlit pilot light -a
condition that should be noted, but does not fail.)
If both an oven and a stove or range are present, but the gas or
electricity are turned off, check “ Inconclusive.” Contact owner or
manager to get v erification t hat f acility w orks w hen gas is t urned
on. If both an oven and a stove or range are present and working,
but d efects ex ist, check " Pass" and not e t hese to t he right of t he
form. P ossible defects are marked, dented, or scratched surfaces;
cracked burner ring; limited size relative to family needs.
A microwave oven may be substituted for a tenant-supplied oven
and stove (or range).
A microwave oven may be substituted for an owner-supplied oven
and stove (or range) if the tenant agrees and microwave ovens are
furnished instead of ovens and stoves (or ranges) to both
subsidized and unsubsidized tenants in the building or premises.

Previous editions are obsolete

Page 5 of 19

If no refrigerator is present, use the same criteria for marking either
“Fail” or “Inconclusive” as were used for the oven and stove or range.

A refrigerator is not working if it will not maintain a temperature low
enough to keep food from spoiling over a reasonable period of time.
If t he el ectricity i s t urned of f, m ark ‘ ’Inconclusive.’’ C ontact ow ner
(or tenant if unit is occupied) to get verification of working condition.
If the refrigerator is present and working but defects exist, note these to
the right of the form. Possible minor defects include: broken or missing
interior shelving; dented or scratched interior or exterior surfaces; minor
deterioration of door seal; loose door handle.

2.12 Sink
If a permanently attached kitchen sink is not present in the kitchen or
kitchen area, mark ‘’Fail.’’ A sink in a bathroom or a por table basin will
not satisfy this requirement. A sink is not working unless it has running
hot and cold water from the faucets and a properly connected and
properly w orking dr ain ( with a “gas t rap”). In a vacant apar tment, t he
hot w ater may have be en turned off and there w ill be no hot water.
Mark this “Inconclusive.” Check with owner or manager to verify that hot
water is available when service is turned on.

If a working sink has defects, note this to the right of the item.
Possible minor defects include: dripping faucet; marked, dented, or
scratched surface; slow drain; missing or broken drain stopper.
2.13 Space for Storage, Preparation, and Serving of Food
Some space must be available for the storage, preparation, and
serving of f ood. If t here i s no bui lt-in s pace f or f ood storage and
preparation, a table used for food preparation and a portable
storage cabinet will satisfy t he requirement. If t here is no built-in
space, and no room for a table and portable cabinet, check
“Inconclusive” a nd discuss w ith t he tenant. T he t enant makes t he
final determination as to whether or not this space is acceptable.
If there ar e s ome minor def ects, c heck "Pass" and make notes to
the right. Possible def ects i nclude: marked, dented, or scratched
surfaces; broken shelving or cabinet doors; broken drawers or
cabinet hardware; limited size relative to family needs.

ref Handbook 7420.8 form HUD-52580­A (04/15)

2. Kitchen

Inconclusive

No, Fail

Description

Yes, Pass

Item
No.

For each numbered item, check one box only.
Decision
If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive, date
(mm/dd/yyyy) of
final approval

2.1 Kitchen Area Present
Is there a kitchen?
2.2 Electricity
Are there at least one working outlet and one working, permanently installed light fixture?
2.3
Electrical Hazards
Is the kitchen free from electrical hazards?
2.4
Security
Are all windows and doors that are accessible from
the outside lockable?
2.5
Window Condition
Are all windows free of signs of deterioration or
missing or broken out panes?
2.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
2.7
Wall Condition
Are the walls sound and free from hazardous
defects?
2.8 Floor Condition
Is the floor sound and free from hazardous defects?
2.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or less than 10% of a component?
2.10 Stove or Range with Oven
Is there a working oven, and a stove (or range) with
top burners that work?
If no oven and stove (or range) are present, is there
a microwave oven and, if microwave is owner-supplied, do other tenants have microwaves instead of
an oven and stove (or range)?
2.11 Refrigerator
Is there a refrigerator that works and maintains
a temperature low enough so that food does not
spoil over a reasonable period of time?
2.12 Sink
Is there a kitchen sink that works with hot and cold
running water?
2.13 Space for Storage, Preparation, and
Serving of Food
Is there space to store, prepare, and serve food?

Not Applicable

Serving

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 6 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

3.

Bathroom

3.1

Bathroom Present

3.11 Fixed Wash Basin or Lavatory in Unit

Most units have easily identifiable bathrooms (i.e., a separate room with
toilet, washbasin and t ub or shower). In some cases, however, you w ill
encounter units with scattered bathroom facilities (i.e., toilet. washbasin
and tub or shower located in separate parts of the unit). At a m inimum,
there m ust be an enclosure ar ound t he t oilet. I n t his c ase, count t he
enclosure around the toilet as the bathroom and proceed with 3.2-3.9
below, with respect to this enclosure. If there is more than one
bathroom that is normally used, rate the one that is in best condition for
Part 3. If there is a second bathroom that is also used, complete Part 4
of the checklist for this room. (See Inspection Manual for additional
notes on rating the second bathroom.)

3.2 - 3.9 Explanation for these items is the same as that
provided for “Living Room’’ with the following
modifications:
3.2 Electricity
Note: The requirement is that at least one permanent light
fixture is present and working
3.3 Electrical Hazards
Note: In addition to the previously mentioned hazards, outlets
that are located where water might splash or collect are
considered an electrical hazard.
3.5 Window Condition
Note: The absence of a w indow does not fail this item in the
bathroom (see item 3.13, Ventilation, for relevance of window
with respect to ventilation). If there is no window, but a
working vent system is present, check “Pass.”
3.7 Wall Condition
Note: Include under nonhazardous defects (that would pass,
but should be noted) the following: broken or loose tile;
deteriorated gr outing at t ub/wall an d t ub/floor joints, or tiled
surfaces; water stains.
3.8 Floor Condition
Note: Include under nonhazardous defects (that would pass, but
should be noted) the following: missing floor tiles; water stains.

The wash basin must be permanently installed ( i.e., a portable
wash basin does not satisfy the r equirement). Also, a kitchen sink
used to pass the requirements under Part 2 of the checklist (kitchen
facilities) cannot also serve as the bathroom wash basin. The wash
basin may be located separate from the other bathroom facilities
(e.g., in a hallway).
Not w orking m eans: t he wash basin is not connected t o a system
that will deliver hot and cold running water; it is not connected to a
properly operating drain; the connectors ( or vents or traps) are
faulty to the extent that severe leakage of water or escape of sewer
gases occurs. If the water to the unit or the hot water unit has been
turned off, check "Inconclusive." Obtain verification from owner or
manager that the system is in working condition.
Comment to the right of the form if the wash basin is “present and
working,” but has the following types of minor defects: insufficient
water pressure; dripping faucets; minor leaks; cracked or chipped
porcelain; slow drain (see discussion above under 3.10).
3.12 Tub or Shower in Unit
Not pr esent means t hat neither a t ub nor shower is pr esent i n t he
unit. Again, these facilities need not be in the same room with the
rest of the bathroom facilities. They must, however, be private.
Not working covers the same requirements detailed above for wash
basin (3.11).
Comment to the right of the form if the tub or shower is present and
working, but has the following types of defects: dripping faucet;
minor leaks; cracked porcelain; slow drain (see discussion under
3.10); absent or broken support rod for shower curtain.
3.13 Ventilation
Working vent systems include: ventilation shafts ( non -mechanical
vents) and electric fans. Electric vent fans must function when switch is
turned on. (Make sure that any malfunctions are not due to the fan not
being plugged in.) If electric current to the unit has not been t urned on
(and there is no operable window), check “Inconclusive.” Obtain
verification from owner or m anager that system works. Note: exhaust
vents must be vented to the outside, attic, or crawlspace.

3.10 Flush Toilet in Enclosed Room in Unit
The toilet must be contained within the unit, be in proper operating
condition, and be available for the exclusive use of the occupants of
the u nit ( i.e., outhouses or facilities shared by oc cupants o f ot her
units are not acceptable). It must allow for privacy.
Not working means: the toilet is not connected to a water supply; it is
not connected to a sewer drain; it is clogged; it does not have a trap;
the connections, vents or traps ar e faulty to the extent that severe
leakage of w ater or escape of gases occurs; the flushing mechanism
does not function properly. If the water to the unit has been t urned off,
check " Inconclusive.’’ O btain ver ification f rom ow ner or m anager t hat
facility works properly when water is turned on.

Comment to the right of the form if the toilet is “present, exclusive,
and working,” but has the following types of defects: constant
running; chipped or broken porcelain; slow draining.
If dr ain b lockage i s more s erious and occurs f urther in t he s ewer
line, causing backup, check item 7.6, “Fail,” under the plumbing and
heating par t of t he c hecklist. A s ign o f serious s ewer bl ockage is
the presence of numerous backed-up drains.

Previous editions are obsolete

Page 7 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

Description

Inconclusive

For each numbered item, check one box only.
Decision
No, Fail

Item
No.

Bathroom

Yes, Pass

3.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

3.1 Bathroom Present (See description)
Is there a bathroom?
3.2 Electricity
Is there at least one permanently installed light fixture?
3.3 Electrical Hazards
Is the bathroom free from electrical hazards?
3.4
Security
Are all windows and doors that are accessible from
the outside lockable?
3.5
Window Condition
Are all windows free of signs of deterioration or
missing or broken out panes?
3.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
3.7
Wall Condition
Are the walls sound and free from hazardous defects?
3.8 Floor Condition
Is the floor sound and free from hazardous defects?
3.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?
3.10 Flush Toilet in Enclosed Room in Unit
Is there a working toilet in the unit for the exclusive
private use of the tenant?

Not Applicable

3.11 Fixed Wash Basin or Lavatory in Unit
Is there a working, permanently installed wash basin
with hot and cold running water in the unit?
3.12 Tub or Shower
Is there a working tub or shower with hot and cold
running water in the unit?
3.13 Ventilation
Are there operable windows or a working vent system?
Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page

Previous editions are obsolete

Yes

No

Page 8 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

4.

Other Room Used for Living and Halls

Complete an “ Other Room” checklist for as many “ other rooms
used for living” as are present in the unit and not already noted in
Parts l, 2, and 3 of the checklist. See the discussion below f or
definition of ‘’used for living.’’ Also complete an ‘’Other Room”
checklist for al l entrance halls, corridors, and staircases that are
located within the unit and are part of the area used for living. If a
hall, entry and/ or stairway ar e contiguous, rate them as a w hole
(i.e., as part of one space).
Additional forms for rating “Other Rooms” are provided in the
check-list.
Definition of “ used f or living." Rooms "used for living” are areas of
the unit that are walked t hrough or lived in on a r egular basis. D o
not i nclude rooms or o ther ar eas t hat h ave bee n per manently, or
near permanently, closed off or areas that are infrequently entered.
For example, do not include a utility room, attached shed, attached
closed-in porch, basement, or garage if they are closed off from the
main living area or ar e i nfrequently ent ered. Do include any of
these areas if they are frequently used (e.g., a finished
basement/play-room, a closed-in porch t hat is used as a bedroom
during summer months). Occasional use of a washer or dryer in an
otherwise unused room does not constitute regular use.
If t he uni t i s v acant and y ou do not know t he eventual use of a
particular room, complete an ‘’Other Room’’ checklist if there is any
chance that the room will be used on a regular basis. If there is no
chance that the room will be used on a regular basis, do not include
it (e.g., an unfinished basement) since it will be checked under Part
5, All Secondary Rooms (Rooms not used for living).
4.1
Room Code and Room Location
Enter the appropriate room code given below:
Room Codes:
1 B= edroom or a ny other r oom us ed f or sleeping ( regardless of
type of room)
2 = Dining Room or Dining Area
3 = Second Living Room, Family Room, Den, Playroom, TV Room
4 = Entrance Halls, Corridors, Halls, Staircases
5A =

dditional Bathroom ( also check presence of sink trap and
clogged toilet)
6 = Other
Room Location: Write on the line provided the location of the room
with respect to the unit’s width, length and floor level as if you were
standing outside the unit facing the entrance to the unit:
right/left/center: record whether the room is situated to the right,
left, or center of the unit.
front/rear/center: record whether the room is situated to the back,
front or center of the unit.
floor level: identify the floor level on which the room is located.

4.2 - 4.9 E xplanations o f t hese items are the same a s those
provided for "Living Room" with the following
modifications:
4.2 Electricity/Illumination
If the room code is not a "1," the room must have a means of
natural or ar tificial illumination such as a permanent l ight
fixture, wall outlet present, or light from a window in the room
or near the room. If any required item is missing, check “Fail."
If the electricity is turned off, check “Inconclusive."
4.5 Window Condition
Any room used for sleeping must have at least one window. If
the windows in sleeping rooms are designed to be opened, at
least one window must be operable. The minimum standards
do not require a window in “other rooms.” Therefore, if there
is no w indow i n ano ther r oom not us ed f or s leeping, c heck
“Pass,” and note “no window” in the area for comments.
4.6 Smoke Detectors
At l east one battery-operated or har d-wired smoke detector
must be present and working on each level of the unit,
including the basement, but not the crawl spaces and
unfinished attic.
Smoke detectors must be installed in accordance with and m eet
the requirements of the National Fire Protection Association
Standard (NFPA) 74 (or its successor standards).

If t he dwelling unit is occupied by any hear ing-impaired per son, smoke d etectors m ust h ave an alarm s ystem d esigned
for hearing-impaired per sons as specified in NFPA 74 ( or
successor standards).
If t he unit was under H AP contract prior t o April 2 4, 1 993,
owners who i nstalled battery -operated or hard-wired smoke
detectors in compliance with HUD’s smoke detector
requirements, including the regulations published on July 30,
1992 ( 57 F R 33846), will not be required subsequently t o
comply with any additional requirements mandated by NFPA
74 ( i.e. t he ow ner w ould not be required to install a s moke
detector in a basement not used for living purposes, nor
would the ow ner be required t o change the location of the
smoke detectors that have already been installed on the
other f loors of t he unit). I n t his c ase, check “ Pass” and note
under comments.
Additional Notes
For staircases, the adequacy of light and condition of the stair rails
and railings is covered under Part 8 of the checklist (General Health
and Safety)

If t he unit is vacant, you may hav e some difficulty pr edicting t he
eventual use of a room. Before giving any room a code of 1
(bedroom), the room must meet all of the requirements for a ‘’room
used for sleeping’’ (see items 4. 2 and 4.5).

Previous editions are obsolete

Page 9 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

4.

Other Rooms Used for Living and Halls

For each numbered item, check one box only.

4.1 Room Location
______ right/left/center:

the room is situated to the right, left,
or center of the unit.
______ front/rear/center: the room is situated to the back, front
or center of the unit.
______ floor level:
the floor level on which the room is
located.

4.2

1 = Bedroom or Any Other Room Used for Sleeping (regardless of
type of room)
2 = Dining Room or Dining Area
3 = Second Living Room, Family Room, Den, Playroom, TV Room
4 = Entrance Halls, Corridors, Halls, Staircases
5 = Additional Bathroom (also check presence of sink trap and
clogged toilet)
6 = Other:

Inconclusive

No, Fail

Decision

Description

Yes, Pass

Item
No.

Room Code

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

Electricity/Illumination

If Room Code is a 1, are there at least two working
outlets or one working outlet and one working,
permanently installed light fixture?
If Room Code is not a 1, is there a means of illumination?

4.3
Electrical Hazards
Is the room free from electrical hazards?
4.4
Security
Are all windows and doors that are accessible from
the outside lockable?
4.5
Window Condition
If Room Code is a 1, is there at least one window?
And, regardless of Room Code, are all windows
free of signs of severe deterioration or m issing or
broken-out panes?
4.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
4.7 Wall Condition
Are the walls sound and free from hazardous defects?
4.8 Floor Condition
Is the floor sound and free from hazardous defects?
4.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?

Not Applicable

4.10 Smoke Detectors

Is there a working smoke detector on each level?
Do the smoke detectors meet the requirements of
NFPA 74?
In units occupied by the hearing impaired, is there an
alarm system connected to the smoke detector?

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 10 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

4.

Supplemental for Other Rooms Used for Living and Halls

4.1
Room Location
______ right/left/center:

the room is situated to the right, left,
or center of the unit.
______ front/rear/center: the room is situated to the back, front
or center of the unit.
______ floor level:
the floor level on which the room is
located.

For each numbered item, check one box only.

Room Code
1 = Bedroom or Any Other Room Used for Sleeping (regardless of
type of room)
2 = Dining Room or Dining Area
3 = Second Living Room, Family Room, Den, Playroom, TV Room
4 = Entrance Halls, Corridors, Halls, Staircases
5 = Additional Bathroom (also check presence of sink trap and
clogged toilet)
6 = Other:

4.2

Inconclusive

Yes, Pass

Description

No, Fail

Decision

Item
No.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

Electricity/Illumination

If Room Code is a 1, are there at least two working
outlets or one working outlet and one working,
permanently installed light fixture?
If Room Code is not a 1, is there a means of illumination?

4.3
Electrical Hazards
Is the room free from electrical hazards?
4.4
Security
Are all windows and doors that are accessible from
the outside lockable?
4.5
Window Condition
If Room Code is a 1, is there at least one window?
And, regardless of Room Code, are all windows
free of s igns of severe d eterioration or m issing or
broken-out panes?
4.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
4.7
Wall Condition
Are the walls sound and free from hazardous defects?
4.8
Floor Condition
Is the floor sound and free from hazardous defects?
4.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?

Not Applicable

4.10 Smoke Detectors

Is there a working smoke detector on each level?
Do the smoke detectors meet the requirements of
NFPA 74?
In units occupied by the hearing impaired, is there an
alarm system connected to the smoke detector?

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 11 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

4.

Supplemental for Other Rooms Used for Living and Halls

4.1
Room Location
______ right/left/center:

the room is situated to the right, left,
or center of the unit.
______ front/rear/center: the room is situated to the back, front
or center of the unit.
______ floor level:
the floor level on which the room is
located.

For each numbered item, check one box only.

Room Code
1 = Bedroom or Any Other Room Used for Sleeping (regardless of
type of room)
2 = Dining Room or Dining Area
3 = Second Living Room, Family Room, Den, Playroom, TV Room
4 = Entrance Halls, Corridors, Halls, Staircases
5 = Additional Bathroom (also check presence of sink trap and
clogged toilet)
6 = Other:

4.2

Inconclusive

Yes, Pass

Description

No, Fail

Decision

Item
No.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

Electricity/Illumination

If Room Code is a 1, are there at least two working
outlets or one working outlet and one working,
permanently installed light fixture?
If Room Code is not a 1, is there a means of illumination?

4.3
Electrical Hazards
Is the room free from electrical hazards?
4.4
Security
Are all windows and doors that are accessible from
the outside lockable?
4.5
Window Condition
If Room Code is a 1, is there at least one window?
And, regardless of Room Code, are all windows
free of s igns of severe d eterioration or m issing or
broken-out panes?
4.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
4.7
Wall Condition
Are the walls sound and free from hazardous defects?
4.8
Floor Condition
Is the floor sound and free from hazardous defects?
4.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?

Not Applicable

4.10 Smoke Detectors

Is there a working smoke detector on each level?
Do the smoke detectors meet the requirements of
NFPA 74?
In units occupied by the hearing impaired, is there an
alarm system connected to the smoke detector?

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 12 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

4.

Supplemental for Other Rooms Used for Living and Halls

4.1
Room Location
______ right/left/center:

the room is situated to the right, left,
or center of the unit.
______ front/rear/center: the room is situated to the back, front
or center of the unit.
______ floor level:
the floor level on which the room is
located.

For each numbered item, check one box only.

Room Code
1 = Bedroom or Any Other Room Used for Sleeping (regardless of
type of room)
2 = Dining Room or Dining Area
3 = Second Living Room, Family Room, Den, Playroom, TV Room
4 = Entrance Halls, Corridors, Halls, Staircases
5 = Additional Bathroom (also check presence of sink trap and
clogged toilet)
6 = Other:

4.2

Inconclusive

Yes, Pass

Description

No, Fail

Decision

Item
No.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

Electricity/Illumination

If Room Code is a 1, are there at least two working
outlets or one working outlet and one working,
permanently installed light fixture?
If Room Code is not a 1, is there a means of illumination?

4.3
Electrical Hazards
Is the room free from electrical hazards?
4.4
Security
Are all windows and doors that are accessible from
the outside lockable?
4.5
Window Condition
If Room Code is a 1, is there at least one window?
And, regardless of Room Code, are all windows
free of s igns of severe d eterioration or m issing or
broken-out panes?
4.6
Ceiling Condition
Is the ceiling sound and free from hazardous defects?
4.7
Wall Condition
Are the walls sound and free from hazardous defects?
4.8
Floor Condition
Is the floor sound and free from hazardous defects?
4.9 Lead-Based Paint
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed two square
feet and/or more than 10% of a component?

Not Applicable

4.10 Smoke Detectors

Is there a working smoke detector on each level?
Do the smoke detectors meet the requirements of
NFPA 74?
In units occupied by the hearing impaired, is there an
alarm system connected to the smoke detector?

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 13 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

5.
5.

All Secondary Rooms (Rooms not used for living)
6.4

Secondary Rooms (Rooms not used for living)

If any room in the unit did not meet the requirements for “other
room used for living" in Part 4, it is to be considered a “secondary
room (not used for living),” Rate all of these rooms together (i.e., a
single Part 5 checklist for all secondary rooms in the unit).
Inspection i s r equired o f t he following t wo i tems s ince hazardous
defects under these items could jeopardize the rest of the unit,
even if present in rooms not used for living: 5. 2 S ecurity, 5. 3
Electrical Hazards. Also, be observant of any other potentially
hazardous features in these rooms and record under 5.4
5.1
None
If there are no “Secondary Rooms (rooms not used for living),”
check "None" and go on to Part 6.
5.2 - 5.4 Explanations of these items is the same as those
provided for ‘’Living Room’’
Additional Note
In recording “other potentially hazardous features,” note ( in the
space provided) the means of access to the room with the hazard
and check t he box under ‘ ’Inconclusive.” D iscuss t he haz ard w ith
the HA inspection supervisor to determine ‘’Pass’’ or ‘’Fail.’’ Include
defects like: large holes in floor, walls or ceilings; evidence of
structural collapse; windows in condition o f severe deterioration;
and deteriorated paint surfaces.

6.

Building Exterior

6.1

Condition of Foundation

‘’Unsound or hazardous’’ means foundations with severe structural
defects indicating the potential for structural collapse; or
foundations that allow significant entry of ground water (for
example, evidenced by flooding of basement).
6.2
Condition of Stairs, Rails, and Porches
"Unsound or hazardous" means: stairs, porches, balconies, or
decks w ith s evere structural defects; broken, rotting, or missing
steps; ab sence of a han drail when t here are extended lengths o f
steps ( generally four or more consecutive s teps); absence of or
insecure railings around a porch or balcony which is approximately
30 inches or more above the ground.
6.3
Condition of Roof and Gutters

Condition of Exterior Surfaces

See definition above for roof, item 6.3.
6.5

Condition of Chimney

The chimney should not be seriously leaning or showing evidence
of significant disintegration (i.e., many missing bricks).
6.6 Lead-Based Paint: Exterior Surfaces
Housing Choice Voucher Units If the unit was built January 1,
1978 or after, no child under age six will occupy or currently
occupies, is a 0-BR, elderly or handicapped unit with no children
under age six on the lease or expected, has been certified leadbased paint free by a certified lead-based paint inspector (no leadbased paint present or no lead -based paint present after removal
of lead), check NA and do not inspect painted surfaces . Visual
assessment for deteriorated paint applies to all exterior painted
surfaces (building components) associated with the assisted unit
including windows, window sills, exterior walls, floors, porches,
railings, doors, decks, stairs, play areas, garages, fences or other
areas if frequented by children under age six.
All deteriorated paint surfaces more than 20 sq. ft. on exterior
surfaces must be stabilized (corrected) in accordance with all safe
work practice requirements. If the painted surface is less than
20 sq. ft., only stabilization is required. Clearance testing is
not required. Stabilization means removal of deteriorated paint,
repair of the substrate, and application of a new protective coating
or paint. Lead-Based Paint Owner Certification is required
following stabilization activities except for de minimis level repairs.
6.7

Manufactured Homes: Tie Downs

Manufactured homes must be placed on a site in a stable manner
and be free from hazards such as sliding and wind damage.
Manufactured ho mes must be s ecurely an chored by a tie dow n
device which distributes and transfers the loads imposed by the unit
to appropriate ground anchors so as to resist wind overturning and
sliding, unless a variation has been approved by the HUD Field
Office.

“Unsound and hazardous” m eans: The roof has s erious def ects
such as serious buckling or sagging, i ndicating the pot ential of
structural collapse; large holes or other defects that would result in
significant a ir or water i nfiltration ( in most cases s evere exterior
defects will be reflected in equally serious surface defects within the
unit, e. g., b uckling, w ater d amage). T he g utters, d ownspouts and
soffits ( area under tee eaves) shows serious decay and have
allowed the entry of significant air or water into the interior of the
structure. Gutters an d dow nspouts ar e, how ever, not required to
pass. If the roof is not observable and there is no sign of interior
water damage, check “Pass.”

Previous editions are obsolete

Page 14 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

5.1

Inconclusive

Description

None

For each numbered item, check one box only.

Decision
No, Fail

Item
No.

All Secondary Rooms (Rooms not used for living)
Yes, Pass

5.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

Go to Part 6

5.2 Security
Are all windows and doors that are accessible from
the outside lockable?
5.3 Electrical Hazards
Are all these rooms free from electrical hazards?
5.4 Other Potentially Hazardous Features
Are all of these rooms free of any other potentially
hazardous features? For each room with an "other
potentially hazardous feature," explain the hazard
and the means of control of interior access to the room.

6.0 Building Exterior
6.1 Condition of Foundation
Is the foundation sound and free from hazards?
6.2 Condition of Stairs, Rails, and Porches
Are all the exterior stairs, rails, and porches sound
and free from hazards?
6.3 Condition of Roof and Gutters
Are the roof, gutters, and downspouts sound and
free from hazards?
6.4 Condition of Exterior Surfaces
Are exterior surfaces sound and free from hazards?
6.5 Condition of Chimney
Is the chimney sound and free from hazards?
6.6 Lead-Based Paint: Exterior Surfaces
Are all painted surfaces free of deteriorated paint?
If no, does deteriorated surfaces exceed 20 sq. ft. of
total exterior surface area?

Not Applicable

6.7 Manufactured Homes: Tie Downs
If the unit is a manufactured home, is it properly placed
and tied down? If not a manufactured home, check
"Not Applicable."

Not Applicable

Additional Comments: (Give Item Number)(Use an additional page if necessary)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 15 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

7.

Heating and Plumbing

7.1
Adequacy of Heating Equipment
“Adequate heat” means that the heating system is capable of
delivering enough heat to assure a healthy environment in the unit
(appropriate to the climate). The HA is responsible for defining what
constitutes a healthy living environment in the area of the country in
which it operates. Local codes (city or state codes) should be
instructive in arriving at a r easonable local definition. For example,
for heat adequacy, local codes often require that the unit’s heating
facility be capable of maintaining a given temperature level during a
designated time period. Portable electric room heaters or kitchen
stoves or r anges w ith a bu ilt-in h eat un it a re not ac ceptable a s a
primary s ource of heat for units located in ar eas w here c limate
conditions require regular heating.
“Directly or indirectly to all rooms used for living” means:
“Directly” means that each r oom used f or living has a heat
source (e.g., working radiator; working hot air register;
baseboard heat)
‘’indirectly’’ means that, if t here i s no heat source present in
the room, heat can enter the room easily from a heated
adjacent r oom ( e.g a dining r oom may not hav e a r adiator,
but would receive heat from the heated living room through a
large open archway).
If the heating system in the unit works, but there is some question
whether a room w ithout a heat source w ould receive adequate
indirect heat, check “Inconclusive” and verify adequacy from tenant
or owner (e.g., unheated bedroom at the end of a long hallway).
How to determine the capability of the heating system: If the unit is
occupied, usually the quickest way to determine the capability of
the heating system over time is to question the tenant. If the unit is
not oc cupied, or the tenant has not lived in the unit during t he
months when heat would be needed, check “Inclusive.” It will be
necessary to question t he ow ner on t his point af ter the i nspection
has been completed and, if possible, to question other tenants (if it
is a muIti-unit structure) about the adequacy of he at pr ovided.
Under some circumstances, t he ade quacy of he at c an be det ermined by a simple comparison of the size of the heating system to
the area to be heated. For example, a small permanently installed
space h eater in a living r oom i s pr obably i nadequate f or heat ing
anything larger than a relatively small apartment.
7.2
Safety of Heating Equipment
Examples of “unvented fuel burning space heaters” are: portable
kerosene units; unvented open flame portable units.
‘’Other unsafe conditions’’ include: breakage or damage to heating
system such that t here is a potential for fire or ot her threats t o
safety; improper connection of flues al lowing ex haust ga ses t o
enter the living area; improper installation of equipment ( e.g.,
proximity of f uel t ank t o h eat s ource, absence of safety d evices);
indications of i mproper u se of equi pment ( e.g., ev idence of heav y
build-up of soot, creosote, or other substance in the chimney);
disintegrating equipment; combustible materials ne ar h eat s ource
or flue. See Inspection Manual for a more detailed discussion of the
inspection of safety aspects of the heating systems.
If y ou ar e un able t o gain a ccess t o t he pr imary heat ing system i n
the unit check ‘ ’Inconclusive." Contact the owner or manager f or
verification of safety of the s ystem. If t he s ystem has passed a
recent local inspection, check ‘ ’Pass.” This apppies especially t o
units in w hich he at i s pr ovided by a large s cale, c omplex central
heating system that s erves multiple u nits ( e.g., a boiler in the
basement of a large apa rtment bu ilding). I n most cases, a large
scale he ating system for a multi-unit bui lding w ill be s ubject t o
periodic safety inspections by a local public agency. Check with the
owner or manager to determine the date and outcome of the last
such inspection, or look for an i nspection certificate posted on t he
heating system.

Previous editions are obsolete

7.3
Ventilation and Adequacy of Cooling
If the tenant is present and has occupied the unit during the
summer months, inquire about the adequacy of air flow. If the
tenant is not present or has not occupied the unit during the
summer months, test a sample of windows to see that they open
(see Inspection Manual for instruction).
“Working cooling equipment’’ includes: central (fan) ventilation system;
evaporative cooling system; room or central air conditioning.

Check “ Inconclusive” if there ar e no operable w indows and it is
impossible, or inappropriate, to test whether a cooling system
works. Check w ith ot her tenants in the building ( in a muIti-unit
structure) a nd w ith the ow ner or manager for verification of t he
adequacy of ventilation and cooling.
7.4
Water Heater
"Location presents hazard’’ means that the gas or oil water heater
is located in living areas or closets where safety hazards may exist
(e.g., water heater located in very cluttered closet with cloth and
paper items stacked against it). Gas water heaters in bedrooms or
other living areas must have safety dividers or shields.
Water heaters must have a temperature- pressure relief valve and
discharge line ( directed t oward t he f loor or out side o f t he living
area) as a safeguard against build up of steam if the water heater
malfunctions. If not, they are not properly equipped and shall fail.
To pas s, ga s or oil fired w ater heaters must be vented i nto a
properly installed chimney or f lue leading outside. E lectric w ater
heaters do not require venting.
If it is impossible to view the water heater, check “Inconclusive.”
Obtain verification of safety of system from owner or manager.
Check "Pass" if t he water he ater ha s pas sed a l ocal i nspection.
This applies primarily to hot water that is supplied by a l arge scale
complex water heating system that serves multiple units (e.g.,
water heat ing s ystem in large apar tment bu ilding). Check in the
same manner described for heating system safety, item 7.2, above.
7.5
Water Supply
If the s tructure is connected t o a city or town water system, check
‘’Pass.” If the structure has a private water supply ( usually in rural
areas) inquire into the nature of the supply (probably from the owner)
and whether it is approvable by an appropriate public agency.

General note: If items 7.5, 7.6, or 7,7 are checked “Inconclusive,”
check with owner or manager for verification of adequacy.
7.6
Plumbing
“Major l eaks” m eans t hat main w ater dr ain and feed pipes ( often
located in t he ba sement) ar e s eriously l eaking. ( Leaks pr esent at
specific facilities have already been evaluated under the checklist
items for “Bathroom” and “Kitchen.”)
“Corrosion” ( causing serious and persistent levels of rust or
contamination in the drinking water) can be determined by
observing the color of the dr inking water at ssveral taps. B adly
corroded pipes will produce noticeably brownish water. If the tenant
is currently occupying the unit, he or she should be able to provide
information about the persistence of this condition. (Make sure that
the “rusty water” is not a temporary condition caused by city or town
maintenance of main water lines.) See general note under 7.5.
7.7
Sewer Connection
If the structure is connected to the city or town sewer system, check
“Pass.” If t he s tructure ha s its own pr ivate di sposal s ystem ( e.g.,
septic f ield), inquire i nto the nature of t he system and determine
whether this type of system can meet appropriate health and safety
regulations.
The following conditions constitute “evidence of sewer back up”:
strong sewer gas smell in the basement or outside of unit;
numerous clogged or very slow drains; marshy areas outside of unit
above septic field. See general note under 7.5.

Page 16 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

Description

Inconclusive

For each numbered item, check one box only.
Decision
No, Fail

Item
No.

Heating and Plumbing

Yes, Pass

7.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive,
date (mm/dd/yyyy)
of final approval

7.1 Adequacy of Heating Equipment
Is the heating equipment capable of providing adequate heat (either directly or indirectly) to all rooms
used for living?
7.2

Safety of Heating Equipment

Is the unit free from unvented fuel burning space heaters or any other types of unsafe heating conditions?

7.3

Ventilation and Adequacy of Cooling

Does t he uni t hav e adequate ventilation and cooling by
means of openable windows or a working cooling system?

7.4 Water Heater
Is the water heater located, equipped, and installed
in a safe manner?
7.5
Water Supply
Is the unit served by an approvable public or private
sanitary water supply?
7.6
Plumbing
Is plumbing free from major leaks or corrosion that
causes serious and persistent levels of rust or contamination of the drinking water?
7.7
Sewer Connection
Is plumbing connected to an approvable public or
private disposal system, and is it free from sewer
back-up?
Additional Comments: (Give Item Number)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 17 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

8.

General Health and Safety

8.1

Access to Unit

mullions, sills, or frames and any other painted building component within the unit. Deteriorated paint includes any painted
surface that is peeling, chipping, chalking, cracking, damaged or
otherwise separated from the substrate.

“Through another unit” means that access to the unit Is only
possible by means of passage through another dwelling unit.
8.2
Exits
“Acceptable fire exit” means that the building must have an alternative m eans of exit t hat m eets local or State r egulations i n case of
fire; this could include:
An openable window if the unit is on the first floor or second
floor or easily accessible to the ground.
A back door opening on to a porch with a stairway leading to
the ground.
Fire escape, fire ladder, or fire stairs.
“Blocked” means that the exit is not useable due to conditions such
as debris, storage, door or window nailed shut, broken lock.
Important note: The HA has the final responsibility for deciding
whether the t ype of e mergency exit is acceptable, although t he
tenant should assist in making the decision.
8.3
Evidence of Infestation
“Presence of rats, or severe infestation by mice or vermin” (such as
roaches) is evidenced by: rat holes; droppings; rat runs; numerous
settings of rat poison. If the unit is occupied, ask the tenant,
8.4
Garbage and Debris
“Heavy ac cumulation” means large piles of trash and ga rbage,
discarded furniture, and other debr is ( not temporarily stored
awaiting removal) that might harbor rodents, This may occur inside
the unit, i n common ar eas, or out side. I t usually m eans a l evel of
accumulation beyond the capacity of an individual to pick up within
an hour or two.
8.5
Refuse Disposal
“Adequate covered facilities" includes: trash cans with covers, garbage chutes, “dumpsters” (i.e., large scale refuse boxes with lids);
trash ba gs ( if a pprovable by l ocal p ublic ag ency). “ ApprovabIe by
local p ublic agency” m eans t hat t he local Health and S anitation
Department ( city, t own or c ounty) ap proves t he t ype of f acility i n
use. Note: During the period when the HA is setting up its
inspection program, it will check with the local health and sanitation
department to determine w hich t ypes of facilities ar e acceptable
and include this in the inspection requirements.
If the unit is vacant and there are no adequate covered facilities
present, check “ Inconclusive.” Contact the owner or manager f or
verification of facilities provided when the unit is occupied.
8.6
Interior Stairs and Common Halls
‘’Loose, broken, or missing steps’’ should fail if they present a
serious risk of tripping or falling.
A handrail is required on extended sections of stairs (generally four
or more consecutive steps). A railing is required on unprotected
heights such as around stairwells.
“Other hazards” would be conditions such as bare electrical wires
and tripping hazards.
Housing Choice Voucher Units If the unit was built January 1,
1978, or after, no child under six will occupy or currently occupies
it, is a 0-BR, elderly or handicapped unit with no children under six
on the lease or expected, has been certified lead-based paint free
by a certified lead-based paint inspector (no lead-based paint
present or no lead-based paint present after removal of lead-based
paint.), check NA and do not inspect painted surfaces.
This requirement applies to all painted surfaces (building components) within the unit. (Do not include tenant belongings).
Surfaces to receive a visual assessment for deteriorated paint
include walls, floors, ceilings, built in cabinets (sink bases),
baseboards, doors, door frames, windows systems including
Previous editions are obsolete

All deteriorated paint surfaces more than 2 sq. ft. in any one
interior room or space, or more than 10% of the total surface
area of an interior type of component with a small surface
area (i.e., window sills, baseboards, and trim) must be stabilized (corrected) in accordance with all safe work practice
requirements and clearance is required. If the deteriorated
painted surface is less than 2 sq. ft. or less than 10% of the
component, only stabilization is required. Clearance testing
is not required. Stabilization means removal of deteriorated
paint, repair of the substrate, and application of a new protective
coating or paint. Lead-Based Paint Owner Certification is required
following stabilization activities, except for de minimis level
repairs.
8.7

Other Interior Hazards

Examples of other hazards might be: a broken bathroom fixture
with a sharp edge in a location where it represents a hazard; a
protruding nail in a doorway.
8.8
Elevators
Note: At the time the HA is setting up its inspection program, it will
determine local licensing practices for elevators. lnspectors should
then be aware of these practices in evaluating this item (e.g., check
inspection date). If no elevator check “Not Applicable.”
8.9
Interior Air Quality
If t he i nspector has a ny que stions a bout w hether an existing poor
air quality condition should be considered dangerous, he or she
should check w ith the local Health and Safety Department ( city,
town or county).
8.10 Site and Neighborhood Conditions
Examples of conditions that would “seriously and continuously
endanger the health or safety of the residents” are:
other buildings on, or near the property, that pose serious
hazards ( e.g., dilapidated shed or garage w ith potential for
structural collapse),
evidence of flooding or major drainage problems,
evidence of mud slides or large land settlement or collapse,
proximity to open sewage,
unprotected heights (cliffs, quarries, mines, sandpits),
fire hazards,
abnormal air pollution or smoke which continues throughout
the year and is determined to seriously endanger health, and
continuous or excessive vibration of vehicular traffic (if the
unit is occupied, ask the tenant).
8.11 Lead-Based Paint: Owner Certification
If the owner is required to correct any lead- based paint hazards at
the property including deteriorated paint or other hazards identi-fied
by a visual assessor, a certified lead-based paint risk asses-sor, or
certified lead -based paint inspector, the PHA must obtain
certification that the work has been done in accordance with all
applicable requirements of 24 CFR Part 35. The Lead -Based Paint
Owner Certification must be received by the PHA before the
execution of the HAP contract or within the time period stated by
the PHA in the owner HQS violation notice. Receipt of the
completed and signed Lead-Based Paint Owner Certification
signifies that all HQS lead-based paint requirements have been
met and no re-inspection by the HQS inspector is required.

Page 18 of 19

ref Handbook 7420.8 form HUD-52580­A (04/15)

Description

Inconclusive

For each numbered item, check one box only.
Decision
No, Fail

Item
No.

General Health and Safety

Yes, Pass

8.

If Fail, what repairs are necessary?
If Inconclusive, give details.
If Pass with comments, give details.

If Fail or
Inconclusive, date
(mm/dd/yyyy) of
final approval

8.1 Access to Unit
Can the unit be entered without having to go through
another unit?
8.2
Exits
Is there an acceptable fire exit from this building
that is not blocked?
8.3
Evidence of Infestation
Is the unit free from rats or severe infestation by
mice or vermin?
8.4
Garbage and Debris
Is the unit free from heavy accumulation of garbage
or debris inside and outside?
8.5
Refuse Disposal
Are there adequate covered facilities for temporary
storage and disposal of food wastes, and ar e t hey
approvable by a local agency?
8.6
Interior Stairs and Common Halls
Are interior stairs and common halls free from hazards t o the occupant be cause of l oose, broken, or
missing steps on stairways; absent or insecure railings; inadequate lighting; or other hazards?
8.7
Other Interior Hazards
Is the interior of the unit free from any other hazard
not specifically identified previously?
8.8 Elevators
Where local practice requires, do all elevators have
a current inspection certificate? If local practice
does not require this, are they working and safe?

Not Applicable

8.9 Interior Air Quality
Is the unit free from abnormally high levels of
air pollution from vehicular exhaust, sewer gas,
fuel gas, dust, or other pollutants?
8.10 Site and Neighborhood Conditions
Are the site and immediate neighborhood free from
conditions which would seriously and continuously
endanger the health or safety of the residents?
8.11 Lead-Based Paint: Owner Certification
If the owner of the unit is required to correct any
deteriorated paint or lead-based paint hazards at
the property, has the Lead-Based Paint Owner’s
Certification been completed, and received by the
PHA? If the owner was not required to correct
any deteriorated paint or lead-based paint hazards, check NA.

Not Applicable

Additional Comments: (Give Item Number)

Comments continued on a separate page
Previous editions are obsolete

Yes

No
Page 19 of 19

/
ref Handbook 7420.8 form HUD-52580­A (04/15)