RD 1924-12 Inspection Report

USDA
Form RD 1924-12
(Rev. 02-18)

INSPECTION REPORT
Agency internal use only

FORM APPROVED
OMB No. 0575-0042
Exp. Date: MM/DD/YY

PROPERTY ADDRESS:
STATE:
COUNTY:
BORROWER ACCT#:

PERCENT
COMPLETE

ITEM OF DEVELOPMENT

ITEM OF DEVELOPMENT

PERCENT
COMPLETE

Date & No. of previous inspection:

PERIODIC INSPECTION

This inspection is Number:
The Agency will make final inspection of all development work and periodic inspections as appropriate to protect the security interest of
the U.S. government. However, the Borrower or its representative is responsible for making inspections necessary to protect the
Borrower's interests, and complying with State codes and any federal, state, or local requirements. The Borrower must not rely on this
Inspection Report as assurance that the structures and/or infrastructure are built in accordance with plans, specifications, and applicable
codes and requirements. This form is used for the benefit of the U.S. government, to provide general statements regarding any significant
conditions observed related to the work, evaluate the progress of the work, and evaluate the status of any deficiencies previously reported.

(See attached sheets for additional comments)

DATE

SIGNED

Agency Representative

FINAL INSPECTION
For the purposes set forth in 7 C.F.R. 1924 subpart A, 7 C.F.R. 1780 and 7 C.F.R. 1942 subpart A, the above listed items of development
shown as 100% complete have been certified by the construction contractor as completed in accordance with the contract documents.
Health Department and/or other regulatory agency approval has been given for water and waste disposal systems.
on (date)

. Builder’s Warranty is dated

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of
information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB
Control Number for this information collection is 0575-0042. Public reporting for this collection of information is estimated to be approximately 15 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of
information. All responses to this collection of information are voluntary. However, in order to obtain or retain a benefit, the information in this form is required under
Section 7 CFR 1924-A, Planning and Performing Construction and other Development. Rural Development has no plans to publish information collected under the
provisions of this program. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden
to: Information Collection Clearance Officer, Rural Development Innovation Center, Regulations Management Division at [email protected]
POSITION 6

GUIDE FOR INSPECTION OF CONSTRUCTION OF
DWELLINGS AND BUILDINGS
Agency Internal Use Only

Notices, Labor and Occupancy Observations.
Yes

No

-

The required posters displayed?

Yes

No
No

-

The facilities segregated?
Any evidence of employment discrimination?

Yes

GENERAL. - Drainage conditions. Location of buildings with respect to
property lines: Other buildings, water supply, sewage disposal, utilities,
etc. Protection of materials on site.

ELECTRICAL. - Location of meter. Number of circuits. Provision for
future circuits. Location of outlets and switches. Power suppliers
approval.

EXCAVATION. - Earth bearing. Footing depths. Frost lines. Grades
specified.

DRYWALL. - Joints, sanding, filling, taping.

CONCRETE AND MASONRY. - Concrete mix or strength, forms,
placing. Mortar mix. Width and depth of footings. Reinforcing steel.
Stepped footings. Drain title. Concrete slabs on ground: Bed under slabs,
wire mesh, slab thickness, finish. Termite protection. Foundation wall
and pier alignment. Anchorage preparation. Dampproofing.
Waterproofing. Exterior masonry: Lintels, wall thickness, height,
parging, furring, wall vents, basement windows, termite protection.
Masonry veneer: Lintels, thickness, airspace, flashing, felt, bonding,
weepholes. Interior masonry wall: Thickness, lintels. All masonry walls:
Joints, tooling, pointing, flashing, prevention of mortar stains, cleaning.
Masonry chimney and fireplaces: Flues, size of flues, height above ridge,
thimble, chimney cap, smoke cap, smoke chambers, firebrick, hearth.
Basementless areas: Clearance below joist, positive drainage.

GLAZING. - Quality of glass, putty, application.
LATHING AND PLASTERING. - Quality of lath, evenness, grounds,
joints between work and masonry, finishing.
MISCELLANEOUS METAL WORK. - Pipe rail, metal bucks, metal
windows (setting, caulking and priming), painting.
MILLWORK. - Trim, cabinets, windows and doors, thresholds.
WEATHER STRIPPING. - Seal, joints (tight and smooth).
FINISH FLOORS. - Dry storage, baseboard clearance, joints, nailing,
finish, protection after laying.

CARPENTRY MATERIALS. - Species and grade of lumber, moisture
content. Shims. Preservatives.

SCREENING. - Screen cloth, tightness, fit, operation, identification
tags, paint splashes.

FRAMING. - Fire stopping. Framing at chimney. Columns. Posts.
Anchorage and moisture protection. Girders. Floor joists, double joists.
Headers and trimmers. Subflooring. Ceiling joists. Roof pitch. Roof
rafters. Hip and valley rafters. Collar beams. Flat roofs. Trussed roof
construction. Studs, corner construction, corner bracing. Sill
construction. Anchorage. Window and door openings. Plates. Wall
sheathing. Roof sheathing. Termite protection.

HARDWARE. - Materials, workmanship, operation, keys.

EXTERIOR WALL FlNISH. - Type of paper or felt. Lap. Fit at: Corner
boards, door and window casings, drip cap, water table, sills, nails and
nailing. Miter. Corner finish. Stucco.
ROOF COVERING. - Conditions of deck, underlay, starting course,
exposure, nailing.
INSULATION. - Fastening of boards. Fill (to top of walls and even
distribution in ceilings).
FLASHING AND CAULKING. - Flashing at: exterior heads of
openings, chimneys, intersections of roof and walls, valleys, hips, ridges.
Caulking around openings
PLUMBING. - Quality of materials Workmanship. Excavation and
backfill. Protection of pipes. Size of pipe. Cutting or notching. Joints and
connections. Water supply lines: On solid ground below frost, shut-off
valve, drain valve for entire system. Drainage system, vents and venting.
Traps and clean outs. Hangers and supports. Quality and type of
fixtures. Location of fixtures. Fixtures securely installed. Domestic hot
water heating and storage, equipment, safety, capacity.
HEATING. - Safety, capacity. Required tests, operating and
maintenance instruction. Fuel storage. Check operation.
GAS (Liquefied Petroleum). - Approval markings on tank. Tank
Location. Meter installation (hung properly). Protection of exposed pipe.
Leakage under pressure (smell joints). Location of shut-off valve inside
building. Proper ventilation of system.

LIGHTING FIXTURES. - Type, bulbs (light, clean).
PAINTING AND DECORATING. - Surface preparation, washable
materials, lead content, application (suitable weather), nailheads.
BACKFILLING. - Around masonry, around trees. Finish grade 8
inches below wood.
LANDSCAPING. - Planting, seeding, finish grades.
FINAL. - Cleaning up: Masonry, crawl and pipe space, pipe chases,
attic, vents in walls, floors, chimney bottoms, fireplace throat, glass,
hardware and fixtures. Removal of debris. Closing of floor openings
around pipes. Replacement of broken windows. Operation of doors and
windows.
WATER SUPPLY
Location with respect to possible sources of contamination. Shaft.
Protection from contamination. Construction. Watertight casing safe
distance above slab and safe distance below ground surface. Grading at
top of well to drain away in all directions. Size of concrete platform.
Slope of concrete platform. Pump: Type, capacity, location, protection,
pollution proof, frostproof. Capacity of pressure tank.
SEWAGE DISPOSAL
Location: Slope of grade, depth of ground water, existing and future
water supply. Size and slope of house sewer to septic tank. Capacity of
tank. Distance of tank from foundation wall. Construction of tank.
Location of disposal field (unobstructed and unshaded area).
Construction of fi eld. Minimum seepage area (determined by
percolation test or recommendation of Soil Conservation Service and
State Board of Health). Approval of State Board of Health.
RD 1924-12
REVERSE