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Official 4 Point Inspection Template in PDF

The 4 Point Inspection Form is a crucial document used to assess the condition of a property's major systems, including the roof, electrical, HVAC, and plumbing. This inspection is typically required by insurance companies to determine the insurability of a property. Completing this form accurately ensures that all necessary details are documented, which can help in securing insurance coverage.

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Key takeaways

Ensure that the 4-Point Inspection Form is completed by a Florida-licensed inspector. This is crucial for the form to be accepted.
Include all required photos. The form requires images of the dwelling, roof, plumbing, and electrical systems to provide a comprehensive overview.
Document the condition of each system clearly. The inspector must certify that the roof, electrical, HVAC, and plumbing systems are in working order without visible hazards.
Pay attention to details regarding any hazards or deficiencies. If any issues are noted, provide thorough explanations in the additional comments section.
Review the form carefully before submission. Agents should ensure that all rules and requirements are met, especially concerning the condition of the systems.
Be aware that the information on this form helps determine insurability but does not guarantee the suitability or longevity of the inspected systems.

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Documents used along the form

The 4-Point Inspection Form is an essential document used to evaluate the condition of a property's major systems: electrical, plumbing, HVAC, and roofing. Alongside this form, several other documents may be required to provide a comprehensive overview of the property’s condition. Here are some common forms and documents that are often used in conjunction with the 4-Point Inspection Form.

Home Inspection Report: This detailed report covers the overall condition of the home, including structural elements, safety features, and any visible defects. It provides a broader assessment than the 4-Point Inspection, helping buyers and insurers understand the property's condition.
Living Will Form: This important document allows individuals to articulate their medical treatment preferences in situations where they may be unable to communicate. Preparing a Living Will helps avoid family disputes and maintain dignity during critical moments, and you can access All California Forms for more information.
Roof Inspection Form: While the 4-Point Inspection includes some roof details, a dedicated Roof Inspection Form provides a more thorough analysis of the roofing system. It often includes specifics about the materials used, the condition of flashing, and any signs of leaks or damage.
Electrical Inspection Report: This report focuses specifically on the electrical systems in the home. It details the condition of wiring, outlets, and panels, and may include recommendations for repairs or upgrades. This is especially important if there are concerns about safety or compliance with local codes.
Plumbing Inspection Report: Similar to the electrical report, this document examines the plumbing system in detail. It identifies issues like leaks, pipe material, and the condition of fixtures, ensuring that the plumbing meets safety and functionality standards.
HVAC Inspection Report: This report evaluates the heating, ventilation, and air conditioning systems. It assesses the age, condition, and efficiency of the units, providing insights into potential maintenance needs or replacements.

Using these documents together with the 4-Point Inspection Form can help ensure a thorough evaluation of a property. This comprehensive approach not only aids in determining insurability but also enhances the understanding of the property's overall condition for buyers, sellers, and insurers alike.

Similar forms

Home Inspection Report: Similar to the 4-Point Inspection Form, a home inspection report assesses the overall condition of a property, including structural, electrical, plumbing, and HVAC systems. Both documents require a licensed inspector to evaluate the home's systems and provide a detailed account of their findings.
Roof Inspection Report: This report focuses specifically on the roof's condition, detailing any damage, remaining useful life, and necessary repairs. Like the 4-Point Inspection, it includes photos and requires a licensed professional to certify the findings.
Dirt Bike Bill of Sale: To ensure a smooth transaction, it is essential to download and fill out the form, which serves as proof of purchase and facilitates the transfer of ownership in New York State.
Electrical Inspection Report: This document reviews the electrical systems within a property, including wiring, panels, and safety hazards. The 4-Point Inspection includes an electrical section that must be completed by a licensed electrician, paralleling the thoroughness of a dedicated electrical inspection report.
HVAC Inspection Report: An HVAC inspection report evaluates heating, ventilation, and air conditioning systems for functionality and safety. Similar to the HVAC section of the 4-Point Inspection, it assesses the condition and maintenance history of these systems.
Plumbing Inspection Report: This report examines the plumbing systems in a home, checking for leaks, water pressure, and pipe conditions. The plumbing section of the 4-Point Inspection serves a similar purpose, ensuring that plumbing systems meet safety and operational standards.
Insurance Underwriting Report: This report is used by insurance companies to assess the risk associated with insuring a property. The 4-Point Inspection provides essential information for underwriting decisions, making it a vital document in the insurance application process.
Property Condition Assessment (PCA): A PCA is a comprehensive evaluation of a property's condition, often used in commercial real estate. Like the 4-Point Inspection, it identifies potential issues and provides a detailed analysis of various systems.
Real Estate Disclosure Statement: This document requires sellers to disclose known issues with the property. While the 4-Point Inspection is more focused on current conditions, both documents aim to inform potential buyers about the property's state.
Building Code Compliance Report: This report ensures that a property meets local building codes and regulations. Similar to the 4-Point Inspection, it requires a licensed professional to evaluate compliance with safety standards.

Document Data

Fact Name	Description
Purpose	The 4-Point Inspection Form is used to assess the condition of a property's roof, electrical, HVAC, and plumbing systems for insurance underwriting purposes.
Inspector Requirements	A Florida-licensed inspector must complete, sign, and date the form. Acceptable professionals include general contractors, building code inspectors, and home inspectors.
Photo Requirements	Minimum photos required include each side of the dwelling, each slope of the roof, plumbing components, and the main electrical panel.
Governing Law	The form is governed by Florida state laws, which require licensed professionals to certify the condition of the inspected systems.
Condition Certification	The inspector must certify that each system is functioning properly and free from visible hazards or deficiencies.

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Common mistakes

Incomplete Information: Failing to fill in all required fields, such as the insured's name or the address inspected, can lead to delays in processing. Each section must be completed thoroughly.
Missing Signatures: The form must be signed and dated by a Florida-licensed inspector. Omitting this step invalidates the inspection.
Insufficient Photo Documentation: Not providing the required photos for each section can result in the form being rejected. Remember, photos must include all sides of the dwelling and specific components of the systems inspected.
Ignoring Hazards: Any hazards or deficiencies noted during the inspection must be documented. Failing to mention these can lead to serious issues down the line.
Incorrectly Documenting Electrical Systems: Not specifying the type of electrical panel or failing to indicate the presence of aluminum wiring can create problems. Ensure all electrical details are accurately reported.
Overlooking HVAC Details: Not answering questions about the HVAC system's condition or failing to note the last servicing date can raise red flags during underwriting.
Neglecting Plumbing Information: Failing to indicate the presence of leaks or the condition of plumbing fixtures can lead to significant issues. This information is crucial for determining insurability.
Inaccurate Roof Condition Reporting: Not providing a clear assessment of the roof's condition or neglecting to check for visible damage can mislead the underwriting process.
Not Reviewing Before Submission: The writing agent must review the form before submitting it. Skipping this step can result in overlooked mistakes that could affect coverage.

Preview - 4 Point Inspection Form

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
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
		Copper
_____	Completely re-piped	PVC/CPVC
		PVC/CPVC
_____	Partially re-piped	Galvanized
		Galvanized
(Provide year and extent of renovation in the comments below)		PEX
		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.

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