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Free 4 Point Inspection Template

The 4 Point Inspection Form is a crucial document used to evaluate the condition of a property's roof, electrical, HVAC, and plumbing systems. This form is typically completed by a licensed Florida inspector and is essential for determining insurability. By gathering detailed information about each system, it helps ensure that properties meet necessary safety standards.

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Table of Contents

The 4 Point Inspection form serves as a crucial tool in assessing the condition of a property, particularly for insurance purposes. It focuses on four key systems: the roof, electrical, HVAC, and plumbing. Each section requires detailed information, including the age of the system, its current condition, and any visible hazards. For instance, the electrical section examines the main panel and identifies potential issues like aluminum wiring or improper grounding. Similarly, the HVAC portion evaluates whether the heating and cooling systems are functioning properly and if they have been serviced recently. The plumbing section checks for leaks and the overall condition of fixtures, while the roof assessment looks for signs of damage or deterioration. Photos are required for documentation, ensuring that the inspector provides a visual record of each system's state. This form must be completed by a licensed inspector in Florida, who certifies the findings, making it essential for both homeowners and insurance agents to understand its significance in the underwriting process.

Document Specifics

Fact Name	Description
Purpose	The 4-Point Inspection Form is used to assess the condition of four major systems in a home: roof, electrical, HVAC, and plumbing.
Photo Requirements	Inspections must include photos of each side of the dwelling, each slope of the roof, and key plumbing and electrical components.
Inspector Credentials	A Florida-licensed inspector must complete, sign, and date the form. Only licensed professionals can certify the inspection.
Condition Certification	The inspector must certify that each system is working properly and free from visible hazards or deficiencies.
Aluminum Wiring	If aluminum wiring is present, separate documentation of remediation must be provided and certified by a licensed electrician.
Supplemental Information	Inspectors must provide additional details about the age and condition of systems, including any updates or repairs made.
Florida Governing Law	The form must comply with Florida Statutes and regulations regarding property insurance inspections.
Agent Responsibilities	Agents must review the completed form to ensure compliance with all requirements before submitting an application for coverage.
Hazard Documentation	Any hazards or deficiencies noted during the inspection must be clearly documented, along with explanations for any unsatisfactory conditions.

Similar forms

Home Inspection Report: Similar to the 4-Point Inspection Form, a home inspection report provides a comprehensive overview of a property's condition. It covers major systems like plumbing, electrical, and HVAC, ensuring potential buyers are informed about any issues.
Roof Inspection Report: This document focuses specifically on the condition of the roof. Like the 4-Point Inspection, it assesses age, material, and visible damage, helping to determine the roof's remaining useful life.
Transfer-on-Death Deed: The Arizona Transfer-on-Death Deed form allows property owners to designate beneficiaries who will receive their property upon their passing, without the need for probate. This legal document can simplify the transfer of property and provide clarity for heirs, ensuring that assets are distributed according to the owner's wishes. To start the process of securing your property for future beneficiaries, consider filling out the form by clicking the button below. For more information, visit Arizona PDF Forms.
HVAC Inspection Report: This report specifically evaluates heating, ventilation, and air conditioning systems. It shares similarities with the 4-Point Inspection by addressing system functionality, age, and potential hazards.
Electrical Inspection Report: This document inspects the electrical systems of a property. It mirrors the 4-Point Inspection in its focus on safety, identifying issues such as outdated wiring or insufficient amperage.
Plumbing Inspection Report: This report examines the plumbing system, including pipes, fixtures, and water heaters. It aligns with the 4-Point Inspection by assessing for leaks and overall system condition.
Insurance Underwriting Inspection: This inspection evaluates the property to determine insurability. Like the 4-Point Inspection, it assesses the condition of essential systems and identifies any potential risks.
Property Condition Assessment (PCA): A PCA provides an overview of a property's physical condition. It includes similar evaluations of major systems, ensuring that stakeholders understand the property's maintenance needs.
Pre-Purchase Inspection Report: This document is often requested by buyers before finalizing a purchase. It shares the same goal as the 4-Point Inspection: to uncover any issues that could impact the decision to buy.
Real Estate Appraisal Report: While primarily focused on property value, an appraisal may include assessments of the condition of key systems. This is similar to the 4-Point Inspection's goal of providing insights into the property's overall health.
Maintenance Inspection Report: This report is conducted to assess the ongoing maintenance needs of a property. It parallels the 4-Point Inspection by evaluating the same major systems to identify areas needing attention.

Free 4 Point Inspection File

4 Point Inspection Example

4-Point Inspection Form

Insured/Applicant Name:_________________________________________________ Application / Policy #:__________________________

Address Inspected:___________________________________________________________________________________________________

Actual Year Built:________________________		Date Inspected: ______________________________________________

Minimum Photo Requirements:
Dwelling: Each side	Roof: Each slope	Plumbing: Water heater, under cabinet plumbing/drains, exposed valves

Main electrical service panel with interior door label

Electrical box with panel off

All hazards or deficiencies noted in this report

A Florida-licensed inspector must complete, sign and date this form.

Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected.

Electrical System

Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician.

Main Panel				Second Panel
Type:	Circuit breaker	Fuse		Type:	Circuit breaker Fuse
Total Amps: __________				Total Amps: __________
Is amperage sufficient for current usage?			Yes No (explain)	Is amperage sufficient for current usage?		Yes No (explain)

Indicate presence of any of the following:

Cloth wiring

Active knob and tube

Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):

* If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided.

Connections repaired via COPALUM crimp Connections repaired via AlumiConn

Hazards Present			Double taps
Blowing fuses			Exposed wiring
Tripping breakers			Unsafe wiring
Empty sockets			Improper breaker size
Loose wiring			Scorching
Improper grounding			Other (explain)
Corrosion
Over fusing

General condition of the electrical system:	Satisfactory	Unsatisfactory (explain)

Supplemental information

Main Panel	Second Panel	Wiring Type
Panel age: __________	Panel age: __________	Copper
Year last updated: __________	Year last updated:__________	NM, BX or Conduit
Brand/Model: __________	Brand/Model: __________

Sample Form Insp4pt 01 18

4-Point Inspection Form

HVAC System

Central AC:	Yes	No
Central heat:	Yes	No

If not central heat, indicate primary heat source and fuel type: _________________________________

Are the heating, ventilation and air conditioning systems in good working order?						Yes	No (explain)
Date of last HVAC servicing/inspection: ______________

Hazards Present
Wood-burning stove or central gas fireplace not professionally installed?					Yes	No
Space heater used as primary heat source?			Yes	No
Is the source portable?	Yes	No

Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area?

Yes No

Supplemental Information

Age of system: _____________

Year last updated: _____________

(Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate)

Plumbing System

Is there a temperature pressure relief valve on the water heater?			Yes	No
Is there any indication of an active leak?	Yes	No
Is there any indication of a prior leak?	Yes	No
Water heater location: _______________________________________________

General condition of the following plumbing fixtures and connections to appliances:
Satisfactory Unsatisfactory		N/A		Satisfactory Unsatisfactory	N/A
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)

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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

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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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Understanding 4 Point Inspection

What is a 4-Point Inspection Form?

The 4-Point Inspection Form is a document used primarily in Florida to evaluate the condition of four key systems in a home: the roof, electrical, HVAC (heating, ventilation, and air conditioning), and plumbing systems. This form helps insurance companies assess the insurability of a property and identify any potential hazards or deficiencies that may need to be addressed.

Who can perform a 4-Point Inspection?

A licensed professional in Florida must complete the 4-Point Inspection. Acceptable inspectors include general contractors, building code inspectors, or home inspectors. Each inspector is required to sign and date the form, certifying the accuracy of their findings.

What are the minimum photo requirements for the inspection?

To ensure a thorough evaluation, the 4-Point Inspection Form requires specific photographs. These include images of each side of the dwelling, each slope of the roof, and key plumbing components such as the water heater and exposed valves. Additionally, photos of the main electrical panel (with the interior door label visible) and the electrical box with the panel off are necessary.

Why is a 4-Point Inspection important for homeowners?

A 4-Point Inspection is crucial for homeowners seeking insurance coverage. Insurance companies use this inspection to determine whether a property meets their underwriting guidelines. If any systems are found to be in poor condition, it may affect the homeowner's ability to secure coverage or lead to higher premiums.

What happens if a system is found to be unsatisfactory?

If any of the systems inspected are deemed unsatisfactory, the inspector will provide detailed comments about the issues identified. Homeowners may need to address these deficiencies before obtaining insurance. This could involve repairs or upgrades to meet safety and insurability standards.

How often should a 4-Point Inspection be conducted?

While there is no set frequency for conducting a 4-Point Inspection, it is advisable to have one performed when purchasing a new home, when renewing an insurance policy, or when significant renovations have been made. Regular inspections can help homeowners stay informed about the condition of their property.

What information is required on the 4-Point Inspection Form?

The form requires several key details, including the insured's name, application or policy number, the address of the inspected property, the year built, and the date of inspection. Additionally, the inspector must provide information about each of the four systems, including their condition and any hazards noted.

Can a homeowner choose their own inspector?

Yes, homeowners can select any Florida-licensed inspector of their choice to conduct the 4-Point Inspection. However, it’s important to ensure that the inspector is reputable and experienced in performing these types of evaluations to guarantee accurate results.

What if my home has aluminum wiring?

If your home has aluminum wiring, the inspector must provide separate documentation of any remediation performed. This documentation should be certified by a licensed electrician and detail the type of repairs made. It’s essential to address aluminum wiring issues, as they can pose safety hazards.

How does the inspection affect my insurance application?

The findings from the 4-Point Inspection directly impact your insurance application. If any systems are found to have hazards or deficiencies, the insurance company may require repairs before issuing a policy. Therefore, it’s vital to review the inspection results carefully and address any concerns promptly.

Dos and Don'ts

Things to Do:

Ensure all sections of the form are completed accurately.
Provide clear and detailed descriptions of any hazards or deficiencies.
Attach required photos for each section as specified.
Have the form signed and dated by a Florida-licensed inspector.
Review the form for completeness before submission.

Things Not to Do:

Do not leave any section blank; incomplete forms may be rejected.
Avoid using vague language when describing issues.
Do not submit without the necessary supporting photos.
Do not allow an unlicensed individual to sign the form.
Do not overlook the importance of documenting updates and repairs.

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