4 Point Inspection Template

4 Point Inspection Template

A 4 Point Inspection Form is a document used to assess the condition of important systems in a residential property, including the roof, electrical system, HVAC system, and plumbing. This form must be completed by a Florida-licensed inspector and includes minimum photo and reporting requirements to support the property’s insurability. Homeowners and insurers alike rely on the detailed findings documented in this inspection to make informed decisions.

To begin the process, please fill out the 4 Point Inspection Form by clicking the button below.

Content Overview

The 4 Point Inspection form is a crucial document in the realm of property insurance, particularly in Florida, where it provides a comprehensive assessment of four significant systems within a home: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. Each section of the form requires specific details, including the age of the systems, their overall condition, and any visible hazards that might pose a risk. Photographic evidence accompanies sections that detail the roof’s slope, potential leaks, and the condition of plumbing fixtures. The inspector must capture images of critical areas such as the main electrical service panel and the water heater, ensuring thorough documentation. Signed by a Florida-licensed inspector, this form serves the essential function of facilitating the underwriting process by determining insurability. However, it is important to note that the information within the form does not guarantee the safety or longevity of the inspected systems. Insurers rely heavily on this data to evaluate risks, so accuracy is paramount. A well-executed 4 Point Inspection can expedite the insurance process, while incomplete or unclear documentation may lead to delays or denials in coverage.

4 Point Inspection Sample

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

 

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

 

 

 

 

 

_____

Completely re-piped

 

PVC/CPVC

 

 

 

 

 

_____

Partially re-piped

 

Galvanized

 

 

 

 

 

(Provide year and extent of renovation in the comments below)

 

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.

Sample Form Insp4pt 01 18

Document Attributes

Fact Name Details
Purpose The 4-Point Inspection Form evaluates the major systems of a home, ensuring they are in good working order for insurance purposes.
Systems Inspected This form covers four key systems: Electrical, HVAC, Plumbing, and Roof.
Photo Requirements Photos must be included, showing each side of the dwelling, roof slopes, plumbing connections, and the main electrical panel.
Inspector Qualifications A licensed inspector in Florida must complete, sign, and date this form. Acceptable professionals include home inspectors and contractors.
Documentation Separate documentation is needed for any aluminum wiring remediation, certified by a licensed electrician.
State Regulations In Florida, this inspection is governed by local insurance regulations and must meet the minimum standards set forth by the state.
Use of Information The form's information helps insurers decide on coverage but does not guarantee the systems' future performance or quality.

4 Point Inspection: Usage Instruction

Next, you need to gather some basic information about the property and its systems. This information will help assess the property's eligibility for insurance. Ensure you fill out the entire form accurately and completely. Follow these steps:

  1. Insured/Applicant Name: Write the name of the insured or applicant at the top.
  2. Application / Policy #: Fill in the application or policy number below the name.
  3. Address Inspected: Provide the complete address of the property being inspected.
  4. Actual Year Built: Enter the year the property was built.
  5. Date Inspected: Indicate the date when the inspection takes place.
  6. Minimum Photo Requirements: Make sure to take required photos of each side of the dwelling, each slope of the roof, plumbing fixtures, and the electrical panel.
  7. Electrical System: Provide details about the main panel and second panel, including type, total amps, and any hazards present.
  8. HVAC System: Specify whether there is central AC and heat, and detail the age and condition of the HVAC components.
  9. Plumbing System: Answer questions regarding leaks, water heater condition, and the type and age of plumbing pipes.
  10. Roof: Record the predominant roof covering, age, condition, and any visible signs of damage or leaks.
  11. Additional Comments/Observations: Use this section to add any further details or notes regarding the inspection.
  12. Inspector Section: Ensure the Florida-licensed inspector completes their information, signs, and dates the form.

Make sure to check for any additional instructions that may apply. Pay close attention to the photo requirements and ensure everything is documented accurately before moving forward with the application process.

Frequently Asked Questions

  1. What is the purpose of the 4-Point Inspection Form?

    The 4-Point Inspection Form is designed to provide essential information about the home’s roof, electrical, HVAC (heating, ventilation, and air conditioning), and plumbing systems. Insurance companies in Florida require this inspection to assess the safety and insurability of a property. Ultimately, the findings help determine whether a homeowner can obtain insurance coverage and any specific conditions related to the property.

  2. Who can conduct a 4-Point Inspection?

    Only a Florida-licensed professional can conduct this inspection and complete the form. Acceptable inspectors include general contractors, home inspectors, and building code inspectors. Each licensed professional is qualified to evaluate the systems that pertain to their expertise, ensuring accurate and reliable assessments. Therefore, a licensed electrician might sign off on the electrical section but not on the plumbing or HVAC sections.

  3. What should homeowners expect during an inspection?

    During a 4-Point Inspection, the licensed inspector will assess each of the four systems: roof, electrical, HVAC, and plumbing. They will check for potential hazards, general condition, and any visible deficiencies. Homeowners should also prepare to provide information on the age of their systems and any recent upgrades. Additionally, the inspector should take photographs as required, helping to document the condition of the property and satisfy the insurance company's photo requirements.

  4. What happens if an inspection reveals deficiencies?

    If the inspection identifies any deficiencies or hazards, homeowners will need to address these issues before securing insurance coverage. The insurance agent reviewing the inspection form will typically seek confirmation that such conditions have been remedied. Moreover, it is crucial for homeowners to understand that deficiencies can affect their insurability. Therefore, taking corrective action promptly can help avoid complications in the insurance application process.

Common mistakes

Filling out the 4 Point Inspection form is critical for ensuring an accurate assessment of a property’s insurability. However, many people make common mistakes that can lead to issues down the line. One frequent error is not providing all required information. Each section of the form, from the insured’s name to the specific details of each inspected system, must be completely filled out. Incomplete forms can delay coverage or even result in denial.

Another mistake involves overlooking photo requirements. Many applicants forget to include photos or fail to meet the minimum requirements listed in the inspection guidelines. Each side of the dwelling, every slope of the roof, and systems like plumbing and electrical must be documented with clear images. Without these, the form may be deemed insufficient.

Improper documentation of the electrical system is another common pitfall. Applicants sometimes neglect to detail critical information like the type and age of the main panel or any remediation work done on aluminum wiring. This omission can raise red flags during the underwriting process, leading to potential complications in obtaining insurance.

Additionally, failing to explain ‘No’ responses can hinder the evaluation process. If any system is deemed unsatisfactory, the inspector must provide comments. Leaving these fields blank invites unnecessary scrutiny and confusion. Insurers rely on this information to make informed decisions regarding coverage.

People may also misjudge the condition of systems during inspection. Describing a system as ‘satisfactory’ without clear rationale can backfire, especially if problems appear later. It's essential to be honest and thorough in assessing whether systems function correctly and meet safety standards.

Another typical error involves missing signatures or license information. All inspection forms must be signed and dated by a Florida-licensed inspector. Without this critical validation, the form is incomplete and may not be accepted by insurers.

Submitting the form without a thorough agent review is another issue. Agents should ensure that all requirements are met before submitting the application. Overlooking this step can lead to significant setbacks in securing insurance.

Lastly, people often underestimate the importance of comprehensive comments in the additional observations section. Inspectors should provide detailed descriptions of any updates, visible hazards, or deficiencies found during their assessment. Clear communication in this section supports the transparent evaluation of the property’s condition, ultimately facilitating a smoother underwriting process.

Documents used along the form

A 4-Point Inspection form plays a critical role in evaluating a property's insurability. Various other forms and documents complement the inspection process, providing essential information to insurance underwriters. Below are some accompanying documents often utilized alongside the 4-Point Inspection form.

  • Roof Inspection Form: This document provides a comprehensive evaluation of the roof's condition and any repairs made. A detailed assessment is necessary to determine the roof's integrity, which impacts overall property safety and insurability.
  • HVAC Inspection Form: This form focuses on the heating, ventilation, and air conditioning systems. It records key details about the system's performance, maintenance history, and any existing issues, ensuring that these vital components meet safety standards.
  • Electrical Inspection Certificate: Issued by a licensed electrician, this certificate confirms the safety and compliance of the electrical systems within the property. It highlights any remediation efforts if hazardous materials like aluminum wiring are present.
  • Plumbing Inspection Report: This report evaluates the plumbing systems, including water heaters, pipes, and fixtures. It identifies potential leaks, the condition of systems, and any necessary repairs, essential for maintaining safe living conditions.

Utilizing these forms and documents ensures a thorough assessment of a property’s condition. As each component is carefully evaluated, property owners can better understand their issues, promoting both safety and clarity in the insurance application process.

Similar forms

Here are ten documents that share similarities with the 4-Point Inspection Form. Each document focuses on assessing different aspects of a property and helps in evaluating its condition:

  • Home Inspection Report: Similar to the 4-Point Inspection, this report assesses the overall condition of a property. It covers areas like roofing, electrical, plumbing, and HVAC systems, providing a comprehensive view for potential buyers or insurers.
  • Roof Inspection Form: This document specifically examines the roof’s condition, including materials used and any visible damage. Like the 4-Point Inspection, it often requires photos and descriptions of any concerns.
  • Electrical Safety Inspection Report: This report focuses on electrical systems, identifying any hazards or deficiencies. It parallels the electrical section of the 4-Point Inspection, ensuring compliance with safety standards.
  • HVAC Inspection Report: This document evaluates the heating and cooling systems within a property. It includes details about their operational status and safety, much like the HVAC section of the 4-Point Inspection.
  • Plumbing Inspection Report: This form checks the plumbing systems for leaks, corrosion, and overall functionality. Similar to the plumbing section of the 4-Point Inspection, it assesses components such as water heaters and pipes.
  • Insurance Underwriting Inspection: Critical for assessing a property's risk, this inspection gathers information on building conditions, similar to the 4-Point Inspection's purpose in underwriting assessments.
  • Building Code Compliance Inspection: This inspection verifies that the property adheres to local building codes. Like the 4-Point Inspection, it highlights areas that may require attention for safety and compliance.
  • Property Condition Assessment: Often used in commercial real estate, this assessment encompasses a broad review of the property's state, similar to the overall evaluation found in a 4-Point Inspection.
  • Real Estate Appraisal Report: This report estimates a property's value and condition based on various factors, including inspection items outlined in the 4-Point Inspection.
  • Pre-Listing Inspection Report: Home sellers often obtain this inspection to identify issues before listing a property. Like the 4-Point Inspection, it focuses on key systems that might impact a buyer's decision.

Each of these documents plays a vital role in ensuring that property inspections are thorough and help in making informed decisions regarding insurance and property transactions.

Dos and Don'ts

  • Do: Clearly fill out the insured/applicant name, application or policy number, and address inspected at the top of the form.
  • Do: Provide a complete year built for the property to give a clear context about the structure.
  • Do: Attach mandatory photos, ensuring each side of the dwelling, each slope of the roof, and essential plumbing components are included.
  • Do: Have a Florida-licensed inspector sign and date the form after completing the inspection to ensure validity.
  • Do: Describe any hazards or deficiencies in detail to avoid ambiguity and ensure clarity for underwriting.
  • Don't: Leave any sections of the form blank; this could lead to delays or rejection of your application.
  • Don't: Forget to check all required systems, such as electrical, plumbing, HVAC, and roof conditions, and note any issues found.
  • Don't: Use outdated or incorrect photos; they must accurately represent the current state of the property.
  • Don't: Attempt to have an inspector sign off on sections outside their expertise, as this could invalidate the form.
  • Don't: Ignore the submission deadlines; timely submission is crucial for maintaining the application process.

Misconceptions

Misconceptions about the 4-Point Inspection Form can lead to confusion. Here are ten common misconceptions along with clarifications.

  • 1. The form guarantees insurance approval. The 4-Point Inspection Form provides information only for underwriting purposes. It does not guarantee that a property will be insurable.
  • 2. Any inspector can fill out the form. Only a Florida-licensed inspector can complete, sign, and date the 4-Point Inspection Form for it to be valid.
  • 3. The inspection covers all aspects of a home. The form focuses specifically on the roof, electrical, HVAC, and plumbing systems. It does not address other potential issues outside these systems.
  • 4. Photos are optional. The form has specific photo requirements for all inspected areas. Inspectors must provide photos for each section to complete the form adequately.
  • 5. Electrical inspectors can sign off on plumbing sections. Each section must be signed by a licensed professional qualified in that specific field. An electrician can only verify the electrical section, for example.
  • 6. A satisfactory rating means everything is perfect. A satisfactory condition means systems function as intended, but it does not imply there are no deficiencies. Minor issues may still exist.
  • 7. The form is only for older homes. Any home, regardless of age, may require a 4-Point Inspection Form, particularly when applying for certain insurance policies.
  • 8. The form is the same in all states. The requirements for the 4-Point Inspection Form can vary by state. This specific form is applicable in Florida and has unique stipulations.
  • 9. All hazards must be fixed before an inspection is done. While hazards do need to be reported, the presence of hazards does not preclude an inspection from taking place.
  • 10. An inspection is valid indefinitely. The form must reflect the current condition of the systems inspected. An inspection becomes outdated over time, especially as systems age or change.

Key takeaways

1. Complete All Sections: Ensure you fill out every section of the 4-Point Inspection Form, including details about the roof, electrical, HVAC, and plumbing systems.

2. Use Clear, Comprehensive Photos: Attach required photos for each major component of the property, such as each side of the dwelling and every slope of the roof.

3. Licensed Inspectors Only: Have the inspection done by a Florida-licensed inspector. Their signature and license number must be included on the form for it to be valid.

4. Understand the Evaluation Purpose: The information provided is used solely to assess insurability. It does not guarantee the systems’ suitability or longevity.

5. Detail Any Hazards: If there are visible hazards or deficiencies in any system, the inspector must provide thorough explanations and comments in the observation section.

6. Focus on Updates and Maintenance: Clearly document any updates made to systems, including dates and the professionals who completed them. This information is vital for underwriting.

7. Review Before Submission: Agents should always review the completed inspection form to ensure compliance with all requirements before submitting it for coverage.

8. Be Aware of Responsibilities: Agents cannot submit applications for properties if the electrical, plumbing, or heating systems show signs of disrepair or existing hazards.

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