Inspection Checklist

Small Symptoms or
True false IF Function Location Injury Number

Function Injuries
#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? #N/A #N/A #N/A
Symptoms and Possible Cause Default
Injuries (other)
Possible cause
(other) Category Category
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
#N/A #N/A #N/A #N/A #N/A
Symptoms or Type of
Reference Possible cause Risk level
injuries Intervention
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or
Reference Possible cause
injuries
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
0-0 0 0
#N/A #N/A #N/A
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Type of
Risk level
Intervention
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
#N/A #N/A
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Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
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0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
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0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
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0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
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0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
0-0 0 0 0 0
Small Symptoms or
Function Injuries

Injuries (other)
Possible cause
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Symptoms or Type of
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Injuries (other)
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Injuries (other)
Possible cause
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Injuries (other)
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Start
Arganzuela
Playing cards
Center
Carabanchel
Chamberí
Chamartin
Linear City
Fuencarral
Neighborhood
Hortaleza
Latin
Moncloa - Aravaca
Moratalaz
Retirement
San Blas - Canillejas
Usera
Villaverde
Owner
Tenant
Person Present Real-estate agency
During the Owner and tenant

Inspection
Owner and real estate agency
Tenant and real estate agency

Checkia Express
Checkia Standard
Type of service
Checkia Premium
Checkia Preventive
Pressure gauge
Voltage detector
Socket tester
Distance Meter
Applied home automation test
Moisture meter
Luminosity Meter
Sound Meter
Air quality monitor
Living room
Kitchen
Hall
Room 1
Room 2
Room 3
Inaccessible areas or devices
Bathroom 1
Bathroom 2
Bathroom 3
Yard
Balcony
Terrace
Yes
Photos
Not
Yes
Video
Not
Between -5 and 5 degrees
Between 5 and 15 degrees
Temperature Between 15 and 25 degrees
Clear
Weather Cloudy
Rainy
Yes
Rain in the last 3 days
Not
Dry
Soil Condition Damp
Wet
Deficient
Regular
Spatial Description
Well
Spatial Description
Excellent
P1
P2
H1
H2
H3
H4
B1
B2
Location B3
AND
CM
BC
PT
ACE
TS
AC
1
10
11
12
13
14
15
Injury Code
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Specific information
Pedestrian
Access
Pedestrian and Vehicular
Residential
Character of the building Commercial
Residential and Commercial
5
Number of plants
6
10
Yes
Nearby Public Parking
Not
Yes
Lift
Not
Universal
Accessibility
Non-Universal
In optimal conditions
State of conservation of the

farm, access, elevator, and
painting
In conditions
State of conservation of the
farm, access, elevator, and
painting
In bad conditions
Not checked
5
Number of homes per floor
6
10
Maintenance
Revision
Reform
Type of Intervention Required Repair
Substitution
Withdrawal
Repair, Replacement,
Retirement
Electrical installation
Electrical Leak
Short circuit problem
Exposed Cable
Bad Sizing
Supply Failure (Low Power Voltage)
Overloads (High Voltage Power
False contact
Detached plug
Symptoms or Dislodged switch

Injuries
Badly replaced switch
Burned out light fixture
Element wear
Luminaire without bulb
Extraction improvement
Lack of space lighting
Unstable luminaire
Other
Misuse
Progressive deterioration
Bad Installation
Power system grid failure
No installation
Possible cause Lack of bulbs
Item Uninstall
Without maintenance
Little Luminaire
Poor installation
Other
Evaluation of number of
More than required
plugs per area
The usual
Minimum Required
Number of Switches in the
electrical panel and Light 1
Points per Area
2
10
11
12
13
14
15
16
17
18
General
Facilities
Default Category Serious
Intermediate
Less
Undetermined
Absence of defect
Installation Assessment Deficient
Regular
Well
Excellent
Risk level Absence of Risk
Low risk
Medium risk
High risk
Need Required Intervention None
Long term
Medium term
Short term
Urgent
Installation Assessment Undetermined
Deficient
Bad
Regular
Well
Very good
Excellent
Location Code C-1
C-2
C-3
C-4
C-5
C-6
C-7
C-8
C-9
C-10
P-1
P-2
P-3
P-4
P-5
P-6
P-7
P-8
P-9
P-10
H1-1
H1-2
H1-3
H1-4
H1-5
H1-6
H1-7
H1-8
H1-9
H1-10
S-1
S-2
S-3
S-4
S-5
S-6
S-7
S-8
S-9
S-10
B1-1
B1-2
B1-3
B1-4
B1-5
B1-6
B1-7
B1-8
B1-9
B1-10
H2-1
H2-2
H2-3
H2-4
H2-5
H2-6
H2-7
H2-8
H2-9
H2-10
B2-1
B2-2
B2-3
B2-4
B2-5
B2-6
B2-7
B2-8
B2-9
B2-10
H3-1
H3-2
H3-3
H3-4
H3-5
H3-6
H3-7
H3-8
H3-9
H3-10
B3-1
B3-2
B3-3
B3-4
B3-5
B3-6
B3-7
B3-8
B3-9
B3-10
T-1
T-2
T-3
T-4
T-5
ES-1
ES-2
ES-3
ES-4
ES-5
Brickwork
Crack
Filtration
Leak
Flexion in structure
Unleveling
Humidity
Broken Partition
Symptoms or Injuries Stained Partitions
Poor screed repair
Broken tile
Tile wear
Broken tile
Worn tile grout
Slightly detached tile
Other
Little ventilation
Relative temperatures and

humidity
Contribution of water vapor to

the indoor environment
Direct water penetration

Possible cause
Bad Use / Bad Care
Construction movement
Installation without taking care

of detail
Heavy element impact and
progressive detachment due to
lack of repair
Other
Bathtub type material Resin
Acrylic
Steel
Molten iron
Shower type material Ceramic

Acrylic
Natural stone
Mineral load
Construction site
Bathroom Extractor natural
Mechanics
Does not have

Undetermined
Deficient
Bad
Regular
Well
Excellent
Plumbing
Symptoms or Injuries
Possible cause
Possible cause
Installation type
General condition of the hardware

Water leaks
Blockages in the pipes
Bad smells in the pipes
Air in pipes
Taps with lime and oxidation
Faucet drips
Damaged cistern
Boiler failure
Decrease in water pressure
Mold and moisture absorbed by the bathtub seal
Other
Strong water pressure
Waste accumulation
Old Faucet
Boiler pump failure

Minerals Accumulated in Pipes
Faucet cut off for a long time
Lack of preventive maintenance
Re-sealing on fungi
Other
Copper
Steel
Plastic
Lead
Mixed
Well
Regular
Bad
External woodwork
Blind stuck
Blind lowers itself
Blind neither goes up nor goes down
Hardware failures
Traces of forcing
Condensation on the windows

Glass breaks and cracks
Water permeability
Air permeability
Dehydrated gums
Hard hinges and locks
Other
Hardware breakage
Thin glass
Natural wear
Malfunction of the gaskets

Possible cause
Possible cause
Glass placement
Environmental conditions and lack of

maintenance
Other
Aluminum
Wood
Frame Type
PVC
Stainless steel
Single Crystal
Window Glass Type Double Glass
Triple Crystal
Bars
Security Enclosures Gorjas
None
Interior Carpentry
Lock problems
Door jams (won't open / close)
Hinge problem
Chipping or scratching on the door
Crank shaft problems
Door does not fit well with frame
The bowler moves with the key
Latch problems
Symptoms or injuries
Skirting problems
Peeled skirting
Broken door
Frame peeled off
Scratches and nicks
Broken transient joint
Scratches and chips
Other
The ground has been lifted

Due to wear and tear
Rusty hinge gear
Loose hinges
Possible cause
Wall is not perfectly flat
Humidity
Installation defect due to unevenness
Slope of flooring
Installation deteriorated by time and

humidity
Other
Hollow
Plated
Type of door composition
Solid
Mixed
Armored
Armored
Type of exterior door
composition
Solid
Metallic
In raw
Painting
Varnish
Door Finish Type Lacquered

Door Finish Type
PVC
Crystal
Mixed
Lock type Gorja
Digital
Bolts
Recessed
Cylindrical
Multipoint
Safety
Tubular
Invisible
Flooring material Pallet
Parquet
Floating floors
Laminate floors
Solid
Amount of storage per area Well
Regular
Bad
EX-1 BC-1
EX-2 BC-2
EX-3 BC-3
EX-4 BC-4
EX-5 BC-5
Air conditioning (Heating)
Circuit does not heat up
Loss of water
Oxide
Difficulty in the passage of

water
Thermostat problem
Radiator elements missing
Low boiler pressure

Frozen condensate tube
Strange hissing noises

The boiler shuts down
Broken heater
Other
The radiator has not been

properly bled
Boiler pressure
Interior dirt
Possible cause Air bubbles
Radiator wear / age
Bad gaskets
Other
Heater Type Gas
Electric
Other mechanism
Climatization (Air Conditioning)
Water Loss
Gas leak
Water flow noise
Unit does not turn on
Compressor does not start

Improper electrical connection
Excess gas
Broken grid
Other
Broken pipes
Recharge Failure
Possible cause The gas has been spent
Loose connection
Other
Air conditioner type Split (wall)
Split (from console to ceiling)
Central
Laptop
Furniture
Refrigerator failure
Washing machine fault
Dishwasher fault
Deteriorated living room furniture
Broken furniture upholstery
Broken Cabinet / Furniture
Swollen wood. Peel off topsheet

Swollen wood
Peel off topsheet

Dashboard gasket peeling
Central front tear
Other
Misuse
Faulty motor
Filtration
Humidity
Progressive deterioration
Possible cause
Constant excess humidity
Constant excess humidity
consequence of extractor hood
operation
Pipe or liquid falling recurrently on
furniture
High temperature accident damage
Other
Home appliances Oven
Microwave
Fridge
Wash dishes
Washing machine
Dryer
Stove Type Electrical
Gas
Induction
Number of Burners 1
5
Finishes
Bleaching / veiling issues
Bubbles in the finishes
Stripes in the finish
Poor cured drying
Dripping
Blistering (bubbles)
Surface cracks and crevices

Caleo
Mold
Peeling paint
Paint patching
Other
Excessive humidity
Poor ventilation in the application area
Too much load on product application
Application of very thick layers
Paint aging
Possible cause Inappropriate exterior / interior paint
Low consistency of paint
Construction movement
Localized paint touch-ups without
considering the painting of the entire
cloth
Cannot be determined by weather
conditions
Other
Structure and Foundation
Cracks
Moisture
Filtration
Other
Earth movements
Building movements
Deterioration of materials
Possible Cause
Capillarity
Lack of waterproofing
Other
Healthiness
Possible cause
Categoría de Síntomas o
Category Ubicación Codigo de lesión
Defecto Lesiones
Electrical
0 0 0 0
installation
Electrical
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Electrical
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Electrical
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Electrical
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Electrical
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Electrical
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Electrical
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Electrical 0 0 0 0
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installation
Electrical
0 0 0 0
installation
Electrical
0 0 0 0
installation
Electrical Sala Pasillo Habitación 1 Habitación 2
installation
Electrical
0 0 0 0
installation
Electrical
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installation
Electrical
0 0 0 No tiene
installation
Electrical
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Electrical
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Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing 0 0 0 0
Plumbing HOLA 0 0 0
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External 0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External 0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
0 0 0 0
woodwork
External
HOLA 0 0 0
woodwork
Wood Carpentry 0 0 0 0
Wood Carpentry Sala Pasillo 1 Habitacion 1 Habitacion 2
Wood Carpentry HOLA 0 0 0
Air conditioning 0 0 0 0
Categoria de Sintomas o
Air conditioning Ubicación Codigo de lesión
Defecto Lesiones
Air conditioning HOLA 0 0 0
Air conditioning hola 0 0 0

Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes 0 0 0 0
Finishes HOLA 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture 0 0 0 0
Furniture HOLA 0 0 0
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure & 0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure & 0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Structure &
0 0 0 0
Foundation
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness hola 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness 0 0 0 0
Healthiness HOLA 0 0 0
Tipo de
Sintomas y Posible Causa
Posible Causa Nivel de Riesgo Intervención
Lesiones (otro) (otro)
Requerida
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Baño 1 Baño 2 Habitacion 3 Baño 3 0

Más de lo
0 0 0 0
requerido
0 0 0 1 0
Err:509 Mecánica 0 Natural º
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Baño 1 Baño 2 Habitación 3 Baño 3 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Sintomas y Posible Causa Tipo de
Posible Causa Nivel de Riesgo Intervención
Lesiones (otro) (otro)
Requerida
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Accion y/o
Recomendaciones
a tomar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Accion y/o
Recomendación a
tomar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Start
Basic inspection information
Environmental conditions
Spatial Description
Constructive Data
Building Information
Building Status
Start
Inspection Date
Technical data sheet filled by
Property address Fill in capital letters
Municipality
Neighborhood
People present during the inspection
Type of service
Certification by Technical Architect
Applied home automation test
Inaccessible areas or devices
Photos
Video
Temperature
Weather
Rain in the last 3 days
Soil condition
Spatial Description (spaces in which the property
is divided)
Sunning
Natural ventilation
Views and Landscaping
Builded surface
Useful surface
Proven Usable Surface
Cadastral registry
Building size of the plot
Access
Building date
Character of the building
Number of plants
Average number of dwellings per floors
Total number of apartments in the building 0
Nearby Public Parking
Lift
Elevator age
Property Accessibility
Year of last comprehensive reform
State of conservation of the farm
Access doors status
Elevator operation
Maintenance of walls
Example: CALLE ANA DE AUSTRIA 21, 4-C
Kitchen
Include comments on the sunlight that the home

receives
Include comments on natural and / or forced

ventilation
Include comments on views and landscaping

Electrical reviewed Location Injury code
installation
Distribution panel
Power suppliers
Points of Light
Extractors
Extractors
Visible installation
Luminary
Value added
Kitchen Room Hall
Take total currents by area
Point of Light by Area
Bathroom exhaust fan

Number of switches in the electrical
panel 2
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Inst Electrica)
the state of the
installation
Hello
Defect Category Symptoms or Injuries Symptoms and Injuries
(other)
Room 1 Room 2 Bathroom 1
Does not have

written (Inst Electrica)
Possible cause Possible Cause (other) Risk level
Bathroom 2 Room 3 Bathroom 3
More than required
Mechanics natural
Action and / or
Type of Intervention
Required Recommendations to Image Code
take
º
Image Code
Brickwork reviewed Location Injury code
Partitioning
Enclosures
False ceiling
Tiled
Tiled
Flooring
Floor levels
Sinks
Plastered or
plastered
Plastered or
plastered
Gaps and Skylights
Terrace Enclosure
Value added
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (masonry)
the state of the
installation
Hello
(other)
written (masonry)
Action and / or
Required Recommendation to Image Code
take
Image Code
Plumbing reviewed Location Injury code
Water network
(hot and cold)
Downspouts
Evacuation and
sanitation network
Sanitary pieces
Sanitary pieces
Boiler
Faucet
Installation of
shower tray and
bathtub
Value added
Installation type
Heater Type
Bathtub type material
Shower type material
General condition of the hardware
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Plumbing)
the state of the
installation
HELLO
Default Category Symptoms or Injuries Symptoms and Injuries
(other)
written (Plumbing)
Action and / or
take
Image Code
External reviewed Location Injury code
woodwork
Locks
Blinds
Cranks / Handles /
Rubbers
Glass
Glass
Security Enclosure
Value added
Frame Type
Window Glass Type
Security Enclosure
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Exterior carpentry)
the state of the
installation
HELLO
(other)
written (Exterior carpentry)
Action and / or
take
Image Code
Wood carpentry reviewed Location Injury code
Doors status
Hinge Movement
and Level
Handles / Cranks
Frames, covers and

jambs
Frames, covers and
jambs
Wardrobe status
Locks
Wooden floors
Baseboards
Baseboards
Access door
Value added
Type of composition of interior
doors
Access door composition type
Door Finish Type
Access door lock type
Flooring material
Kitchen Room Hall 1

Amount of storage space per area
General
assessment of the
installation
HELLO
Conclusions,
comments or
observations about Example of where Hello
the state of the
installation
(other)
Room 1 Room 2 Bathroom 1
Bathroom 2 Room 3 Bathroom 3
Action and / or
take
Image Code
Air conditioning reviewed Location Injury code
(Heating)
Installation
Cut-off keys /
holders
Thermostat /
Underfloor Heating
Radiator Elements
Radiator Elements
Value added
Radiator Type
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Air-conditioning-Heating)
the state of the
installation
Air conditioning reviewed Location Injury code

(AC)
Air On and Off
Cooling function
Value added
Air Conditioning Type
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Air conditioning-AC)
the state of the

installation
HELLO
Hello
(other)
written (Air-conditioning-Heating)

(other)
written (Air conditioning-AC)
Action and / or
take
Action and / or
Required
Recommendation to Image Code
take
Image Code
Image Code
Finishes reviewed Location Injury code
General finishes
Decorative Effects
Facings
Terrace Finishes
Terrace Finishes
Garden Finish
Value added
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Finishes)
the state of the
installation
HELLO
(other)
written (Finishes)
Action and / or
take
Image Code
Furniture reviewed Location Injury code
Living room
furniture
Kitchen furniture
Room furniture
Bathroom furniture
Bathroom furniture
General furniture
(Other)
State of Appliances
Value added
Home appliances
Type of stove
Number of burners
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Furniture)
the state of the
installation
HELLO
(other)
written (Furniture)
Action and / or
take
Image Code
Structure & reviewed Location Injury code
Foundation
Visible settlements
Waterproofing
Gutters
Exterior roof
Exterior roof
State of the
Structure
State of isolation
Facade status
Beam condition
Beam condition
Joist condition
System status
Slab condition
Ladder:
Measurement
compliance
Ladder:
Measurement
compliance
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (struc
the state of the
installation
Hello
(other)
ons should be written (structure & foundation)
Action and / or
take
Image Code
Healthiness reviewed Location Injury code
Good disposition
Crossed ventilation
Natural lighting
Waste
management
Waste
management
Value added
General
assessment of the
installation
Conclusions,
comments or
observations about Example of where the conclusions should be written (Health)
the state of the
installation
Hello
HELLO
(other)
written (Health)
Action and / or
take
Image Code
Category Inspection Item
Distribution panel
Power suppliers
Points of Light
Electrical installation Extractors
Electrical circuit
Visible installation (Telephone)
Luminary
Partitioning
Enclosures
False ceiling
Tiled
Floor tiles
Brickwork Floor levels
Sinks
Plastered or plastered
Gaps and Skylights
Terrace Enclosure
Ladder material
Water network (hot and cold)
Downspouts
Evacuation and sanitation network
Plumbing Sanitary pieces
Boiler
Faucet
Installation of shower tray and bathtub
Locks
Blinds
External woodwork Cranks / Handles / Rubbers
Glass
Security Enclosure
Doors status
Hinge Movement and Level
Handles / Cranks
Frames, covers and jambs
Wood carpentry Wardrobe status
Locks
Wooden floors
Baseboards
Access door
Installation
Air conditioning Cut-off keys / holders
Heating Thermostat / Underfloor Heating
Radiator Elements
Air On and Off
AC air conditioning
AC air conditioning
Cooling function
General finishes
Decorative Effects
Finishes Facings
Terrace Finishes
Garden Finish
Living room furniture
Kitchen furniture
Room furniture
Furniture Bathroom furniture
General furniture
State of Appliances
Visible settlements
Waterproofing
Gutters
Exterior roof
State of the Structure
Structure and State of isolation
foundation Facade status
Beam condition
Joist condition
System status
Slab condition
Ladder: Measurement compliance
Good disposition
Crossed ventilation
Healthiness
Natural lighting
Waste management
Type of inspection
Physical and Visual
Physical and Visual
Physics in case of using tastings (witnesses when there are cracks) we still do not do it
Physical is touching it to see if it comes off, but it is more of a visual activity
Physical is touching it to see if it comes off, but it is more of a visual activity
Physical and visual
*** depends on the scope, it should be physical but it is visual
Physical open it
Physical
Visual
Physical and Visual
Physical and Visual
Visual
Physical and Visual
Physical and visual

Physical and visual
Physical and visual
Visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Physical and visual
Visual
Vsual
Visual (should have physical component)
Visual
Physical and visual

Visual
Visual
Visual
Visual
Visual
Physical and Visual
Physical and Visual
Physical and Visual
Physical and Visual
Physical and Visual
Visual
Visual (should be physical)
Visual
Visual
Visual
Visual
Brickwork
Plumbing
External woodwork
Wood carpentry
Air conditioning
Finishes
Furniture
Structure & Foundation
Healthiness
Total
Category
Structure & Foundation
Brickwork
Plumbing
External woodwork
Wood carpentry
Air conditioning
Finishes
Furniture
Healthiness
Total
Serious
Totalization
Code Area
C Kitchen
S Living room
H1 Room 1
H2 Room2
H3 Room3
H4 Room 4
B1 Bathroom1
B2 Bathroom2
B3 Bathroom3
CM Dining room
AND Stairs
T Terrace
BC Balcony
PT Yard
P1 Hall1
G general
ACE Cleanliness
P2 Hall2
J Yard
TS Service Terrace
AC Access
Total
Area Note
Electrical installation 0
Brickwork 0
Plumbing 0
Wood carpentry 0
External woodwork 0
Air conditioning (Heating) 0
Air conditioning (Air Conditioning) 0
Finishes 0
Furniture 0
Structure & Foundation 0
Healthiness 0
Total assessment on
the state of the
property
Deficient 0 to 0.9
Bad 1 to 1.9
Regular 2 to 2.9
Well 3 to 3.9
Excellent 4 to 5
Area Con
Electrical installation E
Brickwork
Plumbing
Wood carpentry Ejemp
External woodwork Ejem
Air conditioning (Heating) Ejempl
Air conditioning (Air Conditioning) Eje
Finishes
Furniture
Structure & Foundation Ejempl
Healthiness
Area
Toma corrientes totales por area
Electrical installation Punto de Luz por Area
Extractor del baño
Numero de interruptores en el
cuadro eléctrico
Tipo de Instalación
Tipo de Calentador
Plumbing Material del tipo de bañera
Material del tipo de Ducha
Estado general del herraje
Tipo de Marco
External woodwork Tipo de Vidrio de Ventana
Cerramiento de Seguridad
Tipo de composición de puertas
interiores
Tipo de composición de puerta de

acceso
Tipo de Acabado de Puertas
Tipo de cerradura de puerta de

Acceso
Wood Carpentry
Material de pisos
Cantidad de espacio de
almacenamiento por area
Tipo de Radiador
Air conditioning
Tipo de Aire Acondicionado
Electrodomésticos
Furniture Tipo de estufa
Número de hornillas
3. Conclusions of the most important defects fo
Installation Injury code
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Budget
Repair / Replacement / Overhaul to be done
Location and Defect Code
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
Kitchen Living room
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Serious Intermediate
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Intermediate Less
0 0
Totalization by Area
Serious Intermediate
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
State Assessment Installation Assessment

0 0.18
0 0.12
0 0.14
0 0.06
0 0.08
0 0.05
0 0.04
0 0.06
0 0.03
0 0.2
0 0.04
Conclusions, comments or observations about the state of the installatio
Ejemplo de donde se deben escribir las conclusiones (Inst Electrica)
Ejemplo de donde se deben escribir las conclusiones (albañileria)
Ejemplo de donde se deben escribir las conclusiones (Fontanería)
Ejemplo de donde se deben escribir las conclusiones (Carpinteria de Made
Ejemplo de donde se deben escribir las conclusiones (Carpinteria exterio
Ejemplo de donde se deben escribir las conclusiones (Climatización-Calefacc
Ejemplo de donde se deben escribir las conclusiones (Climatización-AC)
Ejemplo de donde se deben escribir las conclusiones (Acabados)
Ejemplo de donde se deben escribir las conclusiones (Mobiliario)

Ejemplo de donde se deben escribir las conclusiones (estructura & cimentac
Ejemplo de donde se deben escribir las conclusiones (Salubridad)
Cocina Sala
0 0
0 0
0 0
0
0
Cocina Sala
0 0
0 0
0 0
0 0
ons of the most important defects found
Comments about the defect
0
dget
Estimated cost
0.00 €
Injury
Room 1 Room2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Minors TOTAL
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Minors Total
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Final note
0
0
0
tions about the state of the installation
ibir las conclusiones (Inst Electrica)
cribir las conclusiones (albañileria)
ribir las conclusiones (Fontanería)
as conclusiones (Carpinteria de Madera)
las conclusiones (Carpinteria exterior)
conclusiones (Climatización-Calefaccion)
ir las conclusiones (Climatización-AC)
cribir las conclusiones (Acabados)
cribir las conclusiones (Mobiliario)

conclusiones (estructura & cimentación)
ribir las conclusiones (Salubridad)
Pasillo Habitación 1
0 0
0 0
0 0
Pasillo 1 Habitacion 1
0 0
0 0
0 0
0 0
Injury Totalization Table
Room3 Bathroom1 Bathroom2 Bathroom3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Habitación 2 Baño 1 Baño 2 Habitacion 3
0 0 0 0
0 0 0 0
No tiene Err:509 Mecánica 0

Habitacion 2 Baño 1 Baño 2 Habitación 3
0 0 0 0
0 0 0
0 0 0
0 0 0
Dining room Stairs Terrace Balcony Yard Hall1 general
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
Baño 3
Más de lo
requerido
Natural
Baño 3 0 0 0 0
0 0 0 0 0
Cleanliness Hall2 Yard Service Terrace Access Room 4 Total
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
Budget
Location and Defect
Code Repair / Replacement / Overhaul to be done
0
Location and Defect
Estimated cost Code
C-1
B-1
general
H1, H2, H3
0.00 €
Example
Repair / Replacement / Overhaul to be done Estimated cost
Kitchen door repair 300.00 €

Replacement of white lacquered 60x45
washbasin cabinet includes white 285.00 €
ceramic washbasin
General electrical system review 150.00 €
Replacing Bezels, Switches, and Plugs 85.00 €
820.00 €
Document
Simple note Identification of Property Owners Loads
Document Parameters
Cadastral reference Property Typology Year of construction
Document Parameters to Review
IBI Payment Receipt Cadastral reference Physical address of the property
Document
administrative situation of the

Community Information Community data
community
Document Parameters
Check the number and that it is

Certificate of occupancy If the property can be inhabited
stamped by the town hall
Energy Certificate That has a registration number Issue date and validity date
Document
Status of supplies company hired for light company contracted for water

Last Property Appraisal market value of the property urban situation
Document
Parameters to
Review
Request for file review at Obtaining data from the facultative

the town hall address
Document
Parameters to
Review
Check the result on the Madrid city
ITE council page
Parameters to Review
Physical verification of address
Location of the property Square meter
(Lindes)
Location Primary use Useful surface
meters to Review
Determine number of IBIs to
Tax debt / Settlement to pay receive (Property + Other
Annexes)
Confirm that the building does
existence of spills Application for statutes
not present pathologies
Contrast the physical address of

Stamp expiration date Useful surface of the house
the home
meters to Review
Energy efficiency rating (A, B, C) Cadastral reference
How is the electricity service
company contracted for gas what power is contracted
contracted?
rameters to Review
Portal participation participation fee of
Property type Cadastral reference
fee common areas
Additional Community Services copy or revision status of ITE

CUPs (identification
in whose name is the supply average monthly cost of the point of
supply)
How many owners
are there of the How many titles are
Annexes
property in bare there in usufruct
ownership
Conc
1. Conc
Enter here the conclusion
Enter he
Enter h
2. B
Enter h
Enter he
Enter here the conclu
Enter here th
Enter h
3. Conclusions of t
Installation Injury code
4.Assessmen
Area Note Total
Electrical installation 0 0
Brickwork 0 0
Plumbing 0 0
Wood carpentry 0 0
External woodwork 0 0
Air conditioning (Heating) 0 0
Air conditioning (Air Conditioning) 0 0
Finishes 0 0
Furniture 0 0
Structure & Foundation 0 0
Healthiness 0 0
Total assessment on the

state of the property 0
4. General c
Installation Injury code Comments about the defe
Electrical #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Err:508 Err:508
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Overall status #NAME?
Brickwork #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Err:509 Err:509
Plumbing #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
External woodwork #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Wood Carpentry #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Air conditioning (heating) #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Air conditioning (AC) #NAME? #NAME?
#NAME? #NAME?
Finishes #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Furniture #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Structure & Foundation #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
Healthiness #NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?
#NAME? #NAME?

Conclusions
1. Conclusions of the property
Enter here the conclusions on Themes of scale and proportion (height meters)
Enter here the conclusions on Accessibility
Enter here any other pertinent conclusion
2. Building conclusions
Enter here the conclusions about Location
Enter here the conclusions on Accessibility
Enter here the conclusions about the State of conservation of the Farm
Enter here the conclusions about Architectural value
Enter here any other pertinent conclusion
3. Conclusions of the most important defects found

4.Assessment of the state of the property
General Comment on the valuation:
4. General comments on the inspection

#NAME?
#NAME?
#NAME?
#NAME?
Err:508
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
Err:509
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?
#NAME?

Inspection Checklist

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Small Symptoms or

True false IF Function Location Injury Number

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

#NAME? #NAME? #NAME? 0 0 0

San Blas - Canillejas

Person Present Real-estate agency

During the Owner and tenant

Tenant and real estate agency

Air quality monitor

Between -5 and 5 degrees

Between 5 and 15 degrees

Temperature Between 15 and 25 degrees

Between 25 and 35 degrees

Between 35 and 45 degrees

Soil Condition Damp

Character of the building Commercial

Residential and Commercial

State of conservation of the

Type of Intervention Required Repair

Short circuit problem

Supply Failure (Low Power Voltage)

Overloads (High Voltage Power

Symptoms or Dislodged switch

Burned out light fixture

Luminaire without bulb

Lack of space lighting

Power system grid failure

Possible cause Lack of bulbs

Installation Assessment Deficient

Risk level Absence of Risk

Need Required Intervention None

Installation Assessment Undetermined

Location Code C-1

Symptoms or Injuries Stained Partitions

Poor screed repair

Worn tile grout

Slightly detached tile

Relative temperatures and

Contribution of water vapor to

Direct water penetration

Installation without taking care

Bathtub type material Resin

Shower type material Ceramic

Bathroom Extractor natural

Does not have

General condition of the hardware