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The 4 Point Inspection form is a critical document used in the insurance industry, especially in Florida, to assess the condition of key systems in a home. This form evaluates four major areas: the electrical system, HVAC system, plumbing, and roof. Each section requires detailed information, including the age of the systems, any visible hazards, and the condition of various components. For example, the electrical section checks for issues such as aluminum wiring and improper grounding, while the HVAC section ensures that heating and cooling systems are functioning properly. The plumbing section looks for leaks and the condition of fixtures, and the roof section assesses the overall integrity and remaining lifespan of the roofing materials. Photographic evidence is also a requirement, capturing each side of the dwelling, all roof slopes, and critical plumbing and electrical components. A Florida-licensed inspector must complete the form, sign it, and date it, ensuring that the information provided is reliable for underwriting purposes. This thorough inspection process helps determine the insurability of a property while ensuring that potential risks are identified and addressed.

4 Point Inspection Preview

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

Common mistakes

  1. Incomplete Information: One common mistake is leaving sections of the form blank. Each part of the form, from the insured's name to the details of the systems inspected, must be filled out completely to avoid delays in processing.

  2. Missing Signatures: The form must be signed and dated by a Florida-licensed inspector. Failing to include this signature can lead to the form being rejected.

  3. Insufficient Photos: The photo requirements are clear, yet some people forget to include images of all necessary areas. Ensure that photos of each side of the dwelling, roof slopes, and key plumbing and electrical components are attached.

  4. Incorrect System Assessment: When evaluating the condition of systems like plumbing or electrical, it’s crucial to provide accurate assessments. Mislabeling a system as “satisfactory” when it’s not can result in serious issues later.

  5. Neglecting Hazards: If any hazards or deficiencies are present, they must be noted in the appropriate section. Ignoring these can lead to complications in the underwriting process.

  6. Not Providing Supplemental Information: Additional details about system conditions, updates, or repairs should be included if relevant. This information helps create a clearer picture for the underwriter.

  7. Using Non-Qualified Inspectors: Only a Florida-licensed inspector can complete this form. If someone who is not licensed fills it out, the form will not be accepted.

  8. Forgetting to Review the Form: Before submission, it’s essential to review the entire form for accuracy. This step can prevent errors that might delay the application process.

Dos and Don'ts

When filling out the 4 Point Inspection form, it is essential to follow specific guidelines to ensure accuracy and completeness. Below is a list of important dos and don'ts to consider.

  • Do ensure all sections of the form are filled out completely.
  • Do provide clear and detailed descriptions of any hazards or deficiencies.
  • Do include the required photographs for each section as specified.
  • Do have the form signed and dated by a Florida-licensed inspector.
  • Do verify that all information is accurate and truthful before submission.
  • Don't leave any sections blank unless they are not applicable.
  • Don't submit the form without the necessary photographs attached.
  • Don't use a non-licensed inspector to complete the form.
  • Don't provide vague descriptions; specificity is crucial.
  • Don't overlook the importance of documenting the condition of each system.

By adhering to these guidelines, the process will be smoother and more effective in assessing the property's insurability.

Misconceptions

Understanding the 4 Point Inspection form can be challenging, and several misconceptions often arise. Here are six common misunderstandings:

  • It guarantees insurability. Many people believe that completing a 4 Point Inspection form ensures their property will be insured. In reality, the form is used to assess the property's condition, but it does not guarantee coverage.
  • Any inspector can fill it out. Some assume that any professional can complete the form. However, only a Florida-licensed inspector can sign and certify the inspection, ensuring the report meets state requirements.
  • It's only about the roof. Many think the inspection focuses solely on the roof. While the roof is important, the form also evaluates electrical, plumbing, and HVAC systems, all of which are crucial for determining a property's safety and insurability.
  • It's a warranty for the systems inspected. Some people mistakenly view the inspection as a warranty for the systems' longevity or fitness. The form merely documents the current condition and does not guarantee that issues won’t arise in the future.
  • Photos are optional. There’s a belief that photos can be omitted from the inspection. In fact, accompanying photos are required to provide visual evidence of the property's condition and any noted deficiencies.
  • It’s a one-time requirement. Some homeowners think that once the inspection is completed, it’s no longer necessary. However, if significant changes occur or if the property is sold, a new inspection may be required to reassess the condition.

By clarifying these misconceptions, property owners can better understand the purpose and requirements of the 4 Point Inspection form, leading to a smoother insurance process.

Detailed Guide for Using 4 Point Inspection

Completing the 4 Point Inspection form requires careful attention to detail. Each section must be filled out accurately to ensure that the information provided is reliable for underwriting purposes. Follow these steps to complete the form properly.

  1. Write the Insured/Applicant Name at the top of the form.
  2. Enter the Application / Policy # next to the name.
  3. Fill in the Address Inspected in the designated space.
  4. Record the Actual Year Built of the property.
  5. Indicate the Date Inspected.
  6. Gather the minimum required photos for the dwelling, roof, plumbing, and electrical systems.
  7. For the Electrical System, provide details on the main panel and any second panel, including type, total amps, and any hazards present.
  8. Assess the HVAC System, noting if central AC and heat are present, and if the systems are in good working order.
  9. Evaluate the Plumbing System, checking for leaks and the condition of fixtures.
  10. Inspect the Roof and document the predominant covering material, age, remaining useful life, and any visible signs of damage.
  11. Complete the Additional Comments/Observations section if necessary.
  12. Ensure the form is signed and dated by a Florida-licensed inspector.

After completing the form, it is essential to review all entries for accuracy. The information collected will be crucial for the underwriting process. Ensure that all required documentation and photos accompany the form before submission.