Rapid Building Site Assessment

Rapid Building and Site Condition Assessment Inspection

Inspection date time

AM

Page 1 of ___

PM

Attachments

Area inspected

Inspector

Sketches

Exterior Only Exterior and Interior

Affiliation

Photographs

Building name Address

Primary Occupancy Dwelling Other Residential Public Assembly Emergency Services Commercial Offices Industrial

Historic district name Number of stories above ground

below ground

Approx footprint area (square feet) Number of residential units

Other Occupied?

Type of Construction Brick Wood Frame Steel Frame Stone Concrete Manufactured

Property Description

Documents

Boat Other

Yes

Repairs begun?

Yes

25 - 50 yr

0- 25 yr Pier

Foundation

Slab

Stucco

Wall finish

Wood

Yes

Archaeological site

No

Bone

Visible artifacts

Vinyl

Pottery

Metal

Structural Damage

Interior condition

Archives

Antiques

Interior contents Appears historic?

Yes

Other

Sculpture/Fountains

Stone

Art Work

Space where water entered

Structures

Other

Other

Glass

Mold/Mildew

Estimated

Other

Asbestos

Unknown

Unknown

Falling Plaster

Other

Other

Other

Nat'l Reg/District Standing

Flood Data Nature of water

Reported

Other

Don't know Is there a sign or plaque?

No

Nat'l Hist. Landmark

Historic designation

Fences

Flat

Asbestos

Masonry

On SHPO List

Verified

Other

Pyramid

Asphalt

Driveway

Walkway

Landscape features

Tile

100+ yr

Basement

Mansard

Metal

Slate

Roof covering

Chain Wall

Gable

Hipped

Roof type

50 -100 yr

State/Local

Flowing

Basement/Crawl

No

Yes

Eligible

Seepage

First Floor

Other

Water Marks

Other

Second Floor

Depth of water measured from main floor (+/-) On Site

Sediment deposited

Collapsed or off foundation

Evaluation Investigate the building for the conditions and check the appropriate column.

Potential Hazards

In Structure

Site erosion

Yes

No

Leaning, other structural damage

Minor/None Minor/None

Moderate Moderate

Severe Severe

Damage to windows, doors

Minor/None

Moderate

Severe

Chimney, parapet, or other falling hazard

Minor/None

Moderate

Severe

Roof damage

Minor/None

Moderate

Severe

Foundation damage

Minor/None

Moderate

Severe

Siding damage

Minor/None

Moderate

Severe

Damage to electrical, mechanical, AC systems

Minor/None

Moderate

Severe

Landscape damage Minor/None Asbestos Mold Other

Moderate

Severe

Electrical

Further Actions

Lead

Recommendations

Detailed evaluation recommended

Structural

Add Temporary Roof Covering Environmental

Archaeological

Board

Shore

Don't know

Estimated Building Damage None 1-10% 10-30% 30-60% 60-90% 90-100%

Other

Historic Significance

Collections

Other recommendations Barricades needed in the following areas

Posting

Inspected

Restricted Use

Unsafe

Historic Designation

No

Owner/Contact Info

Government Museum School Religious Cemetery Other

Characteristics Building age

No

Detailed Evaluation Needed

Developed for FEMA by the NPS National Center for Preservation Technology and Training in collaboration with the Heritage Emergency National Task Force, 9/2005.