NT
NuTech Mold Inspection
Mobile field prototype · offline autosave · room-based scoring
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1. Property / Inspection Information
Client Name
Property Address
Client Contact Number
Inspection Date
Inspector Name
Inspection Purpose
Occupant Health Concern
Visible Mold Concern
Odor Complaint
Water Intrusion Concern
Clearance / Verification
Preventative Assessment
Testing Only
Occupancy Status
Owner Occupied
Tenant Occupied
Vacant
Unoccupied
Under Renovation
Known Health Concern
No
Yes
Unknown
Occupant Symptom Tracking
None Reported
Mild Concerns
Significant Concern
Not Discussed
Time Home Vacant
Under 1 mth
1 – 3 Mth
4 – 9 Mths
9Mth+
Foreclosure
Occupant Health Factors
Asthma
Heart Condition
Pregnant
Immune Compromised
Lyme Disease
Mold Allergies
Cancer
Tap multiple items as needed.
Prior Water Event(s)
None Known
Single Room
Multiple Rooms
Multiple Floors
Multiple Events
Prior Mold Remediation
None Known
Single Room
Multiple Rooms
Whole House
Crawlspace
Notes
Include Testing Section
Include Attic Evaluation
Include HVAC Evaluation
2. Exterior Evaluation
Outdoor Temp
Outdoor RH %
Recent Rain
No
Yes
Unknown
Gutters
Functional
Debris
Minor Deficiencies
Significant Deficiencies
Not Present
Not Evaluated
Downspouts
Present
Not Present
Not Evaluated
Downspout Discharge
None
Not Piped Away
Piped Under 6 Ft
Piped Over 6 Ft
Underground
Grading / Drainage
Not Evaluated
Drainage towards home
Swell Present
Flat
No Apparent Issue
Grade Above Foundation
Acceptable Clearance
Marginal Clearance
Grade Too High
Not Evaluated
Landscaping / Vegetation
No Significant Concern
Vegetation Near Structure
Heavy Vegetation / Moisture Concern
Not Evaluated
Gutter Overflow
Sprinklers Present
Sprinklers Hitting Exterior
Deck Present
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3. Room / Area Observations
Each room is its own object with moisture events, photos, tests, and auto-score.
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4. HVAC Evaluation
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5. Attic Evaluation
Attic Access
Accessible
Limited Access
Not Accessible
Access Type
Scuttle Hole
Stairs
Door
Roof Construction
Framed
Truss
Bar Joist
Unknown
Roof Type
Gable
Hip
Combo
Flat
Cornice Vents
Separate
Continuous
None
Cornice Vents Covered
Yes
No
Not Evaluated
Cornice Baffles Present
Yes
No
Not Evaluated
Gable Vents
Yes
No
None
Insulation
Batts
Blown
Foam
Mixed
Unknown
Insulation Type
Fiber Glass
Cellulose
Rock Wool
Unknown
Insulation Depth
Under 6 Inches
6+
12+
Unknown
Roof Leaks
No
Yes
Unknown
Lumber Staining
No
Yes
Unknown
Location of Staining
Decking
Framing
Both
Amount of Staining
Isolated
Widespread
Suspected Source
Active Microbial Growth
Storage Staining
Construction Debris
Prior Leaks
Unknown
Vents Terminating in Attic
Bathroom
Kitchen
Other
None
Roof Vents
Continuous
Ridge
Turtle Back
Power
None
Not Evaluated
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6. Summary / Outputs
Output formats are placeholders for now. The form stores structured data now so customer PDF, CRM notes, remediation recommendation, and internal tech notes can be generated later.
Inspector Summary
Recommendations Placeholder
Internal Tech Notes
Customer Signature
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