Form 89 Hqs PDF Details

The Housing Quality Standards (HQS) Inspection Form, also known as Form 89, is a critical document utilized by the Kentucky Housing Corporation to ensure that homes meet essential health and safety criteria. This form encompasses a thorough inspection that covers various aspects of a property, including electrical systems, security, window conditions, ceiling, wall and floor conditions, and specifically looks for lead-based paint violations in properties built prior to 1978. It details a clear protocol for inspectors to follow, documenting whether each inspected room—living room, kitchen, bathroom, and other living areas—passes or fails the set standards. If a property fails the inspection, the form specifies the reasons for failure and stipulates the need for necessary repairs in order to meet the HQS requirements. Additionally, it addresses the issue of deteriorated paint and its implications in accordance with Lead-Based Paint Regulations, significantly impacting properties constructed before 1978. The form serves as a comprehensive tool for inspectors to certify that a property is safe, secure, and suitable for housing, ultimately leading to the final inspection where repaired items are re-evaluated to ensure compliance with housing quality standards.

QuestionAnswer
Form NameForm 89 Hqs
Form Length11 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 45 sec
Other namesForm89.pdf n hqs inspection kentucky form

Form Preview Example

Form 89 – HQS Inspection Form

KENTUCKY HOUSING CORPORATION

HOUSING QUALITY STANDARD INSPECTION FORM

Date of Inspection: __________________

Property Address:

Property City/State/Zip:

Borrower Name(s):Reservation #:

Lender:

--------------------------------------------------------------------------------------------------------------------------------------------------------

A Housing Quality Standards (HQS) inspection of the above-property has been conducted. The status of this inspection is:

Property Passed HQS

Property Failed HQS (note items below)

--------------------------------------------------------------------------------------------------------------------------------------------------------

PROPERTY VIOLATIONS

The following items have failed HQS inspection: ______________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

DETERIORATED PAINT VIOLATIONS (Only required if property was built prior to 1978)

Chipped and peeling paint on interior or exteriors surfaces is present. Areas of concern on:

Interior surfaces: ________________________________________________________________________

_______________________________________________________________________________________

Exterior surfaces: ______________________________________________________________________

_______________________________________________________________________________________

Exceeds

Does Not Exceed

The de minimis levels of the Lead-Based Paint Regulations.**

**20 ft.2 (2m2) on exterior surfaces;

2 ft.2 (0.2 m2) in any one interior room or space; or

10 percent of the total surface area, like window sills, baseboards and trim.

--------------------------------------------------------------------------------------------------------------------------------------------------------

 

_______________________________________

Fee Charged for Inspection: $200

Inspector Signature

--------------------------------------------------------------------------------------------------------------------------------------------------------

FINAL INSPECTION

I certify that the above repair items have been repaired and the property now passes inspection.

Date of Final Inspection ____________________________

Inspector’s Initials ______________

10/20/06

Page 1

Form 89 – HQS Inspection Form

Property Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Living Room

For each numbered item, check only one box per questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item No. Description

 

 

Pass

Fail

 

 

If Fail, what repairs are necessary?

 

If Fail, Date of

 

 

 

 

 

Final

 

 

 

 

 

 

 

 

 

If Pass with comments, give details.

 

 

 

 

 

 

 

 

 

 

 

Approval.

 

 

 

 

 

 

 

 

 

 

 

 

1.1 Living Room Present?

 

 

 

 

 

 

 

 

 

 

 

 

Is there a living room?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.2 Electricity

 

 

 

 

 

 

 

 

 

 

 

 

Are there at least two working outlets or one

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

working outlet and one working light

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

fixture?

 

 

 

 

 

 

 

 

 

 

 

 

1.3 Electrical Hazards

 

 

 

 

 

 

 

 

 

 

 

 

Is the room free from electrical hazards?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.4 Security

 

 

 

 

 

 

 

 

 

 

 

 

Are all windows and doors that are

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

accessible from the outside lockable?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.5 Window Condition

 

 

 

 

 

 

 

 

 

 

 

 

Is there at least one window, and are all

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

windows free of signs of severe deterioration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or missing or broken panes?

 

 

 

 

 

 

 

 

 

 

 

 

1.6 Ceiling Condition

 

 

 

 

 

 

 

 

 

 

 

 

Is the ceiling sound and free from hazardous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.7 Wall Condition

 

 

 

 

 

 

 

 

 

 

 

 

Are the walls sound and free from hazardous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.8 Floor Condition

 

 

 

 

 

 

 

 

 

 

 

 

Is the floor sound and free from hazardous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.9 Lead-Based Paint

 

 

 

 

 

 

 

 

 

 

 

 

Are all painted surfaces free of deteriorated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

paint?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no, does the deteriorated surfaces exceed 2

 

 

 

 

 

 

 

 

 

 

 

square feet of entire room or more than 10%

 

 

 

 

 

 

 

 

Not Applicable

 

 

of a component of the interior room?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Comments (give item number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10/20/06

Page 2

Form 89 – HQS Inspection Form

2. Kitchen

For each numbered item, check only one box per questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item No. Description

 

 

Pass

 

Fail

 

 

 

If Fail, what repairs are necessary?

If Fail, Date

 

 

 

 

 

 

of Final

 

 

 

 

 

 

 

 

 

 

If Pass with comments, give details.

 

 

 

 

 

 

 

 

 

 

Approval.

 

 

 

 

 

 

 

 

 

 

 

 

 

2.1 Kitchen Present?

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there a kitchen?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.2 Electricity

 

 

 

 

 

 

 

 

 

 

 

 

 

Are there at least two working outlets or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

one working outlet and one working light

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

fixture?

 

 

 

 

 

 

 

 

 

 

 

 

 

2.3 Electrical Hazards

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the room free from electrical hazards?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.4 Security

 

 

 

 

 

 

 

 

 

 

 

 

 

Are all windows and doors that are

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

accessible from the outside lockable?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.5 Window Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there at least one window, and are all

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

windows free of signs of severe

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

deterioration or missing or broken panes?

 

 

 

 

 

 

 

 

 

 

 

 

2.6 Ceiling Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the ceiling sound and free from

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hazardous defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.7 Wall Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

Are the walls sound and free from

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hazardous defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.8 Floor Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the floor sound and free from hazardous

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

defects?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.9 Lead-Based Paint

 

 

 

 

 

 

 

 

 

 

 

 

 

Are all painted surfaces free of deteriorated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

paint?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no, does the deteriorated surfaces exceed

 

 

 

 

 

 

 

 

 

 

 

 

2 square feet of entire room or more than

 

 

 

 

 

 

 

 

 

 

Not Applicable

 

10% of a component of the interior room?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.10Stove or Range with Oven

 

 

 

 

 

 

 

 

 

 

 

 

 

If the sales contract states the stove will

 

 

 

 

 

 

 

 

 

 

Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

remain then answer the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there a working oven and a stove (or

 

 

 

 

 

 

 

 

 

 

 

 

range) with top burners that work?

 

 

 

 

 

 

 

 

 

 

 

 

 

2.11Refrigerator

 

 

 

 

 

 

 

 

 

 

 

 

 

If the sales contract states the refrigerator

 

 

 

 

 

 

 

 

 

 

Not Applicable

 

will remain then answer the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there a refrigerator that works and

 

 

 

 

 

 

 

 

 

 

 

 

maintains a temperature low enough so that

 

 

 

 

 

 

 

 

 

 

 

 

food does not spoil over a reasonable

 

 

 

 

 

 

 

 

 

 

 

 

period of time?

 

 

 

 

 

 

 

 

 

 

 

 

 

2.12 Sink

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there a kitchen sink that works with hot

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and cold running water?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.13 Space for Storage, Preparation, and

 

 

 

 

 

 

 

 

 

 

 

 

Serving of Food

 

 

 

 

 

 

 

 

 

 

 

 

 

Is there a space to store, prepare, and serve

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

food?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Comments (give item number)

 

 

 

 

 

 

 

If additional space is needed for comments, go to Inspection Summary page at the end of the form.

10/20/06

Page 3

How to Edit Form 89 Hqs Online for Free

Form 89 Hqs can be completed very easily. Simply open FormsPal PDF tool to do the job promptly. The tool is constantly updated by our staff, receiving powerful features and growing to be more versatile. Getting underway is effortless! Everything you should do is follow these simple steps down below:

Step 1: Press the "Get Form" button in the top part of this webpage to access our tool.

Step 2: This editor provides the ability to customize nearly all PDF files in various ways. Change it by adding any text, adjust existing content, and place in a signature - all manageable within a few minutes!

It's easy to complete the pdf with our detailed guide! This is what you must do:

1. It is recommended to fill out the Form 89 Hqs correctly, so be attentive when working with the parts containing all these fields:

Completing part 1 of Form 89 Hqs

2. The next part is usually to fill in these blank fields: DETERIORATED PAINT VIOLATIONS Only, Interior surfaces, Exterior surfaces, Exceeds, Does Not Exceed The de minimis, ft ft percent of the total, on exterior surfaces, in any one interior room or space, Fee Charged for Inspection, Inspector Signature, FINAL INSPECTION, and I certify that the above repair.

Form 89 Hqs completion process shown (portion 2)

3. Your next part is usually hassle-free - fill out all of the fields in I certify that the above repair, Inspectors Initials, and Page to finish this process.

Stage number 3 of completing Form 89 Hqs

It is easy to make errors when completing your Inspectors Initials, and so be sure you look again before you decide to send it in.

4. Filling in If Fail Date of Final Approval, Property Address Living Room For, Pass Fail, If Fail what repairs are necessary, Living Room Present Is there a, Electricity Are there at least, and Security Are all windows and is key in this next section - be sure to take the time and be attentive with each blank!

Form 89 Hqs conclusion process explained (part 4)

5. Since you approach the finalization of your form, there are just a few more points to complete. In particular, Not Applicable, and Security Are all windows and must all be filled out.

Stage no. 5 in filling in Form 89 Hqs

Step 3: Right after double-checking your fields, press "Done" and you are good to go! Join us right now and easily gain access to Form 89 Hqs, ready for downloading. All adjustments made by you are kept , which enables you to edit the file at a later time when necessary. FormsPal is committed to the confidentiality of all our users; we make certain that all personal data coming through our system stays secure.