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PRINTABLE KITCHEN-LAUNDRY-
APPLIANCES TEMPLATE

 
 
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Countertop material_________________

Countertop condition________________

GFCIs in kitchen__________________

S-traps___S-traps___Garbage Disp. Y   N 
 
Brand________________________________

Garbage Disposal operational? Y N

Garbage Disposal waste routing____________
 
_____________________________________

Does G-Disposal waste line enter drain
 
upstream of trap? Y N

Trash Compactor present? Y N 
 
Brand______________________

Trash Compactor operational? Y N  
Refrigerator brand____________________

Refrigerator condition_______________

Stove brand_____________________
 
Power source_____________________

Stove burners all operational?____
 
Ignition Type_____________________
 
Stove light? Y  N

Oven operational? Y  N 
 
Oven heat to set temperature? Y N

Range hood brand_________________
 
Range hood light operational? Y N

Range hood vented? Y N 
 
Vented to___________________
 
Range hood power vent operational? Y N

Microwave   Y   N   built in? Y  N
 
Brand___________________________

Cabinet mat._______________
 
Cabinet doors__________________
 
Drawers all open properly? Y   N
 
Notes___________________________
 
_______________________________

LAUNDRY

Washer brand___________________
 
Dryer brand____________________

Washer loc._____________________
 
Dryer loc._____________________

Dryer power source________________
 
Exhaust mat._____________________

Exhausted to_____________________

Size of washer drain_____________
 
Mat._______________________

Evidence of water damage? Y  N

location of water damage/ extent
 
________________________________
 
________________________________

Washer served by GFCI? Y   N
 
Notes:___________________________
 
________________________________



 


 

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