Templates
Level 2 Chimney Inspection Checklist Template

Level 2 Chimney Inspection Checklist Template

Use this level 2 chimney inspection checklist template to evaluate the exterior and interior chamber to identify cracks, defects, and damages.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
Level 2 Chimney Inspection Checklist Template

Use this level 2 chimney inspection checklist template to evaluate the exterior and interior chamber to identify cracks, defects, and damages.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Related categories

Preview of the template
General
House
Address
Only chimneys and flues represented in this report were inspected during the inspection. Heating flues and certain appliance flues are not checked due to our company's nature of a real estate inspection and limitations. These limitations were explained at the booking time and in the contract.
Exterior Chimney Chase
Chimney Name
Viewed From
Chase Material
Evidence of
Items attached
Roof Flashing
Obstruction Clearance
Extended at least 3' above roof
2' higher than anything 10' around
Number of flues in chimney
Evidence of
Rain Cap
Installed
General Chimney Chase Comments
Chimney Chase Photos
Fireplace
Fireplace name
Fireplace type
Fuel type
Face condition
Firebox
Firebox condition
Height, Width, and Depth
Hearth Extending at least 16" in front of and at least 8" beyond the sides
Damper
Fireplace screens
Fireplace doors
General Fireplace Comments
Fireplace Photos
Appliance
Appliance name
Appliance type
Fuel type
Vent
General Appliance Comments
Appliance Photos
Flue Evaluation
Flue Name:
Smoke Chamber
Overall Smoke Chamber Condition
Smoke Chamber Issues
Flue liner
Overall Flue Condition
Inspected from
Liner Material
Shape
Size
Flue Issues
General Liner Comments
Flue and Smoke Chamber Photos
Confirmation
Recommendations
Full name of inspector
Signature
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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.