65 Point Comprehensive Wellness Check-up

Bathroom(s)

Sink Emergency Shut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Sink Faucet Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Sink Faucet Aerator Cleaned?

• Yes, No

Drain Piping

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Tub Faucet Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Tub Drain

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Shower Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Shower Drain

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Whirlpool/Spa Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replacedN/A

WC Tank

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Emergency Shut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Mounting

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Seat/Lid

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Dye Test

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

WC Anti-Siphon Valve

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Fill Valve Assembly

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WC Flapper

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Bidet

• Yes, No, N/A
• Duplicate section

Kitchen

Faucet

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Water Connections

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced Option 6

Sink Basket

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Emergency Shut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visitC - Area of Concern, may fail before next visitD - Needs Immediate Attention, high probability of failureE - Part is Broken, part must be replaced 
  
  Disposal
• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Waste Piping

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Dishwasher

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A 

Maker Supply Line Filter

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Water Alarm Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A
• Duplicate section

Laundry

Sink

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Faucet Drain Emerg. Shut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Faucet

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Washing Machine Hoses - HOT

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Washing Machine Hoses - COLD

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Emergency Shut OFF - HOT

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Emergency Shut OFF - COLD

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Braided Steel Burst-Proof Hoses

• Yes, No

Water Alarm Operation

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A
• Duplicate section

Water Heater Checklist

• Manufacturer/Model/Serial/Location/Age

Safety Mixing Valve

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Safety Pressure Relief Valve

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Emergency Water Shut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Water Connections

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Drain Pan

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Drain Valve

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Gas Connection

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Flue Connection

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Gas Supply Shut-off Valve

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Temperature

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Combustibles in Vicinity

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

WAGS or EQ Restraint

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Expansion Tank

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Flush Sediment

• Yes, recommend No, not needed

Sacrificial Anode Rod

• Yes, recommend No, not needed

Dip Tube

• Yes, recommend No, not needed
• Duplicate section

Outside

Water Meter with Everything Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Water Pressure (PSIG)

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Water Main Cut Off

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced

Outside Hose Bib 1

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Outside Hose Bib 2

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Outside Hose Bib 3

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Outside Hose Bib 4

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Main Clean-Out

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced F - N/A
• Duplicate section

Other

Water Softener Neutralizer

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Water Softener Bypass Explained

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced N/A

Water Purification System

• A - Pass, functioning well
• B - Signs of Wear, may need to be replaced next visit
• C - Area of Concern, may fail before next visit
• D - Needs Immediate Attention, high probability of failure
• E - Part is Broken, part must be replaced Recommend upgrade N/A

Check for Backflow

• Yes, recommend No, not needed

Hot Water Recirculation System