Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 410.000 - Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II
Section 410.610 - Inspection Form
Universal Citation: 105 MA Code of Regs 105.410
Current through Register 1531, September 27, 2024
Each board of health shall adopt and use an inspection report form available from the Department, or any other inspection report form provided it includes, at a minimum, the following:
(A) Specifically labeled spaces for:
(1) The name of the inspector;
(2) The date and time of the inspection or
investigation;
(3) The location of
the residence inspected;
(4) The
need for an additional inspection by a specialized inspector pursuant to
105
CMR 410.620(A) and the
reason that such inspection is necessary;
(5) A description of the conditions
constituting violations;
(6) A
listing of the specific provisions of
105 CMR
410.000 or other applicable laws, ordinances, by-laws,
rules or regulations that appear to be violated;
(7) A determination by the official
inspecting the premises whether the violations noted are listed in
105
CMR 410.630(A), and whether
the effect of any violation(s) or conditions not listed in
105
CMR 410.630(A) may endanger
or materially impair the health, safety, or well-being of any person(s)
occupying the premises; and
(8) The
signature of the inspector preceded by the following statement: "This
inspection report is signed and certified under the pains and penalties of
perjury"; and
(B) A copy of Occupants' Legal Rights and Responsibilities issued by the Department.
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