2012 HUD Guidelines Forms

Chapter 5: Risk Assessment

ENGLISH VERSION SPANISH VERSION
Form 5.0 Questionnaire for a Lead Hazard Risk Assessment of an Individual Occupied Dwelling Unit Word | PDF Word | PDF
Form 5.1 Building Condition Form for Lead Hazard Risk Assessment Word | PDF Word | PDF
Form 5.2 Report of Visual Assessment (for Lead Hazard Risk Assessment) Word | PDF Word | PDF
Form 5.3 Field Paint Chip Sampling Form Word | PDF Word | PDF
Form 5.4a Field Sampling Form for Dust. (Single-Surface Sampling) Word | PDF Word | PDF
Form 5.4b Field Sampling Form for Dust. (Composite Sampling)  Word | PDF Word | PDF
Form 5.5 Field Sampling Form for Soil Word | PDF Word | PDF
Form 5.6 Questionnaire for a Lead Hazard Risk Assessment of More Than Four Rental Dwelling Units Word | PDF Word | PDF
Form 5.7 Format for an Executive Summary of a Lead Hazard Risk Assessment. Word | PDF Word | PDF

Chapter 6: Ongoing LBP Maintenance

   
Form 6.0 Report of Visual Assessment (for Ongoing Lead-Safe Maintenance). Word | PDF Word | PDF
Form 6.1 Report of Visual Assessment of Bare Soil for Lead-Safe Maintenance Word | PDF Word | PDF
Form 6.2 Log of Visual Assessments for Ongoing Lead-Safe Maintenance Word | PDF Word | PDF
Form 6.3 Lead-Based Paint Inventory Word | PDF Word | PDF
Form 6.4 Lead Hazard Control Inventory Word | PDF Word | PDF
Form 6.5 Lead-Safe Maintenance Work Order Word | PDF Word | PDF

Chapter 7: LBP Inspection

   
Form 7.1 and 7.5 Single-Family and Multifamily Testing LBP Testing Data Sheet Word | PDF Word | PDF
Form 7.2 Calibration Check Test Results Word | PDF Word | PDF
Form 7.3 Substrate Correction Values Word | PDF Word | PDF
Form 7.4 Selection of Housing Units Word | PDF Word | PDF
Form 7.6 Multifamily Housing: Component Type Report Word | PDF Word | PDF

Chapter 13: Abatement by Encapsulation

   
Form 13.1 Encapsulant Patch Test Documentation Word | PDF Word | PDF
Form 13.2 Lead-Based Paint Encapsulation Visual Monitoring Form Word | PDF Word | PDF

Chapter 15: Clearance

   
Form 15.1 Visual Assessment - Lead Hazard Clearance Examination. Word | PDF Word | PDF
Form 15.2 Field Sampling Form for Dust-Lead Hazard Clearance Examination (single-surface sampling) Word | PDF Word | PDF
Form 15.4 Clearance Report Review Worksheet Word | PDF Word | PDF

Chapter 16: Investigation and Treatment of Housing with EBL Children

   
Form 16.1 Resident Questionnaire for Investigation of Children with Elevated Blood Lead Levels (EBL) Word | PDF Word | PDF