NSPIRE Health and Safety Risks

An image of a kitchen, representing the Unit ispectable area.An image of a shared laundry room, representing the Inside ispectable area.An image of the outside of a building, representing the Outside ispectable area.

The National Standards for the Physical Inspection of Real Estate (NSPIRE) has been designed to improve HUD’s oversight and risk management capabilities through a reliable, repeatable inspection process that better identifies health and safety risks to residents.

The NSPIRE Standards currently include the following health and safety risks definitions:

  • Severe Health and Safety: Deficiencies where the likelihood of occurrence and the severity of the harm is such that there is a reasonable probability of occurrence and if the harm did occur, the outcome would be:
    • death or serious injury (e.g., leading to an emergency room visit or permanent disability) to a resident; or
    • the physical security or safety of a resident or their property would be seriously compromised; or
    • serious undue burden on the resident if the deficiency is present for an extended period of time.
  • Standard: Deficiencies where the likelihood or occurrence is still high but the severity of harm, while potentially significant, is likely to be less than death or severe injury. As the potential outcomes associated with these deficiencies are less than severe, more time (30 days or less) can be taken to reduce or eliminate the risk.

NSPIRE has identified and published the list of health and safety items to be included in NSPIRE inspections for each inspectable area:


An icon of people, indicating the inspectable area labeled unit.

Unit Health and Safety

This document provides a matrix of items, deficiencies, and severity of health and safety risks in the Unit inspectable area. For reference, "Unit" refers to the interior of an individual residential unit.


An icon of a house, indicating the inspectable area labeled inside.

Inside Health and Safety

This document provides a matrix of items, deficiencies, and severity of health and safety risks in the Inside inspectable area. For reference, "Inside" refers to all common areas and building systems (e.g., HVAC) located inside a building.


An icon of a house with a tree in front of it, indicating the inspectable area labeled outside.

Outside Health and Safety

This document provides a matrix of items, deficiencies, and severity of health and safety risks in the Outside inspectable area. For reference, "Outside" refers to the building site, the building envelope, and any building systems located outside of the building or unit.


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