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HHSRS inspection form
An HHSRS assessment form updated for the revised scheme introduced in England in June 2026. For each of the 21 hazards found, record the deficiencies and photos, choose the likelihood from the scoring bar, enter the spread of harm across the four classes and the reasons for your scores, and the form works out the hazard score with the HHSRS formula and shows whether it is high (Category 1), medium or low risk. Every question is listed below, and you can fill the live form in on this page.
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How is an HHSRS hazard score worked out?
The assessor judges the likelihood of a harmful occurrence over the next 12 months (for example 1 in 20) and the spread of harm across extreme, severe, serious and moderate outcomes. Each class is weighted 10,000, 1,000, 300 and 10, multiplied by its percentage and divided by the likelihood, and the four results are added. The June 2026 guidance example of 1 in 20 with 5%, 10%, 20% and 65% scores 3,333.
Last updated . Facts checked by the SiteSurvey team on 17 October 2026 against GOV.UK: HHSRS operating guidance (June 2026), HHSRS operating guidance part 1: an introductory guide (June 2026) and GOV.UK: landlord and agent guide to the HHSRS.
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Every question in the HHSRS inspection template
An HHSRS hazard assessment on the June 2026 scheme: each of the 21 hazards with its deficiencies, likelihood, spread of harm, the reasons for the scores and the hazard score worked out by the formula, banded high, medium or low. 3 sections and 40 questions. Follow-up questions and guidance appear only when an answer calls for them, so the person on site never sees the ones that do not apply.
Make it your own: every question is editable
This is a starting point, not a fixed form. Once it is in your SiteSurvey account you can reword any question, add or remove questions, sections and answer options, and add your own logo, so it fits the way your team works and the jobs you do.
Details you only enter once
Add this form to a project in SiteSurvey and it fills in what the project already knows, so nobody on site retypes it and every form on the job uses the same names. Anything filled in can still be changed.
- Project: the project name
- Client: the project's customer
- Site: the site, when the form is opened for a space or a product
- Site address: the site address, from the space or the project
Property
- ProjectShort answerFills in from the project name
- ClientShort answerFills in from the project's customer
- Site*Short answerFills in from the site, when the form is opened for a space or a product
- Site addressShort answerFills in from the site address, from the space or the project
- Property locationShort answer
Mark it at the front door. On an estate or a block it shows which home was assessed. Tap Mark current location on site. It saves the coordinates, a grid reference and the accuracy.
- Inspection date*Date
- TimeTime
- Assessor*Short answer
- Property typeChoose one
- House
- Bungalow
- Flat
- Maisonette
- HMO
- Other
- Age of the propertyChoose one
- Before 1920
- 1920 to 1945
- 1946 to 1979
- 1980 or later
- Current householdShort answer
- GuidanceHHSRS Operating Guidance, June 2026 (England). For each hazard, judge the likelihood of a harmful occurrence that could need medical attention over the next 12 months for the most vulnerable age group, and the spread of harm across extreme, severe, serious and moderate, which adds up to 100%. The score is: 10,000 x extreme % + 1,000 x severe % + 300 x serious % + 10 x moderate %, each divided by the likelihood. 1,000 or more is high risk (Category 1); 100 to 999 medium; under 100 low.
- CheckScores are for a trained assessor working from Part 2 of the Operating Guidance and the national averages. This form does the arithmetic; the judgement is yours.
Hazards
- Hazards assessedRepeat for each hazard. Each one asks:
- Hazard*Choose one
- Falls on the level
- Falling on stairs etc.
- Falling between levels
- Fire and explosions
- Flames, hot surfaces, etc.
- Collisions, entrapment and ergonomics
- Structural collapse and falling elements
- Electrical hazards
- Excess cold
- Radiation
- Damp and mould growth
- Lead
- Indoor air pollutants
- Excess heat
- Asbestos and manufactured mineral fibres
- Domestic hygiene
- Water supply
- Crowding and space
- Entry by intruders
- Noise
- Lighting
- Deficiencies found*Notes
- PhotosPhotos
- What was measured, if anythingShort answer
For example the height of the guarding at a window or landing, the sill height, or the going of a stair.
- Measurement (m)Number
Use a tape, or measure from a photo with a door or another known size in the same plane. Measuring from a photo gives an estimate.
Shown when “What was measured, if anything” is answered - Likelihood over the next 12 months*Choose one
- 1 in 1 (Very likely)
- 1 in 2 (Very likely)
- 1 in 3 (Very likely)
- 1 in 5 (Very likely)
- 1 in 10 (Likely)
- 1 in 20 (Likely)
- 1 in 30 (Likely)
- 1 in 50 (Likely)
- 1 in 100 (Unlikely)
- 1 in 200 (Unlikely)
- 1 in 300 (Unlikely)
- 1 in 500 (Unlikely)
- 1 in 1,000 (Very unlikely)
- 1 in 2,000 (Very unlikely)
- 1 in 3,000 (Very unlikely)
- Under 1 in 5,000 (Very unlikely)
- CheckSpread of harm: choose a scale point (0, 0.1, 0.2, 0.5, 1, 2, 5, 10, 20, 30 or 50%) for three classes and give the remainder to the fourth, usually moderate.
- Extreme harm (%)*Number
- Severe harm (%)*Number
- Serious harm (%)*Number
- Moderate harm (%)*Number
- WarningThe spread of harm must add up to 100%. Check the four classes.Shown only when the answers above make it relevant
- Reasons for the likelihood and spread of harm*Notes
Compare with the national average for this type and age of property in Part 2, and say why the scores differ.
- Hazard scoreWorked out by the formShown when “Likelihood over the next 12 months” is answered and “Extreme harm (%)” is answered and “Severe harm (%)” is answered and “Serious harm (%)” is answered and “Moderate harm (%)” is answered
- Risk bandWorked out by the formShown when “Likelihood over the next 12 months” is answered and “Extreme harm (%)” is answered and “Severe harm (%)” is answered and “Serious harm (%)” is answered and “Moderate harm (%)” is answered
- WarningHigh risk: Category 1 hazard. The local council has a duty to take action.Shown only when the answers above make it relevant
- CheckMedium risk: Category 2 hazard. The council has discretion to act.Shown only when the answers above make it relevant
- GuidanceLow risk: Category 2 hazard.Shown only when the answers above make it relevant
- Works to remove or reduce the hazardNotes
- Hazards assessedWorked out by the form
- High (Category 1) hazardsWorked out by the form
- MediumWorked out by the form
- LowWorked out by the form
- Highest hazard scoreWorked out by the form
- WarningAt least one hazard is in the High band (Category 1). Under the Housing Act 2004 the local council has a duty to take the appropriate enforcement action for a Category 1 hazard. This form records the assessment and the arithmetic; the decision on what action to take is separate.Shown only when the answers above make it relevant
- Walk Cam: dwelling walk-roundWalk Cam video with voice-to-text
Optional. Film a guided walk-through on the SiteSurvey app; each clip keeps its spoken note.
Actions and sign-off
- Are further actions needed?Yes or No
- Further actionsRepeat for each action. Each one asks:Shown when “Are further actions needed?” is Yes
- What needs doing?*Notes
- PriorityChoose one
- Urgent
- High
- Medium
- Low
- Who will do it?Short answer
- Due dateDate
- StatusChoose one
- Open
- In progress
- Completed
- Inspector name*Short answer
- Position or companyShort answer
- Inspector signatureSignature
- CheckSigning records what was found on the day. It does not make unsafe equipment safe or replace a thorough examination, design check or service by a competent person.
See it filled in
A completed HHSRS inspection report, made by SiteSurvey from a fictional site visit: every answer, the photos, the guidance that applied and the sign-off, ready to send as a PDF.
HHSRS inspection FAQs
What changed in the HHSRS in 2026?
The revised system introduced in England in June 2026 reduces the hazards from 29 to 21 by combining some, adds baseline indicators to help identify deficiencies, adds the descriptions very unlikely to very likely to the scoring bars, changes the scale point values and cuts the bands from ten to three: high, medium and low. The formula and its weightings have not changed.
What makes a Category 1 hazard?
A score of 1,000 or more, which is now the High band. The local council has a duty to take action. Category 2 hazards are Medium (100 to 999) or Low (under 100), and the council has discretion to act. The form shows the band for each hazard and counts the Category 1 hazards.
What are the 21 hazards?
Falls on the level; falling on stairs; falling between levels; fire and explosions; flames and hot surfaces; collisions, entrapment and ergonomics; structural collapse and falling elements; electrical hazards; excess cold; radiation; damp and mould growth; lead; indoor air pollutants; excess heat; asbestos and manufactured mineral fibres; domestic hygiene; water supply; crowding and space; entry by intruders; noise; and lighting.
Whose risk is assessed?
The likelihood of harm is judged for the most vulnerable age group for that hazard, such as people aged 65 or over for excess cold, not the current occupants. Crowding and space is the exception: it is also assessed for the actual household.
Does the form make the judgement?
No. Full scoring is for a trained assessor working from Part 2 of the Operating Guidance and its national averages, with clear reasons for each score. The form records the deficiencies, photos and reasons, does the arithmetic, and warns if the spread of harm does not add up to 100%. Any of the four classes can take the remainder, so averages such as 90% extreme for radiation fit.
Who uses this?
Council environmental health and private sector housing officers, social landlords' stock condition and compliance teams, and surveyors assessing rented homes.
Related
Related templates
Templates that go with the HHSRS inspection form
A housing disrepair inspection for landlords responding to a claim: claim dates, access, each room as a space with defects, repairing obligation, likely cause, damp readings and photos, a schedule of works and actions.
An HMO inspection against the HMO management regulations: licence details, the house pinned by GPS, fire safety and escape with the defects counted, gas and electrical safety dates, each room as a space with its floor area against the licence room sizes, and actions.
An Awaab's Law hazard record for social landlords: the report, triage, investigation, rooms affected with the measured damp or mould, the written summary, safety and preventative work and every update to the tenant, with working days counted against the fixed timeframes.
Elements, lifecycles and renewal years, kitchen and bathroom, heating and electrics, hazards and recommended work for each property.
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