Title Page

  • Site

  • Employee Login

  • Date and Time of Work

  • Task Description

Checklist

General Information

  • IS A PERMIT IN PLACE FOR THE WORK?

  • ARE WEATHER CONDITIONS ACCEPTABLE?

  • HAS THE WORKER UNDERGONE ROOF TRAINING?

  • HAS ALL REQURED PPE BEEN IDENTIFIED AND IS PROPERLY WORN BY WORKER?

  • IS THE WORKER FULLY AWARE OF THE TASK REQUIREMENTS?

Access and Structure

  • HOW WILL THE ROOF BE ACCESSED?

  • ARE ANY STRUCTURAL DEFICIENCIES VISIBLE FROM THE ROOF UNDERSIDE?

  • ARE ALL ACCESS POINTS IN GOOD CONDITION AND SAFE TO USE?

  • ARE ANY MATERIALS OR TOOLS TRANSPORTED TO THE ROOF?

  • Please comment HOW materials or tools will be transported to the roof

Walkways and Roof

  • ARE WALKWAYS PRESENT ON THE ROOF?

  • ARE THERE ANY OBSTRUCTIONS ON THE ROOF?

  • ARE ALL ROOF EDGES PROTECTED/BARRIERED OFF?

  • ARE GUARD RAILS PRESENT?

  • ARE PRE-INSTALLED ANCHORAGES AVAILABLE?

  • ARE HARRNESSES/LANYARDS AVAILABLE AND INSPECTED BEFORE USE?

Risk Assesment

  • HAS A ONE MINUTE RISK ASSESSMENT FOR THE TASK BEEN COMPLETED?

Competion

  • COMPLETED AND ACKNOWLEDGED BY (SIGNATURE)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.