Title Page

  • Site conducted

  • Conducted on

  • Client

  • Site address

  • Prepared by

Survey

  • Roof Type

  • Flat Roof
  • Reference:

Roof Materials

  • Roof Covering

  • EPDM Total SQM:

  • EPDM Condition:

  • GRP Total SQM:

  • GRP Condition:

  • Trad Felt Roof Total SQM:

  • Trad Felt Roof Condition:

  • Torch-on Felt Total SQM:

  • Torch-on Felt Condition:

  • Green Roof Total SQM:

  • Green Roof Condition:

  • PVC Single Ply Total SQM:

  • PVC Single Ply Condition:

  • Asphalt Total SQM:

  • Asphalt Condition:

  • Structural Deck

  • Other:

  • Other Total SQM:

  • Timber Total SQM:

  • Insulation Total SQM:

  • Asphalt Total SQM:

  • Concrete Total SQM:

  • Top Layer

  • Other:

  • Flashing Detail

  • Other:

  • Flashing width

  • Flashing depth

  • Flashing length

Fascias and Soffits

  • Fascia material

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

  • Soffit material

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

Rooflights

  • Rooflight type

  • Number of Lantern:

  • Dimensions:

  • Number of Georgian Wired:

  • Dimensions:

  • Number Of Domed:

  • Dimensions:

  • Number of Velux:

  • Dimensions:

  • Number of Barrel Vault:

  • Dimensions:

  • Number of Access Hatches:

  • Dimensions:

  • Other:

  • Dimensions:

Roof Condition

  • Are overlaps and seals in good condition?

  • Is the roof free of mould/lichen/moss?

  • Is the roof free of punctures/cracks/blisters?

Guttering

  • Substrate

  • Other

  • Dimensions: Base

  • Dimensions: Upstands

  • Dimensions: Angles

  • Has the gutter been encapsulated previously?

  • Dimensions: Stop-ends

Outlets

  • Number of outlets

  • Dimensions

Drainage

  • Is the roof free of pooling water?

  • Is drainage sufficient?

Penetrations

  • Number of M&E penetrations

  • Number of S&E penetrations

  • Are seals and Dektites in good condition?

Roof Access Systems

  • Mansafe System

  • Would a Horizontal Safety Line system be recommended?

  • Fixed Ladder/Staircase

  • Would a fixed access system be recommended?

  • Traditional Roof
  • Reference:

  • Roof Type

Roof Materials

  • Roof Covering

  • Slate total SQM:

  • Slate degree/pitch:

  • Slate colour:

  • Slate overall condition:

  • Clay tiles total SQM:

  • Clay tiles degree/pitch:

  • Clay tiles colour:

  • Clay tiles overall condition:

  • Concrete tiles total SQM:

  • Concrete tiles degree/pitch:

  • Concrete tiles colour:

  • Concrete tiles overall condition:

  • Zinc total SQM:

  • Zinc degree/pitch:

  • Zinc colour:

  • Zinc overall condition:

  • Thatched total SQM:

  • Thatched degree/pitch:

  • Thatched colour:

  • Thatched overall condition:

  • Yorkshire stone total SQM:

  • Yorkshire stone degree/pitch:

  • Yorkshire stone colour:

  • Yorkshire stone overall condition:

  • The buildings asbestos register or survey should be consulted to confirm asbestos containing materials are present and the location prior to any removal or explorative work is undertaken

  • Asbestos slates total SQM:

  • asbestos slate degree/pitch:

  • Asbestos slate colour:

  • Asbestos slate overall condition:

  • Do NOT assume the slates are ACM free. The buildings asbestos register or survey should be consulted to confirm whether asbestos is present and the location prior to any removal or explorative work is undertaken

  • Fibre cement slate total SQM:

  • Fibre cement slate degree/pitch:

  • Fibre cement slate colour:

  • Fibre cement slate overall condition:

  • Green total SQM:

  • Green degree/pitch:

  • Green colour:

  • Green overall condition:

  • Metal total SQM:

  • Metal degree/pitch:

  • Metal colour:

  • Metal overall condition:

  • Battens

  • Membrane

  • Felt Condition:

  • Underlay condition:

  • Breathable condition:

  • Ridge Tiles

  • Colour:

  • Structural Deck

  • Other:

  • Other Total SQM:

  • Timber Total SQM:

  • Insulation Total SQM:

  • Asphalt Total SQM:

  • Concrete Total SQM:

Fascias and Soffits

  • Fascia material

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

  • Soffit material

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

Lead Work/Detail

  • Soakers

  • Flashings

  • Valleys

  • Length:

  • Width:

Rooflights

  • Rooflight type

  • Number of Lantern:

  • Dimensions:

  • Number of Georgian Wired:

  • Dimensions:

  • Number Of Domed:

  • Dimensions:

  • Number of Velux:

  • Dimensions:

  • Number of Barrel Vault:

  • Dimensions:

  • Number of Access Hatches:

  • Dimensions:

  • Other:

  • Dimensions:

Guttering

  • Substrate

  • Other

  • Dimensions: Base

  • Dimensions: Upstands

  • Dimensions: Angles

  • Has the gutter been encapsulated previously?

  • Dimensions: Stop-ends

  • Is drainage sufficient?

Outlets

  • Number of outlets

  • Dimensions

Chimney

  • Pointing

  • Flaunching

  • Lead flashings

  • Lead soakers

  • Lead back tray

  • Rendering

  • Pots (Nr)

Verge

  • Verge type

  • Verge length

  • Verge colour

Penetrations

  • Number of M&E penetrations

  • Number of S&E penetrations

  • Are seals and Dektites in good condition?

Roof Access Systems

  • Mansafe System

  • Would a Horizontal Safety Line system be recommended?

  • Fixed Ladder/Staircase

  • Would a fixed access system be recommended?

  • Metal / Asbestos Roof
  • Reference:

  • Roof Type

Profile

  • Capture.PNG
  • A

  • B

  • C

  • D

  • E

  • F

Fascias and Soffits

  • Fascia materials

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

  • Soffit materials

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

Metal Roof Sheets

  • Surface Area (+20% for profile)

  • Metal sheet type

  • Condition of roof sheets

  • Lengths

  • No. of Fixings (per SQM)

  • Condition of fixings

  • Condition of washers

  • Purling centres

  • Cut Edge Corrosion

  • Is there a cut edge line above each rooflight?

  • No. of eaves

  • No. of midlaps

  • Full encapsulation required?

Foam Fillers

  • Condition

  • Are all foam fillers installed and suitable

  • Number required:

Ridge Flashings

  • Angle/Pitch

  • Dimensions

  • Condition of flashings

  • Condition of fixings

  • Condition of abutment laps

Verge Flashings

  • Angle/Pitch

  • Dimensions

  • Condition of flashings

  • Condition of fixings

  • Condition of abutment laps

Rooflights

  • Rooflight type

  • Quantity

  • Length

  • Number of fixings per rooflight

  • Number of stitchers per rooflight

  • Condition

Guttering

  • Substrate

  • Other

  • Dimensions: Base

  • Dimensions: Upstands

  • Dimensions: Angles

  • Has the gutter been encapsulated previously?

  • Dimensions: Stop-ends

  • Is drainage sufficient?

Outlets

  • Number of outlets

  • Dimensions

Penetrations

  • Number of M&E penetrations

  • Number of S&E penetrations

  • Are seals and Dektites in good condition?

Roof Access Systems

  • Mansafe System

  • Would a Horizontal Safety Line system be recommended?

  • Fixed Ladder/Staircase

  • Would a fixed access system be recommended?

Profile

  • Profile type and description

Fascias and Soffits

  • Fascia materials

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

  • Soffit materials

  • Plastic width:

  • Plastic depth:

  • Plastic length:

  • wood width:

  • wood depth:

  • wood length:

Asbestos Roof Sheets

  • Surface Area (+20% for profile)

  • Condition of roof sheets

  • Lengths

  • No. of Fixings (per SQM)

  • Condition of fixings

  • Condition of washers

  • Purling centres

  • No. of eaves

  • No. of midlaps

  • Full encapsulation required?

Foam Fillers

  • Condition

  • Are all foam fillers installed and suitable

  • Number required:

Ridge Flashings

  • Angle/Pitch

  • Dimensions

  • Condition of flashings

  • Condition of fixings

  • Condition of abutment laps

Verge Flashings

  • Angle/Pitch

  • Dimensions

  • Condition of flashings

  • Condition of fixings

  • Condition of abutment laps

Rooflights

  • Rooflight type

  • Quantity

  • Length

  • Number of fixings per rooflight

  • Number of stitchers per rooflight

  • Condition

Guttering

  • Substrate

  • Other

  • Dimensions: Base

  • Dimensions: Upstands

  • Dimensions: Angles

  • Has the gutter been encapsulated previously?

  • Dimensions: Stop-ends

  • Is drainage sufficient?

Outlets

  • Number of outlets

  • Dimensions

Penetrations

  • Number of M&E penetrations

  • Number of S&E penetrations

  • Are seals and Dektites in good condition?

Roof Access Systems

  • Mansafe System

  • Would a Horizontal Safety Line system be recommended?

  • Fixed Ladder/Staircase

  • Would a fixed access system be recommended?

Additional Notes and Photos

  • Additional Notes

  • Additional Photos

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.