• • To be completed by Service personnel for existing premises.
    • For New Premises, Sales personnel are to complete this report before any contract/ job agreement. If required, Sales can seek support from operations or SHE to assess together the roof void, ground conditions and WAH equipment required.

  • Service Type At the Roof Void/ Ceiling:

  • Please specify here:

  • Service Team: (please specify)

  • Team 1

  • Team 2

  • Team 3

  • Team 4

  • Team 5

  • Team 6

  • Team 7

  • Team 8

  • Team 9

  • Hotel

  • MCST

  • SP

  • NT

  • AA

  • Others

  • Please specify:

  • to be determine after contract confirmation.

  • Service Location Name and Address:

  • Sales Personnel Name:

  • Technician Name(s): Those who may be involved in the roof void/ ceiling work

  • For new premise, technician will only be assigned after contract confirmation.

  • Supervisor Name:

  • For new premise, service team will be assigned after contract confirmation.

  • Insert “Ladder and Ladder Label” Photos here.

  • Insert “Ground Condition” photos here.

  • Insert “Roof Void/ Ceiling” photos. NOTE: take photo from ground (use pole camera if practicable); or take from a safe, suitable ladder.

  • Ground To Roof Void/ Ceiling Height (m):

  • Ladder Height (m):

  • Ladder Total No. of Rungs:

WAH Control Measures Implementation

  • 1. Is the Roof Void/ Ceiling work necessary? Other options have been considered before as a priority to avoid WAH, but they are not practicable e.g. using pole camera, drone.

  • 2. Areas below roof void/ ceiling opening ~ free from obstructions; or any obstructions, slip, trip & fall hazards have been identified and removed. Please attach pictures.

  • 3. Ladder (A-ladder or Platform Stepladder) for access to the roof void/ ceiling is in good condition.

  • Ladder owner?

  • RI Ladder

  • Customer ladder

  • 4. Ladder Label clearly specify the Safe Working Load (SWL, kg) and manufacture standard e.g EN131, OSHA, GB.

  • Ladder SWL (Safe Working Load) kg:

  • Ladder Manufacture Standard on ladder label:

  • 5. Ladder (A-ladder or Platform Stepladder) is of suitable height to reach the roof void/ ceiling. A-ladder must be long enough such that the top 2-steps will not need to be used. Platform stepladder should have handrail up to waist height.

  • 6. Head light/ torch light/ standing lamp available for use and in good condition.

  • 7. First Priority, Safest Option : had discussed and agreed with customer to shut down power before start work if there are electricals near or inside the roof void/ ceiling e.g. for lightings, wires, electrical conduits.<br>Alternate Option: if not practicable to shut down power, electrical gloves are available and in good condition for use while carrying out the roof void/ ceiling works.

  • 8. Safety Shoes is adequate, in good condition and worn

  • 9. Technician(s) working at the roof void/ ceiling has completed RI internal SRA (Site Risk Assessment) Training.

  • 10. Technician(s) working at the roof void/ ceiling has completed Work at Height training involving safe ladder use.

  • 11. Technician(s) working at the roof void/ ceiling has completed RI internal M6.1 Safe Working at Roof Void Training.

  • 12. New Technician is put on OJT (on-the-job) training, with a senior, WAH trained technician or supervisor.

  • 13. If roof void/ ceiling work is deemed safe/ unsafe to proceed, SRA is done accordingly and attached with this report ? <br>(for update into iCABS, so as to ensure this info. is made known to service technicians via SRA Report/ Service Docket)

  • Ensure the following is updated in the SRA Report (but not limiting to) =>
    • Please Tick :
     Do Not Enter Roof Void. Check roof void from a ladder only. Or
     No Roof Void Inspection Required.
    (under the SRA Report ~ Special Consideration section)
    • WAH Risks (under hazard column, if safe to proceed)
    • Electrical Risks (if existing near or inside the roof void)
    • Indicate the type of ladder to be used and the no. of rungs required e.g. use 7 rung A-ladder
    • Shut off Electrical Power, or wear electrical gloves, before any roof void/ ceiling work.


Evaluation (tick where relevant):

  • SAFE TO PROCEED with the roof void/ ceiling work (mentioned in the top of page 1 of this checklist).

  • UNSAFE TO PROCEED with the roof void/ ceiling work (if any one criteria on this checklist cannot be complied)

  • Is SRA report is updated appropriately, indicating Safe/ Unsafe To Proceed? (see No. 13 Remarks above. SRA Report must be updated and attached to this report after completion of the evaluation).

Applied By:

  • Signature:

  • Name:

  • Job Title:

  • Date:

Assessed By:

  • Signature:

  • Name:

  • Job Title:

  • Date:

Assessed By: (if there is additional assessor)

  • Signature:

  • Name:

  • Job Title:

  • Date:

Approved By:

  • Signature:

  • Name:

  • Job Title:

  • Date:

  • After approval, Assessor shall send both RVE Report and eTI/ SRA report as follows :
    • Send e-copy of both reports to OPS (, SALES ( and SHE personnel.
    • Forward original copy of both reports to iCABS personnel to update into iCABS system, and for record keeping.

  • This Roof Void Inspection Checklist shall be reviewed again, whenever there is any change or concern raised related to the roof void, environmental conditions, WAH equipment, and after an incident.

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.