Asphalt Shingles Inspection Form
Inspection No.
Inspection Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Building
Residence
Apartment
Commercial
Roof Type
Flat/Membrane
Sloped
Are mineral granules worn off shingles?
Yes
No
Checklist
Rows
Yes
No
N/A
Are mineral granules worn off shingles?
1
2
3
Are mineral granules collecting in gutters and base of downspouts?
4
5
6
Do edges of shingles look worn?
7
8
9
Are any nails popping up?
10
11
12
Does the roof look new but lumpy?
13
14
15
Is mold or moss forming on shingles?
16
17
18
Are there holes in the roof from guy cables, TV, antennas etc.?
19
20
21
Is the leading edge of roof damaged by ladders?
22
23
24
Is proper flashing around projections provided?
25
26
27
Are there any signs of weathering of mortar joints at chimneys?
28
29
30
Are there loose mortar joints that admit water?
31
32
33
Is the chimney leaning?
34
35
36
Are there any loose lightning rods?
37
38
39
Is the weather vane loose and wobbly?
40
41
42
Is cornice broken or missing?
43
44
45
Are there any cracks or other damages?
46
47
48
Are there any water stains on soffit boards?
49
50
51
Are there any damaged fascia boards?
52
53
54
Is flashing loose, corroded, or broken?
55
56
57
Checklist
Roof
Rows
Status
Condition
Notes
Does it have any physical damage?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Are there any debris?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Is there a drainage?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Are there any deformation?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
How is the coating?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Is there a granular loss?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Are there any punctures?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Do you see any cracks?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Do you see any blisters?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Is the attic in good condition?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Are there any missing tabs?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Do you see any metal corrosion?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Are there any deformed edges?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Does it have a gutter?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
Is the chimney or vents clean?
Yes
No
Excellent
Good
Fair
Needs Repair
Replace
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Comments, Analysis, or Feedback
Inspector Name
First Name
Last Name
Position
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Inspector's Signature
Date Signed
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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