Roof Maintenance Checklist Form
Please complete the checklist to ensure proper roof maintenance.
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
First Name
Last Name
Roof Condition
Good
Fair
Poor
Are there any visible leaks?
Yes
No
Condition of Shingles
Intact
Damaged
Missing
Condition of Gutters
Clean
Clogged
Damaged
Are there any signs of mold or moss?
Yes
No
Additional Notes
Inspector Signature
Submit
Should be Empty: