Roof Access Platform Inspection Checklist
Use this form to record a roof access platform inspection, note conditions, and document any required corrective actions.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
First Name
Last Name
Site / Location
*
Platform ID / Asset Tag
*
Weather / Conditions at Time of Inspection
*
Please Select
Clear
Cloudy
Rain
Windy
Wet Surface
Snow/Ice
Other
Platform Condition Checklist
Access Platform Structural Condition
*
Pass
Needs Repair
Fail
Guardrails Condition
*
Pass
Needs Repair
Fail
Walking Surface Condition
*
Pass
Needs Repair
Fail
Anchorage or Mounting Condition
*
Pass
Needs Repair
Fail
Ladder or Access Path Condition
Applicable
Not Applicable
Needs Repair
Fail
Debris or Obstructions Present
*
No
Yes
Overall Inspection Result
*
Pass
Pass with Notes
Fail
Corrective Actions and Sign-off
Corrective Actions Required
*
Priority of Repair
*
Low
Medium
High
Urgent
Follow-up Due Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Signature
*
Submit
Submit
Should be Empty: