Roofing Contractor Risk Questionnaire Form
Please complete this form to provide key details for risk assessment of your roofing project. All information is required for proper evaluation.
Contractor Company Name
*
Project Address or Location
*
Project Type
*
Please Select
Residential
Commercial
Industrial
Other
Estimated Project Duration (in days)
*
Average Roof Height (in feet)
*
Roof Material
*
Please Select
Asphalt Shingles
Metal
Tile
Slate
Wood Shake
Other
Safety Equipment Used Onsite
*
Fall Protection Harnesses
Guardrails
Safety Nets
Warning Lines
Personal Protective Equipment (PPE)
Other
Size of Crew Onsite
*
Have there been any safety incidents or claims at this site in the past 3 years?
*
Yes
No
Site Supervisor Name and Contact Number
*
Additional Risk-Related Comments
Submit
Should be Empty: