Roof Access Form
Project Name
*
Please Select
OPL
Select the one applicable
*
Entering Roof Area
Leaving Roof Area
Name
*
Company Name
*
Name cannot contain any of the following special characters: * ? / \ : < > " |
How many workers do you have working on the roof?
*
The value must be a number
In which area of the roof are you working?
*
What task is your crew performing on the roof?
*
All workers accessing the roof have reviewed and signed the Roof Access JHA and the "Roof Dos and Don'ts"
*
Yes
Daily housekeeping completed?
*
Yes
No
All material, equipment and tools secured?
*
Yes
No
All guardrail systems are continuous and conforming?
*
Yes
No
N/A
Comments
Roof hatch is closed?
*
Yes
Submit
Should be Empty: