Roof Inspection Checklist Easily and quickly identify and report roofing issues in need of repair with our Roofing Inspection Checklist. With the Fulcrum app, you could take photos and videos, and quickly share notes with clients. Find the digital version of this form and more at https://www.fulcrumapp.com/apps/roof-inspection-app. General information Address Inspected Street Address City, State, Zip Status of Roof Owner ☐ Applicant Choose one ☐ Already Insured ☐ Other (specify) __________________ Name of Applicant Application Number Insured Info Name of Insured Policy Number Predominant Roof Roof Geometry ☐ Flat roof ☐ Dutch Gable (gablet) roof Choose one. ☐ Hip roof ☐ Pavilion roof ☐ Mansard roof ☐ Helm roof ☐ Tented roof ☐ Other (specify) __________________ Get the digital version of this checklist and more at fulcrumapp.com/checklistfulcrumapp.com/checklists. 1 Covering Material(s) ☐ Wood Shingles ☐ Tin Choose all that apply. ☐ Asphalt Shingles ☐ Tile ☐ Clay Shingles ☐ Other (specify) __________________ Roof Age (in years) Remaining Useful Life (in years) Date of Last Roofing Permit Date Time Date of Update Date Time Overall Condition of ☐ Excellent ☐ Poor Roof Choose one. ☐ Good ☐ Other (specify) __________________ ☐ Fair Visible Damage ☐ Curling ☐ Sagging Choose all that apply. ☐ Lifted ☐ Uneven ☐ Loose shingles ☐ Leaks ☐ Missing shingles ☐ Other (specify) __________________ Is there a Secondary Roof? ☐ Yes ☐ No ☐ Other (specify) __________________ Secondary Roof Roof Geometry ☐ Flat roof ☐ Dutch Gable (gablet) roof Choose one. ☐ Hip roof ☐ Pavilion roof ☐ Mansard roof ☐ Helm roof ☐ Tented roof ☐ Other (specify) __________________ Covering Material(s) ☐ Wood Shingles ☐ Tin Choose all that apply. ☐ Asphalt Shingles ☐ Tile ☐ Clay Shingles ☐ Other (specify) __________________ Get the digital version of this checklist and more at fulcrumapp.com/checklistfulcrumapp.com/checklists. 2 Roof Age (in years) Remaining Useful Life (in years) Date of Last Roofing Permit Date Time Date of Secondary Roof Update Date Time Overall Condition of ☐ Excellent ☐ Poor Secondary Roof Choose one. ☐ Good ☐ Other (specify) __________________ ☐ Fair Visible Damage ☐ Curling ☐ Sagging Choose all that apply. ☐ Lifted ☐ Uneven ☐ Loose shingles ☐ Leaks ☐ Missing shingles ☐ Other (specify) __________________ Photos Attach Key Photos Here With Fulcrum, photos you take with your phone automatically get included with the rest of your data. Get the digital version of this checklist and more at fulcrumapp.com/checklistfulcrumapp.com/checklists. 3 Certification Meets standard? ☐ Yes ☐ No Name of inspector Please print Inspector Phone Number License Type License Number Signature Date / / Time : AM / PM Fulcrum is a mobile app creation platform that lets you digitize checklists like this easily — and automate related workflows! — without writing any code. Check us out at fulcrumapp.com/checklists 4.