Run Rooftop Fall Protection Anchor Annual Inspection — Free

Inspection Identification

Inspection date and time recorded critical (required)

Building / site name recorded critical (required)

Roof anchor ID or asset tag recorded critical (required)

Inspector is qualified to perform annual anchor inspection critical (required)

Inspection must be completed by a qualified person or competent person as defined by the site program.

Yes No N/A

Anchor Location and Access

Anchor location matches site records and roof plan critical (required)

Yes No N/A

Access to anchor is unobstructed and safe for inspection critical (required)

Yes No N/A

Anchor identification label or marking is legible

Yes No N/A

Roof surface around anchor is free of trip, slip, or fall hazards critical (required)

Yes No N/A

Anchor Physical Condition

Anchor shows no visible cracks, bends, deformation, or missing components critical (required)

Yes No N/A

Photo evidence (optional)

Fasteners, welds, and base plate are secure and intact critical (required)

Yes No N/A

Photo evidence (optional)

No visible corrosion, rust-through, or material deterioration affecting strength critical (required)

Yes No N/A

Photo evidence (optional)

Roof membrane, flashing, and waterproofing around anchor are intact

Yes No N/A

Anchor has not been modified, painted over, or altered since last inspection critical (required)

Yes No N/A

Load Test or Qualified Visual Inspection

Inspection method used critical (required)

Inspection result meets manufacturer and site requirements critical (required)

Yes No N/A

Photo evidence (optional)

If load tested, recorded test load

Record the applied test load if a load test was performed. Verify against the site program, manufacturer instructions, and applicable OSHA criteria.

Load test or inspection documentation attached

Deficiencies and Corrective Actions

Any deficiency or non-conformance identified critical (required)

Yes No N/A

Anchor removed from service pending repair or replacement when required critical (required)

Yes No N/A

Corrective action assigned with responsible person and due date

Sign-Off

Inspector signature critical (required)

Supervisor or owner review completed

Yes No N/A

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Run: Rooftop Fall Protection Anchor Annual Inspection

Inspection Identification

Anchor Location and Access

Anchor Physical Condition

Load Test or Qualified Visual Inspection

Deficiencies and Corrective Actions

Sign-Off

Get your results