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Commercial Roof Inspection FormInspection Date:Inspector:Building InformationBuilding ID:Used For:No.:Year Roof Applied:Building Description:PermanentTemporaryBuilding Type:Building Name:Building Contact:Building Address:Building Phone:Building City/ST/ZipBuilding E-Mail:RetailResidentialIndustrialOther:Key Contact InformationOwner/Tenant:Roofing Contractor:Owner/Tenant Contact:Roofing Co. Contact:Owner/Tenant Address:Roofing Co. Address:Owner/Tenant City/ST/ZIP:Roofing Co. City/ST/ZIP:Owner/Tenant Phone:Roofing Co. Phone:Owner/Tenant E-Mail:Roofing Co. E-Mail:Previous Maintenance and Repair Work(Briefly describe membrane and flashing work done, including dates and who did the work)Date of Last Inspection:Is the Roof guaranteed?NoHas occupancy or use of the building changed since last inspection?Yes - Attach copy of guarantee to this recordNoYes - Describe:Have any changes, additions or new penetrations been made to roof since last inspection?NoHas there been leakage?WindNoYes - Describe Conditions:Light RainHeavy RainYes - Describe:Leaks ContinuouslyOther:Were emergency repairs performed?NoYes - Describe:2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 1
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGFPLocationAction TakenInteriorRoof gingA6Open JointsA7Overall Deck ConditionA8Bitumen Spalling (chipping or crumbling)B5Paint PeelingB6Water StainsB100Other:ExteriorWallsC1Deteriorated Mortar Joints2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 2
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGC2Settlement CracksC3StainsC4EfflorescenceC5WindowsC7Fascia DisplacedC8Gutter AnchorsC9DownspoutsC10Gutter General ConditionC100Other:FPLocationAction TakenMetal FlashingsCounter FlashingE1Loose/Missing FastenersE2Loose/Displaced MetalE3Deformed MetalE4CorrosionE5Loose/Missing Joint CoverE6Sealant JointsE7PuncturesE100Other:Coping/Cap FlashingF1Loose/Missing FastenersF2Loose/Displaced MetalF3Deformed Metal2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 3
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGF4CorrosionF5Loose/Missing Joint CoverF6Cracked SealantF7PuncturesF8Cracked/Broken Coping CapF9Open Coping JointF100Other:FPLocationAction TakenExpansion JointsG1Loose/Missing FastenersG2Loose/Displaced MetalG3Deformed MetalG4Loose/Missing Joint CoverG5Spliced JointsG6Stripped-in FlashingG7PuncturesG8SplittingG9Mechanical DamageG10Hinders DrainageG100Other:Edge MetalH1Loose/Missing FastenersH2Loose/Missing Stripped-in FlashingH3Splits in Stripped-in Flashing JointsH4Corrosion2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 4
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGH5Loose/Missing Metal SectionsH6Loose/Missing Joint CoverH7Open End JointsH8Sealant JointsH100Other:FPLocationAction TakenBase FlashingJ1Exposed Top SealJ2AdhesionJ3Seams/Attachment to FieldJ4Vertical 8Excessive BridgingJ100Other:PenetrationsGeneralK1Pitch Pocket SealantK2Loose mping Ring2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 5
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGL2Clear of DebrisL3FlashingL4Overall CleanlinessL100Other:FPLocationAction TakenRooftop EquipmentM1Attachment to CurbsM2Access PanelsM3HousingM4Liquid DischargeM5CondensationM6Roof Adjacent to EquipmentM100Other:Conduit or PipeN1SaggingN2Supports ng2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 6
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGO4WrinklesO5PuncturesO6Walkways, DisplacedO7Walkways, DeterioratedO8Walkways, NeededO9DelaminationO10AlligatoringO11Granule AdhesionO12Standing WaterO13VandalismO14Foot Traffic DamageO15BlisteringO16BucklingO17Mechanical DamageO18Exposed Felt/DeckO19Hail DamageO100Other:FPLocationAction TakenLapsP1Open JointsP2FishmouthsP100Other:MembraneQ1Unadhered AreasQ2Blisters2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 7
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGQ3Loose InsulationQ4Fasteners Backing OutQ5RidgesQ100Other:FPLocationAction TakenMiscellaneousR1AntennasR2Guy WiresR3Ice or IciclesR4Oil DepositsR5Surface ContaminationR6Soft AreasR7VandalismR8Vegetative GrowthR100Other:CoatingGeneralS1Reflectivity gS5CrazingS100Other:2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 8
Commercial Roof Inspection FormCodeConditionG Good, No ActionF Fair, Monitor PeriodicallyP Poor, Immediate ActionGFPLocationAction TakenSurfacingGeneralT1Type:T2Coverage/Bare spotsT3DiscolorationT4Gravel StopT100Other:Photographic RecordU1Film/Digital PhotograpyU2VideoU100Other:*Mark all items with the appropriate code on the roof plan grid. Keep copies of inspection forms and photographic or other evidencewith the Roof Historical Record.2002M Commercial Roof Inspection Form w Midwest Roofing Contractors Association w 800/497-6722 w www.mrca.orgPage 9
Commercial Roof Inspection Form 2002M Commercial Roof Inspection Form wMidwest Roofing Contractors Association w800/497-6722 wwww.mrca.org Page 1 Inspection Date: Inspector: . 2002M Commercial Roof Inspection Formw Midwest Roofing Contractors Associationw 800/497-6722wwww.mrca.org Page 3 Code Condition G Good, No Action F Fair, Monitor .
