Roof Leak Test Report

General Information
Project Name/Owner  
Location Tracking No.
Date of Inspection   Start/End Time
Inspector’s Name(s)
Inspector’s Title(s)
Describe present phase of construction
Describe Scope & Location of Structural Inspection:

Activity Implemented? Action Required? Corrective Action/Remarks

1 Are the down spouts is in Yes No N/A Yes No

proper slope?
2 Are the screws were placed in Yes No N/A Yes No
appropriate distance and well
screwed?
3 Are the roof and gutters are Yes No N/A Yes No
joint in proper alignment?
4 Is the Sealant Properly applied Yes No N/A Yes No
with a descant look and in
accordance to the color of
roof?
5 Is there a screen inside the Yes No N/A Yes No
gutter? If there is a tree beside
the roof/house?
6 Is the pressure test were Yes No N/A Yes No
properly performed in the site
with the supervision of site
engineer?
7 Is there any clogging/ponding Yes No N/A Yes No
in gutter?
8 Are the debris were properly Yes No N/A Yes No
clean as the work done in
roofing?

Non-Compliance
Describe any incidents of non-compliance not described above:

CERTIFICATION STATEMENT

“I certify under penalty of law that this document and all attachments were prepared under my direction or supervision. The information
submitted is, to the best of my knowledge and belief, true, accurate, and complete.”

Print name and title: ___________________________________________________________________________

Signature:_________________________________________________________ Date:_____________________

Noted by: ___________________________________________________________________________

CEILING & WALL ENCLOSURE Inspection Report, Version 1.1, June 6, 2018 Page 1 of 1