Risk Assessment Form
Fill in the Risk Assessment Form below and click Submit at bottom to send to office.
YOUR NAME
*
DATE
*
ADDRESS
*
NOT APPLICABLE
DIFFICULT & INACCESSIBLE
LOCATION (facing house)
Left
Right
Front
Back
Roof
Cottage/Pool House
LIST OF OBSTACLES
Tree
Stairs
Height
Not enough space
Slope
Terrain
Other
METHODS OF CLEANING
Extension pole
T-Pole
From inside
Bosun Chair
ANY WINDOWS SKIPPED
Observation/recommendation for future
Spam Protection: Please don't fill this in: