A roof fall hazard is still one of the major threats in the underground mining industry. Each such type of event always brings great risk to miners and causes serious interruptions in the process of rock excavation. In general, the possibility of roof fall hazard occurrence is directly related to the local geology, the presence of horizontal stresses as well as the type of excavation method and the efficacy of the utilized roof support. Due to the complexity of this process, it is important to continuously evaluate the roof fall risk, especially in long life-time places where a mining crew is often present. Within this article, a detailed review of the current methods of monitoring and evaluating roof fall risk was presented. Based on the extensive literature survey, different types of devices were described, and their advantages and disadvantages were pointed out. Furthermore, new trends in the area of roof fall risk monitoring were described and discussed.