Annual Tree Inspection and Check-list 2019-2020

• School Name

• School Code

• Status of Report

  Complete

  Not Completed

  In Progress

• Prepared by

• Conducted on

  Date

• Using the schedule of defects (hazards) in Section 2 of the Tree Management Guidelines, identify tress that have major defects.

Defect Identification, Comments/Actions Required

• 1. Soil Movement / Root Lifting

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 2. Dead Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 3. a, b, c Cracks - Stem, Branches, Internal

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 4. a, b, c Weak Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 5. a, b Decay - Cavities and bulges

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 6. a, b, c Root Problems

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 7. Poor Architecture - Leaning Trees

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 8. Cankers

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 9. Trees in decline

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 10. Storm Damage

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 11. Trees - Neighbours

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

For trees in High-Usage areas of the school identified with defects in Section 1-10 above

• 1. If nil trees identified with defects.... then....

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• 2 - If trees with defects have been identified.... then.... has there been a change in these tress in the past 12 months?

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• Action undertaken by the School

Defect Identification, Comments/Actions Required

• 1. Soil Movement / Root Lifting

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 2. Dead Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 3. a, b, c Cracks - Stem, Branches, Internal

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 4. a, b, c Weak Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 5. a, b Decay - Cavities and bulges

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 6. a, b, c Root Problems

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 7. Poor Architecture - Leaning Trees

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 8. Cankers

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 9. Trees in decline

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 10. Storm Damage

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 11. Trees - Neighbours

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

For trees in Moderate - Usage areas of the school identified with defects in Section 1-10 above

• 1. If nil trees identified with defects.... then....

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• 2 - If trees with defects have been identified.... then.... has there been a change in these tress in the past 12 months?

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• Action undertaken by the School

Defect Identification, Comments/Actions Required

• 1. Soil Movement / Root Lifting

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 2. Dead Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 3. a, b, c Cracks - Stem, Branches, Internal

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 4. a, b, c Weak Branches

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 5. a, b Decay - Cavities and bulges

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 6. a, b, c Root Problems

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 7. Poor Architecture - Leaning Trees

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 8. Cankers

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 9. Trees in decline

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 10. Storm Damage

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

• 11. Trees - Neighbours

  Select No - No action Required Yes - Immediate Action Required

  • No - No action Required
  • Yes - Immediate Action Required

For trees in Low - Usage areas of the school identified with defects in Section 1-10 above

• 1. If nil trees identified with defects.... then....

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• 2 - If trees with defects have been identified.... then.... has there been a change in these tress in the past 12 months?

  Select NO - No AQF5 Inspection is Required YES - AQF5 Inspection is required - See Notes and photos

  • NO - No AQF5 Inspection is Required
  • YES - AQF5 Inspection is required - See Notes and photos

• Action undertaken by the School

• Insert Site Tree Images Taken

  Media

I agree that I have conducted the Annual Tree Inspection and completed the above document in accordance with the Tree Management Guidelines issued by the DoE.

• Name (Principal / Site Manager / AMU)

• Signature

  Sign

• Completed Date and Time

  Date

• Current Position

  ASO

  Principal

  Site Manager

  Contractor

  Other