Arboriculture Site Specific Risk Assessment

• INSPECTED BY

• Date

  Date
• Site Location and Postcode
  Address

• Client & Contact Number

• Number of man days

• Site plan/work order available ?

  Yes

  No

  N/A

JOB DESCRIPTION

Tree number

• Species

• Work required

• TPO/Conservation Area?

  Yes

  No

  N/A

• Permission Granted?

  Yes

  No

  N/A

Wildlife Assessment

• Wildlife Assessment. Is wildlife such as bats or nesting birds present?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Identify wildlife. How does this affect your work and the control measures required? Use a separate wildlife form if needed. Always check the tree/worksite at point of work.

WAH ASSESSMENT-refer to ICOP for guidance

• Work from ground (Low Risk) can the work be safely carried out from the ground?

  Yes

  No

  N/A

MEWP

• Is work from a MEWP appropriate?

  Yes

  No

  N/A

• Inadequate access/road width?

  Yes

  No

  N/A

• Unstable/soft ground conditions?

  Yes

  No

  N/A

• Inappropriate for task?

  Yes

  No

  N/A

• Services close/present?

  Yes

  No

  N/A

• Insufficient working space aerial or ground?

  Yes

  No

  N/A

• Disproportionate cost?

  Yes

  No

  N/A

• Ropes and Harness access (High Risk)

  Yes

  No

  N/A

• Is the tree safe to climb?

  Yes

  No

  N/A

BIOSECURITY RISK ASSESSMENT

• Is a concerning Pests and Diseases present or suspected on or adjacent to the site?

  Yes

  No

  N/A

• How does this affect your work and what are the control measures required? Refer to FC guidance. Is a statutory Plant Health Notice in place? Always take routine biosecurity control measures.

  Yes

  No

  N/A

• DISPOSAL OF ARISINGS/SPECIFIC REQUIREMENTS

EXTRA EQUIPMENT NEEDED-IN ADDITION TO STANDARD ISSUE

• Large saws

• Winch

• Brushcutter/clearing saws

• Traffic control

• Rigging/lowering kit

• Stump grinder

• Hedge trimmer

• Chipper

• Chemicals

• Tractor

• Other equipment

• OPERATIVES COMPETANT TO USE EQUIPMENT/CARRY OUT OPERATION SPECIFIED?

  Yes

  No

  N/A

EMERGENCY CONTINGENCIES/PLANNING

• Mobile Phone Signal Strength 1-10

• Nearest A&E including postcode

  Select Royal Infirmary of Edinburgh EH16 4SA Borders General Hospital TD6 9BS St John’s Hospital, Livingston, EH54 6PP

  • Royal Infirmary of Edinburgh EH16 4SA
  • Borders General Hospital TD6 9BS
  • St John’s Hospital, Livingston, EH54 6PP
• Site Postcode/Grid Reference
  Address

• Designated Rescuer

• IN THE EVENT OF AN EMERGENCY

SITE-SPECIFIC RISK ASSESSMENT Hazard and control.

• List Hazards, eg passing pedestrians being injured by falling branches.

• List control measures, eg worksite signed, coned and barriered

Generic Rick Assessments (insert references to all relevant GRAs)

Risk Assessment Completed by: (Signed by Safety Co-ordinator)

• Print name:

• Team Leader Sign:

  Sign

• Team Members; I confirm that I have been briefed and understood and/ or contributed to this site specific risk assessment and will carry out works accordingly taking into consideration the appropriate control measures identified on this document and the associated risk assessments and method statements.

• Team Members Sign:

  Sign

• Team Members Sign:

  Sign

• Team Members Sign:

  Sign

• Team Members Sign:

  Sign

• Team Members Sign:

  Sign