Information
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INSPECTED BY
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Date
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Site Location and Postcode
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Client & Contact Number
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Emergency Priority
- Level 1 low priority no immediate danger. Can be coned off/barrier tape used and done in daylight?
- Level 2 medium priority attend when available. Can be coned off/barrier tape used and done in daylight?
- Level 3 high priority immediate action required. Danger to life.
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Wind speed, is the wind speed high enough or the site exposed enough to cause nearby trees to fall or branches and debris fall or cause injury?
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STOP all work and make the site safe and wait until conditions improve
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Do you have necessary equipment available to carry out the work safely? Consider winch, tractor etc
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Can the tree be made safe until the correct equipment is available?
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Barrier and use signs to keep public away from work site and locate correct equipment.
JOB DESCRIPTION
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Tree number
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Species
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Work required
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TPO/Conservation Area?
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Permission Granted?
Wildlife Assessment
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Wildlife Assessment. Is wildlife such as bats or nesting birds present?
- Yes
- No
- N/A
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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
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Work from ground (Low Risk) can the work be safely carried out from the ground?
Is work from a MEWP appropriate? If not why not?
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Inadequate access/road width?
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Unstable/soft ground conditions?
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Inappropriate for task?
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Services close/present?
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Insufficient working space aerial or ground?
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Disproportionate cost?
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Ropes and Harness access (High Risk)
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Is the tree safe to climb?
BIOSECURITY RISK ASSESSMENT
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Is a concerning P&D present or suspected on or adjacent to the site?
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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.
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DISPOSAL OF ARISINGS/SPECIFIC REQUIREMENTS
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EXTRA EQUIPMENT NEEDED-IN ADDITION TO STANDARD ISSUE
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Large saws
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Winch
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Brushcutter/clearing saws
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Traffic control
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Rigging/lowering kit
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Stump grinder
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Hedge trimmer
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Chipper
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Chemicals
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Tractor
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Other equipment
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OPERATIVES COMPETANT TO USE EQUIPMENT/CARRY OUT OPERATION SPECIFIED?
EMERGENCY CONTINGENCIES/PLANNING
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Nearest A&E including postcode
- Royal Infirmary of Edinburgh EH16 4SA
- Borders General Hospital TD6 9BS
- St John’s Hospital, Livingston, EH54 6PP
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Site Postcode/Grid Reference
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Designated Rescuer
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IN THE EVENT OF AN EMERGENCY
SITE-SPECIFIC RISK ASSESSMENT Hazard and control. Hazard example,passing pedestrians being injured by falling branches? Control example, Worksite signed, coned & barriered to form exclusion zone.
Generic Rick Assessments (insert references to all relevant GRAs)
Risk Assessment Completed by: (Signed by Safety Co-ordinator)
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Print name:
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Team Leader Sign:
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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.
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Team Members Sign: