Arboriculture Works Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Registration of vehicle and chipper

• Personnel

• Site type

  Select Highways Parks Cemetery Other

  • Highways
  • Parks
  • Cemetery
  • Other

• Highest risk target?

• Notes

• Type of works (aerial tree work, ground tree work, planting, stump grinding)

• Job number, works order

• risk assessment complete?

• risk assessment site specific?

• risk assessment fit for purpose of task?

• Photograph of risk assessment

  Media

• Notes

• General site set-up safe?

  Safe

  At risk

  n/a

• Picture of site set up

  Media

• Opinion of site set up

• Warning signs

  Yes

  No

  n/a

• Warning signs positioned correctly?

  Yes

  No

  n/a

• Warning signs in good condition?

  Yes

  No

  n/a

• Cones

  Yes

  No

  n/a

• Cones positioned correctly?

  Yes

  No

  n/a

• Cone condition

• Barriers

  Yes

  No

  n/a

• Barrier condition

• Barriers positioned correctly?

  Yes

  No

  n/a

• Notes

• Toilet facilities

  Yes

  No

  n/a

• Hand santitation

  Yes

  No

  n/a

• Notes

• First Aid kit

  Yes

  No

  n/a

• Fire exinguisher

  Yes

  No

  n/a

• Fire extinguisher in date

  Yes

  No

  n/a

• Team pack

  Yes

  No

  n/a

• Vehicle check sheet

  Yes

  No

  n/a

• Spill kit

  Yes

  No

  n/a

• Cab tidyness

• Drivers licence valid

  Yes

  No

  n/a

• Notes

• Hi-vis worn

  Yes

  No

  n/a

• Hi-vis in good condition

  Yes

  No

  n/a

• Boots

  Yes

  No

  n/a

• Helmet worn

  Yes

  No

  n/a

• Helmet in good condition and in date

  Yes

  No

  n/a

• Visor

  Yes

  No

  n/a

• Ear protection

  Yes

  No

  n/a

• Notes

• Chipper

• Free from defects

  Yes

  No

  n/a

• Free from obvious leaks

  Yes

  No

  n/a

• Safety features

  Yes

  No

  n/a

• Tow hitch secure

  Yes

  No

  n/a

• Tow hitch indicator

  Yes

  No

  n/a

• Stump grinder

• Chainsaws

• MEWP

• Crane

• Vehicle free from obvious defects

  Yes

  No

  n/a

• Tow hitch secure

  Yes

  No

  n/a

• Notes

• Strops

  Safe

  At risk

  n/a

• Karrabiners

  Safe

  At risk

  n/a

• Prussics

  Safe

  At risk

  n/a

• Climbing line

  Safe

  At risk

  n/a

• Rescue kit

  Safe

  At risk

  n/a

• LOLER marks clearly visible

Ladder

• Ladder reference marked

• Bent rungs

  Safe

  At risk

  n/a

• Condition of feet

  Safe

  At risk

  n/a

• Hooks

  Safe

  At risk

  n/a

• General condition

  Good

  damaged - monitor

  remove from service

• Auditor

  Sign

• Notes