Broom Broom.............

• Document No.

• VTA - VP #

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Job Brief

TREE CHARACTERISTICS

• Photo of Tree

  Media

• GIS Coordinates of tree

• Tree Height (mtrs)

• Canopy Width (mtrs)

• DBH (mm) - Diameter at Breast Height measured at 1.5 mtrs above ground

• Age Class - see appendix 1 for detailed information

  Select New Juvenile Semi-mature Mature Over-mature Unknown

  • New
  • Juvenile
  • Semi-mature
  • Mature
  • Over-mature
  • Unknown

• Tree Significance - see appendix 2 for detailed information

  Select Highly Significant Significant Desirable Non Desirable

  • Highly Significant
  • Significant
  • Desirable
  • Non Desirable

• Health - see appendix 3 for detailed information

  Select Excellent Good Fair Poor Hazardous Dead Unknown

  • Excellent
  • Good
  • Fair
  • Poor
  • Hazardous
  • Dead
  • Unknown

• Structure - see appendix 4 for detailed information

  Select Excellent Good Fair Poor Hazardous Dead Unknown

  • Excellent
  • Good
  • Fair
  • Poor
  • Hazardous
  • Dead
  • Unknown

• Tick if additional comments are required?

• Comments

TREE VALUATION

• Is a Tree Valuation Required?

  Yes

  No

• Form / Vigour

  Select Perfect form & excellent vigour Sight imperfections in form Slightly reduced vigour Slight imperfections & slightly reduced vigour Good form and good vigour Good form and average vigour Good vigour with average form (0.7) Good form and poor vigour Good vigour and poor form Bifurication of trunk and excellent vigour Bifurication of trunk and good vigour Bifurication of trunk and average vigour Bifurication of trunk and poor vigour Poor form and average vigour Poor vigour and average form Poor form and poor vigour Poor form, cavities and excessive deadwood Dead

  • Perfect form & excellent vigour
  • Sight imperfections in form
  • Slightly reduced vigour
  • Slight imperfections & slightly reduced vigour
  • Good form and good vigour
  • Good form and average vigour
  • Good vigour with average form (0.7)
  • Good form and poor vigour
  • Good vigour and poor form
  • Bifurication of trunk and excellent vigour
  • Bifurication of trunk and good vigour
  • Bifurication of trunk and average vigour
  • Bifurication of trunk and poor vigour
  • Poor form and average vigour
  • Poor vigour and average form
  • Poor form and poor vigour
  • Poor form, cavities and excessive deadwood
  • Dead

• ULE - useful life expectancy

  Select 50 years 40 - 50 years 30 - 39 years 20 - 29 years 10 - 19 years less than 10 years

  • 50 years
  • 40 - 50 years
  • 30 - 39 years
  • 20 - 29 years
  • 10 - 19 years
  • less than 10 years

• Location

  Select Perfectly suitable Not perfect /no problems Minor problems Unsuitable or problems Unsuitable and problems Unsuitable and major problems Completely unsuitable

  • Perfectly suitable
  • Not perfect /no problems
  • Minor problems
  • Unsuitable or problems
  • Unsuitable and problems
  • Unsuitable and major problems
  • Completely unsuitable

• Reference Species (from PDF reader)

• Tick if additional comments are required?

• Comments

RISK ASSESSMENT

• Is a risk assessment required?

  Yes

  No

• Tree Zone - see appendix 5 for detailed information

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 None

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6
  • None

• Size of part likely to fail

  Select > 750 mm 451 - 750 mm 151 - 450 mm 20 - 150 mm < 20 mm

  • > 750 mm
  • 451 - 750 mm
  • 151 - 450 mm
  • 20 - 150 mm
  • < 20 mm

• Usage / Target - see appendix 6 for detailed information

  Select Constant use Frequent use Intermittent use Occasional use Low use

  • Constant use
  • Frequent use
  • Intermittent use
  • Occasional use
  • Low use

• Likelihood of Failure

  Select Certain Likely Possible Unlikely None

  • Certain
  • Likely
  • Possible
  • Unlikely
  • None

• Consequence of Failure

  Select Catastrophic Major Moderate Minor Insignificant

  • Catastrophic
  • Major
  • Moderate
  • Minor
  • Insignificant

• Score Given

  Select 14 - 16 12 - 14 11 - 12 7 - 10 0 - 6

  • 14 - 16
  • 12 - 14
  • 11 - 12
  • 7 - 10
  • 0 - 6

• CRITICAL - P1 (REMEDIAL WORK REQUIRED SAME DAY)

• Brief description of work raised

• URGENT - P2 (REMEDIAL WORK REQUIRED WITHIN 2 - 14 DAYS)

• Brief description of work raised

• HIGH PRIORITY - P3 (REMEDIAL WORK REQUIRED WITHIN 15 - 90 DAYS)

• Brief description of work raised

• MEDIUM PRIORITY - P4 (REMEDIAL WORK REQUIRED WITHIN 12 MONTHS)

• Brief description of work raised

• LOW PRIORITY - P5 (NO WORK REQUIRED)

• Tick if additional comments are required?

• Comments

REMOVAL

• Is Removal Required?

  Yes

  No

• Is there high risk to person or property?

  Select Yes No

  • Yes
  • No

• Is tree in irreversible decline?

  Select Yes No

  • Yes
  • No

• Is there high risk to person?

  Select Yes No

  • Yes
  • No

• Species inconsistent with BCC design?

  Select Yes No

  • Yes
  • No

• Is there interference with signage?

  Select Yes No

  • Yes
  • No

• Tick if additional comments are required?

• Comments

VANDALISM

• Has tree been vandalised?

  Yes

  No

• Type of Vandalism

  Select Uprooted Removed Broken Leaning Damaged cage Damaged stakes

  • Uprooted
  • Removed
  • Broken
  • Leaning
  • Damaged cage
  • Damaged stakes

• Tick if additional comments are required?

• Comments

FAILURE

• Has the tree failed?

  Yes

  No

• Event name

• Type of event

  Select Torrential rain High wind Minor storm Major storm Cyclone Other

  • Torrential rain
  • High wind
  • Minor storm
  • Major storm
  • Cyclone
  • Other

• Other

• Cause of failure

  Select None obvious Dead section Decay Poor height / diameter Included bark Previously lopped Poor trunk / branch taper Tree root removal Root interference Mechanical Other

  • None obvious
  • Dead section
  • Decay
  • Poor height / diameter
  • Included bark
  • Previously lopped
  • Poor trunk / branch taper
  • Tree root removal
  • Root interference
  • Mechanical
  • Other

• Other

• Crown shape

  Select Spreading Upright Lopsided Supressed

  • Spreading
  • Upright
  • Lopsided
  • Supressed

• Crown Density

  Select Dense Normal Sparse

  • Dense
  • Normal
  • Sparse

• Wind direction indicated by buttressing

  Select None N NE E SE S SW W NW

  • None
  • N
  • NE
  • E
  • SE
  • S
  • SW
  • W
  • NW

• Describe previous maintenance

  Select None obvious Canopy lift Canopy thin Valley prune General prune Other

  • None obvious
  • Canopy lift
  • Canopy thin
  • Valley prune
  • General prune
  • Other

• Soil characteristics

  Select Compacted Saturated Shallow Dry Good Condition Constrained space Other

  • Compacted
  • Saturated
  • Shallow
  • Dry
  • Good Condition
  • Constrained space
  • Other

• Other

• Percentage of tree failed

  Select 10 20 30 40 50 60 70 80 90 100

  • 10
  • 20
  • 30
  • 40
  • 50
  • 60
  • 70
  • 80
  • 90
  • 100

• Primary zone of failure - see appendix 5 for detailed information

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 None

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6
  • None

• Secondary zone of failure - see appendix 5 for detailed information

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 None

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6
  • None

• Tertiary zone of failure - see appendix 5 for detailed information

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6 None

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6
  • None

• Diameter at breaking point

• Consequence of failure

  Select Property damage Personal injury Road closure Service disruption Other

  • Property damage
  • Personal injury
  • Road closure
  • Service disruption
  • Other

• Other

• Estimated damage / clean up $$

• Tick if additional comments are required?

• Comments

• Habitat

  Select Yes No

  • Yes
  • No

• Type of

• Recommended re-inspection?

  Select Yes No

  • Yes
  • No

• When?

  Select 3 months 6 months 9 months 12 months 18 months 24 months 36 months 48 months 60 months

  • 3 months
  • 6 months
  • 9 months
  • 12 months
  • 18 months
  • 24 months
  • 36 months
  • 48 months
  • 60 months

APPENDIX

• 1. AGE
  
  NEW : trees planted up to 12 months ago - newly planted trees
  JUVENILE : trees planted 13 months to 5 years ago
  SEMI MATURE : trees planted 6 to 20 years ago
  MATURE : trees planted 21 to 50 years ago
  OVER MATURE : trees planted more than 60 years ago

• 2. TREE SIGNIFICANCE
  
  HIGHLY SIGNIFICANT - rare/endangered species, VPO, historical, high aesthetic value, high cultural value.
  SIGNIFICANT - healthy and sound tree that plays a significant role to the local community and contributes to the landscape.
  DESIRABLE - well represented in the local area
  UNDESIRABLE - common weed species

• 3. HEALTH
  
  EXCELLENT - crown full and balanced. Foliage entire with good colour, minimal or no pathogen damage.
  GOOD - crown full, can be unbalanced. Foliage entire with good colour, minimal or no pathogen damage.
  FAIR - tree has less than 30% deadwood. Canopy can be unbalanced. Foliage generally has good colour, minor pathogen damage present.
  POOR - tree has more than 30% deadwood. Discoloured or distorted leaves and/or stress symptoms that could lead to the decline of the tree
  HAZARDOUS - tree is dead. Tree is in severe decline with more than 70% deadwood.

• 4. STRUCTURE
  
  EXCELLENT - excellent branch attachment, no structural defects, trunk sound, no damage to roots and good root buttress, good trunk and scaffold branch taper.
  GOOD - good branch attachment and/or minor structure defects. Trunk sound or minor damages. No damage to root and/or buttress present.
  FAIR - some minor structural defects and/or minor damage to trunk. Bark missing. Cavities could be present. Minor damage to roots.
  POOR - major structural defects and/or trunk damage, and or damaged roots.
  HAZARDOUS - tree poses immediate hazard potential that could be rectified as soon as possible.

• 5. TREE ZONES

  

• 6. USAGE/TARGET
  
  Usage/target is the estimation of the occupancy and target potential within the fall zone of the subject tree.
  
  CONSTANT USE:
  a) Permanent structures, playground, car parks, pathways, formal lawn areas that are
  occupied daily and are being used 80%-100% of the time.
  b) Freeways and major road corridors - Bus/Ferry/Rail terminals, traffic, pedestrian and
  road signals and signage, medical and emergency facilities.
  FREQUENT USE:
  a) Permanent structures, playground, car parks, path ways, formal lawn areas that are
  occupied for a couple of hours of a day.
  b) interconnecting road corridors and congested intersections - Bus/Ferry/Rail terminals,
  traffic, pedestrian and road signals and signage, schools and shopping centres and/or car parking adjacent
  to frequent-use public areas.
  INTERMITTENT USE:
  a) Permanent structures, playground, car parks, path ways, formal lawn areas that are
  occupied for a couple of hours a week.
  b) Residential road corridors and congested intersections - Bus/Ferry/Rail terminals,
  traffic, pedestrian and road signals and signage, and/or car parking adjacent to intermittent - use public
  areas.
  OCCASIONAL USE:
  Peripheral areas with with occasion use or access with dispersed recreation. Permanent
  structures, playgrounds, car parks and bush pathways, that are occupied a couple of times a month.
  LOW USE:
  Peripheral areas with low occupancy. No permanent structures and/or definitive bush pathways,
  visited a couple of times a year.
  
  

• 7. LIKELIHOOD OF FAILURE
  
  FAILURE CERTAIN: The tree has significant structural damage, unsupported active split trunk(s), unsupported
  fractured/hanging branches, and dead branches/trunks and therefore failure is very likely to occur in most
  circumstances.
  FAILURE LIKELY: The tree indicates signs of excessive lateral branch weight, decay threshold has been
  compromised, root damage, supporting heavily embedded included bark, supporting fractured branches,
  major declining branches/trunks and therefore failure is likely to occur in most circumstances.
  FAILURE POSSIBLE: Mature to aged tree in declining condition, structure concerns, decay apparent, history of
  branch shedding, and therefore failure may occur at some time.
  FAILURE UNLIKELY: Tree appears healthy, but has a potential to develop minor deadwood and therefore failure
  is unlikely to occur at some time.
  NO DETECTABLE THREATS: Tree appears healthy, no apparent signs of disease or damage, or is not of a size or
  condition to pose