Title Page
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Document No.
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On site risk assessment for use of?
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Conducted on
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Prepared by
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Location
Photo
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Before photos
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After photos
Assessor/Operators/Training/Activities
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Assessor
- Paul Thompson
- Dorian Stephens
- Matthew Whitcombe
- Mark Challinor
- Lewis Charles
- Other
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Personnel on site
- Paul Thompson
- Dorian Stephens
- Matthew Whitcombe
- Mark Challinor
- Lewis Charles
- Other
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Other
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Relevant Certificate's/Training
- CS30
- CS31
- CS32
- First Aid
- Manual Handling
- Correct P.P.E
- Other
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Other
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Activities
- Cross Cutting
- Felling
- Climbing
- M.E.W.P
- Stump Grinder
- Chipper
- Pole Pruner
- Other
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Has the M.E.W.P Pre-Task checklist been Completed?
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No M.E.W.P Operations to be carried out writhing 15mts+ full extent of M.E.W.P from Power lines
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Other
Site Assessment
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Terrain
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Action required
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Trip hazzard
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Action required
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Services
- electric overhead
- overhead
- underground
- other
- none
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Action required
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Structures
- buildings
- boundaries
- other
- none
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Action required
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Other site activities
- pedestrian
- vehicle
- other
- none
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Action required
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Public access
- pedestrian
- vehicle
- other
- none
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Action required
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Fire risk
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Action required
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Weather condition
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Tree species
- beech
- ash
- oak
- lime
- birch
- yew
- cedar
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Other
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Height
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Girth
Tree condition
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Overall condition of the tree
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Root plate
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Fruiting bodies
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Stem cavities/splits
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Branch cavities/splits
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Major deadwood
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Hanging branches
Emergency action plan
Emergency action plan
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Location name and grid reference if known
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Type of access
- hard surface
- light vehicle
- 4x4
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Nearest road.
A362 picket post roundabout -
Ambulance meeting point.
Picket post - st842411
Front house - st809430 -
Helicopter landing site grid reference.
Park hill - st837433
Lodge - st808428 -
Nearest landline telephone number.
Both you - 01985 845 411/507
Estate office - 01985 844 400 -
Radio call signs
- golf 1
- golf 2
- golf 3
- golf 4
- golf 5
- golf 6
- golf 7
- golf 8
- golf 9
- golf 10
- golf 11
- golf 12
- golf 13
- golf 14
- golf 15
- golf 16
- golf 17
- golf 18
- golf 19
- golf 20
- ranger 1
- ranger 2
- ranger 3
- ranger 4
- ranger 5
- ranger 6
- ranger7
- ranger8
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Mobile phone signal strength