Title Page

  • Document No.

  • On site risk assessment for use of?

  • Conducted on

  • Prepared by

  • Location

Photo

  • Before photos

  • After photos

Assessor/Operators/Training/Activities

  • Assessor

  • Personnel on site

  • Other

  • Relevant Certificate's/Training

  • Other

  • Activities

  • Has the M.E.W.P Pre-Task checklist been Completed?

  • No M.E.W.P Operations to be carried out writhing 15mts+ full extent of M.E.W.P from Power lines

  • Other

Site Assessment

  • Terrain

  • Action required

  • Trip hazzard

  • Action required

  • Services

  • Action required

  • Structures

  • Action required

  • Other site activities

  • Action required

  • Public access

  • Action required

  • Fire risk

  • Action required

  • Weather condition

  • Tree species

  • Other

  • Height

  • Girth

Tree condition

  • Overall condition of the tree

  • Root plate

  • Fruiting bodies

  • Stem cavities/splits

  • Branch cavities/splits

  • Major deadwood

  • Hanging branches

Emergency action plan

Emergency action plan

  • Location name and grid reference if known

  • Type of access

  • 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

  • Mobile phone signal strength

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