Title Page

  • Conducted on

  • Prepared by

  • Before photo

  • Location
  • Date

  • Auditor

  • Other

  • Personnel on site

  • Other

Risk

  • Terrain

  • Trip hazzads

  • Services

  • Other

  • Structures

Equipment on site and qualifications

  • Machinery on site

  • Other

  • Qualifications

  • Other

Job task

  • Activity

  • No MEWP operation to be carried out within 15 meters+ full extent of MEWP from power lines

  • Tree species

  • Other

  • Height

  • Girth

  • Overall condition

  • Root plate

  • Fruiting bodies

  • Stem cavities/splits

  • Branch cavities/splits

  • Major dead wood

  • Hanging branches

Emergency Access

  • Grid reference

  • Location name

  • Type of access

  • Ambulance meeting point
    Picket post - ST 842411
    Front house - ST 809430

  • Helicopter landing site
    Park hill - ST 827433
    Lodge - ST 808428

  • Nearest main road
    A362 pickets post round about

  • Nearest A&E
    Frome A&E - 01373 463591

  • Nearest major A&E
    Salisbury odstock - 01722 336262
    Bath RUH - 01225 428331

  • Contact phone number

  • Mobile signal strength

  • After photo

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.