City of Kwinana - Street Tree Assessment Report

• Customer Name

• Customer Address

• Street tree address

• Customer phone number

• Number of trees on the same verge For multiple trees on verge address, one report per tree is to be completed

• If more than one, please specify which tree will be assessed

• Conducted on

  Date
• Location
  Address

Tree Position

• Take a position photo of the street tree

  Media

• Tree location on verge

• Distance from property boundary

• Distance from kerb

• Distance from path (if applicable)

• Distance from nearest other verge tree (if more than one tree)

• Are powerlines overhead?

  Select YES NO

  • YES
  • NO

• If so, please specify

• Botanical Name

• Common Name

• Tree height

• Canopy Width

• Truck diameter

Tree Condition Rating

• Condition rating: 1. Sound - tree found to be in a relatively structurally sound and healthy condition 2. Fair - tree showing sporadic symptoms of decline, defects or has poor form, although does not represent a risk factor to property or persons and can be improved by undertaking remedial works 3. Poor - tree is displaying excessive decline, has poor overall development, suppressed or has been severely reduced, subsequently reducing the life span of the tree or represents an immediate or future high level of risk, cannot be improved and requires removal.

• Canopy

  Sound

  Fair

  Poor

• Comments

• Photo

  Media

• Trunk

  Sound

  Fair

  Poor

• Comments

• Photo

  Media

• Roots

  Sound

  Fair

  Poor

• Comments

• Photo

  Media

Aesthetic Value rating

• Aesthetic Value Rating

  High

  Moderate

  Low

• Aesthetic Value Rating The value of a tree is assessed on the basis of: - it's overall form and appearance as an individual specimen - it's size and relationship to other trees in the street

• Comments

• Photo

  Media

Recommendation

Tree Condition Rating

• Remove

  YES

  NO

• Comment

• Adjoining property to be notified?

• Is there enough space for a replacement tree/s?

  YES

  NO

• If yes, list recommended species and number of trees to replace

• Retain

  YES

  NO

• Comment

• Arborist report required?

  YES

  NO

• Officers name

• Officers signature

  Sign