Extended VTA (as per GBM) - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

TREE CHARACTERISTICS

• Tree Height

• Canopy Width

• DBH (mm)

• Age Class

  Select New Juvenile Semi-mature Mature Over-mature Unknown

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

• Health

  Select Excellent Good Fair Poor Hazardous Dead Unknown

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

• Structure

  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

  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

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6

• 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

  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

• 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

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6

• Secondary zone of failure

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6

• Tertiary zone of failure

  Select Zone 1 Zone 2 Zone 3 Zone 4 Zone 5 Zone 6

  • Zone 1
  • Zone 2
  • Zone 3
  • Zone 4
  • Zone 5
  • Zone 6

• 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