Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
Select
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
(0-5) Action required in 2 Years (6-8) Action required within 12 months (9-14) Action required within 6 months (15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
Risk
Location
Address
Frequency
Low (Not Often)
Medium (Moderately)
High (Always)
Group
Trip Hazard
10mm < Low
10mm-20mm Medium
20mm-30mm High
> 30mm Extreme
Even Surface
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Slippery
Slight (Low)
Uneven (Medium)
Very (High)
Extreme
Hazard/Defect
Photo
Media
Action
(0-5) Action required in 2 Years
(6-8) Action required within 12 months
(9-14) Action required within 6 months
(15-18) Immediate action required
Completion Date
Date
Completed
Comments
link copied
Anonymous
Footpath Inspection
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The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
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