TITLE PAGE
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Assessment No.
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Park Name
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GPS Location
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Conducted on
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Assessed by
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Species
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Height (m)
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Crown Width (m)
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Significant Tree
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Why is the tree significant?
- Rare species
- Listed Heritage Tree
- Heritage - General
- Size, form, Character
- Landscape and Amenity Significance
- Cultural significance
GENERAL OBSERVATION
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Age class
- Mature
- Semi mature
- Juvenile
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Tree Vigor
- Good
- Average
- Poor
- Dead
- Unable to Access Due to Season
PARTS OF TREE TO INSPECT
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Roots
- No Obvious Issues Observed
- Cut/Damaged Roots
- Uplifting Roots
- Girdling Roots
- Sign of Root Plate Movement
- Minor Damage to Exposed Roots
- Other
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Other root issue
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Trunk
- No Obvious Issues Observed
- Dead
- Dead/Missing Bark
- Co-Dominant Stems
- Included Bark
- Hollows
- Cracks
- Cankers/Burls/Galls
- Leaning
- Pest/Disease
- Mechanical Damage
- Well compartmentalised pruning wounds
- Poor compartmentalised pruning wounds
- Other
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Other Trunk Issue
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Canopy & Crown
- No Obvious Issues Observed
- Dead Branches/Twigs
- Poor Branch Attachments
- Visible Cracks
- Dead/Missing Bark
- Signs of Previous Failure
- Decay
- Cankers/Burls/Galls
- Over Extended Branches
- Stubs
- Other Branch Damage
- Pests/Disease
- Other
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Other Canopy/Crown Issue
TREE LOCATION/ACTIONS REQUIRED
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Tree Location
- In Open Space
- Along Residential Boundary
- Near Road frontage
- Near Park Infrastructure
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Potential Target(s)
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Static Target Potential
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What is the target?
- Park assets (furniture play equipment etc.)
- Footpath
- Public Road
- Fencing
- Private property
- Power
- Other
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Likelihood Rating
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Consequence Rating
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Mobile Target Potential
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What is the target?
- People
- Vehicles
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Likelihood Rating
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Consequence rating
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Works Required
- Removal
- Weight Reduction
- Dead Wood
- Formative Pruning
- Other
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Other works required
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Photos
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Work Priority
- No Action Required
- Include In Works Scheduled - Contractor
- 6 month VTA Re-inspection Recommended
- Annual VTA Re-inspection Recommended
- 3 yearly VTA Re-inspection Recommended
- Comprehensive Arborist Tree Assessment Required As Soon As Can Be Scheduled
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Overall Risk Assessment
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Conclusion
RISK ASSESSMENT TEMPLATE
