Kiama Municipal Council Tree Inspection Assessment Form

• Document No.

• Audit Title

• Location:
  Address

• Conducted on:

  Date

• Inspected by:

  Select Michael Taylor David De Groot Warwick Varley Paul Czulowski Other officer

  • Michael Taylor
  • David De Groot
  • Warwick Varley
  • Paul Czulowski
  • Other officer

• Other officer name(s):

Information

• Previous inspection?

  Yes

  No

• Owner:

• Species:

• Width (m):

• Height (m):

• DBH @ 1.4m (mm):

• Age

  Young

  Semi-mature

  Mature

  Over-mature

• Additional information:

• On boundary:

  Yes

  No

• Additional information:

• Photos (optional):

  Media

IMPACTS

• Access

• Allergies

• Details:

• Buildings

• Clothesline

• Driveway/Footpath/Kerb

• Neighbour

• Type:

• New landscaping proposal

• Overhead Wires

• Overcrowded

• Parking

• Pavement

• Pedestrian

• Pool

• Restricts solar access

• Shading

• Sight lines

• Underground services

• Type:

• Unsuitable size

• Other:

• Details:

• Additional information:

• Photos (optional):

  Media

HEALTH OF TREE

• Crown cover (%):

• Crown class:

  Dominant

  Co-dominant

  Suppressed

  Epicormic shoots

• Health of tree:

  Select Borers Buried profile Cavity Co-dominant forks Conk/Bracket Cracks/Splits/Sap flow Decay Root rot Excavated root zone Excessive end weight Hangers Included bark Previous failure Service trenching

  • Borers
  • Buried profile
  • Cavity
  • Co-dominant forks
  • Conk/Bracket
  • Cracks/Splits/Sap flow
  • Decay
  • Root rot
  • Excavated root zone
  • Excessive end weight
  • Hangers
  • Included bark
  • Previous failure
  • Service trenching

• Additional information:

• Pruning:

  Poor

  Fair

  Good

• Additional information:

• Wounded development:

  Poor

  Fair

  Good

• Additional information:

• Photos (optional):

  Media

ENVIRONMENT OF TREE

• Environment of tree:

  Select Common Endemic Native Rare Threatened species Weeds/undesirables Wildlife/green corridor Historical planting Remnant Commemorative

  • Common
  • Endemic
  • Native
  • Rare
  • Threatened species
  • Weeds/undesirables
  • Wildlife/green corridor
  • Historical planting
  • Remnant
  • Commemorative

• Additional information:

• Asthetic value:

  Minimum

  Fair

  Outstanding

• Additional information:

• Photos (optional):

  Media

RECOMMENDATION

• Recommendation:

  Select Refused Remove tree Replacement planting required Selective pruning No action required

  • Refused
  • Remove tree
  • Replacement planting required
  • Selective pruning
  • No action required

• Comments:

• Permit No: