TITLE PAGE
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Species
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Height & Crown Width
GENERAL OBSERVATION
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Age
- Juvenile
- Semi mature
- Mature
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Tree Vigor
- Low
- Medium
- High
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Life Remaining
- 0
- 0-5
- 0-10
- 10+
PARTS OF TREE TO INSPECT
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Crown
- Crown Dead
- Broken Branches/Hangers
- Symetrical
- Unbalanced
- Pest/Disease
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Crown Likelihood of Failure
- Low
- Medium
- High
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Branches
- 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
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Branches Likelihood of Failure
- Low
- Medium
- High
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Trunk
- Dead
- Dead/Missing Bark
- Co-Dominant Stems
- Included Bark
- Hollows
- Cracks
- Cankers/Burls/Galls
- Leaning
- Pest/Disease
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Trunk Likelihood of Failure
- Low
- Medium
- High
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Roots
- Cut/Damaged Roots
- Uplifting Roots
- Girdling Roots
- Sign of Root Plate Movement
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Root Likelihood of Failure
- Low
- Medium
- High
TREE LOCATION/ACTIONS REQUIRED
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Tree Location
- Residential Nature Strip
- CBD
- Car Park
- Facility Surrounds
- Rec Reserve
- Road Reserve
- Walking Path
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Static Target Potential
- Low
- Medium
- High
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Mobile Target Potential
- Low
- Medium
- High
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Tree Impacting on Utilities/Infrastructure
- Kerb/Channel/Footpath
- Water
- Sewer
- Power
- Site Distances
- Other
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Works Required
- Removal
- Weight Reduction
- Dead Wood
- Root Barrier
- Formative Pruning
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General Comments
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Photos
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Conclusions
- No Action Required
- Works Scheduled - Contractor
- Works Scheduled - NGSC Staff
- Include in Annual (October) Arborist Tree safety Audit List
- Arborist Tree Safety Audit Required as soon as can be scheduled
NGSC RISK ASSESSMENT TEMPLATE
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Risk Issue
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Hazard, Cause, Why, What can happen and how?
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Consequences
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Consequence Rating
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Likelihood Rating
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Level of Risk
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Existing Controls/Adequacy to address risk?
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Revised Consequence Rating
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Revised Likelihood Rating
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Revised Level Of Risk
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Acceptable Risk
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Signature
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