• Document No.

  • Address of hazard

  • Conducted on Month/ Date/Year

  • Prepared by

  • Location

Customer Request Number

Site Address

Site Location ( eg Rear Boundry)

Tree Assessment Officer

Date of Assessment

  • Select date


Risk Rating, (High, Medium, Low)

Assessment Results

  • Assessment Comments/ Results

  • Is Action Required

  • What action is Required (trimming, removal eg.)

  • Is a photo required

  • Add media

Customer Service

  • Has Customer been Contacted

  • Letter Required

Works Instructions

  • Actions Required by Crew/ Contractor

  • Replanting Required

  • Stump Grinding Required

  • Number of Stumps to be removed

  • External Traffic Control Required

  • Notes for Crew/ Contractor

  • Units for Pruning or Removal

  • Units for Stumps

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.