Title Page

  • PPS Door Sign.gif
  • Month

  • Completed by

  • Inspection Date

Service Report

Monthly Report

NAC Contractor Compliance

  • Are all Programmed employees working on site NAC Contractor Compliant

  • Action Required?

Near Miss and Safety Incidents

  • Did any Near Miss occur during the month?

  • Total For Month

  • Details

Working Days

  • Have any days been lost this month?

  • Total Days Lost

  • Was any additional labour supplied this month?

  • Total Days

  • Were any additional days worked this month?

  • Total Days

  • How many days are in the Bank To Date?

  • Works Completed

  • Pruning

  • Details

  • Hedging

  • Details

  • Weeding - Hand

  • Details

  • Weeding - Herbicide Application

  • Rain

  • Wind

  • No Weeds Present

  • Expected Completion

  • Leaf Litter Removal / Hard Surface Blow Down

  • Details

  • Plant - Removal

  • Details

  • Plant - Replacement / Planting

  • Details

  • Mulching - Required

  • Areas

Trees - Visual Observations

  • *Please note all observations noted are visual only and not to be taken as a certified risk assessment*

  • Is there any evidence of Disease or Pest Damage to Trees?

  • Evidence

  • Comments

  • Is there any evidence of Dead or Dying Trees?

  • Evidence

  • Comments

  • Is there any evidence of HIGH RISK Trees?

  • Evidence

  • Comments

Lawns and Hard Surface Maintenance

  • Mowing, Brush Cutting and Edging Standard

  • Line Marking Completed

  • Herbicide Application

  • Round Up - Hard Surfaces

  • Broadleaf Weed Application to Lawns

  • Cause

  • Round Up - Hard Surfaces

  • Broadleaf Weed Application to Lawns

  • Round Up - Hard Surfaces

  • Broadleaf Weed Application to Lawns

  • Expected Completion

  • Rain

  • High Winds

  • None Present

  • Strip Drains Cleared

Additional Items

  • Have any additional works outside of scope been completed this month?

  • Details

  • Have any additional works outside of scope been identified?

  • Details

  • Have these works been quoted?

  • Has the quote/s been approved?

  • PPS Representative

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.