Title Page
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Site conducted
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Contractor/Crew Name
- MVCC Tree Crew
- Citywide
- Sevron
- Steves Trees
- Active Tree Services
- Super Gardens
- Turf One
- MVCC Parks Crew
- Tree Amigos
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Conducted on
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Record Number
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Prepared by
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Location
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Date and time of audit
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Work Type
- Tree removal
- Chipping
- Pruning
- Tree planting
- Stump removal
- Tree Stake removal
- Tree watering
- Weed Spraying
- Garden Maintenance
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Crew Members
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Equipment used
- EWP
- Chipper
- Stump Grinder
- Chainsaw
- Powered Polesaw
- Manual Polesaw
- Mechanical digger
- Water Truck
- Hedge Trimmer
- Spray Unit
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High visibility vests being worn
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Correct traffic control in place
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Safe work zone defined
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Equip in safe and satisfactory condition
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Equip being used in correct and safe manner
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Has pre-operational checklist been filled out
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Are JSA's/SWP on site
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If first Aid kit on site
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Photo taken
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Signed
