• Select date

  • Prepared by

  • Company

  • Address

  • Company name

  • Emergency contact number

  • Add location
  • Client or site name

  • Site address

  • Client contact number

  • Client email

  • Job description

  • Is there any dangers in site access

  • Provide further details if you answered "yes"

  • Are there any overhead obstructions

  • Provide further details if you answered "yes"

  • Are there any dangerous ground conditions

  • Provide further details if you answered "yes"

  • Are there any activities nearby

  • Provide further details if you answered "yes"

  • Are the public in any danger

  • Provide further details if you answered "yes"

  • Is visibility or communication difficult

  • Provide further details if you answered "yes"

  • Is the weather hazardous

  • Provide further details if you answered "yes"

  • Does the job require any training, certificates or special permission

  • Provide further details if you answered "yes"

  • Will all employees use required P.P.E. for the job

  • Provide further details if you answered "yes"

  • Have you discussed emergency procedures with the employees

  • Provide further details if you answered "yes"

  • Equipment required

  • Truck

  • Mulcher

  • Cherry picker

  • Stump grinder

  • Bobcat

  • Excavator

  • Chainsaw small

  • Chainsaw medium

  • Chainsaw large

  • Hedge trimmer

  • Pole saw

  • Leaf blower

  • Climbing harness, lanyards, pole strap, spikes, climbing apparatus.

  • Ropes

  • Slings and pulleys

  • T bar lowering device

  • Friction drum lowering device

  • Rakes

  • Shovel, pitchfork.

  • Log roller

  • Other

  • Provide details of other equipment used.

  • Provide job procedure details

  • Clear felling

  • Pruning

  • Deadwooding

  • Detailing

  • Headging

  • Emergency tree works of storm damage

  • Mulching all brush

  • Taking debris to waste centre

  • Cut log into firewood

  • Clean site at the end of the job

  • Environmental considerations

  • Fuel

  • Fuel must be kept in no larger than 20L containers

  • Fumes

  • Provide details of risk

  • Falling debris

  • Provide details of risk

  • Chemicals

  • Provide details of risk

  • Tree and plant allergies

  • Provide details of risk

  • Other

  • Provide details of risk

  • Additional notes for job if required

  • Photos for job if required

  • Addition drawing for job if required

  • Monitor for condition changes

  • After 1 hr

  • Provide details of any changes

  • After 3 hours

  • Provide details of any changes

  • After 6 hours

  • Provide details of any changes

  • Sign off

  • Employee name

  • Signature

  • Employee name

  • Signature

  • Employee name

  • Signature

  • Additional employees

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.