Northern Grampians Shire Council

Risk Assessment Template

Urban Tree Risk Assessment

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Information

Urban Tree Risk Assessment
Document No.
Audit Title
Conducted on
Prepared by
Location
Date
Species
Height & Crown Width

Age
- Juvenile
- Semi Mature
- Mature
Life Remaining
- 0
- 0-5
- 5-10
- 10+
Stem & Branch Dameges
- Dead Branches
- Co-Dominant Stems
- Poor Branch Attachments
- Visible Cracks
- Poor tree Structure
- Decay
Signs of Problems
- Loose Bark
- Cavities
- Seams
- Burls
- Stubs
- Cankers
- Pest & Diseases
Roots Zone
- Uplifting Roots
- Girdling Roots
- Diseases
Tree Location
- Residential
- CBD
- Rec Reserve
Crown Growth
- Symmetrical
- Unbalanced
General Comments
Works Required
Photos
Conclusion
- No further Action Required
- Monitor & Review in 12 months
- Minor works required & Schedule in Parks & Garden Team works program
- Tree Audit Required
Assessed by:

Northern Grampians Shire Council

Risk Assessment Template

Urban Tree Risk Assessment

Use this Template

Print as PDF

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