Title Page
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School / site
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Describe actual tree location on site
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Conducted on
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Prepared by
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Names of persons assisting in assessment
Topography
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Choose topography where tree is situated
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Load factors to tree (wind exposure)
- Wind exposed
- Protected
- Open
- Wind funnelling
Tree details
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Common name
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Genus (if known)
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Species (if known)
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Amenity class
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Crown size
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Crown density
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Interior branches
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Tree age
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Pruning history
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Has tree Been Pruned to AS4373
General look of Tree health
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Canopy
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Foliage
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Roots
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Pests and diseases evident
- Foliage
- Trunk
- Branches
Tree defects and conditions affecting the likelihood of failure
Crown and branches
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Epicormic growth
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Epicormic growth
Hazard rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo below and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Included bark
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Included bark
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Branches with excessive weight
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Cracks or splits
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Decay
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Dead wood
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Poor pruning techniques
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Broken/ hanging branches
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
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Pest activities
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
Tree trunk
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Condition of trunk bark
- Normal
- Dead, damaged or missing
- Abnormal colour
- Cracked
- Fungus or mushrooms
- Cavity or nest hole
- Sapwood damage or decay
- included bark
- Trunk leaning
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What is the load on the defect
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
Roots and root collar
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Condition or root and root area
- normal
- tree collar not visible
- Cut or damaged roots
- Root plate lifting
- cracked roots
- soil weakness
- mushrooms or fungus on roots
- Epicormic growth
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What is the load on the defect
Hazard/risk rating
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Failure potential
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Size of part
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Target rating
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Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment
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Touch here to provide photo
Tree target information
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Tree failure target assessment
tree target description
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Name of target
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Target zone
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What is the occupancy rate?
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Is it practical to move the target?
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Can access be restricted under target zone
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Add further comment if required
Recommendations
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Refer tree for removal or arborist assessment
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