Title Page

  • School / site

  • Describe actual tree location on site
  • Conducted on

  • Prepared by

  • Names of persons assisting in assessment

Topography

  • Choose topography where tree is situated

  • Degree of slope

  • Load factors to tree (wind exposure)

Tree details

  • Common name

  • Genus (if known)

  • Species (if known)

  • Amenity class

  • Diameter at breast height (DBH) in Cm

  • Approximate Tree height in metres

  • Crown size

  • Crown density

  • Interior branches

  • Tree age

  • Pruning history

  • Has tree Been Pruned to AS4373

General look of Tree health

  • Canopy

  • Foliage

  • Roots

  • Pests and diseases evident

Tree defects and conditions affecting the likelihood of failure

Crown and branches

  • Epicormic growth

    epicormic growth
  • Epicormic growth

Hazard rating

  • Failure potential

  • Size of part

  • Target rating

  • Overall Hazard risk score (add points from above)

  • Scores of 5 and above indicate potential for failure, please provide photo below and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Included bark

    no label
  • Included bark

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Branches with excessive weight

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Cracks or splits

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Decay

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Dead wood

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Poor pruning techniques

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Broken/ hanging branches

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

  • Pest activities

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

Tree trunk

  • Condition of trunk bark

  • What is the load on the defect

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

Roots and root collar

  • Condition or root and root area

  • What is the load on the defect

Hazard/risk rating

  • Failure potential

  • Size of part

  • Target rating

  • Hazard risk score

  • Scores of 5 and above indicate potential for failure, please provide photo and consider referring the tree to an arborist for assessment

  • Touch here to provide photo

Tree target information

  • Tree failure target assessment

  • tree target description
  • Name of target

  • Target zone

  • What is the occupancy rate?

  • Is it practical to move the target?

  • Can access be restricted under target zone

  • Add further comment if required

Recommendations

  • Refer tree for removal or arborist assessment

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