Title Page

  • Date and Time:

  • Inpsector:

  • Property Location:
  • Request Number:

  • Property Details:

  • Address of property
  • Owner of property
  • Phone Number

  • Nature Of Request/Complaint:

  • Location Of Tree:

  • Comments:

  • Tree Details:

  • Botanical Name:

  • Common Name:

  • Tree Height:

  • Tree Spread:

  • D.B.H.

  • Age:

  • Soil Condition:

  • U.L.E

  • Landscape Value:

  • Works History:

  • Tree Adjacent to:

  • Adjacent to Distance:

  • Powerlines:

  • Tree Pictures

  • Comments:

  • Tree Condition Assessment:

  • Structure:

  • Crown:

  • Trunk:

  • Vigour:

  • Roots:

  • Pests:

  • Diseases:

  • Habitat Potential:

  • Rarity:

  • Potential Seed Source:

  • Significance

  • Comments:

  • Trees with a total score greater than 25 do not qualify for removal.
    Trees with a total score less than 25 will only be considered for removal if no other option is viable.

  • Possible Effects on Infrastructure:

  • Buildings:

  • Drains and Pipes

  • Roadways and Footpaths:

  • Other Infrastructure:"

  • Recommended Actions:

  • What Action is Required

  • Action Timeframe:

  • Stump Removal Required:

  • Works Description:

  • Add signature

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. You should independently determine whether the template is suitable for your circumstances.