Information
1. Visual Assessment of Tree Roots From Trees on Public Land
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ECM Number / Works Order Number
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Ward Location
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Site Location / Address
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What is the Land Tenure
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Conducted on
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Prepared by
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Additional Persons Conducting Inspection
2. TREE CHARACTERISTICS
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Tree Identification Number
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Tree Species
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Number of Trunks
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Age Class
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Pruning History
- None
- Crown Lifting
- Deadwooding
- Reduction
- Formative
- Property Overhang
- Line Clearing
- Root Prunning
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Tree Value
- Specimen
- Street Tree
- Screen
- Shade
- Heritage/ Historic
- Habbitat
- Bushland
- Streetscape Tree
3. TREE HEALTH
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Foliage Colour
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Annual Shoot Growth
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Woundwood Development
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Tree Vigour
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Does the tree appear to be free from pest and disease
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Is there any additional information regarding tree health? Eg. Potential poisoning
4. TREE ROOTS
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Do the roots appear to be free from root rot
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Is the base free of mounding or soil movement
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Are there any exposed roots
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What is the root failure potential
5. SITE CONDITIONS
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Growth Obstructions
- Kerb & Gutter
- Road
- Footpath
- Retaining Wall
- Driveway
- Garden Edging
- Water Pipes / Sewer
- Fence
- House Foundations
- Planter Box
- Power Lines
- Private Asset
- None
- Other
- Surrounding Vegetation
- Soil Compaction
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List other growth obstructions if not listed above
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Recent Site Disturbances
- Kerb & Gutter
- Road
- Footpath
- Retaining Wall
- Driveway
- Garden Edging
- Water Pipes / Sewer
- Fence
- House Foundations
- Planter Box
- Power Lines
- Private Asset
- None
- Other
- Surrounding Vegetation
- Soil Compaction
6. TREE DEFECTS
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Lean Reasoning
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Deadwood Diameter (mm)
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Defects
- Inclusions
- Decay
- Hangers
- Cracks/Splits
- Bracket Fungi
- Termites
- Wounds
- Kino/Sap
- Borers
- Epicormic Growth
- Topped
- Canker
- Previous Failures
- None
- Deadwood
- Lean of Tree
- Lightning Strike
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Defects Most Likely to Fail
- Inclusions
- Decay
- Hangers
- Cracks/Splits
- Bracket Fungi
- Termites
- Wounds
- Kino/Sap
- Borers
- Epicormic Growth
- Topped
- Canker
- Previous Failures
- None
- Deadwood
- Lean of Tree
- Lightning Strike
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Defect Potential to Fail
- Very Low
- Low
- Medium
- High
- Sever
- None
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Photo of tree. Ensure root plate, basal area, trunk and canopy are photographed as well as and defects visible.
7. RISK ASSESSMENT
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Risk Likelihood / Consequence Scale
Green = Low, Priority 3. Yellow = Medium, Priority 2. Orange = High, Priority 1. Red = Urgent, Priority Fast Track -
Likelihood of Failure Occuring
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Consequence Of Failure
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Priority
8. COMMENTS
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Comments / Works Required
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Who is to conduct works required
- Council
- Contractor
- Private
- None Required
CUSTOMER CONTACT
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How will the customer be notified
9. ANY FURTHER INFORMATION REQUIRED
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Is a Visual Root Assessment Required
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Are there any further environmental assessments required
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Are there any additional works required or further remarks
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Photo of any additional works or further information required
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PLEASE SIGN ON COMPLETION OF INSPECTION