VISUAL TREE ROOT RISK ASSESSMENT

1. Visual Assessment of Tree Roots From Trees on Public Land

• ECM Number / Works Order Number

• Ward Location

  Central Ward

  East Ward

  North Ward

  West Ward

• Site Location / Address

• What is the land tenure

  Nature Strip

  Recreation Reserve

  Bushland Reserve

  Council Managed Property

• Conducted on

  Date

• Prepared by

• Additional Persons Conducting Inspection

2. ASSET INFORMATION

• What assets may be affected by roots from trees located on public land

  Select Kerb & Gutter Road Footpath Retaining Wall Driveway Garden Edging Water Pipes / Sewer Fence House Foundations

  • Kerb & Gutter
  • Road
  • Footpath
  • Retaining Wall
  • Driveway
  • Garden Edging
  • Water Pipes / Sewer
  • Fence
  • House Foundations

• Who belongs to these assets

  Select Council Private Sydney Water Telstra Jemena NBN

  • Council
  • Private
  • Sydney Water
  • Telstra
  • Jemena
  • NBN

• Photo of site required

  Media

3. POTENTIAL DAMAGE OBSERVED

• Please describe observations of potential damage caused (include measurements of potential movement of failure of assets.

• Photo of potential damage required

  Media

4. RISK ASSESSMENT

• 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

  A. Rare

  B. Unlikely

  C. Possible

  D. Likely

  E. Almost Certain

• Consequence of Failure

  1. Insignificant

  2. Minor

  3. Moderate

  4. Significant

  5. Sever

• Priority

  Fast Track

  1

  2

  3

5. COMMENTS

• Comments / Works Required

• Who is to conduct these works required

  Select Yes No N/A

  • Yes
  • No
  • N/A

6. Any further information required

• Are there any additional works required or further remarks

• Photo of any additional works or further information required

  Media

• PLEASE SIGN ON COMPLETION OF INSPECTION

  Sign