Title Page

  • Site name

  • Location
  • Conducted on

  • Prepared by

  • Main contractor(s)

  • Operators on site

  • Any other persons on site

Untitled Page

  • Operation undertaken

  • Is the site clear of rubbish and redundant materials?

  • Has a site map and work instruction been issued?

  • Do operators on site hold the relevant certificates for the task?

  • Is the correct PPE being worn?

  • Is there a COSHH assessment?

  • Are the controls being followed during mixing, spraying and transportation?

  • Are the Forest and Water Guidelines being followed (check buffer zones, mixing/storage areas and collection of water)?

  • Is there evidence of spraying on target areas?

  • Are there any gaps or missed areas?

  • Identify where to the contractor and ensure the area is treated.

  • Is the correct dosage, nozzle and chemical being used?

  • Is equipment fit for purpose?

  • What is the chemical being used?

  • Is the weather suitable for spraying?

  • General Update

  • What is the required planting density?

  • Is planting density correct?

  • Are trees being stored on site in a way to prevent damage (drought/frost/flooding/browsing)?

  • What condition are trees on site in?

  • Have trees been planted in the correct place?

  • How well have trees been planted?

  • Depth, straightness, location on mound, root treatment, plant handling, spacing, quality of tree

  • Have the correct trees been beaten up/replaced/left?

  • Is site signage required?

  • Is it in place?

  • What is the forest road condition?

  • Is the defect safety critical?

  • Are the Forest and Water guidelines being followed?

  • General update from visit

  • Has there been any unsafe acts or near misses?

  • Name of person reporting the near miss

  • Date of reporting

  • Job title

  • Estate

  • Enterprise

  • Date of the event

  • Location

  • Who did it involve?

  • Who else was there?

  • Describe what happened

  • What caused this to happen?

  • What caused this to happen?

  • What can we do to stop this happening again?

  • What is the target date for this to happen?

  • 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.