Form
Take Photo
Tree Number
*
Botanical Name
Age
Senescent
Mature
Maturing
Early Maturity
Young
Juvenile
DBH (cm)
*
Height (m)
*
Canopy N/S x E/W (m)
*
Health
*
Good
Fair to Good
Fair
Fair to Poor
Poor
Dead
Structure
*
Good
Fair to Good
Fair
Fair to Poor
Poor
Dead
Tree Condition
1
Amenity Value
*
High
Moderate
Low
Infrastructure Conflict
None
Unlikely
Likely
Occurring
Significant
Emergency
ULE
2
Retention Value
3
Assessed Risk
*
No
Yes Go to QTRA
QTRA Target
1 1/1 - >1/10
2 1/10 - >1/100
3 1/100 - >1/1K
4 1/1K - >1/10K
5 1/10K - >1/100K
6 1/100K - 1/1M
QTRA Size of Part
1 >450 mm
2 450 - 260 mm
3 250 - 110 mm
4 100 - 25 mm
5 Property
QTRA Probability of Failure
1 1/1 - >1/10
2 1/10 - >1/100
3 1/100 - >1/1K
4 1/1K - >1/10K
5 1/10K - >1/100K
6 1/100K - 1/1M
7 1/1M - 1/10M
Risk Observations
Risk Mitigation works
Risk Works Priority
Immediate
High
Moderate
Low
Defect Image 1
Defect Image 2
General Observations
*
General Works
*
Works Priority
Immediate
High - Stage 1
Moderate - Stage 2
Low - Stage 3
None
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