Poultry Range Tree Audit Form
Inspect and record the condition, location, and safety observations for trees in the poultry range.
Tree ID or Tag Number
*
Tree Species
*
Tree Location on Range (describe or map reference)
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Tree Condition
*
Please Select
Excellent
Good
Fair
Poor
Dead
Visible Damage or Disease Signs
Broken branches
Fungal growth
Insect infestation
Trunk wounds
Other
Are there any safety hazards?
*
No
Yes – falling limbs
Yes – unstable tree
Yes – proximity to poultry
Other
Is maintenance required?
*
No
Yes – pruning
Yes – removal
Yes – treatment
Other
Additional Notes or Observations
Inspector Name
*
Submit Audit
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