Contributor: Safesite HQ Jurisdiction: OSHA
Use this inspection form to conduct a Tree Care Risk Assessment prior to tree removal. Brief workers on this plan before work starts.
1. Location
2. Number of Trees to be removed
3. Min & Max DBH
4. Min & Max height
5. Min & Max distance to power line
6. Min & Max distance to road
1. Dead
Actions
2. Split
Actions
3. Crack
Actions
4. Fungus
Actions
5. Burnt
Actions
6. Decay
Actions
7. Hangers
Actions
8. Wildlife
Actions
9. Included bark
Actions
10. Excessive lean
Actions
11. Exposed roots
Actions
12. Girdling root
Actions
13. Loose bark
Actions
14. Buldges in trunk
Actions
1. Species
2. Special Conditions
3. Pull test performed
Actions
4. Comments
1. Chunk
Actions
2. Section
Actions
3. Roped down
Actions
4. Climb
Actions
5. Crane
Actions
6. Free Fall
Actions
1. Hazards
2. Back Lean (ft)
3. Side Lean (ft)
4. Notch Plan
5. Hinge Plan
6. Established retreat route?
Actions
7. Established back cut plan?
Actions
8. Is all equipment read and set?
Actions
9. Comments