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TR_517_BasicTreeRiskAssessmentForm_Fillable_FirstEdition
— Trunk — — Crown and Branches — — Roots and Root Collar — Unbalanced crown LCR ______% Dead twigs/branches ____% overall Max. dia. ______ Broken/Hangers Number __________ Max. dia. ______ Over-extended branches Pruning history Crown cleaned Reduced Flush cuts Thinned Topped Other Raised Lion-tailed Cracks ___________________________________ Lightning damage Codominant __________________________________ Included bark Weak attachments ___________________ Cavity/Nest hole ____% circ. Previous branch failures _______________ Similar branches present Dead/Missing bark Cankers/Galls/Burls Sapwood damage/decay Conks Heartwood decay ________________________ Response growth Collar buried/Not visible Depth________ Stem girdling Dead Decay Conks/Mushrooms Ooze Cavity _____% circ. Cracks Cut/Damaged roots Distance from trunk _______ Root plate lifting Soil weakness Response growth Main concern(s) Load on defect N/A Minor Moderate Significant Dead/Missing bark Abnormal bark texture/color Codominant stems Included bark Cracks Sapwood damage/decay Cankers/Galls/Burls Sap ooze Lightning damage Heartwood decay Conks/Mushrooms Cavity/Nest hole _____ % circ. Depth _______ Poor taper Lean _____° Corrected? ________________________________ Response growth Main concern(s) Load on defect N/A Minor Moderate Significant Client _______________________________________________________________ Date___________________ Time_________________ Address/Tree location _________________________________________________________ Tree no.____________ Sheet _____ of _____ Tree species _________________________________________ dbh_____________ Height ___________ Crown spread dia. ____________ Assessor(s) __________________________________________ Time frame_____________ Tools used______________________________ Target Assessment Target numberTarget description Practical to move target? Restriction practical?1 2 3 4 History of failures _____________________________________________________________ Topography Flat Slope _________% Aspect _____ Site changes None Grade change Site clearing Changed soil hydrology Root cuts Describe _____________________________________ Soil conditions Limited volume Saturated Shallow Compacted Pavement over roots ______% Describe __________________________ Prevailing wind direction______ Common weather Strong winds Ice Snow Heavy rain Describe______________________________ Tree Health and Species Profile Vigor Low Normal High Foliage None (seasonal) None (dead) Normal _____% Chlorotic _____% Necrotic _____% Pests_____________________________________________________ Abiotic ________________________________________________________ Species failure profile Branches Trunk Roots Describe ____________________________________________________________________ Load Factors Wind exposure Protected Partial Full Wind funneling ________________________ Relative crown size Small Medium Large Crown density Sparse Normal Dense Interior branches Few Normal Dense Vines/Mistletoe/Moss _____________________ Recent or planned change in load factors _________________________________________________________________________________________ Tree Defects and Conditions Affecting the Likelihood of Failure Occupancy rate1–rare 2 – occasional 3 – frequent 4 – constant Likelihood of failureLikelihood of failure Basic Tree Risk Assessment Form Page 1 of 2 Site Factors Target zone Target within drip line Target within 1x Ht. Target within 1.5x Ht.Main concern(s) Load on defect N/A Minor Moderate Significant Likelihood of failure Improbable Possible Probable Imminent Improbable Possible Probable Imminent Improbable Possible Probable Imminent 1 2 3 4 Matrix 1. Likelihood matrix. Likelihood of Failure Likelihood of Impacting Target Very low Low Medium High Imminent Unlikely Somewhat likely Likely Very likely Probable Unlikely Unlikely Somewhat likely Likely Possible Unlikely Unlikely Unlikely Somewhat likely Improbable Unlikely Unlikely Unlikely UnlikelyCondition numberPart sizeFall distanceTarget protection Conditions of concern Failure Impact Failure & Impact (from Matrix 1) Likelihood ImprobableImminentPossibleVery lowUnlikelyNegligibleMediumLikelySignificantProbableLowSomewhatMinorHighVery likelySevereConsequences Risk rating of part (from Matrix 2)Tree part Likelihood of Failure & Impact Consequences of Failure N e g l i g i b l e Minor Significant Severe Very likely Low Moderate High Extreme Likely Low Moderate High High Somewhat likely Low Low Moderate Moderate Unlikely Low Low Low Low Data Final Preliminary Advanced assessment needed No Yes-Type/Reason ________________________________________________ Inspection limitations None Visibility Access Vines Root collar buried Describe ___________________________________________ Notes, explanations, descriptions Mitigation options _____________________________________________________________________ Residual risk ________ ____________________________________________________________________________________ Residual risk ________ ____________________________________________________________________________________ Residual risk ________ ____________________________________________________________________________________ Residual risk ________ Overall tree risk rating Low Moderate High Extreme Work priority 1 2 3 4 Overall residual risk Low Moderate High Extreme Recommended inspection interval __________________ This datasheet was produced by the International Society of Arboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists – 2013 North Page 2 of 2 Matrix 2. Risk rating matrix. Risk Categorization Target number