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Basic Tree Risk Assessment Form
Client Date .31qlls TiME
Address/Tree location qiLif) ig Li �j Tree no.
Sheet of
Tree species n!lt� C, t�)� uj:�, dbh Height 5V-&01' Crown spread dia.
Assessor(s) Time frame Toolsused
Target Assessment
Target zo e
Occupancy
E
E
x'j
X
;U
rate
-ra
0
-ji
g
Target description
61
2—occasional
3 — frequent
U >
9
�Xq
g
4 — constant
0
E
(D
2
3
4
--------- rf
VV141- (I
Y
tb
kv
Site Factors 7�5-
History of failures L-j \,W Topography FlatO SlopeO 9&' 6 % Aspect_
Site changes None IR G�acle change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 0 Describe ed
Soil conditions Limited volume IR Saturated 0 Shallow 0 Compacted 11 Pavement over roots 11 % Describe
Prevailing wind direction Common weather Strong winds P ice 0 Snow 0 Heavy rain q Describe
Tree Health and Species Profile
Vigor Low IR Normal 0 High 0 Foliage None (seasonal)FQ None(dead)O Normal % Chlorotic % NecroticW,--W%
Pests Abiotic
Species failure profile Branches [I-rr-unkE1'Root8Q-Describe
Load Factors
Windexposure ProtectedO PartialMI FuII0 Windfunnelingp Relative crown size SmaIII9 Medium(Z LargeO
Crownclensity Sparsep NormallZI DenseO Interior branches Few)M NormalO Dense�O Vines/Mistletoe/Moss53
Recent or planned change in load factors v-�,!AVN [ k !�W cv- /Ij L,-CVj I i4--
Tree Defects and Conditions Affecting the Likelihood of Failure
— Crown and Branches
Unbalanced crown 0--- LCR % Cracks 0— Lightning damage 0
Dead twigs/branches P ��% overall Max. dia. 6,�;I Codominant 0 Included bark6-
Broken/Hangers Number Max. dia. Weak attachments4D- Cavity/Nest holelify. circ.
Over -extended branches 19'
Pruning history Previous branch failures 03' Similar branches present 0
Crown cleaned 0 Thinned 0 Raised 0 Dead/Missing bark El- Cankers/Galls/Burls 0 Sapwood damage/decay 0—
Reduced 0 Topped 0 Lion -tailed 0 Conks El--- Heartwood decay El --
Flush cuts 0 Other t-c — Response growth
Main concern(s) I
Load on defect N/A 0 Minor 11 Moderate 0 Significantfl--
Likelihood of failure Improbable 0 Possible 11 Probable 11 Imminent
—Trunk — — Roots and Root Collar —
�M
Dead/Missing bark ET- Abnormal bark texture/color 0'- Collar buried/Not visible 0' Depth Stem girdling 0
El
Codominantstems M- Included bark 0' Cracks Er- Dead 0 Decay Conks/Mushrooms n-
Sapwood damage/decay EY'C'ankers/Galls/Burls 11 Sap ooze 11 ooze 0- Cavity 0 % circ.
Lightning damage 0 Heartwood clecayn Conks/MushroomTEr-- Cracks EJ'- Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth _ Poor taper 0 Root plate lifting 0 Soil weakness E3
Lean — * Corrected? "ev
Response growth Response growth
Main concern(s) Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 13 Significant'g Load on defect N/A 0 Minor 11 Moderate 13 Significant 0
Likelihood of failure A�, I �ikellihood of failure
Impr
P", inent
Improbable[] Possible 0 Probable 11 Imminent* ba �bleE: ible �11 le 11 1 �mm
Page I of 2
Risk Categorization
E
0
0
u
Tree part
Conditions
of concern
t
M
0.
0i
U
-ti
U-
-0
E
t'w
9
Target
protectio n
Likelihood
Consequences
Risk
2 rating
72 u of part
M r- (from
ZW -CR An' Matrix 2)
Failure
Impact
Failure & Impact
(from Matrix 1)
E
.2
E
w
to
E
V-)
I
?7
-g
2
3
4
1'2)
>6
Matrix 1. Likelihood matrix.
Likelihood
of Failure
Likelihood of Impacting Target
Very IowT
Low
Medium
High
Imminent
Unlikely
Somewhat likely
Likely
Very likely
Probable
Unlikely
Unlikely
Somewhat likely
Likely
I Possible
Unlikely
Unlikely
Unlikely
Somewhat likely
I Improbable
Unlikely
Unlikely
Unlikely
Unlikely
Matrix2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
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
Notes, explanations, descriptions
Mitigation options CA—t"-L IL L— C� 4vo
C�,Um, o4
's 15�oLA-- Residual risk
Residual risk
-e-- Residual risk
Residual risk
Overall tree risk rating Low 0 Moderate 0 High [I Extremeig Work priority 10 2 0 3 0 *1b
Overall residual risk Low 0 Moderate 11 High 0 Extreme)b Recommended inspection interval Y—V
Data 1P Final 0 Preliminary Advanced assessment neededfgNo E]Yes-Type/Reason
Inspection limitations-ipNone ElVisibility OAccess []Vines ORoot collar buried Describe
('�- r-e'v vv%'
This datasheet was produced by the International Society of Arboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists — 2013 Page 2 of 2
ISABasic Tree Risk Assessment Form
Client erv�k, VA r3c'r-04 � d �,- Date Time
Address/Tree location I qjLJO Q 1jL- 4,,, Tree no. - Sheet — of
Tree species dbh Height S-6-GOt Crown spread dia. 24-W
Assessor(s) '�'A) -&40L�A Time frame Toolsused
Target Assessment
Target zone
Occupancy
cu
E
4j
X
rate
I —rare
0
Target description
Ll
x
61
2 occasiona I
3 — frequent
r, a)
Q >
r
'q
4—constant
0
2
3
4
VAL—
IY
i�,6
Site Factors 71b
History of failures LJ XtZi Topography FlatO Slope]2� V/S Z % Aspect_
Site changes None ER G�acle change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 0 Describe qj��� o-4-w--e
Soil conditions Limited volume IR Saturated 11 Shallow 11 Compacted El Pavement over roots 0 % Describe
Prevailing wind direction Common weather Strong winds IP ice 0 Snow 0 Heavy rain V Describe
Tree Health and Species Profile
Vigor Low IP Normal 0 High 0 Foliage None (seasonal)�g None(dead)O Normal % Chlorotic % NecroticSZ�-O%
Pests Abiotic
Species failure profile Branches ED-Tr-unkErRoots-G-Describe
Load Factors
Windexposure ProtectedD Partial" FuII0 Windfunnelingpg
Crowndensity Sparselp NormaI0 DenseO interior branches Few)M NormalD DenseO
Recent or planned change in load factors
Relative crown size SmallER Medium[S LargeO
fines/Mistietoe/Moss $3
Tree Defects and Conditions Affecting the Likelihood of Failure
- Crown and Branches -
Unbalanced crown 0-'- LCR % Cracks 13' Lightning damage 0
Dead twigs/branches overall Max. dia. 6,-19 Codominant 0 Included bark '1�7
Broken/Hangers Number Max. dia.
Over -extended branches 2- Weak attachments4a- Cavity/Nest holeI6��% circ.
Pruning history Previous branch failures 8' Similar branches present 0
Crown cleaned 0 Thinned 0 Raised 0 Dead/Missing bark F3- Cankers/Galls/Burls 0 Sapwood damage/decay 0--
Reduced 0 Topped 0 Lion -tailed D Conks E�� Heartwood decay 2—
Flush cuts 0 Other 0 Response growth
Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significantq'f-
Likelihood of failure Improbable D Possible 0 Probable 11 Imminent
c
—Trunk — — Roots and Root Collar —
Dead/Missing bark ET- Abnormal bark texture/color Er� Collar buried/Not visible 0' Depth Stem girdling 0
Codominant stems 01- included bark IR' Cracks Er- Dead 0 Decay 0- Conks/Mushrooms n'-
Sapwood damage/decay El"Clankers/Galls/Burls 0 Sap ooze 0 T, ooze Eg- Cavity 0 % circ.
Lightning damageO Heartwood decayO Conks/MushroomTET-" Cracks El" Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth _ Poor taper 0 Root plate lifting 0 Soil weakness 0
Lean — . Corrected? Vev
Response growth Response growth
Main concern(s) 'E 'I Main concern(s)
Load on defect N/A 13 Minor 0 Moderate 0 Significarittl Load on defect N/A 0 Minor 0 Moderate 0 Significant Er-'
Likelihood of failure A,\JLikelihood of failure
I�
mpro �ilu
Improbable 0 Possible 0 Probable 11 Imminent* bableol Posible �OP�robabl, �01�mmdinent �E-�
Page I of 2
Risk Categorization
Likelihood
E
W
M
Failure & Impact
Failure Impact
Consequences
0i
U
E
(from Matrix 1)
Risk
0
Conditions
W
M
41
M
E
Target 2 (U
ff—E.--
M rating
— = C of part
'Q *E 0
0
u
Tree part
of concern
M
a.
fu
LL
E E
protection 2: E 0
(A M
c > (from
Gj I
Z tn (A Matrix 2)
2
3
4
Matrix/. Likelihood matrix.
Likelihood
of Failure
Likelihood of Impacting Target
Very 10,
=ow
Medium
High
Imminent
Unlikely
Somewhatlikelyl
Likely
Very likely
Probable
Unlikely
Unlikely
Somewhat likely
Likely
1 Possible
Unlikely
Unlikely
Unlikely
Somewhat likely
I Improbable
Unlikely
Unlikely
Unlikely
Unlikely —1
Matrix2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
Minor
Significant
Severe
Very likely
Low
Moderate
High
Extreme
Likely
Low
Moderate
High
High
Somewhatlikely
Low
Low
Moderate
Moderate
Unlikely
Low
Low
I Low
Low
Notes, explanations, descriptions
10�AL
Mitigation options 0�-
A-zJ ai-k "Y AV, o G\9C
Overall tree risk rating Low 11 Moderate 13 High 0 Extrerneig
Overall residual risk Low 11 Moderate 0 High 0 Extreme)b
1-cAl -5-o-01%— Residual risk
23' Residual risk
Residual risk
Residual risk
Work priority 10 2 0 3 0 A
Recommended inspection interval V—V
Data'rlFinal OPreliminary Advanced assessment needed jRNo E]Yes-Type/Reason
r
Inspection limitationslpNone OVisibility OAccess OVines ORoot collar buried Describe
This datasheet was produced by the international Society ofArboriculture (ISA) and is intended for use by Tree Risk Assessment QuAified (TRAQ) arborists — 2013 Page 2 of 2
JSJJ Basic Tree Risk Assessment Form
Client 1/,2— uc-" 4� a L, Date 3141ts- Time
Address/Tree location I qlLif) ig ci'-- AL LJ Tree no. - Sheet —of -
Tree species !2NW-6-4 C (��j dbh Height 5-6-toOl' Crown spread dia.
Assessor(s) 6kt:—,,— '?/U —&Lj0U�A Time frame Tools
I
Target Assessment
Target zone
I
Occupancy
j
r-
W
E
.5
E
X
:E
rate
I -rare
-0 10
r.
C
Target description
x
Lq
2-accasional
3 - frequent
Q
r; 0)
U >
-C
t;
4 - constant
0
E
W
2
3
4
Lo
W1
Y
Site Factors .7�9
History of failures ��,j 0-4 Topography FlatO SlopeO 9L Z % Aspect_
Site changes None ER Grade change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 0 Describe
Soil conditions Limited volume IR Saturated 0 Shallow 0 Compacted 11 Pavement over roots El % Describe
Prevailing wind direction 5 (A) Common weather Strong winds IP Ice 11 Snow 0 Heavy rain V Describe
Tree Health and Species Profile
Vigor Low IP Normal 0 High 0 Foliage None (seasonal)jg None (dead) 0 Normal % Chlorotic % Necrotic�W-20%
Pests Ablotic
Species failure profile Branches [9-TrUnk F3' Roots-12--Describe AA 4, lfq-L-� c,,- V-Z," 41611"
Load Factors
Winclexposure ProtectedD Partialp] FuII0 Windfunnelingm Relative crown size SmaII19 Medium[O LargeD
Crownclensity Sparsel� NormaI0 DenseO Interiorbran ches Few)M Normal[] DenseO Vines/Mistietoe/MossP
Recent or planned change in load factors- in5LA[%L,, ng"-,
Tree Defects and Conditions Affecting the Likelihood of Failure
— Crown and Branches
Unbalanced crown M--- LCR % Cracks a— Lightning damage 0
Dead twigs/branches overall Max. dia. 6A Codominant 0 Included batkitt-
Broken/Hangers Number Max. dia. Weak attachments'a Cavity/Nest hole367 % cirt.
Over -extended branches El-' Previous branch failures 8' Similar branches present 0
Pruning history Dead/Missing bark 9- Cankers/Galls/Burls 0 Sapwood damage/decay 0--
Crown cleaned 0 Thinned 0 Raised 0,
Reduced 0 Topped 0 Lion -tailed 0 Conks EJ--- Heartwood decay 2'
Flush cuts 0 Other 011 Response growth
Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significantqr—
Likelihood of failure Improbable 0 Possible 0 Probable 11 Imminent
c
—Trunk — — Roots and Root Collar —
Dead/Missing bark ET- Abnormal bark texture/color Collar buried/Not visible 0' Depth Stem girdling E03
Codominant stems 111— Included bark M' Cracks El--- Dead 0 Decay LI- Conks/Mushrooms n—
Sapwood damage/decay El"Clankers/Galls/BurlsO Sap ooze 0 T Ooze 0- Cavity 0 % circ.
Lightning damage IJ Heartwood decayO Conks/Mushroomslr� Cracks El'� Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth_ Poor taper 0 Root plate lifting 0 Soil weakness 0
Lean — o Corrected? V7'0
Response growth Response growth
Main concern(s) Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significant8 Load on defect N/A 0 Minor 0 Moderate 0 Significant El---'
Likelihood of failure A Likelihood of failure
ImprobableD Possible 0 Probable El Imminent'O Improbable 171 Possible 11 Probable 0 Imminent
Page I of 2
Risk Categorization
Likelihood
E
Failure & Impact
Failure Impact
Consequences
Qj
E
(from Matrix 1)
0
M
41
M
Risk
rating
C
Conditions
Target .2
of part
0
u
Tree part
of concern
M
0.
'ra
U.
E il,
protection -t 2 >- 3 =0) C-A
(from
Z 'n Matrix 2)
2
3
4
1---IA-
kv-e-
AA'.Z
12)
150
1
1E
J>6j
Matrix/. 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
1 Possible
Unlikely
Unlikely
Unlikely
Somewhat likely
I Improbable
Unlikely
Unlikely
Unlikely
Unlikely
Matrix2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
Minor
Significant
Severe
Very likely
Low
Moderate
High
Extreme
Likely
Low
Moderate
High
High
Somewhat likely
Low
Low
Moderate
Moderate
UnI
ow
I Low
Low
Low
Notes, explanations, descriptions
LIA4
Mitigation options
S'(A.- .4 /1-
1. 1 -L.
Overall tree risk rating Low El Moderate El High El Extremelp
Overall residual risk --LowE] ModerateD HighEl Extreme'o
wc'/L I '* '-" Residual risk
Residual risk
Residual risk
Residual risk
Workpriority 11:1 20 30 A
Recommended inspection interval Y—V
Data 'P Final 0 Preliminary Advanced assessment needed-PNo r-lYes-Type/Reason
Inspection limitationsTNone DVisibility OAccess OVines ORoot collar buried Describe
This datasheet was produced by the International Society ofArboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists - 20 13 Page 2 of 2
ISABasic Tree Risk Assessment Form
Client -- &V, �, L, �,e, " , Date Time
Address/Tree location ._ I q1LA() qkj�L- 4,0 L. Tree no. — Sheet — of
Tree species dbh Height �6400'( Crown spread dia. 241-�O"
';W -ta404,A Time frame Tools used
Assessor(s)
Target Assessment
Target zone
Occupancy
E
:h!
x
a
rate
1—rare
20 '10,
C,
7E
C
Target description
t
2—occasional
3 —frequent
W
>
U
-a rd
C
4— onstant
12 0
6. E
a) 1!
2
3
4
P41-41— 7,
Site Factors '76
History of failures ��!j �-W Topography FlatO Slopea 9"0 % Aspect_
Site changes None ER G�acle change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 0 Describe
Soilconclitions Limited volume IR Saturated 0 ShallowO Compactecirl Pavement over roots 0 % Describe
Prevailing wind direction Common weather Strong winds IP ice 0 Snowo Heavy rain V Describe
Tree Health and Species Profile
Vigor Low P Normal 0 High 0 Foliage None (seasonal)19 None (dead) 0 Normal % Chlorotic % Necrotic�W-96%
Pests Abiotic
Species failure profile Branches U-Tr-unk Er Roots-93-Describe Alt
Load Factors
Wind exposure Protected 0 Partial [M Full 0 Wind funnelingJ3 Relative crown size SmallER MediumN LargeO
Crowndensity Sparsef� NormalO DenseO interior branches Few)KI Normall1l DenseO Vines/Mistietoe/Moss5i
Recent or planned change in load factors L--,ol
Tree Defects and Conditions Affecting the Likelihood of Failure
— Crown and Branches
Unbalanced crown W--- LCR % Cracks Er— Lightning damage 0
Dead twigs/branches P overall Max. dia. 6-9 C.dominant 0 Included batk6-7
Broken/Hangers Number - Max. dia.
Over -extended branches El- Weak attachments42- Cavity/Nest hole3&n% cifc.
Pruning history Previous branch failures Er^ Similar branches present 0
Crown cleaned 0 Thinned 0 Raised 0 Dead/Missing bark Eg- Cankers/Galls/Burls 0 Sapwood damage/decay 0--
Reduced o Topped 0 Lion -tailed 0 Conks Er-- Heartwood decay 21
Flush cuts 0 Other 0 I -AL Response growth
Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significantqr-
--- �ooc
Likelihood of failure Improbable D Possible 0 Probable 0 Imminent
—Trunk — — Roots and Root Collar —
Dead/Missing bark ET- Abnormal bark texture/color 12� Collar buried/Not visible 0' Depth Stem girdling 0
Codominantstems 111- Included bark 01 Cracks Er-- Dead 0 Decay El- Conks/Mushrooms M�
Sapwood damage/decay Ercankers/Galls/Buris 0 Sap ooze 0 Ooze E9- Cavity 0 % circ.
Lightning damage 0 Heartwood decay El Conks/MushroomsiEr-- Cracks B" Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth _ Poor taper 0 Root plate lifting 0 Soil weakness 0
Lean — . Corrected? V-m
Response growth Response growth
Main concern(s) Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significant8 Load on defect N/A 0 Minor 0 Moderate 0 Significant Er�
Likelihood of failure P:A, Likelihood of failure
�o '
ImprobableO Possible 0 Probable 0 Imminentio ImprobableO Possible 0 Probable 0 Imminent Er--"
Page I of 2
Risk Categorization
Likelihood
E
-0
Failure & Impact
Failure Impact
Consequences
4)
E
(from Matrix 1)
0
N
V0
.2�
Risk
C rating
Conditions
4-
W
E
.2
Target 2 P
M
of part
'Q
0
u
Tree part
of concern
M
LL
9
E E Z 2�
protection A--: 0
(from
W
Z gp >W
En V) Matrix 2)
2
3
t'T
4
1-2)
X 1-1� I
Matrix 1. Likelihood matrix.
Likelihood
of Failure
Likelihood of Impacting Target
Very low
Low I
Medium
High
Imminent
Unlikely
Somewhat likely
Likely
Very likely
Probable
Unlikely
Un'iikely
Somewhat likely
Likely
1 Possible
Unlikely
Unlikely
Unlikely
Somewhat likely
I Improbable
Unlikely
Unlikely
Unlikely
Unlikely
Matrix2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
Minor
Significant
Severe
Very likely
Low
Moderate
High
Extreme
Likely
Low
Moderate
High
High
Somewhat likely
Low
Low
Moderate
Moderate
Low
I Low
Low
Notes, explanations, descriptions
Mitigation options
Residual risk
-L A-J�
I-Zj ou
A�& 0 cxvlc� -n�
Residual risk
U
VL/
yt, I'dco—
Residual risk
Residual risk
Overall tree risk rating
Low 11 Moderate 13 High 1:1 Extreme"O Work priority 11:1 2 0 3 13
Overall residual risk
Low 11 Moderate 11 High 11 Extreme)O Recommended inspection interval 4--D
Data F Final 0 Preliminary Advanced assessment neededfgNo OYes-Type/Reason
Inspection limitationsV None OVisibility OAccess OVines ORoot collar buried Describe
This datasheet was produced by the International Society ofArboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists — 2013 Page 2 of 2
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