QA
Inspected by :
Order No.:
File reference :
2016xxxx-xx
Case Ref :
VCMTxxxxxxxxx / 2-xxxxxxxxxx (ICC)
Subject of complaint/referral: Overgrown branches Dangerous tree Dead tree Others :
Site Information
Location:
Location type:
Roadside central divider tree pit planter village environs remote countryside
Vacant Government land SIMAR slope Private Lot No.
/ others:
Inspection findings
(Please refer to Fact Sheet for Tree Risk Assessment issued by Development Bureau) *
Y /Y E S
N /N O
(Please mark if the defect was identified. All defects should be photographed as far as practicable.)
1. General
Tree species:
DBH:
mm
Height:
Crown spread:
Y
Leaning:
/ DEAD TREE
m
Other observations:
2. Crown Condition
Live Crown ratio:
Crown topped:
Dieback twigs:
Overgrown:
Abnormal defoliation:
Imbalance:
Epicormics:
Co-dominate leaders:
Included Bark:
Cavity:
Cracks/splits:
Wounds:
Splitting apart:
Hanger:
Dead branches:
Crossed branches:
Lions tailing:
Bleeding sap:
Pests/disease:
Parasitic plants:
Other observations:
3. Branch Condition
)
Y
Other observations:
4. Trunk Condition
Decay/cavity at basal area/root flare:
(If yes, size
cm (L) x
Co-dominant stems
Multiple attachments
Other observations:
cm (W) x
(if yes:
cm (D)
% of circumference
5. Root Condition
Root flare not visible
Root rot
Girdling roots
Cracks/splits
Pest/disease
Other observations:
6. Site Condition
Natural soil Disturbed soil Concrete Stone wall Others (Please specify:
Target: Building Parking Traffic Pedestrian Recreation Gathering point Others (please specify:
)
)
G ood
Fair
Poor
Prepared by:
Signature:
)
)
Date:
( Qualified Arborist/Inspection)
Name:
Post Title:
QA
Qualified Arborist
Endorsed by:
Signature:
Name:
Post Title:
Date:
( Qualified Arborist/Inspection)
Cheung Man Tik
Qualified Arborist
Attachment:
Location Plan:
(Please provide Plan No.)