To access an Excel version of form (for field use), click here.
| Project Name: | ||||||
| Project Address: | ||||||
| Owner Name: | ||||||
| Owner Phone #: | ||||||
| Inspector Name: | ||||||
| Inspector Phone #: | ||||||
| Date of Inspection: | ||||||
| Weather at time of inspection: | ||||||
| Date of last rainfall prior to inspection: | ||||||
| Inspection item | Inspection frequency | Date last inspected | Need to inspect during current inspection | Describe signs of problems (if none, write "none") | Action needed and deadline | Date completed |
| Tree opening | ||||||
| Mulch layer less than 3" deep: needs additional mulch | Yearly | |||||
| Erosion | * | |||||
| Evidence of clogging | * | |||||
| Evidence of standing water | * | |||||
| Weeds present | As needed | |||||
| Accumulation of sediment, debris or trash | * | |||||
| Does drawdown time meet project requirements | * | |||||
| Inlet (Curb cut at tree opening, curb cut at catch basin, porous pavement, trench drain, or other) | ||||||
| Accumulation of sediment, debris or trash | * | |||||
| Erosion | * | |||||
| Pretreatment (curb cut at tree opening, catch basin, porous pavement, or other) | ||||||
| Accumulation of sediment, debris or trash | * | |||||
| Erosion | * | |||||
| Evidence of clogging | * | |||||
| Evidence of standing water | * | |||||
| Distribution and drainage pipes | ||||||
| Overflow/outlet structure | * | |||||
| Other | ||||||
| * | ||||||
| * | ||||||
| * | ||||||
| * | ||||||
NOTES:
- Inspect tree minimum once a month and after every major storm during first year after planting.
- Unless otherwise notes in "minimum inspection frequency column", inspect items below minimum spring, fall, and after major storms; adjust frequency as needed based on project conditions.