General Tree Info
Tree Genus ✻
Species ✻
Cultivar
Country ✻
State/Province ✻
County
DBH (in.) ✻
Height (ft.)
Age (years)
Tree/Site Ownership:
Address/Site Name
GPS: Latitude
GPS: Longitude
Root Failure
Root Failure Specifics
Select One ✻
IF roots broken, please list dia. of largest broken root (in.) and distance from break to trunk (ft.) respectively
IF roots broken, condition of broken roots:
IF roots cut/severed, please list dia. of largest broken root at cut (in.), Distance from trunk to cut (ft.), and % of roots cut, respectively
IF root plate lifted out of ground, please list root plate radius (ft.) and root plate depth (in.), respectively.
IF root restricted, due to:
IF root restricted, please list distance from trunk to restriction (ft.) and % of root zone restricted, respectively.
IF root restricted, please list whether the root collar girdled (Y/N) and % of circumference girdled, respectively.
Site/ Soil Conditions
Soil composition:
Soil moisture at time of failure:
Restricted rooting depth due to:
Other site conditions:
Defects associated with failure
Defects associated with failure:
Location of Decay
Please list % of roots decayed, whether there were conks/mushrooms (Y/N), and avg. sound wood thickness (in.), respectively.
Type:
Surface Treatment
Surface treatment:
Irrigation:
Additional Information: Tree condition and Pruning History
were the defects associated with failure visible before the tree failed?
At time of failure the tree was:
Was there construction around this tree?
IF YES, when ________ years ago
Pruning History
Habitat Information
Trees recently removed in the vicinity of the failed tree:
History of prior failures at site:
Setting
Aspect
Slope
Date/Time of Failure
Date of failure (Mo/Day/Yr)
Time of failure hour
OR Year:
Season of failure:
Weather and other forces at time of failure
Temperature (approx.) (oF)
Wind Speed (approx.) (mph)
Precipitation
Cause/ Result of tree failure
Why did this failure occur?
Result of tree failure:
Property damage estimate ($ US)
Cleanup costs ($ US)
Additional Comments (injury, damage, target, etc.)
Cooperator name
City
e-mail
date
Any additional images?