Date of Inspection:
Inspector Name:
Location:
Garden
Greenhouse
Other:
Plant Name:
Plant Age:
Overall Appearance:
Excellent
Good
Fair
Poor
Color:
Leaf Shape:
Leaf Size:
Leaf Texture:
Presence of Pests (Insects, Mites, etc.):
Type | Severity | ||
|---|---|---|---|
A | B | ||
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 |
Fungal:
Spots/Lesions
Powdery Mildew
Rust
Other:
Bacterial:
Wilting
Soft Rot
Leaf Spot
Other:
Viral:
Mosaic Pattern
Stunted Growth
Distorted Leaves
Other:
Distribution of Damage:
Localized
Widespread
Structural Integrity:
Strong
Weak
Broken
Other:
Presence of Wounds/Cankers:
Girth/Thickness:
Appearance:
Healthy
Rotting
Other:
Presence of Root-Boundness:
Appearance:
Healthy
Damaged
Other:
Quantity:
Normal
Reduced
Increased
Development:
Normal
Stunted
Advanced
Light Exposure:
Full Sun
Partial Shade
Full Shade
Soil Moisture Level:
Dry
Moist
Wet
Evidence of Overwatering (Check all that apply):
Wilting leaves
Yellowing leaves
Soft, mushy stems or roots
Soggy soil
Foul odor from soil
Mold or fungal growth on soil surface
Evidence of Underwatering (Check all that apply):
Wilting leaves
Brown, crispy leaf tips or edges
Drooping or sagging plant
Dry soil that pulls away from pot edges
Slow growth
Humidity:
Low
Moderate
High
Temperature:
Cool (e.g., below 15°C / 60°F)
Moderate (e.g., 15-25°C / 60-77°F)
Warm (e.g., 25-35°C / 77-95°F)
Hot (e.g., above 35°C / 95°F)
Air Circulation:
Good
Poor
When was it done?
How severe?
Light
Moderate
Heavy
Type of fertilizer used | Frequency | ||
|---|---|---|---|
A | B | ||
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 |
Recent treatments | Products used | ||
|---|---|---|---|
A | B | ||
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 |
Well-drained
Compacted
Other:
Type | Condition | Adequacy | ||
|---|---|---|---|---|
A | B | C | ||
1 | ||||
2 | ||||
3 | ||||
4 | ||||
5 | ||||
6 | ||||
7 | ||||
8 | ||||
9 | ||||
10 |
Presence of weeds:
Method of Control:
Recommended Action (e.g., Pruning, Watering adjustment, Pest control, Fertilization) | Priority (High, Medium, Low) | Assigned To | Completion Date | Follow-up Inspection Required? | Notes/Comments | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | |||||||
2 | |||||||
3 | |||||||
4 | |||||||
5 | |||||||
6 | |||||||
7 | |||||||
8 | |||||||
9 | |||||||
10 |
Form Template Instructions
Please remove Form Template Instructions before publishing the form.
Instructions for II. Plant Health
Instructions for III. Environmental Conditions
Instructions for IV. Maintenance
To configure an element, select it on the form.