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 | ||
|---|---|---|---|
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 | ||
|---|---|---|---|
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 |
Recent treatments | Products used | ||
|---|---|---|---|
1 | |||
2 | |||
3 | |||
4 | |||
5 | |||
6 | |||
7 | |||
8 | |||
9 | |||
10 |
Well-drained
Compacted
Other:
Type | Condition | Adequacy | ||
|---|---|---|---|---|
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 | ||
|---|---|---|---|---|---|---|---|
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