There are four parts to the Wildland Hazardous Fuels Prescription. 
I.	Project Identification – Basic information regarding the project.
II.	Plot Data Sheet – To be completed for each plot.
III.	Prescription Summary – This is to be completed once for the entire project area.
IV.	Prescription Sign-Off and Submission – To be completed for the entire prescription and requires the sign-off of the registered forestry professional who has supervised or completed the prescription.
Note:  Completion and submission of this form does not constitute approval of the prescribed activity. All approvals from the appropriate land and natural resources management agencies must be obtained prior to the commencement of any hazardous fuels management activities. It is the responsibility of the applicant to ensure all approvals are in place.
I.	PROJECT IDENTIFICATION
Project Name		
Date	
	
Latitude/Longitude 	
	
Distance (km) and Azimuth (degrees) from Project Boundary to Nearest Occupied Dwelling		
Total Area Treated
(ha)		

PLOT IDENTIFICATION
1.	Plots are to be marked with a stake and ribbon. 
2.	GPS coordinates are to be taken at plot centre. 
3.	To allow future data gathering at the plot location, a minimum of two trees in the plot are to be marked with a vertical stripe of fluorescent paint. These trees must be ones which will be left standing post treatment.
4.	If the prescription involves 100 percent canopy removal, the above (3) does not apply.

II.	PLOT DATA SHEET (COMPLETE FOR EACH PLOT)
PROJECT NAME: __________________________________________     PLOT _________ OF ________ PLOTS
1.	PHOTOS
Photographs North, South, East and West are to be taken from the plot centre. A representative photograph of the forest floor in the plot is to be taken. Photos are to be labelled with the project name, date, plot number and direction. Photos are to be tagged with their latitude and longitudes and have an accuracy of +/- 3 metres from the plot centre.

2.	PLOT TALLY
A 3.99 metre plot cord tally of all trees that fall within the plot boundary are to be recorded. One representative height, live crown base height and one representative diameter (DBH) for each tree species in the plot is to be taken.

Tree Species	Tally	Height (m)	Live Crown Base Height (m)	Diameter (cm)	Tree species	Tally	Height (m)	Live Crown Base Height (m)	Diameter (cm)	
Trembling Aspen (Aw)			N/A		Jack Pine (Pj)					
Balsam Poplar (Pb)			N/A		Lodgepole Pine (Pl)					
White Birch (Bw)			N/A		Balsam Fir (Fb)					
Black Spruce (Sb)					Subalpine Fir (Fa)					
White Spruce (Sw)					Douglas Fir (Fd)					
Tamarack (Lt)					Engelmann Spruce (Se)					
Other:					Other:					

Note: Tally is to be in dot format. Height is to the nearest metre. Live crown base height is to the nearest 0.5 metre for coniferous species only. Diameter is to be in centimetres to the nearest 2 cm class (If trees are 10 cm or under, to the nearest 0.1 cm) and taken at DBH (1.3 metres) from ground level.

II.	PLOT DATA SHEET CONTINUED
PROJECT NAME: __________________________________________     PLOT _________ OF ________ PLOTS
3.	PLOT AVI (Include understory if present.) AND CANADIAN FOREST FIRE BEHAVIOUR PREDICTION (FBP) FUEL TYPE.

AVI: ______________________________________	FBP Fuel Type: _______________________________
Example:	mB21Sw9Aw1		
		         87-M
Where moisture regime (m), crown closure (B), height (21 metres), Sw species composition is 9 = 90% and AW species composition is 1 = 10%, stand origin 87 = 1870-79 and timber productivity rating = M.
See:  http://esrd.alberta.ca/lands-forests/vegetation-inventory-standards.aspx
To review documents on AVI type calls.

See:  The Field Guide to the Canadian Forest Fire Behavior Prediction (FBP) System for fuel types.

4.	GROUND COVER DATA
Estimate percent ground cover for coarse woody ≥ 7cm in diameter. Tally the number of pieces within the 3.99 metre plot which are ≥ 7cm in diameter.
≥ 7 cm ____________%			Tally ____________Pieces
If a coniferous understory layer is present, provide the percent ground coverage of the understory layer.
Dominant Species ____________		Ground Coverage _______________%
Forest floor / litter, upper duff and lower duff layers – Provide the depth of each layer.
Forest Floor / Litter Layer (fine woody debris, undecomposed matter, green moss)	  ___________cm
Upper Duff (brown moss layer, partly decomposed matter) 				  ___________cm
Lower Duff (decomposing/organic layer to a maximum of 20 cm)		  	  ___________cm
5.	ECOSITE CLASSIFICATION AND SITE EVALUATION
Based on the appropriate Field Guide to Ecosites of Southwestern Alberta, Northern Alberta or West-central Alberta. These guides are available at http://cfs.nrcan.gc.ca/publications.
Natural Sub Region	
	
Ecosite Plant Community Type and Name
(example: i1, b3, h1)	

II.	PLOT DATA SHEET CONTINUED
PROJECT NAME: __________________________________________     PLOT _________ OF ________ PLOTS

Rutting Hazard, Soil Compaction Potential and Comments:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Potential Watercourse/Water Table Issues:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

General Forest Health (Insects, Diseases and Weeds) Comments:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

III.	PRESCRIPTION SUMMARY 
1.	RECOMMENDED TREATMENT
To include type of treatment (logging, thinning, pruning, mulching, selective harvest, etc. and mechanical or non-mechanical) Include suggested equipment (mechanical) and recommended ground conditions for treatment (frozen or non-frozen). 
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2.	DEBRIS MANAGEMENT STRATEGY
Include debris management method (mulch, pile/burn, haul off site, lop/scatter, etc. and recommended post treatment debris levels (percent ground cover).
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3.	EXPECTED POST TREATMENT VEGETATION RESPONSE
Comment on potential regeneration (deciduous and coniferous) as well as grass/shrubs/forbs.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4.	PROPOSED MAINTENANCE STRATEGY AND SCHEDULE
Hazardous fuels management treatments will at some point require maintenance. Identify the maintenance method and the approximate time intervals for the maintenance.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IV.	 PRESCRIPTION SIGN OFF AND SUBMISSION
ATTACHMENTS (Check)
□	Map (mandatory)
□	All plot data sheets completed (mandatory)
□	Photographs (mandatory)
□	Land titles search (mandatory if not previously completed and submitted to ESRD)
□	Other (specify): ________________________________________
SIGN-OFF AND SUBMISSION
Prescription Completed By (print name)	

Signature	

	
Registered Professional Forester or Registered Professional Forest Technologist Registration Number or Stamp (signature required if different from the individual who completed the prescription).	

	
Date	

Please submit this prescription to:
FireSmart Forest Management Specialist
Alberta Environment and Sustainable Resource Development
10th  Floor, 9920-108 Street,
Edmonton, Alberta, T5K 2M4
Email: Wendell.Pozniak@gov.ab.ca
DISCLAIMER
This Wildland Hazardous Fuels Management Prescription was prepared or supervised by a Registered Professional Forester or Registered Professional Forest Technologist.  
The users of this information acknowledge that it is impossible to eliminate all of the risks. Wildfire conditions are highly variable and can rapidly change with little to no warning. This Wildland Hazardous Fuels Management Prescription does not guarantee safety or that a wildfire will not spread.  
The accuracy and reliability of this Wildland Hazardous Fuels Management Prescription is not guaranteed or warranted in any way and Alberta Environment and Sustainable Resource Development disclaims liability of any kind whatsoever for damages including but not limited to discomfort, injury, death or loss of property.