National Park Environmental Impact Inspection Form
Use this form to assess and report environmental impacts observed during inspections within the national park.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
National Park Name
*
Specific Area or Location within Park
*
Environmental Impact Assessment Criteria
*
Rows
Excellent
Good
Fair
Poor
Vegetation Health
1
2
3
4
Wildlife Presence/Disturbance
5
6
7
8
Water Quality
9
10
11
12
Soil Condition
13
14
15
16
Waste/Litter Presence
17
18
19
20
Human Activity Impact
21
22
23
24
Trail Condition
25
26
27
28
Observed Pollution Types (if any)
Plastic waste
Glass
Metal
Organic waste
Chemical spills
Other
Wildlife Observations or Disturbances
Upload Photos or Supporting Documents
Upload a File
Drag and drop files here
Choose a file
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of
Summary of Findings and Recommendations
*
Overall Environmental Impact Rating
*
1
2
3
4
5
Submit Inspection Report
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