Infrastructure Planning Field Assessment Form

Infrastructure Planning Field Assessment Form
Please complete this form to document your on-site assessment for infrastructure planning purposes.
Assessor Name
First NameLast Name
Assessment Date
MonthDayYear
Date
Hour MinutesAM/PM Option
Site Location Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Project Type
Current Site Conditions
Rows Excellent Good Fair Poor
Access Roads
Topography
Drainage
Vegetation
Existing Structures
Are there any visible risks or hazards on site?
Other (please specify)
Utilities and Services Availability
Other
Site Accessibility Rating
Additional Observations
Recommendations for Next Steps
Upload Site Photos or Supporting Documents
Cancelof
Should be Empty:

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