Monument Weathering Risk Survey
Assess and record weathering risks and conditions affecting monuments.
Monument Name
*
Location (Address or GPS Coordinates)
*
Date of Survey
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Monument
*
Please Select
Statue
Building
Obelisk
Memorial Plaque
Other
Primary Material
*
Please Select
Stone
Brick
Metal
Wood
Concrete
Other
Approximate Age of Monument (years)
Observed Types of Weathering (Select all that apply)
*
Cracking
Flaking/Spalling
Discoloration/Staining
Biological Growth (Moss, Lichen)
Erosion
Salt Crystallization
Other
Weathering Severity Assessment
*
Rows
None
Mild
Moderate
Severe
Cracking
1
2
3
4
Flaking/Spalling
5
6
7
8
Discoloration/Staining
9
10
11
12
Biological Growth
13
14
15
16
Erosion
17
18
19
20
Salt Crystallization
21
22
23
24
Environmental Exposure Factors (Select all that apply)
*
Direct Sunlight
Rainfall
Frost/Freeze-Thaw
Air Pollution
Salt Spray
Vegetation Encroachment
Other
Overall Risk Level
*
Low
Moderate
High
Last Maintenance or Conservation Activity (Year)
Recommended Actions or Notes
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