Groundwater Monitoring Checklist Form
Complete this checklist to record groundwater monitoring results and site conditions during field visits.
Date of Monitoring
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Personnel Name
*
First Name
Last Name
Sampling Location
*
Well ID
*
Weather Conditions
*
Clear
Partly Cloudy
Overcast
Rain
Snow
Windy
Other
Water Level (meters below ground surface)
*
Sample Appearance
*
Clear
Cloudy
Discolored
Contains Sediment
Other
Odor Detected?
*
None
Slight
Strong
Chemical
Other
Turbidity (NTU)
pH
Temperature (°C)
Conductivity (µS/cm)
Site Access Conditions
Accessible
Obstructed
Flooded
Overgrown Vegetation
Other
Equipment Condition
Good
Needs Maintenance
Damaged
Other
Additional Observations or Notes
Submit Checklist
Should be Empty: