Area Reconnaissance Survey Form
Use this form to plan and document your area reconnaissance survey efficiently.
Surveyor Name
*
First Name
Last Name
Survey Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Survey
*
Purpose of Survey
*
General Conditions Observed
*
Clear and Accessible
Partially Obstructed
Difficult Terrain
Hazardous
Other
Assessment of Area Factors
*
Rows
Excellent
Good
Fair
Poor
Accessibility
1
2
3
4
Visibility
5
6
7
8
Security
9
10
11
12
Communication Signals
13
14
15
16
Environmental Hazards
17
18
19
20
Overall Risk Level
*
1
2
3
4
5
Key Findings and Observations
Recommendations / Next Steps
Submit Survey
Should be Empty: