Environmental Baseline Assessment Form
Record baseline environmental conditions at your site prior to project commencement. Please complete all sections accurately and thoroughly.
Site Name or Location
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
Current Weather Conditions
*
Please Select
Clear
Partly Cloudy
Overcast
Rain
Snow
Fog
Windy
Other
Observed Flora and Fauna
Soil Condition
*
Dry
Moist
Wet
Eroded
Compacted
Other
Water Presence and Quality
Rows
Presence
Quality
Surface Water
1
2
Groundwater
3
4
Standing Water
5
6
Evidence of Contamination
None observed
Staining/Discoloration
Odor
Debris/Waste
Other
Air Quality (Odor, Dust, Visible Emissions)
1
2
3
4
5
Overall Site Condition Comments
Submit Assessment
Should be Empty: