Construction Survey Marker Placement Checklist Form
Complete this checklist to document and verify each step in the construction survey marker placement process.
Project Name or Site ID
*
Marker Location Description
*
Marker Type
*
Please Select
Rebar with Cap
Wood Stake
Iron Pipe
PK Nail
Other
Marker Number or Identifier
*
Date of Placement
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Installed By (Name)
*
First Name
Last Name
Was the marker installed at the correct location?
*
Yes
No
Marker Condition After Placement
*
Please Select
Good
Damaged
Needs Attention
Weather / Site Conditions
Please Select
Clear
Cloudy
Rainy
Wet Ground
Other
Additional Notes or Comments
Submit Checklist
Should be Empty: