Tunnel Survey Questionnaire Form
Please complete this Tunnel Survey Questionnaire Form to provide detailed feedback and observations from your tunnel site assessment.
Tunnel Name or Identifier
*
Date of Survey
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Surveyor Name
*
Tunnel Type
*
Rail
Road
Utility
Pedestrian
Other
Overall Tunnel Condition
*
1
2
3
4
5
Please rate the following aspects of the tunnel:
*
Rows
Excellent
Good
Fair
Poor
Structural Integrity
1
2
3
4
Lighting
5
6
7
8
Ventilation
9
10
11
12
Drainage
13
14
15
16
Were any safety hazards observed during the survey?
*
Yes
No
Types of equipment used during the survey (select all that apply)
Laser Scanner
Total Station
Measuring Tape
Camera
Other
Please describe any issues or anomalies encountered
Suggestions for improvement or additional comments
Submit Survey
Should be Empty: