Site name: Site address:

Number of individuals: Date of survey: Office reporting time:

Number of entrances: Number of exits:

Instrument Name

Number required (no’s)

Status

Check

Remark

yes

no

Camera

Fully charged battery

Traffic boxes

Plastic pole

Steel pole

Steel angle

Metal straps

Wheel measurer

Hammer

Drill

Safety vast

Steel tape measure

Site map

Survey plan

Survey vehicle checking

Permission from authority (if the survey site is private property)

Raincoat

Others (if any)