Wildlife Habitat Impact Assessment Checklist
Project Information
Project Name
Location
Date
Assessor(s)
Habitat Description
Type of Habitat
Key Vegetation and Features
Significant Water Bodies or Wetlands
Wildlife Presence
List Observed Wildlife Species
Known or Potential Rare, Threatened, or Endangered Species
Assessment Checklist
Assessment Item
Yes
No
Comments
Will the project affect known wildlife corridors?
Loss of native vegetation?
Affects on water resources or wetlands?
Displacement of wildlife?
Potential to introduce invasive species?
Recommended Mitigation Measures
Additional Notes