Wildlife Habitat Impact Site Inspection
Date of Inspection
Inspector Name
Project/Site Name
Location / Coordinates
Weather Conditions
Habitat Type
Forest
Wetland
Grassland
Riparian
Desert
Other
Observed Wildlife Species
Signs of Wildlife Presence
Tracks
Scat
Nests/Burrows
Calls/Sounds
Other
Describe Vegetation and Habitat Condition
Noted Impacts to Habitat
Erosion
Vegetation Removal
Disturbed Soil
Water Pollution
Litter/Waste
Noise
Other
Additional Notes/Observations
Inspector Signature
Date