Marine Ecology Impact Assessment Form
Project Information
Project Name
Project Location
Date of Assessment
Assessor Name
Project Description
Site Description
Site Overview
Habitat Type
Coral Reef
Seagrass
Mangrove
Open Ocean
Other
Key Species Present
Potential Impacts
Project Activities
Description of Potential Impacts
Impacted Species/Habitats
Mitigation Measures
Proposed Mitigation Measures
Monitoring & Follow-up
Monitoring Plan
Additional Notes