Dry Dock Structural Condition Survey Form
Dock Name / Number
Location
Date of Survey
Surveyor
General Information
Structure Type
Year Built
Owner
Structural Elements Condition
Element
Location/Section
Condition
Remarks
Dock Floor
Good
Fair
Poor
Side Walls
Good
Fair
Poor
Caisson/Gate
Good
Fair
Poor
Pumps & Drainage
Good
Fair
Poor
Other
Good
Fair
Poor
Observed Defects
Recommended Actions/Repairs
Surveyor's Signature
Date