Surveying Form

Free Fillable Construction Staking

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LS-0536 fieldsdocumentation

Project Information

Project Name*

Project Number*

Surveyor / Party Chief*

Staking Date*

Client / Contractor Name

Design File / Drawing Reference

Work Order / Request Number

Staking Crew

Stake ID & Type

Stake ID / Point Number*

Stake Type*

Station & Offset

Station along baseline and offset distance/direction

Alignment Reference

Stake Description

Design vs. Field Coordinates

Design Northing

Design Easting

Design Elevation (ft or m)

Field Northing (As-Staked)

Field Easting (As-Staked)

Field Elevation (As-Staked, ft or m)

Horizontal Closure / Residual (ft)

Distance between design and field position

Vertical Closure / Residual (ft)

Difference between design and field elevation

Coordinate System

Instrument Used for Staking

Cut / Fill Values

Cut or Fill*

Cut / Fill Amount (ft or m)

Difference between existing grade and design grade

Cut / Fill From

Existing Ground Elevation (ft or m)

Subgrade / Finish Grade Elevation (ft or m)

Slope Stake Data

For slope stakes: cut/fill height, slope ratio, and horizontal distance to catch point

Cut / Fill Notes

Offset & Reference Notes

Offset Distance from Alignment (ft)

Offset Side

Stake Marking / Keel Notation

Text written on stake with keel crayon

Lath & Flagging Color

Reference Ties

Measurements from stake to nearby permanent references

Additional Offset & Reference Notes

Photos

Location

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Related Construction Forms

As-Built Survey

LS-06