Checklist
General information
Name of Project
District
Municipality
Place
…
Physical Environment Information:
Topography:
Climate:
Land use patter:
Geology:
Air, Noise and water quality:
Other information:
Biological Information
Checklist for Fauna
S.N
Mammals
Checklist for Flora
S.N.
Name of Plants (Local name)
Reptiles
Scientific name
Form
Birds
Coverage
Socio-economic and cultural information
Existing Services and Infrastructures nearby
Name of service
Numbers
Historical and Cultural Resources within the project area
S.N.
Name/specification
Affecting
Activities
School’s nearby the Project
Location and Distance from project
S.N.
Name/specification
Number of Banks nearby the Hospital
S.N.
Name/specification
Public perception toward project:
Affecting
Activities
Affecting
Activities
Location and distance from project
Location and distance from project