Title Page

  • Stream Name

  • Conducted on

  • Personnel

  • Current Weather Conditions

  • Has there been heavy rain in the last week?

Health & Safety

  • Stream Work Hazards
    - Working in/around a water body
    - Uneven ground, steep slopes or unseen objects in or around a water body
    - Flooding or fast water flows and risk of being swept away
    - Risk of tripping, slipping or becoming stuck when wearing waders
    - Over hanging vegetation obscuring terrain

  • Site Specific Hazards

  • Have you discussed site specific health and safety?

Site Details

  • Site

  • Location
  • GPS Easting

  • GPS Northing

  • Site Access Notes

  • Site Photos

  • Have you drawn your Site Location Map?

  • Predominant Surrounding Land Use

  • Litter Present

  • Evidence of Livestock Access

  • Left Bank

  • Right Bank

  • Site Location Map

Water Quality & Substrate

  • Macrophytes<br>Note: Rare = <10% cover, Common = 10-50% cover, Abundant = >50% cover

  • Channel Shading (%)

  • Periphyton
    Note: Rare = <10% cover, Common = 10-50% cover, Abundant = >50% cover

  • Diatom

  • Mat Algae

  • Filamentous Algae

  • Bryophytes (moss, liverworts)

  • Filamentous Algae Cover

Habitat Parameters

  • Stream Habitat Parameters
    Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 1. Aquatic Habitat Abundance Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 2. Aquatic Habitat Diversity Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 3. Hydrologic Heterogeneity Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 4. Channel Alteration Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 5a. Bank Stability (Left Bank) Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 10

  • 5b. Bank Stability (Right Bank) Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 10

  • 6. Channel Shade Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 20

  • 7a. Riparian Vegetation Integrity (Left Bank) (within 20m) Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 10

  • 7b. Riparian Vegetation Integrity (Right Bank) (within 20m) Refer to the "Condition Category" sheet and provide each parameter with a value between 0 - 10

  • Comments

Transects

  • Riparian Zone (Left Bank)

  • 0-3m

  • 3-10m

  • 10-20m

  • Riparian Zone (Right Bank)

  • 0-3m

  • 3-10m

  • 10-20m

  • Bank (Left Bank)

  • Stability

  • Inorganic

  • Organic

  • Bank (Right Bank)

  • Stability

  • Inorganic

  • Organic

  • Aquatic Substrate

  • Wetted Width

  • Max Depth

  • Flow Type

  • Inorganic Substrate
    Recorded at points 1-5 below at 5 Evenly spaced locations across the wetted stream width. Point 1 is closest to the left bank, point 5 is closest to the right bank.

  • Point 1

  • Point 2

  • Point 3

  • Point 4

  • Point 5

  • Organic Substrate
    Recorded at points 1-5 below at 5 Evenly spaced locations across the wetted stream width. Point 1 is closest to the left bank, point 5 is closest to the right bank.

  • Point 1

  • Point 2

  • Point 3

  • Point 4

  • Point 5

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.