Campsite Assessment Report

Facility Name:	Inspector's Name:
	Phone No:
Assessment Date:	E-mail:

If conditions are not satisfactory, please describe in the "Comments" section
below the specific nature of the problem using the number next to the item as a footnote.

LEAN-TO (general)
1. Roof (leaks, breaks, nails up)	Yes No Unknown N/A
1a. Skylight intact and solid?	Yes No Unknown N/A
2. Deck (popped nails, breaks)	Yes No Unknown N/A
3. Walls (rot, breaks)	Yes No Unknown N/A
4. Sills (rot, ground creep)	Yes No Unknown N/A
5. MATC register notebook	Yes No Unknown N/A
6. Nails to hang things from	Yes No Unknown N/A
7. Vegetation within 10 ft?	Yes No Unknown N/A

TENT SITES
8. Deck (popped nails, breaks)	Yes No Unknown N/A
9. Stringers (rot, ground creep)	Yes No Unknown N/A
10. Earth: Grade ok (drainage, erosion)	Yes No Unknown N/A

PRIVY
Privy Type	Pit Crib
11. Walls (rot, breaks)	Yes No Unknown N/A
12. Roof (leaks, breaks)	Yes No Unknown N/A
13. Deck (popped nails, breaks)	Yes No Unknown N/A
14. Sills (rot, ground creep)	Yes No Unknown N/A
15. Door functional	Yes No Unknown N/A
16. Hardware- seat, cover	Yes No Unknown N/A
17. Adequate ventilation	Yes No Unknown N/A
18. Breakdown agent added	Yes No Unknown N/A
18b. Type
19. Approach Trail	Yes No Unknown N/A
20. "Do not put trash…" sign	Yes No Unknown N/A
21. "Please Close Door" sign	Yes No Unknown N/A
22. Hardware cloth intact	Yes No Unknown N/A
23. Tools (broom, bucket)	Yes No Unknown N/A
24. Capacity remaining	Feet

WATER SOURCE
25. Seasonal?	Yes No Unknown N/A
26. Is it clean?	Yes No Unknown N/A
27. Reliable/adequate	Yes No Unknown N/A
28. Approach trail ok?	Yes No Unknown N/A

SIGNAGE
29. Facility Name	Yes No Unknown N/A
30. Direction to privy	Yes No Unknown N/A
31. Direction to water	Yes No Unknown N/A
32. Mileage	Yes No Unknown N/A
33. MATC Information	Yes No Unknown N/A

OVERALL CAMPSITE
35. Firepit (clean, litter free)	Yes No Unknown N/A
35b. Fire-bucket available	Yes No Unknown N/A
35c. Vegetation w/in 10 ft?	Yes No Unknown N/A
36. Tools (rake, shovel, broom)	Yes No Unknown N/A
37. Cleanliness	Yes No Unknown N/A
38. Soil exposure excessive	Yes No Unknown N/A
39. Tree damage excessive	Yes No Unknown N/A
40. Hazard trees	Yes No Unknown N/A

41. Photos Taken	Yes No
Optional: You can upload up to 2 photos below: Please limit size of photos to less than 2 MB
Upload Photo 1 as attachment
Upload Photo 2 as attachment

Comments (reference # items above if applicable):

Clicking Submit will send this form (and any attachments)
to the Campsite Coordinator - Laura Flight - campsite@matc.org

Updated April 25, 2011