Survey Form

EQUIPMENT CHECKLIST
NO EQUIPMENT QUANTITY SOURCE TICK NOTES To measure the ares and lot dimension of the housing, road etc. To take pictures such as the data and information that has To record been observe and gathered As a references about our site location Use to record data such as pen, sketchbook etc. Protect from the sun and rain As a references about our site location

1 Measuring Tape 2 Camera 3 Survey Checklist 4 Site Plan 5 Stationery 6 Umbrella 7 Planning Guideline

DUTY CHECKLIST NO 1 2 3 4 5 NAME STUDENT ID DUTY NOTES

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST

Survey Form

HOUSING
NO ELEMENT TERRACE PLANNING STANDARD SITE MEASUREMENT NOTES PHOTO

1 Lot of dimension 2 3 4 corner lot 5 End lot 6 Fire Break 7 Back Lane 8 Side Lane 9 Total unit/Row 10 Max. Floor Storey Setback Front Back

NO

ELEMENT

DETACHED PLANNING STANDARD SITE MEASUREMENT

NOTES

PHOTO

1 Lot of dimension 2 3 4 corner lot 5 End lot 6 Fire Break 7 Total unit/Row 8 Max. Floor Storey Setback Front Back

NO 1 2 3 4 5 6 7 8

ELEMENT Lot of dimension Front Setback Back corner lot End lot Fire Break Back Lane Side Lane

OTHERS : .. PLANNING STANDARD SITE MEASUREMENT

NOTES

PHOTO

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST

Survey Form 9 Total unit/Row 10 Max. Floor Storey

COMMERCIAL AREA
NO 1 Lot Size 2 Lot Width 3 Verandah way 4 Coner Lot Setback 5 Pedestrian Way 6 Back lane 7 Total Unit/Row 8 Max. Floor Storey ELEMENT SHOP HOUSE PLANNING STANDARD SITE MEASUREMENT NOTES PHOTO

NO 1 Lot Size

ELEMENT

OTHERS : .. PLANNING STANDARD SITE MEASUREMENT

NOTES

PHOTO

2 Lot Width 3 Verandah way 4 Coner Lot Setback 5 Pedestrian Way 6 Back lane 7 Total Unit/Row 8 Max. Floor Storey

PARKING LOT
SIZE PLANNING STANDARD SITE MEASUREMENT 1 Car : Side Parking
TOTAL UNITS / SHOP

NO

ELEMENT

NOTES

PHOTO

2 Front Parking 3 Others : .

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST

Survey Form Motorcycle : Side parking

5 Front Parking 6 Others : .

SOSIAL FACILITIES
NO ELEMENT SIZE PLANNING STANDARD SITE MEASUREMENT NOTES PHOTO

1 Playground Lot 2 Primary School 3 Recreational Area 4 Open Space 5 Others : .

INFRASTRUCTURE AND UTILITIES

SIZE NO ELEMENT HOUSING
PLANNING STANDARD SITE MEASUREMENT

COMMERCIAL
PLANNING STANDARD SITE MEASUREMENT

LOCATION

NOTES

PHOTO

1 Drainage SIZE NO ELEMENT HOUSING

PLANNING STANDARD SITE MEASUREMENT

COMMERCIAL
PLANNING STANDARD SITE MEASUREMENT

LOCATION

NOTES

PHOTO

1 TNB Sub-Station SIZE PLANNING STANDARD SITE MEASUREMENT

NO

ELEMENT

LOCATION

NOTES

PHOTO

1 Water Tank SIZE PLANNING STANDARD SITE MEASUREMENT

NO

ELEMENT

LOCATION

NOTES

PHOTO

1 Fire Hydrant

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST

Survey Form

ROAD LAYOUT
SIZE NO ELEMENT HOUSING
PLANNING STANDARD SITE MEASUREMENT

COMMERCIAL
PLANNING STANDARD SITE MEASUREMENT

NOTES

PHOTO

1 Road Hierachy : 2 Collector Road 3 Local Road 4 Service Road 5 Main Road 6 Back Lane 7 Pedestrian Way 8 9
Coner Cut

66' Road 40' Road

10 Road Intersection 11 Junction 12 Others : .. 13 Others : ..

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST

Survey Form

DEPARTMENT OF TOWN AND REGIONAL PLANNING, UITM PERAK.

CHECKLIST