（此处印制公安机关名称）
现场勘验笔录

    勘验时间_____年_____月_____日_____时_____分_____至_____年_____月_____日_____时_____分
    勘验地点____________________________________________________________________________
    勘验人员姓名、单位、职务（职称）____________________________________________________
　　____________________________________________________________________________________
　　____________________________________________________________________________________

   勘验过程及结果_______________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________

　　现场勘验人员：__________　记录人：__________
    当事人或者见证人（签名 ）：  _______________