ADA COMPLIANCE SURVEY SHEET

Company Name



Address




Phone Number and Contact Person



Type of Business



Number of Employees





OUTSIDE APPROACH

Approach to Property by Vehicle:

Handicapped Parking

Number

Size

Location

Total Number ALL Spaces


By Bus or Walking (Note for Those Above as Well):

Approachable Route

Bus Route and Stop

Sidewalks

Slope and Angles

Narrow Spaces

One Side Obstruction Free

Curb Cuts and Ramps

Curb Cuts Slope and Width

Detectable Warning (Color and Texture)

Location

Signage

Address

Company Name

Location of Signage

Size and Type

Area Traffic Hazards

Audible Traffic Signals

Audible Street Name and Informational Signs

Street Light Timing (Crossing Time)

Stairways

Handrails

Height and Width (Front to Back)

Lip (Overhang)

Detectable Warning (Color or Texture)

Rest Benches (If Needed)


Entry and Exits to Building

Door Opening

Automatic

Handles (Inside and Out)

Type and Pressure

Weight of Door

Width of Door Opening

Emergency Exits

Same factors Above for Entry

Ramp

Hand rails

Warning Devices

Audible

Visual

Signage

Location

Size and Type




INTERIOR

Building Interior Hazards

Low-Hanging Objects

Protrusions

Lighting Exits and Ramps

Interior Noise


Displays

Location

Stacking (Knock Down)

Height (Wheel Chair Reach, Little People)


Warning Devices

Audible

Visual

Signage and Markers (Hazardous Areas)


Signage

Location

Type (Raised Numbers or Letters or Audible)

Size


Accessible Routes

Clear Floor

Width (Aisles, etc.)

Floor Surface

"Shoreline" Clear (Overhangs and Jutting Objects)


Elevators

On Accessible Route

Height of Controls (Inside and Out)

Tactile and Auditory Cues

Flush with Floor

Door Width and Time Open

Cab Size


Water Fountains

On Accessible Route

Height

Controls

Hand and Foot

Pressure


Telephones (Public and Private)

On Accessible Route

Height

Controls

Amplifiers and TDD/TTY Systems

For Incoming Calls

Wheelchair Approachable


Restrooms and Locker Rooms

On Accessible Route


Doorways

Width

Handles

Weight and Swing


ToTal Number for Each Gender Per Floor

Number Accessible Each Floor


Clear Space (Wheelchair Movements, Turn)

Width of Stalls and Door Swing

Handrails

Grab Bars

Height of Toilet Seat

Little People, Too

Reachable Controls Operation (Pressure)

Height of Urinals


Height of Towel Dispenser and Disposal

Height of Mirrors


Sinks

Height

Reachable and Operable Controls

Levers/Automatic

Space Under for Wheelchair

Pipes insulated and Shielded


Shower Stall/Bath

Doorway and Floor (Level)

Controls (Reachable/Operable)

Seat/Handrails/Grab Bars

Lockers

Handles/Door Swing/Height/Reach


Signage

Audible Signs

Tactile on Door

Tactile Cues (Location of Items)


Lunch Room/Cafeteria

Accessible Route

Height of Service Counters

Reach for Those in Wheelchairs

Tables

Heiqht

Signage

Audible Exits

Visual Exits




MISCELLANEOUS

Signage




Floor Plan in Raised/Grooved Format or Audible to Show Location of
Exits, Restrooms, Offices, Stores, Office Hours, etc.




All Forms, Brochures, and Other Paper Work (Available in Accessible Formats)




ATM, Point of Sale Machines (Coke, Copy, etc.)




Computer and Terminals Used by the Public




Web Site Access




Kiosks - Informational, Tickets, Lottery, etc.






Last Revised July 30, 1999