ATTACHMENT 4 - ADA Curb Ramp New Construction Inspection … · 2020-04-23 · RAMP RUN 3 Running Slope 3 Length 3 Cross Slope 3 TURN SPACE MISCELLANEOUS Comment: ADA Curb Ramp New

ATTACHMENT 4 -ADA Curb Ramp New Construction Inspection Forms

Inspector's Signature

≤ 8.3%

≤ 2.0%

(TD, X)

0"

Pass ≥ 4.0'

≤2.0% >2.0%

< 4.0'

≥ 4.0' < 4.0'

Pass

Fail

Pass Fail

Company/Agency

http://www.oregon.gov/ODOT/HWY/CONSTRUCTION/Pages/HwyConstForms1.aspx

ADA Curb Ramp New Construction Inspection Form (Perpendicular)

Certification No.Print name clearly

Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition

Cross Street NameMPProject Name (Section) Contract No.

734-5020F (12-2019)

the flared style

Fail

≤ *2

≤|5.0%|

TURN SPACE

MISCELLANEOUS

> 8.3%

> 2.0%

Calibration Date

RAMP RUN 1

Running Slope 1

Length 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope (avg)

Counter Slope (+/-)

(mm/dd/yy)

>10%≤ 10%

(N,IITD,DMG TD)

Traversable

Physical Condition (G,P)*4

Functional Condition (G,P)*4

Width X

Length Y Back of Ramp Obstruction (Y/N)

Slope X

Slope Y

Highway No.

>|5.0%|

See Exhibit A for more intersection styles

Comment:

N/A

CRKDOEXPGB

ICRRINLET XINGSTR

See also Standard Comments for full list of acceptable comments

FT BT

≥ 4.0'* < 4.0'*

DE

DE

DE

Fail DE Fail DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)

Intersection Condition Type

Design Ex. Control Number

≤ *1

> 0"

> *1

> *2

See also Standard Drawings to assess provisions not shown: (inlets, alignment, etc.)

Ramp Style

LANDING

Slope of Road

≤2.0% >2.0%

>10%≤ 10%

NONE

Pass FailDIRECTIONAL CURB DE

Directional Curb Running Slope

Directional Curb Cross Slope

< 5.0%

≤ *3 *2 CRS must be ≤ 5.0% when there is a Directional Curb present,

else ≤ 8.3%

*1 The passing value for Gutter Flow Slope (GFS) depends onthe Intersection Condition Type. At a Midblock (MB), GFSmust be ≤ Slope of the Road, at Signalized or Uncontrolled(SU), GFS must be ≤ 5.0%, and at Stop or Yield (SY), GFS mustbe ≤ 2.0%.

*4 Functional Condition Description: Good (G) = all applicableboxes pass OR a Design Exception addresses criteria that donot pass. Poor (P) = any applicable box failsPhysical Condition Description: Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformations Poor (P) = any part of the concrete within the Pedestrian CirculationArea (includes flares and transition panels) contains cracks ordeformations

*3 Directional Curb Cross Slope pass/fail criteria is the Gutter FlowSlope

≥ 5.0%

> *3

OregonDepartment of Transportation

ADA Curb Ramp Images Attached photos must be in .pdf format in order to be placed


≤ 2.0%

(TD, X)

0"

≤|5.0%|

Pass

≤ 2.0%

Pass

≥ 4.0'*

≤ 2.0% > 2.0%

< 4.0'*

≥ 4.0' < 4.0'

Pass Fail

Fail

Fail

Pass Fail

Fail

Company/Agency

http://www oregon.gov/ODOT/HWY/CONSTRUCTION/Pages/HwyConstForms1 aspx

RAMP RUN 3 Running Slope 3 Length 3 Cross Slope 3

TURN SPACE

MISCELLANEOUS

Comment:

ADA Curb Ramp New Construction Inspection Form (Parallel)


Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition

Cross Street NameMPContract No. Highway No.

734-5020E (12-2019)

≤ 2.0%

≤ 8.3%

≤ 2.0%

≤ 8.3% RAMP RUN 2 Running Slope 2 Length 2 Cross Slope 2

≤ 8.3%

> 2.0%

> 2.0%

> 0"

> 8.3%

Calibration Date

Pass

Running Slope 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope

Counter Slope (+/-)

> 8.3%

> 2.0%

(avg)

(mm/dd/yy)

RAMP RUN 1

(N,IITD, DMG TD)

N/A

Physical Condition (G,P)

Function Condition (G,P)

See Exhibit A for more intersection styles

Width X

Length Y

Back of Ramp Obstruction (Y/N)

Slope X (Cross Slope 1)

Slope Y (Running Slope 1)

> 8.3%

> 2.0%

>|5.0%|



CRKDOEXPGB

ICRR

INLET XINGSTR

FT BT

≥ 4.0' < 4.0'

DE

DE

DE

DE

DE

Project Name (Section)

Clear Width (feet)



Fail DE Fail DE

≤ * > *

Functional Condition Description: Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description:Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformationsPoor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations

*The passing value for Gutter Flow Slope (GFS)depends on the Intersection Condition Type.At a Midblock (MB), GFS must be ≤ Slope of theRoad, at Signalized or Uncontrolled (SU), GFSmust be ≤ 5.0%, and at Stopor Yield (SY), GFS must be ≤ 2.0%.

Ramp Style

Slope of Road

≤ 2.0% > 2.0%

https://www.oregon.gov/ODOT/Engineering/Pages/Accessibility.aspx


ADA Curb Ramp Images

Attached photos must be in .pdf format in order to be placed


≤ 8.3%

≤ 2.0%

(TD, X)

0"

≤ |5.0%|

≤ 2.0%

Pass

≥ 4.0'*

≤2.0% >2.0%

< 4.0'

≥ 4.0' < 4.0'

Fail

Fail

Fail

Pass Fail

Fail

Company/Agency

http://www oregon.gov/ODOT/HWY/CONSTRUCTION/Pages/HwyConstForms1 aspx

Calibration Date

ADA Curb Ramp New Construction Inspection Form (Combination)


Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

Corner Position

Cross Street NameMPContract No.

734-5020B (12-2019)

≤ 8.3% Pass

≤ 2.0%

≤ 8.3% Pass

Pass

≤*2

> 8.3%

> 2.0%

> 8.3%

> 2.0%

> 8.3%

> 2.0%

(avg)

(mm/dd/yy)

≤ 10% > 10%

RAMP RUN 1

Running Slope 1

Length 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope

Counter Slope (+/-)

MISCELLANEOUS

Physical Condition (G,P)*4

Functional Condition (G,P)*4

Comment:TURN SPACE

RAMP RUN 3Running Slope 3 Length 3 Cross Slope 3

RAMP RUN 2Running Slope 2 Length 2 Cross Slope 2

Traversable

N/A

(N,IITD, DMG TD)

See Exhibit A for more corner stylesHighway No.

Width X

Length Y


Slope X

Slope Y


CRKDOEXPGB

ICRR

INLET XINGSTR

FT BT

≥ 4.0'

< 4.0'*

DE

DE

DE

DE

DE


Fail DE Fail DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)



≤ *1

> 0"

> *1

> *2Ramp Style

Slope of Road

>2.0%≤2.0%

≤ 10% > 10%


Direct. Curb Running Slope

Direct. Curb Cross Slope

< 5.0%

≤ *3 *2 CRS must be ≤ 5.0% when there is a DirectionalCurb present, else ≤ 8.3%*3 Directional Curb Cross Slope pass/fail criteria isthe Gutter Flow Slope

> |5.0%|*1 The passing value for Gutter Flow Slope (GFS)depends on the Intersection Condition Type. At aMidblock (MB), GFS must be ≤ Slope of the Road, atSignalized or Uncontrolled (SU), GFS must be ≤ 5.0%,and at Stop or Yield (SY), GFS must be 2.0%.*4 On the backSee also Standard Drawings to assess provisions not shown: (inlets, alignment, etc.)

≥ 5.0%

> *3



*4 Functional Condition Description: Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable boxfailsPhysical Condition Description: Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformations Poor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations


≤ 2.0%

(TD, X)

0"

≤ |5.0%|

Pass Fail

Pass Fail

Company/Agency


Calibration Date

RAMP RUN 1

MISCELLANEOUS

ADA Curb Ramp New Construction Inspection Form (Blended Transition)


Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition

Cross Street NameMPProject Name (Section) Contract No.

734-5020A (12-2019)

≤ *1

> 2.0%

Running Slope 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope (avg)

Counter Slope (+/- )

(mm/dd/yy)

≤ 10%


Functional Condition (G,P)

Comment:

≥ 10%

< 4.0'

Traversable

N/A

(N,IITD, DMG TD)

See Exhibit A for more corner styles

Highway No.

> |5.0%|



CRKDOGB

ICRRINLET XINGSTR

DE

DE

> 0"

> *1

Fail DE Fail DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)



≤ * > *

*The passing value for Gutter Flow Slope (GFS) depends on the Intersection Condition Type. At a Midblock (MB), GFS must be ≤ Slope of the Road, at Signalized or Uncontrolled (SU), GFS must be ≤ 5.0%, and at Stop or Yield (SY), GFS must be ≤ 2.0%.

≥ 4.0'

Slope of Road

≤ 10% ≥ 10%

FT BT DR

Pass DIRECTIONAL CURB Fail DE



< 5.0%

≤ *2

*1 CRS must be < 5.0% when there is a Directional curb present, else ≤ 8.3%*2 Directional Curb Cross Slope pass/fail criteria is the Gutter Flow Slope

Functional Condition Description:Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description:Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformationsPoor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations

≥ 5.0%

> *2

Ramp Style





Blended Transitions are locations where the pedestrian walkway (which has one direction of travel) and the street crossing intersect at the same plane without the need of a ramp. If the Running Slope is 5.0% or greater, this is not a Blended Transition and should be inspected using a different inspection form.


≤ 8.3%

≤ *

(TD, X)

0"

≤|5.0%|

Pass ≥ 5.0'

≤ 2.0% > 2.0%

< 5.0'

≥ 5.0' < 5.0'

Fail

Pass Fail

Company/Agency


ADA Curb Ramp New Construction Inspection Form (Cut Through Island)


Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition


734-5020C (12-2019)

Pass FailCalibration Date

RAMP RUN 1

≤ *1 Curb Running Slope

Counter Slope (+/-)

Running Slope 1 Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

>8.3>*

TURN SPACE

Width X

Length Y

Slope X

Slope Y MISCELLANEOUS

(avg)

(mm/dd/yy)



Comment:

≤ 10% > 10%Traversable


(N,IITD, DMG TD)

N/A

>|5.0%|

Functional Condition Description:Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description:Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformations Poor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations

See also Standard Drawings to assess provisions not shown: (inlets, alignment, etc.) See also Standard Comments for full list

of acceptable comments

CRKDOGB

ICRRINLET XINGSTR


DE

DE

DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)


Slope of Road

Cut Through Length ≥ 6 FT (Y/N)


Fail DE Fail DE

≤ *

> 0"

> *

> *1 *The passing value for Gutter Flow Slope (GFS) and Cross Slope 1 (CS1) depends on the Intersection Condition Type. CS1 follows the listed rules only on a Cut Through with a through movement. At a Midblock (MB), GFS and CS1 must be ≤ Slope of the Road, at Signalized or Uncontrolled (SU), GFS and CS1 must be ≤ 5.0%, and at Stop or Yield (SY), GFS and CS1 must be ≤ 2.0%. If a Turn Space is required, CS1 must be ≤ 2.0%.

** Use separate inspection form for each opening of cut-through.

NO TURN SPACE

≤ 10% > 10%

≤ 2.0% > 2.0%

≥ 5.0' < 5.0'

Ramp Style


Directional Curb Running Slope

Directional Curb Cross Slope

< 5.0%

≤ *2

≥ 5.0%

> *2

*1 CRS must be ≤ 5.0% when there is a Directional Curb present, else ≤ 8.3%*2 Directional Curb Cross Slope pass/fail criteria is the Gutter Flow Slope






≤ 8.3%

≤ 2.0%

0"

Pass

≥ 4.0'

≤2.0% >2.0%

< 4.0'

≥ 4.0'

Pass Fail

Fail

Pass Fail

Company/Agency


Calibration Date

RAMP RUN 1

MISCELLANEOUS

ADA Curb Ramp New Construction Inspection Form (End of Walk)


Construction Year

Crew No. (ODOT)

Date όƳƳκŘŘκȅȅύ

Ramp Position

CornerPosition

Cross Street NameMPProject Name (Section) Contract No. Highway No.

734-5020D (12-2019)

Running Slope 1

Length 1

Cross Slope 1

Detectable Warning

Lip Height

TURN SPACE/LANDING

Width X

Length Y

Slope X

Slope Y

(mm/dd/yy)

≤ 10%

< 4.0'



Comment:

> 10%

Traversable


Functional Condition Description:Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description:Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformationsPoor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations



CRKDOGB

ICRRINLET XINGSTR

> 8.3%

> 2.0%

> 0"

DE

DE

DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)

Slope of the Road


Fail DE Fail DE

≥ 4.0' < 4.0'

>2.0%≤2.0%

≤ 10% > 10%

Use the End of Walk style inspection form where sidewalk ends at locations that are not intersections. Turning Space may be measured at either the top or bottom of the ramp run.

NEITHER

Ramp Style

FT BT DR






≤ *1

≤ 2.0% (TD, X)

0"

≤ 2.0% Pass

≥ 4.0'

≤ 2.0% > 2.0%

< 4.0'

≥ 4.0'

Calibration Date RAMP RUN 1 Pass Fail

Fail

Fail

Pass Fail

Fail

Company/Agency


ADA Curb Ramp New Construction Inspection Form (Unique Design)


Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition


734-5020G (12-2019)

≤ 8.3%

Pass≤ 8.3%

≤ 2.0%

Pass≤ 8.3%

≤|5.0|%

> 8.3%

> 2.0%

(avg)

(mm/dd/yy)

Running Slope 1

Length 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope

Counter Slope (+/-)

RAMP RUN 2

Running Slope 2

Length 2

Cross Slope 2 RAMP RUN 3

Running Slope 3

Length 3

Cross Slope 3

TURN SPACE

Width X

Length Y

≤ 10%

< 4.0'

Physical Condition (G,P)*3 Functional Condition (G,P)*3

Comment:

MISCELLANEOUS > 10%

Traversable

N/A



Slope X

Slope Y


CRKDOEXPGB

ICRR

INLET XINGSTR

FT BT

> 8.3%

> 2.0%

DE

DE

DE

DE

DEFlare Slope 1Flare Slope 2Clear Width (feet) Intersection Condition Type


Fail DE Fail DE

≤ *

> 8.3%

> 2.0%(N,IITD,DMG TD)

> 0"

> *

> *1

>|5.0|%

Ramp Style

Slope of Road


≥ 4.0' < 4.0'

≤ 2.0% > 2.0%

≤ 10% > 10%




< 5.0%

≤ *2

*1 CRS must be ≤ 5.0% when there is a DirectionalCurb present, else ≤ 8.3%*2 Directional Curb Cross Slope pass/fail criteria isthe Gutter Flow Slope

* The passing value for Gutter Flow Slope (GFS) depends onthe Intersection Condition Type. At a Midblock (MB), GFSmust be ≤ Slope of the Road, at Signalized or Uncontrolled(SU), GFS must be ≤ 5.0%, and at Stop or Yield (SY), GFS mustbe ≤ 2.0%.* 3 On the back


≥ 5.0%

> *2




*3 Functional Condition Description: Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description: Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformations Poor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations

Highway No.Project Name (Section) Construction Year

Contract No.

Cross Street NameMP

ADA Push Button New Construction Inspection Form For TS and PS

Turn Space (TS)

Button Position



Date (mm/dd/yy)

CornerPosition

Paved Shoulder (PS)

DE1

Comments:

PUSH BUTTON DETAILS All fields under Push Button Details are information only fields and are not factored into functional condition.

Indicator (B, S)B=Beacon, S=Signal

Audible Pedestrian Signal (N, PT, SM)N=None, PT=Percussive Tone, SM=Speech Message

Locator Tone (Y, N)Y=Yes, N=No

Signal Head (CD, N, PIC, TXT) CD=Countdown, N=None, PIC=Pictogram, TXT=Text

Button Type (H, O, S)H=H-Frame, O=Other, S=Standard

Arrow Surface (FS, N, TC, VB)FS=Flush, N=None, TC=Tactile, VB=Vibrotactile

Calibration Date

ADA Design Exception Control No.1


CLEAR SPACE DETAILSAll fields under Clear Space Details are required fields and are factored into functional condition.

Surface Type (TS, PS) TS=Turn Space, PS=Paved Shoulder

For other Clear Space Surface Types, see Exhibit "C".

1 Push Buttons may have a Design Exception for aparameter allowing for deviations from set standards. In such case, the functional condition is good given the other parameters are still within the defined standards.

Note: Pass/Fail boxes must be manually checked

ODOT Form No. 734-5245A (3/2020)

3.5' - 4.0'

≤ 0.83'

≥ 4.0'

≥ 2.5'

≤ 2.0%

≤ 2.0%

< 3.5' or > 4.0'

> 0.83'

< 4.0'

< 2.5'

> 2.0%

> 2.0%

Pass Fail

Reach Range

(Ft.) Height

(Ft.) Width X

(Ft.) Length Y

(Ft.) Slope X

Slope Y

Company/Agency Crew No. (ODOT)

hwye70w

Sticky Note

Unmarked set by hwye70w

hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note




Push Button Images


Project Name (Section)Year

Construction Contract Highway No.No.

Cross Street NameMP

ADA Push Button New Construction Inspection Form For RR/BM/SW

Ramp Run (RR)

Button Position



Date (mm/dd/yy)

CornerPosition

Back-In Maneuver (BM)

DE2

Comments:

PUSH BUTTON DETAILS All fields under Push Button Details are information only fields and are not factored into functional condition.

Indicator (B, S)B=Beacon, S=Signal

Audible Pedestrian Signal (N, PT, SM)N=None, PT=Percussive Tone, SM=Speech Message

Locator Tone (Y, N)Y=Yes, N=No

Signal Head (CD, N, PIC, TXT) CD=Countdown, N=None, PIC=Pictogram, TXT=Text

Button Type (H, O, S)H=H-Frame, O=Other, S=Standard

Arrow Surface (FS, N, TC, VB)FS=Flush, N=None, TC=Tactile, VB=Vibrotactile

Calibration Date

ADA Design Exception Control No.2


CLEAR SPACE DETAILSAll fields under Clear Space Details are required fields and are factored into functional condition.

Surface Type (BM, RR, SW) BM = Back-In Maneuver, RR=Ramp Run, SW=SidewalkFor other Clear Space Surface Types, see Exhibit "C".

1 This field is only required when Surface Type is SW AND Slope X ≥ 5.0%2Push Buttons may have a Design Exception for a parameter allowing for deviations from set standards. In

such case, the functional condition is good given the

other parameters are still within the defined standards.

*For Back-In Maneuver Width X ≥ 3.0 FT

Note: Pass/Fail boxes must be manually checked

ODOT Form No. 734-5245B (3/2020)

3.5' - 4.0'

≤ 0.83'

≥ 2.5'*

≥ 4.0'

≤ 2.0%

≤ 2.0%

< 3.5' or > 4.0'

> 0.83'

< 2.5'*

< 4.0'

> 2.0 %

> 2.0 %

Pass FailReach Range (Ft.)

Height (Ft.)

Width X (Ft.)

Length Y (Ft.)

Slope X

Slope Y

Slope of Road1
Company/Agency Crew No. (ODOT)

hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note


hwye70w

Sticky Note





EXHIBIT C Push Button Clear Space Surface Types

Page 1 of 2 03/04/2020

General Notes:

• Exhibit C is a reference for Push Button inspection in conjunction with ODOT Form No. 734-5245A and 734-5245B (ADA Push Button New Construction Inspection Form)

• Ramp Run Position is denoted as ‘RR#’ i.e. RR1, RR2, or RR3 • ‘X’ denotes Slope X and Width X direction • ‘Y’ denotes Slope Y and Width Y direction • Paved Shoulder (PS) and Turn Space (TS) are measured with the Y direction towards the Push Button (Form A) • Back-In Maneuver (BM), Ramp Run (RR), and Sidewalk (SW) are measure with the X direction towards the Push Button (Form B)

Turn Space (TS) Paved Shoulder (PS)

EXHIBIT C Push Button Clear Space Surface Types

Page 2 of 2 03/04/2020

Sidewalk (SW)

Back-In Maneuver (BM) Ramp Run (RR)

Documents

ATTACHMENT 4 - ADA Curb Ramp New Construction Inspection … · 2020-04-23 · RAMP RUN 3 Running Slope 3 Length 3 Cross Slope 3 TURN SPACE MISCELLANEOUS Comment: ADA Curb Ramp New