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8/10/2019 Priority3 Word Fillable Form
1/23
The ADA Checklist for Readily AchievableBarrier Removal
Priority 3 - Toilet Rooms
Project
Buildin
!ocation
Date
"urveyors
Contact #nformation
$hen toilet rooms are o%en to the %ublic they should be accessibleto %eo%le &ith disabilities'
#nstitute for (uman CenteredDesin
&&&'(umanCenteredDesin'or
ADA )ational )et&ork*uestions on the ADA +,,-.-./3/ voice0tty
&&&'ADAchecklist'or
http://www.humancentereddesign.org/http://www.adachecklist.org/http://www.humancentereddesign.org/http://www.adachecklist.org/8/10/2019 Priority3 Word Fillable Form
2/23
8/10/2019 Priority3 Word Fillable Form
3/23
ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age &
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
Priority 3 1 ToiletRooms
Comments Possible"olutions
3'2 "f toilet rooms areavailable to the public isat least one toilet room
accessible/ 0Either onefor each se1 or oneunise1$2
3es
No
.hoto 56
7 Recon8gure toiletrooms
7 Combine toilet
rooms to create oneunise1 accessibletoilet room
7
3'/ Are there signs atinaccessible toilet roomsthat give directions toaccessible toilet rooms/
3es
No
.hoto 56
7 "nstall signs77
3'3 "f not all toilet rooms areaccessible is there a signat the accessible toiletroom with the"nternational 9ymbol ofAccessibility/
3es
No
.hoto 56
7 "nstall sign77
Accessible Route (2010 Standards Chapter 4)
3'. "s there a route to theaccessible toilet room0s2that does not include theuse of stairs/
"s the route accessible/09ee .riority * "nterior
Accessible Route for
3es
No
3es
.hoto 56
7 Alter route77
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age :
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
speci8cs$2 No
"ins at Toilet Rooms (2010 Standards 703)3'6 Do te1t characters
contrast with theirbackgrounds/
Are te1t charactersraised/
"s there Braille/
"s the sign mounted6;n the wall on the latchside of the door/
Note69igns are permitted onthe push side of doorswith closers and withouthold+open devices$
+degree open position atleast %? 1 %? inchescentered on the tactilecharacters/ @
9o the baseline of thelowest character is atleast :? inches above the
=oor and the baseline of
3es
No
3es
No
3es
No
3es
No
3es
No
easurement6
3es
No
7 "nstall tactile sign7 Relocate sign7
@"f constructed before&%>*'%' and aperson mayapproach within &inches of the sign
without encounteringprotruding ob!ects orstanding within thedoor swingrelocation notreuired
@"f constructed before&%>*'%* andmounted no higherthan (' inches to the
centerline of the
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age >
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
the highest character isno more than (' inchesabove the =oor/ @
Note6"f the sign is at doubledoors with one active
leaf the signshould be on the inactiveleaf if both leaves areactive the sign should beon the wall to the right ofthe right leaf$
easurement6
.hoto 56
sign relocation is notreuired
ntrance (2010 Standards 404)
3'4 "s the door opening widthat least &* inches clearbetween the face of the
door and the stop whenthe door is open )'degrees/
3es
No
easurement6
.hoto 56
7 "nstall oset hinges7 Alter the doorway7
3'5 "f there is a frontapproach to the pull sideof the door is there at
least %? inches ofmaneuvering clearancebeyond the latch sideplus (' inches cleardepth/
;n both sides of the dooris the =oor surface of themaneuvering clearancelevel 0no steeper than%6:?2/
3es
No
easurement6
3es
No
easurement6
.hoto 56
7 Removeobstructions
7 Recon8gure walls
7 Add automatic dooropener
9ee *'%' 9tandards:':$*$: formaneuveringclearancereuirements onthe push side of thedoorand side approaches
to the#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age (
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
pull side of the door
3'+ "s the door thresholdedge no more than Finch high/
;r
No more than G inch highif slope is beveled nosteeper than %6*/
Note6 The 8rst F inch of
the threshold may bevertical the rest must bebeveled$
3es
Noeasurement6
3es
Noeasurement
6
.hoto 56
7 Remove or replacethreshold
77
3' "s the door euipped withhardware that is operablewith one hand and doesnot reuire tightgrasping pinching ortwisting of the wrist/Check door handle andlock 0if provided2$
3es
No
easurement6
.hoto 56
7 Replace knobs orlatches with lever orloop handles
7 "nstall power+assisted orautomatic dooropeners
7
3'2,
Are the operable parts ofthe door hardwaremounted no less than &:inches and no greaterthan :? inches above the=oor/
3es
No
easurement6
.hoto 56
7 Change hardwareheight
77
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age H
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'22
Can the door be openedeasily 0> poundsma1imum force2/
3es
No
easurement
.hoto 56
7 Ad!ust or replaceclosers
7 "nstall lighter doors7 "nstall power+
assisted orautomatic dooropeners
3'2/
"f the door has a closerdoes it take at least >seconds to close from anopen position of )'degrees to a position of%* degrees from thelatch/
3es
No
easurement6
.hoto 56
7 Ad!ust closer77
3'23
"f there are two doors in aseries e$g$ vestibule isthe distance between thedoors at least :? inchesplus the width of thedoors when swinging intothe space/
3es
No
easurement6
7 Remove inner door7 Change door swing7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
.hoto 56
3'2.
"f there is a privacy walland the door swings outis there at least *: inchesof maneuveringclearance beyond thedoor latch side and :*inches to the privacywall/
3es
No
easurement6
.hoto 56
7 Recon8gure space77
3'26
"f there is a privacy walland the door swings in isthere at least *: inchesof maneuveringclearance beyond thedoor latch side and atleast :? inches to theprivacy wall if there is nodoor closer or at least >:inches if there is a door
closer/
3es
No
easurement6
.hoto 56
7 Recon8gure space77
#n the Toilet Room
3'24
"s there a clear path to atleast one of each type of81ture e$g$ lavatoryhand dryer etc$ that isat least &( inches wide/
3es
No
easurement6
.hoto 56
7 Removeobstructions
77
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'25
"s there clear =oor spaceavailable for a person in awheelchair to turnaround i$e$ a circle atleast (' inches indiameter or a T+shapedspace within a ('+inch
suare/@
3es
No
easurement6
.hoto 56
@The door to thetoilet room mayswing into thereuired turningspace
7 ove or remove
partitions 81turesor ob!ects such astrash cans
77
3'2+
"n a single user toiletroom if the door swings inand over a clear =oorspace at an accessible81ture is there a clear
=oor space at least &' 1:? inches beyond theswing of the door/
3es
No
easurement6
.hoto 56
7 Reverse door swing7 Alter toilet room7
3'2
"f the mirror is over alavatory or countertop isthe bottom edge of there=ecting surface nohigher than :' inchesabove the =oor/;r
"f the mirror is not overthe lavatory orcountertop is the bottomedge of the re=ectingsurface no higher than &>inches above the =oor/@
3es
No
easurement6
3es
No
easurement6
.hoto 56
@ "f installed before&%>*'%* and thebottom edge of there=ecting surface isno higher than :'inches above the=oor lowering the
mirror to &> inchesis not reuired
7 Iower the mirror7 Add another mirror7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'/,
"f there is a coat hook isit no less than %> inchesand no greater than :?inches above the =oor/
3es
No
easurement6
.hoto 56
7 Ad!ust hook7 Replace with or
provide additionalaccessible hook
7
!avatories(2010 Standards 606) )ote: /,2, "tandards refer to sinks in toilet rooms as lavatories'
3'/
2
Does at least one
lavatory have a clear=oor space for a forwardapproach at least &'inches wide and :?inches long/
3es
No
easurement6
.hoto 56
7 Alter lavatory
7 Replace lavatory7
3'//
Do no less than %H inchesand no greater than *>inches of the clear =oor
space e1tend under thelavatory so that a personusing a wheelchair canget close enough to reachthe faucet/
3es
No
easurement6
.hoto 56
7 Alter lavatory7 Replace lavatory7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'/3
"s the front of thelavatory or countersurface whichever ishigher no more than &:inches above the =oor/
3es
No
easurement6
.hoto 56
7 Alter lavatory7 Replace lavatory7
3'/.
"s there at least *H inchesclearance from the =oorto the bottom of thelavatory that e1tends atleast ? inches under thelav for knee clearance/
3es
No
easurement6
.hoto 56
7 Alter lavatory7 Replace lavatory7
3'/6
"s there toe clearance atleast ) inches high/
09pace e1tending greaterthan ( inches beyond theavailable toe clearance at) inches above the =ooris not considered toeclearance$2
3es
No
.hoto 56
7 Alter lavatory7 Replace lavatory7
3'/
4
Are pipes below the
lavatory insulated orotherwise con8gured toprotect against contact/
3esNo
.hoto 56
7 "nstall insulation
7 "nstall cover panel7
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age %*
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'/5
Can the faucet beoperated without tightgrasping pinching ortwisting of the wrist/
"s the force reuired toactivate the faucet no
greater than > pounds/
3es
No
3esNo
.hoto 56
7 Ad!ust faucet7 Replace faucet7
"oa% Dis%ensers and (and Dryers (2010 Standards 603)
3'/+
Are the operable parts ofthe soap dispenser withinone of the following reachranges6
Above lavatories orcounters no less than *'
inches and no greaterthan *> inches deep6 nohigher than :: inchesabove the =oor/
Above lavatories lessthan *' inches deep6 nohigher than :? inchesabove the =oor/
Not over an obstruction6no higher than :? inchesabove the =oor/
3es
No
easurement6
3es
No
easurement6
3es
No
easurement6
.hoto 56
7 Ad!ust dispensers7 Replace with or
provide additionalaccessibledispensers
7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'/
Are the operable parts ofthe hand dryer or toweldispenser within one ofthe following reachranges6
Above lavatories or
counters no less than *'inches and no greaterthan *> inches deep6 nohigher than :: inchesabove the =oor/
Above lavatories lessthan *' inches deep6 nohigher than :? inchesabove the =oor/
Not over an obstruction6no higher than :? inchesabove the =oor/
Can the operable parts ofthe hand dryer or toweldispenser be operatedwithout tight graspingpinching or twisting ofthe wrist/
"s the force reuired toactivate the hand dryeror towel dispenser nogreater than > pounds/
3es
No
easurement6
3es
No
easurement6
3es
No
easurement6
3es
No
3es
No
easurement6
.hoto 56
7 Ad!ust dispensers7 Replace with or
provide additionalaccessibledispensers
7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
$ater Closets in "inle-;ser Toilet Rooms and Com%artments
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
7 Alterroomcompartmentfor clearance
77
3'3/
"s the height of the watercloset no less than %Hinches and no greaterthan %) inches above the=oor measured to the topof the seat/
3es
No
easurement6 .hoto 56
7 Ad!ust toilet height7 Replace toilet7
3'33
"s there a grab bar atleast :* inches long on
the side wall/
"s it located no more than%* inches from the rearwall/
Does it e1tend at least >:inches from the rear wall/
"s it mounted no less than&& inches and no greaterthan &( inches above the=oor to the top of thegripping surface/
"s there at least %* inchesclearance between thegrab bar and protruding
ob!ects above/@
3es
Noeasurement6
3es
No
easurement6
3es
No
easurement6
3es
No
easurement
7 "nstall grab bar7 Relocate grab bar
7 Relocate ob!ects7
@ "f constructedbefore &%>*'%*grab bars do notneed to berelocated there areno spacereuirements above
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
"s there at least %Jinches clearance betweenthe grab bar andpro!ecting ob!ects below/@
"s the space between thewall and the grab bar % Jinches/
6
3es
No
easurement
6
3es
No
easurement6
3es
Noeasurement6
.hoto 56
and below grab barsin the %))%9tandards
3'3.
"s there a grab bar atleast &( inches long onthe rear wall/
Does it e1tend at least %*
inches from thecenterline of the watercloset on one side 0sidewall2/
Does it e1tend at least *:inches on the other0open2 side/
"s it mounted no less than&& inches and no greater
3es
No
easurement6
3esNo
easurement6
3es
No
easurement
7 "nstall grab bar7 Relocate grab bar7 Relocate ob!ects7
#nstitute for (uman Centered Desin &&&'ADAchecklist'or Priority 3 1 Toilet Rooms*'%% .age %H
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
than &( inches above the=oor to the top of thegripping surface/
Are there at least %*inches clearance betweenthe grab bar and
protruding ob!ectsabove/@
Are there at least %Jinches clearance betweenthe grab bar andpro!ecting ob!ects below/@"s the space between thewall and the grab bar % Jinches/
6
3es
No
easurement6
3es
No
easurement6
3es
No
easurement6
3es
No
easurement6
.hoto 56
@ "f constructedbefore &%>*'%*grab bars do notneed to berelocated there are
no spacereuirements aboveand below grab barsin the %))%9tandards
3'36
"f the =ush control is handoperated is the operablepart located no higherthan :? inches above the=oor/
3es
No
easurement6 .hoto 56
7 ove control7 "nstall sensor with
override button nohigher than :?inches
7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'34
"f the =ush control is handoperated can it beoperated with one handand without tightgrasping pinching ortwisting of the wrist/
"s the force reuired toactivate the =ush controlno greater than >pounds/
3es
No
3esNo
easurement6
.hoto 56
7 Change control7 Ad!ust control7
3'35
"s the =ush control on theopen side of the watercloset/
3es
No
.hoto 56
7 ove control77
3'3+
"s the toilet paperdispenser located no lessthan H inches and nogreater than ) inchesfrom the front of thewater closet to the
centerline of thedispenser/@
3es
No
easurement6
.hoto 56
@ "f constructedbefore &%>*'%*dispenser does notneed to be relocatedif it is within reachfrom the water
closet seat the%))% 9tandards donot specify distancefrom the front of thewater closet
7 Relocate dispenser77
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'3
"s the outlet of thedispenser6
Iocated no less than %>inches and no greaterthan :? inches above the=oor/
Not located behind grabbars/
3es
No
easurement6
3es
No
.hoto 56
7 Relocate dispenser77
3'.,
Does the dispenser allowcontinuous paper =ow/
3es
No
.hoto 56
7 Ad!ust dispenser7 Replace dispenser7
Toilet Com%artments
8/10/2019 Priority3 Word Fillable Form
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
.hoto 56 7 Removeobstructions
7
3'.3
"s the door self+closing/ 3es
No
.hoto 56
7 Add closer7 Replace door7
3'..
Are there door pulls onboth sides of the door
that are operable withone hand and do notreuire tight graspingpinching or twisting ofthe wrist/@
3es
No
.hoto 56
@ "f constructedbefore &%>*'%*
door pulls do notneed to be addeddoor pulls are notreuired in the %))%9tandards
7 Replace hardware77
3'.6
"s the lock operable withone hand and withouttight grasping pinchingor twisting of the wrist/
3esNo
.hoto 56
7 Replace lock77
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'.4
Are the operable parts ofthe door hardwaremounted no less than &:inches and no greaterthan :? inches above the=oor/
3es
No
easurement6 .hoto 56
7 Relocate hardware77
3'.5
"s the compartment atleast (' inches wide/
3es
No
easurement6 .hoto 56
7
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ADA Checklist for Readily Achievable Barrier Removable Priority 3 1 Toilet Rooms
3'6,
"f the door swings in isthe minimum reuiredcompartment areaprovided beyond theswing of the door 0('inches 1 >( inches ifwater closet is wall hung
or >) inches if watercloset is =oor mounted2/
3es
No
easurement6
.hoto 56
7 Reverse door swing7 Alter compartment7
3es
No
.hoto 56
777
3es
No
.hoto 56
777
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