Atc 45 Form PDF Details

In the aftermath of disasters, ensuring the safety of buildings and structures becomes paramount for community recovery and the wellbeing of its residents. The ATC-45 Rapid Evaluation Safety Assessment Form plays a crucial role in this context by providing a structured approach for inspectors to assess the damage to buildings. Developed to facilitate rapid evaluations, the form guides inspectors through a comprehensive checklist, covering not only the observed conditions of the property but also assigning a safety placard based on the level of damage—ranging from "Inspected" (Green placard), indicating minimal to no damage, to "Unsafe" (Red placard), signaling severe hazards that prohibit entry. This assessment includes a detailed examination of both exterior and interior elements if accessible, considering factors like structural damage, hazards due to nonstructural elements, and geotechnical risks. The form also prompts for an evaluation of the primary occupancy type, from residential dwellings to commercial, industrial, and public assembly spaces, thus ensuring a thorough review that is sensitive to the building's use. Importantly, the ATC-45 form not only aids in immediate post-disaster evaluations but also in identifying the need for further detailed inspections or actions, ensuring a path forward toward rehabilitation or necessary cautionary measures. By capturing a snapshot of the building safety post-event, the form serves as a critical tool in disaster recovery efforts, guiding decisions on occupancy and use in the wake of significant events.

QuestionAnswer
Form NameAtc 45 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesAffiliation, atc 45 field manual pdf, vacated, fabricated

Form Preview Example

ATC-45 Rapid Evaluation Safety Assessment Form

Inspection

 

 

 

 

 

Inspector ID:

 

 

 

 

 

Inspection date:

 

Affiliation:

 

 

 

 

Inspection time:

 

Areas inspected:

Exterior only

Exterior and interior

Building Description

 

 

 

Type of Building

 

 

 

 

 

 

 

 

 

 

Building name:

 

 

 

 

Mid-rise or high-rise

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Low-rise multi-family

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Low-rise commercial

AM

PM

Pre-fabricated

One- or two-family dwelling

Building contact/phone:

Number of stories:

“Footprint area” (square feet):

Number of residential units:

Evaluation

Primary Occupancy

Dwelling

Other residential Public assembly Emergency services

Commercial

Government

Offices

Historic

Industrial

School

Other: _______________

Investigate the building for the conditions below and check the appropriate column.

Observed Conditions:

Minor/None Moderate Severe

Collapse, partial collapse, or building off foundation

Building significantly out of plumb or in danger

Damage to primary structural members, racking of walls

Falling hazard due to nonstructural damage

Geotechnical hazard, scour, erosion, slope failure, etc.

Electrical lines / fixtures submerged / leaning trees

Other (specify)

See back of form for further comments.

Posting

Estimated Building Damage

(excluding contents)

None

>0 to <1% 1 to <10%

10 to <30%

30 to <60%

60 to <100%

100%

Choose a posting based on the evaluation and team judgment. Severe conditions endangering the overall building are grounds for an Unsafe posting. Localized Severe and overall Moderate conditions may allow a Restricted Use posting.

INSPECTED (Green placard)

RESTRICTED USE (Yellow placard)

Record any use and entry restrictions exactly as written on placard:

UNSAFE (Red placard)

Number of residential units vacated:

Further Actions Check the boxes below only if further actions are needed. Barricades needed in the following areas:

Detailed Evaluation recommended:

Structural

Substantial Damage determination recommended

Other recommendations:

Geotechnical

Other:

See back of form for further comments.