Form ATC 20 is a Department of Transportation form used to request an exemption from Federal Motor Carrier Safety Regulations. This form can be used by commercial motor carriers to request an exemption from specific safety regulations, or by drivers who need an exemption from certain driving restrictions. Exemptions may be granted for a variety of reasons, including religious beliefs or medical conditions. If you need to file a Form ATC 20, it is important to understand the requirements and process involved. Our team at TruckingInfo can help you with everything you need to know about this process. Contact us today for more information!
Question | Answer |
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Form Name | Form Atc 20 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | placards, placard, Unreinforced, Localized |
Inspection
Inspector ID: |
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Inspection date and time: |
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AM |
PM |
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Affiliation: |
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Areas inspected: |
Exterior only |
Exterior and interior |
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Building Description
Building name:
Address:
Building contact/phone:
Number of stories above ground: |
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below ground: |
Approx. "Footprint area" (square feet):
Number of residential units:
Number of residential units not habitable:
Type of Construction
Wood frame
Steel frame
Concrete frame
Primary Occupancy
Dwelling
Other residential Public assembly Emergency services
Concrete shear wall
Unreinforced masonry
Reinforced masonry
Other:
Commercial |
Government |
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Offices |
Historic |
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Industrial |
School |
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Other: |
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Evaluation |
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Estimated Building Damage |
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Investigate the building for the conditions below and check the appropriate column. |
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(excluding contents) |
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Observed Conditions: |
Minor/None Moderate |
Severe |
None |
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Collapse, partial collapse, or building off foundation |
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0 −1% |
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Building or story leaning |
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1 −10% |
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Racking damage to walls, other structural damage |
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10 |
− 30% |
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Chimney, parapet, or other falling hazard |
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30 |
− 60% |
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Ground slope movement or cracking |
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60 |
− 100% |
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Other (specify) |
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100% |
Comments:
Posting
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. Post INSPECTED placard at main entrance. Post RESTRICTED USE and UNSAFE placards at all entrances.
INSPECTED (Green placard) |
RESTRICTED USE (Yellow placard) |
Record any use and entry restrictions exactly as written on placard:
UNSAFE (Red placard)
Further Actions Check the boxes below only if further actions are needed.
Barricades needed in the following areas:
Detailed Evaluation recommended:
Other recommendations:
Comments:
Structural
Geotechnical
Other: