Form Atc 20 PDF Details

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!

QuestionAnswer
Form NameForm Atc 20
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesplacards, placard, Unreinforced, Localized

Form Preview Example

ATC-20 Rapid Evaluation Safety Assessment Form

Inspection

Inspector ID:

 

Inspection date and time:

 

 

AM

PM

Affiliation:

 

 

Areas inspected:

Exterior only

Exterior and interior

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building Description

Building name:

Address:

Building contact/phone:

Number of stories above ground:

 

below ground:

Approx. "Footprint area" (square feet):

Number of residential units:

Number of residential units not habitable:

Type of Construction

Wood frame

Steel frame

Tilt-up concrete

Concrete frame

Primary Occupancy

Dwelling

Other residential Public assembly Emergency services

Concrete shear wall

Unreinforced masonry

Reinforced masonry

Other:

Commercial

Government

Offices

Historic

Industrial

School

Other:

 

 

 

Evaluation

 

Estimated Building Damage

 

 

 

 

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

 

(excluding contents)

Observed Conditions:

Minor/None Moderate

Severe

None

Collapse, partial collapse, or building off foundation

 

 

0 1%

Building or story leaning

 

 

1 10%

Racking damage to walls, other structural damage

 

 

10

30%

Chimney, parapet, or other falling hazard

 

 

30

60%

Ground slope movement or cracking

 

 

60

100%

Other (specify)

 

 

 

 

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: