Ufas Accessibility Form – Fill Out and Use This PDF

Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

Exterior and Interior Common Use Elements:

Page

Page

Accessible Parking

2

Clothes Lines, Picnic Areas, Play Equipment, Other

29 – 30

Accessible Route

3 – 5

Misc: Community Kitchen; Telephones; Assistive Listening

31 – 32

System

Ramps

6

Signage

7

Dwelling Unit:

Doors

8 – 9

Entrance

33 – 34

Public Offices, Mtg. Rms/Rec/Community Rm., Etc.

10 – 15

Accessible Route

34

Public Restrooms

16 – 20

Bedrooms

35 – 36

Elevators/Platform Lift

21 – 22

Outdoor Spaces

36 – 37

Drinking Fountains/Water Coolers

23

Bathroom

38 – 43

Mailboxes

24

Kitchen

44 – 45

Laundry Facilities

25 – 26

Washer/Dryer, Utility Room

45

Dumpsters and Trash Chutes

27 – 28

Other Controls

46

* Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

** Insert Photograph numbers for all elements and areas of non-compliance.

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Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

ACCESSIBLE PARKING:

NOTE: Photograph building sign before starting the

survey.

Accessible Parking Location:

1. Where parking is provided for all residents, is there

4.6.1;

one accessible space for each accessible dwelling unit?

4.1.1(5)(d)

2. For all Other Parking:

a. Count and record the total number of spaces.

b. Record the number of designated accessible

parking spaces.

4.6.2;

Is designated accessible parking spaces the closest parking

to the nearest accessible entrance, on an accessible route?

4.6.3;

(Measure from centerline of marking to centerline of

Fig. 9;

marking)

1. Is parking space at least 96” wide?

2. Is access aisle the full length of the parking space and

at least 60” wide?

3. If there is no access aisle, is the parking space at least

156” wide?

4.6.3;

Is the slope and cross-slope of parking space & access

aisle no more than 2% in all directions?

4.6.4;

Does each designated accessible parking space have a sign

4.30.5;

with the International Symbol of Accessibility mounted at

4.1.1(7);

least 60” above the space to the bottom of the signage?

4.6.3; 4.5.1;

Surface is firm, stable and slip-resistant?

4.3.6;

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

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Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

ACCESSIBLE ROUTE:

4.3.2(1)

Accessible Route Location:

From public street?

From parking?

From bus stop on site?

From another common use facility on site such as a

community center, clothes line poles, dumpsters, mail

boxes, laundries, playground, or park?

4.7.2; 4.8.2;

Curb Ramps:

4.8.6; 4.7.3;

1.

Slope does not exceed 8.33%?

4.7.4; 4.5.1;

2.

Cross slope no more than 2%?

4.7.5;

3.

Gutter slope no more than 5% in the opposite

Figs. 12 &

direction?

4.3.3;

1.

Minimum clear width at least 36” (width may be

4.4.1;

reduced to 32” for a length of no more than 24”)?

Fig. 7;

2.

Can legally parked cars overhang the path such that

Fig. 8(e);

the accessible route is less the 36” wide?

4.5.1;

Surface:

4.3.8;

1.

Firm, stable and slip-resistant?

4.5.2;

2.

Changes in level between ¼” – ½” shall be beveled?

3.

Changes in level greater than ½” shall be ramped?

4.3.7;

Slope of accessible ramp is 5% or less (if slope is greater

than 5% and it has ramp features, survey it as a ramp)?

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

3 of 46

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

ACCESSIBLE ROUTE:

4.3.7;

Cross-slope is no more than 2%?

4.5.4;

Openings in Grates are no more than ½” in the direction

Fig. 8(g) &

of travel?

(h)

4.4.1;

Protruding Objects: (can be fire extinguishers, underside

4.4.2;

of stairs, signs, shelves, cabinets, tree branches, etc.)

Fig. 8(a);

1.

Does a telephone, sign, shelf, or other object project

Fig. 8(b);

more than 4” into the circulation path and have the

leading edge begin more than 27” and less than 80”

above the floor? (“Yes” is a violation.)

2.

Do pipes, signs, or other objects hang from above to

less than 80” above the circulation path?

3.

If post mounted, is the leading edge more than 27”

above the floor and projects more than 12” into the

circulation path?

4.1.2(12);

Controls: (Can be found on rent drop boxes, light

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

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CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

ACCESSIBLE ROUTE:

4.1.2(11);

Storage: (Of those serving each accessible dwelling unit,

4.1.2(17);

Fixed or built-in tables and work surfaces: (Can be

4.32.3;

tables in laundry rooms, counters in recreation spaces,

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

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Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

RAMPS:

Ramp Location:

4.8.3;

Ramp is at least 36” wide between handrails?

4.8.2;

Slope is no more than 8.33%?

4.8.6;

Cross-slope (slope of ramp that is perpendicular to the

direction of travel) is no more than 2%?

4B .8.6; 4.5.1; Ramp surface is firm, stable and slip-resistant?

4.8.4;

Landings: Ramps must have landings at the top and

bottom, at turns, and must have intermediate landings

whenever the rise is more than 30”. (A 30-foot ramp

sloping at 8.33% has a 30-inch rise.)

4.8.5;

1.

If ramp is longer than 72”, then are handrails

4.8.7;

provided on both sides?

Fig. 17

2.

If ramp or landings have drop-offs, are there curbs,

walls, railings or projecting surfaces that prevent

people from slipping off?

3.

If a curb is provided, is it at least 2” high?

4.8.8;

Can water accumulate on walking surface?

4.26.2;

Handrails:

4.8.5(2), (3),

1.

Diameter of gripping surface between 1 ¼” to 1 ½”?

(5), & (6);

2. Clear space between the handrail and the wall shall be

1 ½” exactly?

3.

If handrails are not continuous, do they extend at

least 12” beyond the top and bottom of each segment?

4.

Ends of handrails are either rounded or returned

smoothly to the floor, wall or post?

5.

Top of handrail gripping surface shall be mounted

between 30” and 34” above the ramp surfaces?

* Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

** Insert Photograph numbers for all elements and areas of non-compliance.

6 of 46

Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

ENTRANCE TO FACILITY:

Location:

4.1.1(7);

Entrance Signage: If not all common use entrances are

4.1.2(15);

Survey Signage designating permanent rooms and spaces

4.30.4;

(including exit signs at doors, elevators, restrooms, room

4.30.3;

numbers, and interior apartment numbers):

4.30.6;

1.

Does the text contrast with the background?

2.

Is the text raised or incised?

3.

Are the characters at least 5/8” but no more than 2”

tall?

4.

Is the sign mounted to the latch side of the door?

5.

Is the centerline of the sign mounted between 54”

and 66” above the floor?

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

7 of 46

Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

DOORS AND GATES:

Location:

4.13.2;

Revolving doors or turnstiles cannot be used as accessible

doors.

4.13.6;

Swinging Doors - Pull side (Choose only one)

Fig. 25(a);

1.

Approaching the door head-on (Fig. 25(a)):

Fig. 25(b);

Is there at least 18” to the latch side?

Fig. 25(c);

Is the depth at least 60”?

2.

Approaching the hinge side of the door (Fig. 25(b)):

Is there at least 36” to the latch side (42” if the

depth is less than 60”)?

Is the depth at least 54”?

3.

Approaching the latch side of the door (Fig. 25(c)):

Is there at least 24” to the latch side?

Is depth at least 48” (54” if door has a closer)?

4.13.6;

Swinging Doors - Push side (Choose only one)

Fig. 25(a);

1.

Approaching the door head-on (Fig. 25(a)):

Fig. 25(b);

Is there at least 12” to the latch side when there

Fig. 25(c);

is both a closer and latch side? If no closer and

latch, there is no requirement.

Is the depth at least 48”?

2.

Approaching the hinge side of the door (Fig. 25(b)):

Is there at least 18” to the hinge side?

Is the depth at least 42” (48” if the door has both

a closer and latch)?

3.

Approaching the latch side of the door (Fig. 25(c)):

Is there at least 24” to the latch side?

Is the depth at least 42” (48” if the door has a

closer)?

* Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

** Insert Photograph numbers for all elements and areas of non-compliance.

8 of 46

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

DOORS AND GATES:

4.13.6;

Sliding Doors (Choose one for each side)

Fig. 25(d);

1.

Approaching the door head-on (Fig. 25(d)):

Fig. 25(e);

Is the depth at least 48”?

Fig. 25(f);

2.

Approaching the slide side of the door (Fig. 25(e)):

Is there at least 18” to the slide side?

Is the depth at least 42”?

3.

Approaching the latch side of the door (Fig. 25(f)):

Is there at least 24” to the latch side?

Is the depth at least 42”?

4.13.7;

Two Doors in a Series (Vestibule): Between the doors, is

Fig. 26

there at least 48” beyond the swing of the doors?

4.13.5;

Clear Door Width is at least 32”? (Measured from the

Fig. 24;

door face to the opposite stop when the door is open 90°.)

4.13.4;

(At double doors, measure using only one door.)

4B .13.10;

Does the door take more than 3 seconds to close?

(From

an open position of 70° to a point 3” from the latch)

4.13.9;

Door Hardware:

4.13.11;

1.

Does not require tight grasping or twisting to

operate? (Lever or push/pulls are acceptable types.)

2.

Mounted no higher than 48” above the floor?

(Including common use dead bolts.)

3.

For interior doors only, opening force is no more than

5 pounds?

4.13.8;

Thresholds:

1.

For exterior sliding doors, the threshold is no higher

than ¾”?

2.

For all other doors, the threshold is no higher than ¾”

(1/2” in New Construction)?

3.

Is the threshold beveled?

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

9 of 46

Facility Name

__________________________________

Name of Reviewer(s)

________________________________

Address

__________________________________

Date(s) of Review

________________________________

Unit/Apartment Number

__________________________________

Date Building was Built

________________________________

Telephone Number

__________________________________

Date(s) of Renovations, if any

________________________________

TDD/TTY Number

__________________________________

(Any structure built after July 11, 1988 is considered New Construction)

CitationB

EXTERIOR AND INTERIOR

Measurements/CommentsB

N/CB

PictureB

COMMON USE ELEMENTS

Finding

No. **

*

PUBLIC OFFICES/MTG ROOMS/REC.

ROOMS/LOBBIES, ETC.:

Location of Public Offices, Etc.:

4.3.3; 4.4.1;

Is the minimum clear width of the accessible route to this

Fig. 7;

space at least 36” wide, with no steps (width may be

Fig. 8(e)

reduced to 32” for a length of no more than 24”)?

4.4.1;

Protruding Objects:

4.4.2;

1.

Does a telephone, sign, shelf, or other object project

Fig. 8(a);

more than 4” into the circulation path and have the

Fig. 8(b);

leading edge begin more than 27” and less than 80”

above the floor? (“Yes” is a violation.)

2.

Do pipes, signs, or other objects hang from above to

less than 80” above the circulation path?

3.

If post mounted, is the leading edge more than 27”

above the floor and projects more than 12” into the

circulation path?

Door:

4.13.6;

Swinging Doors - Pull side (Choose only one)

Fig. 25(a);

1.

Approaching the door head-on (Fig. 25(a)):

Fig. 25(b);

Is there at least 18” to the latch side?

Fig. 25(c);

Is the depth at least 60”?

2.

Approaching the hinge side of the door (Fig. 25(b)):

Is there at least 36” to the latch side (42” if the

depth is less than 60”)?

Is the depth at least 54”?

3.

Approaching the latch side of the door (Fig. 25(c)):

Is there at least 24” to the latch side?

Is the depth at least 48” (54” if the door has a

closer)?

*

Place asterisk in column for findings of non-compliance.

Revised May 7, 2008

**

Insert Photograph numbers for all elements and areas of non-compliance.

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