AMP RUN 1 Pass Fail Ramp Style Running Slope Position · PDF file Fail Pass Fail Company/Agency ADA Curb Ramp New Construction Inspection Form (Perpendicular) Print name clearly Certification

Inspector's Signature

≤ 8.3%

≤ 2.0%

Y

1/4"

Pass

≥ 4.0'

≤2.0%

< 4.0'

Pass

Fail

Pass Fail

Company/Agency

ADA Curb Ramp New Construction Inspection Form (Perpendicular)

Certification No.Print name clearly

Project No.

Date (mm/dd/yy)

Ramp  Position

Corner Position

East-West Road NameNorth-South Road Name Sheet No.

Fail

≤ 8.3%

≤|5.0%|

TURN SPACE

MISCELLANEOUS

Calibration Date

RAMP RUN 1

(mm/dd/yy)

< 10%

Traversable

Intersection No.

Comments:

N/A

≥ 4.0'*1 < 4.0'*1

≤ *

See also Standard Drawings to assess provisions not shown: (inlets, alignment, etc.)

Ramp Style

LANDING

Slope of Road

≤2.0%

2.0%

>2.0%

< 5.0' ≥ 5.0'

Width X

Length Y

Back of Ramp Obstruction (Y/N)

Slope X

Slope Y

Flare Slope 2

Clear Width (feet)

Intersection Control Type

Horizontal Gaps

WashCo ADA 01 (4-2020)

https://www.oregon.gov/odot/Engineering/Documents_RoadwayEng/ADA_ExhibitA.pdf

ADA Curb Ramp Images Attached photos must be in .pdf format in order to be placed

Blank Page

Reset Form: Reset Fields: PUSHBTN_IMG_3: RS1_FAIL: Off DW_PASS: Off DW_FAIL: Off LH_PASS: Off LH_FAIL: Off CRS_PASS: Off CRS_FAIL: Off CS_FAIL: Off CS_PASS: Off FS1_PASS: Off FS1_FAIL: Off CS1_PASS: Off CS1_FAIL: Off FS2_PASS: Off FS2_FAIL: Off LRM_KEY: ADA1_IIT_X_SECT: [ ] ADA1_XST_NM: ADA2_RAMP_POS: [ ] ADA2_RUNNG_SLOPE1: ADA2_X_SLOPE1: ADA2_LIP_HT: [ ] ADA2_GF_SLOPE: ADA2_CURB_RUNNG_SLOPE: ADA2_CNTR_SLOPE: ADA2_WD_X: ADA2_LEN_Y: ADA2_SLOPE_X: ADA2_SLOPE_Y: ADA2_BK_RAMP_OBSTR: [ ] ADA2_FLARE_SLOPE1: ADA2_FLARE_SLOPE2: ADA2_FLARE1_TRVRSBLE: Off ADA2_FLARE2_TRVRSBLE: Off ADA2_COMNT: ADA2_INSP_YR: ADA2_CERT_NO: ADA2_CREW_NO: ADA2_CNSTRC_YR: ADA2_PROJ_NM: ADA2_CNTRCT_NO: ADA2_CAL_DATE: ADA2_RAMP_STYL: [PR] WDX_PASS: Off WDX_FAIL: Off LY_FAIL: Off SLX_PASS: Off SLY_PASS: Off SLY_FAIL: Off ADA2_INSP_NM: ADA2_ORG: RS1_PASS: Off SLX_FAIL: Off ADA2_CNTL_NO: GFS_PASS: Off GFS_FAIL: Off ADA2_SIGNAL_TYPE: [ ] ADA2_CLR_WD: ADA2_SLOPE_ROAD: PUSHBTN_IMG_1: PUSHBTN_IMG_2: PUSHBTN_IMG_4: LANDING_PRSNT: Off NONE_PRSNT: Off CRS_DNE: Off TURN_SPACE_PRSNT: Off ADA2_LEN1: LY_PASS: Off CW_PASS: Off CW_FAIL: Off BOR_PASS: Off BOR_FAIL: Off HG_PASS: Off HG_FAIL: Off DC_SLPY_PASS: Off DC_SLPY_FAIL: Off ADA2_LEN_PASS: Off ADA_LEN_FAIL: Off ADA2_DETCTBL_WRN: [ ] DW_WIDTH: [ ] ADA2_LNG_DIST: