Accessibility_Checklist.doc
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Accessibility_Checklist.doc
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ACCESSIBILITYCHECKLIST
Thischecklisthelpsemployersaddressandimprovethegeneralaccessibilityoftheirbuildingsandinteriorspaces.Personswhohaveaccessibilityrequirementsoruseassistivedevices(ex:
wheelchair,scooter,walker,cane,etc.)shouldbeconsultedandaccommodatedbasedontheirindividualneeds.
Employer:
__________________________________________________________________
Date:
_______________________________
Locationofpremisesbeingreviewed(separatereviewforeachbuilding\premise):
___________________________________________________________________________
Nameandpositionofpersonconductingaccessibilityreview:
Nameandpositionofothersassistinginreview:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Interviewees:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
***
Generaldescriptionofbuilding
Singlestorey _____Yes_____No
Multi-storey _____Yes_____No
Single,free-standingbuilding _____Yes_____No
Formspartofacomplex _____Yes_____No
Ageofbuilding _____Under15yrs. _____15-30yrs. _____Over30yrs.
Sizeofbuilding _____Small _____Medium _____Large
Conditionofbuilding _____Fair _____Good _____VeryGood
Hassomeretrofittingtoaccommodatepersonswhouse
assistivedevices _____Yes_____No
Employeeparkingavailable _____Yes_____No
Visitorparkingavailable _____Yes_____No
Otherrelevantfactorsandcomments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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***
Accesstobuilding
Accessroutesclearofobstructions _____Yes_____No
Designatedparkingforpersonswithdisabilities _____Yes_____No
Numberofdesignatedparkingspacesavailable _____
Designatedparkingclosetomainpublicentrance _____Yes_____No
Designatedparkingclosetoemployeeentrance _____Yes_____No
Pavedaccessfromdesignatedparkingorstreet _____Yes_____No
Conditionofpavementfromdesignated
parkingorstreet _____Fair_____Good
Nostepsleadingtobuildingfromdesignated
parkingorstreet _____Yes_____No
Nostepsoninsideofbuildingtoaccesspremises _____Yes_____No
Accessibleelevatortopremises(activatedbykeyor
Operator) _____Yes_____No
Adequatelightingfromparkingorstreettobuilding _____Yes_____No
Otherrelevantfactorsandcomments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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***
Mainentrancedoors
Adequatesignagetoindicatelocationofmainentrance _____Yes_____No
Accessclearofobstructions _____Yes_____No
Adequatelightingaroundmainentrance _____Yes_____No
Levelentryintobuilding _____Yes_____No
Rampwithhandrailsoneitherside _____Yes_____No
Rampinclinesafeforunaccompaniedpersons
whouseassistivedevices _____Yes_____No
Conditionoframp _____Fair _____Good _____VeryGood
Adequatelightingonramp _____Yes_____No
Automaticdooropeners _____Yes_____No
Pushbuttoneasytofindanduse _____Yes_____No
Automaticdoorallowsenoughtimetoenter
orexitwithoutassistance _____Yes_____No
Alternatedoorswhererevolvingdoorsarepresent _____Yes_____No
Successivedoorsallopeninthesamedirection _____Yes_____No
Easeofopeningdoors _____Fair _____Good _____VeryGood
Ifnopushbutton,signaltoalertsomeonefor
assistancetoenterbuilding _____Yes_____No
Presenceofsomeonetorespondtosignalforentry _____Yes_____No
Easeofnegotiatingsecuritymeasures _____Fair _____Good _____VeryGood
Securitycodesuseconsecutivenumbers
(noneedtopushnumberssimultaneously) _____Yes_____No
DirectorysignageinBraille andinhighrelief _____Yes_____No
Presenceofsomeonetodirectvisitors _____Yes_____No
Otherrelevantfactorsandcomments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
***
Alternateentrances
Adequatesignagetoindicatelocationofalternateentrances _____Yes_____No
Alternateaccessnearmainentrance _____Yes_____No
Adequatelightingaroundalternateentrances _____Yes_____No
InsidesignageinBrailleandin
highrelieftoidentifylocation _____Yes_____No
Accessclearofobstructions _____Yes_____No
Levelentryintobuilding _____Yes_____No
Rampwithhandrailsoneitherside _____Yes_____No
Rampinclinesafeforunaccompaniedpersons
whouseassistivedevices _____Yes_____No
Conditionoframp _____fair _____good _____verygood
Adequatelightingonramp _____Yes_____No
Automaticdooropeners _____Yes_____No
Pushbuttoneasytofindanduse _____Yes_____No
Automaticdoorallowsenoughtimetoenter
orexitwithoutassistance _____ Yes_____NoAlternatedoorswhererevolvingdoorsarepresent _____Yes_____No
Successivedoorsallopeninthesamedirection _____Yes_____No
Easeofopeningdoors _____fair _____good _____verygood
Alertsignaltorequestassistanceinenteringbuilding _____Yes_____No
Presenceofsomeonetorespondtosignal _____Yes_____No
Easeofnegotiatingsecuritymeasures _____fair _____good _____verygood
Securitycodesuseconsecutivenumbers
(noneedtopushnumberssimultaneously) _____Yes_____No
Otherrelevantfactorsandcomments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
***
Doorswithinbuilding
Accessclearofobstructions _____Yes_____No
Automaticdooropeners _____Yes_____No
Pushbuttoneasytofindanduse _____Yes_____No
Successivedoorsallopeninthesamedirection _____Yes_____No
Lever-styledoorhandles _____Yes_____No
Easeofopeningdoors _____fair _____good _____verygood
Automaticdoorallowsenoughtimetoenter _____Yes_____No
orexitwithoutassistance
Easeofnegotiatingsecuritymeasures _____fair _____good _____verygood
Securitycodesuseconsecutivenumbers
(noneedtopushnumberssimultaneously) _____Yes_____No
Accessbycard _____Yes_____No
HallwayhassignageinBrailleandhighrelief
indicatingupcomingstairs _____Yes_____No
StairwelldoorshavesignageinBrailleandhighrelief
indicatingfloorlevel (outsidestairwell) _____Yes_____No
StairwelldoorshavesignageinBrailleandhighrelief
indicatingfloorlevel (insidestairwell) _____Yes_____No
Otherrelevantfactorsandcomments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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***
Elevators
Mirrorinelevatordisplaysfloorlevel
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