Form 734-5020e - Ada Curb Ramp Inspection (Parallel)
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1
2ADA Curb Ramp Inspection Form (Parallel)
Submit by E-mail
Oregon
Department of
Transportation
Project Name (Section)
Construction Year
Contract No. Highway No.
MP
Cross Street Name
Calibration Date
(mm/dd/yy)
PL
Pass
Fail
RAMP RUN 1
Ramp Style
Corner
≤ 2.0%
> 2.0%
Position
Running Slope 1
Cross Slope 1
≤ 2.0%
> 2.0%
(TD, X)
(N)
Detectable Warning
Lip Height
≤ 1/4"
> 1/4"
Gutter Flow Slope
Curb Running Slope
≤ 8.3%
> 8.3%
(avg)
Counter Slope (+/-)
≤ 5.0%
> 5.0%
Slope Differential
Ramp
Position
Pass
Fail
RAMP RUN 2
Function Condition (G,F,P)
≤ 8.3%
> 8.3%
Running Slope 2
Good (G) = all applicable boxes on left pass
Run 2 Length
≤ 15'
> 15'
OR Design Exception addresses criteria that do not pass
≤ 2.0%
> 2.0%
Cross Slope 2
Fair (F) = all boxes on left pass, except Detectable Warning
Fail
Poor (P) = any box fails other than Detectable Warning
RAMP RUN 3
Pass
See also Standard Drawings RD755 and TM458 to
≤ 8.3%
> 8.3%
Running Slope 3
assess provisions not shown: (flares, inlets,
Run 3 Length
≤ 15'
> 15'
alignment, etc.)
Comment:
Cross Slope 3
≤ 2.0%
> 2.0%
Pass
Fail
TURNING SPACE
Width X
≥ 4'*
< 4'*
Length Y
and
or
Slope X
(Cross Slope 1)
≤2.0%
>2.0%
Slope Y
(Running Slope 1)
Pass
Fail
MISCELLANEOUS
< 4'
≥ 4'
Clear Width (feet)
Inspector's Signature
Date
(mm/dd/yy)
Physical Condition (G,F,P)
Print name clearly
Certification No.
ADA Design Exception (Y,N)
Design Ex. Control Number
Company/Agency
Crew No. (ODOT)
734-5020E (02-23-2017)
oregon.gov/ODOT/HWY/CONSTRUCTION/Pages/HwyConstForms1 aspx
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