The American With Disabilities Act (Ada) Attestation Form Page 2
ADVERTISEMENT
1
2
3
45. For a provider with a disability-accessible parking space, is there a
path of travel from the disability-accessible parking space to the
facility entrance that does not require the use of stairs?
Yes
No
Is the path of travel stable, firm and slip resistant?
Yes
No
N/A
Except for curb cuts, is the path at least 36 inches wide?
Yes
No
N/A
6. Is there a method for persons using wheelchairs or that
require other mobility assistance to enter as freely as
everyone else?
Yes
No
Is that route of travel safe and accessible for everyone,
including people with disabilities?
Yes
No
N/A
7. Does the main exterior entrance door used by persons with mobility
disabilities to access public spaces meet the following standards:
32 inches clear opening.
Yes
No
18 inches of clear wall space on the pull side of the door,
next to the handle.
Yes
No
The threshold edge is no greater than ¼ inch high or if beveled,
no greater than ¾ inches high.
Yes
No
The door handle is no higher than 48 inches high and can
be operated with a closed fist.
Yes
No
8. Are there ramps to permit wheelchair access?
Yes
No
If yes, complete the following 4 questions:
Are the slopes of the ramp accessible for
wheelchair access?
Yes
No
Are the railings sturdy and high enough for
wheelchair access?
Yes
No
Is the width between railings wide enough to
accommodate a wheelchair?
Yes
No
Are the ramps nonslip and free from any
obstruction (cracks)?
Yes
No
9. If there are stairs at the main entrance, is there also a ramp
or lift or is there an alternative accessible entrance?
Yes
No
10. Do any inaccessible entrances have signs indicating the
location of the nearest accessible entrance?
Yes
No
11. Can the accessible entrance be used independently
and without assistance?
Yes
No
12. Are doormats ½ inch high or less with
beveled or secured edges?
Yes
No
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business