Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

    Shower Rooms
  • location

  • is there at least one accessible bathtub provided

  • is there clear floor space at least the length of the tub and at least 30" wide

  • is there either a permanent seat or a removable in-tub seat provided

  • is the top of the seat between 17" - 19" above the floor

  • if the seat is removable, is the seat depth between 15" - 16" maximum and capable of secure placement

  • if the seat is permanent, is the seat at least 15" deep and extend from the back wall to or beyond the outer edge of the tub

  • are grab bars installed

  • are 2 grab bars installed on the back wall

  • is one installed between 33" - 36" above the floor and one installed 8" minimum and 10" maximum above the rim of the tub

  • is each grab bar at least 24" long and installed 24" maximum from the head end wall and 12" maximum from the control end wall

  • is the space between the wall and the grab bar 1 1/2"

  • is the cross section of the grab bar between 1 1/4" - 2"

  • is there one grab bar at least 24" long installed on the control end of the tub between 33" - 36" above the floor

  • is there one grab bar at least 12" long installed on the head end of the tub between 33" - 36" above the floor

  • do enclosures not obstruct controls, faucets, spray units or transfer from wheelchairs onto tub seats or into tubs

  • do enclosures not have tracks installed on the rim of the open face of the tub

  • are bathtub controls mounted on an end wall

  • are controls mounted between the tub rim and grab bar and between the open side and centerline width of the tub

  • do tub handles operate with one hand and not require tight pinching, twisting or more than 5lb of force?

  • is at least one accessible shower provided?

  • transfer type: minimum 36"x36" with 36" minimum entry and minimum 36"x48" front clear space

  • is a seat provided

  • is the seat 17" - 19" above the floor and on the wall opposite to the controls

  • does the seat extend from the back wall to a point within 3" of the compartment entry

  • is the seat L-shaped

  • is the seat rear edge mounted no more than 2 1/2" and the front edge between 15"-16" from the seat wall

  • is the rear edge of the L portion of the seat no more than 1 1/2" from the wall and the front edge between 14"-15" from the wall

  • is the end of the L portion between 22"-23" from the main seat wall

  • is the seat rectangular

  • is the rear edge no more than 2 1/2" and the front edge between 15"-16" from the seat wall

  • is the side edge no more than 1 1/2" from the adjacent wall

  • roll-in type: minimum 30"x60" with 60" minimum entry and minimum 30"x60" front clear space

  • is a seat provided

  • is the seat a folding type

  • is the seat mounted 17" - 19" above the floor and on the side wall adjacent to the controls

  • does the seat extend from the back wall to a point within 3" of the compartment entry

  • is the seat L-shaped

  • is the seat rear edge mounted no more than 2 1/2" and the front edge between 15"-16" from the seat wall

  • is the rear edge of the L portion of the seat no more than 1 1/2" from the wall and the front edge between 14"-15" from the wall

  • is the end of the L portion between 22"-23" from the main seat wall

  • is the seat rectangular

  • is the rear edge no more than 2 1/2" and the front edge between 15"-16" from the seat wall

  • is the side edge no more than 1 1/2" from the adjacent wall

  • are the controls, faucet and shower spray unit no greater than 48" above the floor?

  • do shower handles operate with one hand and not require tight pinching, twisting or more than 5lb of force?

  • if the shower spray unit has a hose, is it at least 59" long

  • can the shower spray hose be used both in a fixed and hand held position

  • does the shower spray head have an on/off control with non-positive shut off

  • if the stall has an adjustable shower head vertical bar, does it not obstruct the use of grab bars

  • if roll-in type and seat provided, are the controls mounted on the back wall and no more than 27" from the seat wall

  • if transfer-type, are the controls mounted between 38" - 48" above the floor and located on the side wall opposite the seat and no more than 15" from the centerline of the seat toward the shower opening

  • are grab bars installed?

  • if transfer type, is the grab bar mounted across the control wall and back wall to a point 18" from the control wall

  • if roll-in type and seat provided, is the grab bar mounted on the back and side wall opposite the seat and no more than 6" from the adjacent walls

  • are the grab bars mounted between 33" and 36" above the floor

  • is the cross section of the grab bar between 1 1/4" - 2"

  • is the space between the wall and the grab bar 1 1/2"

  • are protruding objects at least 1 1/2" below and no less than 1 1/2" above the grab bar

  • if shower stall is a transfer type, is a folding or non-folding seat provided

  • is the top of the seat between 17" - 19" above the floor

  • does the seat extend from the back wall to a point within 3" of the compartment entry

  • is the rear edge of the rectangular seat no more than 2 1/2" from the seat wall and the front edge of the seat extend between 15" - 16" from the seat wall, and the side edge no more than 1 1/2" from the adjacent wall

  • Locker Rooms
  • Location

  • is there at least 1 accessible locker available for every 200 occupants

  • is there clear floor space of 30"x 48" in front of lockers?

  • do handles operate with one hand and not require tight pinching, twisting or more than 5lb of force

  • Where a forward or side reach exists, is there an unobstructed reach between 15"-48"?

  • are benches at least 42" long, 20"-24" deep, between 17"- 19" high and have 30"x48" of clear floor space?

  • if benches are not against a wall, do they have back support?

  • Observations
  • notes

  • photos

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