----------- ----------- ----------- ----- ------- ----------- -------------------
  Project                                           Project     
  Number:                                           Manager:    

  Project                                           Lead        
  Name:                                             Designer:   

  Design                  ADT:              Date:               
  Speed:                                                        

  Posted                  Location:                             
  Speed:                                                        
  ----------- ----------- ----------- ----- ------- ----------- -------------------

*Please place a mark in the box next to all the Roadside Design
"[Features]{.smallcaps}" appropriate for the project.*

+---+-------------------+---------------------------+--------------------+
|   | **[Featu          | **                        | **[R               |
|   | re]{.smallcaps}** | [Guideline]{.smallcaps}** | emarks/Justificati |
|   |                   |                           | ons]{.smallcaps}** |
+===+===================+===========================+====================+
|   | **CLEAR ZONE**    | Clear Zone Range:         |                    |
|   |                   |                           |                    |
|   | \*See Table 3.1   | Preferred:                |                    |
|   | and 3.2 and       | [     ]{.underline} Used: |                    |
|   | Section 3.3 of    | [     ]{.underline}       |                    |
|   | the RDG.          |                           |                    |
|   |                   |                           |                    |
|   | \*\*See Table 2.1 |                           |                    |
|   | in the FLH        |                           |                    |
|   | Barrier Guide for |                           |                    |
|   | Low Volume and    |                           |                    |
|   | Low Speed Roads   |                           |                    |
|   | for barrier       |                           |                    |
|   | warrants. The FLH |                           |                    |
|   | Barrier Guide is  |                           |                    |
|   | applicable for FL |                           |                    |
|   | projects with     |                           |                    |
|   | existing traffic  |                           |                    |
|   | volumes below     |                           |                    |
|   | 2000 and/or       |                           |                    |
|   | speeds 45 mph or  |                           |                    |
|   | lower.            |                           |                    |
+---+-------------------+---------------------------+--------------------+
|   | **ROADSIDE        | Remove obstacle.          |                    |
|   | OBSTACLES**       |                           |                    |
|   |                   | Redesign the obstacle so  |                    |
|   | including:        | it can safely traversed.  |                    |
|   |                   |                           |                    |
|   | Signs             | Relocate the obstacle to  |                    |
|   |                   | the point where it is     |                    |
|   | Roadway lighting  | less likely to be struck. |                    |
|   |                   |                           |                    |
|   | Traffic signals   | Reduce impact severity by |                    |
|   |                   | using an appropriate      |                    |
|   | Railroad warning  | breakaway device.         |                    |
|   | devices           |                           |                    |
|   |                   | Shield the obstacle with  |                    |
|   | Motorist-aid call | a longitudinal traffic    |                    |
|   | boxes             | barrier designed for      |                    |
|   |                   | redirection and/or using  |                    |
|   | Mailboxes         | a crash cushion.          |                    |
|   |                   |                           |                    |
|   | Utility poles     | Delineate the obstacle if |                    |
|   |                   | the above alternatives    |                    |
|   | Trees and other   | are not appropriate.      |                    |
|   | vegetation        |                           |                    |
|   |                   |                           |                    |
|   | Bollards          |                           |                    |
+---+-------------------+---------------------------+--------------------+
|   | **EMBANKMENT      | Typical Slope:            |                    |
|   | SLOPES**          | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   | Recoverable       |                           |                    |
|   | Parallel Slope    | Any Locations w/ Steeper  |                    |
|   |                   | Slopes:                   |                    |
|   | Non-recoverable   | [                         |                    |
|   | Parallel Slope    |             ]{.underline} |                    |
|   |                   |                           |                    |
|   | \*See example C   | Slopes of 4:1             |                    |
|   | of Section 3.3.4  | (Horizontal:Vertical) or  |                    |
|   | of the RDG to     | flatter are desirable.    |                    |
|   | calculate Clear   |                           |                    |
|   | Runout Area.      | Slopes from 3:1 to 4:1    |                    |
|   |                   | are considered            |                    |
|   |                   | non-recoverable.          |                    |
|   |                   |                           |                    |
|   |                   | Clear Runout Area:        |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
+---+-------------------+---------------------------+--------------------+
|   | **ROADSIDE        | Channel Front Slope:      |                    |
|   | CHANNEL**         |                           |                    |
|   |                   | Required:                 |                    |
|   | \*See Table 3.5   | [     ]{.underline} Used: |                    |
|   | and 3.6 of the    | [     ]{.underline}       |                    |
|   | RDG for preferred |                           |                    |
|   | foreslopes and    | Channel Back Slope:       |                    |
|   | backslopes.       |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
+---+-------------------+---------------------------+--------------------+
|   | **CURB**          | Mountable Curb height:    |                    |
|   |                   | [                         |                    |
|   | \*See Section     |             ]{.underline} |                    |
|   | 3.4.1 of the RDG. |                           |                    |
|   |                   | Non-Mountable Curb        |                    |
|   |                   | height:                   |                    |
|   |                   | [                         |                    |
|   |                   |             ]{.underline} |                    |
+---+-------------------+---------------------------+--------------------+
|   | **DRAINAGE        | Curb opening length:      |                    |
|   | INLETS**          | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   | including:        |                           |                    |
|   |                   | Grate inlet style:        |                    |
|   | Curb and Grate    | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   | Curb opening      |                           |                    |
|   | (including entry  | Is the grate bicycle      |                    |
|   | to waterway)      | safe:                     |                    |
|   |                   | [                         |                    |
|   | Grate inlet       |             ]{.underline} |                    |
|   |                   |                           |                    |
|   | Slotted Drain     |                           |                    |
+---+-------------------+---------------------------+--------------------+
|   | **PIPE CULVERT    | Are Headwalls and/or End  |                    |
|   | END TREATMENTS**; | Sections within the Clear |                    |
|   |                   | Zone?                     |                    |
|   | Headwalls and End | [                         |                    |
|   | Sections          |             ]{.underline} |                    |
|   |                   |                           |                    |
|   | \*See Section     | (If "Yes", then explain   |                    |
|   | 3.4.2 of the RDG  | how it was mitigated.)    |                    |
|   | for more details. |                           |                    |
|   |                   | Possibly extend pipes so  |                    |
|   |                   | that Headwalls and End    |                    |
|   |                   | Sections are past the     |                    |
|   |                   | Clear Zone.               |                    |
|   |                   |                           |                    |
|   |                   | Single structures and end |                    |
|   |                   | treatments wider than 3   |                    |
|   |                   | ft (1 m) can be made      |                    |
|   |                   | traversable by using      |                    |
|   |                   | using bar grates.         |                    |
+---+-------------------+---------------------------+--------------------+
|   | **ROADSIDE        | Roadside Barrier          |                    |
|   | BARRIERS**        | warranted (Section 5.2)?  |                    |
|   |                   | [         ]{.underline}   |                    |
|   | \*Chapter 5 of    |                           |                    |
|   | the RDG           | Barrier type used:        |                    |
|   |                   | [                         |                    |
|   | \*See web site:   |             ]{.underline} |                    |
|   | for approved      |                           |                    |
|   | barriers and end  | End Treatment:            |                    |
|   | treatments.       | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   |                   |                           |                    |
|   |                   | Shy Line Offset (Table    |                    |
|   |                   | 5.4):                     |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Slope in front of         |                    |
|   |                   | barrier:                  |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Slope behind barrier      |                    |
|   |                   | (Section 5.6.2.2):        |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Flare Rate (Table 5.6):   |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Length of Need:           |                    |
|   |                   |                           |                    |
|   |                   | *\*See Figures 5.19 thru  |                    |
|   |                   | 5.27 and Table 5.7*       |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
+---+-------------------+---------------------------+--------------------+
|   | **MEDIAN          | Roadside Barrier          |                    |
|   | BARRIERS**        | warranted (Figure 6.1)?   |                    |
|   |                   | [           ]{.underline} |                    |
|   | \*Chapter 6 of    |                           |                    |
|   | the RDG           | Barrier type used:        |                    |
|   |                   | [                         |                    |
|   | \*See web site:   |             ]{.underline} |                    |
|   | for approved      |                           |                    |
|   | barriers and end  | End Treatment:            |                    |
|   | treatments.       | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   | Also Refer to     |                           |                    |
|   | Section 6.4.1 and | Shy Line Offset (Table    |                    |
|   | 6.5 of the RDG    | 5.4):                     |                    |
|   | for Standard      |                           |                    |
|   | Sections.         | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Slope in front of         |                    |
|   |                   | barrier:                  |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Slope behind barrier      |                    |
|   |                   | (Section 5.6.2.2):        |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Flare Rate (Table 5.6):   |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Length of Need:           |                    |
|   |                   |                           |                    |
|   |                   | *\*See Figures 5.19 thru  |                    |
|   |                   | 5.27 and Table 5.7*       |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
+---+-------------------+---------------------------+--------------------+
|   | **BRIDGE RAILINGS | Railing type used:        |                    |
|   | &**               | [                         |                    |
|   |                   |             ]{.underline} |                    |
|   | **TRANSITIONS**   |                           |                    |
|   |                   | End Treatment:            |                    |
|   | \*Chapter 7 of    | [                         |                    |
|   | the RDG           |             ]{.underline} |                    |
|   |                   |                           |                    |
|   | \*Virtually all   | Slope in front of         |                    |
|   | structures        | barrier:                  |                    |
|   | require some type |                           |                    |
|   | of railing. See   | Required:                 |                    |
|   | web site: for     | [     ]{.underline} Used: |                    |
|   | approved bridge   | [     ]{.underline}       |                    |
|   | railings and end  |                           |                    |
|   | treatments.       | Slope behind barrier      |                    |
|   |                   | (Section 5.6.2.2):        |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Flare Rate (Table 5.6):   |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
|   |                   |                           |                    |
|   |                   | Length of Need:           |                    |
|   |                   |                           |                    |
|   |                   | *\*See Figures 5.19 thru  |                    |
|   |                   | 5.27 and Table 5.7*       |                    |
|   |                   |                           |                    |
|   |                   | Required:                 |                    |
|   |                   | [     ]{.underline} Used: |                    |
|   |                   | [     ]{.underline}       |                    |
+---+-------------------+---------------------------+--------------------+

\**Please note that RDG refers to the AASHTO Roadside Design Guide*