Program Access: Structural Checklist

The following checklists were prepared to assist program managers at GSA
in conducting a self-evaluation of the physical aspects of his/her
program and/or activity:

1.  Physical Accessibility: Rooms and Spaces

2.  Physical Accessibility: Assembly Rooms

3.  Physical Accessibility: Doors and Gates

4.  Physical Accessibility: Signage

5.  Physical Accessibility: Seating, Tables and Work Surfaces

The checklists are for the use of program managers whose programs and/or
activities occupy space within a larger facility.

Generally, program managers are only required to conduct a
self-evaluation of the space that is physically occupied by his/her
programs/activities---where such programs and/or activities are located
within a larger Federal facility. Therefore, this handout omits
checklists related to other elements of structural accessibility---i.e.,
parking, the accessible route of travel from the street/sidewalk, main
entrance, elevators, restrooms and common areas of buildings.

Those managers whose program areas include the main entrance to the
facility, elevator(s), restroom(s), public telephone, drinking
fountains, and/or common areas of buildings should refer to the
[UFAS](http://www.access-board.gov/ufas/ufas-html/ufas.htm) and the
[UFAS checklist](http://www.access-board.gov/ufas/UFASchecklist.txt).
They may be viewed on the U. S. Architectural and Transportation
Standards Board's (i.e., Access Board) website at
http://www.access-board.gov.

Remember, the primary goal is to provide meaningful access to
individuals with disabilities.

**[Areas of a building within a program manager(s) space]{.underline}**:

> Each program manager is responsible for evaluating the area of space
> that is occupied by his/her program or activity, if open to the
> public. Where access is not readily achievable and the structure
> requires modification(s) to make it readily accessible to and usable
> by individuals with disabilities, the program manager must:

1.  Develop a transition plan, identifying the defect(s) and the steps
    that will be required to make the feature accessible and implement;

2.  Relocate the program or activity; or

3.  Develop alternative means to ensure meaningful access for
    individuals with disabilities.

**[Areas of a building not within a program manager(s)
space]{.underline}**:

1\. [Lack of physical access due to a structural barrier:]{.underline}
Where a program manager has been advised of or has personally identified
an area outside of his /her program's space as inaccessible (i.e.,
parking, elevators, main entrance into the building, sidewalk outside of
building), (s)he should report it immediately to his/her regional
accessibility officer.

2\. [Lack of physical access due to a non-structural
barrier]{.underline}: Where a program manager becomes aware of an area
outside of his/her program's space---but still within the same
facility\--as being inaccessible due to a non-structural, physical
barrier (such as boxes, furniture, slippery floors, etc.), (s)he should
report it immediately to the building manager.

**[Definitions]{.underline}**:

1\. [Accessible]{.underline}: Describes a site, building, facility, or
portion thereof that complies with these standards and that can be
approached, entered, and used by individuals with disabilities.

2\. [Accessible Route]{.underline}: A continuous unobstructed path
connecting all accessible elements and spaces in a building or facility.
Interior accessible routes may include corridors, floors, ramps,
elevators, lifts, and clear floor space at fixtures. Exterior accessible
routes may include parking access aisles, curb ramps, walks, ramps, and
lifts.

3\. [Access Aisle]{.underline}: An accessible pedestrian space between
elements, such as, parking spaces, seating, and desks, that provide
clearances appropriate for use of the elements.

4\. [Assembly Area]{.underline}: A room or space accommodating fifty or
more individuals for religious, recreational, educational, political,
social, or amusement purposes, or for the consumption of food and drink,
including all connected rooms or spaces with a common means of egress
and ingress. Such areas as conference rooms would have to accessible in
accordance with other parts of the UFAS, but would not have to meet all
of the criteria associated with assembly areas.

5\. [Common Use]{.underline}*:* Refers to those interior and exterior
rooms, spaces, or elements that are made available for the use of a
restricted group of people (for example, residents of an apartment
building, the occupants of an office building, or the guests of such
residents or occupants.

6\. [Element]{.underline}: An architectural or mechanical component of a
building, facility, space, or site, e.g., telephone, curb ramp, door,
drinking fountain, seating, water closet.

7\. [Entrance]{.underline}: Any access point to a building or portion of
building or facility used for the purpose of entering. An entrance
includes the approach walk, the vertical access leading to the entrance
platform, the entrance platform itself, vestibules if provided, the
entry door(s) or gate(s), and the hardware of the entry door(s) or
gate(s). The principal entrance of a building or facility is the main
door through which most people enter.

**Physical Accessibility**

**Survey Form: Rooms and Spaces**

**Name of
Program/Activity:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Room or Space
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City/State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Person Conducting
Evaluation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

+-----------------------------+-----------+----------+-----------------+
| **Question**                | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1\. Do the doors comply     | 4.13      |          |                 |
| with 4.13? (Use Survey Form |           |          |                 |
| 9: Doors and Gates to       |           |          |                 |
| determine compliance        |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2a. Are aisles at least 36  | 4.3.3     |          |                 |
| inches wide except at doors |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2b. Where the accessible    | 4.3.3     |          |                 |
| pathway makes a U-turn      |           |          |                 |
| around an obstacle which is |           |          |                 |
| less than 48 inches wide,   |           |          |                 |
| does the pathway width      |           |          |                 |
| increase to at least 42     |           |          |                 |
| inches on the approach and  |           |          |                 |
| 48 inches in the turn?      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3\. If the aisles are less  | 4.3.4     |          |                 |
| than 60 inches wide, are    |           |          |                 |
| there passing spaces at     |           |          |                 |
| least 60 inches wide and 60 |           |          |                 |
| inches long within          |           |          |                 |
| reasonable intervals not    |           |          |                 |
| exceeding 200 feet?         |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4a. Is there at least 80    | 4.3.5     |          |                 |
| inches clear head room in   |           |          |                 |
| the accessible space?       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4b. If head room in part of |           |          |                 |
| an accessible space is less |           |          |                 |
| than 80 inches, is there a  |           |          |                 |
| cane detectable barrier     |           |          |                 |
| within 27 inches of the     |           |          |                 |
| floor?                      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5a. If objects mounted to   | 4.4.1     |          |                 |
| the wall have bottom edges  |           |          |                 |
| between 27 and 80 inches    |           |          |                 |
| from the floor, do they     |           |          |                 |
| project less than 4 inches  |           |          |                 |
| into the space? (Wall       |           |          |                 |
| mounted objects with bottom |           |          |                 |
| edges below 27 inches may   |           |          |                 |
| project any amount so long  |           |          |                 |
| as they do not reduce the   |           |          |                 |
| required clear width of an  |           |          |                 |
| accessible route of         |           |          |                 |
| travel.)                    |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5b. Do free standing        |           |          |                 |
| objects mounted on posts    |           |          |                 |
| with bottom edges between   |           |          |                 |
| 27 and 80 inches high       |           |          |                 |
| project less than 12 inches |           |          |                 |
| into the route of travel?   |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5c. Is there an accessible  |           |          |                 |
| path of at least 36 inches  |           |          |                 |
| clear alongside the         |           |          |                 |
| protruding object?          |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Page 2**

**Physical Accessibility**

**Survey Form: Rooms and Spaces**

+-----------------------------+-----------+----------+-----------------+
| **Question**                | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 6\. Are the floors in all   | 4.5.1     |          |                 |
| accessible rooms and spaces |           |          |                 |
| stable, firm, and           |           |          |                 |
| slip-resistant?             |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7a. Is any level change     | 4.3.8;    |          |                 |
| greater than 1/2 inch       | 4.5.2     |          |                 |
| ramped?                     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7b. When floor materials    |           |          |                 |
| change, does the vertical   |           |          |                 |
| difference between them     |           |          |                 |
| meet these provisions?      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7c. If carpet or carpet     |           |          |                 |
| tile is used on the floor,  |           |          |                 |
| is it securely attached?    |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7d. Is it a low pile type   |           |          |                 |
| of carpet with a firm pad   |           |          |                 |
| or no pad underneath it?    |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Physical Accessibility**

**Survey Form: Doors and Gates**

**Name of
Program/Activity:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Room or Space
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City/State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Person Conducting
Evaluation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

+-----------------------------+-----------+----------+-----------------+
| **Question**                | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1\. If a revolving door or  | 4.13.2    |          |                 |
| turnstile is used on an     |           |          |                 |
| accessible route, is an     |           |          |                 |
| accessible door or gate     |           |          |                 |
| provided to facilitate the  |           |          |                 |
| same use                    |           |          |                 |
|                             |           |          |                 |
| pattern?                    |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2\. Do all gates including  | 4.13.3    |          |                 |
| ticket gates meet all the   |           |          |                 |
| applicable specifications   |           |          |                 |
| for doors?                  |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3\. If the doorway has two  | 4.13.4    |          |                 |
| independently operated door |           |          |                 |
| leaves, does at least one   | Also see  |          |                 |
| active leaf provide a 32    | Fig. 25   |          |                 |
| inch clear opening width &  |           |          |                 |
| maneuvering space as shown  |           |          |                 |
| in Figure 25 of UFAS?       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4a. When a door is open 90  | 4.13.5    |          |                 |
| degrees, is there a clear   |           |          |                 |
| opening at least            |           |          |                 |
|                             |           |          |                 |
| 32 inches measured between  |           |          |                 |
| the face of the door and    |           |          |                 |
| the door stop on the        |           |          |                 |
|                             |           |          |                 |
| latch side?                 |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4b. If the door does not    |           |          |                 |
| require full user passage,  |           |          |                 |
| such as a shallow closet,   |           |          |                 |
| is the clear opening at     |           |          |                 |
| least 20 inches?            |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5a. If the door is not      | 4.13.6    |          |                 |
| automatic or power          |           |          |                 |
| assisted, does it have      |           |          |                 |
| maneuvering space relative  |           |          |                 |
| to the direction of         |           |          |                 |
| approach as shown in Figure |           |          |                 |
| 25?                         |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5b.. Is the floor level and |           |          |                 |
| clear within the required   |           |          |                 |
| maneuvering space?          |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 6a. If there are two doors  | 4.13.7    |          |                 |
| in series, is the clear     |           |          |                 |
| space between the walls at  |           |          |                 |
| either end of the vestibule |           |          |                 |
| at least 48 inches plus the |           |          |                 |
| width of the door?          |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 6b. Do the doors in the     |           |          |                 |
| series swing in the same    |           |          |                 |
| direction? OR               |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 6c. Do they swing away from |           |          |                 |
| the space between them?     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Page 2**

**Physical Accessibility**

**Survey Form: Doors and Gates**

+-----------------------------+-----------+----------+-----------------+
| **Question**                | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7a. If there is a raised    | 4.13.8    |          |                 |
| threshold, is it beveled at |           |          |                 |
| 1:2 or less?                |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7b. Is the threshold no     |           |          |                 |
| higher than 1/2 inch?       |           |          |                 |
| (Exception: An exterior     |           |          |                 |
| sliding door can have a 3/4 |           |          |                 |
| inch threshold.)            |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 8a. Are all handles, locks, | 4.13.9    |          |                 |
| and latches operable with   |           |          |                 |
| one hand? Are they operable |           |          |                 |
| without tight pinching,     |           |          |                 |
| tight grasping or twisting  |           |          |                 |
| of the wrist?               |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 8b. If there are sliding    |           |          |                 |
| doors, is the operating     |           |          |                 |
| hardware exposed and usable |           |          |                 |
| from both sides when the    |           |          |                 |
| doors are fully open?       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 8c. Is the hardware mounted |           |          |                 |
| no higher than 48 inches    |           |          |                 |
| above floor level?          |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 9\. If the door has a       | 4.13.10   |          |                 |
| closer, does it take at     |           |          |                 |
| least three seconds to move |           |          |                 |
| from 70 degrees open to a   |           |          |                 |
| point 3 inches from the     |           |          |                 |
| latch?                      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 10\. Do interior doors have | 4.13.11   |          |                 |
| an opening force of 5 lbs   |           |          |                 |
| or less?                    |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 11\. Are doors to hazardous | 4.13.9;   |          |                 |
| areas identifiable to the   | 4.29.3    |          |                 |
| touch by a textured surface |           |          |                 |
| on the door handle, knob,   |           |          |                 |
| pull, or other operating    |           |          |                 |
| hardware?                   |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
|                             |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Physical Accessibility Survey**

**Survey Form: Signage**

**Name of
Program/Activity:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Room or Space
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City/State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Person Conducting
Evaluation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

+-----------------------------+-----------+----------+-----------------+
| **Question**                | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1a. On room signs, do the   | 4.1.1(7); |          |                 |
| letters and numbers have a  | 4.30.2    |          |                 |
| width to height ratio       |           |          |                 |
| between 3:5 and 1:1, and a  |           |          |                 |
| stroke width-to-height      |           |          |                 |
| ratio between 1:5 and 1:10? |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1b. Does the color of the   |           |          |                 |
| characters and symbols      |           |          |                 |
| contrast with the color of  |           |          |                 |
| the background?             |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2\. Does the color of the   | 4.30.3    |          |                 |
| characters and symbols      |           |          |                 |
| contrast with the color of  |           |          |                 |
| the background?             |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3a. Do signs providing      | 4         |          |                 |
| permanent identification of | .1.2(15); |          |                 |
| rooms and spaces have       | 4.30.4    |          |                 |
| raised letters?             |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3b. Are they mounted on the |           |          |                 |
| wall at the latch side of   |           |          |                 |
| the door between 54 and 66  |           |          |                 |
| inches above the floor?     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3c. Are the characters sans |           |          |                 |
| serif?                      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3d. Are the characters and  |           |          |                 |
| symbols on signs raised     |           |          |                 |
| 1/32 inch?                  |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3e. Are the raised          |           |          |                 |
| characters or symbols       |           |          |                 |
| between 5/8 inch and 2      |           |          |                 |
| inches tall?                |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Physical Accessibility Survey**

**Survey Form: Seating, Tables and Work Surfaces**

**Name of
Program/Activity:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Room or Space
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City/State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Person Conducting
Evaluation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

+-----------------------------+-----------+----------+-----------------+
| # Question                  | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1\. Do 5% (but not less     | 4.1.2(17) |          |                 |
| than one) of the built-in   |           |          |                 |
| or fixed seating tables and |           |          |                 |
| work surfaces meet the      |           |          |                 |
| following requirements?     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2a. Do the seating spaces   | 4.32.2;   |          |                 |
| which are provided for      | 4.2.4     |          |                 |
| people in wheelchairs have  |           |          |                 |
| a 30 x 48 inch clear space  |           |          |                 |
| which overlaps an           |           |          |                 |
| accessible route?           |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2b. Is no more than 19      |           |          |                 |
| inches of the 30 x 48 inch  |           |          |                 |
| clear space measured under  |           |          |                 |
|                             |           |          |                 |
| the table?                  |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3\. Is the knee space at    | 4.32.3    |          |                 |
| least 27 inches high, 30    |           |          |                 |
| inches wide, and 19 inches  |           |          |                 |
| deep?                       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4\. Is the top of the table | 4.32.4    |          |                 |
| or work surface between 28  |           |          |                 |
| and 34 inches from the      |           |          |                 |
| floor?                      |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5 Are the aisles between    | 4.3.3     |          |                 |
| tables at least 36 inches   |           |          |                 |
| wide?                       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Physical Accessibility Survey**

**Survey Form: Assembly Rooms (Use in conjunction with "Rooms and
Spaces")**

**Name of
Program/Activity:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Room or Space
Location:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**City/State:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Name of Person Conducting
Evaluation:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

+-----------------------------+-----------+----------+-----------------+
| # Question                  | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 1\. Is the required number  | 4.33.1;   |          |                 |
| of wheelchair locations in  | 4.1.2(18) |          |                 |
| assembly spaces provided?   |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2a. Is the space for 2      | 4.33.2    |          |                 |
| wheelchairs 66 inches wide? |           |          |                 |
| (Please note: There is no   |           |          |                 |
| requirement that wheelchair |           |          |                 |
| spaces must be paired.)     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 2b. If people must wheel    |           |          |                 |
| into the space from the     |           |          |                 |
| side, are the spaces at     |           |          |                 |
| least 60 inches deep?       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 3\. If people can wheel     | 4.33.3    |          |                 |
| into the space from in      |           |          |                 |
| front or behind the space,  |           |          |                 |
| are the spaces 48 inches    |           |          |                 |
| deep?                       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 4\. Are they dispersed      |           |          |                 |
| throughout the seating      |           |          |                 |
| area? (Exception:           |           |          |                 |
| Accessible                  |           |          |                 |
|                             |           |          |                 |
| viewing positions may be    |           |          |                 |
| clustered for bleachers,    |           |          |                 |
| balconies, and other areas  |           |          |                 |
| having sight lines which    |           |          |                 |
| require slopes greater than |           |          |                 |
| 5%.)                        |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 5\. Do they adjoin an       |           |          |                 |
| accessible route that also  |           |          |                 |
| serves as a means of egress |           |          |                 |
| in an emergency?            |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 6\. Are the sightlines from |           |          |                 |
| these seating areas         |           |          |                 |
| comparable to those for all |           |          |                 |
| viewing areas?              |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7a. Are the floor surfaces  | 4.33.4;   |          |                 |
| at and around these seating | 4.5       |          |                 |
| areas level, stable, firm,  |           |          |                 |
| and slip-resistant?         |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7b. Are level changes       |           |          |                 |
| greater than 1/2 inch       |           |          |                 |
| ramped?                     |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7c. Are level changes       |           |          |                 |
| between 1/4 and 1/2 inch    |           |          |                 |
| beveled with a maximum      |           |          |                 |
| slope of 1:2?               |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7d. If carpet is used in    |           |          |                 |
| the area, is it a low pile  |           |          |                 |
| type with firm padding or   |           |          |                 |
| no padding underneath it?   |           |          |                 |
+-----------------------------+-----------+----------+-----------------+

**Page 2**

**Physical Accessibility Survey**

**Survey Form: Assembly Rooms (Use in conjunction with "Rooms and
Spaces")**

+-----------------------------+-----------+----------+-----------------+
| # Question                  | **UFAS**  | **Yes or | **Comment**     |
|                             |           | No N/A** |                 |
|                             | **Re      |          |                 |
|                             | ference** |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7e. Where floor materials   |           |          |                 |
| change, is the vertical     |           |          |                 |
| difference between them     |           |          |                 |
| less than 1/4 inch?         |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 7f. If the vertical         |           |          |                 |
| difference is between 1/4   |           |          |                 |
| and 1/2 inch, is it beveled |           |          |                 |
| with a slope of 1:2 or      |           |          |                 |
| less?                       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 8\. Is there an accessible  | 4.33.5    |          |                 |
| route connecting wheelchair |           |          |                 |
| seating locations and       |           |          |                 |
| performance areas including |           |          |                 |
| stages, arena floors,       |           |          |                 |
| dressing rooms, locker      |           |          |                 |
| rooms, and other spaces     |           |          |                 |
| used by performers?         |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 9a. If the assembly area    | 4.1.2     |          |                 |
| has an audio-amplification  | (18)      |          |                 |
| system, is there a          |           |          |                 |
| listening system for        |           |          |                 |
| persons with severe hearing |           |          |                 |
| loss?                       |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 9b. If the area is used     |           |          |                 |
| primarily as meeting or     |           |          |                 |
| conference space or has no  |           |          |                 |
| amplification system, is    |           |          |                 |
| there a permanently         |           |          |                 |
| installed or portable       |           |          |                 |
| listening system?           |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 10a. If the listening       | 4.33.6    |          |                 |
| system serves individual    |           |          |                 |
| fixed seats, are these      |           |          |                 |
| seats located within a 50   |           |          |                 |
| foot viewing distance of    |           |          |                 |
| the stage or playing area?  |           |          |                 |
+-----------------------------+-----------+----------+-----------------+
| 10b. Do these seats have a  |           |          |                 |
| complete view of the stage  |           |          |                 |
| or playing area?            |           |          |                 |
+-----------------------------+-----------+----------+-----------------+