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                        Highway Safety Improvement Program Self Assessment Tool


            
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                Appendix A. HSIP Self Assessment Tool Scoring Template
**Section 1 – Leadership**
	Score4.1.1: Is the Highway Safety Improvement Program (HSIP) connected to the Strategic Highway Safety Plan (SHSP) safety goals and objectives?4.1.2: Does the State have a person responsible for leadership and oversight of the HSIP who is authorized to make decisions regarding program implementation?4.1.3: Does the State highway agency have a champion (or champions) for highway safety who regularly promotes and advances HSIP goals and objectives with senior leadership (e.g., Chief Engineer, CEO, etc...)?4.1.4: Are the goals and objectives of the HSIP regularly discussed at the senior managerial level (Chief Engineer, Director, CEO, etc.) in the State transportation agency?SECTION TOTAL:

**Section 2 – Administration**
	Score4.2.1: Does your State highway agency have a staff member who devotes his/her time to management of the Highway Safety Improvement Program (HSIP)?4.2.2: Does your agency have established and documented procedures for administering the HSIP?4.2.3: Do HSIP eligibility policies focus on addressing the greatest safety needs, regardless of jurisdiction (i.e., State roads, locally-owned roads)?4.2.4: Does your State have established guidance defining the criteria for HSIP project eligibility (e.g., project size, specified countermeasures) in your State?SECTION TOTAL

**Section 3 – Planning**
	Score4.3.1: Are crash, roadway and traffic data used in the screening process to identify potential HSIP project locations on the State-owned roadway system?4.3.2: Are crash, roadway and traffic data used in the screening process to identify potential HSIP project locations on the non-state roadway systems?4.3.3: Does the HSIP network screening process in your State incorporate advanced statistical methodologies for determining locations of need?4.3.4: Does your State highway agency evaluate and apply safety countermeasures not only at high-crash locations, but also at high-risk locations?4.3.5: Does the HSIP consider a balance of spot location and systemic safety improvement projects in your state?4.3.6: Does your State highway agency adequately address rural road safety needs at a level consistent with their safety needs?4.3.7: Does your State highway agency analyze location-specific safety-related information to determine the specific safety concerns at potential HSIP project locations?4.3.8: Does the State highway agency consider all contributing factors (driver, vehicle, roadway, environment) when identifying appropriate countermeasures?4.3.9: Are RSAs used to support the HSIP engineering study and countermeasure identification process?4.3.10: Does your State highway agency choose safety countermeasures supported by quantifiable safety benefits (i.e., crash modification factors)?4.3.11: Does your State highway agency use objective criteria to prioritize safety projects for programming?4.3.12: Are planning partners outside the State highway agency involved in the HSIP planning process?4.3.13: Does your State highway agency consider SHSP priorities during project identification and prioritization?SECTION TOTAL

**Section 4 – Implementation**
	Score4.4.1: Is HSIP funding distributed to non-State roadway safety projects in your state proportionate to safety needs?4.4.2: Are other funding sources leveraged to support the use of HSIP funds on safety projects in your state?4.4.3: Does your State highway agency limit the use of HSIP funding to stand-alone safety projects only?4.4.4: Has your State highway agency considered and implemented innovative programming practices to provide time and cost savings to HSIP-funded projects?4.4.5: Has your State highway agency considered and implemented innovative contracting practices to provide time and cost savings to HSIP-funded projects?4.4.6: Does your State highway agency have an established procedure to minimize the impact of project scope increases (i.e., scope creep) on HSIP projects?4.4.7: Does your agency use a tracking system to monitor project implementation?SECTION TOTAL:

**Section 5 – Evaluation**
	4.5.1: Does your agency collect and analyze data to assess the benefits of HSIP-funded safety projects?4.5.2: Does your agency collect and analyze data to assess overall program-level benefits of the HSIP?4.5.3: Does your agency's evaluation of safety projects and programs incorporate advanced statistical methodologies?4.5.4: Does your agency modify policies, procedures, and countermeasures based on historical performance of HSIP-funded safety projects?4.5.5: Does your agency develop its own crash modification factors (CMFs) based on completed HSIP projects?SECTION TOTAL:

**Section 5 – Evaluation**
	Section
			Score1.    Leadership2.    Administration3.    Planning4.    Implementation5.    EvaluationTOTAL:
      
  Book traversal links for Appendix A. HSIP Self Assessment Tool Scoring Template
      ‹ References
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                Book:Highway Safety Improvement Program Self Assessment Tool
              Notices
                Technical Report Documentation Page
                Preface
                Abbreviations
                1. Introduction and Background
                2. Conducting the Self Assessment
                3. Scoring the Self-Assessment
                4. HSIP Self Assessment Tool Questions
                5. Next Steps
                References
                Appendix A. HSIP Self Assessment Tool Scoring Template U.S. DEPARTMENT OF TRANSPORTATION

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