Inspector's Signature

≤ 8.3%

≤ 2.0%

(TD, X)

0"

Pass ≥ 4.0'

≤2.0% >2.0%

< 4.0'

≥ 4.0' < 4.0'

Pass

Fail

Pass Fail

Company/Agency

ADA Curb Ramp New Construction Inspection Form (Perpendicular)

Certification No.Print name clearly

Construction Year

Crew No. (ODOT)

Date (mm/dd/yy)

Ramp Position

CornerPosition

Cross Street NameMPProject Name (Section) Contract No.

734-5020F (5-2020)

the flared style

Fail

≤ *2

≤|5.0%|

TURN SPACE

MISCELLANEOUS

> 8.3%

> 2.0%

Calibration Date

RAMP RUN 1

Running Slope 1

Length 1

Cross Slope 1

Detectable Warning

Lip Height

Gutter Flow Slope

Curb Running Slope (avg)

Counter Slope (+/-)

(mm/dd/yy)

>10%≤ 10%

(N,IITD,DMG TD)

Traversable

Physical Condition (G,P)

Functional Condition (G,P)

Width X

Length Y Back of Ramp Obstruction (Y/N)

Slope X

Slope Y

Highway No.

>|5.0%|

See Exhibit A for more intersection styles

Comment:

N/A

CRKDOEXPGB

ICRRINLET XINGSTR

See also Standard Comments for full list of acceptable comments

FT BT

≥ 4.0'* < 4.0'*

DE

DE

DE

Fail DE Fail DE

Flare Slope 1

Flare Slope 2

Clear Width (feet)

Intersection Condition Type

Design Ex. Control Number

≤ *1

See also Standard Drawings to assess provisions not shown: (inlets, alignment, etc.)

LANDING

Slope of Road

≤2.0% >2.0%

>10%≤ 10%

NONE

Pass FailDIRECTIONAL CURB DE

Directional Curb Running Slope

Directional Curb Cross Slope

≤ 4.9%

≤ *1

> 4.9%

> *1

https://www.oregon.gov/odot/Construction/Pages/Forms.aspx

> 0"

> *1

>*2

*2 CRS must be ≤ 4.9% when there is a Directional Curb present, else ≤ 8.3%

Ramp Style

Functional Condition Description: Good (G) = all applicable boxes pass OR a Design Exception addresses criteria that do not pass. Poor (P) = any applicable box failsPhysical Condition Description: Good (G) = the concrete within the Pedestrian Circulation Area (includes flares and path back to existing sidewalk) contains no cracks or deformations Poor (P) = any part of the concrete within the Pedestrian Circulation Area (includes flares and transition panels) contains cracks or deformations

*1 The passing value for Gutter Flow Slope (GFS) and DirectionCurb Cross Slope depend on the Intersection Condition Type.At a Midblock (MB), slopes must be ≤ Slope of the Road, atSignalized or Uncontrolled (SU), slopes must be ≤ 5.0%, and atStop or Yield (SY), slopes must be ≤ 2.0%.

OregonDepartment of Transportation

ADA Curb Ramp Images Attached photos must be in .pdf format in order to be placed