| Project Name | |
|---|---|
| Address | |
| Date | |
| Assessor |
| Item | Code Reference | Compliant | Comments |
|---|---|---|---|
| Accessible Entrances | |||
| Accessible Route(s) | |||
| Ramps and Slopes | |||
| Door Width & Hardware | |||
| Elevators & Lifts | |||
| Signage | |||
| Accessible Restrooms | |||
| Parking Spaces | |||
| Fire Alarms & Visual Signals | |||
| Drinking Fountains | |||
| Public Telephones |
| Name | |
|---|---|
| Date | |
| Signature |