INDIVIDUAL UNITS – UNIT # ________

UNIT TYPE:   _____

BR: ___

BA: ___

ANSI Type

[A or B]:

DOOR TO UNIT

·         Steps? [Y/N]

·         Obstructions? [Y/N]

·         Threshold Height

·         FORCE TO OPEN (lbs): _______

·         FORCE TO CLOSE/TIME TO CLOSE (Automatic)

·         HEIGHT OF DOOR HANDLE ________ (34” min/48”max)

·         Height of Deadbolt Lock __________ (34” min/48”max)

·         TYPE OF OPENING HARDWARE (Outside of door)

·         Clear Width Opening of Door

·         Total # doors in unit (exclude closets, unless walk-in)

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

KITCHEN

·         Type of kitchen (U-shaped, Galley, Island, L-shaped)

·         60” clear turning space (U-shaped only)? [Y/N]

·         40” clear turning space” (U-shaped only, if knee space under sink)? [Y/N]

·         Is sink at base of U (U-shaped only)? [Y/N]

·         Cabinets under sink removable? [Y/N]

o   If yes…, Knee/foot Space Dimensions

§  Height

§  Width

§  Depth

§  Pipes covered?

·         Space between counters/island: _______”  _______”

·         Electrical outlets above counter, how many? ________

·         Distance from outlet to counter corner:

·         Other electrical outlets available?

·         Height of light switches:

·         30x48” cfs at each appliance? [Y/N]

o   Sink

§  [parallel or 45 degrees to counter]

o   Refrigerator

o   Stove

o   Dishwasher

·         Parallel approach possible at sink? [Y/N]

o   If no, why not? __________________________

·         Parallel approach possible at stove? [Y/N]

o   If no, why not? __________________________

·         Parallel approach possible at dishwasher? [Y/N]

o   If no, why not? __________________________

·         Height from floor to countertop: ___________”

·         Depth of counter _____________”

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

LIVING ROOM

·         Environmental controls under 48”? [Y/N]

o   Obstructions? [Y/N]

·         Horizontal depth of obstruction ________”

·         Outlets above 15”? [Y/N]      Total # Outlets: _______

·         Number of outlets that are non-compliant _________

·         Is fan speed controlled by rheostat? [Y/N]

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence::

INDIVIDUAL UNITS – UNIT #

INDIVIDUAL UNITS – UNIT #

PATIO/BALCONY

·         Patio/Balcony present? [Y/N]

·         Number of entrances to patio/balcony ___

·         Patio/balcony door 1 clear opening width __________”

·         Door type: ___ Sliding,  ___ Hinged

·         Patio/balcony door 2 clear opening width __________”

·         Door type: ___ Sliding,  ___ Hinged

PATIO/BALCONY

·         Outside drop from door 1 to patio/balcony surface?

·         Inside drop to floor at patio/balcony door 1?

·         Difference in height between indoor and outdoor? ______

·         Outside drop from door 2 to patio/balcony surface?

·         Inside drop to floor at patio/balcony door 2?

·         Difference in height between indoor and outdoor? ______

·         What is patio/balcony made of? [Concrete/Wood/Other]

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

BEDROOM #1

·         # doors in bedroom ____________

·         Door type: ___ Sliding,  ___ Hinged

·         Doors 31 5/8” wide minimum? [Y/N]

·         Environmental controls under 48”? [Y/N]

·         Electrical outlets over 15”? [Y/N]  Total # Outlets: ______

·         Number electrical outlets below 15” _____

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

BEDROOM #2

·         # doors in bedroom ____________

·         Door type: ___ Sliding,  ___ Hinged

·         Doors 31 5/8” wide minimum? [Y/N]

·         Environmental controls under 48”? [Y/N]

·         Electrical outlets over 15”? [Y/N]  Total # Outlets: ______

·         Number electrical outlets below 15” _____

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

BEDROOM #3

·         # doors in bedroom ____________

·         Door type: ___ Sliding,  ___ Hinged

·         Doors 31 5/8” wide minimum? [Y/N]

·         Environmental controls under 48”? [Y/N]

·         Electrical outlets over 15”? [Y/N]  Total # Outlets: ______

·         Number electrical outlets below 15” _____

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence:

INDIVIDUAL UNITS – UNIT #

*Note: cfs = clear floor space

BATHROOM #1

·         FHADM Specification A or B?

·         # doors in bathroom ____________

·         Door type: ___ Sliding,  ___ Hinged

·         Door 31 5/8” wide minimum? [Y/N]

·         Describe: Shower / tub / both / neither?

·         Seat? [Y/N]          Roll-in? [Y/N]    

·         30x48” cfs* outside of swing of door? [Y/N]

·         Grab bars? [Y/N]

o   If yes, height of grab bars: ____________”

·         If shower only, interior 36x36”? [Y/N]

TOILET

·         Grab bar side to centerline of toilet: ___________”

·         Non-grab bar side to centerline of toilet: ___________”

·         Total distance from grab-bar side to obstruction on other side? ______________________

·         Height from floor to toilet seat: _____________”

·         Depth from wall to front of toilet: _______________”

SINK

·         Number of sinks: _________

·         Is one sink accessible?  [Y/N]

·         Are ALL sinks accessible?  [Y/N]

·         Center of each sink 24” from obstructions? [Y/N]

·         Space to Left of Sink Centerline: ___________”

·         Space to Right of Sink Centerline: ___________”

·         Cabinets below sink? [Y/N]

·         Cabinets removable? [Y/N]

o   If yes, are floor and walls finished below? [Y/N]

o   Knee/foot space below sink:

o   Height available: ____________”

o   Width available: ____________”

o   Depth available: ____________”

·         Height from floor to countertop: ___________”

·         Are outlets & controls usable [Y/N]

·         Towel rack [Y/N]            Height: __________”

SCOPING:

[ ] FHADM

[ ] IBC ______

TECHNICAL:

[ ] _________

Precedence::

INDIVIDUAL UNITS – UNIT #

BATHROOM #2

·         FHADM Specification A or B?

·         # doors in bathroom ____________

·         Door type: ___ Sliding,  ___ Hinged

·         Door 31 5/8” wide minimum? [Y/N]

·         Describe: Shower / tub / both / neither?

·         Seat? [Y/N]          Roll-in? [Y/N]    

·         30x48” cfs* outside of swing of door? [Y/N]

·         Grab bars? [Y/N]

o   If yes, height of grab bars: ____________”

·         If shower only, interior 36x36”? [Y/N]

TOILET

·         Grab bar side to centerline of toilet: ___________”

·         Non-grab bar side to centerline of toilet: ___________”

·         Total distance from grab-bar side to obstruction on other side? ______________________

·         Height from floor to toilet seat: _____________”

·         Depth from wall to front of toilet: _______________”

SINK

·         Number of sinks: _________

·         Is one sink accessible?  [Y/N]

·         Are ALL sinks accessible?  [Y/N]

·         Center of each sink 24” from obstructions? [Y/N]

·         Space to Left of Sink Centerline: ___________”

·         Space to Right of Sink Centerline: ___________”

·         Cabinets below sink? [Y/N]

·         Cabinets removable? [Y/N]

o   If yes, are floor and walls finished below? [Y/N]

o   Knee/foot space below sink:

o   Height available: ____________”

o   Width available: ____________”

o   Depth available: ____________”

·         Height from floor to countertop: ___________”

·         Are outlets & controls usable [Y/N]

·         Towel rack [Y/N]            Height: __________”

INDIVIDUAL UNITS – UNIT #

HALLWAY

·         Environmental controls under 48”? [Y/N]

·         Width of hallway 36” or greater? [Y/N]

·         Outlets above 15”? [Y/N] Total # Outlets: ______

INDIVIDUAL UNITS – UNIT #

LAUNDRY

·         (Common area) / private?

·         30x48” cfs at washer/dryer? [Y/N]

·         Door (32”) 31 5/8” wide minimum? [Y/N]

GRAB BAR REINFORCEMENT

·         Were grab bar reinforcement areas placed in walls during construction around tubs, toilets and showers? If yes…:

o   Toilets

§  How many reinforced areas are there?

§  Where are they located (e.g., rear, and/or to the grab bar or non-grab bar side of the toilet, floor)?

§  What is the height from the finished floor to the bottom edge of each reinforced area?

§  What is the vertical length of each reinforced area?

§  What is the horizontal length of each reinforced area?

§  What is the distance from grab-bar side wall to centerline of toilet?

§  Specify the type of reinforcement (e.g., stud wall, solid wood blocking or other solid material, whole wall or large area with plywood, metal reinforcing plate, etc.)?

o   Conventional bathtubs

§  How many reinforced areas are there?

§  Where are they located (e.g., to the side, rear, or foot of bathtub)?

§  What is the height from the finished floor to the bottom edge of each reinforced area?

§  What is the vertical length of each reinforced area?

§  What is the horizontal length of each reinforced area?

§  Horizontal distance to the closest wall for each reinforced area?

§  Specify the type of reinforcement (e.g., stud wall, solid wood blocking or other solid material, whole wall or large area with plywood, metal reinforcing plate, etc.)?

o   Shower Stalls

§  How many reinforced areas are there?

§  Where are they located (e.g., shower controls wall,  the side walls, or back wall of shower stall)?

§  What is the height from the finished floor to the bottom edge of each reinforced area?

§  What is the vertical length of each reinforced area?

§  What is the horizontal length of each reinforced area?

§  Specify the type of reinforcement (e.g., stud wall, solid wood blocking or other solid material, whole wall or large area with plywood, metal reinforcing plate, etc.)?