Appendix A

Sidewalk Assessment Process Forms

Name of primary street:
Name of cross street:
Total number of lanes on primary street:
Total distance across primary street (measure with rolatape):
Total number of lanes on cross street:
Total distance across street (measure with rolatape):
Are there any left turn only lanes?	yes---no
Are there any right turn only lanes?	yes---no
Is a right turn on red permitted?	yes---no
Is there a right turn island?	yes---no
Is parking permitted on the primary street?	yes---no
Is parking permitted on the cross street?	yes---no
How many corners have curb extensions (bulbouts)?
Is there a median?	yes---no
If so, is it designed as a pedestrian refuge?	yes---no
Is it identifiable to people with vision impairments?	yes---no
Is it accessible to people with mobility impairments?	yes---no
Does the intersection have four way stop signs?	yes---no
Does the intersection have two way stop signs?	yes---no
Is the intersection signalized?	yes---no
Is there a pedestrian actuated control signal?	yes---no
Location of control:
Information emitted: audible vibrotactile infrared
Is there a high contrast between the button and post color?	yes---no
Is there a tactile arrow indicating the street crossing direction?	yes---no
Height of control:
Dimension of pedestrian button?
Is 5 lbs of force or less required to operate the signal?	yes---no
Is the crosswalk marked?	yes---no
If so, what are the conditions of the markings?
Duration of WALK interval:
Comments:

Environment	FHWA > HEP > Environment
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