Survey Form 1: Parking

Section	Item	Technical Requirements	Comments	Yes	No
4.1.2(5); 4.6.1	Number - Accessible Parking Spaces:	Where parking spaces are provided for self-parking by employees or visitors or both, are the required number of accessible parking spaces complying with 4.6 (see below) provided? (See Minimum Requirements Summary Sheet A) (All or some of the accessible parking spaces may be in a different location if equivalent or greater accessibility is ensured.)
	Each Area/Lot:	Are the accessible parking spaces located in each specific area/lot?
	Van Accessible Spaces:	Is one in every eight accessible parking spaces (but not less than one) designated "van accessible?"
4.6.2	Location - Serving Accessible Entrance:	Are accessible parking spaces which serve a particular building on the shortest accessible route of travel from adjacent parking to the building's accessible entrance?
	Serving Multiple Accessible Entrances:	If the building has multiple accessible entrances with adjacent parking, are the accessible parking spaces on the shortest accessible route of travel to the parking facility's accessible pedestrian entrance?
	Separate Parking Facility:	Where a parking facility does not serve a particular building, are the accessible parking spaces on the shortest accessible route of travel to the parking facility's accessible pedestrian entrance?
4.6.3	Parking Spaces and Access Aisles - Width of Parking Space:	Are accessible parking spaces, including van spaces, at least 96 inches wide with a demarcated access aisle? (Two spaces may share a common aisle. See Figure 9)
4.1.2(5)(a)	Width of Car Access Aisles:	Are all other access aisles at least 60 inches wide?
4.1.2(5)(b)	Width of Van Accessible Access Aisle:	If the parking space is designated as "van accessible," is the adjacent access aisle at least 96 inches wide?
4.6.3	Level:	Are the accessible parking spaces and access aisles level with no slope greater than 1:50 in all directions? (This means a curb ramp cannot project into the access aisle.)
4.6.3 4.3.6 4.5.1	Surface:	Are access aisles stable, firm, and slip resistant?
4.6.3 4.3	Access Aisle and Accessible Route:	Does each access aisle connect directly to an accessible route complying with 4.3? (Use Form 3: Exterior Accessible Route)
4.3.3		Is the accessible route a full 36 inches wide and not reduced in width by vehicles overhanging parking space?
4.6.4	Signs - Accessible Parking Spaces:	Does each accessible parking space have a vertical sign, which is unobscured by a parked vehicle, showing the International Symbol of Accessibility?
4.6.4	Van Accessible Spaces:	Do van accessible spaces have a vertical sign, which is unobscured by a parked vehicle, showing the International Symbol of Accessibility with an additional sign "Van-Accessible" mounted below the symbol of accessibility? EXCEPTION: "Van-Accessible" sign is not required if all accessible parking spaces are Universal Parking Design. (See Figure A5)
4.6.5	Van Accessible Spaces - Vertical Clearance:	Do van accessible spaces have a vertical clearance of at least 98 inches?
		Does one vehicular access route to and from van accessible spaces have a vertical clearance of at least

The access aisle shall be a minimum of 60 inches (1525 mm) wide for cars or a minimum of 96 inches (2440 mm) wide for vans. The accessible route connected to the access aisle at the front of the parking spaces shall be a minimum of 36 inches (915 mm).

Facility Name:
Parking Area/Lot Location:
		Total Parking Spaces in Area/Lot:	Number Accessible:	Number Van Accessible:
	General Use: (Use table in 4.1.2(5)(a)):
	Outpatient Unit/Facility (10% required):
	Specialized Unit/Facility Serving or Treating Persons with Mobility Impairments (20% required):