<html><head><title>SURVEY FORM 6: TELEPHONES</title></head><body><font size="2" face="Courier New"><font size="3" face="Courier New"></font><table style="border: medium solid ;" width="100%" cellspacing="1" cellpadding="4" border="1">  <tbody>  <tr>     <td width="100%"><strong>SURVEY FORM 6: TELEPHONES</strong></td>    <td width="100%">      <div align="right"><font face="Courier New"><strong>ADA Build it Right,         Inc.</strong></font></div>    </td>  </tr>  </tbody></table><br></font> <table style="border: thin inset ;" width="100%" cellspacing="1" border="1">  <tbody><tr>    <td align="left" valign="top" width="69%"><strong><font size="3" face="Courier New">Facility Name:</font></strong><p>&nbsp;</p></td>    <td align="left" valign="top" width="64%">&nbsp;</td>  </tr>  <tr>    <td colspan="2" align="left" valign="top" width="100%"><strong>Telephone Location:<br>    </strong></td>  </tr></tbody></table><p>&nbsp;</p><div align="left"><table style="border: thin inset ;" width="100%" cellspacing="1" border="1">  <tbody><tr>    <td valign="top" width="16%"><small><strong>Section</strong></small></td>    <td valign="top" width="16%"><small><strong>Item</strong></small></td>    <td valign="top" width="32%"><small><strong>Technical Requirements</strong></small></td>    <td valign="top" width="20%"><small><strong>Comments</strong></small></td>    <td valign="top" width="8%"><small><strong>Yes</strong></small></td>    <td valign="top" width="8%"><small><strong>No</strong></small></td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.3(17)(a)<br>    4.31.1 </small></td>    <td valign="top" width="16%"><small>Telephones: </small></td>    <td valign="top" width="32%"><small>At each bank of public pay telephones, is there at    least one telephone per bank accessible to wheelchair users complying with 4.31.2 through    4.31.8 (See below)? If there is only one public pay telephone per floor, does it comply    with 4.31.2 through 4.31.8? </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Where two or more banks of public pay telephones are    provided on a floor, does at least one telephone per floor provide for a forward reach    complying with 4.2.5 (See below)? (For exterior installations only, if dial tone first    service is available, a side reach telephone may be installed instead of a forward reach    telephone.)</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.17(a)<br>    4.31.2<br>    4.2.4 </small></td>    <td valign="top" width="16%"><small>Clear Floor Space: </small></td>    <td valign="top" width="32%"><small>Does the accessible telephone have at least 30 by 48    inches clear floor space that allows either a forward or parallel approach by wheelchair    users? (Where two or more banks of public telephones are provided on a floor, at least one    telephone per floor must allow a forward approach and be mounted so the highest operable    part is no higher than 48 inches.) </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%"><small>Accessible Route</small></td>    <td valign="top" width="32%"><small>Is there an accessible route at least 36 inches wide    adjoining or overlapping the clear floor space?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.3<br>    4.2.5 </small></td>    <td valign="top" width="16%"><small>Forward Reach Telephone: </small></td>    <td valign="top" width="32%"><small>If the clear floor space allows only a forward    approach, is the highest operable part of the telephone no more than 48 inches from the    floor?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.3<br>    4.2.6 </small></td>    <td valign="top" width="16%"><small>Side Reach Telephone: </small></td>    <td valign="top" width="32%"><small>If the clear floor space allows only a parallel    approach, is the highest operable part of the telephone no more than 54 inches from the    floor?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.7 </small></td>    <td valign="top" width="16%"><small>Directories: </small></td>    <td valign="top" width="32%"><small>Are telephone books also within these reach ranges?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.6 </small></td>    <td valign="top" width="16%"><small>Controls: </small></td>    <td valign="top" width="32%"><small>Does the telephone have pushbutton controls unless    such service is unavailable?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.8 </small></td>    <td valign="top" width="16%"><small>Cord:</small></td>    <td valign="top" width="32%"><small>Is the cord from the telephone to the handset at least    29 inches long? </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.3(17)(b)</small></td>    <td valign="top" width="16%"><small>Volume Controls</small></td>    <td valign="top" width="32%"><small>Is each accessible telephone equipped with a volume    control? </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Are 25% of all other public telephones equipped with    volume controls and dispersed among all types of public telephones? (Public telephones    include public pay telephones and public closed-circuit telephones.)</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.30.7(2) </small></td>    <td valign="top" width="16%"><small>Signs: </small></td>    <td valign="top" width="32%"><small>Are volume controlled telephones identified by a sign    showing a handset with radiating sound waves?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.5 </small></td>    <td valign="top" width="16%"><small>Amplification: </small></td>    <td valign="top" width="32%"><small>Are volume controls capable of amplification between    12 dbA and 18 dbA above normal? (If an automatic reset button is provided, the maximum of    18 dbA may be exceeded.)</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%"><small>Hearing Aid Compatible:</small></td>    <td valign="top" width="32%"><small>Are telephones hearing aid compatible?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.3(17)(c) </small></td>    <td valign="top" width="16%"><small>Text Telephones/ TDDs - General: </small></td>    <td valign="top" width="32%"><small>If there are 4 or more public pay telephones (with at    least one in an interior location), is there at least one interior public text telephone?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%"><small>Specific Facilities: </small></td>    <td valign="top" width="32%"><small>If an interior public pay telephone is provided in a    stadium or arena, convention center, a hotel with a convention center, or a covered mall,    is there at least one interior public text telephone in the facility?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%"><small>Hospitals: </small></td>    <td valign="top" width="32%"><small>If there is a public pay telephone in or adjacent to a    hospital emergency room, a hospital recovery room, or a hospital waiting room, is there a    public text telephone in each such location?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.9(3) </small></td>    <td valign="top" width="16%"><small>Equivalent Facilitation: </small></td>    <td valign="top" width="32%"><small>If a required text telephone is not provided, is    equivalent facilitation provided? (e.g., A portable text telephone may be made available    in a hotel at the registration desk if it is available on a 24-hour basis for use with    nearby public pay telephones. In this instance, at least one public pay telephone must    have a shelf and outlet complying with 4.31.9(2) (see below) to accommodate a portable    text telephone. In addition, if an acoustic coupler is used, the telephone handset cord    must be sufficiently long so as to allow connection of the text telephone and the    telephone receiver. Directional signage must be provided in compliance with 4.30.7.) (See    below)</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.9 </small></td>    <td valign="top" width="16%"><small>Mounting Location: </small></td>    <td valign="top" width="32%"><small>Is a required text telephone permanently mounted    within, or adjacent to, the telephone enclosure?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%"><small>Cord Length: </small></td>    <td valign="top" width="32%"><small>If an acoustic coupler is used, is the telephone cord    sufficiently long enough to allow connection of the text telephone to the telephone    receiver?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.30.7(3) </small></td>    <td valign="top" width="16%"><small>TDD Symbol: </small></td>    <td valign="top" width="32%"><small>Are required text telephones identified by the    international TDD symbol?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.3(16)<br>    4.30.1<br>    4.30.7 </small></td>    <td valign="top" width="16%"><small>Directional Signs: </small></td>    <td valign="top" width="32%"><small>Is the directional signage complying with 4.30.2,    4.30.3, and 4.30.5 provided to indicate the location of the text telephone? (Use Form 19:    Signage) </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Is the directional signage placed adjacent to all    telephone banks which do not contain a text telephone? </small><p><small>(If the facility    does not have any telephone banks, the directional signage must be provided at the    entrance (e.g., in a building directory.)</small></p></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.1.3(17)(d)<br>    4.31.9(2) </small></td>    <td valign="top" width="16%"><small>Text Telephone, Shelves &amp; Outlets:</small></td>    <td valign="top" width="32%"><small>If there are 3 or more telephones in an interior bank    of telephones, does at least one telephone have a shelf and electrical outlet for use with    a portable text telephone? </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Is the shelf large enough to accommodate a text    telephone and does it provide at least 6 inches of vertical clearance?&nbsp; </small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Is the telephone handset capable of being placed flush    on the surface of the shelf?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Is the directional signage placed adjacent to all    telephone banks which do not contain a text telephone?</small><p><small>(If the facility    does not have any telephone banks, the directional signage must be provided at the    entrance (e.g., in a building directory.))</small></p></td>      <td valign="top" width="20%">&nbsp; </td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%"><small>4.31.4<br>    4.4.1 </small></td>    <td valign="top" width="16%"><small>Protruding Objects:</small></td>    <td valign="top" width="32%"><small>If a wall-mounted telephone has leading edges between    27 and 80 inches from the floor, does it project less than 4 inches into the pathway?    (Wall mounted telephones or their enclosures with leading edges at or below 27 inches may    project any amount so long as the required clear width of an accessible route is not    reduced.)</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>If a telephone is mounted on a post with leading edges    between 27 and 80 inches high, does it project less than 12 inches into a perpendicular    route of travel?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr>  <tr>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="16%">&nbsp;</td>    <td valign="top" width="32%"><small>Is there an accessible route at least 36 inches wide    alongside the telephone?</small></td>    <td valign="top" width="20%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>    <td valign="top" width="8%">&nbsp;</td>  </tr></tbody></table></div><p align="center"><a href="/SurveySheets/SurveyForm.html"><big>Back to Accessibility   Guidelines Checklist for Building and Facilities</big></a></p><p>&nbsp;</p></body></html>
