<html><head><title>SURVEY FORM 9: PLATFORM LIFTS</title></head><body><table style="border: medium solid ;" width="100%" cellspacing="1" cellpadding="4" border="1">  <tbody>   <tr>     <td width="33%"><font size="2"><strong>SURVEY FORM 9: PLATFORM LIFTS</strong></font></td>    <td width="67%">       <div align="right"><font size="2"><strong>ADA Build it Right, Inc.</strong></font></div>    </td>  </tr>  </tbody> </table><br><div align="left">   <table style="border: thin inset ;" width="100%" cellspacing="1" border="1">    <tbody>    <tr>       <td align="left" valign="top" width="66%"><font size="3"><strong>Facility         Name:</strong></font>        <p>&nbsp;</p>        <hr>        <p><strong>Lift Location:</strong></p>        <p>&nbsp;</p>        <hr>      </td>      <td align="left" valign="top" width="34%"><small>See Minimum Requirements         Summary Sheets I and J for special requirements and exceptions which may         be allowed in alterations and historic preservation. See also ADAAG 4.1.6         and 4.1.7.</small>        <p><small>4.1.3(5) EXCEPTION 4: þ In new construction, platform           lifts may be used in lieu of an elevator only under the following conditions           and where State and local codes permit.</small></p>        <ul>          <li><small>To provide an accessible route to a performing area             in an assembly occupancy.</small></li>          <li><small>To comply with the wheelchair viewing position, line-of-sight,             and dispersion requirements in assembly areas with fixed seating.</small></li>          <li><small>To provide access to incidental occupiable rooms and             spaces that are not open to the general public and which house no             more than five persons. (This includes, but is not limited to, equipment             control rooms and projection booths.)</small></li>          <li><small>To provide access where existing site constraints             or other constraints make use of a ramp or an elevator infeasible.</small></li>        </ul>        <p><small>4.1.6(3)(g): þ In alterations, the use of platform lifts           is not limited to the above conditions. Platform lifts may be used as           part of an accessible route in alterations.</small></p>      </td>    </tr>    </tbody>  </table></div><p><font size="2">&nbsp;</font></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(5) <br>        Exception 4</small></td>      <td valign="top" width="16%"><small>Lifts:</small></td>      <td valign="top" width="32%"><small>In new construction, if a lift is installed         in lieu of an elevator or ramp, was it installed consistent with 4.1.3(5)         Exception 4 (above) and in compliance with applicable State and local         codes?</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>4.11.3</small></td>      <td valign="top" width="16%"><small>Independent Use: </small></td>      <td valign="top" width="32%"><small>Can the lift be entered, operated and         exited without assistance?</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>4.11.2<br>        4.2.4 </small></td>      <td valign="top" width="16%"><small>Platform Size:</small></td>      <td valign="top" width="32%"><small>Is the lift platform at least 30 by         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%"><small>4.11.2<br>        4.2.4 </small></td>      <td valign="top" width="16%"><small>Clear Space Outside Lift: </small></td>      <td valign="top" width="32%"><small>Is there at least a 30 by 48 inch clear         space outside the lift positioned for a wheelchair user to reach the controls         from a parallel or forward approach and to enter the lift?</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>4.11.2<br>        4.27.3<br>        4.2.5 </small></td>      <td valign="top" width="16%"><small>Controls - Forward Reach: </small></td>      <td valign="top" width="32%"><small>Where a forward reach is provided, is         the height of the lift control no more 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%" height="39"><small>4.11.2<br>        4.27.3<br>        4.2.6 </small></td>      <td valign="top" width="16%" height="39"><small>Side Reach: </small></td>      <td valign="top" width="32%" height="39"><small>Where a side reach is provided,         is the height of the lift control no more than 54 inches?</small></td>      <td valign="top" width="20%" height="39">&nbsp;</td>      <td valign="top" width="8%" height="39">&nbsp;</td>      <td valign="top" width="8%" height="39">&nbsp;</td>    </tr>    <tr>       <td valign="top" width="16%"><small>4.11.2<br>        4.27.4 </small></td>      <td valign="top" width="16%"><small>Operation: </small></td>      <td valign="top" width="32%"><small>Are the controls operable with one hand         and without tight grasping, pinching, or twisting of the wrist? </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 force required to operate the         controls no greater than 5 lbf?</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>4.1.2(1)<br>        4.3.2 </small></td>      <td valign="top" width="16%"><small>Accessible Route: </small></td>      <td valign="top" width="32%"><small>Is the lift on an accessible route?</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>4.11.2<br>        4.3.6<br>        4.5.1</small></td>      <td valign="top" width="16%"><small>Surface: </small></td>      <td valign="top" width="32%"><small>Is the surface of the lift, as well         as the accessible route to which it connects, stable, firm and slip-resistant?</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>4.11.2<br>        4.5.2 </small></td>      <td valign="top" width="16%"><small>Edge Bevel:</small></td>      <td valign="top" width="32%"><small>If there is a change in level of between         1/4 and 1/2 inch, is the edge beveled with a slope of 1:2 or less?</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>4.11.2 </small></td>      <td valign="top" width="16%"><small>Safety Code: </small></td>      <td valign="top" width="32%"><small>Does the lift meet the ASME A17.1 Safety         Code for Elevators and Escalators, Section XX, 1990?</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"><font size="2"><a href="http://www.access-board.gov/adaag/checklist/a16.html"><big>Back   to Accessibility Guidelines Checklist for Building and Facilities</big></a></font></p><p><font size="2">&nbsp;</font></p></body></html>
