<html><head><title>SURVEY FORM 15: ASSEMBLY AREAS</title></head><body><table style="border: medium solid ;" width="100%" cellspacing="1" cellpadding="4" border="1">  <tbody>   <tr>     <td width="100%"><strong>SURVEY FORM 15: ASSEMBLY AREAS</strong></td>    <td width="100%">       <div align="right"><strong>ADA Build it Right, Inc.</strong></div>    </td>  </tr>  </tbody> </table><br><table style="border: thin inset ;" width="100%" cellspacing="1" border="1">  <tbody>  <tr>     <td align="left" valign="top" width="56%"><strong><font size="3">Facility       Name:</font></strong>      <p>&nbsp;</p>    </td>    <td colspan="2" align="left" valign="top" width="78%">&nbsp;</td>  </tr>  <tr>     <td rowspan="6" align="left" valign="top" width="54%"><strong>Assembly Room       Location:</strong>      <p><strong><br>        </strong></p>    </td>    <td align="left" valign="top" width="28%">      <p align="center"><strong><small>Capacity of Seating in Assembly Areas:         </small></strong></p>    </td>    <td align="left" valign="top" width="29%">      <p align="center"><strong><small>Number of Required Wheelchair Locations:         </small></strong></p>    </td>  </tr>  <tr>     <td align="left" valign="top" width="28%"><small>4 to 25</small></td>    <td align="left" valign="top" width="29%"><small>1</small></td>  </tr>  <tr>     <td align="left" valign="top" width="28%"><small>26 to 50</small></td>    <td align="left" valign="top" width="29%"><small>2</small></td>  </tr>  <tr>     <td align="left" valign="top" width="28%"><small>51 to 300</small></td>    <td align="left" valign="top" width="29%"><small>4</small></td>  </tr>  <tr>     <td align="left" valign="top" width="28%"><small>301 to 500</small></td>    <td align="left" valign="top" width="29%"><small>6</small></td>  </tr>  <tr>     <td align="left" valign="top" width="28%"><small>over 500</small></td>    <td align="left" valign="top" width="29%"><small>6, plus 1 additional space       for each total seating capacity increase of 100</small></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(19)(a)</small><br>        <small>4.33.1 </small></td>      <td valign="top" width="16%"><small>Wheelchair Seating: </small></td>      <td valign="top" width="32%"><small>In assembly areas with fixed seating,         is the required number of wheelchair locations provided (See Table above)?</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>Aisle Seating: </small></td>      <td valign="top" width="32%"><small>In addition, are one percent (but not         less than one) of all fixed seats, aisle seats with no armrests on the         aisle side, or removable or folding armrests on the aisle side?</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>Identification: </small></td>      <td valign="top" width="32%"><small>Is each such aisle seat identified by         a sign or marker? </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 a sign posted at the ticket         office notifying patrons of such aisle seats? </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>Do the wheelchair locations comply with         4.33.2, 4.33.3 and 4.33.4 (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>4.33.2 </small></td>      <td valign="top" width="16%"><small>Wheelchair Seating Size - Width: </small></td>      <td valign="top" width="32%"><small>Do paired wheelchair spaces total 66         inches in width? (It is not required that all wheelchair spaces be paired.)</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>Depth: </small></td>      <td valign="top" width="32%"><small>If wheelchair users enter the space         from the side, is the space at least 60 inches deep? </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 wheelchair users enter the space         from the front or back, is the space at least 48 inches deep?</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>4.33.3 </small></td>      <td valign="top" width="16%"><small>Placement of Wheelchair Areas: </small></td>      <td valign="top" width="32%"><small>Are the wheelchair areas an integral         part of the fixed seating plan with a choice of admission prices and lines         of sight comparable to those for the general public? (Readily removable         seats may be installed in wheelchair spaces when the spaces are not required         to accommodate wheelchair users.)</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>Multiple Locations: </small></td>      <td valign="top" width="32%"><small>If the seating capacity exceeds 300,         are the wheelchair spaces provided in more than one location? EXCEPTION:         Accessible viewing positions may be clustered for bleachers, balconies,         and other areas having sight lines which require slopes greater than 5%.</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>Companion Seating: </small></td>      <td valign="top" width="32%"><small>Is there at least one companion fixed         seat provided next to each wheelchair seating area?</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>Do wheelchair spaces adjoin an accessible         route that also serves as a means of egress in an emergency?</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>4.33.4</small><br>        <small>4.5 </small></td>      <td valign="top" width="16%"><small>Surfaces: </small></td>      <td valign="top" width="32%"><small>Are the floor surfaces at wheelchair         areas level, 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>4.1.3(5)</small><br>        <small>4.3.8</small><br>        <small>4.5.2 </small></td>      <td valign="top" width="16%"><small>Level Changes: </small></td>      <td valign="top" width="32%"><small>Are ramps or elevators used for changes         in level greater than 1/2 inch? (Lifts may only be used in certain limited         situations in new construction. See Minimum Requirements Summary Sheet         D and ADAAG 4.1.3(5) Exception 4) </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>Do the ramps or elevators comply with         4.8 or 4.10? (Use Form 7: Ramps or Form 13: Elevators) </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>When walkway levels change, is the vertical         difference less than 1/4 inch? </small><br>        <small>OR</small><br>        <small>Are changes in level between 1/4 and 1/2 inch beveled with a maximum         slope of 1:2? </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 floor materials change, does the         vertical difference between them meet the above requirements?</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>4.5.3 </small></td>      <td valign="top" width="16%"><small>Carpet:</small></td>      <td valign="top" width="32%"><small>If carpet or carpet tile is used on         the floor, is it securely attached? </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 it a low pile type of carpet (1/2         inch thick or less) with a firm pad or no pad underneath?</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>4.33.5</small></td>      <td valign="top" width="16%"><small>Performing Areas: </small></td>      <td valign="top" width="32%"><small>Is there an accessible route connecting         wheelchair seating locations and performance areas including stages, arena         floors, dressing rooms, locker rooms, and other spaces used by performers?         (Use Form 12: Building Lobbies and Corridors)</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(19)(b) </small></td>      <td valign="top" width="16%"><small>Assistive Listening Systems - Permanently         Installed: </small></td>      <td valign="top" width="32%"><small>In assembly areas where audible communications         are integral to the use of the space, is there a permanently installed         assistive listening system if (1) the assembly area accommodates 50 or         more persons or has an audio-amplification system and (2) it has fixed         seats?</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>Portable Systems: </small></td>      <td valign="top" width="32%"><small>For other assembly areas, is there a         permanently installed assistive listening system or adequate number of         outlets/wiring to permit use of a portable assistive listening system?</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>Receivers: </small></td>      <td valign="top" width="32%"><small>Is the minimum number of receivers provided         equal to 4% of the total number of seats, but not less than two?</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(4) </small></td>      <td valign="top" width="16%"><small>Signage: </small></td>      <td valign="top" width="32%"><small>Where a permanently installed assistive         listening system is provided, is there signage installed to notify patrons         of the availability of such a system? </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>Does the signage include the International         Symbol for hearing loss?</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>4.33.6 </small></td>      <td valign="top" width="16%"><small>Placement of Assistive Listening Systems:</small></td>      <td valign="top" width="32%"><small>If the assistive listening system serves         individual fixed seats, are these seats located within a 50-foot viewing         distance of the stage or playing area? </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>Do these seats have a complete view         of the stage or playing area?</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>
