Enter this information at
A
Print out this ADA Door Survey form and go inspect your door. Then return to AdaResults.com, enter the information that you have collected, submit the form and receive an ADA compliance report instantly.
Door Name:
Door Type:
Manual Swinging Door or Gate
| Doorway No Door | Manual
Sliding/Folding Door
Automatic Door | Revolving Door, Gate or Turnstile
Is this door the entrance to the facility?
Does door have a closer or spring hinge?
Does the door latch when closed?
Does the door have hardware such as handles to operate the door manually?
Is there a threshold at the door?
Is this door in series with another door?
Is there an auto assist button available?
Does this door provide a see through vision panel?
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Clear Opening Width:
Is opening depth greater than
24 inches?
Does any object project into the clear opening width
Projection below 34 inches
Projection Above 34 inches
Door has Closer or Spring Hinge
Overhead Door closer Height
Does Door Latch When Closed
Threshold Height:
Threshold is beveled
Door in Series
Width between when all doors open
Opening Force:
Door Closing Speed:
Vision Panel Height:
Auto Assist Button
Control Height
Location is Beyond Arc of Door
Is ISA Visible Near or on the Door
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Door Approach : Front | Latch | Hinge
Length:
Width:
Length Beyond Latch:
Length Beyond Hinge:
Floor Slope:
Door Hardware (can door be operated without tight grasping, pinching or twisting
Door Hardware Height
Door Surface (Push side bottom of door is smooth and unobstructed within 10” of the floor)
Door Approach: Front | Latch | Hinge
Length:
Width:
Length Beyond Latch:
Length Beyond Hinge:
Floor Slope:
Door Hardware (can door be operated without tight grasping, pinching or twisting
Door Hardware Height
Door Surface (Push side bottom of door is smooth and unobstructed within 10” of the floor)
Notes:
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