Date of audit:
Name of the audited organization:
Chief Executive Officer:
Address:
Government or private organization:
Audited by (organization):
General Remarks: Suggestions:
Name of the team leader and signature

A	ENTRANCE
1	Before main entrance
	Are these steps? Yes/No*. If yes, how many Does the steps having railings? Yes/No*. If yes, one/both sides Is there a ramp? Does the ramp have railings? *Yes/No Does the ramp have an edge protection? *Yes/No*. If yes, one/both sides *Yes/No*. If yes, height of edge Protection: ___________
2	Main Entrance
	Is the width of the entrance greater than or equal to 900 mm? Yes/No*. Width: Type of door Automatic/Swing/Sliding* Type of door handle (if applicable) Lever/knob* Is the height of door handle between 900 mm - 1100 mm? Yes/No*. Height of kerb: Is there a kerb at entrance? Yes/No*. Gradient: Is there a kerb ramp? Yes/No*. Is there the International Symbol of Access (Disabled Logo) displayed? Yes/No*.
3	Side Entrance
	Location (e.g. along Haig Road) (if there is more than one location, please specify all) Yes/No*. If yes, location at
4	Side Entrance
	Is the width of the entrance greater than or equal to 900 mm? Yes/No*. Width: Type of door Automatic/Swing/Sliding* Type of door handle (if applicable) Lever/knob* Is the height of door handle between 900 mm - 1100 mm? Yes/No*. Height of kerb: Is there a kerb at entrance? Yes/No*. Gradient: Is there a kerb ramp? Yes/No*. Is there the International Symbol of Access (Disabled Logo) displayed? Yes/No*.
5	Is side entrance accessible to the wheelchair-users?(Please use section A2 as a guideline). Yes/No*. If no, give details:
6	Is the accessible entrance clearly identifiable? Yes/No*. If no, give details:
7	Is the entrance wide enough? Yes/No*. If no, give details:
8	Is the door a push-open door? Yes/No*. If no, give details:
9	In multi-storey buildings, does theaccessible entrance permit access to a conveniently located elevator? Yes/No*. If no, give details:
10	Is the entrance landing area sufficient? Yes/No*. If no, give details:
11	Is the entrance landing easily identifiable? Yes/No*. If no, give details:
12	Are there tactile landing areas free of obstacles? Yes/No*. If no, give details:
13	Is the entrance landing area free of obstacles? Yes/No*. If no, give details:
14	Are emergency exits easily identifiable? Yes/No*. If no, give details:
15	Are emergency exits easily accessible? Yes/No*. If no, give details:
B	CAR PARKING
1	Is there a parking lot for the disabled person within the building?   Are there accessible parking facilities? Yes/No* Are indoor paring spaces located closest to accessible elevators? Yes/No* Are accessible parking spaces within 50 meters of building entrances? Yes/No*
2	If yes, how many are there and state location where these can be found (e.g. Basement 1, lot#112, near lift) Yes/No*. If yes, location at
3	Is there the International Symbol of Access (Disabled Logo) printed on the parking lot Yes/No*.Size of logo:Yes/No*.If yes, describe signboard used: Is there a vertical and visible signboard indicating that the lot is for the disabled driver? Yes/No*.Size of logo:Yes/No*.If yes, describe signboard used:
4	Are there directional signs within the parking lot to indicated the location of the parking lot for the disabled person? Yes/No*.
5	Size of parking lot.(Min. Size: 4800 mm x 3600 mm) Dimension:
6	Please provide information on accessibility from the parking lot to the lift lobby/building entrance. Please tick on the box and delete accordingly for the following:  There is kerb/no kerb at the Entrance of the lift lobby.   There is a kerb ramp at the Entrance of the lift lobby. Gradient: ___________   There is a swing/automatic/ Manual* door leading to the main building   Width of door entrance is at least 900 mm wide Width: __________   Corridor width is at least 1200 mm wide Width: _________   Width of lift door is at least 900 mm wide Width: ___________State the type of flooring used:  ____________________
C	TAXI STAND
1	Is there a taxi stand at the building? If yes, please state the location (e.g. at the main entrance) Yes/No*. Location:
2	Is there a kerb at the taxi stand? Yes/No*.
3	Are these one/two kerb ramps for boarding and alighting the taxi? One/Two* Kerb RamosRamp for Boarding. Yes/No*. Ramp for Alighting. Yes/No*.
D	LIFT
1	Is the lift accessible to every floor? Yes/No*. Is there an accessible path leading to the elevator? If no, please specify which floor(s) the lift stops on: Is the elevator door easy to identify? If no, please specify which floor(s) the lift stops on:
2	Is the clearr door opening width more than 900 mm? Yes/No*. Width:
3	Is the height of the call button (outside the lift) between 900 mm-1100 mm?     Is the space inside the elevator enough? Yes/No*. Height between:
4	Is there an audio system installed (talking lift) for the lift? Yes/No*.
5	Are there Braille/raised (for the visually impaired persons) numbers usedon the control panel? Yes/No*. Height between:
6	Is the control panel placed at a height of between 900 mm - 1200 mm from the floor level Yes/No*. Height between:
7	Are there grab bars inside the lift? Slides: Yes/No*. Are the doors and handrails of the elevator of contrasting colour? Slides: One/Both* Rear: Yes/No*.
8	Are the grab bars placed ata height of 900 mm from the floor? Yes/No*. Height:
9	Is the emergency intercom usable without voice comunication? Yes/No*.
10	Is the door opening/closing interval long enough? Yes/No*.
11	Is the floor of the elevator non-slippery Yes/No*.
E	PUBLIC TELEPHONE
1	Are there public telephones for the disabled person.If yes, provide location (e.g. level 1,2) Yes/No*. Location:
2	Is the height of the operable parts (highest and lowest) of the public Phone between 800 mm-1200mm Yes/No*. Actual height between:
3	Is there a clear knee space of more than 680 mm Yes/No*. Actual clear knee space:
4	Is there at least one telephone equipeed with hearing aids?
5	Are the numerals on the telephone raised to allow identification by touch?
6	Is the coin slot mounted at an appropriate height?
7	Are accessible facilities identification?
F	COUNTERS
1	Is the counter easily identifiable?
2	Is the level of the counter accessible?
3	Is the staff able to communicate with people with visual, hearing and speech impairment?
4	Is the staff supportive to mentally-challenged clients?
G	PUBLIC TOILETS
1	Are there separate toilets for the disabled person? Is the accessible toilet identified by a sign?   Yes/No*.
	Is the entrance to the public toilet accessible to people with disabilities? Yes/No*.
	Is the width of the door wide enough? Yes/No*.
	Is there enough manoeuvering space in the toilet? Yes/No*.
2	Are the toilets for the disabled perspn available on every floor? Yes/No*. If no, specify on which floor they are available
3	What type of toilets is provided? Individual/Compartment/Both*
4	Are the measurements of the toilet for the disabled person the same (if there are more than one toilet? Yes/No*.
5	If the toilets for the disabled persons are different from one another, please complete separate copies for each toilet surveyed Sketch toilet surveyed (include door, water closet, wash basin, door and grab bars) State location of toilet checked ________________________________ ________________________________ Please tick on the box and delete accordingly for the following Individual washroom/compartment* Individual washroom: Have clear dimensions between opposite walls of not less than 1750 mm. Actual dimension: __________ mm x ____________mm Water Closet Compartment Have clear dimensions of not less than 1500 mm by 1750 mm   Actual dimension: ______mm x___________ mm Door width more than 900 mm Actual       width:____________   No kerb/kerb ramp* at the Entrance to the toilet. If there Is a kerb ramp, the gradient is: __________ Door handles are located:   Inside/Outside/Both sides*   Door opens outwards / inwards*   Door is a swing / folding / sliding* door One horizontal grab bar is mounted at a height of between 280 mm and 300 mm from the tope of the water closet seat and one horizontal grab bar is mounted on the side wall closet to the     water extending from the rear wall to at least 450 mm-in-    front of the water closet seat.       Actual height: __________   Actual height: __________   Water basin has a clear knee Space of at least 750 mm    wide by 200 mm deep by 680 m high with an additional toe space of at least 750 mm wide by 230 mm deep by 230 mm high.       Actual clear knee space:       (W)_________ x (D)_______       (H) _________  Water closet is located between 460 mm - 480 mm from the centerline of the water closet to adjacent wall.   Actual distance: __________ Clear dimension of 750 mm from the front edge of the toilet      bowl to the rear wall.       Actual distance: __________   The passage way leading to the cubicle is at least 900 mm.       Actual width: __________
6	Is there at least one accessible shower?
7	Are grab bars installed in bathtubs and showers at an appropriate height?
8	Are accessible showers equipped with shower seats?
9	Are the grab bars slip resistant?
10	Can grab bars withstand load?
11	Is the mirror at an appropriate height?
12	Is the rest room equipped with an alarm system accessible to people with different disabilities?
13	Are flushing arrangements, toilet paper and other dispensers mounted at an appropriate height?
14	Are flushing mechanisms easy to operate?
15	Are the doors lockable from inside and released from outside in emergency situations?
	DRINKING WATER FACILITY
1	Is the water tap easily accessible?
2	Can it be easily manoeuvred by a person with poor hand function?
3	Is the area dry?
4	Are glasses provided?
	CAFETERIA
1	Is there an eating outlet located within the building? Yes/No*. Location:
2	Is the eating outlet generally accessible to the disabled? Yes/No*.
3	Is there a circulation path/passagewayof at least 900 mm wide to allow the wheelchair user to move around the eating outlet and order their food? Yes/No*.
4	Is there a table reserved for the disabled? Yes/No*. If no, give details of seating arrangements:-  Height of table-top not higher than 800 mm with a minimum       clear knee of 700 mm x 480 mm deep. If no, provide       Measurement:   Table-top: ______________ Clear knee       space: __________ x ___________ Table with fixed stools/chairs Table without fixed stools/chairs
5	Are there directional signs to lead the disabled person to the reserved table? Yes/No*.
6	Is there enough leg clearance space below the table? Yes/No*.
7	Is the height of the table appropriate? Yes/No*.
8	Is the height of the cash counter appropriate? Yes/No*.
9	Is there a menu card available in Braille? Yes/No*.
10	Is there a facility for a person with speech impairment to be able to pace an order? Yes/No*.
11	Do the tables have straight legs? Yes/No*.
H	STAIRCASE
1	Applies to flights of steps Check the following: State where the staircase is located:
2	Are there handrails Yes/No*. If yes, one/both sides
3	Height of hand rails between 800and 900 mm from the floor Yes/No*.Actual height:
4	Are the handrails continuous Yes/No*.
5	Is there a leveled platform at the top and bottom step extending not less than 300 mm (with railing) Leveled platform: Yes/No*. Extended railing: Yes/No*.
6	Steps specifications Uniform riser: Yes/No*.Open Riser: Yes/No*.Height of risers: ____________Protruding nosing: Yes/No*.
7	Is the minimum width of the stairs enough?
8	Is the landing space at the top and bottom of the stairs enough?
9	Are the stair nosings slip-resistant?
10	Is the location of the stairs clearly identifiable?
11	Is a handrail installed?
12	Do the stairs have guide strips?
I	SLOP RAMPS
	Applies to slope ramps Check the following: State where the slope ramps are located:
1	Are there handrails Yes/No*. If yes, one/both sides
2	Height of hand rails between 800 and 900 mm from the floor Yes/No*.Actual height:
3	Are the handrails continuous Yes/No*.
4	Is there a leveled platform at the top and bottom ramp extending not less than 300 mm (with railing) Leveled platform: Yes/No*.Leveled railing: Yes/No*.
5	Is the width of the ramp at least 1200 mm Yes/No*.Actual width:
6	Ramp landings are provided at regular intervals of not more than 9000 mm of every horizontal run  Yes/No*.Length of horizontal run:
7	Is an edge protection available   Yes/No*.
8	Type of flooring used Specify:
9	Describe the condition of the flooring e.g. leveled, tiles popping up, uneven surfaces
10	Are grafting found in the open area   Yes /No*
11	Are the gratings covered? Yes/No*
12	Are grating placed across the dominant placed across the dominant of travel Yes/No*
13	Is the width of spaces found between the grating strips less than 12 mm Width:
1	General description of accessibility within the premises Paths to various locations of Attractions are easy and Accessible.   Quite accessible but there are Steps (manageable).   Not quite accessible, there are Many obstacles such as   Inaccessible in most areas. (please specify)
	CORRIDORS
	Is the minimum unobstructed width of the corridor wide enough for wheelchair users?   Does the corridor width alow manoruvring through doors located along its length   Does the corridor have guide strips?   Is the corridor pathway obstruction-free?
	Any other comments: ______________________________________________________________________ __________________________________________________________________________
	Name of Facilitator(s):
	Name of Surveyor(s):