Intersection Field Inspection Form

Downloadable Version
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LOCATION INFORMATION

Intersection Identification: _______________________________________ with ________________________________

Approach Name: _________________________________ Direction Heading: ______________________________


PART 1. CHECK SIGNAL VISIBILITY

Type of Signal Mounting:    Span Wire    Mast Arm    Pole    Structure

Sight Distance to the Signal: _______feet

Requires Advance Warning Sign?    Y    N

Advance Signal Warning Sign Present:    Y    N

Is anything blocking the view of the signals?   Y    N

If yes, describe___________________________________________________

Can signal faces on other approaches be seen?    Y    N

If yes, do these signals have visors, shields, or programmable lenses?    Y    N


PART 2. CHECK SIGNAL CONSPICUITY

Could visual clutter detract from the signal?    Y    N

Are the signal indications confusing?    Y    N

If yes, explain:_____________________________________________________________________

Are backplates present?    Y    N

Are backplates necessary?    Y    N

Are other glare-reducing steps needed?    Y    N

Signal lens type:    Incandescent    LEDs


PART 3. CHECK SIGNAL CONTROL PARAMETERS

Grade (as decimal) g =____________(uphill is positive)

Approach speed V =_____________mph

Cross street width W =____________feet

Calculate the needed change period (CP) for this approach using agency practice or the following equation:

The equation is for the calculation of the change period, CP.  CP is equal to the sum of three terms.  The first term is 1.0.  The second term, which is the change period for the yellow phase, is 1.47 times variable V divided by quantity 10 plus 64.4 times variable g.  The third term, which is the change period for the all-red phase, is the quantity 20 plus variable W, divided by the quantity 1.47 times variable V.

 Actual Value Calculated Value Is Existing Adequate?
Yellow Interval ___________________ ____________________   Y    N
Red Interval ___________________ ____________________   Y    N

PART 4. CHECK OTHER FACTORS

Is horizontal location adequate?    Y    N

Pavement condition on approach:    Adequate    Polished    Severely Rutted

Should signal warranting study be conducted?    Y    N

Other concerns:__________________________________________________


PART 5. IDENTIFY PROMISING COUNTERMEASURES

Visibility Deficiency

___Install additional signals on near side
___Change signal mounting
___Install SIGNAL AHEAD sign
___Install Advance Warning Flashers
___Remove/relocate sight obstruction
___Install programmable lenses
___Install shields and visors

Conspicuity Deficiency

___Add signals to achieve one per lane
___Replace with LED lens type
___Replace with 12" signal head
___Install double red signal
___Install/enhance backplates
___Install rumble strips on approach
___Install near side signal

Signal Timing Operation Deficiency

___Change yellow interval
___Add/change all-red interval

Other Measures

___Determine if signal is warranted
___Consider roundabout or innovative design
___Improve pavement condition


Other_________________________________________________________________________________


Inspection By: ______________________________________________Date:________________

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Program Contact

Ed Rice

202-366-9064

Jeffrey Shaw

708-283-3524

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