Category 2 Work Zone Device Acceptance Letter

Downloadable Version
PDF [74 KB]

Federal Highway Administration

Office of Safety Design


Letter Number ________________________________

Date ________________________________

CONTACT INFORMATION: Petitioner / Developer Name
Title
Company
Street
City, State, and Zipcode
 
I herby certify that the device(s) covered by this Acceptance Letter meet(s) the crash – worthiness test and evaluation requirements of the FHWA and AASHTO MASH.
Signature:
Telephone Number:
E-mail Address:

 

Engineer Name:
Laboratory Name
Street
City, State, and Zipcode
Check One:  
 
I hereby certify that the testing that supports this Acceptance Letter was conducted in accordance with AASHTO MASH guidelines, that the device(s) tested is/are accurately described on this form, and that the test results indicate that the device meets all applicable NCHRP Report 350 evaluation criteria.
 
I have evaluated the requested modifications to these devices previously found acceptable by the FHWA in Acceptance Letter WZ-____, and hereby certify that, in my opinion, the modifications do not adversely affect the crash performance of the devices. I also certify that these devices are accurately described on this form.
Signature:
Telephone Number:
E-mail Address:
   
KEYWORDS

Please select from the following Keywords for "Type of Device":

Longitudinal Channelizing Device
Curb (Curb channelizer system with or without road tubes or other channelizers) Drum
H-Footprint Sign Stand
X-Footprint Sign Stand
Trailer Mounted Signs (Does not include arrow boards or variable message signs or other Category 4 trailer mounted devices.)
Automated Flagger Device (not trailer mounted)
Tripod Sign Stand
Type I Barricade
Type II Barricade
Type III Barricade
Vertical Panel
Intrusion Detector
Ballast (Action relates to ballast on one or more devices)
Channelizer (Individual units unlike cones, road tubes, or drums)
Other (Please describe on form)

 

 

 

Type of Device:

__________________________

   
 

Please Select from the following Keywords for Composition of Sign or Rail Substrate:

Roll-up / Fabric (with fiberglass spreaders – aluminum or steel spreaders are not allowed.)
Plywood
Aluminum – Solid
Aluminum – Laminate
Corrugated Plastic
Extruded Plastic
Waffleboard Plastic
Wood / Lumber

 

Compositon of Sign or Rail Substrate:

__________________________

   
  Thickness of substrate (inches):
 

Indicate the height of sign from the ground (inches), if applicable:

 

Low 12 to 18 inches above the pavement
Mid-A 20 to 24 inches above the pavement
Mid-B 25 to 36 inches above the pavement
Mid-C 37 to 59 inches above the pavement
Tall 60 to 71 inches above the pavement
Oversized 72 inches and taller

Height of Sign:

__________________________

 

   
  Flags and or lights present during test? Indicate number of each:
  # of flags: # of lights: Weight of lights: ea.
   
DEVICE NAME: Provide Detailed Description of Device, Materials, sizes, Fasteners, Substrates, Foundation, Aux. Features Ballast, etc. (May be attached on separate page(s) )

 

   
MANDATORY ATTACHMENTS: Please include those pages as separate eletronic files as they will be posted on the FHWA websitein lieu of the entire final report.
Attachment #1: Test data summary page(s)
Attach. #1a Test #
Attach. #1b Test #
Attach. #1c Test #
Attach. #1d Test #
 
Alternative
Attachment #1: Description and discussion of modification(s) to crash tested and/or accepted device.
 
Date:
Attachment # 2: PDF drawing(s) of device(s) - Mandatory Attachments: Please include those pages as separate eletronic files as they will be posted on the FHWA websitein lieu of the entire final report.
Attach. #2a Drawing Title:
  Drawing #:
Attach. #2b Drawing Title:
  Drawing #:
Attach. #2c Drawing Title:
  Drawing #:
Attach. #2d Drawing Title:
  Drawing #:
Attach. #2e Drawing Title:
  Drawing #:
Attach. #2f Drawing Title:
  Drawing #:
Attach. #2g Drawing Title:

Please note the following standard provisions that apply to FHWA letters of acceptance:

  • Our acceptance is limited to the crashworthiness characteristics of the devices and does not cover their structural features, or conformity with the Manual on Uniform Traffic Control Devices.

  • Any changes that may adversely influence the crashworthiness of the device will require a new acceptance letter.

  • Should the FHWA discover that the qualification testing was flawed, that in-service performance reveals unacceptable safety problems, or that the device being marketed is significantly different from the version that was crash tested, it reserves the right to modify or revoke its acceptance.

  • You will be expected to supply potential users with sufficient information on design and installation requirements to ensure proper performance.

  • You will be expected to certify to potential users that the hardware furnished has essentially the same chemistry, mechanical properties, and geometry as that submitted for acceptance, and that they will meet the crashworthiness requirements of FHWA and AASHTO MASH.

  • To prevent misunderstanding by others, this letter of acceptance shall not be reproduced except in full. This letter, and the test documentation upon which this letter is based, is public information. All such letters and documentation may be reviewed at our office upon request.

  • If the subject of this letter is a patented device it is considered "proprietary." The use of proprietary work zone traffic control devices in Federal-aid projects is generally of a temporary nature. They are selected by the contractor for use as needed and removed upon completion of the project. Under such conditions they can be presumed to meet requirement "a" given below for the use of proprietary products on Federal-aid projects. On the other hand, if proprietary devices are specified by a highway agency for use on Federal-aid projects they: (a) must be supplied through competitive bidding with equally suitable unpatented items; (b) the highway agency must certify that they are essential for synchronization with existing highway facilities or that no equally suitable alternative exists or; (c) they must be used for research or for a distinctive type of construction on relatively short sections of road for experimental purposes. Our regulations concerning proprietary products are contained in Title 23, Code of Federal Regulations, Section 635.411.

  • This Acceptance Letter shall not be construed as authorization or consent by the Federal Highway Administration to use, manufacture, or sell any patented device for which the applicant is not the patent holder. The Acceptance Letter is limited to the crashworthiness characteristics of the candidate device, and the FHWA is neither prepared nor required to become involved in issues concerning patent law. Patent issues, if any, are to be resolved by the applicant.

Program Contact

John Dewar
Roadway Departure Team Leader

202-366-2218

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