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Home > Roadway Departure Safety > Policy/Guidance > Roadside Hardware Guidance > Roadside Hardware Policy Memoranda > Memorandum: Category 2 Work Zone Devices
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: |
|
|
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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. |
|
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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) )
|
| |
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| 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.
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Program Contact
John Dewar
Roadway Departure Team Leader
john.dewar2@dot.gov
202-366-2218
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