Form CEM-2311 "Temporary Pedestrian Access Route Contractor Compliance Report" - California

What Is Form CEM-2311?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2017;
  • The latest edition provided by the California Department of Transportation;
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  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-2311 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-2311 "Temporary Pedestrian Access Route Contractor Compliance Report" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 1 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
GENERAL INFORMATION
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
Temporary Pedestrian
Access Route Begin
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
Temporary Pedestrian
Access Route End
Temporary Pedestrian Access
Temporary Pedestrian Access
Sidewalk Closure Duration
Construction Standards
Includes
Route Plan
Short Term
2010
Sidewalk Detour (Page 2)
Standard Plan T30
Long Term
2015
Temporary Walkway (Page 3)
Standard Plan T31
Other
(see page 11)
Temporary Ramps (Page 4 & 5)
Standard Plan T32
Temporary Curb Ramps
Applicable Design Bulletin
Contract Plans
Begin Use of Temporary
(Page 6 &7)
Pedestrian Access
DIB 82-05
Contractor Provided
General Inspection Checklist
Date:
Other
(Page 8)
Estimate End Use of Temporary
Temporary Pedestrian Access
Traffic Signal (Page 9)
Pedestrian Access
Route Handbook
Pedestrian Falsework
Date:
2014
Openings (Page 10)
Parking (Attach CEM-5773P)
Other
CONTRACTOR COMPLIANCE INFORMATION
The temporary pedestrian access route has been inspected and is in
Project Manager Notified of Corrective Actions
Yes
No
Date:
compliance with the plans and specifications?
Quality Control Inspector (Print Name)
Signature
Date
The temporary pedestrian access route has been inspected and is in
Project Manager Notified of Corrective Actions
Yes
No
Date:
compliance with the plans and specifications?
N/A
Quality Control Inspector (Print Name)
Signature
Date
I have reviewed the quality control inspection report for compliance with the contract plans and specifications and corrective action has been
taken when required.
Contractor Project Manager (Print Name)
Signature
Date
Submit the completed form in Adobe *.pdf format to the
Submitted By (Print Name)
Date
resident engineer within 2 business days after
inspection.
RESIDENT ENGINEER REVIEW
I have reviewed the contractor's temporary pedestrian access route compliance report and the temporary pedestrian access route is compliant.
Resident Engineer (Print Name)
Signature
Date
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 1 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
GENERAL INFORMATION
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
Temporary Pedestrian
Access Route Begin
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
Temporary Pedestrian
Access Route End
Temporary Pedestrian Access
Temporary Pedestrian Access
Sidewalk Closure Duration
Construction Standards
Includes
Route Plan
Short Term
2010
Sidewalk Detour (Page 2)
Standard Plan T30
Long Term
2015
Temporary Walkway (Page 3)
Standard Plan T31
Other
(see page 11)
Temporary Ramps (Page 4 & 5)
Standard Plan T32
Temporary Curb Ramps
Applicable Design Bulletin
Contract Plans
Begin Use of Temporary
(Page 6 &7)
Pedestrian Access
DIB 82-05
Contractor Provided
General Inspection Checklist
Date:
Other
(Page 8)
Estimate End Use of Temporary
Temporary Pedestrian Access
Traffic Signal (Page 9)
Pedestrian Access
Route Handbook
Pedestrian Falsework
Date:
2014
Openings (Page 10)
Parking (Attach CEM-5773P)
Other
CONTRACTOR COMPLIANCE INFORMATION
The temporary pedestrian access route has been inspected and is in
Project Manager Notified of Corrective Actions
Yes
No
Date:
compliance with the plans and specifications?
Quality Control Inspector (Print Name)
Signature
Date
The temporary pedestrian access route has been inspected and is in
Project Manager Notified of Corrective Actions
Yes
No
Date:
compliance with the plans and specifications?
N/A
Quality Control Inspector (Print Name)
Signature
Date
I have reviewed the quality control inspection report for compliance with the contract plans and specifications and corrective action has been
taken when required.
Contractor Project Manager (Print Name)
Signature
Date
Submit the completed form in Adobe *.pdf format to the
Submitted By (Print Name)
Date
resident engineer within 2 business days after
inspection.
RESIDENT ENGINEER REVIEW
I have reviewed the contractor's temporary pedestrian access route compliance report and the temporary pedestrian access route is compliant.
Resident Engineer (Print Name)
Signature
Date
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 2 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
SIDEWALK DETOUR INSPECTION CHECKLIST
Begin Temporary Pedestrian Access Route
Route Name
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
No.
Requirement
Compliant
Photo
Remarks
Action Number
1
Sidewalk closed ahead signs in place?
Yes
No
Yes
Yes
2
Sidewalk closed sign mounted on barrier at closure?
Yes
No
Yes
Yes
3
Barrier provided full width of the closed sidewalk?
Yes
No
Yes
Yes
4
The top rail of the barrier is at least 32 inches high?
Yes
No
Yes
Yes
5
The bottom rail of the barrier is no higher than 2 inches?
Yes
No
Yes
Yes
If pedestrians are routed adjacent to vehicular traffic, barrier
6
Yes
No
N/A
Yes
Yes
protection is provided?
If audible information devices are used, is the device operational
7
Yes
No
N/A
Yes
Yes
and message provides appropriate information?
Remarks
The following must be completed for non-compliant items:
Action
Comment
Corrective Action Required
Date Corrective Action
Number
Completed
End Temporary Pedestrian Access Route
Route Name
Cross Street
Postmile or Station
Latitude (y)
Longitude (x)
No.
Requirement
Compliant
Photo
Remarks
Action Number
1
Sidewalk closed ahead signs in place?
Yes
No
Yes
Yes
2
Sidewalk closed sign mounted on barrier at closure?
Yes
No
Yes
Yes
3
Barrier provided full width of the closed sidewalk?
Yes
No
Yes
Yes
4
The top rail of the barrier is at least 32 inches high?
Yes
No
Yes
Yes
5
The bottom rail of the barrier is no higher than 2 inches?
Yes
No
Yes
Yes
If pedestrians are routed adjacent to vehicular traffic, barrier
6
Yes
No
N/A
Yes
Yes
protection is provided?
If audible information devices are used, is the device operational
7
Yes
No
N/A
Yes
Yes
and message provides appropriate information?
Remarks
The following must be completed for non-compliant items:
Action
Comment
Corrective Action Required
Date Corrective Action
Number
Completed
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 3 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
WALKWAY INSPECTION
Measure and field verify the dimensions and slopes shown
Walkway Slope
Walkway Cross
Walkway Width
No.
Location
Photo
Remarks
Action Number
(%)
Slope (%)
(inches)
A1
B1
C1
1
A2
B2
C2
Yes
Yes
A3
B3
C3
A1
B1
C1
2
A2
B2
C2
Yes
Yes
A3
B3
C3
A1
B1
C1
3
A2
B2
C2
Yes
Yes
A3
B3
C3
A1
B1
C1
4
A2
B2
C2
Yes
Yes
A3
B3
C3
A1
B1
C1
5
A2
B2
C2
Yes
Yes
A3
B3
C3
A1
B1
C1
6
A2
B2
C2
Yes
Yes
A3
B3
C3
Walkway slope
Walkway cross
Walkway width
5.0% or less?
slope 2.0% or
48" or greater?
less?
Yes
No
Yes
No
Yes
No
Remarks
The following must be completed for non-compliant items:
Action
Comment
Corrective Action Required
Date Corrective Action
Number
Completed
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 4 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
Ramp Location
Postmile or Station
Latitude (y)
Longitude (x)
TEMPORARY RAMPS INSPECTION
Measure and verify the dimensions and slopes
Ramp Slope
Ramp
Ramp
Ramp
Handrail
Handrail
Bottom
Bottom
(%)
Cross Slope
Width
Length
Height
Height
Rail
Rail
(%)
(inches)
(feet)
Right Side
Left Side
Right Side
Left Side
(inches)
(inches)
(inches)
(inches)
A1
B1
C1
D1
E1
F1
G1
H1
A2
B2
C2
D2
E2
F2
G2
H2
A3
B3
C3
D3
E3
F3
G3
H3
8.3% or less?
2.0% or less?
48" or greater?
30' or greater?
32" or more?
32" or more?
Rail within 2" of
Rail within 2" of
ground?
ground?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Remarks
The following must be completed for non-compliant items:
Action
Comment
Corrective Action Required
Date Corrective Action
Number
Completed
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
TEMPORARY PEDESTRIAN ACCESS ROUTE CONTRACTOR COMPLIANCE REPORT
Page 5 of 12
CEM-2311 (NEW 11/2017)
PROJECT INFORMATION/NAME
CONTRACT NUMBER/CO/RTE/PM
PROJECT IDENTIFICATION NUMBER
CONTRACTOR NAME
LOCATION NUMBER
CITY
COUNTY
ROUTE NAME
INSPECTION DATE
Ramp Location
Postmile or Station
Latitude (y)
Longitude (x)
TEMPORARY RAMPS INSPECTION
Measure and verify the dimensions and slopes
Top Landing
Top Landing
Top Landing
Top Landing
Bottom Landing
Bottom Landing
Bottom Landing
Bottom Landing
Crossing Slope
Transverse
Width
Depth
Cross Slope
Transverse
Width
Depth
(%)
Slope
(inches)
(inches)
(%)
Slope
(inches)
(inches)
(%)
(%)
I1
J1
K1
L1
M1
N1
O1
P1
I2
J2
K2
L2
M2
N2
O2
P2
I3
J3
K3
L3
M3
N3
O3
P3
2.0% or less?
2.0% or less?
48" or greater?
60" or greater?
2.0% or less?
2.0% or less?
48" or greater
60" or greater?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Remarks
The following must be completed for non-compliant items:
Action
Comment
Corrective Action Required
Date Corrective Action
Number
Completed
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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