Can the faucets be reached by a person seated in the bathtub? YES NO Are faucets mounted 17-3/4” or less above the rim of the tub? (450) YES NO Are the controls equipped with a thermostatic-mixing valve to prevent burns? YES NO Can the soap holder be easily reached from the seated position? YES NO N/A Are there grab bars mounted on the walls around the tub? YES NO IF NO GO TO QUESTION 46 Is there an grab bar mounted on the wall on the long side of tub? “L”-shaped YES NO If answer is NO the grab bar is? DIAGONAL HORIZONTAL VERTICAL Is the horizontal arm of the grab bar (920) long and 5 36” 7/8”-7 7/8” (150-200) above the tub surface? YES NO Is the vertical arm of the grab bar) long (920) and 11-3/4 -17-3/4” 36” (300-450) from the front edge of tub? YES NO Is there a separate vertical grab bar long and 7-11” that’s 48” (1220) (180-280) above the tub surface and level with the front edge of the tub? YES NO SHOWERS Is there clear floor space at the entrance at least (920) deep? 36” YES NO Is the shower stall in width and (920) in depth? 60” (1525) 36” YES NO Is the threshold less than (13) above the finished floor? ½” YES NO Is the floor surface slip-resistant? YES NO Is there a wall mounted folding seat 17 (450) above the floor [NOT a spring ¾” loaded seat that folds back up against the wall when weight is removed from it] YES NO Is there a vertical grab (760) and above the floor next bar 30” 27 ½”-31” (700-800) to the folding seat YES NO Is there a portable seat available upon request?
Can the faucets be reached by a person seated in the bathtub? YES NO Are faucets mounted 17-3/4” (450) or less above the rim of the tub? YES NO Are the controls equipped with a thermostatic-mixing valve to prevent burns? YES NO Can the soap holder be easily reached from the seated position? YES NO N/A Are there grab bars mounted on the walls around the tub? YES NO IF NO GO TO QUESTION 46 Is there an “L”-shaped grab bar mounted on the wall on the long side of tub? YES NO If answer is NO the grab bar is? DIAGONAL HORIZONTAL VERTICAL Is the horizontal arm of the grab bar 36” (920) long and 5 7/8”-7 7/8” (150-200) above the tub surface? YES NO Is the vertical arm of the grab bar) long 36” (920) and 11-3/4 -17-3/4” (300-450) from the front edge of tub? YES NO Is there a separate vertical grab bar that’s 48” (1220) long and 7-11” (180-280) above the tub surface and level with the front edge of the tub? YES NO SHOWERS Is there clear floor space at the entrance at least 36” (920) deep? YES NO Is the shower stall 60” (1525) in width and 36” (920) in depth? YES NO Is the threshold less than ½” (13) above the finished floor? YES NO Is the floor surface slip-resistant? YES NO Is there a wall mounted folding seat 17 ¾” (450) above the floor [NOT a spring loaded seat that folds back up against the wall when weight is removed from it] YES NO Is there a vertical grab bar 30” (760) and 27 ½”-31” (700-800) above the floor next to the folding seat YES NO Is there a portable seat available upon request?
Facility%20Assessment%20Form%20Word.docx