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Page Title:
Crossing Evaluation Report -Cont. |
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|  FORM 7 (cont.)
AAR/DOT NO.
EXISTING WARNING DEVICE
YES
NO
Q
LENSES
TYPE OF WARNING DEVICE
YES
NO
QTY
TYPE OF WARNING DEVICE
T
8"
12"
Y
ADVANCE
LOCATION
MAST MOUNTED FLASHING LIGHTS
WARNING SIGNS
STOP SIGNS
LOCATION
CANTILEVER
LENGTH
FLASHING
LIGHTS
STOP AHEAD
LOCATION
SIDE LIGHTS
SIGNS
PVMT MARKINGS
LOCATION
AUTOMATIC
LENGTH
GATES
CROSSBUCKS
WIGWAMS
NUMBER OF TRACK SIGNS
BELLS
INVENTORY TAGS
SIDEWALK GATE ARMS
LENGTH
INTERCONNECTED HIGHWAY
"NO TURN" SIGNS
TRAFFIC SIGNALS
FIVE YEAR ACCIDENT DATA
PROPERTY DAMAGE ONLY
OTHER
SPECIFY
TOTAL
ACCIDENTS
PERSONAL INJURY ACCIDENTS
IS CROSSING FLAGGE BY TRAIN CREW ?
FATAL ACCIDENTS
NO. OF PERSONAL
NUMBER OF FATALITIES
INJURIES
TYPE OF DEVELOPMENT
OPEN SPACE
NEW DEVELOPMENTS THAT COULD AFFECT ADT?
YES
NO
RESIDENTIAL
COMMERCIAL
IF YES, DESCRIBE:
INDUSTRIAL
INSTITUTIONAL
LOCATION OF NEARBY SCHOOLS
ADJACENT CROSSINGS
DOT NO.
STREET/ROAD NAME
WARNING DEVICE
ADT
SKETCH:
IS THERE ADEQUATE ACCESS FROM THIS CROSSING TO ADJACENT CROSSINGS?
YES
NO
IF YES, WHICH CROSSING(S)?
CAN ROADWAY REALIGNMNENT BE ACCOMPLISHED TO ALLOW CONSOLIDATION OF
CROSSINGS? If YES, PROVIDE SKETCH.
YES
NO
IMPACT OF CLOSURE
DR Form 153, Apr 83 (Page2)
B-10
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