Sidewalk Inspection Form 
                                                                                 Must be filled out for every sidewalk constructed in County      
                                                                                 right-of-way in Sacramento County. This form must be filled  
                                                                                 out and submitted within ten days of construction to  
                                                                                 the SacDOT Program Access Coordinator. 
 

          Street: _______________________________________  Project Name:_____________________________ 
 
          Sides of Street: 
      . N     . E     . S     . W 
 

Nearest Cross-Streets: 
.  STREET_________________________ .  STREET___________________________

 

        Sidewalks per County Standard Drawing 4-25:  Check all that apply: 
        . Vertical Curb   . Rolled curb   . No Curb        . Planter strip entire length   . Partial length planter strip 
 
STANDARDS: 
-  CLEAR WIDTH AT LEAST 48" (NOT INCLUDING CURB) OR AT LEAST 36" AT AN OBSTRUCTION  
-  NO OVERHEAD OBSTRUCTIONS LOWER THAN 84". 
-  CROSS-SLOPE 1.5%.   RUNNING SLOPE NOT GREATER THAN STREET OR 5%, WHICHEVER IS GREATER. 
-  NO GAPS WIDER THAN 1/2". 
-  SURFACE CONCRETE OR ASPHALT, BROOM FINISH OR EQUAL SLIP-RESISTANCE. 
-  NO DROP-OFF GREATER THAN 4" AT BACK OR AT PLANTER STRIP. 
 

                                                                                                             NORTH OR EAST CROSS-STREET__________________________ 
NORTH OR WEST SIDE OF STREET: 
SIDEWALK CLEAR WIDTH:  A1: __________ FT. _________ IN. 
                                               A2: __________ FT. _________ IN. 
                                               A3: __________ FT. _________ IN. 
PLANTER STRIP WIDTH:     B:   __________ FT. _________ IN. 
(PUT "0" IF NO PLANTER STRIP) 
RUNNING SLOPE: C1: ______ % C2: ______ % C3: _______ % 
CROSS-SLOPE: D1: _______ % D2: _______ % D3: _______ % 
OTHER SPECIFIC CONDITIONS: ________________________ 
SOUTH OR EAST SIDE OF STREET: 
SIDEWALK CLEAR WIDTH:  E1: __________ FT. _________ IN. 
                                               E2: __________ FT. _________ IN. 
                                               E3: __________ FT. _________ IN. 
PLANTER STRIP WIDTH:     F:   __________ FT. _________ IN. 
(PUT "0" IF NO PLANTER STRIP) 
RUNNING SLOPE: G1: ______ % G2: ______ % G3: _______ % 
CROSS-SLOPE:   H1: _______ % H2 _______ % H3: _______ % 
OTHER SPECIFIC CONDITIONS: ________________________ 
   DRAW ALL OBSTRUCTIONS OR HAZARDS ON THE PLAN: 
     SOUTH OR EAST CROSS-STREET________________________ 
Inspected/measured by (print):________________________  Date Field Measured:______________________ 
 
B 

E 

A 

G 

F 

H

C

D 













Directions: Three measurements shall be taken at various locations along the sidewalk. None of the three recorded measurements may exceed the limits indicated above. See reverse side for Compliance with Standards.                   Page 1 
                                                                 Sidewalk Inspection Form 
 
 Compliance with Standards: 
 
Note:  All sidewalks should comply with SacDOT’s current design and construction standards. Where it is infeasible to construct or reconstruct a sidewalk to current standards, the Designer or Inspector must complete the Findings for Non-compliance Element(s) section below and state what the non-compliant element(s) are and the reason for the non-compliance. A drawing or picture can be included in the box below. After completing this form, submit it to the SacDOT Program Access Coordinator for acceptance and then signature by the Director of SacDOT. 
 
Findings for Non-Compliance Element(s):  _______________________________________________ 
___________________________________________________________________________________ 
___________________________________________________________________________________ 
___________________________________________________________________________________ 
___________________________________________________________________________________ 
___________________________________________________________________________________ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Picture or Drawing, if needed 
 
______________________   _______________________   _______________________   __________________________ 


  Designer/Inspector   Date  Reviewed by             Date  Approved by SacDOT          Approved by Chief, Disability 
                                             Program Access Coord.      Director                     Date    Compliance, Sac. Co.      Date 
 
  ___________________   __________________   ___________________   ______________________ 
  Designer/Inspector Signature  Reviewed by Signature  SacDOT Dir. Signature       Chief Disability Comp. Signature 
            Page 2