This form should be used to inventory a pedestrian facility when conducting a pedestrian level of traffic stress analysis. Only data applicable to the pedestrian facility should be filled out. For analysis of signalized midblock crossings or segment facilities, the sidewalk condition and width, buffer type and width, speed, number of lanes, and adjacent land use type are needed. For analysis of unsignalized intersection crossings or midblock crossing, the speed, adjacent roadway lanes value, ADT, and crossing treatments are needed. For characteristic definitions and other information regarding this inventory, see Chapter 14.

Facility 1 :
Characteristic		Value	PLTS Reference Table	PLTS Classification
Sidewalk	Condition		Table 14-7
	Width (ft)
Buffer	Type		Table 14-8
	Off-Street Width (ft)		Table 14-9
	On-Street Width (ft)
	Total Width (ft)
Adjacent Roadway	Speed (mph)		Used in various tables	-
	Number of Lanes		Table 14-10
Adjacent Land Use	Type		Table 14-11
Overall PLTS Classification

1

Applicable to signalized midblock crossings and segment facilities

Facility 2 :
Characteristic		Value	PLTS Reference Table	PLTS Classification
Adjacent Roadway	Speed (mph)		Table 14-12, 14-13, or 14-14
	Number of Lanes
	ADT (vpd)
	Rased Median
Crossing Treatment(s)			Table 14-15
Overall PLTS Classification

2

Applicable unsignalized intersection crossings or unsignalized midblock crossings (includes midblock crossings with PHB or RRFB)