Location: _________________________________________________________

Completed by: _____________________________________________________     Date: _______________

Area Type:

_____  Urban CBD

_____  Urban Other

_____  Suburban

_____  Rural

Roadway Functional Class:

_____  Local

_____  Collector

_____  Minor Arterial

_____  Major Arterial

Motor Vehicle Speed*:

_____  <= 45 mph

_____  > 45 mph

Location:

_____  Intersection

_____  Mid-Block

Number of Through Lanes:

_____  <= 2 lanes

_____  3 - 4 lanes

_____  >= 5 lanes

Traffic Volumes (Average Daily Traffic):

_____  < 10,000

_____  10,000 to 25,000

_____  > 25,000

Signalization:

_____  Traffic signal present (removal is NOT an option

_____  Traffic signal present (removal is an option)

_____  No signal present (installation is NOT an option)

_____  No signal present (installation is an option)

Comments:
			

Notes:
* Use 85th percentile speed if available. If not available, add 9 mi/h to the posted speed limit as a surrogate 
measure for the 85th percentile speed. Prior research has shown that 85th percentile speeds for vehicle traveling on 
many urban and suburban streets (including arterial, collector, and local classifications) generally exceed the posted 
limit by 6 to 14 mi/h. (D.L. Harkey, H.D. Robertson, and S.E. Davis, "Assessment of Current Speed Zoning Criteria," 
Transportation Research Record 1281, Transportation Research Board, Washington, DC 1990.)