Access Audit Checklist

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ACCESS AUDIT CHECKLIST

Access for disabled peoplein healthcare premises

NHS in Scotland, P&EFE, February 2000


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NHS in Scotland Property and Environment Forum Audit Form February 2000 Page 2

Contents

Introduction Page 4

A: External Approach Page 111 External Approach2 External Change in Level: Ramp3 External Change in Level: Steps

B: Entrance and Reception Page 32 4 Entrance5 Reception

C: Horizontal and Vertical Circulation Page 43 6 Corridor7 Internal Ramp8 Internal Staircase9 Lift10 Platform Stairclimber Lift11 Vertical Platform Lift

D: Internal Spaces Page 73 12 Internal Door13 Internal Space

14 Wards and Treatment Areas15 Catering and Refreshment Areas

E: Sanitary Facilities Page 89 16 Accessible WC - Ambulant17 Accessible WC - Standard Layout18 Accessible WC - Peninsular Layout19 Changing Facilities - Cubicle20 Accessible Shower21 Accessible Bathroom

F: Signage and Information Page 127 22 Signage

G: Evacuation and Management Page 13123 Means of Escape

H: Customer Care Page 135 24 Customer Care

I: Implementation Page 138 25 Implementation Considerations


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J: Appendices Page 141A Access Action Summary SheetsB Points Scoring SystemC The Disability Discrimination Act 1995 (DDA)D ReferencesE Advisory Organisations

Acknowledgements

The National Health Service in Scotland Property and Environment Forum thanks Norman Raitt Architects for their contribution to the revision and production of this publication.


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NHS IN SCOTLANDProperty and Environment ForumAccess Audit Checklist

Access for disabled people in healthcare premises

Background

This Access Audit Checklist, produced by the NHSiS Property and Environment ForumExecutive on behalf of the Scottish Executive, is a version of a checklist originally developedby the NHS Executive in England to enable all health service providers to audit theaccessibility of their premises. It provides a consistent baseline standard which aims to

improve the quality of access for disabled people.NHS MEL (1998) 80 gave advance notification of the preparation of the audit tool and ofthe steps NHSiS providers need to take to ensure that they meet the requirements ofSection 21 of the Disability Discrimination Act 1995. The audit tool should be used inconjunction with Good Practice Guide Equality for disabled people in the NHS in Scotland

Access to services issued by the Scottish Executive Health Department.

Distribution

General Managers, Health BoardsChief Executives of NHS Trusts

Using the Access Audit Checklist

The Access Audit Checklist uses the concept of Inclusive Design, which endeavours toensure that the built environment is not disabling to those who use it. Users will includepeople with physical, sensory and cognitive impairments which may be progressive,intermittent or permanent. In the NHSiS, it will also include people who may be

temporarily disabled. An accessible environment benefits everyone, including people whouse wheelchairs, older people and families, particularly those with young children.

The Checklist is designed to be used across all healthcare buildings, from GP surgeries tomajor hospitals. This will be particularly relevant when providers are considering actionthey need to take to comply with the requirements of Section 21 of the DDA.

The aim of the Checklist is to help providers assess whether it is impossible orunreasonably difficult for the public to access services and to identify areas whereremedial action is required. Annex C contains a brief outline of the DDA. It can also beused as a tool for ensuring that new buildings and refurbishments are fully accessible.


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The Checklist covers access to areas of healthcare premises where disabled people arelikely to go as a patient, visitor or employee. For example, arriving at the site, calling atreception areas, refreshment areas, clinics, consulting areas, wards and administrativeareas.

The Checklist provides a benchmark to highlight areas which need to be addressed.These should then be prioritised and incorporated into an Access Action Plan which

should be part of a management strategy for improving access to services for disabledpeople. These might either be integrated with other work programmes or be singleprojects.

Standard

The Checklist takes as its basis Parts E, M and S of the Technical Standards forcompliance with the Building Standards (Scotland) Regulations 1990 as amended (1993-1999) (Facilities for Disabled People and Means of Escape). Parts E, M and S specifyapproved access standards applying to new or substantially reconstructed buildings andextensions. Many buildings do not meet these standards. In testing the access audit toolin a variety of healthcare settings in England, NHS Estates showed that 75% of toiletfacilities did not meet the requirements of Part M of the English Building Regulations.Healthcare facilities in Scotland are likely to demonstrate a similar level of compliance withPart M of the Scottish Building Standards.

Parts E, M and S are statutory and require minimum access standards, but do not addressall the elements required for an inclusive environment. This Checklist covers additionalelements considered to be good practice over and above Parts E, M and S.

There is no obligation to adopt the deemed to satisfy specifications of Parts E, M and S ifthe access requirements are equally well met in some other approved way. However, inthe absence of other approved standards and for consistency of auditing, Parts E, M andS standards are taken as the baseline in this Checklist.

Many newer adapted or refurbished healthcare premises will incorporate the accessrecommendations in Health Building Note 40 - Common Activity Spaces available fromThe Stationery Office. Health Building Note 40 expands on the recommendations of PartsE, M and S and applies more specifically to access design in healthcare premises, but isnot mandatory.

Diagrams illustrating the requirements of Parts E, M and S and Health Building Note 40are included in the Checklist for reference.

When auditing healthcare premises, both Parts E, M and S and Health Building Note 40layouts may be encountered. As a general guide, Parts E, M and S are the regulatorybaseline standard and will apply more to the public reception and outpatients areas whereindependent access is anticipated. Health Building Note 40 will extend to the clinical andmedical areas where assisted as well as independent access is anticipated and wherethere is a higher degree of dependency.


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Audit Strategy

The audit should follow a logical sequential journey following how people arrive at, enter,move around, use and leave the buildings(s) starting from the site perimeter andprogressing through car parking areas, pedestrian routes, building entrances, receptionareas, information, delivery, horizontal and vertical circulation routes, internal spaces,facilities and exits.

Every building varies and auditing a small GP practice in a suburban setting will besubstantially different to auditing a major NHSiS Trust Hospital with different buildings onseveral sites.

It is desirable to obtain floor plans of the building for ease of reference and identification ofthe areas being surveyed.

The Checklist should preferably be carried out by a suitably competent survey teamfamiliar with access and disability issues and with Parts E, M and S of the BuildingStandards (Scotland) Regulations. Suitably qualified professional access consultants canbe sourced through the organisations listed at Appendix E. Advice can also be obtainedfrom the NHS in Scotland Property and Environment Forum Executive.

It is advisable to consult with the Local Authority Access Officer and local Access Group orDisability Organisation. This is valuable in highlighting access consideration from the userperspective and for ensuring a comprehensive approach to their concerns.


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Using the Checklist

1. The details form on the front page of the Checklist should be completed in everycase, in particular the date of the survey.

2. Depending on the nature and function of the building, not all sections of theChecklist will apply and those sections which do not can therefore be omitted.

3. Some buildings will contain more than one of the same element, for example morethan one lift. A separate duplicated section of the Checklist should be used foreach.

4. Where there are large numbers of recurring elements such as doors, a matrix formis provided for ease of auditing. Matrix forms are only provided for those sectionslikely to have a large number or recurring elements. It is only necessary to recordthose elements which do not comply with access standards.

5. All questions on the Checklist should be completed where relevant with a tick in theYes, No or Not Applicable boxes. Not Applicable signifies that the elementreferred to in the question either does not exist or is irrelevant. One of the threeboxes should always be ticked. Space is available for additional commentsadjacent to each question.

6. Questions which relate directly to Parts E, M and S of the Building Standards(Scotland) Regulations are in bold text and the tick boxes in the Parts E, M and Scolumn are shaded.

7. Relevant diagrams illustrating the requirements of Parts E, M and S of the BuildingStandards (Scotland) Regulations and from Health Building Note 40 are included atthe end of each section for reference and for checking setting-out dimensionswhere necessary.

8. On completion of the Checklist, a summary sheet should be drawn up to form thebasis of an Access Action Plan, listing and prioritising the remedial action to betaken for each section. Access action summary sheets are included at Appendix A.Many small access improvements can be carried out relatively easily, at little or nocost.

9. There is an optional scoring system which can be used to indicate access priorities

within a building or across a range of buildings within the same management. Thepoints scoring system is described at Appendix B.


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Implementation

The access audit tool is not an end in itself. The results should be used as a basis foridentifying and prioritising access improvements over a rolling programme, many of whichcan be included within routine maintenance and refurbishment works as part of the overalldevelopment plan for healthcare premises.

A time-tabled strategy of progressive access improvements should be developed endingin 2004 when implementation of the physical access requirements of Section 21 of theDDA comes into force.

Opportunities for improving access provision occur through:

New Build Projects; Refurbishment Projects; Maintenance Works; Other Projects such as Fire Safety or Health and Safety Improvements; Simple Improvements such as the provision or renewal of equipment and fittings.

The findings from the Checklist may look daunting but much can be achieved throughsmall access improvements when budgets and resources are too limited to fund majoraccess alterations. These might include selecting suitable colour contrasts whenredecorating to help people with visual impairments identify a doorway or make quieterareas available for hearing impaired people.

It is important that the Access Audit Checklist is the responsibility of a designated

Manager who also has responsibility for disability issues in the Trust, and that procedures are in place so that when any work takes place, the Designers, Project Teams and Contractors are fully aware of the Checklist and that access needs are fully understood.Providers should consider nominating a person or gatekeeper within premises specifically responsible for coordinating and monitoring access issues.

In the case of leased premises there should also be a nominated person acting on behalfof the Landlord and any access improvements should be agreed with the Landlord prior tocommencement.

The local authority Access Officer and Building Control Inspector should be consultedwhere appropriate to ensure that the works comply at least with Parts E, M and S of theBuilding Standards (Scotland) Regulations.

If the premises are listed or of special architectural merit, consent will be required to carryout any alterations. Access to the Built Heritage published by Historic Scotland givesappropriate guidance.

Prior to commencement of the works, all contract documentation should be check by asuitably competent person to ensure access compliance. Spot checks and review ofaccess requirements should also be carried out during the progress of the works to ensurethere is no deviation from the specification.Prior to handover of the works, all access elements should again be checked by a suitablycompetent person to ensure compliance.


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A: External Approach

Approaches from the site perimeterto the entrance of the building,

external spaces, car parking, set down areas,ramps and steps


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1 EXTERNAL APPROACH Relevant diagrams are attached at the end of this section

Bdg Regs NHSiSY N Y N N/A COMMENTS

LOCATION: .

1.01 Is the building within convenient walking distance of:

(a) a public highway?

(b) public transport?

(c) car parking facilities?

1.02 Have suitable dropped kerbs been provided where appropriate?See diagram.

1.03 Is the approach surface relatively even?Surfaces should permit manoeuvre by wheelchair users and people with walking difficulties

1.04 Is the approach surface slip-resistant?

1.05 Is the approach route reasonably level or ramped suitable fordisabled people ? If steeper than 1:20, route should be classified as a ramp. See Section 2.

1.06 If the approach route is steeper than 1 in 12, is there alternativeprovision to enable access by disabled people?

Bdg Regs NHSiSACTUAL POINTS

MAXIMUM POSSIBLE POINTS


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BROUGHT FORWARD FROM PREVIOUS PAGE ACTUAL POINTS



LOCATION: .

1.07 Is the approach route at least 1200mm wide?1800mm recommended for passing in two directions.

1.08 Is the route free of hazards such as traffic signs, bollards, litter bins,and building features such as outward opening doors, windows oroverhangs?

1.09 Is the route adequately and evenly lit?

1.10 Is the route clearly identified by visual, aural and tactile information?

1.11 Is the route safely and clearly separated from traffic flow?

1.12 Is the route to the building properly maintained and kept clear in allweathers?

1.13 Is accessible parking provided for disabled people?

1.14 Are sufficient dedicated accessible parking spaces provided?

At least 1 in 20 or part thereof of parking provision should be accessible to wheelchair users.




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LOCATION: .

1.23 Are alternative parking arrangements available to wheelchair usersif all accessible spaces are occupied?

1.24 If there is an automatic barrier entry system to the car park, is thisaccessible to disabled people including deaf and hard of hearingpeople who do not speak?

1.25 If there are ticket machines or meters for parking, are theseappropriately located with controls and coin slots within a heightrange of 900mm 1200mm and clearly identifiable?

1.26 Are suitable, safe set-down and pick-up points provided for taxis,community transport vehicles, cars and minibuses close to principalbuilding entrances?

1.27 Are suitable, safe set-down and pick-up points provided forambulances?

Bdg Regs NHSiSACTUAL POINTS TOTAL POINTS FOR

MAXIMUM POSSIBLE POINTS THIS SECTION


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Car Parking (wheelchair access)

NORMAN RAITT ARCHITECTS

HBN 40 DIAG. 2

All sizes in mm

not recommended for general use).Preferred minimum: (Restricted minimum,

Notes:

1350 (1300)

6000

2400 1200 2400

4800

1200

6000

3600

800 600

450(300)

4500

17501100 (1000)

1. Average space length (in line parking)includes allowance for manoeuvring car intoand out of parking space. Add 1000 tolength and 200-300 to width for large(American type) car. An end bay against awall or obstruction should be increased to7000 (8000) overall to allow for safe

manoeuvring.

2. 300 (pref. 450) allows restricted

circulation space for fully ambulant users.

3. Standard parking bay width is anaverage for multi-bay situations. End baysagainst wall or other obstruction should beincreased by 200 (100). Similarly 300-800depending on level of convenience should

be added to end bay for semi or nonambulant users.

if each bay has an individual access aisle

shared access aisle

100 minimum allowance forvariation in parking positions

parkedattendant

average car

(see note 2) average car full door swingwheelchair users

wider doors (i.e. 1100

clearance of obstructiondropped kerb to

standard parking bay (see note 3)

wheelchairduring transit space

(2000 max)prefer a 2 door car with

is required)

footpath

(5700 max)

Drawing not to scale.

External Approach:

200


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LOCATION: .

2.07 If the ramp gradient is between 1 in 15 and 1 in 12, is the lengthof each individual flight 5m or less?The ramp gradient should be between 1 in 20 and 1 in 12. If it is

shallower than 1 in 20 it is considered a level approach. If it is steeper than 1 in 12 it is too steep to be used by disabled people and would not comply with Building Regulations. A gradient shallower than 1:15 1:20 is recommended.

2.08 Are appropriate intermediate landings provided at least 1200mmlong? See diagram.

2.09 Does the open side of the ramp have a raised kerb at least100mm high?

2.10 Are there suitable continuous handrails each side and also tolandings? See diagram.

2.11 Are the ramp and landing handrails colour contrasted from theirbackground?

2.12 Is the top of the handrail 900mm above the surface of the rampand 840 1000mm above the surface of a landing?




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LOCATION: .

2.13 Does the handrail extend at least 300mm beyond the top andbottom of the ramp?

2.14 Does the handrail terminate in a closed end which does notproject into a route of travel?

2.15 Does the profile and projection of the handrail provide a firmgrip?

2.16 If the ramp gradient is 1:20 or steeper, are there accompanyingsteps?




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External Change in Level: Ramp (general)


HBN 40 DIAG. 3

All sizes in mm

not recommended for general use.)Preferred minimum: (Restricted minimum,

Notes:

1350 (1300)

Drawing not to scale

1500 (1200) 1500 (1200)

900

450 450

1500

1980

1500 (1200)

900

100

7575

100

a

a

section a-a edge protection details

edge protection(see note 15)

10-15mm(see note 18)

min

m

ax

m

axunobstructed height

forramp (see note 22)

preferred cover for externalramp (see note 19)

tactile warning(see note 8)

ramp width (see note 4)

landing (see note 21)

recess at bottomof ramp (see note 21)

circulationroute

ramp: gradient max 1:15,length max 10000 withoutlanding (see note 3)

protected barrier atbottom of ramp(see note 20)

landing (see notes 6-8)

steps(see note 2)

possible locationof door

300300handrailextension handrailextension

handrails(see notes 9-14)

1100

1000

1000

6 1 0

a. See notes on following pages

tactile warning(see note 8)


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13. These extensions also indicate the presence of a ramp for visually impaired users, but they should notproject out into the path of other pedestrians.

14. Further detailed guidance is given in the Notes to the handrails ergonomic data sheets later in thisvolume.

Edge protection

15. The open side of a ramp or landing should have a raised kerb in order to prevent feet and wheelsslipping off. The kerb or barrier should be painted in a contrasting colour to the ramp and its surroundings.

Surface/appearance

16. There should be contrasts of colour and tone between the ramp and adjacent areas, such as handrailsand background colour. If the coloured markings are to be provided on the ramp itself, however, they shouldform a V configuration pointing in the change of direction, rather than a line at top and bottom which couldcreate confusion with stairs.

17. Ramps should have a permanent, regular, non-slip surface. Indoor ramps should not be covered indeep- or shag-pile carpet, as this is difficult to traverse in a wheelchair. External ramps should not becovered with glazed or polished masonry or cobblestones.

18. Outdoor ramps should not allow the accumulation of water on their surface; for this reason, a camber of1:100 (max. 1:50) is permissible, which should not affect the steering of wheeled conveyances or otheritems. There should be gaps of 10-15mm left at intervals in the edging, above the level of the ramp, toenable rainwater and grit to drain off.

19. Ramps can be dangerous in wet or icy weather. Where possible, outdoor ramps should have a canopyabove, to protect them from rain and snow.

20. Where a ramp leads down to a road or any place where there may be traffic, a barrier in the form of arailing to a height of 1100mm across the full width of the ramp should be installed at the bottom of the ramp,in order to prevent users walking or rolling into the road; such a barrier should be no more than 1500mmfrom the base of the ramp.

21. Where a ramp intersects with a pedestrian route, there should be a level area of 900mm length, in orderto allow wheelchair users and people with pushchairs to turn round and join the flow of pedestrians.

22. The ramp should be clear of obstructions for the width of the ramp and to a minimum height of 1980mm(excluding handrails).

Lighting

23. External ramps and walkways should have a minimum lighting level of 75 lux at the pavement. Thisshould be increased to 150 lux where the building is designed specifically for visually impaired people.


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3 EXTERNAL CHANGE IN LEVEL: STEPS Relevant diagrams are attached at the end of this section


LOCATION: .

3.01 Does the approach route incorporate steps?Note: The Building Regulation items listed below are for steps attached to buildings only. Steps not attached to buildings should be audited in the same way but their scores should be recorded in the NHSiS column.

3.02 Do the top and bottom landings to each flight of steps havetactile surfaces to give advance warning of the change in level?See diagram.

3.03 Is the lighting adequate and well positioned?Lighting should be free of shadows.

3.04 Are all step nosings readily identifiable and colour contrasted?A nosing is the front edge of the step.

3.05 Is the unobstructed width of the flight at least 1000mm?A flight is the length of a single run of steps.

3.06 Is the rise of the flight between landings not more than 1200mmmaximum?

Note: The Building Regulations allow a maximum rise of 16 risers.

3.07 Are the top, bottom and intermediate levels at least 1200mmlong and clear of any door swing?




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LOCATION: .

3.08 Is the rise of each step uniform and no more than 170mm?See diagram.

3.09 Is the going of each step at least 250mm?If the treads taper, the going should be measured 270mm from the inside of the stair.

3.10 Are the risers solid/closed in?

3.11 Is the tread nosing profile suitable and designed to avoid riskof people catching their feet? See diagram .

3.12 Is there suitable continuous handrail each side? See diagram.

3.13 Is the top of the handrail 900mm above the pitch line of aflight of steps and 8401000mm above the surface of a landing?

3.14 Does the handrail extend at least 300mm beyond the top andbottom of the steps?





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LOCATION: .


3.17 Are any hazardous overhangs to the underside of stepsprotected to avoid people walking into them?




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External Change in Level: Steps


HBN 40 DIAG. 4

All sizes in mm


Notes:

1350 (1300)


1500 (1200)

750 650

1500 (1200)

recess at top of steps(see note 5)


clear distance between handrailsto be maintained on landings

1500 (1200)

circulationcirculation

recess at bottom ofsteps (see note 5)

800800 400 400

1700 (1200)

1500 (1000)

2000 (1500)

300(280)350 max

130(100)

150 max

13mm radius


max1200

(see note 6)

300

300

handrailextension

handrailextension



900

610

2000

150

(see notes13-17)

mintactile

warning(see note 12)

max min

(see note 12)warningtactile

max

nosings see note 9

a. See notes on following page


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External Change in Level: Steps

(Notes to ergonomic data sheets)

General considerations

1. Reference should be made to Part S of the Technical Standards for compliance with the BuildingStandards (Scotland) Regulations 1990 for specific legislative requirements.

2. If a level approach to the buildings entrance cannot be achieved, then steps and a ramp must beprovided. Steps are preferred to ramps by many people, and, when correctly detailed, steps provideindependent access for many ambulant disabled people for example, those with arthritis or those who usecrutches. However, steps are a barrier to people in wheelchairs or with pushchairs/prams etc, so a rampshould be provided wherever there are steps (see notes to data sheet ramps).

Approach and landings

3. People with impaired sight are at risk of tripping or losing their balance when meeting sudden changes inlevel; this risk is at its greatest when approaching the head of a flight of steps. The existence of steps, ontheir own or within a flight, should be made apparent; stairs should be designed so that they are not acontinuation of the line of normal pedestrian travel.

4. The clear, unobstructed length of landings should be 1500mm (1200mm as a minimum). The top andbottom steps of a flight should not encroach onto the landing area.

5. Steps should not interfere with circulation spaces; they should be recessed from the circulation route byat least 600mm at the top and 750mm at the bottom, to avoid pedestrian collisions and to allow handrails tolevel out.

Height

6. Although many ambulant disabled people find it easier to climb steps than to use ramps, it is stillimportant that any flights of steps are not too long and are broken up by landings. The maximumrecommended height for the rise of a flight of external steps between landings is 1200mm and there shouldbe a minimum of three and a maximum of nine steps. (Note: The Technical Standards allow a maximum riseof 16 risers.)

7. Generally, the flatter the pitch (angle), the safer steps will be. The recommended pitch for public steps is27 o (with a maximum of 34 o).

Risers and goings

8. Risers and goings should be uniform throughout the flight, as any irregularities can cause people tostumble.

Nosings

9, Nosings should be marked in a colour/tone that contrasts with the colour of the stairs, extending the fullwidth of the step and reaching a depth of 50-60mm on both tread and riser. Any edges should be firmlyfixed and be of a non-slip type. Sharp nosings and abrupt angles should be avoided.

Edge protection

10. It is necessary to prevent feet, crutches and sticks from accidentally slipping off the edge of open-plansteps. For steps not adjacent to walls, a barrier, with a maximum height of 100mm above the level of thetreads, should be provided.


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Step surface and type

11. The surface of the steps must be (and also appear to be) non-slip, and to aid visually impaired peoplethe risers should be a contrasting colour to the treads. A fall of 1:100 is recommended, to prevent waterfrom accumulating on the steps and to maintain a non-slip surface in wet conditions.

12. A change in surface texture at the top and bottom of each flight of steps is needed, to act as a warningfor visually impaired people that there is a change in level ahead. This surface should be of a corduroy

texture.

Width of steps

13. Distractions should be avoided, especially at the top of steps where people may lose their concentrationas well as their footing.

14. In addition, the use of open risers is not recommended, since they are especially dangerous for theambulant disabled such as those users with braces and prostheses who need a solid rise to guide theirfeet onto the next tread. Open risers allow feet to catch on the underside of the tread, and are therefore alsohazardous to those using sticks and canes.

15. Single steps, and any changes in level of less than 100mm, are to be avoided, as are spiral and helicalsteps.

16. The steps must be wide enough for people to negotiate comfortably by holding onto either one or bothhandrails or by being assisted. The width of the steps should reflect the amount of pedestrian traffic.

17. A minimum clear step width of 1000mm for one person, or 1500mm for two-way traffic, is necessary. Amiddle handrail should be provided on any flights of steps wider than 1800mm.

Handrails

18. Reference should be made to the handrail data sheet later in this volume for further guidance.

19. Handrails are required by some users to help them to pull up steps; they are also used for balance andsupport when descending. Handrail extensions also provide tactile cues to the presence of changes in levelfor visually impaired people.

20. Handrails:

must continue for a minimum of 300mm horizontally from the top step; where the handrail does notinterrupt pedestrian routes, an extension of 450mm from the top step is recommended. Centralhandrails may project into the landings by the same amount as the going, and for external steps leadingto an entrance door the central handrail should continue across the landing to the door;

must be located within the width of the tread; and should be provided on both sides of the steps, to assist people with left or right disabilities, those using a

walking stick, or those carrying a bag in one hand.

Balustrades

21. Balustrades should be provided around landings to a height of 1100mm, to prevent people falling. Theyshould not allow young children to fall between the gaps (which should be no wider than 100mm), norprovide toeholds for climbing up.

Lighting

22. Steps and landings should be well illuminated, either naturally or by artificial means. The lighting shouldbe designed so that it highlights the differences between risers and treads, the top and bottom steps, and

any changes in direction.


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B: Entrance andReception

External doors, lobbies andreception areas


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4 ENTRANCE Relevant diagrams are attached at the end of this section


LOCATION: .

4.01 Is the door clearly colour contrasted or distinguishable from thesurrounding faade?

4.02 If a glass door, is it visible in its closed position through transoms,large pull handles, glazing manifestation bands or logos?

4.03 Does the entrance door contain a leaf which provides aminimum clear opening width of at least 800mm? See diagram.

4.04 Does the door have a flush threshold?

4.05 Is there a glazed panel in the door giving a zone of visibility ofat least between 900mm and 1500mm above floor level?

4.06 Is there adequate unobstructed space (300mm) availablealongside the leading edge of the door to enable a disabledperson to open the door clear of the door swing?See diagram. Not required for automatic doors.

4.07 Is the door handle/control clearly colour contrasted from the door?

4.08 Is the door handle/control set at approximately 1000mm above floorlevel?




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LOCATION: .

4.09 Is the door handle/control easy for a person with restricted mobilityto operate?

4.10 If a door closer is fitted, does it have slow action or delay check togive disabled people time to pass through?

4.11 Is the door closer pressure gentle and not greater than 25-30Newtons? Closer pressure should be minimum necessary to close the door effectively.

4.12 Is the door automatically operated?Automatic sliding doors preferred to automatic swing doors where possible.

4.13 If the door is automatically operated, does it have both visual andtactile information and warnings?

4.14 If the door is automatically operated, does it have a safety sensoroverride to avoid trapping users? Remote photo eyesensor, or floor

pressure mat sensors, are preferred to impact baffle sensors fitted to the leading edge of the door, which can injure users.




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LOCATION: .

4.15 If a revolving door is used, is there an immediately adjacentalternative door meeting the above criteria and available at alltimes? Neither manual nor automatic revolving doors are easily

accessible to disabled people.

4.16 Is there a means of summoning assistance if the door cannot beoperated?

4.17 If the door is security-protected, is the entry system or entry phonesuitable for use by people with hearing, sight, speech or mobilitydisabilities and set between 900mm and 1200mm above floor level?

4.18 Is any weather mat of firm texture and flush with the floor?

4.19 Are doors regularly checked and maintained?

4.20 If a lobby is provided, does the inner door meet the same accesscriteria as the outer door?

4.21 Does the lobby layout enable wheelchair users to clear onedoor before opening the second, with minimal manoeuvring?See diagram. This is for external lobbies. For internal lobbies see Section 6.




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Entrance and Reception: Entrance


B. REGS. DIAG. 5

All sizes in mm

2000

1800

1500

2400

1800

15001800

800 minclear

Plans of Typical Lobby Arrangements

Notes:

300

2300

800 minclear

300


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LOCATION: .

5.30 If a childs play area is provided, is it accessible to disabledchildren and parents?

5.31 Is there a nappy change space and separate feeding area, withnappy change table and washbasin accessible to wheelchair users?Recommended height of nappy change table max. 800mm with knee space at least 650mm high x 400mm deep under.

5.32 Is there a suitable secure parking area for prams, buggies andscooters?

5.33 Are water and toileting facilities available for assistance dogs?

5.34 Are suitable charging facilities available for powered wheelchairsand other equipment?

5.35 Are any charging facilities for powered wheelchairs and otherequipment located in a secure fire-resisting ventilated enclosure?

5.36 For people progressing beyond this area into other parts of thebuilding, is information given by appropriate signs, supported bytactile information such as a map or a model?See Signage Section 22 of this Checklist.




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Entrance and Reception: Reception Counter


HBN 40 DIAG. 6

All sizes in mm


Notes:

1350 (1300)


800

400

800

400

1200

1420 eye level

1000 counter

1750 eye level

1150 eye level

wheelchair

1100 seated eye

700 worktop heightseat heightadjustable from 430

(see note 3)

independent person seated

space for space for ambulant passing(800 is required

wheelchair turning

and withdrawal

writing

stationery

side storage possible

between

worktop workspace

min

on/andunderworktop

side storageon/andunderworktop

worktop workspace

location ofglass screen

receptionists

workstationwidth perreceptionist

1200600

600900

wheelchairpassing

standingat counter

ambulantpassing

space for

1200

wheelchair

space for assistedpassing

1500

from counter

circle and access to

300

shelf/computerhousing and

250

600

at counter

900 600500

keyboardandpapers

access andwithdrawal for the passing of a

records trolley)

shelf forbags

small woman

tall man

small woman inheight

700 shelf forbags andknee hole forw/ch user

level small woman

to 530 and footrest

1. A sitting height counter may act as a

psychological barrier to a patient/escort whomay be violent. A counter depth of 800should help to protect staff, whilst still

allowing receptionist and patient to hear eachother. A counter depth of 800 will also allowadequate space for the computer. Thecomputer could be protected by a raised area,although this should not throw shadows onthe screen. The worktop height should be700 for sitting to use the keyboard.

2. Glazed screens between receptionistsmaximise confidentiality of discussionsbetween patient and receptionist.

3. An adjustable height (430 - 530), swivelchair with castors is required for thereceptionist. A footrest should be provided.4. Each workstation should incorporate analarm button for staff to summon assistance.5. Mobile, under worktop storage units forpersonal belongings are preferred for greaterflexibility.

800

100


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C: Horizontal andVertical Circulation

Horizontal and vertical circulation, corridors,internal ramps, stairs and lifts


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6 CORRIDOR Relevant diagrams are attached at the end of this section


LOCATION: .

6.01 Does the corridor or passageway have an unobstructed widthof at least 1200mm?If the corridor is approachable by stairway alone and does not have lift access, then an unobstructed width of 1000mm is permissible. For people to pass, min. 1500mm corridor width is recommended.

6.02 Do all lobbies allow users, including wheelchair users, toclear one door before approaching the second with minimalmanoeuvring?See diagram. This is for internal lobbies. For external lobbies see Section 4.

6.03 Is the corridor free from obstructions to wheelchair users and hazardsto blind and partially sighted people?

6.04 Are radiators of low surface temperature type to avoid burningwhen touched?

6.05 Is turning space available for wheelchair users?If turning 90 degrees from a 900mm wide corridor into a doorway,

a 1000mm doorset is the minimum acceptable. If turning from a 1200mm wide corridor, a 900mm doorset is acceptable but a 1000mm doorset is preferred.




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LOCATION: .

6.06 Are rest points with suitable seats provided on long corridors?

6.07 Is the natural and artificial lighting free from excessive glare and

shadows?Windows at the end of corridors can cause excessive glare and shadows unless balanced with artificial lighting internally .

6.08 Are the acoustics free from echo and excessive reverberation?

6.09 Are floor, wall and ceiling surfaces free from reflections?

6.10 Are visual clues available to help orientation, such as colour coding?

6.11 Are textured surfaces used to convey information to blind andpartially sighted people, such as contrasting floor textures atcorridor junction and on lift landings?

6.12 Are floor surfaces easily negotiable by wheelchair users?

6.13 Does signage and information comply with Signage Section 22 ofthis Checklist?

6.14 Are the above features regularly checked and maintained?




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LOCATION

6.00 CORRIDOR Y N Y N Y N Y N Y N Y N Y N Y N

6.01 Does the corridor or passageway have an unobstructed width of at least 1200mm?

6.02 Do all lobbies allow users, including wheelchair users, to clear one door before approaching the second?

6.03 Is the corridor free from obstructions to wheelchair users and hazards to blind and partially sighted people?

6.04 Are radiators of low surface temperature type to avoid burning when touched?

6.05 Is turning space available for wheelchair users?

6.06 Are rest points with suitable seats provided on long corridors?

6.07 Is the natural and artificial lighting free from excessive glare and shadows?

6.08 Are the acoustics free from echo and excessive reverberation?

6.09 Are floor, wall and ceiling surfaces free from reflections?

6.10 Are visual clues available to help orientation, such as colour coding?

6.11 Are textured surfaces used to convey information to blind and partially sighted people?

6.12 Are floor surfaces easily negotiable by wheelchair users?

6.13 Does signage and information comply with Signage Section 22 of this Checklist?

6.14 Are the above features regularly checked and maintained?

TotalMaximum possible points

Actual points


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Horizontal and Vertical Circulation: Corridor


B. REGS. DIAG. 7

All sizes in mm

2000

1500

1100

Corridorsuitable

forwheelchairs

300min

1200min

750min clear

Plans of Typical Internal Lobby Arrangements

Notes:

2300

1800 1800

1500

300

1800

2000 2

400

300

1500

300


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7 INTERNAL RAMP


LOCATION: .

7.01 For a short rise within a single storey is a permanent rampavailable?Ramps are not required if alternative lift provision is made (see Sections 10 and 11).

7.02 If a permanent ramp cannot be constructed, is a suitable secureportable ramp available and are staff trained to use it?Portable ramps are not recommended unless there is no other option.

7.03 Is there adequate manoeuvring space at the top and bottom ofthe ramp?Min. 1200mm long level approach recommended.

7.04 Is the ramp surface slip resistant?

7.05 Is the surface width of the ramp at least 1200mm wide andunobstructed width of the ramp at least 1000mm wide?

7.06 If the ramp gradient is between 1 in 20 and 1 in 15, is the lengthof each individual flight 10m or less?




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LOCATION: .

7.13 Does the handrail extend at least 300mm beyond the top andbottom of the ramp?

7.14 Does the handrail terminate in a closed end which does notproject into route of travel?


7.16 If the ramp gradient is 1:20 or steeper, are there accompanyingsteps?

7.17 Are the ramp and approaches maintained free of obstruction?




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8 INTERNAL STAIRCASE Relevant diagrams are attached at the end of this section


LOCATION: .

Under Part S access within a building must be level or ramped or by way of a suitable passenger lift to any storey above or below the principal entrance storey, except in a two storey building where the net floor area of the storey is less than 280 sq metres, or in a building of more than two storeys where the net floor area of the

storey is less than 200 sq metres. In these exceptional cases, access may be by stair, complying with the Part S questions in this section.Note: Net floor area excludes vertical circulation, sanitary accommodation and plant rooms.

8.01 Is the location of the stair adequately signed at each level?

8.02 Is each level clearly identified by tactile and visual information?

8.03 Is there adequate well positioned lighting?Lighting should be free of shadows.

8.04 Is the unobstructed width of the flight at least 1000mm wide?A flight is the length of a single run of steps.

8.05 Is the vertical rise of a flight between landings 1800mm maximum?

Note: The Building Regulations allow a maximum rise of 16 risers.




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LOCATION: .

8.06 Are the top and bottom and intermediate landings at least1200mm long clear of any door swing? See diagram.

8.07 Is rise of each step uniform and no more than 170mm?See diagram.

8.08 Is the going of each step uniform and at least 250mm?See diagram.


8.10 Is the tread nosing profile suitable and designed to avoidrisk of people catching their feet? See diagram.

8.11 Are all step nosings readily distinguishable and contrasted?A nosing is the front edge of the step.All stairs should comply with this question and be suitable for blind and partially sighted people.




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LOCATION: .

8.12 Does the stair have a suitable continuous handrail each side?See diagram.

8.13 Is the top of the handrail 840-1000mm above the pitch line of thestairs and above the surface of a landing?

8.14 Does the handrail extend at least 300mm beyond the top andbottom of the stairs?



8.17 Are any hazardous overhangs to the underside of stairsprotected to avoid injury to blind and partially sighted people?

8.18 Are the stairs maintained in good condition and regularly checked

for obstructions?




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LOCATION

8.00 INTERNAL STAIRCASE Y N Y N Y N Y N Y N Y N Y N Y N

8.01 Is the location of the stair adequately signed at each level?

8.02 Is each level clearly identified by tactile and visual information?

8.03 Is there adequate well positioned lighting?

8.04 Is the unobstructed width of the flight at least 1000mm wide?

8.05 Is the vertical rise of a flight between landings 1200mm maximum?

8.06 Are the top and bottom and intermediate landings at least 1200mm long clear of any door swing?

8.07 Is rise of each step uniform and no more than 170mm?

8.08 Is the going of each step uniform and at least 250mm?


8.10 Is the tread nosing profile suitable and designed to avoid risk of people catching their feet?

8.11 Are all step nosings readily distinguishable and contrasted?

8.12 Does the stair have a suitable continuous handrail each side?

8.13 Is the top of the handrail 840-1000mm above the pitch line of the stairs and above the surface of a landing?

8.14 Does the handrail extend at least 300mm beyond the top and bottom of the stairs?

8.15 Does the handrail terminate in a closed end which does not project into a route of travel?

8.16 Does the profile and projection of the handrail allow a firm grip?

8.17 Are any hazardous overhangs to the underside of stairs projected to avoid injury to blind and partially sighted people?

8.18 Are the stairs maintained in good condition and regularly checked for obstructions?


Actual points


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Horizontal and Vertical Circulation: Internal Stairs


HBN 40 DIAG. 8

All sizes in mm


Notes:

1350 (1300)


1500 (1200)

1500 (1200)landing (see notes 4-5)

clear distance between handrailsto be maintained on landings

1500 (1200)

800800 400 400

1700 (1200)

1500 (1000)

2000 (1500)

280(250)290 max

170 max


max1800

(see note 6)

300

300

handrailextension

handrailextension



900

610

2000

150

(see notes17-18)

mintactile

warning(see note 12)

max min

(see note 12)warningtactile

max

a. See notes on following page

a square nosing is lesssatisfactory than asplayed riser as it cantrap the toe duringascent

nosings see note 8

15-25mm


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Horizontal and Vertical Circulation: Internal Stairs



1. Reference should be made to Part S of the Technical Standards for compliance with the BuildingStandards (Scotland) Regulations 1990.

2. Stairs are a barrier to people in wheelchairs or those with pushchairs or prams. A ramp can be providedin some situations, which will also facilitate egress in an emergency (see data sheet for Ramps); however,ramps are generally not considered appropriate for any significant changes in level within a building.

3. The dimensions illustrated in this data sheet only provide for general ambulant and semi-ambulantaccess. (Reference should be made to SHTM 81 and the Staircase, mattress evacuation data sheets inVolume 4 of HBN 40 with regard to the requirements for mattress evacuation.)

Approach and landings

4. People with impaired sight are at risk of tripping or losing their balance when meeting sudden changes inlevel; the risk is greatest when approaching the head of a flight of steps. The existence of steps, on theirown or within a flight, should be made apparent; stairs should be designed so that they are not acontinuation of the line of normal pedestrian travel.

5. The clear, unobstructed length of landings in hospitals should be 1500mm (1200mm minimum). The topand bottom steps of a flight should not encroach onto the landing area.

Height

6. The maximum permitted height for the rise of a flight of internal stairs between landings is 1800mm.(Note: The Technical Standards allow a maximum rise of 16 risers.)

Risers and goings

7. Risers and goings should be uniform throughout the flight, as any irregularities can cause people tostumble. Risers should not be of the open type. The minimum internal going is 280mm.

Nosings

8. Nosings should be marked in a colour/tone that contrasts with the colour of the stairs, extending the fullwidth of the step, and reaching a depth of 50-60mm on both tread and riser, to allow visually impairedpeople to detect the edge of each step. Any edges should be firmly fixed and be of a non-slip type.Although rounded nosings can cause slipping, sharp nosings and abrupt angles should still be avoided.

Edge protection

9. It is necessary to prevent feet, crutches and sticks from accidentally slipping off the edge of open-plansteps. For steps not adjacent to walls, a barrier, with a maximum height of 100mm above the level of thetreads, should be provided.

Step surface and type

10. The surface of the steps must be (and appear to be) non-slip, and to aid visually impaired people therisers should be a contrasting colour to the treads.

11. Stair finishes must not have patterns which cause step edges to be indistinguishable to visuallyimpaired people, or which can otherwise cause visual confusion of any kind.

12. A change in surface texture at the top and bottom of the steps is needed, to act as a warning for visuallyimpaired people that there is a change in level ahead. Such changes could simply be from a carpetedsurface to a vinyl surface; corduroy or blister tactile surfaces should not be used in this instance.


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13. Distractions should be avoided, especially at the top of steps where people may lose their concentrationas well as their footing.

14. In addition, the use of open risers is not recommended, since open risers are hazardous to all users;they are especially dangerous for the ambulant disabled with leg braces and prostheses, who need a solidriser to guide their feet onto the next tread. Open risers allow feet to catch on the underside of the tread,and are therefore hazardous to those using sticks and canes.

15. Open areas on the underside of stairs should also be avoided, to eliminate the possibility of anyone including the fully sighted walking into the overhang created. If enclosure is not possible, then two rails one at 1000mm, and one at 200mm above floor level for cane users or some other strategically placed,permanent barrier, should be provided.

16. Single steps and any changes in level less than 100mm are to be avoided, as are helical and spiralsteps (the treads of which are often too narrow).

Width of steps

17. The steps must be wide enough for people to negotiate comfortably by holding onto either one or bothhandrails or by being assisted. The width of the steps should reflect the amount of pedestrian traffic.

18. A minimum clear step width of 1000mm for one person, or 1500mm for two-way traffic, is necessary. Amiddle handrail should be provided on any flights of steps wider than 1800mm. It is recommended thatchannels are a minimum of 1000mm wide, to ensure that people can use both handrails if they wish.

Handrails

19. Reference should be made to the Handrails ergonomic data sheet later in this section for furtherguidance.

20. Handrails are required by some users to help them to pull up steps; they are also used for balance andsupport when descending. Handrail extensions also provide tactile cues to the presence of changes in level

for visually impaired people.

21. Handrails:

must continue for a minimum of 300mm horizontally from the top step; where the handrail does notinterrupt pedestrian routes, an extension of 450mm from the top step is recommended. Centralhandrails may project into the landings by the same amount as the going;

must be located within the width of the tread; and should be provided on both sides of the steps, in order to assist people with left or right disabilities,

those using a walking stick, or those carrying a bag in one hand.

Balustrades

22. Balustrades should be provided around landings to a height of 1100mm, to prevent people falling. Theyshould not allow young children to fall between the gaps (which should be no wider than 100mm), norprovide toeholds for climbing up.

Lighting

23. Steps and landings should be well illuminated, either naturally or by artificial means. The lighting shouldbe designed so that it highlights the differences between risers and treads, the top and bottom steps, andany changes in direction.


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Horizontal and Vertical Circulation: Handrails


HBN 40 DIAG. 9

All sizes in mm


Notes:

1350 (1300)


1300 (1100)600

700900

space forindependentwheelchaircirculation

space forindependent walkingusing handrail750 with recessedhandrail (see note 5)

space for assistedwalking usinghandrail

ambulantcirculation

125 (100)

250 (200)

5 0

4 5

- 5 0

45-50 60 (45)

900-1000

height ofhandrail(see note 6)

900-1000

height of

handrail(see note 6)

must be roundedto minimisepossible injury

alternative recessedhandrail section(see note 5)

minimum armaccess torecessed rail

(see note 3)

minimumpreferredclearance

(see notes 3-5)see right

See notes on following page.


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Horizontal and Vertical Circulation: Handrails



1. Many people rely on handrails for balance and support, particularly when walking up and down steps,stairs and ramps, but also when in lifts and moving along corridors. In ascent, handrails are grasped at

intervals, whereas during descent hands are usually slid continuously down them. Handrails are importantfor wheelchair users to hold onto when resting on ramps. Handrails also provide safety barriers on openramps and stairways.

Appearance/texture

2. Handrails:

should be easily visible in advance, and be of a contrasting colour to the surface to which they are fixed; should be smooth, and free of any abrasive elements; should be neither too cold nor too hot to the touch, especially those which are situated outdoors; can have raised indicators built in, to convey such information as floor level.

Shape and size

3. Handrails should be easy to grasp, and the shape and size must allow a firm but comfortable grip withthe whole hand. Handrails which are too small are uncomfortable and provide an unsatisfactory grip,whereas handrails which are too large are difficult to grip for people with weak or arthritic hands. A roundcross-section is recommended; this type of handrail is easiest to grip, and should ideally have a diameter ofbetween 45mm and 50mm; the next most acceptable handrails are oval, measuring between 18mm and37mm horizontally and between 32mm and 50mm vertically. (Whilst other shapes may also be acceptable,handrails with a large, square or vertically mounted and rectangular cross-section should be avoided.)

Clearance

4. Handrails must allow enough space between them and the adjacent walls or other obstacles for fingersand hands to pass without scraping knuckles. (A clearance of 60mm is preferred; although a minimumclearance of 45mm complies with the Building Standards (Scotland) Regulations, this is uncomfortably tightfor arthritic hands, especially if gloves are worn.)

5. Recessed handrail sections are not satisfactory, since they cannot be leant on for support. If this solutionis unavoidable, any recesses containing handrails should extend for 250mm above the top of the rail.

Height

6. The top of the handrail should ideally be 900mm above the surface of the ramp or pitch line of a flight ofsteps; a second, lower, rail the top of which should be at a height of 610mm should also be provided, forthe benefit of wheelchair users and children.

Extent

7. Continuous handrails on stairways and landings help visually impaired people to negotiate changes indirection. Handrails should therefore be continuous around the inside of dog-legs on stairways and rampsand continue around intermediate landings. Vertical handrail risers on turns, or any interruption of handrailsto accommodate newel posts and supports, should be avoided.

8. Handrail extensions provide tactile cues as to the presence of changes in level for visually impairedpeople; they should extend horizontally for 300mm past each end of the feature, and where they do notinterrupt pedestrian routes an extension of 450mm is recommended. They should return to the wall or flooror at least 100mm downwards, and should not project into any pedestrian routes.

9. A central handrail of a stairway may project into the landing by the same amount as the going.


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Distance between rails

10. For guidance regarding the recommended distance between handrails on corridors, steps and ramps,reference should be made to the relevant data sheets elsewhere in this volume.

Withstandable force

11. Handrails should be rigid, securely fixed and able to support the weight of a person leaning on them.They should be able to withstand a concentrated momentary horizontal force of 91 kg applied to the topedge and 30% of that vertically down, and they should be able to withstand a minimum vertical load orhorizontal pull of 1.33 kN.

Balustrades

12. Balustrades must be provided around landings to a height of 1100mm, to prevent people falling. Theyshould not allow young children to fall between the gaps (which should be no wider than 100mm), norprovide toeholds for climbing up.


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9 LIFT Relevant diagrams are attached at the end of this section


LOCATION: .

9.01 Is a passenger lift provided?See Section 8 for guidance on access within a building and the provision of lifts.

9.02 Are the lift landing doors adequately colour contrasted from thesurrounding wall?

9.03 Is the floor landing indication clear and the call controlsbetween 900-1200mm high?

9.04 Immediately outside the lift is there sufficient unobstructedspace of at least 1500 x 1500mm for wheelchair users to turn?

9.05 Is there a 1500 x 1500mm contrasting texture floor finishimmediately outside the lift for blind and partially sightedpeople to identify the lift location?

9.06 Does the lift door provide a clear opening width of at least800mm?

9.07 Do the lift doors have a delayed action closer and a photosensor safety override to allow for 5 second delay and avoidtrapping disabled people?Door edge strike sensor systems are hazardous and not recommended.




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LOCATION : .

9.08 Is the lift car at least 1100mm wide and 1400mm long?

9.09 Does the car have internal handrails, appropriately designed

and positioned?

9.10 Are the lift controls and emergency call located between900mm and 1200mm above floor level and set back at least400mm from the front wall corner?

9.11 Is the storey identified by suitable tactile indication on thelanding and on the lift call buttons?

9.12 Is there suitable tactile indication to the lift buttons withinthe car to identify the floor selected?Raised letters or numerals are recommended in preference to engraved.

9.13 If the lift serves more than two floors, is there visual andaudible indication of the floor reached, with a voice announcer

for blind and partially sighted people?




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LOCATION: .

9.14 Does the lift car floor accurately align with landings at all levels?

9.15 Is the lift regularly checked and maintained?

9.16 Is there an alternative suitable staircase?Some users cannot tolerate lifts and alternative stairs should always be available in the event of lift breakdown or evacuation.




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LOCATION

9.00 LIFT Y N Y N Y N Y N Y N Y N Y N Y N

9.01 Is a passenger lift provided?

9.02 Are the lift landing doors adequately colour contrasted from the surrounding wall?

9.03 Is the floor landing indication clear and the call controls between 900-1200mm high?

9.04 Immediately outside the lift is there at least 1500 x 1500mm for wheelchair users to turn?

9.05 Is there a 1500 x 1500mm contrasting texture floor finish immediately outside the lift?

9.06 Does the lift door provide a clear opening width of at least 800mm?

9.07 Do the lift doors have a delayed action closer and a photo sensor safety override?

9.08 Is the lift car at least 1100mm wide and 1400mm long?

9.09 Does the car have internal handrails, appropriately designed and positioned?

9.10 Are the lift controls and emergency call located between 900mm and 1200mm above floor level?

9.11 Is the storey identified by suitable tactile indication on the landing and on the lift call buttons?

9.12 Is there suitable tactile indication to the lift buttons within the car to identify the floor selected?

9.13 Is there visual and audible indication of the floor reached, with a voice announcer?9.14 Does the lift car floor accurately align with landings at all levels?

9.15 Is the lift regularly checked and maintained?

9.16 Is there an alternative suitable staircase?


Actual points


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Horizontal and Vertical Circulation: Lift and Controls


HBN 40 DIAG. 10

All sizes in mm


Notes:

1350 (1300)


600

acceptable zone forlocation of lift call controls

1500

landing/manoeuvring space,independent users (see note 4)

1900

landing/manoeuvring space,assisted users (see note 4)

200

1200 (1000)

2900

600

600600200 200

handrails(see note 20)

acceptable zones for display and controls(see note 8-14, lifts general)

900

300

acceptable zonefor display andcontrols(see note 10-14,

tip up seat

acceptable zone forlocation of call controlsc

learance

1400

1600 (1400)

(see note 1)

minimumdimensionsnot

recommended forwheelchairuse

(see note 1)

1100

(see notes21-23,

liftsgeneral)

manoeuvring spacebeyond door opening,

assisted users(minimum dimensiononly suitable forindependent use)

600 (500)

manoeuvring space

assisted wheelchair

users

1. The minimum lift size for wheelchair useis a 630kg, 1100 x 1400mm lift. However,this size of car does not allow for turning of awheelchair or reasonable space for anassistant/attendant. A 1100mm x 1400mmlift is therefore not recommended for general

use in health care buildings.

2. A 1600mm x 1400mm car with a door

recess of 100mm just allows independentwheelchair turning, although some usersmay have difficulty. However, space isavailable for an assistant/attendant.

3. Handrails should be provided on both theside and rear walls of a passenger lift car.

4. The landing/lobby dimensions shown arefor wheelchair movement only. Referenceshould be made to BS 5655 Part 5 andPart S of the Technical Standards for actual/ minimum requirements.

5. The controls should be positioned insidethe lift as follows:

i. Where the wheelchair user can turn 180 ,600 (400)mm from the front edge of the lift.ii. Where the wheelchair user cannot turn(i.e. a 1100mm x 1400mm lift), frontal entryonly, 500mm from the front edge of the lift.

6. In a 1100mm x 1400mm lift the visualindicator for lift activity should be located onthe side wall of the car to allow a frontalaccess wheelchair user to see it. In a1600mm x 1400mm lift the indicator can belocated above the door as standard.

7. See also Lifts general notes on the

following pages.

lifts general)


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Horizontal and Vertical Circulation: Lift and Controls


Lifts - General

1. The following guidance is provided for planning purposes only. More detailed technical information iscontained in HTM 2004, Lifts. Lifts are provided in health buildings as a primary method of moving a

number of different types of load between two or more defined, fixed floor levels; these loads will generallybe embraced by one of the following categories:

a. pedestrian(s) (fully ambulant and the mobility impaired): visitors, staff or patients, including those inwheelchairs, mothers with buggies, the visually impaired and people with walking frames, etc. Thealternatives to lifts (steps/stairs, stair lifts, platform lifts, escalators and travelators) are not ideallyaccessible to all, and internal ramps between floors are only considered appropriate for materials supplyand disposal purposes (see paragraph 1c below), and therefore a wheelchair accessible lift must beprovided;

b. patient trolley : the majority of bed patient movement between wards and treatment areas, as well asemergency patient movement (for example from A and E), will be on a stretcher trolley;

c. goods trolley : in large healthcare buildings, the movement of all essential supplies will be carried outeither by a manually propelled trolley or by a trolley propelled by an electric tow truck;

d. bed(s) : the movement of patients in beds should be minimised in new building design by the properdesign of departmental layouts and inter-departmental relationships.

Selection of lifts

2. When considering the need for lifts, the selection should not restrict one type of load to a certain type oflift. The lifts should be selected so that they are versatile and can accommodate as many types of load asare considered practical.

3. The number, types, size and speeds of lifts should be determined from a traffic analysis specific to the

proposed building development, and should allow adequate flexibility of the lift solution to accommodatefuture changes.

Lift landings

4. Each lift should open onto a lobby of adequate depth, in order not to restrict the flow of traffic in front ofthe lift entrance that is, lifts must not open directly onto corridors.

5. The dimensions given on the individual ergonomic data sheets for the lift landing relate to the spacerequirements for the manoeuvring of users and equipment only. The depth of the lobby should be aminimum of that recommended in BS 5655 Part 5 1989 (Table 9, Landing depth), for non-residential andbed/passenger lifts.

6. There should be a contrast of tone and colour between the walls and the lift doors and between thelanding and the lift floor, to assist visually impaired people. Additionally, a distinguishable floor surface measuring at least 1500 sq mm outside the lift door area will assist visually impaired people to locate thelift door.

Landing indicators

7. Lift indication at the main landing entrances should comprise:

a digital full position indicator; lift direction-of-travel arrows; a lift arrival gong (sounding two strokes for up, one for down).


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Lift indication at all other floors should comprise:

lift direction-of-travel arrows; a lift arrival gong.

For a single lift, the floors other than that where the main entrance is situated may also have a full positionindicator.

Landing calls

8. The controls for calling the lift should be easy to understand, accessible, and simple to operate. BS 5655Part 7 provides suitable information on the provision and nomenclature for types of lift call systems relevantto the type of control system selected.

9. The landing controls should be mounted at a height of between 900mm and 1200mm above floor level,and the push-button controls should:

be mounted in a single face-plate which contrasts with the landing decoration; be configured so that the up push-button is located above that for down; have raised or tactile embossed arrowhead symbols, either upon the pressel or on a chicklet adjacent

to the push-button corresponding to the lifts direction of travel; have an illuminating bezel to signify that the call has been accepted by the lift; provide a positive movement (touch-type or engraved-letter buttons should not be used in any instance).

The pressel of the push-button should measure at least 22mm square or in diameter.

Lift car controls

10. The lift car controls should be mounted at a height of between 900mm and 1200mm above the lift carfloor, and should be located on the side wall of the car, at least 400mm from the front return of the car, toallow wheelchair users to access the lift controls.

11. The lift car operating panel should provide the following:

a digital full position indicator; direction-of-travel arrows; an alarm push; a push-button for each floor served; a key switch, for independent service.

12. All symbols for floor designation should be provided as a raised tactile-embossed numeral, either on thepush-button or on a chicklet adjacent to the push-button. The push-button corresponding to the mainentry/exit floor should have a raised five-pointed star adjacent to it as well as the floor designation symbol.(This is the internationally recognised method for delineating the entry/exit floor to the visually impaired.)The push-button should be contrasted in tone and colour to the panel on which it is mounted.

13. Audible indication of the floor levels, the lifts direction of travel, door movements, etc should beprovided for the visually impaired by means of a digitised, sampled voice-speech synthesis unit within the liftcar. The basic information provided by the speech synthesis unit (direction of travel, current floor level) maybe enhanced by further, specific information about the department(s) situated on that particular floor of thebuilding.

14. All visual information should be mounted at a height that is visible above other passengers heads (thatis > or = 2m).

Emergency communication

15. Emergency communication should be provided in each lift car by an alarm push-button on the caroperating panel which sounds an electronic alarm (min 95 dBa) located in the vicinity of the lift well at themain entrance level, and which initiates an auto-dial, hands-free two-way communication link to apermanently manned point (for example, a telephone switchboard).


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LOCATION: .

10.07 In the event of power failure or emergency is backup power orbattery supply provided?

10.08 Is the platform stairclimber lift regularly checked and maintained?




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11 VERTICAL PLATFORM LIFT


LOCATION: .

11.01Where it is impractical to effect a ramped change in levelwithin a storey accessible to wheelchair users, has a shortrise vertical platform lift to BS 6440:1983 been installed?Only recommended for short changes in level up to 1980mm. In some situations can be used up to 4000mm if suitably enclosed and protected.

11.02 Is there adequate and safe manoeuvring space at the lower landing?At least 1200 x 1200mm recommended.

11.03 Is there adequate manoeuvring space at the upper landing?At least 1200 x 1200mm recommended.

11.04 Are the controls easily identifiable and located between 900mm and1200mm height?

11.05 Is the platform suitable for wheelchair user and manoeuvre, includingheavier powered chairs?At least 850 x 1300mm recommended.

11.06 In the event of power failure or emergency, is backup power or

battery supply provided?




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D: Internal Spaces

Internal doors, internal spaces,wards and treatment areas,

catering and refreshment areas


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LOCATION: .

12.08 Is the door/handle/control clearly colour contrasted from the door?

12.09 Can the door/handle/control be easily gripped and operated?

12.10 If a door closer is fitted, does it have slow action or a delay checkto give disabled people time to pass through?

12.11 Is the door closer pressure easy and not greater than 25-30Newtons?

12.12 Is the door closer of electromagnetic hold-open type and linkedto the alarm system to close automatically in emergency?

12.13 Is the door regularly checked and maintained?




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LOCATION

12.00 INTERNAL DOORS Y N Y N Y N Y N Y N Y N Y N Y N

12.01 Is the door absolutely necessary for safety or functional reasons?

12.02 Is the door clearly colour contrasted or distinguishable from its surroundings?

12.03 If the d

Documents

Access Audit Checklist