COUNTY MUNICIPALITY
SCHOOL NAME SCHOOL DISTRICT
DOES THE SCHOOL PROPERTY ABUT THE HIGHWAY? IF YES, INDICATE STREET NAME AND ROUTE NUMBER BELOW.
SR# SEGMENT STREET NAME
SEGMENT/OFFSET TO SEGMENT/OFFSET
A - LOCATION INFORMATION
SCHOOL ZONE SPEED LIMIT
ENGINEERING AND TRAFFIC STUDY
PLEASE TYPE OR PRINT ALL INFORMATION IN BLUE OR BLACK INK
TE-112 (3-19)
REFERENCE SECTION(S)
REFERENCE SECTION(S)
REFERENCE SECTION(S)
REFERENCE SECTION(S)
B - REFERENCE INFORMATION
Page 1 of 3
Chapter 212
MUTCD
PUB 46
Vehicle Code Title 75 Pa. C.S.
212.501
7B.11 and 7B.12
Chapter 2.4.6.1, 2.4.6.3 and 7.2
§3365(b) and 6109(a)(10)
ASCENDING DESCENDING BOTH
For the purposes of this study, the following definition applies:
School - a facility for education wherein a resident of this Commonwealth can legally fulfill compulsory school requirements, including
kindergarten through grade 12.
o YES o NO
o o o
Confidential - Traffic Engineering and Safety Study
This document is the property of the Commonwealth of Pennsylvania, Department of Transportation. The data and information contained
herein are part of a traffic engineering and safety study. This safety study is only provided to those official agencies or persons who have
responsibility in the highway transportation system and may only be used by such agencies or persons for traffic safety related planning
or research. The document and information are confidential pursuant to 75 Pa. C.S.3754 and 23 U.S.C. 409 and may not be published,
reproduced, released or discussed without the written permission of the Pennsylvania Department of Transportation.
www.dot.state.pa.us
Check those that apply and attach to this form in the order listed below:
D - ATTACHMENTS LISTING
o 1. 10-Day Response Letter
o 2. Letter or Memo Requesting Study
o 3. Location Map
o 4. Straight Line Diagram
o 5. Photographs
o 6. Field View Drawing or Condition Diagram
o 7. Crash Extract
o 8. Crash Rate
o 9. Collision Diagram Plot
o 10. Speed Study
o 11. Warrant Analysis
o 12. Multi-Way Stop or Truck Restriction Worksheet
o 13.Trafc/PedestrianVolumes
o 14.STAMPPIdenticationData
o 15. Speed Limit
o 16.TrafcSignalPermitPlan
o 17. Other ____________________________
____________________________
FROM PUB 212 APPENDIX:
o Arrival and Departure Hours of Students (5) School Route Plan (15)
o Geometric Review (8) Other _______________________________________________________________
o Pedestrian Volumes (12) ______________________________________________________________________
C - STUDY ELEMENTS
Page 2 of 3
This traffic engineering and safety study is confidential pursuant to 75 Pa. C.S. 3754 and 23 U.S.C. 409 and may not be
disclosed or used in litigation without written permission from PennDOT.
A. Student Pedestrian Activity:
1. Do students cross the highway? ..................................................................... o YES o NO
If yes, specify times of crossing AM and PM and supply a count of student crossings per 15 minute intervals during crossing periods:
FROM TO
Morning ___________________________________________________ __________________________________________________________________
Noon _____________________________________________________ __________________________________________________________________
Afternoon _________________________________________________ __________________________________________________________________
2. Do students walk along the highway on the shoulder? .......................................................o YES o NO
If yes, approximately how many? __________________________________________________________________________________________________
3. Do students walk along the highway on a sidewalk? .......................................................o YES o NO
If yes, approximately how many? __________________________________________________________________________________________________
4. Are there crosswalks on the highway abutting the school property? ............................................ o YES o NO
F - SITE DATA
DATE DATA COLLECTED PERSON CONDUCTING STUDY TITLE
Operational Checklist:
1. Do obstructions block a driver's view of pedestrians or approaching vehicles? ..................... o YES o NO o N/A
2. Do drivers respond correctly to signals, signs, or other traffic control devices? ...................... o YES o NO o N/A
3. Is there evidence of crashes (skid marks, property damage, tree/bush damage, broken glass/vehicle parts, etc.)? ..... o YES o NO o N/A
4. Are there violations of parking or other traffic regulations? ..................................... o YES o NO o N/A
5. Do drivers appear confused about routes, street names, or other guidance information? ............... o YES o NO o N/A
6. Have you observed the location during peak hours for volume, crashes, and traffic operations? ......... o YES o NO o N/A
7. Are there traffic flow deficiencies or traffic conflict patterns associated with turning movements? ........ o YES o NO o N/A
8. Are there significant delays and/or congestion? .............................................. o YES o NO o N/A
9. Are there vehicle/pedestrians conflicts? .................................................... o YES o NO o N/A
10. Are there other traffic flow deficiencies or traffic conflict patterns? ............................... o YES o NO o N/A
Physical Checklist:
1. Can sight obstructions be removed or lessened? ............................................. o YES o NO o N/A
2. Do the street alignments or widths adequately accommodate the type of traffic using the roadway? ..... o YES o NO o N/A
3. Are curb radii adequate for turning vehicles? ................................................ o YES o NO o N/A
4. Are pedestrian crosswalks properly located? ................................................ o YES o NO o N/A
5. Are signs adequate as to usefulness, message, size, conformity, and placement? .................... o YES o NO o N/A
6.Aretracsignalsadequateastoplacement,visibility,glare,conformity,numberofsignalheads,andtiming? .. o YES o NO o N/A
7. Are pavement markings adequate as to their conformance to standards and location? ................ o YES o NO o N/A
8. Is channelization (islands or pavement markings) adequate for reducing conflict areas,
separating traffic flows, and defining movements? ............................................ o YES o NO o N/A
9. Does the existing legal parking layout affect sight distance for through or turning vehicles? ............ o YES o NO o N/A
10. Is the pavement condition free of potholes, washboard, slick surface, etc.? ........................ o YES o NO o N/A
E - SITE OBSERVATION CHECKLIST
Page 3 of 3
This traffic engineering and safety study is confidential pursuant to 75 Pa. C.S. 3754 and 23 U.S.C. 409 and may not be
disclosed or used in litigation without written permission from PennDOT.
F - SITE DATA (CONTINUED)
G - REMARKS
5. Total number of students who ride on school or mini buses __________________________________________________________________________
6. Total number of students in the above named school ________________________________________________________________________
Date Signature of Superintendent, Assistant Superintendent, or Principal
H - ENGINEERING JUDGEMENT
Comments:
Reviewed and Approved by Signature Name/Title Date
Reviewed and Approved by Signature Name/Title Date
I - APPROVALS