Pavement Friction Evaluation Form
Complete this form to assess and record pavement surface friction and related evaluation details.
Location of Evaluation (e.g., street name, section, or GPS coordinates)
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator Name
*
Pavement Surface Type
*
Please Select
Asphalt
Concrete
Chip Seal
Other
Surface Condition
*
Dry
Wet
Icy
Snowy
Other
Weather During Evaluation
*
Clear
Cloudy
Rain
Snow
Other
Measurement Method
*
Please Select
Locked-wheel skid tester
Side-force coefficient device
British Pendulum Tester
Other
Surface Texture Assessment
*
Rows
Poor
Fair
Good
Macrotexture
1
2
3
Microtexture
4
5
6
Measured Friction Value (e.g., Skid Number or coefficient)
*
Overall Evaluation Outcome
*
1
2
3
4
5
Submit Evaluation
Should be Empty: