Wheelchair and Mobility Device Securement Log - Transit

Records wheelchair and mobility device boardings, lift deployments, securement actions, and any pass-by or capacity events to support ADA transit compliance under 49 CFR 37.165.

Trip and Vehicle Details

• Date of Event
• Time of Event
• Route or Service
• Vehicle Number
• Operator ID
• Trip Direction

Mobility Device and Boarding Details

• Mobility Device Type
• Boarding Location
• Was the lift or ramp deployed?
• Boarding Outcome
• Was securement used?

Securement and Safety Checks

• Securement Method
• Securement completed successfully?
• Was any safety issue observed?
• Safety Issue Details

Exception Events and Reason

• Did a pass-by, capacity, or other exception occur?
• Exception Type
• Reason for Exception
• Follow-up required?

Notes and Audit Trail

• Passenger Feedback or Comments
• Operator Notes
• PII and compliance notice acknowledged
  By submitting, you confirm this record is for ADA compliance and operational audit trail purposes and that only necessary information has been collected.