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					                                                                                                                                                                                                         FDOT Matrix Rev. 12/29/2010

                       FDOT Traffic Engineering Research Laboratory Pull and                                                             By signing this form, the applicant hereby declares that he/she has read and understands the
                                                                                                                                         provisions of Section A635 of the FDOT Minimum Specifications for Traffic Control Signals
                       Splice Box Compliance Matrix                                                                                      and Devices and all implemented modifications. The requirements listed on this form are
                                                                                                                                         derived from Section A635, which in all cases will be the basis for determining a product's
                                                                                                                                         compliance and its acceptability for use on Florida's roads.

       Manufacturer:                                                                                                    Name (print):

   Item, Model No.:                                                                                                         Signature:

  ID                                                                                                                     comply?
 No.      Section                                               Requirement                                              (Yes/No)                                                Comments
 The following compliance matrix criteria are for all pull and splice boxes
   1 A635-2.1      Box covers have the following identification permanently cast into their top surface: 1) The
                   application for which it is to be used: FDOT TRAFFIC SIGNAL (signalized intersection
                   applications); FDOT FIBER OPTIC CABLE (fiber optic cable ITS applications); FDOT
                   ELECTRICAL (other electrical applications); FDOT LIGHTING (highway lighting applications);
                   FDOT TRAFFIC MONITORING (traffic monitoring applications); 2) Manufacturer’s name or
                   logo; and 3) Florida DOT approval number.
   2               Date of manufacture (month/day/year) is permanently located on the cover.
   3               The interior of the box is permanently marked with the manufacturer part number, Florida
                   DOT approval number and date of manufacture near the top of the box in a manner that is
                   visible after installation once the cover is removed.
 The following compliance matrix criteria is for pull boxes
   4               Pull boxes used for signalized intersection applications have an open-bottom design with
                   minimum opening of 190 square inches with no one inside dimension less than 10 inches; pull
                   boxes used for fiber optic cable ITS applications have a nominal cover dimension of 24 inches
                   wide by 36 inches long and is at least 36 inches deep.
 The following compliance matrix criteria is for splice boxes
   5               Splice box (vault) has a nominal cover dimension of 30 inches wide by 60 inches long and is
                   at least 48 inches deep.
 The following compliance matrix criteria are for all pull and splice boxes
   6 A635-2.2      Box covers are constructed of concrete, polymer concrete, or cast iron; cast iron covers meet
                   American Society for Testing and Materials (ASTM) Specification A48, Class 20 and all
                   covers have a top surface with a minimum coefficient of friction of 0.6.
   7               Boxes are constructed of concrete, polymer concrete, high density polyethylene (HDPE), or a
                   combination of hand lay up fiberglass and polymer concrete collar; alternate materials may be
                   accepted if all other requirements of these specifications are met.

   8                   Box covers have lifting slots and a flush-seating lockdown mechanism.
   9                   Lockdown bolts are penta-head 3/8-16 Unified National Course thread bolt (UNC) or ½-13
                       UNC; lockdown bolts and lifting slots are stainless steel 304 or 316 or brass.
  10                   Lockdown bolts can be removed without damaging the cover or box; the bolt and
                       nut/threaded insert assembly are field replaceable.
  11                   In addition to the standard lockdown bolts, submittal for approval includes at least one
                       alternative vandal-resistant option for securing the cover to the box.
  12 A635-2.3          Pull box and materials used in the manufacturing of the boxes have been tested in
                       accordance with the American National Standards Institute (ANSI)/Society of Cable
                       Telecommunications Engineers (SCTE) 77 2007 Specification for Underground Enclosure
                       Integrity except paragraph 7.1 which is replaced with the requirements as detailed in ID # 15.

  13                   Specimens tested were randomly selected from normal production, at least 24 hours old, and
                       maintained at a temperature of 70 to 81°F (21 to 27°C) for at least 12 hours prior to testing.

Applicant's Initials:_______Date:_______                                                                      Page 1 of 2                                                             TERL Reviewer's Initials:_______ Date:_______
                                                                                                                                                          FDOT Matrix Rev. 12/29/2010

  ID                                                                                                                       comply?
 No.      Section                                               Requirement                                                (Yes/No)   Comments
                   All gauges are tested and certified and splice boxes
 The following compliance matrix criteria are for all pull accurate per Section 16, 17, and 18 of AASHTO T 67 and
                   ASTM E4.
  15               Device tested with text below replacing paragraph 7.1 of the ANSI/SCTE 77 2007
                   Specification: "a) Perform the lateral sidewall test first; b) Use a 10x10 inch loading plate
                   centered on the sidewall. Use sand or other conformable media to obtain even pressure on
                   the load area if the sidewall has an irregular shape; c) Apply a load of 1,200 lbs. Wall
                   deflection shall not exceed 0.5 inches when loaded. Deflection shall be determined as the
                   movement of the box wall at the point of the load relative to any three of the four box wall
                   corners. Do not test the sidewall to failure; d) After completing the lateral sidewall test as
                   described above, continue product testing using paragraph 7.2 and 7.3 of the ANSI/SCTE 77
                   2007 Specification."
  16               Pull box test performance meets paragraph 7.4 for Tier 15 as defined in Table 1 of the
                   ANSI/SCTE 77 2007 specification for vertical load tests and according to paragraph c) in ID #
                   15 for lateral tests; the tested assembly does not show any visual evidence of structural
                   failure during and after the test when subjected to the following test loads: 1) Vertical Load
                   Test on Cover: 22,500 lbs (9.07 metric tons); 2) Vertical Load Test on Box: 22,500 lbs (9.07
                   metric tons) and 3) Lateral Load test on Box Sidewall: 1,200 lbs (544.3 kg)

  17 A635-2.3.1     An independent lab test report is provided that demonstrates compliance to these
                    specifications; the report is neatly organized in a binder that includes tab-separated sections
                    and contains a CD or other storage device that includes all content in electronic format.

  18                The test lab is a nationally recognized testing lab and is accredited by a national entity in the
                    area of the testing that is to be performed (International Organization for Standardization
                    (ISO)/International Electrotechnical Commission (IEC) 17025 Accredited Testing Laboratory,

  19                Proof of accreditation is submitted to and approved by the FDOT prior to testing; all testing is
                    performed by the approved laboratory. Testing may be performed at the manufacturer facility
                    as long as all testing requirements stated within this specification are met.

  20                Complete test results are provided along with a pass or fail for each requirement listed in
                    ANSI/SCTE 77 2007 and/or required below. Test results include the following as a minimum:
                    a) Product part number, date of manufacture and date of testing; b) Weight of product tested
                    and ambient temperature at time of test; c) Type of material and physical description of
                    product tested; d) Before and after test photographs of the product being tested; e)
                    Photographs of the test setup and location of gauges; f) Test equipment used and last
                    calibration date; g) Name and title of person performing test; h) Description of the location and
                    type of failure and photographs of each failure; and i) Load verses deflection graphs for each
                    position test.
  21                The test report also includes pass or fail results for the following tests: a) Flexural Strength; b)
                    Accelerated Service; c) Chemical Resistance; d) Simulated Sunlight Exposure; e) Water
                    Absorption; f) Flammability; g) Cover Impact; h) Internal Equipment Protection Test; and i)
                    Coefficient of Friction Test.
  22                Test results are presented in a formal report on the test lab letterhead and be signed by a
                    professional mechanical or structural engineer; the test lab and professional engineer are not
                    in any way associated with the box manufacturer or any parent or subsidiary of same.

  23                The report contains a summary of all results which stated whether the product passed (met
                    the requirements of the specification) or failed each test.

Applicant's Initials:_______Date:_______                                                                        Page 2 of 2              TERL Reviewer's Initials:_______ Date:_______

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