Placement of rails, beams and cranes over the highway – application form "*" indicates required fields Step 1 of 4 – Contact details 25% The personal data you provide on this form will be held by Devon County Council for the purpose(s) of administering the section 178. The data will be held securely and not kept for longer than necessary. Under the General Data Protection Regulations (GDPR) you have the right to ask that your details are removed. More information about how we process your data under GDPR is available in the Privacy Notice For Highway LicencesApplicant name* Applicant's address* Address Town Postcode Phone numberEmail address Location of proposed apparatus (please include road/street name and town/parish)*Description of item to oversail highway?*Description of the work*Weight and size measurements of apparatus?*Are any of the following being used? Mobile crane Tower crane Static base Vehicle mounted base Luffing jib Saddling jib Cantilever jib Is a collisions prevention device fitted?* Yes No Is an extensions fly jib fitted?* Yes No Will a trolley travel limit switch be fitted preventing loads being carried over the highway?* Yes No Start date for operations* DD slash MM slash YYYY Completion date for operations* DD slash MM slash YYYY Is the name of the company installing the proposed apparatus different to the applicant?* Yes No Company name Address Street Address Address Line 2 City Post code Please provide a 1:200 scale planMax. file size: 11 MB. Have you attached a 1:200 scale plan?* Yes No Your license will not be administered until this has been received.Does the scale plan show the radius of movement and illustrate the area of overhang?* Yes No Does the scale plan show the loading and unloading areas the crane will operate from?* Yes No If you are proposing to load/unload from the highway a further license will be required in the form of a Section 171 or Temporary Traffic Regulation Notice.Is a road closure required or are areas of parking restrictions such as residents parking, bus stops, pay and display bays or disabled bays affected?* Yes No You will need to apply for a Temporary Traffic Regulation Notice/Order and additional costs may apply. Have you checked that there is no other planned work in the area that could be affected by your operation? Yes No Please check at https://devon.roadworks.org. Are you proposing to erect and/or dismantle the static crane/equipment over or on the highway?* Yes No Is the area clear of street lights/traffic signals?* Yes No Do you hold a minimum of £5m public liability insurance during the period of work?* Yes No Are any construction works part of a development control licence under Section 38 or 278?* Yes No Please confirm your preferred method of contact* Phone Email You must agree to the following statements for us to consider your application When not in use, the crane will comply with ‘out of service’ precautions as defined in the Construction (Lifting Operations) Regulations. The crane jib must be installed at such a height as to be well clear of any adjacent buildings, attachments or wires for all 360 degrees of its travel. The design of the crane base must be designed by a competent person and take into account the particular ground conditions at the site. Calculations and information on ground conditions shall be provided if specifically requested. In the interests of safety, although it is understood that the jib of the crane will oversail the highway, on no account shall any operations be carried out over the public or vehicles on the highway. Where there is to be loading/off-loading to/from the highway, then all traffic management details (such as traffic controls, signing and barriers) and an additional licence under section 171 of the Highways Act 1980 will need to be obtained from the Council’s Licensing Team. If/where building materials are required to be deposited/stored on the highway, an additional licence under section 171 of the Highways Act 1980 will need to be obtained from the council’s licensing team. In the event that signs and barriers are disturbed at any time and the public exposed to danger, as defined for any individual instance by the Council, the council shall require you to attend to the matter immediately. In the event that you do not/cannot comply, the Council shall make such provision as is necessary for the maintenance of public safety and the costs of such shall be reimbursed by yourselves. Any special traffic arrangements required for the removal of the crane shall be agreed with Devon County Council. I confirm that an operational statement is in place and available to view on request. A 12 Month thorough examination certificate conformity certificate (new cranes) been obtained? All items being lifted are within the maximum safe working loads (including at extension if applicable). I understand that I am responsible all operations carried out by my contractor. I understand that my contractor must not undertake any work until I have received a licence from Devon County Council I agree to indemnify Devon County Council against any claim in respect of injury, loss or damage arising from the works I understand that the licence to carry out the work is only valid for the period stated in the licence and that operations needs to be completed within that time I confirm that all equipment conforms to the current British Standard for Cranes (BS 7121 – 1). This permit is for the crane oversailing only the highway including footway and does not relate to any private land or buildings that may also be oversailed.Please confirm that you understand and accept all statements above* I declare all the above information is true to the best of my knowledge Data protection The information which you provide on this form will be held by Devon County Council. This information will be used for the purpose(s) of administering your request. We intend to keep the information which you provide for 6 years. This information will be held securely and will not be disclosed to anyone without your permission. The information which you provide will be destroyed in a secure manner when the retention period has expired. Information about how the Council will protect your privacy is available at www.devon.gov.uk/privacy.Form security Δ
