Section 171 form

1. I declare that the authorised activity will be undertaken in accordance with the specification, conditions and traffic management plan by qualified operatives.

2. If I am working on private property, I can confirm I have permission from the owner.

3. Any road closure application has been applied for separately.

4. I understand that I am responsible for signing and guarding and maintenance of the site in accordance with Chapter 8 and the Code of Practice for Safety at Street Works and Road Works for 24 hours a day.

5. I declare that my public liability insurance is current and cover is at least £5 million.

6. I can confirm I have at least one Chapter 8 accredited Operative (who will be on site at all times) and one Chapter 8 accredited Supervisor (who will be available if required), roles of which are held by two separate persons. Operatives erecting any traffic management are Chapter 8 accredited.

7. I have read and understood the Conditions detailed on the website, and will adhere to all responsibilities, conditions and duties required by Devon County Council.

8. I am in a position of responsibility in relation to the activity proposed.

9. If this application is approved I will abide by the conditions and requirements of the County Council for the approved activity and will not commence works until I have received a licence of consent confirming the start and end date.

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 for a section 171. 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. More information about how we process your data under GDPR is available in the privacy notice for highway licences.