Traffic Management Permit

Permit ID

All contractors, tenants and ADG Staff must complete this Permit and have it approved before commencing any temporary traffic management within the ADG road precinct. The purpose of this Permits is to ensure that all safety aspects of traffic management have been considered and actioned.

Status

Are you or your business registered with ADG? *

YesNo

Note: registration is necessary before any work on ADG Leased Area is permitted.

*Please register your business with ADG before proceeding. Please click here to register.

Have all workers involved with the permit been inducted? *

YesNo

*Workers should complete the Working on Airport induction before proceeding with the application.

Part 1 – Application Details

Select Airport *

Assessor *

Applicant Name *

Phone *

Business Name *

ABN Number *

Email *Applicant's email address

ADG Point of Contact

ADG Point of Contact Name *

ADG Point of Contact Phone Number *

ADG Point of Contact Email *

Part 2 – Description of Works

Describe the planned works *

Please upload Traffic Management Plan for the works *

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Upload Traffic Guidance Scheme (TGS) for the works

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Are there multiple stages of work requiring multiple TGS? *

YesNo

Title of the Stage *

Brief description of the stage *

Please upload additional TGS for each stage of the works *

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*Multiple attachments supported

Date and Times of Work

Start Date of Works *

End Date of Works *

*End date must be after the start date of works.

Hours of Work (From) *

Hours of Work (To) *

Start and End date validation

Location of work including road names *

Attach a map of the traffic management location *

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Has work vehicle access to work site been considered on the TGSs? *

YesNoN/A

Comments

Has existing road signage and speed signs been affected by the temporary traffic management and need to be altered? *

YesNoN/A

Comments

Has existing parking and public pick up / drop off been affected by the proposed traffic management (including taxis, uber etc)? *

YesNoN/A

Comments

Are there any other work area / traffic management in the area? *

YesNo

Can traffic management be implemented in conjunction with the other work/traffic management? *

YesNo

Comments

Is traffic management going to be in place after working hours or over the weekend? *

YesNo

Please ensure an after-care TGS is attached to this application.

Comments

Please attach Safe Work Method Statement (SWMS) for the traffic management/works *

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Part 3 - Responsibilities and Acknowledgement of Permit Applicant

Although TMPs and TGSs are appraised by ADG authorised person (s) for appropriateness, the applicant remains responsible for actual compliance with AS1742.3, AGTTM and all other relevant standards. ADG, its agent and staff accept no responsibility for liabilities resulting from TMPs or TGSs appraised for appropriateness by ADG, which may be later found to be non-conforming with any relevant standards.

Applicant is responsible for:

All aspects of the site control and safety
Ensuring that the TMP/TGS is designed by an accredited Traffic Management Designer (TMD), and persons setting up or manning traffic control have the relevant traffic control have the relevant traffic management accreditations for Traffic Management Implementer and Traffic Controller
Ensuring all traffic control measures as part of the TMP/TGS are placed and maintained in accordance with the TMP/TGS, relevant standards and guidelines
Conduct initial inspection of the site and ensure regular inspections of the implemented traffic control measures
Monitoring the traffic flow and public behaviour throughout the site and taking action where required to amend the traffic control measures as appropriate following approvals of the Traffic Management Designer and the ADG Permit Approver.

I will comply with the attached documents and any ADG special conditions as stated in this permit. *

Name of Applicant *

Date

Signature

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Is the permit approved? *

YesNoPending - More Information Required

Cancellation Date and Time *

Date *

CAPTCHA *

*Please fix the date above.

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