Event details: Name of the Event Event Start Date Day Date Month Year Event Finish Date Day Date Month Year Venue Venue/s: Expected Daily Crowd Maximum Tickets for Sale Capacity of Venue: Date Time Required set up (bump in) dd/mm/yy hh:mm am/pm Required time to return to original condition (bump out) dd/mm/yy hh:mm am/pm Event start time dd/mm/yy hh:mm am/pm Event end time dd/mm/yy hh:mm am/pm Ticket/Entry/Registration/Pricing
Stage is not accessible Performer is unable to access a stage Eliminate the risk by requesting that a ramp is provided with the stage and that it is compliant with the Building Code of Australia. There is no handrail on the ramp or stairs to the stage Performer is injured when walking down the ramp or stairs Eliminate the risk by installing a handrail. Food handling procedures are not followed Person contracts food poisoning at the event Administer this control by ensuring that prior to the event; all food vendors have relevant food vendor permits from the Eurobodalla Shire Council Health Unit. During the event, do spot checks to ensure that they are complying with the permits requirements. . Extreme heat Public or staff member receives sun burn, heat stroke or dehydration. Administer rate this control by developing an Extreme Weather Policy and Contingency plan. Control the hazard by providing sun screen and making shade and water available. Monitor the weather and plan for work to be conducted in the early or late hours of the day. Child is separated from their guardian Child is separated from their parent or guardian Administer this control by setting up a Lost Children’s area and policy. Crowd crush injury if site was evacuated in an emergency Injury or death Administer this control by developing and evacuation plan and communicating this to all staff and volunteers. Person on site requires an ambulance but the ambulance is not able to access the site Person does not receive emergency treatment in required timeframe resulting in complications or death Administer this control by identifying an emergency vehicle access path onto the site and ensuring that it stays clear of objects during the event. Person receives a minor injury on site Injury to the public Administer this control by ensuring there are adequate qualified first aiders on site during the event. Small fire on site Damage to equipment Administer this control by ensuring there are adequate fire extinguishers on the right site. Eliminate the risk of a larger fire by ensuring staff are trained in using fire extinguishers and that a Fire
4.4 Advertise road closure arrangements Not applicable. Advertising (additional to Council advertising) is detailed below. Note: Council is obliged to advertise the temporary road closures in electronic and print media. PRIVACY NOTICE The "Personal Information" contained in the completed Traffic Management Plan (TMP) may be collected and held by the NSW Police, the NSW Roads and Maritime Services (RMS), or Local Government. I declare that the details in this application are true and complete. I understand that: The ‘’personal information” is being collected for submission of the Traffic Management Plan for the event described in Section 1 of this document. I must supply the information under the Road Transport Legislation (as defined in the Road Transport (General) Act 1999 and the Roads Act 1993). Failure to supply full details and to sign or confirm this declaration can result in the event not proceeding. The "personal information" being supplied is either my own or I have the approval of the person concerned to provide his/her "personal information". The “personal information” held by the Police, RMS or Local Government may be disclosed inside and outside of NSW to event managers or any other person or organisation required to manage or provide resources required to conduct the event, any business, road user or resident who may be impacted by the event.
Period: Occupy the site for period From To Event Description Signature of Applicant/Company Seal Date For Council use only Approval Fee Receipt No. Date Approval Application No File No. Please complete Facilities information on the following page and attach a site map of grounds showing the location of camp sites. Number of facilities provided BATHROOM FACILITIES FACILITIES FOR DISABLED PERSONS Toilets Female Male Unisex Urinals Showers Female Male Unisex Handbasins Female