public safety liaison group e please ensure that the form is submitted at least twelve weeks prior to the event and that all detai
PUBLIC SAFETY LIAISON GROUP
E
Please ensure that the form is submitted at least twelve weeks prior
to the event and that all details are completed and all supporting
documents are attached, for example: Event Plan; Risk Assessment; Copy
of Public Liability Insurance etc.
VENT NOTIFICATION FORM
1. DETAILS OF ORGANISER
Name of Organisation:
Charity Name and number (if applicable):
Organiser Name(s)
Address
Tel / Mobile No:
Contact Tel. no. on day of event:
Email address:
2. DETAILS OF THE EVENT
Name of Event:
Date(s) and time(s) of event:
Location of event:
(incl postcode)
Name and address of owner of land:
Maximum no. of persons intended to be admitted to event :
Target audience: Full mix family Full mix not family Young adults
Elderly
Children & teenagers Full mix rival factions
Full details of the event (incl. any entertainment, shows or displays
eg fireworks etc)
(use separate sheet if necessary
Name(s) of Any Artists: No Yes Full details:
2. DETAILS OF ANY PROVISIONS
Temporary Structures
List all stages, rides, stalls & marquees)
No Yes : Full details
Temporary Road/Highway closures required – if Yes submit road closure
application
No Yes : A Traffic management plan must be submitted for all events
requiring a road closure or attracting large attendance; to be
included in your event plan.
Market Licence
(if the event has five or more stalls a Market licence is required)
No Yes : For application contact [email protected]
Public Transport be affected + service numbers
No Yes : Contact Metro [email protected]
Service Nos:
“No waiting” cones
(To prevent parking/obstruction.)
No Yes: Contact Parking Services 01274 434300 to hire cones.
Provide cone location plan showing roads affected by your event.
Highways Dept approval needed prior to setting out any traffic
management.
Banners / Posters
No Yes : Note: Highways Act 1980 makes it illegal to put banners/
posters on the highway: lighting columns, guardrail etc. Please use
private land with permission from land owner.
Security Provisions
(i.e. stewards)
Sanitary Conveniences
(Male / Female / Disabled)
No Yes : Details :
Water Provisions
No Yes If Yes please give details:
Type: mains/private water supply/temporary supply i.e. bowsers/bottled
water etc, Who to? public/food caterers/sanitation etc, any other
information?
First aid Provisions
No Yes : Complete the Yorkshire Ambulance Service Event Safety Guide
provided in you event pack.
Any Food or Drinks provided (incl. hospitality, alcohol & free)
No Yes : Sales of alcohol require a Temporary Event Notice
(TEN’s).Contact Licensing Team 01274 432240 or
[email protected]
No Yes : Will you be selling/supplying Alcohol at the event
Charity Street collection
No Yes : Street Collection Licence required. Contact Licensing Team on
01274 432240 or [email protected]
Fire Safety Provisions
(Incl. equipment & training)
No Yes : Submit fire safety details in your Event Plan
Others
(incl. Public Liability Insurance)
4. SIGNED
I understand that all information given on this form and any
subsequent documentation provided will be distributed to all members
of the PSLG: However I am aware it is my responsibility to contact
relevant departments direct, to obtain any permissions/licenses etc
for the event. I am also aware I am responsible for the health and
safety of the event.
Name of Organiser Dated this
Please return the completed form by email to
[email protected]
or post to Emergency Management Team, Jacobs Well, Bradford BD1 5RW.
5. OFFICE USE ONLY
Date received
Date distributed to PSLG