Get HSA AF 2

Safety Health and Welfare at Work Construction Regulations 2013 Approved Form AF 2 Regulation 22 Particulars to be notified by Project Supervisor for the Construction Stage to the Health and Safety Authority before the construction work begins NOTE This form is to be used to notify the Health Safety Authority of any project covered by the Safety Health and Welfare at Work Construction Regulations 2013 which will last longer than 30 days or 500 person days. It can also be used to provide changes to initial notification of projects. Any day on which construction work is carried out including holidays and weekends should be counted even if the work on that day is of short duration* A person day is one individual including supervisors and specialists carrying out construction work for one normal working shift. This Notification is to be made by Registered Post to HSA Metropolitan Building James Joyce Street Dublin 1 or as may be directed by the Authority. The project supervisor for the construction stage shall clearly display on the construction site a copy of this form* Client s Provide name full address telephone number and e-mail address for the Client. If more than one Client please attach details of all Clients on a separate sheet. Name Address Telephone Email Project Supervisor Design Process and Health Safety Coordinator Provide name full address telephone number and e-mail address for the PSDP and Health Safety Coordinator for the PSDP if appointed* PSDP name H SC name telephone number and e-mail address for the PSCS and Health Safety Coordinator for the PSCS if appointed* PSCS name Information on Construction Work Please provide your details / estimates for the following. Description of project Exact address of site The planned date for the commencement of the construction work How long the construction work is expected to take in weeks Estimated maximum number of workers on site at any one time Planned number of contractors and self-employed persons expected to work on site Details of Contractors Chosen Provide name full address telephone number of those selected to work on this project if required continue on a separate sheet. It can also be used to provide changes to initial notification of projects. Any day on which construction work is carried out including holidays and weekends should be counted even if the work on that day is of short duration* A person day is one individual including supervisors and specialists carrying out construction work for one normal working shift. This Notification is to be made by Registered Post to HSA Metropolitan Building James Joyce Street Dublin 1 or as may be directed by the Authority. This Notification is to be made by Registered Post to HSA Metropolitan Building James Joyce Street Dublin 1 or as may be directed by the Authority. The project supervisor for the construction stage shall clearly display on the construction site a copy of this form* Client s Provide name full address telephone number and e-mail address for the Client. .