ANNEXURE A

DRIVEN MACHINERY REGULATIONS

PERMIT TO USE A ZIPLINE/AERIAL ADVENTURE PARK

____________________________________________________________________________________

Department of Employment and Labour

215 Francis Baard Street

Pretoria

I/We …………………………………………………………………………………

………………………………………………………………………………………..

Hereby give notice of my/our intention to use a zipline/aerial adventure park

(Insert the official, name and address of company or person (legal person) giving notice of the installation. Use a separate form for each installation)

Documents accompanying the request:

Design calculations and drawings (applicable to application for new installations erected after 24 December 2020)

Certificate from professional engineer or technologist

……………………………………….                ……………………

Signature of owner/user                        Date

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(*Delete whichever is not applicable)

FOR OFFICIAL USE ONLY

Date received …………………………………

Official number allocated …………………………………… Date ………………

Inspector …………………………………… Office ……………………………….

……………………………..

Tibor Szana

Chief Inspector

[Annexure A inserted by Notice No. 1033, GG45328 dated 15 October 2021: Correction Notice]