Grangegorman Development Agency
SITE VISITS
It is the policy of the GDA Office to facilitate, where possible, access to the site at Grangegorman. In
order to ensure the smooth operation of these visits, the GDA has requested that potential visitors
comply with the following booking arrangements and protocols.
Please complete:
Name of Organisation &
Department
Contact Person
Landline + Mobile number
Email
Purpose of Booking
(eg: student visit, meeting)
Date of event
Start Time
End Time
Signed & Dated
ALL PERSONS RESPONSIBLE FOR BRINGING GROUPS TO GRANGEGORMAN MUST COMPLETE THE
FOLLOWING DECLARATION
I, ____________ _____________, acknowledge that I have been made aware of the nature of the site
and the buildings on it and enter it with full knowledge and responsibility for the risks involved. I do
not hold the Health Service Executive or the Grangegorman Development Agency responsible for any
injuries or mishaps that may occur.
Signed: _______________________________
document1
Date: ________________________
Grangegorman Development Agency
Complete a short Safety Plan (using the template below) for the activities that the visitors will be
carrying out on site:
Please Complete:
Approximate numbers of visitors on site
A brief description of the activities that they
propose to undertake (a few lines will suffice)
An assessment of risks that arise and the
measures that will be in place to
reduce/eliminate these risks
Name of the person who will take full
responsibility for the group while they are on
site
Outline the procedures that will be in place
to deal with an accident
Contact details, name and mobile no. of
person responsible for implementing
procedures to deal with an accident
(Organisation name or title, e.g Head of
School, will not suffice)
Confirm that the visitors have been briefed on
the restrictions within which they must work
whilst on site
Confirm that the GDA and HSE are
indemnified under your organisation’s policy
Confirm that you will return the area in the
condition you found it and that any cleaning
costs or repairs will be reimbursed to GDA
Attach further supplementary information if necessary
Please return completed forms to:
Ms. Anne-Marie Deasy
Grangegorman Development Agency
Grangegorman Lower
Dublin 7
Email: anne-marie.deasy@ggda.ie
Tel: 01 4024140
Thank you for your co-operation
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