Compulsory basic training site application form

advertisement
Compulsory Basic Training Site Application Form
(To be completed by ATB Authority Holder)
Approved Training Body
(ATB) Name
ATB Reference No (if known)
Proposed Site Name and Address
(inc postcode)
If postcode is not GPS compatible,
please provide additional information
as to site location
ATB Contact Name, Telephone
Number and Email address
(Please note that this telephone number will be
published if the application is successful)
Site Contact Name and Telephone
Number (if different)
Type of Inspection
NEW
RE-INSPECTION
(tick as appropriate)
Has this site been previously
approved for CBT? (It is the
responsibility of the site owner and
each ATB to agree access)
YES / NO
Have all relevant planning
permissions and other approvals been
obtained for this site?
YES / NO
Size of training area
Must be a minimum of 80ft X 30ft (2400 sq ft)
of usable space NOT including mandatory run
off space.
For advice regarding minimum run off space,
please contact your local CBT Management
team.
If Yes, please provide site number (if known):
You must have permission from the
owner of site before any training takes
place. If it is later found that you do not
hold relevant permission, authority to
use the site could be removed.
Please provide a detailed diagram of
the proposed site showing accurate
measurements, boundaries and where
it is situated in relation to any
surrounding buildings/roads etc. If
possible, please provide an aerial
image of the site (Google Earth or
similar) and digital photographs
highlighting any hazards on or near to
the proposed area.
PROTECT When Complete
Declaration
CBT Element E specifies a minimum on road riding time of 2 hours during which a number of
specific hazards and areas of development must be included. In submitting this application you
are confirming that all aspects of Element E can be completed within a reasonable distance of
this proposed training site.
I declare that I have the owner’s permission to use this site for the purposes of motorcycle
training.
I declare that the information given on this form is correct and I understand that full site
authorisation could take up to 8 weeks from submission of all correctly completed paperwork.
I declare that all Certified Instructors within this Approved Training Body will be instructed to
include all aspects of Element E when conducting the on road element of the CBT Course from
this site.
I confirm that all Certified Instructors at this ATB will be provided with a copy of the training site
plan and conditions of authorisation (when approved) and will be instructed to adhere to them
fully at all times whilst providing training on this site.
IF YOU ARE MAKING A REQUEST FOR MULTIPLE SITES/AREAS, YOU MUST SUBMIT A SEPARATE FORM
FOR EACH SITE/AREA
Have you:


Read the declaration in full before signing the application
Enclosed a plan of the proposed area?
Signature:
____________________________________________________
(Must be the named authority holder)
Name:
____________________________________________________
(Block Capitals)
ATB Name:
____________________________________________________
Date:
____________________________________________________
Please return this form along with all supporting documentation to:
Driver and Vehicle Standards Agency
CBT Section
4th Floor
The Axis Building
112 Upper Parliament Street
Nottingham
NG1 6LP
Email:
cbt@dsa.gsi.gov.uk
Telephone: 01159 366547
PROTECT When Complete
Download