Civil TMP Request Form

TMP Request Form

Please complete this form with as much detail as possible to help us process your TMP request efficiently. Due to current council processing times, the estimated turnaround for drafting, submitting, and receiving approval is approximately 10–20 working days.
Name of Project
e.g. site name or project title
Company (Contractor)*
working space - who is completing the works
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Principal (Client)

First NameLast Name
Principal (Company)*
who the job is for - this is the OWNER of the property/project, NOT the contractor
Contact (email)*
Location of Works (physical address)*
Address or area where works will take place. Please include street number. RPs may be provided below if known
Roading Position (RP) Range (if known)
RP information can be found at www.mobileroad.org
Location of Works (road reserve - tick all that apply)*

Carriageway - in the road (where traffic drives)Carriageway - shoulder (outside the edgeline, where traffic doesn't drive)Front berm (grass or similar - between footpath and road)Back berm (grass or similar - between footpath and boundary)Footpath (part or all)Cycle LaneAlong property boundaryPrivate Property
Type of work*

ExcavationNon-excavationSurveying (non-invasive)
Purpose of Work Activity (WHY you are doing the work)*
Why have you been contracted out to do the work? What is the objective?
Works Staging and Methodology *
Provide an overview of what work is being done, how it will be performed, what plant and equipment will be used, and how it interacts with live traffic or the public. Include approximate staging, duration, dates, and site constraints.
Excavation Dimensions (on council road reserve ONLY) *
What type of survey is required?*

TopographicalBoundarySet-outAs-builtAsset location (non-invasive)Utility inspection via existing access pointsOther
What is the purpose of this survey?*
Planning, design, construction, compliance, verification
Plant On-Site*
Provide the approximate operating footprint of the work area within the council road reserve
Width x Length (metres) including personnel and equipment
Provide the approximate operating footprint per surveying location
Width x Length (metres). Include space needed for plant, outriggers, boom swing, etc.
Will the survey require:*

Stationary equipment set-up (tripods, scanners)Repeated occupation of the same locationContinuous movement along the corridorOther
What is the maximum occupation time per surveying location?*
If various, please elaborate
Will any plant or vehicles need to reverse into/out of the site or park facing oncoming traffic?

YesNoUnsure
Is a work vehicle required to be parked on-site to carry out the survey?

YesNoUnsure
Will your work affect any of the following:*

PedestriansCyclistsRoad users (cars, trucks, etc.)Nearby properties or businesses (residential or commercial)Other
How does your work create risk? *
Think about how your activity might affect workers, road users, pedestrians or nearby properties. Who could be at risk and how might they be harmed?
What specific risk controls should be implemented for the type of work being carried out?*
Describe the systems, procedures, and controls your company will implement to ensure the safety of workers and road users during the work. Include measures for managing hazards such as traffic, noise, dust, and pedestrian interactions
Will any TTM need to remain in place during unattended hours? (e.g. footpath closed, shoulder closed)*

YesNoUnsure
Unattended Site *
Describe exactly how the site will be left during unattended hours. Where will plant be parked? What condition will the road or footpath be left in (e.g. loose chip, open excavations)
Will unattended excavations be surrounded by fencing?

YesNo fencingNo unattended excavationsUnsure
Length of work*
How long do you expect the physical works to take? Provide actual work requirements
Start date*

DayMonthYear
When would you like to start the works?
End date*

DayMonthYear
When do you expect the work to end? Include time for unforseen delays and final reinstatement
Working Hours*
What are your normal working days/hours. Note this may be restricted by the RCA
For high-impact works, is there any reason your work CAN'T be done under nightworks?
Note: this is a frequent question from NZTA
Do you require asset locates (beforeUdig)?*

YesNo
Do you require a quote before proceeding with your TMP application*

YesNo
Do you want to book us in for Traffic Management?

YesNoUnsure
What date do you want to book us in from?

DayMonthYear
Please note: Your start date will depend on TMP approval and scheduling availability. We’ll email you once your booking is finalized
How many consecutive days do you want to book us in for?
Invoicing Details*
Purchase Order (for council fees - if different than above)
Have you obtained all council consents and approvals to do this work?

YesNo - still waiting on approvalNo - not applicable to this work
Approved BC/RC/RM/EA number (if applicable)
Upload a Site Map*

Upload a photo which shows the maximum area you need to occupy for your working areaCancelof
Upload any other relevant site plans and documents

e.g. Site Photos, Site Plans, Design Plans, Resource Consent, Engineering Plans, License to Occupy, H&S DocsCancelof
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