Event Application Form

Fill in the fields on this form and submit the completed form to the Ekurhuleni Metropolitan

Municipality.

Please ensure you attach a site plan, including location of all temporary structures to the

application. Please include site address, names of roads, park/reserve to be used.

NOTE: All fields are required and MUST be filled in.

Event Application Form

Name of event

Type of event

Description of

event

(eg Why you're

holding the event, who

is your target audience,

what activities will the

event include?)

Attach additional sheet

if required.

Venue Name

CONTACT DETAILS

Organisation/

Individual

Contact name

Postal address

Street address

Phone number Mobile

number

Facsimile E-mail

DATES / TIMES

Set up date Time H

Event starting date Time H

Event finish date Time H

Conclusion date Time H

Number of people on location

Number of vehicles on location

Type/s of vehicles on location

PARKING REQUIREMENTS

Are you aware of on-site parking available? Yes No

Do you require parking to be made available? Yes No

Will event security be responsible for parking

management?

Yes No

STREET ACTIVITIES

If you anticipate more than 100 vehicles a Traffic Management Plan is required.

Is a road closure or traffic management required? Yes No

If Yes, a Traffic Management Plan must be submitted 90 days prior to your event taking place.

Which Traffic Management company are you

using?

Do you require the Ekurhuleni Metropolitan Police Department to assist with traffic management?

A FEE WILL BE CHARGED FOR THIS SERVICE! Yes No

CLEAN UP

(The organiser is responsible for the cleaning up of the venue)

What are your

arrangements?

Expected date of completion

Expected time of

completion

H

EMM does not offer recycling options, would you like more information on this? Yes No

TOILETS

(One toilet per one hundred (100) people is

required)

Will you be bringing in extra toilets? Yes No

If “YES “please attach a signed maintenance agreement and

programme.

ELECTRICITY

Is power supply required for this event? Yes No

Will you require access to EMM power supplies, if available at the

venue?

Yes No

WATER

Will you require access to EMM water supplies, if available at the

venue?

Yes No

SOUND

Will there be any amplified sound? Yes No

Give a brief description;

ie expected dB Levels,

etc.

SPECIAL EFFECTS (eg fireworks, smoke, noise, lighting etc, also supply Health & Safety Certification for Fireworks)

Will there be any special effects? Yes No

ENTERTAINMENT (e.g. Bands, jumping castles etc)

Will there be any other types of entertainment? Yes No

Give a brief description.

BUILDING CONSENT

Will there be any of the following?

Tents or marquees over 100m² Yes No

Platforms or staging over 1m high Yes No

Scaffold towers or grandstands Yes No

Portable buildings (eg ‘Portacoms’) Yes No

Temporary artwork or other structure Yes No

Broadcasting platforms/temporary structures Yes No

REGULATORY LICENCES

The organiser is responsible for obtaining all appropriate licences before approval for your

event can be given. (Attach copies of licences granted.)

Which of the following licences will you

require?

Do you have a current event categorisation form the National

Commissioner?

Yes No

Risk categorisation certificate Low Medium High

Sale of Liquor Yes No

Amusement Devices Yes No

Sale of Merchandise Yes No

Storage and use of LPG Yes No

Storage and use of Diesel Yes No

Storage and use of Kerosene Yes No

Will you be using Food Vendors Yes No

If Yes, are they registered and current? Yes No

Please give

details

PUBLIC LIABILITY INSURANCE

Proof of your insurance is required. Yes No

Is a copy attached? Yes No

Company/Insurer

Amount

R

Expiry date

Comments

Resource consent

Have you applied for resource

consent?

Yes No

If you are unsure whether you require resource consent for the proposed activity you will need

to contact the EMM Town Planner or come in to the EMM Offices and speak to a Planner to

determine what rules of the Proposed EMM City Plan apply to your activity. If resource consent

is required, the application form and information can be accessed from our offices.

CHARGES

The organiser will incur costs such as facility fees and other Ekurhuleni Metropolitan

Municipality charges. The organiser will be responsible for the cost of barricades, signage,

cones and other items that the event requires. The organiser may be asked to provide a deposit

that will be refundable on fulfilment of council requirements.

Organisers must comply with the conditions for the use of Ekurhuleni Metropolitan

Municipality venues, stadiums, parks, streets, squares and facilities. A set of

conditions will be attached to your certificate of approval. Any changes or

additions to these conditions are at the discretion of Ekurhuleni Metropolitan

Municipality.

PRIVACY ACT

The information collected will be used to ensure the effective processing of your application. It

may, therefore, be distributed to other Ekurhuleni Metropolitan Municipality departments,

external agencies and for public notification as required.

HEALTH AND SAFETY PLAN

We confirm that our organisation has a Health and Safety Management Plan. Yes No

This plan complies with the requirements of the Safety at Sport and Recreational Events Act

2010 and the Occupational Health and Safety Act 1993, and Regulations and all other relevant

legislation. This plan will remain in force for the duration of our event and will not be amended

or cancelled during this time.

We confirm that our organisation has an Events Operational Safety Manual. Yes No

This operational manual complies with the requirements of the Safety at Sport and Recreational

Events Act, and Regulations and the Occupational Health and Safety Act 1993 and all other

relevant legislation. This operational manual will remain in force for the duration of our event

and will not be amended or cancelled during this time.

We confirm the following requirements are part of the Plan:

 A system is in place for the identification, assessment and control of

hazards.

Yes No

 Control measures for hazards are reviewed at intervals appropriate to

the running of the event.

Yes No

 Health and Safety responsibilities are assigned to designated staff, that

is, all those working on the event, including volunteers.

Yes No

 Organisation representatives have inspected the event location to

ensure that the venue is safe.

Yes No

 An Accident Register is kept on site. Yes No

 An emergency plan designed for our event is in place for dealing with a

variety of emergencies.

Yes No

 A Health and Safety briefing will be carried out with staff (including

volunteers) prior to each session of the event and documented.

Yes No

 The Security / Stewarding Company employed complies with all

statutory requirements of the Act.

Yes No

 All staff working at the event location has the necessary knowledge

and skills to perform their job adequately, or that they will be

adequately supervised.

Yes No

 A system is in place to ensure the public is not endangered by

activities carried out at the event venue.

Yes No

 An events safety officer is appointed. Yes No

Insert full names of events Safety

Officer

Insert appointed Safety Officers cellular number

Total number of staff/volunteers working at our event

is

CONFIRMATION

I, the undersigned, confirm that the above information is true and factual. I confirm that I am the

authorised person for this matter.

Name

Date

Signature

If any details, relating to this permit application, are altered after the form has been submitted,

please advise the Ekurhuleni Metropolitan Municipality, as soon as possible:

Event Development Administrator

Ekurhuleni Metropolitan Municipality

(Insert full details of address, telephone, mobile no., and e-mail here)