Acknowledgement Required for Vehicle Access

No vehicle access is permitted between the hours of 9am and 3:30pm.

I confirm that this request to obtain a Vehicle Access Permit is for myself and will not be used by any other person, including other employees within my company or organisation.

I have downloaded, read and understood the contents of:
Pedestrian Core Vehicle Access Guideline (pdf)

Acknowledgement Required for the following Access Permits:
Site, Electrical, Laboratory and Roof

I confirm that this request to obtain an Access Permit complies with Relevant Legislation and Curtin University Policies.

I have inspected the workplace, have determined and put into place appropriate control measures to minimise health, safety and operational risks, and I agree to accept full responsibility for these risks.

I have read and understood the following:
Contactor Safety Handbook
Curtin's Risk Management Information
Access Permit Guide

I accept and acknowledge all of the above.

Documents Required

Access Permit requests may require the following documents:

Only standard document types accepted. Please name files appropriately.
NOTE - Combined document filesize limit is only 15MB.

Attach a Work Methodology

Attach a Risk Management Plan

Access Details The Curtin project number or project name

Location and Reason for Access:
(inc. building number, room number and/or other specific access details)
Please note, below field will only accept alphanumeric characters

Access Duration Start date

End date

APPLY FOR ACCESS PERMITS

Your Details Your Company's Name

Your Name

Your email address. We send important administration notices to this address

Your Contact Number

Curtin Permit Manager Details

Please Note

This is the person who will be responsible for the approval of this permit.
Please make contact with your Curtin Permit Manager about this application prior to submitting.

Your Curtin Permit Manager name

The information gathered from this form will be sent to this Curtin email address

Your Curtin Permit Manager phone number

APPLY FOR ACCESS PERMITS

I confirm that all of the supporting documentation and information contained in this access permit request is complete and accurate.

ONLINE PERMITS

Acknowledgement Required for Vehicle Access

Acknowledgement Required for the following Access Permits: Site, Electrical, Laboratory and Roof

Access Permit requests may require the following documents:

APPLY FOR ACCESS PERMITS

Please Note

APPLY FOR ACCESS PERMITS

Acknowledgement Required for the following Access Permits:
Site, Electrical, Laboratory and Roof