Sans10400 A - Form 2

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NATIONAL BUILDING REGULATIONS AND

BUILDING STANDARDS ACT, 1977 (Act No. 103 of 1977), AS AMENDED

APPLICATION FOR ACCEPTANCE AS AN APPROVED COMPETENT PERSON IN


FORM 2 TERMS OF REGULATION A19

(To be completed and submitted for all appointments in terms of Regulation A19)

To: .Municipality
. . . . . . . . . of
. . Tshwane
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of Local Authority)
*Erf/Holding/Portion No.: . . . . . . . .
*Township/Agricultural Holding/Farm name:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .
........................................................
Nature of project: .Other
. . . . .(Please
. . . . . Describe)
.............................................
(Insert proposed new building(s), or building alteration, building addition, re-erection of building, refurbishment or
building or structural repair to existing building, as relevant.)

SECTION 1: DECLARATION BY OWNER


*I / We . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of owner)
of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Address)

Tel. No.: . . . . . . . . . . . . . . . . . .

hereby confirm that *I / We have appointed

............................................................................
(Name of Competent Person)

Professional registration number: . . . . . . . . . . . . . . . . . . . . . . . .

Registration council: . Other


. . . . .(Please
. . . . .specify)
.................
(Insert number and Engineering Council of South Africa (ECSA)/ South African Council for Natural Scientific
Professions (SACNSP) / South African Council for the Architectural Professions (SACAP))

in terms of Regulation A19(1) as the Competent Person for the work, duties and responsibilities set
out herein, and *I / we understand and accept that the onus is on *me / us to:-

i) inform the Competent Person when the work is due to start on site; and

ii) notify the local authority in writing should the appointment be terminated before the work for which
this person was appointed is completed, and to make another appointment in terms of
Regulation A19(2);

iii) extend the above appointment to meet the requirements of Regulations A19(7) and A19(8) where
applicable

Signature of Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . .


(* Delete that which does not apply)
SECTION 2: DECLARATION BY APPOINTED COMPETENT PERSON
I, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name)

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tel. No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax. No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(If representing a partnership, association, company or incorporated body, the name thereof)

accept the appointment made in section 1 and undertake and accept full responsibility for
i) *The rational design/rational assessment/geotechnical investigation in respect of the above project
and in accordance with the *rational design/rational assessment/geotechnical investigation
requirements of the National Building Regulations for the applicable work described herein, and,
where relevant, for the inspection, in respect of work contemplated in Section 3 of this Form, and
accept that the provisions of Regulations A19(6), (7) and (8), and, where applicable,
Regulation A14 shall apply to the duties and responsibilities of any appointment;
ii) providing the local authority with such drawings, details and particulars as are and may be required
by the National Building Regulations;
iii) notifying the local authority in writing should:
a) it appear that any work is being carried out in a manner which may endanger the strength,
stability or serviceability of the building or any adjoining building, structure or property; and
b) my appointment be terminated before the work for which I was appointed is complete;
iv) submitting to the local authority in terms of Section 14(2)(a) of the National Building Regulations
and Standards Act, Form 4 on completion of the relevant work, where required, and
v) maintaining contact with the owner of the project as to when my services may be required,

and declare that:-


i) I am competent to undertake the *rational design/rational assessment/geotechnical investigation
and any associated inspection work in relation to the applicable work(s) contemplated in Section 3
of this Form and in support of my declaration of competence submit that (tick appropriate option)
I satisfy the relevant definition for competent person contained SANS 10400 in all respects in
relation to the works contemplated; or
I have the necessary qualifications, experience and contextual knowledge to undertake such
work as set out in the attached declaration**;
ii) I shall satisfy regulation AZ.4 by (tick appropriate option):
complying with all the relevant requirements of SANS 10400; or
reliably demonstrating, or predicting with certainty, to the satisfaction of the appropriate local
authority, that an adopted building solution has an equivalent or superior performance to a
solution that complies with the relevant requirements of SANS 10400;
iii) I am/am not* an employee of the owner and have/do not have* professional indemnity cover;
iv) my professional registration is current and is not suspended or terminated and is appropriate in
relation to the services required; and
v) all the information given is to the best of my knowledge and belief, true and correct.

Signature of Competent Person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . .

Professional registration number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Registration council: Other


. . . . .(Please
. . . specify)
(Insert number) (Insert ECSA, SACAP or SACNSP)

(* Delete that which does not apply.)


(** Attach declaration setting out qualifications, experience and contextual knowledge relating to the work
contemplated.)
SECTION 3: DESCRIPTION OF APPLICABLE WORK
Initials of:
Tick if
applicable Nature of duties Competent
Owner
person
□ Duty 1: Demonstrating compliance with the requirements of National
Building Regulations in terms of Regulation AZ4(1)(b)(ii)
□ Duty 2: Rational design and rational assessment of flat roofs and related
gutters
□ Duty 3: Design and inspection of services in dolomite land in terms of
SANS 10400-B
□ Duty 4: Specify and inspect, as relevant, deep footings, soil rafts,
compaction of in-situ soil or sub-surface drains in terms of SANS 10400-H
□ Duty 5: Design and inspect slabs and fills in terms of SANS 10400-J
□ Duty 6: Rational design of control and disposal of storm water in terms of
SANS 10400-R or Regulation R(3)
□ Duty 7: Rational design of control and disposal of storm water in
interconnected complexes in terms of SANS 10400-R
□ Duty 8: Categorization of dolomite land in terms of SANS 10400-B or
Regulation F3
□ Duty 9: Rational design or assessment of excavations in terms of
SANS 10400-G or Regulation G1(3)
□ Duty 10: Rational design or rational assessment of fire protection system in
terms of SANS 10400-P or Regulation T1(2)
□ Duty 11: Undertake geotechnical investigation in accordance with
requirements of SANS 10400-H or Regulation F3
□ Duty 12: Design and inspect geotechnical solutions or soil improvements in
terms of SANS 10400-H
□ Duty 13: Rational design of ventilation system in terms of SANS 10400-O
and Regulation O4
□ Duty 14: Rational design or rational assessment of drainage system in terms
of SANS 10400-P or Regulation P2(2)
□ Duty 15: Rational design or rational assessment of sewage disposal in
terms of SANS 10400-Q or Regulation Q3
□ Duty 16: Rational design or rational assessment of the structural system in
terms of SANS 10400-B taking account of parts H, J, K, L, M, N of SANS
10400 or Regulations A(1)(3), and A23(4)
□ Duty 17: Rational design of roof in terms of parts B and L of SANS 10400
where the foundations, floors and walls are in accordance with the rules
provided in parts H, J and K of SANS 10400.
□ Duty 18: Rational design of supply of water to fire installations in terms of
SANS 10400-W or Regulation W4.

SECTION 4: ACCEPTANCE OF APPOINTED COMPETENT PERSON BY LOCAL


AUTHORITY
Based on the information and undertakings provided, the appointment in terms of Regulation A19(1) is

approved for this project.

not approved for this project.

For and on behalf of the Local Authority: . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . (Name of official )

Signature. . . . . . . . . . . . . . . . . . . . . . . . . Date. . . . . . . . . . . . . .

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