Erf No:
Township:
SANS 10400-A: 2022
Owner: Edition 4
Date:
Annexure B
(normative)
Form 2 referenced in the National Building Regulations and
Building Standards Act, 1977 (Act No. 103 of 1977)
FORM 2
APPLICATION FOR ACCEPTANCE
AS AN APPROVED COMPETENT PERSON IN TERMS OF REGULATION A19
(To be completed and submitted for appointments in terms of Regulation A19)
To, (Name of Local Authority)
Erf/Holding/Portion No
Township/Agricultural holding/Farm name:
Street address:
Building classification/ Occupancy (Regulation A20):
Nature of project:
(Insert proposed new building(s), or building alteration, building addition, re-erection of building,
refurbishment of building or structural repair to existing building, as relevant.)
SECTION 1: DECLARATION BY OWNER
Name of owner /s:
Address:
Cell No:
E-mail:
I / We hereby confirm that:
(Name of person registered in a professional category of registration in terms of one of the
councils for the professions identified in the Council for the Built Environment Act, 2000 (Act No
43 of 2000))
Category of registration:
Professional Registration Number:
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:
a) inform the above-named professional when the work is due to start on site,
notify the local authority in writing should the appointment be terminated before the work for
which this person was appoint is completed, and to make another appointment in terms of
Regulation A19(2); extend the above appointment to meet the requirements of Regulations
A19(7) and A19(8) where applicable.
Signature of owner (s) Date:
Erf No:
Township:
SANS 10400-A: 2022
Owner: Edition 4
Date:
SECTION 2: DECLARATION BY APPOINTED COMPETENT PERSON
I, (Name of professional)
Address:
Cell No:
E-mail
Of
(Name of practice, partnership, association, company or incorporated body) accept the
appointment made in section 1 and undertake and accept full responsibility for
a) 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
Regulation A19(6), (7) and (8), and, where applicable, Regulation A14 shall apply to the
duties and responsibilities of any appointment;
b) Providing the local authority with such drawings, details and particulars as are and may
be required by the National Building Regulations;
c) Notifying the local authority in writing should
i) it appear that any work is being carried out in a manner which might endanger
the strength, stability or serviceability of the building or any adjoining building,
structure or property; and
ii) my appointment be terminated before the work for which I was appointed is
complete;
d) submitting to the local authority in terms of section 14(2A) of the National Building
Regulations and Building Standards Act, Form 4 on completion of the relevant work,
where required, and
e) 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)
ii) I satisfy the relevant definition for competent person contain SANS10400 in all
respects in relation to the works contemplated; or
iii) I have the necessary qualifications, experience and contextual knowledge to
undertake such work as set out in the attached declaration;
I shall satisfy Regulation AZ4 by (tick appropriate option)
i) complying with all the relevant requirements of SANS10400; or
Erf No:
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SANS 10400-A: 2022
Owner: Edition 4
Date:
ii) 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
SANS10400.
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.
(Attach declaration setting out qualifications, experience and contextual
knowledge, proof of PI Insurance etc relating to the work contemplated)
Signature of professional Date:
Registration Council
Category of registration:
(Insert Professional Engineer/ Professional Engineering Technologist/ Professional Architect/
Professional Senior Architectural Technologist/ Professional Architectural Technologist, etc.)
Professional Registration Number:
SECTION 3: DESCRIPTION OF APPLICABLE WORK
3.1 REGULATION B: STRUCTURAL DESIGN
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
Competent Person (Civil Engineering):
Signature of Competent Person:
Signature of Owner:
Competent Person (Dolomite Land):
Signature of Competent Person:
Signature of Owner:
3.2 REGULATION C: DIMENSIONS
Competent Person
Signature of Competent Person:
Signature of Owner:
Erf No:
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Owner: Edition 4
Date:
3.3 REGULATION D: PUBLIC SAFETY
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
3.4 REGULATION G: EXCAVATIONS
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
Competent Person (Engineering Geology):
Signature of Competent Person:
Signature of Owner:
3.5 REGULATION H: FOUNDATIONS
Competent Person (Geotechnical):
Signature of Competent Person:
Signature of Owner:
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
Competent Person (Civil Engineering):
Signature of Competent Person:
Signature of Owner:
3.6 REGULATION J: FLOORS
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
Competent Person (Civil Engineering):
Signature of Competent Person:
Signature of Owner:
3.7 REGULATION K: WALLS
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
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Owner: Edition 4
Date:
3.8 REGULATION L: ROOFS
Competent Person (Built Environment):
Signature of Competent Person:
Signature of Owner:
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
3.9 REGULATION M: STAIRWAYS
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
3.10 REGULATION N: GLAZING
Competent Person (Structures):
Signature of Competent Person:
Signature of Owner:
Competent Person (Glazing):
Signature of Competent Person:
Signature of Owner:
3.11 REGULATION O: LIGHTING AND VENTILATION REQUIREMENT
Competent Person (Mechanical Engineering):
Signature of Competent Person:
Signature of Owner:
3.12 REGULATION P: DRAINAGE
Competent Person (Sanitation):
Signature of Competent Person:
Signature of Owner:
3.13 REGULATION Q: NON-WATER BORNE MEANS OF SANITARY DISPOSAL
Competent Person (Sanitation):
Signature of Competent Person:
Signature of Owner:
Erf No:
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Owner: Edition 4
Date:
3.14 REGULATION R: STORMWATER DISPOSAL
Competent Person (Civil Engineering):
Signature of Competent Person:
Signature of Owner:
Competent Person (Built Environment):
Signature of Competent Person:
Signature of Owner:
3.15 REGULATION S: FACILITIES FOR PERSONS WITH DISABILITIES
Competent Person (Environmental Access):
Signature of Competent Person:
Signature of Owner:
3.16 REGULATION T: FIRE PROTECTION
Competent Person (Fire Engineering):
Signature of Competent Person:
Signature of Owner:
3.17 REGULATION V: SPACE HEATING
Competent Person (Fire Engineering):
Signature of Competent Person:
Signature of Owner:
3.18 REGULATION W: FIRE INSTALLATION
Competent Person (Fire Engineering):
Signature of Competent Person:
Signature of Owner:
Competent Person (Wet Services):
Signature of Competent Person:
Signature of Owner:
3.19 REGULATION XA: ENERGY USAGE IN BUILDINGS
Competent Person:
Signature of Competent Person:
Signature of Owner:
(Attach documentation setting out qualifications, experience and contextual knowledge, PI
Insurance, etc relating to the work appointed for)
Erf No:
Township:
SANS 10400-A: 2022
Owner: Edition 4
Date:
SECTION 4: ACCEPTANCE OF APPOINTED COMPETENT PERSON BY A LOCAL AUTHORITY
(To be completed and returned to the Approved Competent Person)
Based on the information and undertakings provided, the competent person is
accepted as an approved competent person
not accepted as an approved competent person for the following reasons:
1) incorrect of incomplete information has been provided (Regulation A19 (9) (c ) (i);
2) is not in possession of the required professional indemnity insurance cover
(Regulation A19 (9) (c ) (ii) );
3) is not professionally registered with a relevant statutory council (Regulation a19
(9)(c ) (iii));
4) is inadequately qualified or has insufficient experience or contextual knowledge to
make the required determinations (Regulation A19 (9) (c ) (iv));
5) is under investigation by a relevant disciplinary tribunal (Regulation A19 (9) (c ) (v)).
For and on behalf of the Local Authority (Name of official)
Signature:
Date:
Note 1 Regulation A19 requires the owner to appoint a competent person responsible for
design, inspection and assessment duties where in terms of the National Building Regulations
a rational design or assessment (or both) is required in terms of Regulation AZ4 (1) (b) (ii), A1
(3), A23(4), G1(3), O4, P2 (2), Q3, R3, T1(2), W4 and XA3 in respect of a system, measure, facility
or parameter.
Note 2 The owner of the building shall subject to the provisions of sub-regulations A19(4) and
A19(5) appoint and retain one or more approved competent persons to undertake
responsibility for the work associated with such regulations including any inspections and
certifications that may be required.
Note 3 Where it is not possible for such person to fulfil the duties as contemplated in sub-
regulation A19(1), the owner of such building shall appoint and retain another approved
competent person to take over and fulfil such duties and responsibilities both in respect of the
work already designed or erected or installed and in respect of the balance of such work still
to be undertaken to complete the project.
