NORTHWEST DEVELOPMENT AGENCY BC2200 – FORMER BICKERSHAW COLLIERY, Leigh, Nr Wigan, Greater Manchester ACCESS CONSENT/INDEMNITY Bickershaw Colliery is a non-operational colliery site consisting of two separate plots of land totaling approximately 50 Acres, which has been remodelled. Notwithstanding this, the site exhibits a range of hazards including but not exclusively consisting of: • • • • • • • • • • • •
Steep sided embankments Loose stones and boulders Soft ground Colliery Spoil Heaps Uneven ground Dilapidated structures Existing Mineshafts Disused Manholes Contamination Contaminated Watercourses Japanese Knotweed Adjacent to the Leeds / Liverpool Canal
Any visitor to the site unfamiliar with the above hazards should proceed with caution and should ensure that no damage is caused whatsoever to the land and its environs. By signing the following indemnity you undertake to indemnify The Northwest Development Agency against any liability, cost, claim or proceeding arising directly or indirectly out of your entry to the site and to make good or reinstate any part of the site that has been damaged as a result of your visit. This Access Consent is granted on the following conditions: 1
That you have a site safety policy which includes arrangements for advising a third party of estimated times of entry to and egress from the site ;
2
That you ensure that appropriate safety clothing is worn at all times while on site ;
3
That you immediately advise NWDA with full details of any accidents that have occurred during your visit ;
4
That you have full employer and public liability insurance, evidence of which may be requested by NWDA.
5
That you keep the site secure against unauthorized vehicle access at all times.
DECLARATION: I/WE HAVE READ THIS WARNING NOTICE AND HAVING BEEN MADE AWARE OF THE HAZARDS ON THIS SITE I/WE ARE PREPARED TO ENTER THE SITE AT MY/OUR OWN RISK AND TO INDEMNIFY THE AGENCY. I/WE ALSO CONFIRM THAT ITEMS 1-5 ABOVE WILL BE COMPLIED WITH. I/WE UNDERSTAND THAT NO WARRANTY OR REPRESENTATION HAS BEEN GIVEN OR MADE BY THE AGENCY AS TO THE GROUND BEARING 1
CAPACITY OF THE SITE OR ITS SUITABILITY FOR THE PURPOSE FOR WHICH ENTRY IS BEING PERMITTED.
Signed by………………………………………..Print Name ………………………………. Duly authorized for and on behalf of (insert Company name)……………………………………………………..… Dated this
day of
2008
Witnessed by ……………………………………………………
(witness to sign)
Company Name.………………………………….Date …………………….
Approved by ……………………………………… Building Surveyor/Safety Officer.
Safety Officers’ Name ……………………………Date ……………………..
Countersigned by ………………………………… Management Surveyor
Name ………………………….
Date ………………………
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