S
ANS 10400-A:2016 Edition
3.1
NATIONAL BUILDING REGULATIONS AND
BUILDING STANDARDS ACT, 1977
(Act 103 of 1977)
FORM
2
APPLICATION FOR ACCEPTANCE AS AN APPROVED
COMPETENT PERSON IN TERMS OF REGULATION A19
(To be completed and submitted for all appointments in terms of Regulation A19)
To: (Name of Local Authority)
*Erf/Holding/Portion No.:
*Township/Agricultural holding/Farm name:.
Street address:
Natur
e 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
*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:
(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) infor
m the Competent Person when the work is due to start on site; and
ii) notif
y 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
Sig
nature of owner: Date
(* Tick the appropriate box.)
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PROPOSED NEW BUILDING(S)
ECSA
click to sign
signature
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SANS 10400-A:2016
Edition 3.1
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 Nation
al Building Regulations for the applicable work described
herein, and, where relevant, for the inspection, in respect of work contemplated in s
ection 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 might 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(2A) of the National Building
Regulations
and Building 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 s
ection 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 AZ4 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 appr
opriate 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:
(Insert number) (Insert ECSA, SACAP or SACNSP)
(* Tick the appropriate box.)
(** A
ttach declaration setting out qualifications, experience and contextual knowledge relating to the work
contemplated.)
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SACAP
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signature
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S
ANS 10400-A:2013
Edition 3.1
SECTION 3: DESCRIPTION OF APPLICABLE WORK
Tick if
applicable
Nature of duties
Initials of:
Owner
Competent
person
compaction of in-situ soil or sub-
system in terms of SANS 10400-
SANS
3
Duty 19: Rational design which demonstrates energy usage is
equivalent to or better than that which would have been achieved
by compliance with the requirements of SANS 10400.
SANS 10400-A:2016
Edition 3.1
SECTION 4: ACCEPTANCE OF APPOINTED COMPETENT PERSON BY LOCAL
AUTHORITY
Based on the information and undertakings provided, the competent person is (tick relevant
box(es))
accepted as an approved competent person
not accepted as an approved competent person for the following reasons:
incorrect or incomplete information has been provided (Regulation A19(9)(c)(i));
is not in possession of the required professional indemnity insurance cover
(Regulation A19(9)(c)(ii));
is not professionally registered with a relevant statutory council
(Regulation A19(9)(c)(iii));
is inadequately qualified or has insufficient experience or contextual knowledge to
make the required determinations (Regulation A19(9)(c)(iv));
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
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_______________________
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