Fillable Maritime-event-application-form Temporary maritime event application form

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Maritime-event-application-form Temporary maritime event application form

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Temporary maritime
event application form
Last updated: December 2019
This document is uncontrolled if printed. Please refer to the Maritime New Zealand website for the latest
version.
About this form
Use this form if you are the person organising a race, speed trial, competition or other
organised water activity:
• requiring a reserved area or speed uplifting
• in an area of navigable waterway where safety is managed by Maritime New Zealand.
How to complete this form
You need to read and understand all of the information on this form
including:
• section
7. Explanatory notes
(page 12)
• the
Maritime New Zealand navigation safety areas
table (page 13)
You need to provide all of the information we require including any
additional documentation outlined in this form.
Refer to section
4. Checklist
for all additional documentation you may need to provide.
Note
We need to receive this completed form at least four weeks before the date of the maritime event,
or your application may not be processed in time.
Page 2 of 12
Maritime event application form
1. Applicant details
All applicants must complete this section.
Complete all of these fields.
Title (tick one only) Mr Mrs Miss Ms
Other (please specify)
Surname
Given name(s)
Organisation
Position held
Home phone
Eg +64 1 234-5678
Mobile phone
Eg +64 21 123-4567
Fax number
Eg +64 1 234-6789
Email address
Posta
l address
City
Postcode
Preferred means of
contact
(tick one only)
Email Post Phone Fax
Page 3 of 13
Maritme event application form
2. Event details
All applicants must complete this section.
Location details
Region
Location
(specific area)
Eg Upp
er Taieri River - between the Old Hanley Ferry Red Bridge to Outram Glen
Estimated number of
vessels
Estimated number
of participants
Event times
Please include set-up and pack-down time required on water
Start time
Eg 2.30pm or 16:30
Start date
DD / MM / YYYY
End t
ime
End date
Alternative event times (in case of postponement)
Please include set-up and pack-down time required on water
Start time(1)
Start date(1)
End ti
me(1)
End date(1)
Start ti
me(2)
Start date(2)
End ti
me(2)
End date(2)
Type of event
Please indicate what type of event your application is for (tick one only):
Power boat
If you have ticked this box, complete section
2.1. Power boat event
.
Sail boat If you have ticked this box, complete section
2.2. Sail boat event
.
Paddle craft If you have ticked this box, complete section
2.3. Paddle craft event
.
Other If you have ticked this box, please provide details about the event below.
Page 4 of 13
Maritime event application form
2. Event details (continued)
Type of event (continued)
2.1 Power boat event
Complete this section if you are applying for a power boat event (tick one only).
Power boat race
Thundercat race
Power boat race offshore
Water ski race
PWC race
(jet skis and similar personal water craft)
Jet boat race or rally
2.2 Sail boat event
Complete this section if you are applying for a sail boat event (tick one only).
Sail race
Sail training
Sail race offshore
Sail board race
Sail regatta
Kite boarding race or event
2.3 Paddle craft event
Complete this section if you are applying for a paddle craft event (tick one only).
Dragon boat race
Rowing
Waka ama
Kayaking or canoeing
Stand up paddle board
Rafting or adventure racing
Page 5 of 13
Maritime event application form
3. Event requirements
All applicants must complete this section.
3.1 Maritime rules
Reserved area
A reserved area means an area of waterway temporarily set aside for the exclusive use of the event participants and support vessels.
Does the event require a reserved area (tick one only)?
Yes
No
Speed uplifting
Does the event require a speed uplifting (tick one only)?
No
Yes If you have ticked this box, please specify the uplifting you require below (tick all
options that apply).
within 200 metres of shore
within 200 metres of a structure
within 50 metres of a person in the water
within 200 metres of a divers flag
when anyone has any part of their body extending over the bow or sides of a vessel
participating vessels
support vessels
Page 6 of 13
Maritime event application form
3. Event requirements (continued)
Personal Flotation Devices (PFDs)
Does the event involve participants not carrying a PFD?
No
Yes If you have ticked this box, choose below the grounds for not carrying a PFD (tick one
only).
A support boat in the immediate vicinity carries sufficient PFDs or buoyancy aids (rule
91.4(4))
The event is to be supervised in accordance with a safety system of a national
sporting organisation approved by Maritime NZ (rule 91.4(2)(d). If you tick this box,
attach a copy of the approval under rule 91.4(3).
Exemptions
Does the event require an exemption from any maritime rules (tick one only)?
No
Yes If you have ticked this box, you will need to complete an application form for an
exemption to maritime rules and include this with this application.
Page 7 of 13
Maritime event application form
3. Event requirements (continued)
3.2 Event safety plan
You are required to complete a safety plan for this event and include this (plus any other
supporting documents) with this application.
Your safety plan should at least include the following:
• analysis of all risks involved in the event and what measures will be used to eliminate, isolate or
minimise hazards
• numbers and types of vessels and/or people involved
• average and maximum vessel speeds involved
• a chart (or map) of event course(s) and required reserved areas
• weather limits for event
• numbers and types of patrol/marshal/safety vessels and how they will be used to manage risk
including preventing unauthorised vessels from entering any reserved areas (including crew list and
their qualifications)
• details of any significant safety incidents from previous events that; have been held by the event
organiser, or the event safety officer has been involved in, within New Zealand in the last 5 years.
Please provide details of lessons learnt and measures used to reduce similar incidents occurring.
•
a communications plan between event organisers and Maritime NZ
• schedu
le of safety briefings and key messages
• justification for any reserved areas and speed uplifting requested
• first aid and medical response provision for participants including, as appropriate, key medivac
locations (land, water and air)
• qualifications and/or experience of event organiser and event safety officer
• contact details of event organiser and event safety officer
• affiliations to any national bodies that oversee the event or standards that apply to the event.
Note
We recommend that you to obtain experienced assistance if you have never completed a safety
plan before. This is will ensure you meet any safety requirements for this event such as those
that come under the Health and Safety at Work Act 2015.
Page 8 of 13
Maritime event application form
4. Checklist
All applicants must complete this section.
To complete this application, you need to provide all of the information we require.
Use this checklist to make sure that you have everything you need for your application.
Check that your documents are complete and have been signed, and dated as required.
Items you must provide with this application form:
A safety plan for the event incorporating a detailed chart or map of the area in which the event is
to take place
A draft pu
blic notice for publication in a local daily newspaper if the grant is made, and evidence
of consultation with affected interests
A descriptio
n of your past experience in managing similar events
Agreement
or contract for externally provided medical response capability (if applicable)
A copy of y
our public liability insurance policy that details the insurer, insurance cover amount,
relevant exclusions and policy expiry date (if applicable)
A copy of the application for a test certificate for an outdoor pyrotechnic display (if applicable)
Written au
thorisation from the occupier/trustee of any foreshore land intended to be used in
connection with the proposed event/activity (if applicable)
Evidence th
at you have consulted with potentially affected parties
Remember
The event must take place in an area where Maritime NZ is the local navigation safety
authority. Where navigation bylaws are in place, applications must be made to the
appropriate regional council
Send your
application to us as early as you can and at least 4 weeks prior to the event
You will be invoiced once we have formally received your application. A reference number and
instructions explaining how to pay will be sent with the invoice.
After receiving your application, event safety plan and other supporting documents, Maritime
NZ will send you an invoice for the hours taken to complete the assessment.
Fees and payment5.
Page 9 of 13
Maritime event application form
Application fee
There is a fee for your application. This is charged at an hourly rate.
Refer to the Martime NZ website for more information about fees and how to pay.
maritimenz.govt.nz/fees
maritimenz.govt.nz/howtopay
Invoice
•
online using a credit card or debit card, or
•
by internet banking or bank deposit.
You need to specify the name and address if the operator is a group of individuals, or if you want the
invoice made out to if different entity or individual.
Name to use on invoice
Postal Address
City
Country
Postcode
You can pay:
Page 10 of 13
Maritime event application form
6. Declaration
All applicants must complete this section.
I declare that I am authorised to act as the applicant for the purpose of the temporary maritime event.
I declare that the details provided on this form are true and correct. I confirm that any other documents
sent with this form are true and genuine, and were given and signed by the persons whose names appear
on them.
Caution
Providing false information or failing to disclose information relevant to Maritime NZ functions is an
offence under section 406 of the Maritime Transport Act. The penalty for this offence in the case
of an individual is imprisonment for a term of up to 12 months or a fine of up to NZ$10,000.
Your name
Your signature
Sign here
Date
DD / MM / YYYY
Privacy information
Personal information collected in this form will be used for the purpose of assessing your application.
Maritime NZ will not disclose personal information other than when permitted or required by law to do so.
If you wish to access or correct personal information Maritime NZ holds about you, please contact
the Maritme NZ Privacy Officer at PO Box 25620, Wellington 6140 or phone (04) 473 0111.
Page 11 of 13
Maritime event application form
7. Where to send your application
Send your completed form and the other documents required to Maritime NZ by email,
courier or post.
If your application is incomplete, we will return all your application documents to you.
Email your application to:
maritime.events@maritimenz.govt.nz
Or
Courier your application to the:
Exemptions Officer
Maritime New Zealand
1 Grey Street
Wellington 6011
NEW ZEALAND
Or
Post your application to the:
Exemptions Officer
Maritime New Zealand
PO Box 25620
Wellington 6140
NEW ZEALAND
Sending your application by email is preferred. Remember any additional documents that are
required will need to be scanned and to the email. Make sure the scanned copies of your
documents are legible and of a good quality.
Page 12 of 13
Maritime event application form
8. Explanatory notes
1. An application is for a grant of a reserved area of navigable waterway and/or the suspension of speed of
vessel requirements that ordinarily apply to craft operating close to shore or in the vicinity of other craft
for the purpose of a temporary maritime event, such as a race, speed trial, competition or other
organised water activity.
2. Before granting an application, under maritime rule 91.19, the Director must be satisfied that there is no
danger to the public and that affected parties have been consulted. The Director may impose conditions
on temporary events in the interests of maritime safety.
3. The Director only considers applications in respect of areas where Maritime New Zealand manages local
navigation safety. In other areas, which are subject to navigation bylaws, consideration of an application
for the grant of a reserved area and/or suspension of speed of vessel requirements is a regional council
responsibility. Some councils have application forms for this purpose on their websites. Refer to the
Maritime New Zealand navigational safety areas table over the page.
4. A reserved area means an area of waterway temporarily set aside for the exclusive use of the event
participants and support vessels.
5. If an exemption to a maritime rule is required for your application, you will need to complete a separate
exemption application form.
Page 13 of 13
Maritime event application form
8.
Explanatory notes (continued)
Maritime New Zealand navigation safety areas
Region
Maritime NZ areas
Council bylaw areas
Northland Rivers and lakes only.
Northland Regional Council:
Auckland Auckland Council:
All waterways (oceans, rivers, lakes).
Waikato Port Taharoa only. Waikato Regional Council:
all other waterways (oceans, rivers, lakes).
Taranaki All waterways (oceans, rivers and
lakes).
Taranaki Regional Council:
Port Taranaki only.
Hawkes Bay Lakes Waikareiti and Lake
Waikaremoana.
Department of Conservation:
Te Angiangi Marine Reserve.
Hawkes Bay Regional Council:
all other waterways (oceans, rivers, lakes).
Manawatu All waterways (oceans, rivers and
lakes). Exceptions apply.
Horizons Regional Council:
Manawatu River and tributaries only.
River City Port Ltd:
Port of Wanganui.
Wellington Ruamahanga River only. Greater Wellington Regional Council:
all other waterways (oceans, rivers, lakes).
Marlborough Rivers and lakes only.
see Wairau River Draft Navigation
Safety Plan.
Marlborough District Council:
West Coast All waterways (oceans, rivers and
lakes). Exceptions apply.
see Lake Brunner Navigation
Safety Plan.
see Lake Kaniere Draft Navigation
Safety Plan.
Grey District Council:
Port of Greymo
uth
Buller District Council:
Port of Westport
Otago All waterways (oceans, rivers and
lakes). Exceptions apply.
see Lake Waihola Draft Navigation
Safety Plan.
Otago Regional Council:
Dunedin Harbour and Karitane Harbour
Queenstown Lakes District Council:
Queenstown Lakes District waterways.
Central Otago District Council:
Lake Dunstan.
•
•
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oceans only
•
oceans only
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Completed 3 July 2020

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