Crane Operations Permit Application Form

CRANFIELD AIRPORT

CRANE OPERATIONS PERMIT APPLICATION FORM

Crane Operations within 6 kms of Cranfield Airport with a height exceeding 10m or that of the surrounding structures or trees have the potential to create air safety hazards and may affect airport operations. To protect the airspace of Cranfield Airport, all crane activities are required by law to be assessed and approved by the Airport.

This form is to be used when operators require to carry out crane operations in the vicinity of Cranfield Airport and it’s safeguarded area.

Must be completed in BLOCK CAPITALS only please.

PART 1 – CRANE OPERATOR DETAILS
Company Name : / Click here to enter text.
Contact Name : / Click here to enter text.
Contact Details : / Work Tel No : / Click here to enter text.
Mobile Tel No : / Click here to enter text.
Fax No : / Click here to enter text.
Email address : / Click here to enter text.
On Site Contact Details : / Name : / Click here to enter text.
Mobile Tel No : / Click here to enter text.
PART 2 – CRANE DETAILS
Crane Height (Maximum) / ______metres
Date(s) of proposed operation :- / Start Date :- Click here to enter text.
End Date :- Click here to enter text.
Daily hours of operation :- / Start Time :- Click here to enter text.
End Time :- Click here to enter text.
Purpose of Operation :- / Click here to enter text.
PART 3 – LOCATION OF SITE OPERATIONS
Please provide accurate details in order that we can locate position on map.
Street Name : / Click here to enter text.
Street Number : / Click here to enter text.
Co-ordinates : (Lat/Long or Eastings/Northings) / Click here to enter text.
Ground Elevation (m) / Click here to enter text.
Working Height of Equipment (AGL) / Click here to enter text.
PART 4 – CONDITIONS OF USE
The crane operator is to read, understand acknowledge the below permit conditions of use:-
1.  Confirm that the information supplied on this form is accurate and correct.
2.  Confirm that the crane will be lowered outside the daily hours of airport operations, unless otherwise authorised.
3.  Confirm that any stipulations made by Cranfield Airport will be adhered to (i.e. crane to be lit, crane to be lowered during period of low visibility etc.,).
Understand that the “British Standard Institute Code of Practice for the safe use of cranes (BS7121 Part 1)” will be adhered to at all times.
Crane Contractor / Name : Click here to enter text. / Signature : Click here to enter text.
Main Contractor / Name : Click here to enter text. / Signature : Click here to enter text.
PART 5 – AIR TRAFFIC CONTROL APPROVAL
Name of ATC Representative certifying usage: / Click here to enter text.
Signature of ATC Representative : / Click here to enter text.
Date of Signing : / Click here to enter text.
CAA Approval Required : / Yes ☐ No ☐
NOTAM issued : / Yes ☐ No ☐
Operating Conditions Stipulated : / Click here to enter text.

This form, once completed by the crane contractor, should be emailed to in order that permission can be granted by Cranfield Airport for the approval of the usage of the crane. Approval permission will be granted once the form has been completed by Cranfield Airport and returned to the crane contractor and will be subject to weather conditions and final confirmation from Air Traffic Control on the day of the lift.

2 | Crane Operations Permit Form. Form 11. V2. June 17