APPLICATION FORM
Targeted Agricultural Modernisation Scheme
(TAMS)
FARM SAFETY SCHEME
Introduced by the Minister for Agriculture, Food and the Marine
In implementation of Council Regulation (EC) No. 1698/2005
and Commission Regulation 65/2011
This Scheme is provided for in the 2007-2013 Rural Development Programme of Ireland
The European Agricultural Fund for Rural Development: Europe investing in rural areas.
All Department Structural specifications and notices relevant to this Scheme can be accessed on the Department of
Agriculture, Food and the Marine website at www.agriculture.ie under the heading “Farm Buildings”
DATE STAMP
(For Official Use Only)
S/__/_______
Form FSS 1
Date(s) of Birth
ALL INFORMATION MUST BE SUPPLIED AND ALL
SECTIONS COMPLETED.
1. Applicant Information.
/
/
/
/
PPS/CRO Number(s)
Applicant Type (complete only one of the following)
Individual (single applicant)
Partnership
Company
Joint Application (two or more named applicants)
Telephone No.________________________
Mobile No.
_______________________
(Mr./Mrs./Ms.)………………
NAME OF APPLICANT(S)………………………………………………
(Block Capitals)
E-mail address:
ADDRESS:…………………………………………………………………
……………………………………………………………………………...
………………………………………………………………………………
………………………………………………………………………………
Department Identifier(s)
(Herd(s), Flock(s), Cereal(s), Pig
Number(s), other identifier)
COUNTY ………………………………………………………………
Address of proposed development if different from above:
County: …………………………………………………
Townland: …………………………………………………
LPIS no(s). …………………………………………………
Complete for additional applicants in the case of joint applications or Teagasc Milk Production
Partnerships:
Name
Date of Birth
PPS Number
2
2. General.
Yes
(i)
Is any part of the holding (owned/leased) in a less favoured area?
(ii)
Is any area on the holding designated as a Natura 2000 site?
(iii)
Is applicant a Department registered Organic producer?
If yes, please state Department licence number_____________________
(iv)
Has other national/EU funding been sought or received, directly or indirectly,
for measures and/or actions qualifying for aid under this Scheme?
If yes, please provide details__________________________________
No
(v) Will the proposed investments be carried out on an off-shore island?
(vi)
Is applicant in a Teagasc Milk Production Partnership?
If yes, please supply valid Certificate of Registration and state number of
partners in the partnership? ______________________
(vii) (a) Has applicant declared a minimum of 5 ha under
Single Farm Payment/Area Aid/IACS application?
If yes, please state year ____________________________________
(b) If the answer above is no, but if there is an intensive enterprise on the holding (minimal of 20
units required) competed the following:
Enterprise
Sow Breeding only
Sow Breeding and Finishing
Pigs Finishing only
Broilers
Broiler Breeders
Layers
Turkeys (fattening)
Free Range Egg Production
Mushrooms
Glasshouse crops
Nursery (liner) production
Shrub production (containers)
Ornamental trees, field grown
Rabbits
Production unit
Numbers /Hectares
Production Units
0.8 unit
1.1 unit
6.0 units/100 pig places
3.0 units/1000 bird places
8.0 units/1000 birds
3.0 units/1000 birds
3.0 units/1000 birds
1.5 units/100 birds
20 units per 30 metre tunnel
125 units per hectare
75 units per hectare
50 units per hectare
25 units per hectare
1.0 unit/100 does
Total
3. Type of Enterprise carried out on Holding. (Required for EU Reporting purposes).
(please tick appropriate box(es)
Field Crops
Grazing Livestock (excl Milk)
Horticulture
Pigs
Wine
Poultry
Permanent Crops
Mixed (crops and Livestock)
Milk
Other
3
4. Investments for which grant-aid is sought in this application.
Quantity
Farm Safety Equipment
Applicant’s Proposed Cost per
investment (excluding VAT but
including own labour/machinery,
where applicable)
€
Safety Rails on Silo Walls
linear m
Safety Fencing for external slurry and effluent stores
(including gate)
Solid Cover for External Slurry and Effluent Stores
linear m
area m2
Safety Covers on External Agitation Points or
Manholes
Replacement of damaged slats (single/twin/gang) or
replacement of existing internal agitation point with
new gang slats
Replacement of hinged door/sheeted gate with a new
sliding door/roller door on agricultural buildings
Removal of end wall of tank and provision of external
agitation point
Wiring/Rewiring of existing farm buildings
item
area m2
area m2
item
area m2
Yard Lights (min 200W equivalent, either metal halide
or LED)
Retrofitting roof clear-sheet (roof light) with safety
cages.
Circulation pipe (6”) to allow for agitation of slurry
Installation of calving gates
item
item
Linear m
linear m
Simple aeration systems
Per compressor
Mobile Cattle Crush Unit (min 2.4m long)
item
Mobile Cattle penning max of 75 linear metres (in
combination with a Cattle Handling unit)
linear m
Mobile Cattle weighing scales
item
Leg hoist/ lifter
item
Head Scoop
item
Mobile specialised sheep spraying equipment on
trailer
Mobile specialised sheep spraying equipment without
trailer
Portable Sheep Handling Race with wheels (including
footbath)1,2
Portable basic Sheep Handling Race 1,2
item
item
item
item
Mobile Sheep weighing facilities
item
Mobile Sheep rollover crates
item
Mobile Sheep “batch” footbaths
item
Mobile Sheep penning max of 75 linear metres (in
combination with a Sheep Handling unit)
linear m
Mobile Sheep Adoption unit front
item
Mobile Sheep Adoption unit front with penning
item
4
(Please note that the quantities and proposed cost(s) referred to above will be used by the Department for the
purposes of determining the amount of grant paid to the applicant in accordance with paragraph 5 of the
Scheme, should written approval to commence work be issued by the Department).
5. Safety, Health and Welfare at Work Act 2005.
Yes
Have the provisions of the Safety, Health and Welfare at Work Act 2005
been complied with?
6. Declarations.
Declaration to be completed by applicant(s);
I/We declare that –
(a) I/We have read and understand the conditions of the Scheme and, to the best of my/our knowledge, all
particulars given on this form are correct;
(b) In respect of any payment made to me/us under the Scheme, relevant bank/building society/credit union
account details will be provided to the Department to enable such payment to be made by electronic
fund transfer.
NOTE: A false or misleading statement may lead to disqualification from the Scheme for two
calendar years, liability to refund any aid already paid, and prosecution.
Please also note that aid will not be given for works commenced or equipment purchased before
written approval has issued to an applicant.
Signed __________________________ Date
________________
Signed __________________________ Date
________________
Signed __________________________ Date __________________
THIS FORM, FULLY COMPLETED, TOGETHER WITH SUPPORTING DOCUMENTATION
SHOULD BE SUBMITTED TO FARM SAFETY SCHEME, ON-FARM INVESTMENT SCHEMES
DIVISION, DEPARTMENT OF AGRICULTURE, FOOD AND THE MARINE, JOHNSTOWN
CASTLE ESTATE, CO. WEXFORD.
(Please retain copies of all documentation submitted for your own records)
5
For Applicant’s guidance only
Check List
Documents to be furnished with Application
Please complete and enclose this checklist with your application form FSS 1
Tick Relevant Boxes
Yes
1.
Completed application form, signed by applicant.
2.
Accompanying Documentation
(i)
Farm building layout plan (1:100/1:200/1:500 Scale) and drawings
- required in the case of fixed investments only
see paragraph 10 of Scheme for more information.
(ii)
Teagasc Milk Production Partnership Certificate (if applicable)
(Please retain copies of all documentation submitted for your own records)
6
Sample application:
Applicant is planning to carry out the following investment work –
Replace damaged slats in slatted house A (animal area 4.5m x 10m = 45m2 ) and move the agitation point
to the outside.
Rewire house A (50 m2) and wire loose house B ( 60 m2)
Install three calving gates (2.5m long) in house B
Install two new yard lights
Retrofit four roof clear-sheets (roof light) with safety cages in house B.
Quantity
Farm Safety Equipment
Applicant’s Proposed Cost
per investment (excluding
VAT but including own
labour/machinery, where
applicable)
€
Safety Fencing for external slurry and effluent stores (including
gate)
Solid Cover for External Slurry and Effluent Stores
linear m
Safety Covers on External Agitation Points or Manholes
1 item
Replacement of damaged slats (single/twin/gang) and /or
replacement of existing internal agitation point with new gang
slats
Replacement of hinged door/sheeted gate with a new
sliding door/rolling door on agricultural buildings
Removal of end wall of tank and provision of external agitation
point
Wiring/Rewiring of existing farm buildings
area m2
45 area m
€405.00
€2,475.00
2
area m2
item
110 aream
2
€700.00
Yard Lights (min 200W equivalent, either metal halide or LED)
2
item
€460.00
Retrofitting roof clear-sheet (roof light) with safety cages.
4 item
€200.00
Circulation pipe (6”) to allow for agitation of slurry
Linear m
7.5 linear m
Installation of calving gates
Simple aeration systems
Per compressor
Mobile Cattle Crush Unit (min 2.4m long)
item
Mobile cattle penning max of 75 linear metres (in combination
with a cattle handling unit)
Mobile cattle weighing scales
Leg hoist/ lifter
linear m
item
item
Head Scoop
item
Mobile specialised sheep spraying equipment on trailer
item
Mobile specialised sheep spraying equipment without trailer
Portable Sheep Handling Race with wheels (including footbath) 1,2
Portable basic Sheep Handling Race 1,2
item
item
item
Mobile Sheep weighing facilities
item
Mobile Sheep rollover crates
item
Mobile Sheep “batch” footbaths
item
Mobile Sheep penning max of 75 linear metres (in combination
with a Sheep Handling unit)
Mobile Sheep Adoption unit front
Mobile Sheep Adoption unit front with penning
linear m
item
item
7
€1,110.00