building move permit - Highways and Infrastructure

BUILDING MOVE ROUTE ASSESSMENT
TO BE COMPLETED FOR LOADS EXCEEDING 7.5 METERS IN WIDTH
The following is to be completed (by a company representative that has driven the route). Companies may be
requested to submit the completed form to Saskatchewan Ministry of Highways and Infrastructure for review
and approval prior to the issuance of a permit.
The movement of this load will be a major undertaking and will require a detailed study into all aspects of the
move. CARRIER MUST CHECK THE ROUTE FOR OBSTRUCTIONS PRIOR TO MOVEMENT.
1. Safety
Provide details on actions taken to ensure the safety of the traveling public as well as the crew and the crews
of the power line escorts. This includes but not limited to holding a tailgate meeting prior to move; ensuring
the driver and crew understand all permit conditions; ensuring the driver maintains a copy of the permit and
the permit conditions in the cab and understands all conditions to ensure compliance.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
2. Traffic
a) Provide details of how you will accommodate other traffic keeping in mind that the load may be traveling at a
slow speed. Identify traffic accommodation plan
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
b) Identify locations along the route that will be used to allow for traffic accommodation.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. Signs
Some traffic signs may have to be temporarily removed. Provide details on location and clearance of all signs
encountered on route and your procedures for ensuring any obstructions will be cleared. List the authorities,
with contact information, ensuring proper authorities have been notified and permission is obtained prior to
removal or arrangements have been made to move the obstacle.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
1
BUILDING MOVE ROUTE ASSESSMENT
4. Route Segments
Document details on legs of the route and location of possible pull outs for emergency situations and storage
areas as well as contact information for area load will be stored during the night if the move will take more
than one day.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
5. Narrow Bridges
There may be numerous bridges along the route which may be narrower than the load. Provision must be
made to be able to raise the load to clear the guard rails. Please provide details on location of all bridges and
height of obstructions. Document details on height/width of load in comparison to obstruction and how
obstruction will be cleared.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
6. Local Authorities and Police when required
Each traffic authority along the route must be consulted and permission granted to use their roads. When
indicated local enforcement, fire, EMS, etc. MUST be contacted. Provide details of approvals obtained.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
7. Utility Lines
All utility companies must be consulted with permission granted to accept the movement of this load.
Provide details of approvals obtained.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
I verify that I have driven the route identified and all of the above information is correct.
Company Name: _______________________________________________
Name of Company Representative: _________________________________
Signature of Company Representative: ___________________________________
Date: ___________________________
Comments
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
2