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130813 Att 2 Mobile CCTV Form

Attachment 2:

 

REQUEST FOR DEPLOYMENT OF THE

MAIDSTONE CCTV SYSTEM

 
 

 


Applicant’s Name

 

Organisation Name and Address

 

Tel. No.

 

Email Address/Fax No.

 

1.      Purpose and Objectives (please specify the nature of the problem, what you hope to achieve and how the equipment will assist)

 

I request the deployment of the Maidstone CCTV Mobile System as follows:


 

 
2.         Surveillance Area/Location
Please provide details of the location of the problem/area to be observed (not where the camera is going to be situated). Please attach a map if appropriate.


 

 

 

 
3.         Evidence of the Need for Deployment
Please provide details of why the deployment of a camera is necessary and what will happen top any footage that is recorded onto tape (attach additional pages if necessary)

 

 

 

 

 

 

 

 

 

 

Signed………………………………………………….      Print Name…………………………………………………

Date……………………………………………………..

This form should be returned to:

Maidstone Community Safety Unit, Maidstone Borough Council

Email: stuartmoaby@maidstone.gov.uk

 


Site visited by:

(Block capitals)  

Date of visit:

 

FEASIBILITY STUDY AND RISK ASSESMENT

 

Type of Location
(Tick all that apply)

Residential area

 

Shops/Retail/Commercial

 

Highway

 

Industrial Site

 

Rural area

 

Urban Area

 

Public/communal space

 

Other

 

If ‘Other’, please specify:

 




Availability of Camera Mounting Positions

Building/Property

 

Street Furniture

 

Vehicle

 

Other

 

Any potential problems with the camera mounting position? (Please specify)

 

If ‘Other’, please specify:

 

 

 

 

 


NB: If a lighting column is to be used as a camera mounting, please note it’s number and check it’s suitability with Kent Highways (01622 602 377)

Signage

Number of signs that will be required:

 


Safety Considerations

Each of the following should be considered. Please tick any safety considerations that may be of concern.

Height of camera location

 

Soft ground/verges

 

Road traffic

 

Electrical supply

 

Overhead power cables

 

Likelihood of harassment

 

Uneven ground

 

Security – mounting position

 

Is there natural surveillance?

 

Is there multi-camera surveillance?

 

 

 

 

Are there any other safety considerations? If so, please specify:

 
 



I certify that I have visited the site stated and confirm the findings as stated above:

Signed………………………………………………………………...    Position………………………………………………………………..

 


DECLARATION FORM

 
To be completed by each person providing their consent for Mobile CCTV (MBC) to be sited at their property as an observation point.

I have been informed about the use of Maidstone Mobile CCTV System, for which my property can provide an Observation Point. The possible consequences of using my property as an Observation Point have been explained to me. I agree to give my consent for my property (details as provided below) to be used for this purpose.

I indemnify, release and discharge the Council/Contractor from and against any expense, liability, claim or proceedings whatsoever in respect of any property or any personal injury to the land owner, their tenants, invitees or any other residents of the property arising out of the carrying out of the service. I shall give the Council/Contractor or a representative of the Council/Contractor access to the property to perform the service.

Name

Address (and home address if different)

Signature

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAIDSTONE MOBILE CCTV SYSTEM

COMMUNITY SAFETY UNIT SURVEILLANCE AUTHORITY

 
 


A request for Mobile CCTV Deployment has been received and considered by the Community Safety Unit in accordance with the procedures described within this Protocol.


Applicant’s Name

 


Surveillance Area/Location

 


We, the undersigned, hereby authorise/refuse authority* for the deployment of the Maidstone Mobile CCTV System as requested by the applicant above.

Name

 
*delete as appropriate

 

 

 


Name

 

Signature

 

Sergeant, Maidstone Community Safety Unit (or delegated deputy)

 


Date

 
 

 

 

 

 

 


Where the authorisation is granted

The deployment period will be:

Start date

 

End date*

 

*Not more than three calendar months.

Scheduled review date: