Agricultural Client Form

We prioritise a safe work place for our pilot and crew.
Please advise our pilot of any hazards prior to our arrival on site.

Additionally, any neighbour within 300m of the treatment area requires written notification.
You are welcome to download and use our template if need be.

Download Property Spray Plan

For further information on your responsibilities as a property owner, either contact your local council or read the Regional Air Quality Management Plan for the Wellington Region (aerial agrichemical application, pages 55-57).

Greater Wellington Air Quality Plan

Comments

This field is for validation purposes and should be left unchanged.

Name(Required)

Full Name

Contact Number(Required)

Email(Required)

Property Details

Street Address Address Line 2 Area Postal Code

I have provided Cold Air Helicopters with a map of the area to be treated and a detailed briefing outlining all sensitive boundaries/water ways/water intakes and springs or any special permit conditions prior to works commencement.(Required)

Yes, the map of the area to be treated has been added to Tabula

All sensitive areas have been outlined on Tabula

I have/need to discuss the sensitive areas with the pilot

There are no sensitive areas

I have notified all neighbours within 300 meters of the area being treated and provided them with the spray plan. I have provided Cold Air Helicopters with a list of any concerns made to me by my neighbours and their contact numbers(Required)

I have told the pilot of any hazards in the operational area i.e power wires, electric fence wires, standing spars, farm workers, stock, other contractors, aerials, towers, public areas i.e. recreational users.

Yes, I have discussed all hazards with the pilot

No, I need to discuss hazards with the pilot

I have marked hazards on Tabula

I have told the pilot of any hazards to our groundcrew including access, terrain, stock, and load site.

Yes, I have notified the pilot of the hazards

No, I need to discuss hazards with the pilot

There are no hazards to discuss

Additional information:

Signature(Required)

By signing this form, I am acknowledging that I have contracted Cold Air Helicopters to undertake aerial services on my property. I have provided full information of hazards and notifications and I will keep in touch with the pilot should any additional relevant information arise.

Date(Required)

DD slash MM slash YYYY