Submitter

Submitter? *

Smedley's Engineers employeeExternal PBS Consultant

Submitter's name *

Submitter (Your name) *

Submitter's Email *

Client Information

Business / Trading Name *

Contact Person Name *

Contact details (Phone) *

Contact Details (Email) *

Operator

Job Documents

PO Number

Signed Quote / Purchase Order

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Quote

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Unit-Axle Descriptor *

Worketc Lead Website Link:

Project Type

Request

PBS CERTIFICATION

Scope of Project *

Inspection details

Inspection date/time

Contact for inspection

Location of inspection

Previous project (if adding to an existing approval)

Existing PBS Vehicle Approval (VA) - if adding to existing

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Any additional details

Priority / Deadline

Ratings letter(s)

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Drawing(s)

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PBS MANUFACTURER CERTIFICATION

Scope / Quantities of Unit(s) being added *

V Number *

Previous project (if added to an existing approval)

Priority / Deadline

Existing PBS Vehicle Approval - MC

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Ratings letter(s)

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Drawing

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NEW DESIGN APPROVAL

Scope of Project *

Applicant name for DA? *This will be the Design Approval owner/holder

Lead ID / ER reference

Urgency / Deadline

Commodity Carried

Euro 6 Loads required?

Mass required (GML, CML, HML)

Extra Mass required? Steer only, Drive only or Both?

Performance Priorities *For example: - Priority 1. Payload height: 3.3m - Priority 2. Tyre choice (size and load rating) - Priority 3. Optimise mass or load volume - Priority 4: Length

Is there an "In-Principle Access" permit relating to this design? *

YesNo

Does this combination need to comply with a "Reference Vehicle"? *

YesNo

Draft Part B / Scope Questionnaire

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Ratings letter(s)

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Drawing(s)

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Other Information

Any Additional Comments