MAG IrelandOfficial Notification of a Road Hazard
MAG Ireland
| To: | __________________________________________________________ |
The road hazard, identified below, is
considered by this association to be particularly
dangerous to a motorcycle or other two-wheeled vehicle. In the interests
of safety, we hereby
request that this hazard be attended to immediately through effective clean-up,
removal, or
proper and long-lasting repair - as applicable.
| Location of Hazard: | __________________________________________________ |
| __________________________________________________ | |
| __________________________________________________ |
| Nature of Hazard: | __ Gravel | __Sunken Manhole | __ Pothole |
| (tick all that apply) | __ Potbump | __Sunken Road | __ Metal Plate |
| __Tar Over-banding | __Diesel Fuel | __ Broken up surface | |
| __ Debris (builders) | __Mud/farm material | __ Incomplete repairs |
Submitted by MAG member
| Name: | __________________________________________________ |
| Address | __________________________________________________ |
| Phone | __________________________________________________ |
(Please tick) ____ Copy to MAG Ireland Head Office, 1b Ring Terrace, Inchicore, Dublin 8.