Traffic Signal Fault Report (Permanent)

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Traffic Signal Fault Report (Permanent)
Location Details & Signal Type
* Road Name
* Town
Location
(junction with / crossing near to)
* Signal Type
Type of Fault (please tick one or more box)
*  All of the lights are out
 One light out (for example red, amber or green)
 Red or green man not working
 Traffic lights head facing wrong direction
 Pedestrian push button not working
 Tactile cone not working
 Audio not working (beeps)
 Exposed wires / equipment in a dangerous condition
 Out of sequence
 Pedestrian crossing phase not being called in
 Not cycling around correctly ie missing out an approach
 Long delays
Additional comments
Contact Details
Please supply your name and phone number as we may need to contact you to ascertain further information
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street address
* Town name
County
* Postcode
* Tel number
(include area code)
Email address
Data Protection Act 1998

This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.


Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.


Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box
To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box


Date printed: 07/03/2013