TIO Forms - Diyar Al Muharraq

Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 1
BASIC INFORMATION
APPLICATION NO.
BI/______
PLOT / PARCEL DETAILS
Plot / Parcel No.
Address
Asset:
Road:
Bldg.
Block:
THIRD PARTY DEVELOPER (TPD) DETAILS
Name / Company
Address
Contact Numbers
P.O. Box:
Road:
Tel:
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel:
Mob:
Other:
Other
Authorized
Person
ENGINEERING CONSULTANT DETAILS
Name / Company
Address
Contact Numbers
P.O. Box:
Road:
Tel.
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel:
Mob:
Other:
Other
Authorized
Person
SUPERVISOR CONSULTANT DETAILS (if different than design consultant)
Name / Company
Address
Contact Numbers
P.O. Box:
Road:
Tel:
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel:
Mob:
Other:
Other
Authorized
Person
SUBMISSIONS CHECKLIST
Document List:
One hard copy & soft copy of the following:
☐ A valid engineering consultant/supervisor (if different) COEPP license.
☐ A valid TPD CPR or CR (for a company).
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 2
CONCEPT DESIGN REVIEW SUBMISSION
APPLICATION NO.
CD/______
BASIC INFORMATION
Plot / Parcel No.
Third Party
Developer
Consultant
Compiled by:
Signature:
Submission Date
SUBMISSION CHECKLIST
Document List:
One hard copy & soft copy of the following:
☐ A valid Survey Certificate of Plot/Parcel.
☐ A signed letter from TPD appointing Consultant.
Drawings List:
Three hard copies & one soft copy of the following in AutoCAD DWF format ordered as below:
☐ Site plan, including Roof Floor & Roof Top plan.
☐ Plans showing building location & heights, setbacks, landscape, access from road &
boundary, & parking.
☐ All elevations.
☐ Boundary wall proposal.
☐ External Rendered perspectives (minimum 2).
☐ Plans & sections showing various levels of roads, plot & ground floor landscape.
☐ A1 material & mood boards showing façade elements, materials used, palette of color scheme,
landscape furniture, floor finishes, lighting (street & in between neighbors) & signage.
☐ Concept Design plot/parcel summary (in table format):
 Plot Area
 Plot Coverage
 Proposed Gross Floor Area (GFA)
 Floor Area Ratio (FAR)
 Heights
 Land Use
 Parking provided
 Electrical Maximum Utility Demands (MUD)
 Potable Water MUD
 Sewerage MUD
 Development Setbacks
 Coordinate Points
Other Submittals:
☐
☐
☐
☐
☐
☐
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 2
CONCEPT DESIGN REVIEW SUBMISSION
APPLICATION NO.
CD/______
For DAM-TIO use only
AMENDMENTS
Issues
☐ A valid Survey Certificate of Plot/Parcel
☐ Signed letter from TPD appointing
consultant
☐ Site plan, including Roof Floor & Roof Top
plan
☐ Plans
☐ All elevations
☐ Boundary wall proposal
☐ External Rendered perspectives (minimum 2)
☐ Plans & sections
☐ Material & mood boards
☐ Plot/parcel Area
☐ Plot Coverage
☐ Proposed Gross Floor Area (GFA)
☐ Floor Area Ratio (FAR)
☐ Heights
☐ Land Use
☐ Parking Provided
☐ Electrical MUD
☐ Potable Water MUD
☐ Sewerage MUD
☐ Development Setbacks (North)
☐ Development Setbacks (East)
☐ Development Setbacks (South)
☐ Development Setbacks (West)
☐ Coordinate Points
Remarks
☐
☐
☐
☐
☐
☐
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments and resubmit
amended drawings accordingly
Name:
Signature:
T
F
+973 77155555
+973 77055555
Date:
Stamp:
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 3
DETAILED DESIGN REVIEW SUBMISSION
APPLICATION NO.
DD/______
BASIC INFORMATION
Plot / Parcel No.
Third Party
Developer
Consultant
Compiled by:
Signature:
Submission Date
SUBMISSION CHECKLIST
Document List:
One hard copy & soft copy of the following:
Mechanical, Electrical, & Plumbing (MEP)
Drawings:
☐ A valid Survey Certificate of Plot/Parcel.
☐ A signed letter from TPD appointing
☐ Final locations of services & equipment incl.
Consultant.
☐ A valid engineering consultant/supervisor (if
different) COEPP license.
☐ A valid TPD CPR or CR (for a company).
Drawings List:
Three hard copies & one soft copy of the following
in AutoCAD DWF format ordered as below:
Architectural Drawings:
☐ Site plan, incl. Roof Floor & Roof Top plan
☐ Plans showing building location & heights,
setbacks, landscape, access from road
boundary, & parking.
☐ Building sections.
☐ All elevations.
☐ Boundary wall final design (elevations &
sections).
☐ Summary of specifications.
☐ Plans & sections showing various levels of
roads, plot & ground floor landscape.
☐ Final detail plot/parcel summary (in table
format):












Plot/Parcel Area
Plot Coverage
Proposed Gross Floor Area (GFA)
Floor Area Ratio (FAR)
Heights
Land Use
Parking provided
Electrical Maximum Utility Demands ( MUD)
Potable Water MUD
Sewerage MUD
Development Setbacks
Coordinate Points
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
location of incoming electrical room, DB
schedule, water tanks, & AC equipment’s.
☐ Internal and External lighting drawings.
☐ Summary of specifications.
Infrastructure Drawings (for parcels only):
☐ Road network & service Corridors showing
junctions, cross & long sections.
☐ Storm water network showing layouts, long
sections, calculations & pipe sizes.
☐ Potable water showing layouts, long
sections, calculations & pipe sizes.
☐ Sewerage network showing layouts, long
sections, calculations & pipe sizes.
☐ Irrigation network showing layouts, long
sections, calculations & pipe sizes.
☐ Firefighting system.
☐ Electrical network showing secondary
substations locations, cable layout & sizes.
☐ Telecommunications.
☐ Solid waste collection.
☐ Traffic Impact Study (TIS).
Other Submittals:
☐
☐
☐
☐
☐
☐
☐
☐
☐
☐
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 3
DETAILED DESIGN REVIEW SUBMISSION
APPLICATION NO.
DD/______
For DAM-TIO use only
AMENDMENTS
Issues
☐ Site plan, incl. Roof Floor & Roof Top plan
☐ Plans
☐ All elevations
☐ Boundary wall final design
☐ Plans & sections
☐ Plot Area
☐ Plot Coverage
☐ Proposed Gross Floor Area (GFA)
☐ Floor Area Ratio (FAR)
☐ Heights
☐ Land Use
☐ Parking Provided
☐ Electrical MUD
☐ Potable Water MUD
☐ Sewerage MUD
☐ Development Setbacks
☐ Coordinate Points
Remarks
Mechanical, Electrical, & Plumbing (MEP) Drawings:
☐ Final locations of services & equipment’s
☐ Internal and External lighting drawings.
☐ Summary of specifications
Infrastructure Drawings:
☐ Road network & service Corridors
☐ Storm water network
☐ Potable water networks
☐ Sewerage networks
☐ Irrigation networks
☐ Firefighting system
☐ Electrical networks
☐ Telecommunications
☐ Solid waste collection
☐ Traffic Impact Study (TIS)
☐
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments and resubmit
amended drawings accordingly
Name:
Signature:
T
F
+973 77155555
+973 77055555
Date:
Stamp:
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 4
DESIGN AMENDMENT
APPLICATION NO.
DA/______
DESIGN AMENDMENT DETAILS
Application Type
☐ Reconsideration
☐ Addition
☐ Modification
☐ Renovation
THIRD PARTY DEVELOPER (TPD) DETAILS
Name / Company
Address
Contact Numbers
Authorized
Person
P.O. Box:
Road:
Tel.
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
ENGINEERING CONSULTANT DETAILS
Name / Company
Address
Contact Numbers
Authorized
Person
P.O. Box:
Road:
Tel.
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob.
Email:
Tel.
Mob.
Other:
SUPERVISOR CONSULTANT DETAILS (if different than design consultant)
Name / Company
Address
Contact Numbers
Authorized
Person
P.O. Box:
Road:
Tel:
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
SUBMISSION CHECKLIST
Document List:
One hard copy & soft copy of the following:
☐ A valid Survey Certificate of Plot/Parcel.
☐ A signed letter from TPD appointing Consultant. ☐ A valid engineering consultant/supervisor (if different)
COEPP license. ☐ A valid TPD CPR or CR (for a company).
☐ Approved Design Drawings NOC or Building Permit
(BP) with approved drawings.
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
☐ External rendered perspectives. (min. two).
☐ Final detail plot/parcel summary (in table format):

Plot/Parcel Area

Plot Coverage

Proposed Gross Floor Area (GFA)

Floor Area Ratio (FAR)

Heights

Land Use
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 4
DESIGN AMENDMENT
APPLICATION NO.
DA/______
SUBMISSION CHECKLIST
Drawings List:






Three hard copies & one soft copy of the following in
AutoCAD DWF format ordered as below:
Architectural Drawings:
☐ Site plan, including Roof Floor & Roof Top plan.
☐ Plans showing building location & heights, setbacks,
landscape, access from road &
boundary, & parking.
☐ Building sections.
☐ All elevations.
☐ Boundary wall final design (elevations & sections).
☐ Summary of specifications.
☐ Plans & sections showing various levels of roads, plot &
ground floor landscape.
☐ A1 material & mood boards showing façade elements,
materials used, palette of color scheme, landscape
furniture, floor finishes, lighting (street & in between
neighbors) & signage. Parking provided
Electrical Maximum Utility Demands ( MUD)
Potable Water MUD
Sewerage MUD
Development Setbacks
Coordinate Points
Mechanical, Electrical, & Plumbing (MEP) Drawings:
☐ Final locations of services & equipment incl. location of
incoming electrical room, water tanks, & AC
equipment’s.
☐ Internal and External lighting drawings.
☐ Summary of specifications.
For Reconsideration application:
☐ Preliminary Plans showing the required modification.
For DAM-TIO use only
AMENDMENTS
Issues
☐ A valid Survey Certificate of Plot/Parcel
☐ A signed letter from TPD appointing Consultant
☐ A copy of valid consultant COEPP
☐ A copy of valid TPD CPR or CR (company)
☐ A copy of approved Design Drawings NOC/BP
☐ Site plan, including Roof Floor & Roof Top plan
☐ Plans
☐ Building sections
☐ All elevations
☐ Boundary wall final design
☐ Material boards & perspectives
☐ Plot Area
☐ Plot Coverage
☐ Proposed Gross Floor Area (GFA)
☐ Floor Area Ratio (FAR)
☐ Heights
☐ Land Use
☐ Parking Provided
☐ Electrical MUD
☐ Potable Water MUD
☐ Sewerage MUD
☐ Development Setbacks (North)
☐ Development Setbacks (East)
☐ Development Setbacks (South)
☐ Development Setbacks (West)
☐ Coordinate Points
Mechanical, Electrical, & Plumbing (MEP) Drawings:
☐ Final locations of services & equipment
☐ Internal and External lighting drawings
Reconsideration Application:
☐ Preliminary Plans to be considered
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments and resubmit
amended drawings accordingly
Name:
Signature:
T
F
+973 77155555
+973 77055555
Date:
Stamp:
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 5
COMMENCING WORK ON SITE
APPLICATION NO.
CW/______
PLOT / PARCEL DETAILS
Plot / Parcel No.
Address
Asset:
Road:
Type of Work
☐
☐
☐
☐
Bldg.
Block:
TYPE OF WORK ON SITE
Duration
Supervising
Consultant
New Construction
Fencing
Renovation
Site Formation
Start Date:
Name:
Signature:
Email:
Demolition
Modification / Addition
Digging
Other (please specify below)
End Date:
Tel:
Mob:
Other:
☐
☐
☐
☐
ENGINEERING CONSULTANT DETAILS
Name / Company
Address
Contact Numbers
Authorized
Person
P.O. Box:
Road:
Tel:
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
SUPERVISOR CONSULTANT DETAILS (if different than design consultant)
Name / Company
Address
Contact Numbers
Authorized
Person
P.O. Box:
Road:
Tel:
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
MAIN CONTRACTOR DETAILS
Name / Company
Address
Contact Numbers
Project Manager
P.O. Box 75777
Manama, Kingdom of Bahrain
P.O. Box:
Road:
Tel.
Fax:
Name:
Signature:
Email:
Bldg.
Block:
Mob.
Email:
Tel.
Mob.
Other:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 5
COMMENCING WORK ON SITE
APPLICATION NO.
Safety Engineer
CW/______
Name:
Signature:
Email:
Tel.
Mob.
Other:
SUBMISSION CHECKLIST
Document List:
☐ A list of all facilities to be erected on site.
☐ Approved Design Drawings NOC of work
☐ A drawing showing location, type and size of
intended (new construction, addition,
all site facilities.
modification, renovation).
☐ Waste disposal plan details: location, type.
☐ Receipt for waste disposal container to be
☐ A valid Survey Certificate except for
used on site.
demolition work.
☐ A valid engineering consultant/supervisor (if ☐ Approved Building Permit and drawings from
Municipality.
different) COEPP license.
☐ Contractor’s work schedule.
☐ A valid copy of contractor’s CR.
For site formation application:
☐ A signed letter from TPD appointing
☐ Source of site filing material, result of sample
Consultant.
test, & map for site route for the operation.
☐ Site Plan.
☐ All site workers including engineers,
foremen, & supervisors CPRs. Please fill in
Form 16.
Please answer the following questions:
Does your plot envelope a Survey Point?
☐ Yes
☐ No
Does your plot involve digging work? If yes, please seek TIO approval.
☐ Yes
☐ No
Will any of the activities carried out create excessive noise (greater than
allowed by regulations)? If yes, please fill in the Excessive Noise Approval
☐ Yes
☐ No
Form 11.
Is any construction signage or road occupation needed? If yes, please fill
☐ Yes
☐ No
in the Signage/Road Occupation Form 6.
Is any hazardous material will be handled with on site? If yes, please fill in
☐ Yes
☐ No
the Hazardous Material Approval Form 8.
For material delivery/hauling away please fill in Form 7.
One hard copy & soft copy of the following:
For DAM-TIO use only
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments and resubmit
accordingly
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 6
SIGNAGE/ROAD OCCUPATION
APPLICATION NO.
SR/______
BASIC INFORMATION
Plot / Parcel No.
Third Party Developer
Name:
Tel:
Name:
Tel:
Name:
Tel:
Applicant
Main Contractor
Signage Company
P.O. Box
Mob:
P.O. Box
Mob:
P.O. Box
Mob:
Email:
Fax:
Email:
Fax:
Email:
Fax:
REQUEST DETAILS
Request Type
Location
Signage
Dimensions
Area of Road
Occupation
Duration
☐ Construction Sign
☐ Commercial Sign
☐ Road Occupation
Bldg:
Length:
Road:
Block:
Width:
Length:
Width:
Start Date:
End Date:
SUBMISSIONS CHECKLIST
Document List:
One hard copy of the following:
☐ Site plan showing location of signage/road occupation needed.
☐ A drawing showing the proposed signage with dimensions.
☐ A copy of signage company CR.
For DAM-TIO use only
TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 7
MATERIAL DELIVERY/HAULING AWAY APPROVAL
APPLICATION NO.
MDA/______
PLOT / PARCEL DETAILS
Plot / Parcel No.
Address
Asset:
Road:
Bldg.
Block:
DELIVERY CONTRACTOR DETAILS
Name / Company
Address
Contact Numbers
P.O. Box:
Road:
Tel:
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel:
Mob:
Other:
Other
Authorized
Person
DELIVERY DETAILS
Items (material,
plant, etc.)
Dimensions of
Shipment
Name:
CPR No.
Time of Delivery
AM:
For delivery outside site boundaries, please fill in Form 17.
Delivery Person
Mob.
Other:
PM:
For DAM-TIO use only
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 8
HAZARDOUS MATERIAL APPROVAL
APPLICATION NO.
HMA/______
PLOT / PARCEL DETAILS
Plot / Parcel No.
Address
Asset:
Road:
Bldg.
Block:
CONTRACTOR DETAILS
Name / Company
P.O. Box:
Road:
Tel:
Fax:
Bldg.
Block:
Mob:
Email:
Authorized
Person
Name:
Signature:
Email:
Tel:
Mob:
Other:
Material
Type:
Amount (STD Units):
Duration of use/storage on site:
Location of Storage:
Address
Contact Numbers
Other
HAZARDOUS MATERIAL DETAILS
Use:
Storage Area:
For DAM-TIO use only
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 9
FILM SHOOTING APPROVAL
APPLICATION NO.
FSA/______
BASIC INFORMATION
Plot / Parcel No.
Location Address
Asset:
Road:
Bldg.
Block:
Parties Involved
FILM SHOOTING DETAILS
Name / Company
Company CR NO.
Address
Contact Numbers
Authorized
Person
Shooting Time
Shooting Duration
P.O. Box:
Road:
Tel:
Fax:
Name:
Signature:
Email:
Start:
Start Date:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
End:
End Date:
SUBMISSION CHECKLIST
Document List:
One hard copy of the following:
☐ A valid company CR.
☐ Film shooting schedule & routing.
Other Submittals:
☐
☐
For DAM-TIO use only
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 10
ADVERTISING PROJECTS APPROVAL
APPLICATION NO.
APA/______
BASIC INFORMATION
Plot / Parcel No.
Advertisement
Location
Purpose
Asset:
Road:
Bldg.
Block:
ADVERTISMENT DETAILS
Name / Company
Company CR NO.
Address
Contact Numbers
Authorized
Person
Dimensions of AD
Time Duration
P.O. Box:
Road:
Tel:
Fax:
Name:
Signature:
Email:
Length:
From:
Bldg.
Block:
Mob:
Email:
Tel:
Mob:
Other:
Width:
To:
SUBMISSION CHECKLIST
Document List:
One hard copy of the following:
☐ A valid company CR.
☐ A detailed Drawing of Advertisement.
Other Submittals:
☐
☐
For DAM-TIO use only
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 11
EXCESSIVE NOISE APPROVAL
APPLICATION NO.
ENA/______
BASIC INFORMATION
Plot / Parcel No.
Third Party Developer
Name:
Tel:
Name:
Tel:
Applicant
Main Contractor
P.O. Box
Mob:
P.O. Box
Mob:
Email:
Fax:
Email:
Fax:
EXCESSIVE NOISE DETAILS
Type of Work
Intended
Location
Time of Operation
Duration of Work
New Construction
Fencing
Renovation
Site Formation
Bldg.
Start Time:
Start Date:
☐
☐
☐
☐
Demolition
Modification / Addition
Digging
Other (please specify)
Block:
End Time:
End Date:
☐
☐
☐
☐
Road:
For DAM-TIO use only
FINAL APPROVED DETAILS
Type of Work
Intended
Location
Time of Operation
Duration of Work
New Construction
Fencing
Renovation
Site Formation
Bldg.
Start Time:
Start Date:
☐
☐
☐
☐
Demolition
Modification / Addition
Digging
Other (please specify)
Block:
End Time:
End Date:
☐
☐
☐
☐
Road:
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 12
CHANGE OF CONTACTS APPROVAL
APPLICATION NO.
CCA/______
THIRD PARTY DEVELOPER (TPD) DETAILS
Are there any
changes?
Name / Company
Address
Contact Numbers
☐ Yes
☐ No
If yes, please list fill in the box below
P.O. Box:
Road:
Tel.
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel.
Mob:
Other:
Other
Authorized
Person
ENGINEERING CONSULTANT DETAILS
Are there any
changes?
Name / Company
Address
Contact Numbers
☐ Yes
☐ No
If yes, please list fill in the box below
P.O. Box:
Road:
Tel.
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel.
Mob:
Other:
Other
Authorized
Person
SUPERVISOR CONSULTANT DETAILS (if different than design consultant)
Are there any
changes?
Name / Company
Address
Contact Numbers
☐ Yes
☐ No
If yes, please list fill in the box below
P.O. Box:
Road:
Tel.
Fax:
Bldg.
Block:
Mob:
Email:
Name:
Signature:
Email:
Tel.
Mob:
Other:
Other
Authorized
Person
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 12
CHANGE OF CONTACTS APPROVAL
APPLICATION NO.
CCA/______
MAIN CONTRACTOR
Are there any
changes?
Name / Company
Address
Contact Numbers
Project Manager
Safety Engineer
☐ Yes
☐ No
If yes, please list fill in the box below
P.O. Box:
Road:
Tel.
Fax:
Name:
Signature:
Email:
Name:
Signature:
Email:
Bldg.
Block:
Mob.
Email:
Tel.
Mob.
Other:
Tel.
Mob.
Other:
SUBMISSION CHECKLIST
Document List:
One hard copy of the following:
☐ New engineering consultant/supervisor (if different) valid COEPP license.
☐ New contractor’s valid CR.
☐ A signed letter from TPD appointing consultant/contractor.
☐ New contractor’s work schedule.
For DAM-TIO use only
DAM-TIO COMMENTS
DAM-TIO APPROVAL STATUS
Status
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
☐ Approved, please proceed
☐ Not Approved, please review the above comments
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 13
ACCIDENT REPORT
APPLICATION NO.
AR/______
ACCIDENT DETAILS
Incident
Date of Incident
Party Concerned
Project
Location
Project Manager
EH&S Liability
Type:
Date:
Time:
Name:
Fax:
Email:
☐ Statutory
☐ Reputational
Tel:
Mob:
Other:
☐ Contractual
☐ Nil
MULTIPLE INJURED PERSONS
Injured
Person
1
Employing
Company
Injured
Person
2
Employing
Company
Name:
Age:
Nationality:
Name:
Trade / Profession:
Contracted to:
Name:
Age:
Nationality:
Name:
Trade / Profession:
Contracted to:
DETAILS OF INCIDENT/INJURY (be clear and factual)
EH&S RESPONSIBILITIES
P.O. Box 75777
Manama, Kingdom of Bahrain
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh
Technical Interface Office
Diyar Al Muharraq W.L.L.
Bahrain World Trade Center
West Tower
6th Floor
Manama
Kingdom of Bahrain
FORM 13
ACCIDENT REPORT
APPLICATION NO.
AR/______
ENFORCING AUTHORITIES
☐ Yes
☐ Yes
☐ No
☐ No
☐ Yes
☐ No
Is the incident notifiable to the enforcing authorities?
If required have they been notified?
Have the enforcing authorities taken any action (if yes, describe the
actions taken in the space below)
ACTIONS TAKEN
LIST OF DAMAGES









For DAM-TIO use only
DAM-TIO
Diyar Al Muharraq
Technical
Interface Office
P.O. Box 75777
Manama, Kingdom of Bahrain
Name:
Signature:
Date:
Stamp:
T
F
+973 77155555
+973 77055555
E
W
[email protected]
www.diyar.bh