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
© Copyright 2024 ExpyDoc