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HS&E NOC APPLICATION – TEMPORARY ROAD BLOCKAGE
GENERAL INFORMATION
Applicant Name
*
Applicant Email ID
*
Applicant Mobile Number
*
Company Name
*
Licence Number
*
PROJECT DETAILS
Contractor Name
*
Contractor Contact No.
*
Contractor Licence No.
*
Contractor Email ID
*
Consultant Name
Consultant Contact No.
Consultant Licence No.
*
Consultant Email ID
Street (Road) No.
*
Zone
*
Reason for Blockage
*
Start Date
*
Start Time
*
End Date
*
End Time
*
Starting Point GPS
*
Ending Point GPS
*
Is the Lifting equipment to be used?
*
SUPPORTING DOCUMENTS FOR NOC
Site Plan
*
Click to choose a file or drag here
Accepts .pdf files
Copy of contractor and consultant documents (Appointment letter).
*
Click to choose a file or drag here
Accepts .pdf files
Works Method of Statement and Risk Assessment duly signed and stamped by Consultant/Contractor
*
Click to choose a file or drag here
Accepts .pdf files
NOC (with duration) with approved drawing from relevant authorities as applicable
*
Click to choose a file or drag here
Accepts .pdf files
Emergency response plan which shall include all possible emergency scenarios in the entire area
*
Click to choose a file or drag here
Accepts .pdf files
Consultant stamped Traffic Diversion Layout with proposal for temporary alternative routes.
Click to choose a file or drag here
Accepts .pdf files
Copy of valid 3rd party certificate of rigger
Click to choose a file or drag here
Accepts .pdf files
NOTES
RAKEZ HS&E department reserves the right to request additional information (if necessary).
Application fees will be applied in accordance with the
HSE Service Fees
For guidance for obtaining NOC please click
here
.
By checking the "I accept" box and submitting this form along with any attached documents, you confirm that all information provided is accurate and complete to the best of your knowledge. You understand that submitting false or misleading information may lead to application rejection and potential legal consequences. RAKEZ (Ras Al Khaimah Economic Zone) reserves the right to verify submitted information, share it with relevant authorities as required by law, and use it for processing your request. Submission of this form does not guarantee approval of your application. You consent to receive communication from RAKEZ regarding your application through the provided contact information.
*
By checking the "I accept" box and submitting this form along with any attached documents, you confirm that all information provided is accurate and complete to the best of your knowledge. You understand that submitting false or misleading information may lead to application rejection and potential legal consequences. RAKEZ (Ras Al Khaimah Economic Zone) reserves the right to verify submitted information, share it with relevant authorities as required by law, and use it for processing your request. Submission of this form does not guarantee approval of your application. You consent to receive communication from RAKEZ regarding your application through the provided contact information.
I accept
