Organization Unit: Environment Department : ‫اﻟﻮﺣﺪة اﻟﺘﻨﻈﻴﻤﻴﺔ‬

Work Instructions title: Dangerous Goods Storage Permit Application Form : ‫ﻋﻨﻮان اﻟﻮﺛﻴﻘﺔ‬
Doc Ref. DM-ED-P8-F05 : ‫رﻗﻢ اﻟﻮﺛﻴﻘﺔ‬

Date

GENERAL INFORMATION
Company Name (English)

Company
Details Company Name (Arabic)

Makani No. Plot No.

License
number

Address of
Facility Telephone number Fax number P.O. Box:

Contact Person Designation Email Address Mobile No.

Facility/Building: Design New Renewal Construction Modification

REQUIRED ATTACHMENTS GENERAL CONDITIONS:

1. Copy of the valid license of the tha company 1. The company should allow access and assist the authorized representatives of DM-Environment Department in
carrying out inspections, incident investigations, taking of pictures; and in obtaining relevant information on sources of
2. Location Map with Makani Number emission, or waste and waste discharges at the project site at any time.
3. Material Safety Data Sheet (MSDS) 2. Any malfunction or breakdown leading to abnormal emissions/spill should be dealt promptly and process operations
4. Spill and gas leak emergency procedure should be adjusted until normal conditions are restored. A logbook to record all accidents shall be maintained.
5. Copy of Dubai Civil Defense approval 3. The storage of dangerous goods shall not cause any adverse impacts to the environment and/or result in any
complaints from the public or from the surrounding land users.
6. Copy of EJARI or Tenancy Contract
4. All Chemicals should be properly packed, marked and labeled. All Chemicals Storage and Handling of Chemicals in the
7. Tank third-party inspection certificate for bulk storage (if applicable) warehouse/storage areas shall be as per UAE laws and regulations and MSDS.

SPECIFIC CONDITIONS IN THE SEGREGATION OF DANGEROUS GOODS:

Hazard class 2.1 must be separated at least 10 meters from class 2.3, 4.2, 5.1 and 5.2 and must be separated at least 5 meters from class 3, 4.1, 4.3, 6.1 and 8.
Hazard class 2.2 must be separated at least 10 meters from class 2.3, must be separated at least 5 meters from class 4.2, and 5.2 and must be separated at least 3 meters from class 3, 4.1, 4.3, 5.1, 6.1 and 8.
Hazard class 2.3 must be separated at least 10 meters from class 2.1, 2.2, 3, 4.1, 4.2, 4.3, 5.1, 5.2, 6.1 and 8.
Hazard class 3 must be separated at least 10 meters from class 2.3, 5.1 and 5.2 and must be separated at least 5 meters from class 2.1, 4.1, 4.2, 4.3 and 6.1 and must be separated at least 3 meters from class 2.2 and 8.
Hazard class 4.1 must be separated at least 10 meters from class 2.3, 5.1 and 5.2 and must be separated at least 5 meters from class 2.1, 3, 4.2, 4.3 and 6.1 and must be separated at least 3 meters from class 2.2 and 8.
Hazard class 4.2 must be separated at least 10 meters from class 2.1, 2.3, 5.1 and 5.2 and must be separated at least 5 meters from class 2.2, 3, 4.1, 4.3 and 6.1 and must be separated at least 3 meters from class 8.
Hazard class 4.3 must be separated at least 10 meters from class 2.3, 5.1 and 5.2 and must be separated at least 5 meters from class 2.1, 3, 4.1, 4.2, 6.1 and 8 must be separated at least 3 meters from class 2.2.
Hazard class 5.1 must be separated at least 10 meters from class 2.1, 2.3, 3, 4.1, 4.2 and 4.3 and must be separated at least 5 meters from class5.2, 6.1 and 8 and must be separated at least 3 meters from class 2.2.
Hazard class 5.2 must be separated at least 10 meters from class 2.1, 2.3, 3, 4.1, 4.2, 4.3 and 6.1 and = must be separated at least 5 meters from class 2.2, 5.1 and 8.
Hazard class 6.1 must be separated at least 10 meters from class 2.3 and 5.2 and must be separated at least 5 meters from class 2.1, 3, 4.1, 4.2, 4.3 and 5.1 and must be separated at least 3 meters from class 2.2 and 8.
Hazard class 8 must be separated at least 10 meters from class 2.3 and must be separated at least 5 meters from class 2.1, 4.3, 5.1 and 5.2 and must be separated at least 3 meters from class 2.2, 3, 4.1, 4.2 and 6.1.

Company Stamp / Full Name and Signature Date

03/04/2019 V 5.0
‫ﻋﺎم‬ ‫درﺟﺔ اﻟﺴﺮﻳﺔ‬