DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
Please complete the form as fully as possible and describe the process duly in a separate report. Attach additional sheets if space on the form is insufficient.
All figures should be in the metric system and the unit should be mentioned.
All submissions shall be sent in PDF format only.
Proposed drawings and architectural layouts should be submitted for review/records. (If applicable).
RAKEZ reserves the right to require additional documentation as deemed necessary.
1. APPLICANT DETAILS
Required Company Type: Free Zone Non-Free Zone
Application For: New License/Activity Additional License/Activity Change License/Activity Additional Facility New Sub-Lease
License Type: Industrial Professional General Trading Commercial Services E-Commerce
Company Name:
Applicant Name: Prefer General or Technical Manager Job Title:
Mobile Number: Phone Number: Email Address:
Postal Address:
Activity Code Activity
Proposed Activity (*)
Brief Description Of The
Business / Request
( )
* As per RAKEZ List of Activities
Do you already perform the same activity? No Yes (Please attach the company brochure), website:
2. PROPOSED FACILITY & UTILITY REQUIREMENTS
Location: Al Hamra Industrial Zone Al Ghail Industrial Zone Al Hulaila Industrial Zone Other: ………………..………
Type of Facility Selected: Warehouse Land Plot Other: ………………..………
Details Of Proposed
Facility/Property Shed number/ unit number or plot number
Selected/Assigned
Connected Power Load Water (US Gallons/Month)
Area Required (m2)
Required (kW) Required
Natural Gas (Cylinders
Area Assigned (m2) By Commercial Division Available Power (kW)
quntity/ capacity) Required
Required by: Date
Do You Have Any
Special Requirements?
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Issue No: 05 ued by: QM
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Issue Date: 29.08.2022
Ref: HSE-S04.F01
DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
3. TECHNICAL DATA
3.1. Pre-Built Unit (Warehouse)
Type Of Modifications Required Yes No Mandatory Requirements
Over head/Indoor Crane
Structure details to be provided, if available.
Installations
Mezzanine Floor Attach mezzanine floor plan, if available.
Wall Opening No Of Opening Size Purpose
Floor Drains/Drain Grill Quantity Size Purpose
Under Ground pipes Quantity Size Purpose
Above Ground Tank Quantity Size Purpose
Any requirement for space other than the floor area of the leased unit? If yes, list down the same explaining the purpose
with details (e.g. Loading/unloading space, chillers, water tank):
Do You Have Any Special
Requirements?
Proposed Modification Start Date Proposed Operational Start Date
Note: * The condition of the warehouse needs to be checked by the Client before taking over the facility.
* The activation of utilities is to be coordinated with respective service providers by the Client.
3.2. Land Plot
Planned Built-Up Area (m2) Plant/Factory/Workshop (m2) Office Building (m2)
Maximum Building Height (m) Accommodation (m2) Open Land Storage (m2)
Required Number Of Car Required Number Of Truck/ Size Of Gas/ Diesel Tank
Parking Space ( Staff + Visitors) Trailer Parking Space
Do You Have Any Special
Requirements?
Proposed Construction/
Proposed Operational Date
Modification Date
Note: * The utility connections are to be coordinated with respective service providers by the Client.
* Maximum Building Foot-Print (ground coverage) shall be 60% of the plot area ( 40% desirable). There should be a minimum clear distance of 5 m between
the building and plot limit on all sides. ( 6 m desirable) .
* Service block housing transformer room, electrical room, and pump room shall be constructed at the plot limit in compliance with FEWA, Civil Defence
requirements. A Guardroom can be constructed attached to the boundary wall.
4. DETAILS OF MATERIAL STORAGE
4.1. GENERAL ITEMS (NON-CHEMICAL MATERIALS)
Purpose Storage & Handling Details
Consumption Rate
Material Name (SO) Storage Only, (e.g. on shelves, on pallets, in a central
(Nos. Or Tons Or M3 / day)
(IU) Industrial Use container, within metal cabinets)
SO IU
SO IU
SO IU
SO IU
SO IU
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Issue Date: 29.08.2022
Ref: HSE-S04.F01
DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
4.2. DETAILS OF CHEMICALS (1) (including Petrochemicals such as Oil, Diesel, Petrol, etc)
Maximum
Purpose State of Matter Anticipated
Chemical Name (SO) Storage Only, CAS # / HS Code (2) (S) Solid, (L) Liquid Type of Packaging Quantity to be
(IU) Industrial Use or (G) Gas stored at a time
(kg / Litre)
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
SO IU S L G
(1)
One-time NOC is required for chemical storage (up to 10 chemicals per NOC). Also, NOC is required for importing any shipment of restricted chemical (Please see
https://www.hazmat.ae for reference)
(2)
A CAS Number is a unique numerical identifier assigned by the Chemical Abstracts Service (CAS) to every chemical substance described in the open scientific
literature including Organic compounds and inorganic compounds, Metals, Alloys, Minerals, Isotopes, and Nonstructurable materials (UVCBs).
The HS code is The Harmonized Commodity Description and Coding System of the tariff nomenclature is an international standardized system of names and numbers
for classifying commodities. HS codes are used as the basis for import duties, origin regulations, monitoring of controlled goods, and Customs information systems.
Note:
a) Any restricted substance shall be approved by Environment Protection & Development Authority “EPDA” before import.
b) Fuel Type - Only fuels with less than 1% sulfur content are permitted.
c) Employer required to obtain NOC separately for chemical storage/import as a separate application
5. LIQUIFIED PETROLEUM GAS (LPG) / NATURAL GAS (NG) USAGE
Maximum Anticipated Quantity to be
Type of Gas Storage Facilities
stored at a time
LPG Cylinders Tanks
NG Cylinders Tanks
Note: NOC is required for all Liquified Petroleum Gas (LPG) / Natural Gas (NG) usage.
6. LIST OF PROPOSED MACHINERY (Attach the Equipment/Machinery catalogs)
Will Be Located Inside Or Foundation Details
# Type Of Equipment/Machinery Quantity Power Capacity (KW) Dimensions (L*W*H)
Outside The Built-Up Facility (If Required)
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Issue Date: 29.08.2022
Ref: HSE-S04.F01
DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
7. LIST OF PROPOSED LIFTING EQUIPMENT
Source of Energy
# Type of Lifting Equipment Quantity Lifting Capacity (kg)
(Electrical, Fuel, LPG, Gas, etc)
Note: NOC is required for all lifting equipment.
8. RADIOACTIVE WORKS
Is there any requirement in your operation for the usage of radioactive works/sources? Yes No
Note: If yes, NOC is required for radioactive works.
9. WORK FORCE REQUIRED:
Employees Category Managerial Staff Supervisory Staff Skilled Staff Unskilled Labor Total
Number Of Staff
10. DETAILS OF FINISHED PRODUCTS (FOR NON-CHEMICAL PRODUCTS)
Rate of Production Type of storage and/or packing
Product name (Nos. or Tons or m3 / day) (e.g. on shelves, on pallets, in a central container, within metal cabinets)
11. DETAILS OF FINISHED PRODUCTS (FOR CHEMICAL PRODUCTS)
State of Matter Maximum Anticipated
Chemical Name CAS # / HS Code (2)
(S) Solid, (L) Liquid or Type of Packaging Quantity to be Stored At a
(G) Gas time (kg / Litre)
S L G
S L G
S L G
S L G
S L G
S L G
S L G
S L G
S L G
S L G
Note: The chemical finish product shall be included in the one-time NOC application for chemical storage (as mentioned in Section 4).
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Issue No: 05 ued by: QM
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Issue Date: 29.08.2022
Ref: HSE-S04.F01
DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
12. DETAILS OF WASTE GENERATED
All measures for recycling, reuse, and recovery (RRR) should be explored before considering disposal options.
12.1. SOLID WASTE:
Rate Of Generation
Waste Type Source Hazard Classification Proposed Treatment/Reuse And/Or Method Of Disposal
(kg/day)
12.2. LIQUID WASTE:
Rate Of Generation Chemical Content (Incl. Heavy Quality Proposed Treatment/ Recycling/
Waste Type Source
(liter or gallon/day) Metal Content, Etc. COD BOD S.S. pH Disposal Method
COD: Chemical Oxygen Demand - BOD: Biochemical oxygen demand - S.S.: Suspended Solids
12.3. AIRBORNE WASTE:
Pollutant content (ug/m3 or
Volume Rate Of Proposed Air Emission Control Proposed Chimney Height
Waste Type Source mg/m3 or g/m3
Emission (m3/hr) Equipment/ System (meter)
Gaseous Solid
13. HEALTH, SAFETY & ENVIRONMENT CONTROLS:
a. Submit process details and flow chart highlighting environmental, health & safety hazards or impacts, and any precautions necessary.
b. For certain applications where significant hazards are anticipated.
Attach the company HSE Plan / Standard operating procedures to meet the requirements as laid down in HSE/Local/Federal Regulations.
A third-party “Risk Assessment” for the proposed operations shall be carried out and the same report shall be submitted to RAKEZ: HSE for review &
approval before the start of the operation.
c. Submit an OFC inspection request to
[email protected] within 10 days of starting an operation, please click here for the OFC application.
d. For any construction/installation/modification in the client’s facility, Building / Modification is required from RAKEZ.
DECLARATION
I hereby declare that to the best of my knowledge and belief all the particulars furnished in this application are true and accurate. I understand that if any
information provided is found to be inaccurate, it will affect this application. I agree to abide by the laws, rules, and regulations applicable in Ras Al Khaimah
Economic Zone and the United Arab Emirates.
I confirm that I have enclosed the following:
Equipment/Machinery Catalogues Facility Plan showing the machinery and rack system (If The Facility Selected Is “Warehouse”)
Process Details and Flow Chart Conceptual Site Layout showing the machinery (If The Facility Selected Is “Land Plot”)
HSE Plan Conceptual Site Layout (marking the Sub-Leased Area with dimensions) for new Sub-Leased
Case along with RAKEZ BCC copy
Application Completed By: Signature: Date
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Issue Date: 29.08.2022
Ref: HSE-S04.F01
DETAILED APPLICATION FORM
WAREHOUSE & LAND PLOT
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Page 6 of 6
Issue Date: 29.08.2022
Ref: HSE-S04.F01
