ROAD CLOSURE / DIVERSION APPLICATION

PROJECT NAME
PLOT/ROAD NO.
LOCATION
CONSULTANT
CONTRACTOR SUB-CONTRACTOR
ROAD CLOSURE / DIVERSION REQUIRED FOR … …DAY(S) FROM … … (START TIME) UNTIL … … (END TIME)

THE FOLLOWING QUESTIONNAIRE MUST BE FILLED BY THE REQUESTOR:

1. WHAT IS THE PURPOSE OF CLOSING THE ROAD:… …
2. NUMBER OF LANES / PARKING SPACES TO BE CLOSED: … …
NOTE:
PLEASE SUBMIT THIS APPLICATION 5 DAYS BEFORE THE START DATE OF CLOSING THE ROAD.

DOCUMENTS REQUIRED
1.PROPOSED ROAD CLOSING / DIVERSION PLAN INCLUDING DETAILS OF TRAFFIC SIGNS AND WARNING LIGHTS (2 SETS, A3 SIZE)
2.COPY OF VALID BUILDING PERMIT 3.COPY OF FEES RECEIPT (AS PER FEE MATRIX)

REQUESTOR DETAILS
NAME
SIGNATURE
TEL
FAX DATE
MOBILE
STAMP
EMAIL

FOR DUBAI CREATIVE CLUSTERS AUTHORITY USE

COMMENT (S) : OBJECTION NO OBJECTION NO OBJECTION WITH COMMENTS
1. SPECIAL SAFETY PRECAUTIONS REQUIRED
PVC RIGID WATER FILLED
A. TRAFFIC BARRIERS CONCRETE BARRIERS
BARRIERS
B. TRAFFIC WARNING SIGNS / BOARD (AS PER RTA AUTHORITY) DIVERSION SIGNAL MAN AT WORK SIGNAL

REDUCE SPEED ROAD IS CLOSED NO ENTRY ONE WAY ROAD

PARKING IS AT TRAFFIC CONES WITH FLASHING

TRAFFIC CONES WARNING TAPE
OWNER’S RISK LIGHTS
2. AT LEAST 2 NOS. OF FLAG MEN SHOULD BE DEPLOYED DURING CLOSURE OF ROAD FOR EFFECTIVE TRAFFIC MANAGEMENT AND SHOULD WEAR REFLECTIVE
JACKETS
3. ANY DAMAGES TO THE ROAD SHOULD BE REINSTATED AFTER COMPLETION OF WORKS
4. ADEQUATE PRECAUTIONS SHOULD BE TAKEN TO PREVENT DAMAGES TO EXISTING SERVICES
5. THE PERMISSION FOR TEMPORARY CLOSURE OF THE ROAD SHOULD BE DISPLAYED AT CONSTRUCTION SITE
6. ALL COMMENTS MENTIONED ON THE ATTACHED ROAD CLOSURE LAYOUT SHOULD BE INCORPORATED
7. THIS ROAD CLOSURE PERMIT IS VALID FOR ………. DAYS FROM DATE ISSUED

REVIEWED BY:
HSE OPERATIONS INFRASTRUCTURE
NAME NAME

SIGNATURE SIGNATURE

DATE DATE

Page 1 of 1 ZD-DC-F-22 Issue 6, Rev 0, Dated 14/06/2015

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