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Entity Name in Arabic
Entity Name in English
Entity Activity Type
Entity Commercial License /Professional License
Commercial License/Professional License No.
Commercial License/Professional License copy attached
Authorized Person Contact Information
Al Adaa Registration Number
OSHMS Approval Certificate Issued by OSHAD
Certificate Issuance Date
Last External Audit Findings
Form F submittal for Last 2 Years
No. of Minor NCRs
No. of Major NCRs
HSE Violations Issued by ADM in all Entity’s Projects during the previous two years
No. of Violations
Serious Incidents occurred during the previous two years in the Entity
No. of Serious Incidents
Incidents Forms G & G1 submitted regularly in Al Adaa
OSHMS Performance Quarterly Reports (From E) submitted regularly in Al Adaa
Occupational Safety & Health Practitioners in the Entity with grade (A) of Qudorat
No. of Practitioners
Qudorat registration cards copies attached
1- Attachments files shall be submitted in PDF format.
2- Each file capacity is 2 MB