UNIFORM BUILDING BY LAW (REV 2021) G FORM SIGNATORIES MATRIX

STREET, DRAIN AND BUILDING ACT 1974 (REFER TO THE UBBL (2021) FROM PAGE 70)

BORANG g1 - g21

BORANG G# TAJUK BORANG
PERAKUAN BORANG BERDASARKAN SKOP KERJA
PENANDATANGAN 1
KONTRAKTOR / SUBKON KONTRAKTOR
PENANDATANGAN 2
PERUNDING
PENANDATANGAN 3
ORANG YANG MENGEMUKAKAN
G1 PERAKUAN KERJA-KERJA TANAH CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PE, PEPC, GE, IOW BEM PEPC
G2 PERAKUAN PEMANCANGAN TANDA CIDB CCPM/CCM/CSS JURUUKUR TANAH BERLESEN BLSM BEM PEPC / LAM PA
G3 PERAKUAN ASAS TAPAK CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN
TAPAK BEM PEPC, PE, GE, IOW
BEM PEPC
G4 PERAKUAN STRUKTUR CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G5 PERAKUAN PERPAIPAN AIR DALAMAN TUKANG PAIP BERLESEN CIDB KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, IOW BEM PEPC / LAM PA
G6 PERAKUAN PERPAIPAN KEBERSIHAN DALAMAN TUKANG PAIP BERLESEN CIDB KAKITANGAN PENGAWASAN TAPAK BEM PE, PEPC, GE, IOW BEM PEPC / LAM PA
G7 PERAKUAN ELEKTRIKAL DALAMAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PE, PEPC, GE, IOW BEM PEPC / LAM PA
G8 PERAKUAN KEHENDAK-KEHENDAK PEPASANGAN KESELAMATAN
KEBAKARAN (SENI BINA)
CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC / LAM PA
G9 PERAKUAN SISTEM PENGGERA KEBAKARAN DAN SISTEM
PEMADAM API (MEKANIKAL DAN ELEKTRIKAL)
KONTRAKTOR TRED SISTEM PENCEGAH KEBAKARAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G10 PERAKUAN PENGUDARAAN MEKANIKAL KONTRAKTOR TRED SISTEM PENGUDARAAN MEKANIKAL KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G11 PERAKUAN PEMASANGAN LIF/ESKALATOR KONTRAKTOR TRED DENGAN JKKP KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G12 PERAKUAN BANGUNAN CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, RE,
IOW /BAM PA, GA, IOW (A)
BEM PEPC / LAM PA
G13 PERAKUAN SISTEM BEKALAN AIR LUARAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G14 PERAKUAN RETIKULASI PEMBETUNGAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G15 PERAKUAN LOJI RAWATAN KUMBAHAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G16 G16 PERAKUAN SISTEM BEKALAN ELEKTRIK LUARAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC / LAM PA
G17 PERAKUAN JALAN DAN PARIT CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G18 PERAKUAN LAMPU JALAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G19 PERAKUAN PARIT LUARAN UTAMA CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G20 PERAKUAN KOMUNIKASI (a) KONTRAKTOR TRED ST DAN
(b) KONTRAKTOR ORANG CEKAP SKKM/CA
KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, GE, IOW BEM PEPC
G21 PERAKUAN PANDANGAN DARAT KONTRAKTOR TRED LAM / PA BEM PEPC

FORM g1 - g21

FORM G# FORM TITLE
CERTIFICATE FORM BASED ON SCOPE OF WORK
SIGNATURE 1
CONTRACTOR/SUBCONT CONTRACTOR
SIGNATURE 2
CONSULTANT
SIGNATURE 3
SUBMITTING PERSON
G1 EARTHWORKS CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, GE, IOW BEM PEPC
G2 SETTING OUT CIDB CCPM/CCM/CSS LICENSED LAND SURVEYOR BLSM BEM PEPC / LAM PA
G3 FOUNDATIONS CIDB CCPM/CCM/CSS SITE SUPERVISION
PERSONNEL BEM PEPC, PE, RE, IOW
BEM PEPC
G4 STRUCTURAL CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G5 INTERNAL WATER PLUMBING LICENCED PLUMBER CIDB SITE SUPERVISION PERSONNEL BEM PEPC, GE, IOW BEM PEPC / LAM PA
G6 INTERNAL SANITARY PLUMBING LICENCED PLUMBER CIDB SITE SUPERVISION PERSONNEL BEM PEPC, GE, IOW BEM PEPC / LAM PA
G7 INTERNAL ELECTRICAL ENERGY COMMISSION (ST) COMPETENT PERSON (WIREMAN / CHARGEMAN / JEK) SITE SUPERVISION PERSONNEL BEM PEPC, GE, IOW BEM PEPC / LAM PA
G8 FIRE - FIGHTING (PASSIVE) CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC / LAM PA
G9 FIRE - FIGHTING (ACTIVE) FIRE PREVENTION SYSTEM TRADE CONTRACTOR SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G10 MECHANICAL VENTILATION MECHANICAL VENTILATION SYSTEM TRADE CONTRACTOR SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G11 LIFT / ESCALATOR INSTALLATION CONTRACTOR TRADE WITH DEPARTMENT OF OCCUPATIONAL, SAFETY & HEALTH SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G12 BUILDING CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE,
IOW /BAM PA, GA, IOW (A)
BEM PEPC / LAM PA
G13 EXTERNAL WATER SUPPLY SYSTEM CONTRACTOR TRADE WITH NATIONAL WATER SERVICES COMMISSION (SPAN) SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G14 SEWERAGE RETICULATION CONTRACTOR TRADE WITH NATIONAL WATER SERVICES COMMISSION (SPAN) SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G15 SEWERAGE TREATMENT PLANT CONTRACTOR TRADE WITH NATIONAL WATER SERVICES COMMISSION (SPAN) SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G16 EXTERNAL ELECTRICAL SUPPLY SYSTEM ENERGY COMMISSION (ST) COMPETENT PERSON (WIREMAN / CHARGEMAN / JEK) SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC / LAM PA
G17 ROAD AND DRAINAGE CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G18 STREET LIGHTING ENERGY COMMISSION (ST) COMPETENT PERSON (WIREMAN / CHARGEMAN / JEK) SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G19 STREET LIGHTING EXTERNAL MAIN DRAIN CIDB CCPM/CCM/CSS SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G20 TELECOMMUNICATION (a) CONTRACTOR TRADE WITH ENERGY COMMISSION (ST) AND
(b) CONTRACTOR AND COMPETENT PERSION SKKM/CA
SITE SUPERVISION PERSONNEL BEM PEPC, PE, RE, IOW BEM PEPC
G21 LANDSCAPE CONTRACTOR TRADE LAM / PA BEM PEPC

FORM g1 - g21

FORM G# TAJUK BORANG
PERAKUAN BORANG BERDASARKAN SKOP KERJA
PENANDATANGAN 1
CONTRACTOR/SUBCONT KONTRAKTOR / SUBKON
PENANDATANGAN 2
CONSULTANT / PERUNDING
PENANDATANGAN 3
SUBMITTING PERSON / ORANG YANG MENGEMUKAKAN
G1 PERAKUAN KERJA-KERJA TANAH CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, IOW BEM PEPC
G2 PERAKUAN PEMANCANGAN TANDA CIDB CCPM/CCM/CSS JURUUKUR TANAH BERLESEN BLSM BEM PEPC / LAM PA
G3 PERAKUAN ASAS TAPAK CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN
TAPAK BEM PEPC, PE, RE, IOW
BEM PEPC
G4 PERAKUAN STRUKTUR CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G5 PERAKUAN PERPAIPAN AIR DALAMAN TUKANG PAIP BERLESEN / LICENCED PLUMBER CIDB KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, IOW BEM PEPC / LAM PA
G6 PERAKUAN PERPAIPAN KEBERSIHAN DALAMAN TUKANG PAIP BERLESEN / LICENCED PLUMBER CIDB KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, IOW BEM PEPC / LAM PA
G7 PERAKUAN ELEKTRIKAL DALAMAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PEPC, GE, IOW BEM PEPC / LAM PA
G8 PERAKUAN KEHENDAK-KEHENDAK PEPASANGAN KESELAMATAN
KEBAKARAN (SENI BINA)
CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC / LAM PA
G9 PERAKUAN SISTEM PENGGERA KEBAKARAN DAN SISTEM
PEMADAM API (MEKANIKAL DAN ELEKTRIKAL)
KONTRAKTOR TRED SISTEM PENCEGAH KEBAKARAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G10 PERAKUAN PENGUDARAAN MEKANIKAL KONTRAKTOR TRED SISTEM PENGUDARAAN MEKANIKAL KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G11 PERAKUAN PEMASANGAN LIF/ESKALATOR KONTRAKTOR TRED DENGAN JKKP KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G12 PERAKUAN BANGUNAN CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE,
IOW /BAM PA, GA, IOW (A)
BEM PEPC / LAM PA
G13 PERAKUAN SISTEM BEKALAN AIR LUARAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G14 PERAKUAN RETIKULASI PEMBETUNGAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G15 PERAKUAN LOJI RAWATAN KUMBAHAN KONTRAKTOR TRED DENGAN SPAN KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G16 G16 PERAKUAN SISTEM BEKALAN ELEKTRIK LUARAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC / LAM PA
G17 PERAKUAN JALAN DAN PARIT CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G18 PERAKUAN LAMPU JALAN ORANG KOMPETEN ST (WIREMAN / CHARGEMAN / JEK) KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G19 PERAKUAN PARIT LUARAN UTAMA CIDB CCPM/CCM/CSS KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G20 PERAKUAN KOMUNIKASI (a) KONTRAKTOR TRED ST DAN
(b) KONTRAKTOR ORANG CEKAP SKKM/CA
KAKITANGAN PENGAWASAN TAPAK BEM PEPC, PE, RE, IOW BEM PEPC
G21 PERAKUAN PANDANGAN DARAT KONTRAKTOR TRED LAM / PA BEM PEPC

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Tab Content

This is a basic text element.
Table Forms G and confirmation/ supporting letter from different agencies
FORMS SUPPORTING LETTER AUTHORITY
G8 & G9 CERTIFICATE OF FIRE SAFETY FIRE AND RESCUE DEPARTMENT (BOMBA)
G11 CERTIFICATE OF FITTNESS (PMA) DEPARTMENT OF OCCUPATIONAL SAFETY AND HEALTH (DOSH)
G13 LETTER OF CONFIRMATION WATER AUTHORITY (SADA, SYABAS, ETC)
G14 & G15 LETTER OF CLEARANCE SEWERAGE CERTIFYING AGENCY (IWK) / SURUHANJAYA PERKHIDMATAN AIR NEGARA (SPAN)
G16 LETTER OF CONFIRMATION TENAGA NASIONAL BERHAD (TNB)
G17 LETTER OF CLEARANCE RELEVANT WATER AUTHORITY OR PUBLICK WORKS DEPARTMENT (JKR)