e-form Control of Major Accident Hazards
(COMAH) - Part A Statutory information to be provided in the Notification
(COMAH) Regl. L.N. 179/2015 - Part A Name of the Operator Address of the Operator (Registered Office Address) Address of the Establishment Concerned (if different from above) Website (URL) Information sufficient to identify the dangerous substances or the categories of dangerous substances present. Quantity and physical form of the dangerous substances Information is required for both single substances & preparations. Provide information to identify the names & categories of the dangerous substances eg: acute toxic or flammable liquid. (See Schedule 1 Part 1 of COMAH Regulations). Warehouses/Others with frequent inventory fluctuations eg: operators of storage facilities may notify max quantity of dangerous substances. Physical form incl. gas, liquid, powder & solids.
Quantity is the max. that one can anticipate will be present. Name of Dangerous Substance Quantity in Tonnes Physical Form and CAS Number
(CAS - Chemical Abstracts Service) Category (Schedule 1 Part 1) Is this a Named Substance? (Schedule 1 Part 2) Yes No

Name of Dangerous Substance Quantity in Tonnes Physical Form and CAS Number
(CAS - Chemical Abstracts Service) Is this a Named Substance? (Schedule 1 Part 2) Category (Schedule 1 Part 1) Yes No Name of Dangerous Substance Quantity in Tonnes Physical Form and CAS Number
(CAS - Chemical Abstracts Service) Is this a Named Substance? (Schedule 1 Part 2) Category (Schedule 1 Part 1) Yes No Name of Dangerous Substance Quantity in Tonnes Physical Form and CAS Number
(CAS - Chemical Abstracts Service) Is this a Named Substance? (Schedule 1 Part 2) Category (Schedule 1 Part 1) Yes No Name of Dangerous Substance Quantity in Tonnes Physical Form and CAS Number
(CAS - Chemical Abstracts Service) Is this a Named Substance? (Schedule 1 Part 2) Category (Schedule 1 Part 1) Yes No

Brief description of activity. eg Bunkering of Fuel Oil Details of the elements of the immediate environment liable to cause a major accident or aggravate the consequences thereof Describe elements of surrounding environment which could make the consequences of a major accident worse (eg: nearby housing; other occupied buildings; agriculture or food production; receiving sewage works) Do you wish any information not to be disclosed to the public because it is commercially or personally confidential? Yes - Complete this form and provide additional information in Part B No - Complete this form excluding the commercially or personally confidential information then Complete the Part B form including the commercially or personally confidential information and providing a justification for its exclusion to the public. DECLARATION I certify that the information in this Notification Part A is correct Name and Surname Position Telephone Mobile Email Signature Date Please send the notification by email to mepi@ohsa.mt (MEPI Section).

The Authority will confirm receipt.