‫‪Kingdom Of Saudi Arabia‬‬

‫‪Ministry Of Education‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬

‫‪King Abdul-Aziz University‬‬
‫ﻭﺯﺍﺭﺓ ﺍﻟﺘﻌﻠﻴﻢ‬
‫ﺟﺎﻣﻌﺔ ﺍﻟﻤﻠﻚ ﻋﺒﺪﺍﻟﻌﺰﻳﺰ‬
‫‪Vice President for Projects‬‬ ‫ﻭﻛﺎﻟﺔ ﺍﻟﺠﺎﻣﻌﺔ ﻟﻠﻤﺸﺎﺭﻳﻊ‬
‫‪Occupational Safety and Health‬‬ ‫ﺇﺩﺍﺭﺓ ﺍﻟﺴﻼﻣﺔ ﻭﺍﻟﺼﺤﺔ ﺍﻟﻤﻬﻨﻴﺔ‬
‫‪Administration‬‬

‫ﺇﺩﺍﺭﺓ ﺍﻟﺴﻼﻣﺔ ﻭﺍﻟﺼﺤﺔ ﺍﳌﻬﻨﻴﺔ‬

‫ﺭﻗﻢ ﺍﻟﻤﺒﻨﻰ ‪:‬‬ ‫ﺍﺳﻢ ﺍﻟﻤﺒﻨﻰ‪:‬‬

‫ﺩﻟﻴﻞ ﺍﻹﺟﺮﺍءﺍﺕ‬
‫ﺗﺎﺭﻳﺦ ﺍﻟﺰﻳﺎﺭﺓ ‪:‬‬
‫‪531-04-02-0017‬‬ ‫ﺭﻗﻢ ﺍﻹﺟﺮﺍء‪:‬‬ ‫ﻗﺴﻢ ﺳﻼﻣﺔ ﺍﻟﻤﻨﺸﺂﺕ‬ ‫ﺍﻟﻘﺴﻢ‪/‬ﺍﻟﻮﺣﺪﺓ‪:‬‬
‫ﺍﻟﺘﻔﺘﻴﺶ ﻋﻦ ﻁﻔﺎﻳﺎﺕ ﺍﻟﺤﺮﻳﻖ ) ‪( Fire Extinguishers‬‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻠﻴﺔ ‪:‬‬
‫ﻣﺘﺎﺑﻌﺔ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻣﻼﺣﻈﺎﺕ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻧﻌﻢ ‪ /‬ﻻ‬ ‫ﺧﻄﻮﺍﺕ ﺗﻨﻔﻴﺬ ﺍﻟﻌﻤﻠﻴﺔ‬
‫ﺗﻮﺟﺪ ﺍﻟﻨﻮﻋﻴﺎﺕ ﺍﻟﻤﻨﺎﺳﺒﺔ ﻟﻨﻮﻉ ﺍﻟﺤﺮﻳﻖ ﻭﺻﺎﻟﺤﺔ ﻟﻠﻌﻤﻞ‬ ‫‪١‬‬
‫ﺍﻟﻌﺪﺩ ﻛﺎﻑ ﻟﺘﻐﻄﻴﺔ ﺍﻟﻤﻨﻄﻘﺔ ﺃﻭ ﺍﻟﻤﻮﻗﻊ‬ ‫‪٢‬‬
‫ﺍﻟﻄﻔﺎﻳﺎﺕ ﻣﻤﻴﺰﺓ ﺑﺎﻷﻟﻮﺍﻥ ﻭﻧﻮﻋﻴﺎﺗﻬﺎ‬ ‫‪٣‬‬
‫ﺍﻟﻄﻔﺎﻳﺎﺕ ﻣﻮﺿﻮﻋﺔ ﺃﻭ ﻣﻌﻠﻘﺔ ﻓﻲ ﺍﻟﻤﻜﺎﻥ ﺍﻟﻤﻨﺎﺳﺐ‬ ‫‪٤‬‬
‫ﺃﻣﺎﻛﻦ ﻭﺟﻮﺩﻫﺎ ﻣﻤﻴﺰﺓ ﻭﻭﺍﺿﺤﺔ‬ ‫‪٥‬‬
‫ﻳﻮﺟﺪ ﻋﻠﻴﻬﺎ ﺑﻄﺎﻗﺎﺕ ﺍﻟﻜﺸﻒ ﺍﻟﺪﻭﺭﻱ‬ ‫‪٦‬‬
‫ﻳﻮﺟﺪ ﻋﻠﻴﻬﺎ ﻣﺎﻧﻊ ﺍﻟﺘﺸﻐﻴﻞ ) ‪( Seals‬‬ ‫‪7‬‬
‫ﻳﺘﻢ ﺇﺟﺮﺍء ﺍﻻﺧﺘﺒﺎﺭ ﺍﻟﺪﻭﺭﻱ ﻋﻠﻴﻬﺎ ﻛﻤﺎ ﻫﻮ ﻣﺜﺒﺖ ﻋﻠﻴﻬﺎ‬ ‫‪8‬‬

‫ﺍﻟﺘﻮﻗﻴﻊ ‪....................................... :‬‬ ‫ﻣﻔﺘﺸﺔ ﺍﻟﺴﻼﻣﺔ ‪......................................... :‬‬

‫ﺍﻟﺘﻮﻗﻴﻊ ‪........................................ :‬‬ ‫ﻣﻔﺘﺸﺔ ﺍﻟﺴﻼﻣﺔ ‪......................................... :‬‬

‫ﺍﻟﺘﻮﻗﻴﻊ ‪........................................ :‬‬ ‫ﻣﻔﺘﺸﺔ ﺍﻟﺴﻼﻣﺔ ‪......................................... :‬‬

‫ﺍﻟﺘﻮﻗﻴﻊ ‪........................................ :‬‬ ‫ﻣﻔﺘﺸﺔ ﺍﻟﺴﻼﻣﺔ ‪......................................... :‬‬

‫ﺍﻟﺘﻮﻗﻴﻊ ‪........................................ :‬‬ ‫ﻣﺴﺆﻭﻟﺔ ﺍﻟﻤﻮﻗﻊ ‪......................................... :‬‬