‫‪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 ‪:‬‬
‫‪531-04-02-00٨‬‬ ‫ﺭﻗﻢ ﺍﻹﺟﺮﺍء‪:‬‬ ‫ﻗﺴﻢ ﺳﻼﻣﺔ ﺍﻟﻤﻨﺸﺂﺕ‬ ‫ﺍﻟﻘﺴﻢ‪/‬ﺍﻟﻮﺣﺪﺓ‪:‬‬
‫ﺍﻟﺘﻔﺘﻴﺶ ﻋﻦ ﺇﺿﺎءﺓ ﺍﻟﻄﻮﺍﺭﺉ ﻭﻋﻼﻣﺎﺕ ﺍﻟﻤﺨﺎﺭﺝ ) ‪( Emergency Lighting & Exit signs‬‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻠﻴﺔ ‪:‬‬
‫ﻣﺘﺎﺑﻌﺔ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻣﻼﺣﻈﺎﺕ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻧﻌﻢ ‪ /‬ﻻ‬ ‫ﺧﻄﻮﺍﺕ ﺗﻨﻔﻴﺬ ﺍﻟﻌﻤﻠﻴﺔ‬
‫ﺇﺿﺎءﺓ ﺍﻟﻄﻮﺍﺭﺉ ﻳﺘﻢ ﻓﺤﺼﻬﺎ ﺃﺳﺒﻮﻋﻴﺎ ً ﺣﺴﺐ ﺟﺪﻭﻝ ﺛﺎﺑﺖ‬ ‫‪١‬‬
‫ﻓﺤﺺ ﻋﻼﻣﺎﺕ ﺍﻟﻤﺨﺎﺭﺝ ﺍﻟﻤﻀﺎءﺓ ﻛﻞ ﺷﻬﺮ‬ ‫‪٢‬‬
‫ﺇﺟﺮﺍء ﻣﺴﺢ ﺳﻨﻮﻱ ﻋﻠﻰ ﻫﺬﻩ ﺍﻟﻌﻼﻣﺎﺕ ﻭﻭﺳﺎﺋﻞ ﺇﺿﺎءﺓ ﺍﻟﻄﻮﺍﺭﺉ ﺍﻭ ﻓﻲ ﺣﺎﻟﺔ ﺃﻱ ﺗﻐﻴﻴﺮ‬ ‫‪٣‬‬
‫ﺑﻬﺎ ﺃﻭ ﺑﻤﻮﺍﻗﻌﻬﺎ‬
‫ﺻﻴﺎﻧﺔ ﻫﺬﻩ ﺍﻟﻤﻌﺪﺍﺕ ﻟﻬﺎ ﺍﻷﻭﻟﻮﻳﺔ ﻭﺩﻭﻥ ﺗﺄﺧﻴﺮ‬ ‫‪٤‬‬

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

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

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

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

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