‫‪Kingdom Of Saudi Arabia‬‬

‫‪Ministry Of Education‬‬ ‫ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬

‫‪King Abdulaziz 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 ‪:‬‬
‫‪531-04-02-0014‬‬ ‫ﺭﻗﻢ ﺍﻹﺟﺮﺍء‪:‬‬ ‫ﻗﺴﻢ ﺳﻼﻣﺔ ﺍﻟﻤﻨﺸﺂﺕ‬ ‫ﺍﻟﻘﺴﻢ‪/‬ﺍﻟﻮﺣﺪﺓ‪:‬‬
‫ﺍﻟﺘﻔﺘﻴﺶ ﻋﻦ ﺃﻧﻈﻤﺔ ﺍﻹﻁﻔﺎء ﺑﺎﻟﻤﺎء ﺍﻟﺜﺎﺑﺘﺔ ) ‪( Fire Sprinkler / Deluge Systems‬‬ ‫ﺍﺳﻢ ﺍﻟﻌﻤﻠﻴﺔ ‪:‬‬
‫ﻣﺘﺎﺑﻌﺔ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻣﻼﺣﻈﺎﺕ ﺍﻟﺘﺼﺤﻴﺢ‬ ‫ﻧﻌﻢ ‪ /‬ﻻ‬ ‫ﺧﻄﻮﺍﺕ ﺗﻨﻔﻴﺬ ﺍﻟﻌﻤﻠﻴﺔ‬
‫ﺍﻷﻧﻈﻤﺔ ﻓﻲ ﺣﺎﻟﺔ ﺟﻴﺪﺓ ﻭﺻﺎﻟﺤﺔ ﻟﻠﺘﺸﻐﻴﻞ‬ ‫‪١‬‬
‫ﺑﻠﻮﻑ ﺍﻟﺘﺸﻐﻴﻞ ﺍﻟﺮﺋﻴﺴﻴﺔ ﻭﺍﺿﺤﺔ ﻋﻠﻴﻬﺎ ﻋﻼﻣﺎﺕ ﻣﻤﻴﺰﺓ ﻟﻬﺎ‬ ‫‪٢‬‬
‫ﻣﻌﺪﻻﺕ ﺗﺼﺮﻳﻒ ﺭﺅﻭﺱ ﺍﻷﺩﺷﺎﺵ ﺗﻨﺎﺳﺐ ﻧﻮﻉ ﺍﻟﺨﻄﻮﺭﺓ‬ ‫‪٣‬‬
‫ﻳﺘﻢ ﻓﺤﺺ ﻧﻈﺎﻡ ﺗﺸﻐﻴﻞ ﺍﻷﻭﺗﻮﻣﺎﺗﻴﻜﻲ ﻛﻞ ﺳﺘﺔ ﺃﺷﻬﺮ‬ ‫‪٤‬‬
‫ﻳﺘﻢ ﻓﺤﺺ ﺗﺼﺮﻳﻒ ﺍﻷﺩﺷﺎﺵ ﻛﻞ ﺳﺘﺔ ﺃﺷﻬﺮ‬ ‫‪٥‬‬
‫ﻳﻮﺟﺪ ﺳﺠﻞ ﻟﻠﺼﻴﺎﻧﺔ ﻭﺍﻟﻔﺤﺺ ﻟﻸﻧﻈﻤﺔ‬ ‫‪٦‬‬
‫ﻳﻮﺟﺪ ﺭﺅﻭﺱ ﺃﺩﺷﺎﺵ ﺍﺣﺘﻴﺎﻁﻴﺔ ﻛﺎﻓﻴﺔ‬ ‫‪٧‬‬

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

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

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

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

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