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  • 4. BIÊN BẢN KIỂM TRA TB HƯ HỎNG (Kem Theo Bb Kiem Tra Bao Tri)

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    4. BIÊN BẢN KIỂM TRA TB HƯ HỎNG (Kem Theo Bb Kiem Tra Bao Tri)

    Uploaded by

    TRÍ PHAN

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    COÂNG TY TNHH MTV COÄNG HOØA XAÕ HOÄI CHUÛ NGHÓA VIEÄT NAM

    HUØNG VIEÄT Ñoäc Laäp – Töï Do – Haïnh Phuùc


    ÑC: 1A/18 Khu phoá Nhò Ñoàng 1 - - - - -  - - - - -
    TX.Dó An, Bình Döông; ÑT : 091.8394145
    Ngaøy : . . . ../ . . . ./ 2020

    BIEÂN BAÛN
    TÌNH TRANG HÖ HOÛNG CUÛA THIEÁT BÒ
    Ñôn vò chuû quaûn: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thaùng, ñôït baûo trì : . . . . . . . . ; ÑÔÏT . . .
    Ñòa chæ : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Nhaân vieân baûo trì : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Soá HÑBT :
    Teân heä thoáng : Heä thoáng baùo chaùy töï ñoäng.

    TEÂN TRANG THIEÁT BÒ – VÒ TRÍ :

    Teân thieát bò:


    ..............................................................
    ..............................................................
    ..............................................................
    ...............................................
    Vò trí: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    .............................................................
    .............................................................
    .......................................................

    1/- Keát quaû kieåm tra: : .


    ...........................................
    ............................................................
    ............................................................
    ............
    2/- Höôùng khaéc phuïc: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    ............................................................
    ............................................................
    ..........................................................
    ...........................................................

    Bieân baûn kieåm tra tình traïng hö hoûng cuûa trang thieát bò ñöôïc söï thoáng nhaát cuûa hai beân
    vaø ñoàng yù kyù teân. Bieân baûn ñöôïc laäp thaønh 02 (hai) baûn, moãi beân giöõ 01 (moät) baûn vaø
    coù giaù trò nhö nhau .

    Xaùc Nhaän Cuûa Ñôn Vò Chuû Quaûn Ngöôøi Ñaïi Dieän COÂNG TY
    (kyù vaø ghi roõ hoï teân, chöùc vuï) HUØNG VIEÄT
    .............................
    .............................
    .............................

    Ghi chuù: Ñôn vò baûo trì coù ñính keøm theo baûng baùo giaù thieát bò söûa chöõa hoaëc thay môùi theo
    loâ haøng treân.

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