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  • Fiche D'intervention Vierge

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    Chokri Boukhicha
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    FICHE D'INTERVENTION VIERGE

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    24 views1 page

    Fiche D'intervention Vierge

    Uploaded by

    Chokri Boukhicha

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FICHE D’INTERVENTION

    N°…….
    Zone : …………………………….. Demandeur : ……………………. Date demande : ……/…../20…

    État : Arrêt production Heure : …….h…..


    Équipement : ………………………. Oui Non
    DESCRIPTION DE LA DEFAILLANCE
    ……………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………..
    …………………………………………………………………………………………………………….
    DECISION MAINTENANCE

    Refusé ……………………………………………………………………………………………
    Accepté Signature :
    CONSIGNES DE SECURITE
    EPI :
    MT / HT :

    INTERVENTION
    Intervenant : ………………. Date début : …………… Heure début : ……
    ………………. Date début : …………… Heure fin : ……
    ……………….

    Description de l’intervention : …………………………………………………………………….............


    ……………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………..
    ……………………………………………………………………………………………………………..
    …………………………………………………………………………………………………………….
    …………………………………………………………………………………………………………….
    PIECES FOURNIES OU ECHANGEES
    Réf magasin Désignation Quantité

    VALIDATION
    Date : ………………. Heure : …………….

    Visa technicien Visa responsable maintenance Visa demandeur

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