‫ﻭﺯﺍﺭﺓ ﺍﻟﺪﻭﻟﺔ ﻟﺸﺌﻮﻥ ﺍﻟﺒﻴﺌﺔ‬

‫ﺟﻬﺎﺯ ﺷﺌﻮﻥ ﺍﻟﺒﻴﺌﺔ‬

‫א‬
‫א‬ ‫א‬ ‫א‬
‫מ‬ ‫א‬ ‫א‬

‫ﻭﻓﻘﺎً ﻷﺣﻜﺎﻡ ﻗﺎنﻮﻥ ﺍﻟﺒﻴﺌﺔ ﺭﻗﻢ )‪ (٤‬ﻟﺴﻨﺔ ‪ ١٩٩٤‬ﻭﻻﺋﺤﺘﻪ ﺍﻟﺘﻨﻔﻴﺬﻳﺔ‬

‫ﻧﺴﺨﺔ ﳎﺎﻧﻴﺔ ﻏﲑ ﳐﺼﺼﺔ ﻟﻠﺒﻴﻊ‬

‫‪-١-‬‬
 ‫ﺳﺠﻞ ﺗﺄﺛﲑ نﺸﺎﻁ ﺍﳌﻨﺸﺄﺓ ﻋﻠﻰ ﺍﻟﺒﻴﺌﺔ‬

‫ﳕﻮﺫﺝ ﺳﺠﻞ ﺍﳊﺎﻟﺔ ﺍﻟﺒﻴﺌﻴﺔ ﻟﻠﻤﻨﺸﺂﺕ ﺍﻟﺼﺤﻴﺔ ﺍﳋﺎﺹ ﺑﺘﺪﺍﻭﻝ ﺍﻟﻨﻔﺎﻳﺎﺕ‬

‫ﺍﳋﻄﺮﺓ ﺍﳌﻮﺟﻮﺩ ﺑﻬﺎ ﺃﺟﻬﺰﺓ ﺗﻌﻘﻴﻢ ﳍﺬﻩ ﺍﻟﻨﻮﻋﻴﺔ ﻣﻦ ﺍﻟﻨﻔﺎﻳﺎﺕ‬

‫‪:‬‬ ‫‪−١‬‬
‫ﺃ‪ -‬ﺍﺴﻡ ﺍﻟﻤﻨﺸﺄﺓ ‪. ............................................................‬‬
‫ﺏ‪ -‬ﺍﻟﻌﻨﻭﺍﻥ ‪. ..............................................................‬‬
‫ﺝ‪ -‬ﺭﻗﻡ ﺍﻟﺘﻠﻴﻔﻭﻥ ‪ ......................‬ﺭﻗﻡ ﺍﻟﻔﺎﻜﺱ ‪. .......................‬‬
‫ﺩ‪ -‬ﺍﺴﻡ ﺍﻟﻤﺩﻴﺭ ﺍﻟﻤﺴﺌﻭل ﻋﻥ ﺇﺩﺍﺭﺓ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺨﻁﺭﺓ ﺒﺎﻟﻤﻨﺸﺄﺓ ‪. ..................‬‬
‫ﻫـ‪ -‬ﻋﺩﺩ ﺍﻟﻌﺎﻤﻠﻴﻥ ﺒﺎﻟﻤﻨﺸﺄﺓ ‪. ..............................................‬‬

‫‪:‬‬ ‫א‬ ‫א‬ ‫א‬ ‫‪−٢‬‬

‫ﺃ‪ -‬ﻋﺩﺩ ﺍﻷﻗﺴﺎﻡ ﺍﻟﻤﻭﺠﻭﺩﺓ ﻭﺍﻟﺘﻲ ﻴﺘﻭﻟﺩ ﺒﻬﺎ ﻨﻔﺎﻴﺎﺕ ﺨﻁﺭﺓ ﻭﺒﻴﺎﻨﺎﺘﻬﺎ ‪...............‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺏ‪ -‬ﻋﺩﺩ ﺍﻟﻘﺎﺌﻤﻴﻥ ﻋﻠﻰ ﺘﺩﺍﻭل ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺨﻁﺭﺓ ‪.................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺝ‪ -‬ﻁﺭﻴﻘﺔ ﻓﺼل ﺍﻟﻨﻔﺎﻴﺎﺕ ﻤﻥ ﺍﻟﻤﻨﺒﻊ ‪..........................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺩ‪ -‬ﻁﺭﻴﻘﺔ ﺠﻤﻊ ﻭﺘﻌﺒﺌﺔ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺨﻁﺭﺓ ‪.......................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬

‫‪-٢-‬‬
 ‫ﻫـ‪ -‬ﻁﺭﻴﻘﺔ ﺠﻤﻊ ﻭﺘﻌﺒﺌﺔ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺤﺎﺩﺓ ‪.....................................‬‬
‫‪.........................................................................‬‬
‫ﻭ‪ -‬ﻁﺭﻴﻘﺔ ﻨﻘل ﺍﻟﻨﻔﺎﻴﺎﺕ ﻤﻥ ﺍﻷﻗﺴﺎﻡ ﺇﻟﻰ ﺃﻤﺎﻜﻥ ﺍﻟﻤﻌﺎﻟﺠﺔ ‪.......................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬

‫‪:‬‬ ‫א‬ ‫‪−٣‬‬

‫ﺃ‪ -‬ﻫل ﻴﻭﺠﺩ ﺘﺨﺯﻴﻥ ﻭﺴﻴﻁ ﺒﺎﻷﻗﺴﺎﻡ ﻭﻤﺎ ﻤﻭﻗﻌﻪ ‪................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺏ‪ -‬ﻫل ﻴﻭﺠﺩ ﺘﺨﺯﻴﻥ ﻨﻬﺎﺌﻲ ﻭﻤﺎ ﻤﻭﻗﻌﻪ ‪.......................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺝ‪ -‬ﻤﻭﺍﺼﻔﺎﺕ ﺘﺨﺯﻴﻥ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺨﻁﺭﺓ ‪........................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬

‫‪:‬‬ ‫א‬ ‫‪ −٤‬א‬

‫ﺃ‪ -‬ﻫل ﺘﻡ ﺘﺩﺭﻴﺏ ﺍﻟﻌﺎﻤﻠﻴﻥ ﻋﻠﻰ ﺇﺩﺍﺭﺓ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺨﻁﺭﺓ ﻋﻠﻰ ﻜﻴﻔﻴﺔ ﺍﻹﺩﺍﺭﺓ ﺍﻟﺴﻠﻴﻤﺔ‬
‫ﻭﺍﻵﻤﻨﺔ ﻟﻬﺫﻩ ﺍﻟﻨﻭﻋﻴﺔ ﻤﻥ ﺍﻟﻨﻔﺎﻴﺎﺕ ‪..........................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺏ‪ -‬ﻤﺩﻯ ﺘﻭﺍﻓﺭ ﻋﻼﻤﺎﺕ ﺃﻭ ﺇﺭﺸﺎﺩﺍﺕ ﺃﻭ ﻤﻠﺼﻘﺎﺕ ﺘﺩل ﻋﻠـﻰ ﺘـﺩﺍﻭل ﺍﻟﻨﻔﺎﻴـﺎﺕ‬
‫ﺍﻟﺨﻁﺭﺓ ﺒﺎﻟﻤﻨﺸﺄﺓ ‪..........................................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬

‫‪-٣-‬‬
‫ﺝ‪ -‬ﻤﺩﻯ ﺘﻭﺍﻓﺭ ﻤﻼﺒﺱ ﻭﻤﻌﺩﺍﺕ ﺍﻟﻭﻗﺎﻴﺔ ‪........................................‬‬
‫‪.........................................................................‬‬
‫ﺩ‪ -‬ﻫل ﺘﻭﺠﺩ ﻟﺠﻨﺔ ﻟﻤﻜﺎﻓﺤﺔ ﺍﻟﻌﺩﻭﻯ ﺒﺎﻟﻤﻨﺸﺄﺓ ﻭﻤﺎ ﺩﻭﺭﻫﺎ ﻓﻲ ﻋﻤﻠﻴﺔ ﺇﺩﺍﺭﺓ ﺍﻟﻨﻔﺎﻴﺎﺕ‬
‫ﺍﻟﺨﻁﺭﺓ ‪..................................................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬

‫‪:‬‬ ‫א‬ ‫‪−٥‬‬

‫‪.........................................................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺃ‪ -‬ﺩﺭﺠﺔ ﺍﻟﺤﺭﺍﺭﺓ ﻭﺍﻟﻀﻐﻁ ﻭﻤﺩﺓ ﺍﻟﺘﻌﻘﻴﻡ‪........................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺏ‪ -‬ﻨﻭﻋﻴﺔ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﺘﻲ ﻴﺘﻡ ﻤﻌﺎﻟﺠﺘﻬﺎ ﺒﺎﻟﺘﻌﻘﻴﻡ ‪.................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺝ‪ -‬ﻭﺼﻑ ﺍﻟﺘﻜﻨﻭﻟﻭﺠﻴﺎ ﺍﻟﻤﺴﺘﺨﺩﻤﺔ ﻓﻲ ﺍﻟﺘﺸﻐﻴل ‪................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﺩ‪ -‬ﻋﺩﺩ ﺴﺎﻋﺎﺕ ﺍﻟﺘﺸﻐﻴل )ﻴﻭﻡ‪/‬ﺍﺴﺒﻭﻉ(‪ ،‬ﻭﺃﻭﻗﺎﺕ ﺍﻟﺘﺸﻐﻴل ﻭﺍﻟﺼﻴﺎﻨﺔ ‪...........‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﻫـ‪ -‬ﻁﺎﻗﺔ ﺍﺴﺘﻴﻌﺎﺏ ﺍﻟﻤﺤﺭﻗﺔ ﻭﻜﻤﻴﺔ ﺍﻟﻨﻔﺎﻴـﺎﺕ ﺍﻟـﻭﺍﺭﺩﺓ ﺇﻟﻴﻬـﺎ ﻤـﻥ ﺍﻷﻗـﺴﺎﻡ‬
‫)ﻴﻭﻡ‪/‬ﺸﻬﺭ‪/‬ﺴﻨﺔ( ‪...........................................................‬‬
‫‪.........................................................................‬‬

‫‪-٤-‬‬
 ‫ﻭ‪ -‬ﻨﻭﻋﻴﺔ ﺍﻟﻤﺨﺭﺠﺎﺕ ﺒﻌﺩ ﻋﻤﻠﻴﺔ ﺍﻟﻤﻌﺎﻟﺠﺔ ﻭﻜﻴﻔﻴﺔ ﺍﻟﺘﺼﺭﻑ ﻓﻴﻬﺎ‬
‫‪ -١‬ﻏﺎﺯﻴﺔ )ﺇﻥ ﻭﺠﺩﺕ( ‪....................................................‬‬
‫‪ -٢‬ﺴﺎﺌﻠﺔ ‪.................................................................‬‬
‫‪. ......................................................................‬‬
‫‪ -٣‬ﺼﻠﺒﺔ )ﻴﺭﺠﻰ ﺍﻟﺘﻔﻀل ﺒﺘﻭﺼﻴﻑ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺍﻟﻨﺎﺘﺠﺔ ﻋﻥ ﻋﻤﻠﻴﺔ ﺍﻟﺘﻌﻘﻴﻡ( ‪.....‬‬
‫‪........................................................................‬‬
‫‪........................................................................‬‬
‫ﺯ‪ -‬ﺍﻻﺨﺘﺒﺎﺭﺍﺕ ﺍﻟﺘﻲ ﺃﺠﺭﻴﺕ ﻋﻠﻰ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺒﻌﺩ ﺍﻟﺘﻌﻘﻴﻡ ‪..........................‬‬
‫‪.........................................................................‬‬
‫‪. ........................................................................‬‬
‫ﺡ‪ -‬ﺍﻻﺨﺘﺒﺎﺭﺍﺕ ﻭﺍﻟﺼﻴﺎﻨﺔ ﺍﻟﺘﻲ ﺃﺠﺭﻴﺕ ﻋﻠﻰ ﺍﻟﺠﻬﺎﺯ ‪............................‬‬
‫‪.........................................................................‬‬
‫‪. ........................................................................‬‬
‫ﻁ‪ -‬ﻋﺩﺩ ﺍﻟﻌﺎﻤﻠﻴﻥ ﻋﻠﻰ ﺘﺸﻐﻴل ﺠﻬﺎﺯ ﺍﻟﺘﻌﻘﻴﻡ‪ ،‬ﻭﻫل ﺘﻡ ﺘﺩﺭﻴﺒﻬﻡ ﻋﻠﻰ ﻁﺭﻕ ﺍﻟﺘﺸﻐﻴل‬
‫ﻭﺍﺴﺘﺨﺩﺍﻡ ﺃﺠﻬﺯﺓ ﺍﻟﻭﻗﺎﻴﺔ ‪..................................................‬‬
‫‪.........................................................................‬‬
‫‪. .........................................................................‬‬
‫ﻙ‪ -‬ﺍﻟﻁﺭﻴﻘﺔ ﺍﻟﺘﻲ ﻴﺘﻡ ﺒﻬﺎ ﺍﻟﺘﺨﻠﺹ ﻤﻥ ﺍﻟﻨﻔﺎﻴﺎﺕ ﺒﻌﺩ ﺍﻟﺘﻌﻘﻴﻡ‬
‫‪ -١‬ﻤﺤﺭﻗﺔ ‪...............................................................‬‬
‫‪. ......................................................................‬‬
‫‪ -٢‬ﻤﺩﻓﻥ ﺼﺤﻲ ‪..........................................................‬‬
‫‪. ......................................................................‬‬
‫‪ -٣‬ﺃﺨﺭﻯ ‪...............................................................‬‬
‫‪. ......................................................................‬‬

‫‪-٥-‬‬