TY.FR.001 - YANGIN DOLABI KONTROL FORMU

Doküman Kodu: TY.FR.001
Yayın Tarihi: 18.04.2016
Revizyon Tarihi: 20.10.2022
Revizyon No: 2
Paylaş:
DİKKAT! Buradaki bilgiler sağlık profesyonelleri için hazırlanmıştır. Arama motorları vs. ile bu sayfadaki bilgilere ulaştıysanız, sağlık profesyonellerine danışmadan, sadece buradaki bilgiler ile hareket etmeyiniz.
Doküman Önizlemesi

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Demo Hastanesi (Prokalite.Com) YANGIN DOLABI KONTROL FORMU
Doküman Kodu: TY.FR.001
Yayın Tarihi: 18.04.2016
Revizyon Tarihi: 20.10.2022
Revizyon No: 2
Sayfa: Otomatik
DOLAP NO
BULUNDUĞU YER
HORTUM DELİK KONTROLÜ
HORTUM UCU KONTROLÜ
VANA KONTROLÜ
DOLAP KAPAK VE İÇ KONTROLÜ
PAS KONTROLÜ
KONTROL EDEN
TARİH/SAAT
AÇIKLAMA
Uygun
Uygun Değil
Uygun
Uygun Değil
Uygun
Uygun Değil
Uygun
Uygun Değil
Uygun
Uygun Değil
Ad Soyadı
İmza
*Her ay kontrol yapılıp kayıt altına alınacaktır.
Tesis Yönetimi bölümündeki diğer form örnekleri

Tümünü gör (24)
TY.FR.001 HAŞERE İLAÇLAMA FORMU TY.FR.002 YANGIN TÜPÜ KONTROL FORMU TY.FR.003 YANGIN TÜPÜ AYLIK KONTROL FORMU TY.FR.004 BİNA TURU FORMU TY.FR.005 3 AYLIK- 6 AYLIK - YILLIK JENERATÖR BAKIM FORMU TY.FR.006 SU DEPOLARI HAFTALIK KLOR ÖLÇÜMLERİ TAKİP FORMU TY.FR.007 MEDİKAL GAZ BASINÇLARI GÜNLÜK KONTROL FORMU TY.FR.008 MERKEZİ SİSTEM MEDİKAL GAZ GÜNLÜK KONTROL FORMU
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<table style="border-collapse:collapse; width:1292px" class=" cke_show_border" cellspacing="0"><tbody><tr><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:60px; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">DOLAP NO</span></strong></span></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:133px"><span style="font-size:11px"><strong><span style="color:black">BULUNDUĞU YER</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><strong><span style="color:black">HORTUM DELİK KONTROLÜ</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><strong><span style="color:black">HORTUM UCU KONTROLÜ</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><strong><span style="color:black">VANA KONTROLÜ</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><span style="color:black"><strong>DOLAP KAPAK VE İÇ KONTROLÜ</strong></span></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><strong><span style="color:black">PAS KONTROLÜ</span></strong></span></td><td colspan="2" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:128px"><span style="font-size:11px"><strong><span style="color:black">KONTROL EDEN</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">TARİH/SAAT</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:118px"><span style="font-size:11px"><strong><span style="color:black">AÇIKLAMA</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:30px; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun Değil</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun Değil</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun Değil</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun Değil</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Uygun Değil</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">Ad Soyadı</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">İmza</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><strong><span style="color:black">&nbsp;</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:118px"><span style="font-size:11px"><strong><span style="color:black">&nbsp;</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:21px; text-align:center; vertical-align:middle; width:64px"><span style="font-size:13px"><strong><span style="color:black">&nbsp;</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:133px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; 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border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:118px"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:21px; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:133px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:118px"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:21px; text-align:center; vertical-align:middle; width:64px"><span style="font-size:13px"><strong><span style="color:black">&nbsp;</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:133px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:11px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:64px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:118px"><span style="font-size:16px"><span style="color:black">&nbsp;</span></span></td></tr></tbody></table><p><span style="font-size:14px"><em>*Her ay kontrol yapılıp kayıt altına alınacaktır.&nbsp;</em></span></p>