Утверждение

Ts 15359652-90720-14:2022-3

Yuqori xavfli ishlarni bajarish ruxsatnomasi
«UzAuto Motors» AJ


TASDIQLAYMAN
___________________________
(Lavozim, bo‘linma nomi)
__________________
(Imzo, to‘liq ism, bo‘lim boshlig‘i)

Ruxsatnoma / Pre Task Planning

yuqori xavfli ishlarni bajarish uchun
«____» _____________ 20___ y.

1. 
   Ruxsatnoma
   

1. 
   Ma’sul ish bajaruvchiga __________________________jamoa a’zolari bilan _________ kishi quyidagi ishlarni bajarish: ________________________________________________________________________
   

^{(bajariladigan ishlar,ish joyi)}

2. 
   Ishni bajarish uchun kerakli anjomlar:
   

Materiallar _______________________________________________________________
Asboblar_________________________________________________________________
Ximoya vositalari__________________________________________________________

3. 
   Ish joylarini tayyorlash va bajarishda quyidagi xavfsizlik choralari:
   

________________________________________________________________________________________________________________________________________________
^{(mehnat muhofazasini ta’minlashda kerakli tadbirlar va ximoya vositalari)}
4.Alohida ko‘rsatmalar _____________________________________________________
5. Ishni boshlanishi soat ____ daqiqa___ «___» _____________ 20___y.
Ishni tugallanishi soat ____ daqiqa ____ «___» _____________ 20___y.
Ish tartibi _____________________________________________________________
^{(birinchi-, ikkinchi-, uchinchi smena)}
6. Ish rahbari etib tayinlanadi _______________________________
^{( lavozim, I.F.O.)}
6.1. Ruxsatnoma berdi __________________________
^(imzo)
6.2. Ruxsatnomani qabul qildi: _______________________________________________
^{(lavozimi, I.F.O. imzo)}
7. Mehnat xavfsizligini ta’minlash buyicha chora-tadbirlar va ish tartibi MM, SX va  ekologiya bo‘linmasi bilan kelishib olindi: ____________________________________________________________­­­__________
^{(lavozimi, I.F.O. imzo)}