Formato de Camillas Mensual

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Formato para realizar inspección mensual a las camillas

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Formato para realizar inspección mensual a las camillas

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Formato de Camillas Mensual

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Formato para realizar inspección mensual a las camillas

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MÓLITOR S.A.

MÒLITOR S.A.S. NIOMBRE DE PROYECTO:

Diseño, Urbanismo y
Construcción INSPECCION DE CAMILLAS
__________________
CODIGO: FECHA: REVISION:

INSPECCIÓN DE CAMILLAS DE PRIMEROS AUXILIOS

Fecha_Realizada por: _________________

lugar:________________ Área_________________________________

ESTADO BUENO REGULAR MALO

Instalación (sitio de ubicación) _ _ _______

Señalización _ _ _______

Inmovilizador de cuello _ _ _______

Inmovilizador de brazo

Estado del plástico y/o

camilla

Correas de Seguridad _ _ _______

Sujetadores para Cargue _ _ _______

Crucetas de Seguridad _ _ _______

Soporte de Descanso _ _ _______

NOVEDADES ENCONTRADAS PARA SER CORREGIDAS

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
NOTA: Las novedades encontradas deberán estar solucionadas antes de la próxima inspección.

Firma del Inspector y/o encargado:__________________________

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