檢查人：??????????? ??????????????????????????????????????????????????????????檢查時間：??????????????????????? 編號：
| 序號 | ? ? 評價? ? ?? ? 日期? ? ?? ? 檢查內容? | 檢查評價 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 1 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
| 1 | 各崗位安全作業(yè)情況 |
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| 2 | 設備運行秩序 |
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| 3 | 消防設施是否完好 |
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| 4 | 用電安全 |
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| 5 | 安全通道是否暢通 |
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| 6 | 警示標志是否完好 |
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| 7 | 安全設施是否正常使用 |
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| 8 | 備注 |
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夏季消防火災隱患自查表
