1. Mudofaa va milliy xavfsizlik / Favqulodda vaziyatlar. Ommaviy tartibsizliklar]

Olovli ishlarni olib borish uchun naryad-ruxsatnoma

1. __________________________________________________________________________________________
(sana, ish boshqaruvchining lavozimi,

_____________________________________________________________________________ (kimga) berilgan.

ishni olib borishga mas’ul, F.I.O.,)

2. ________________________________________________________________________________________

(ishning xususiyati va maqsadi ko‘rsatiladi)

__________________________________________________________________________ ishni bajarish uchun.

3. Ish bajarish joyi __________________________________________________________________________
(bo‘linma, maydon, qurilma,

___________________________________________________________________________________________

apparat, ishlab chiqarish joyi, xona)

4. Ijrochilarning tarkibi

T/r

Ijrochilarning F.I.O.

Malaka (toifasi)

Yong‘inga qarshi yo‘l-yo‘riqni oldim

Imzo

Sana

1.

2.

3.

5. Rejalashtirilgan ish vaqti: Boshlanish vaqti __ ___ sana ______ Yakunlanish vaqti __ ___ sana ______ 6. Ish joylarining (joyining) yong‘in xavfsizligini ta’minlash choralari ____________________________________________________________________________________________

(ish joyini tayyorlash vaqtida amalga oshiriladigan ____________________________________________________________________________________________ yong‘in xavfsizligining tashkiliy va texnik choralari ko‘rsatiladi) ____________________________________________________________________________________________

7. Kelishilgan: obyektdagi xizmatlar bilan,

____________________________________________________________________________________________ (sana, olovli ishlar olib boriladigan xizmatlarning nomi, ____________________________________________________________________________________________ mas’ulning F.I.O, imzo) ____________________________________________________________________________________________ (sex, maydon, mas’ulning F.I.O, imzo�i)

8. Ish joyi tayyorlandi: tayyorgarlik uchun javobgar

___________________________________________________ (lavozimi, F.I.O., imzo) ___________________________________________________ ___________________________________________________ (sana, vaqti)

9. Naryad-ruxsatnoma

____________________________________________________________________________________ (sana, vaqti, naryadni bergan shaxsning imzosi,

____________________________________________________________________________ gacha uzaytirilgan.

F.I.O., lavozimi)

10. Naryad-ruxsatnomani uzaytirish (7-bandga muvofiq) ____________________________________________________________________________________________

(sana, xizmatiing nomi, mas’ulning lavozimi, __________________________________________________________________________________kelishilgan. F.I.O., imzo)

11. Ijrochilar jamoasi tarkibidagi o‘zgarishlar

Ijrochilar jamoasiga kiritildi

Ijrochilar jamoasidan chiqarildi

Ish rahbari (imzo)

F.I.O.

Ish shartlari bilan tanishtirildi, yo‘l-yo‘riq berildi (imzo)

Malaka (toifasi)

Bajariladigan vazifa

Vaqti, sanasi

F.I.O.

Vaqti, sanasi

Bajari ladigan vazifa

12. Ish to‘liq bajarildi, ish joylari tartibga keltirildi, asboblar va materiallar olib tashlandi, odamlar chiqarildi, naryad-ruxsatnoma yopildi ___________________________________________________________________________________________

(ish rahbari, imzo, sana, vaqti) ___________________________________________________________________________________________ (smena boshlig‘i (smena bo‘yicha rahbar) ish bajariladigan joy bo‘yicha, ___________________________________________________________________________________________ F.I.O., imzo, sana, vaqti)

* Agar ishlarni xavfsiz olib borishni tartibga soluvchi normativ hujjat talab qilsa.
Yong‘in xavfsizligi qoidalariga
12-ILOVA