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OPERATORUL ECONOMIC / INSTITUTIA ___________________________________________

Nivelul / incaperea / ___________________________________________________________

PLANUL DE DEPOZITARE SI DE EVACUARE A MATERIALELOR CLASIFICATE


CONFORM LEGII CA FIIND PERICULOASE

1. Numarul nivelului 7. Masuri de siguranta care


______________ trebuie luate la evacuarea
PLANUL DE DEPOZITARE SI DE EVACUARE CU AMPLASAREA materialelor care prezinta
2. Incaperi in care se afla MIJLOACELOR DE STINGERE pericol deosebit
substante sau bunuri de ___________________________________
evacuat ___________________________________
________________________________ ___________________________________
________________________________ ___________________________________
________________________________ ___________________________________
________________________________ ___________________________________
________________________________ ____________________________

3. Substante periculoase de 8. Locurile in care se afla


evacuat,tipul si cantitati mijloacele de iluminat mobile,
_______________________________ de transport auxiliare,
_______________________________ necesare evacuarii :
_______________________________ ___________________________________
___________________________________
4. Persoane care au atributii ___________________________________
pentru evacuarea ___________________________________
bunurilor/materialelor ______________________________
________________________________
________________________________ 9. Instructiuni de urmat in caz
________________________________ de
________________________________ incendiu_________________________
________________________________ ___________________________________
___________________________________
5. Ordinea in care se face ___________________________________
evacuarea ___________________________________
bunurilor/materialelor ___________________________________
________________________________ ___________________________________
________________________________ ___________________________________
________________________________ _____________________________
________________________________
________________________________ 10. Locurile de evacuare a
________________________________ bunurilor si materialelor
________________________________ periculoase in caz de incendiu
________________________________ ___________________________________
___________________________________
6. Precizari cu privire la Intocmit:Nume si ___________________________________
masuri de evacuare a prenume________________________________Semnatura___________ ___________________________________
substantelor periculoase: ___________________________________
________________________________ ___________________________________
________________________________ ____________________________
________________________________
________________________________

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