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: ___________________________________ ________________________________ ___________________________________ ________________________________ ____________________________ ________________________________ ________________________________