文本内容:
附件有限空间作业审批表(样表)工作内容作业地点XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX作业单位XXXXXXXXXXXXXXXXXXX作业负责人安全监护人XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX作业人员XXXXXXXXXXXXXXXXXXX作业时间月日时分至月日时分序号安全措施主要内容确认人签字1作业人员安全交底XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX2氧气浓度、有害气体检测通风措施3XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX个人防护用品使用4XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX照明措施5XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX应急器材配备6XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX现场监护7XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX其他补充措施8XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXX作业安全条件及措施确认XXXXXXXXXXXXXXXXXXX作业负责人年月日企业授权审批部门审批意见XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX签发人年月日(此表一式二份,第一联审批部门保留,第二联作业单位保留)注该审批表是进入有限空间作业的依据,不得涂改且要求审批部门存档时间至少一年。