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CHECK LIST
CONJUNTO OXI-ACETILENO
Acompanhamento
anual
Conjunto nº
ÁREA :
Aprovado por: Preparado por : Revisão nº 00
Depto. Data:
No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ
1. O carrinho de transporte encontra-se
perfeito?
2. Os cilindros encontram-se presos?
3. Válvulas reguladoras em bom estado?
4. Conexões com encaixe perfeito?
5. Manômetros funcionando perfeitamente?
6. Existe válvulas corta – chama ?
7. Braçadeiras estão em bom estado?
8. Mangueiras sem ressecamento/
rachaduras/emendas?
9. Existem válvulas de retenção?
10. O maçarico encontra-se em perfeito estado?
11. Bico do maçarico desobstruído e limpo?
12.
Nº de desvios ( X )
Data da inspeção
Assinatura
Setor deSegurança
OBSERVAÇÕES_____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
CHECK LIST
CONJUNTO OXI-ACETILENO
Acompanhamento
anual
Conjunto nº
ÁREA :
Aprovado por: Preparado por : Revisão nº 00
Depto. Data:
No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ
13. O carrinho de transporte encontra-se
perfeito?
14. Os cilindros encontram-se presos?
15. Válvulas reguladoras em bom estado?
16. Conexões com encaixe perfeito?
17. Manômetros funcionando perfeitamente?
18. Existe válvulas corta – chama ?
19. Braçadeiras estão em bom estado?
20. Mangueiras sem ressecamento/
rachaduras/emendas?
21. Existem válvulas de retenção?
22. O maçarico encontra-se em perfeito estado?
23. Bico do maçarico desobstruído e limpo?
24.
Nº de desvios ( X )
Data da inspeção
Assinatura
Setor deSegurança
CHECK LIST
CONJUNTO OXI-ACETILENO
Acompanhamento
anual
Conjunto nº
ÁREA :
Aprovado por: Preparado por : Revisão nº 00
Depto. Data:
No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ
25. O carrinho de transporte encontra-se
perfeito?
26. Os cilindros encontram-se presos?
27. Válvulas reguladoras em bom estado?
28. Conexões com encaixe perfeito?
29. Manômetros funcionando perfeitamente?
30. Existe válvulas corta – chama ?
31. Braçadeiras estão em bom estado?
32. Mangueiras sem ressecamento/
rachaduras/emendas?
33. Existem válvulas de retenção?
34. O maçarico encontra-se em perfeito estado?
35. Bico do maçarico desobstruído e limpo?
36.
Nº de desvios ( X )
Data da inspeção
Assinatura
Setor deSegurança
TABELA PARA CÁLCULO
INSPEÇÕES = 20% DO TOTAL
0,000 = 80%
0,002 = 70%
0,004 = 60%
0,007 = 50%
0,010 = 40%
0,016 = 30%
0,020 = 20%
0,025 = 10%
0,030 = 00%
LEGENDA
S  SIM
N  NÃO
Fórmula para cálculo:
Nº de desvios ( X )
Nº total de inspeções ( 8 )
+ 20%
OBSERVAÇÃO:
Qualquer desvio encontrado
anula os itens perfeitos.
O equipamento deverá ser
substituído.

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check OXI-ACETILENO.doc

  • 1. CHECK LIST CONJUNTO OXI-ACETILENO Acompanhamento anual Conjunto nº ÁREA : Aprovado por: Preparado por : Revisão nº 00 Depto. Data: No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ 1. O carrinho de transporte encontra-se perfeito? 2. Os cilindros encontram-se presos? 3. Válvulas reguladoras em bom estado? 4. Conexões com encaixe perfeito? 5. Manômetros funcionando perfeitamente? 6. Existe válvulas corta – chama ? 7. Braçadeiras estão em bom estado? 8. Mangueiras sem ressecamento/ rachaduras/emendas? 9. Existem válvulas de retenção? 10. O maçarico encontra-se em perfeito estado? 11. Bico do maçarico desobstruído e limpo? 12. Nº de desvios ( X ) Data da inspeção Assinatura Setor deSegurança OBSERVAÇÕES_____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________
  • 2. CHECK LIST CONJUNTO OXI-ACETILENO Acompanhamento anual Conjunto nº ÁREA : Aprovado por: Preparado por : Revisão nº 00 Depto. Data: No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ 13. O carrinho de transporte encontra-se perfeito? 14. Os cilindros encontram-se presos? 15. Válvulas reguladoras em bom estado? 16. Conexões com encaixe perfeito? 17. Manômetros funcionando perfeitamente? 18. Existe válvulas corta – chama ? 19. Braçadeiras estão em bom estado? 20. Mangueiras sem ressecamento/ rachaduras/emendas? 21. Existem válvulas de retenção? 22. O maçarico encontra-se em perfeito estado? 23. Bico do maçarico desobstruído e limpo? 24. Nº de desvios ( X ) Data da inspeção Assinatura Setor deSegurança
  • 3. CHECK LIST CONJUNTO OXI-ACETILENO Acompanhamento anual Conjunto nº ÁREA : Aprovado por: Preparado por : Revisão nº 00 Depto. Data: No. ITEM JAN FEV MAR ABR MAI JUN JUL AGO SET OUT NOV DEZ 25. O carrinho de transporte encontra-se perfeito? 26. Os cilindros encontram-se presos? 27. Válvulas reguladoras em bom estado? 28. Conexões com encaixe perfeito? 29. Manômetros funcionando perfeitamente? 30. Existe válvulas corta – chama ? 31. Braçadeiras estão em bom estado? 32. Mangueiras sem ressecamento/ rachaduras/emendas? 33. Existem válvulas de retenção? 34. O maçarico encontra-se em perfeito estado? 35. Bico do maçarico desobstruído e limpo? 36. Nº de desvios ( X ) Data da inspeção Assinatura Setor deSegurança TABELA PARA CÁLCULO INSPEÇÕES = 20% DO TOTAL 0,000 = 80% 0,002 = 70% 0,004 = 60% 0,007 = 50% 0,010 = 40% 0,016 = 30% 0,020 = 20% 0,025 = 10% 0,030 = 00% LEGENDA S  SIM N  NÃO Fórmula para cálculo: Nº de desvios ( X ) Nº total de inspeções ( 8 ) + 20% OBSERVAÇÃO: Qualquer desvio encontrado anula os itens perfeitos. O equipamento deverá ser substituído.