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<div class="table-wrap"><table data-ke-type="table" data-ke-align="alignLeft" style="width: 100%;" border="1"><tbody><tr><td><span style="color: #000000;">사업장 자체 화기작업 허가서 양식</span><span style="color: #000000;">(</span><span style="color: #000000;">관리용</span><span style="color: #000000;">/</span><span style="color: #000000;">게시용</span><span style="color: #000000;">)</span></td></tr></tbody></table></div><p><span style="color: #000000;">[</span><span style="color: #000000;">본 화재위험작업 허가서는 반드시 작업현장에 게시할 것</span><span style="color: #000000;">]</span></p><p><span style="color: #000000;"> </span></p><div class="table-wrap"><table data-ke-type="table" data-ke-align="alignLeft" style="width: 100%;" border="1"><tbody><tr><td colspan="11"><span style="color: #000000;">화재위험작업</span><span style="color: #000000;"> </span><span style="color: #000000;">허가서</span><br><span style="color: #000000;">허가일자</span><span style="color: #000000;">       </span><span style="color: #000000;">년</span><span style="color: #000000;">      </span><span style="color: #000000;">월</span><span style="color: #000000;">      </span><span style="color: #000000;">일</span></td></tr><tr><td><span style="color: #000000;">작업부서</span></td><td colspan="10"><span style="color: #000000;"> </span></td></tr><tr><td><span style="color: #000000;">작업일시</span></td><td colspan="10"><span style="color: #000000;">            </span><span style="color: #000000;">년</span><span style="color: #000000;">     </span><span style="color: #000000;">월</span><span style="color: #000000;">      </span><span style="color: #000000;">일</span><span style="color: #000000;">      </span><span style="color: #000000;">시 부터</span><span style="color: #000000;">       </span><span style="color: #000000;">시 까지</span><span style="color: #000000;">      </span></td></tr><tr><td><span style="color: #000000;">작업장소</span></td><td colspan="10"><span style="color: #000000;"> </span></td></tr><tr><td><span style="color: #000000;">작업내용</span></td><td colspan="10"><span style="color: #000000;"> </span></td></tr><tr><td rowspan="11"><span style="color: #000000;">작업현장</span><br><span style="color: #000000;">안전조치</span><br><span style="color: #000000;">확인사항</span></td><td colspan="7"><span style="color: #000000;">안전조치 요구사항</span></td><td colspan="2"><span style="color: #000000;">안전조치</span><br><span style="color: #000000;">해당여부</span></td><td><span style="color: #000000;">안전조치</span><br><span style="color: #000000;">실시여부</span></td></tr><tr><td colspan="7"><span style="color: #000000;">①작업준비 및 작업 절차 수립</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">②</span><span style="color: #000000;">작업구역 설정</span><span style="color: #000000;">(</span><span style="color: #000000;">작업장 주위에 경계표지 및 안전표지</span><span style="color: #000000;">)</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">③</span><span style="color: #000000;">작업장 주위 인화성 물질 제거</span><span style="color: #000000;">(</span><span style="color: #000000;">용접방호포 등 방호조치</span><span style="color: #000000;">)</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">④</span><span style="color: #000000;">작업장 주위 소화기 비치 및 소화시설 기능 확인</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑤화기작업 중 용접불티</span><span style="color: #000000;">, </span><span style="color: #000000;">불꽃 등 비산방지조치</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑥</span><span style="color: #000000;">인화성 물질의 증기·가스</span><span style="color: #000000;"> 환기조치</span><span style="color: #000000;">(</span><span style="color: #000000;">밀폐공간 강제환기</span><span style="color: #000000;">)</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑦작업근로자 화재예방 및 피난 교육 실시</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑧작업 전 및 작업 중 가스농도의 측정</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑨작업근로자 보호구 지급 및 착용여부 확인</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td colspan="7"><span style="color: #000000;">⑩</span><span style="color: #000000;">용접·용단작업 중 화재감시자 배치 및 방연장비 지급</span></td><td colspan="2"><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td></tr><tr><td><span style="color: #000000;">기</span><span style="color: #000000;">    </span><span style="color: #000000;">타 특별사항</span></td><td colspan="10"><span style="color: #000000;">[</span><span style="color: #000000;">안전조치 외 주의사항 등 기재</span><span style="color: #000000;">]</span><br><span style="color: #000000;"> </span></td></tr><tr><td rowspan="2"><span style="color: #000000;">가스농도</span><br><span style="color: #000000;">측</span><span style="color: #000000;">    </span><span style="color: #000000;">정</span></td><td><span style="color: #000000;">가스명</span></td><td><span style="color: #000000;">농도</span></td><td colspan="2"><span style="color: #000000;">측정시간</span></td><td colspan="2"><span style="color: #000000;">가스명</span></td><td colspan="2"><span style="color: #000000;">농도</span></td><td colspan="2"><span style="color: #000000;">측정시간</span></td></tr><tr><td><span style="color: #000000;"> </span></td><td><span style="color: #000000;"> </span></td><td colspan="2"><span style="color: #000000;"> </span></td><td colspan="2"><span style="color: #000000;"> </span></td><td colspan="2"><span style="color: #000000;"> </span></td><td colspan="2"><span style="color: #000000;"> </span></td></tr><tr><td><span style="color: #000000;">안전조치</span><br><span style="color: #000000;">확</span><span style="color: #000000;">    </span><span style="color: #000000;">인</span></td><td colspan="3"><span style="color: #000000;">                    </span><span style="color: #000000;">(</span><span style="color: #000000;">인</span><span style="color: #000000;">)</span><br><span style="color: #000000;">확인시간 </span><span style="color: #000000;">:</span><span style="color: #000000;">  </span></td><td colspan="2"><span style="color: #000000;">사업주</span><br><span style="color: #000000;">확</span><span style="color: #000000;">  </span><span style="color: #000000;">인</span></td><td colspan="5"><span style="color: #000000;">                     </span><span style="color: #000000;">(</span><span style="color: #000000;">인</span><span style="color: #000000;">)</span><br><span style="color: #000000;">확인시간 </span><span style="color: #000000;">:</span><span style="color: #000000;">  </span></td></tr><tr><td rowspan="2"><span style="color: #000000;">작업승인</span><br><span style="color: #000000;">연</span><span style="color: #000000;">    </span><span style="color: #000000;">장</span></td><td colspan="10"><span style="color: #000000;">            </span><span style="color: #000000;">년</span><span style="color: #000000;">      </span><span style="color: #000000;">월</span><span style="color: #000000;">      </span><span style="color: #000000;">일</span><span style="color: #000000;">       </span><span style="color: #000000;">시부터</span><span style="color: #000000;">       </span><span style="color: #000000;">시까지</span></td></tr><tr><td colspan="10"><span style="color: #000000;">     </span><span style="color: #000000;">확인자 </span><span style="color: #000000;">:</span><span style="color: #000000;">                </span><span style="color: #000000;">(</span><span style="color: #000000;">인</span><span style="color: #000000;">)</span><span style="color: #000000;">   </span><span style="color: #000000;">확인시간 </span><span style="color: #000000;">:</span><span style="color: #000000;">    </span></td></tr></tbody></table></div><p><span style="color: #000000;">※ </span><span style="color: #000000;">PSM </span><span style="color: #000000;">대상사업장에서는 보고서의 ‘안전작업허가 및 절차’ 또는 </span><span style="color: #000000;">KOSHA GUIDE P-94-2017(</span><span style="color: #000000;">안전작업허가지침</span><span style="color: #000000;">)</span><span style="color: #000000;">를 참고하여 적용</span></p><p><span style="color: #000000;"> </span></p>
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사업장 자체 화기작업 허가서 양식(관리용/게시용)
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21.12.03 04:41
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