Title Page

  • Fecha y hora de realización;

  • Realizado por:

  • Add signature

  • RECUERDE QUE AL FINALIZAR EL LLENADO DE ESTE REGISTRO, DEBERÁ COMUNICAR A LOS INVOLUCRADOS (SIG y ÁREA O PERSONAL DEL ÁREA INVOLUCRADO)

SOBRE LA OCURRENCIA QUE DA ORIGEN AL BLOQUEO

  • Detalle:

SOBRE EL BLOQUEO ETIQUETADO:

  • MARQUE LA ETIQUETA UTILIZADA:

  • ¿Se le comunicó a las personas del área involucrada en el turno correspondiente?

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