Title Page

  • Central / Site:

  • Realizado por / Performed by:

  • Data / Date:

Inspeção Visual módulos / Modules Visual Inspection

  • Foram encontrados módulos danificados / Damaged modules were found?

  • Módulo / Module
  • CJ / STRING Nº/ MODULE Nº/MODEL

  • Número de série/Serial number:

Sujidade dos módulos / Modules soiling

  • Após efetuar a limpeza parcial de um módulo, tire uma fotografia entre a zona limpa e suja / After partially cleaning a module, take a picture between the clean and dirty area:

  • Nível de sujidade / Soiling level:

Conclusão / Conclusion

  • Alguma sugestão de ações a realizar / Suggestions ?

  • Fim da intervenção / End of Intervetion:

  • Assinatura / Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.