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Załącznik Nr .................. |
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.............................................. |
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(pieczęć zakładu pracy) |
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KARTA EWIDENCJI ODZIEŻY I OBUWIA ROBOCZEGO ORAZ ŚRODKÓW INDYWIDUALNEJ OCHRONY |
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Pan(i) ................................................... .............................................................. .................................................................... |
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(nazwisko i imię) (stanowisko) (data rozpoczęcia pracy) |
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Symbol |
Nazwa przedmiotu |
% |
Okres |
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Jednostka |
Data |
Data |
Liczba |
Potwierdzenie |
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Numer |
Uwagi |
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przydat- |
używal- |
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miary |
pobrania |
zdania |
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odbioru |
zdania |
protokołu |
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ności |
ności |
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strat |
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0 |
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