VERIFICACIN CICLOS DE

OPE

FECHA UEN ENERGY

REVISIN N PROCESO Workover TORRE

INSTRUCTIVO EVALUADO Instructivo INSTALACION Y DESINSTALACION "Y"-TOO

CRITERIOS EVALUACI

1. Se realiz la actividad siguiendo el instructivo en su totalidad?

SI NO OBSERVACIONES

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2. Si no coinciden el instructivo y la forma de realizar la actividad, Cul debe modificar

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3. Considera usted que el empleado conoce bien la operacin o actividad a realizar? S

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4. Qu comentarios hizo el empleado durante la revisin del ciclo de trabajo?

OBSERVACIN:
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REGISTRO REVISIO

5. Hizo el empleado alguna sugerencia acerca del instructivo? Si __ No__

OBSERVACIN:
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6. Estaba el rea de trabajo y el equipo en condiciones satisfactorias?

SI NO OBSERVACIN:
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7. Comentarios generales.
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8. Acciones y responsables sobre los comentarios generales.
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Empleado NOMBRE

Evaluador NOMBRE

Autoridad HSEQ
NOMBRE

Revisado (Jefe inmediato)

NOMBRE

Comentarios de quien revisa

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 F-CG-MS-015

OS DE TRABAJO - VCT DISCIPLINA Febrero de 2015

OPERATIVA Versin: 1
PAGINA 1 DE 2

EMPLEADO ID
EVALUADOR ID

"Y"-TOOL CON INSTRUMENT TUBE V 2 CDIGO I-EN-EE-408

UACIN CICLOS DE TRABAJO

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dificarse? Favor de explicar porqu.

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zar? S _____ No _____ favor de explicar porqu

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F-CG-MS-015
Abril de 2014
VISION CICLOS DE TRABAJO Versin: 1
PAGINA 2 DE 2

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FIRMA Fecha

FIRMA Fecha

FIRMA Fecha

FIRMA Fecha

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 F-CG-MS-015
Febrero de 2015
Versin: 1
PAGINA 1 DE 2
F-CG-MS-015
Abril de 2014
Versin: 1
PAGINA 2 DE 2