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Sample Form: مجوز ورود به فضای بسته

مخزن، چاه و کانال: گازسنجی، تهویه، نگهبان بیرون و طرح نجات.

10 questions · Free up to 50 responses a month

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About this template

“مجوز ورود به فضای بسته” has 10 questions; 9 are required and 1 optional. Question types: Short text (3), Decimal (3), Multiple choice (1), Long text (1), Time (1), Signature (1). 5 ready-made options across 1 choice questions, all editable in the online version.

In the online version of this template

  • Signatures are drawn on the phone or computer screen.
Related:Online form builder

Questions in this template

  1. 1.

    نام/شماره‌ی فضا *

    (Short text)
  2. 2.

    نفرات ورودی *

    (Short text)
  3. 3.

    نگهبان بیرون *

    (Short text)
  4. 4.

    اکسیژن (٪) *

    (Decimal)
  5. 5.

    گاز قابل اشتعال (٪LEL) *

    (Decimal)
  6. 6.

    H₂S (ppm)

    (Decimal)
  7. 7.

    کنترل‌ها *

    (Multiple choice)
    • ایزوله‌سازی خطوط
    • تهویه‌ی مکانیکی
    • روشنایی ضدانفجار
    • هارنس و طناب نجات
    • بی‌سیم
  8. 8.

    طرح نجات *

    (Long text)
  9. 9.

    اعتبار تا ساعت *

    (Time)
  10. 10.

    امضای صادرکننده *

    (Signature)

Printable or online?

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you
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Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too
Build the online version for free

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “مجوز ورود به فضای بسته”.
  3. Change the questions as you like, publish the form and send the link.

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