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Safety · Form

Sample Form: درخواست تعویض تجهیزات ایمنی

درخواست کفش، کلاه، دستکش و… با سایز و دلیل تعویض.

6 questions · Free up to 50 responses a month

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About this template

“درخواست تعویض تجهیزات ایمنی” has 6 questions; 5 are required and 1 optional. Question types: Short text (1), Employee ID (1), Repeating table (1), Single choice (1), Long text (1), Signature (1). 4 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 *

    (Short text)
  2. 2.

    کد پرسنلی *

    (Employee ID)
  3. 3.

    اقلام *

    (Repeating table)
  4. 4.

    دلیل *

    (Single choice)
    • شروع کار
    • فرسودگی
    • مفقودی
    • آسیب در حادثه
  5. 5.

    شرح آسیب/حادثه

    (Long text)
  6. 6.

    امضای درخواست‌کننده *

    (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 “درخواست تعویض تجهیزات ایمنی”.
  3. Change the questions as you like, publish the form and send the link.

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