RESPONSABLE.

ROBINSON CERVERA
INSPECCIONADO POR: MILLER FLOREZ
ITEM SERIAL SMITH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

HN001
HN002
HN003
HN004
HN005
HN006
HN007
HN008
HN009
HN010
HN011
HN012
HN013
HN014
HN015
HN016
HN017
HN018
HN019
HN020
HN021
HN022
HN023
HN024
HN025
HN026
HN027
HN028
HN029
HN030
HN031
HN032
HN033
HN034
HN035
HN036
HN037
HN038
HN039
HN040
HN041
HN042

HERRAMIENTA

REFERENCIA

ESTADO
FECHA
INSPECCION X

43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

HN043
HN044
HN045
HN046
HN047
HN048
HN049
HN050
HN051
HN052
HN053
HN054
HN055
HN056
HN057
HN058
HN059
HN060
HN061
HN062
HN063
HN064
HN065
HN066
HN067
HN068
HN069
HN070
HN071
HN072
HN073
HN074
HN075
HN076
HN077
HN078
HN079
HN080
HN081
HN082
HN083
HN084
HN085
HN086
HN087
HN088
HN089
HN090
HN091
HN092
HN093
HN094

ESTADO
ESTADO
FECHA
FECHA
INSPECCION X
INSPECCION

OBSERVACION

RESPONSABLE. ANCELMO SAENZ

INSPECCIONADO POR: MILLER FLOREZ
ITEM SERIAL SMITH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

SN001
SN002
SN003
SN004
SN005
SN006
SN007
SN008
SN009
SN010
SN011
SN012
SN013
SN014
SN015
SN016
SN017
SN018
SN019
SN020
SN021
SN022
SN023
SN024
SN025
SN026
SN027
SN028
SN029
SN030
SN031
SN032
SN033
SN034
SN035
SN036
SN037
SN038
SN039
SN040
SN041
SN042

HERRAMIENTA

REFERENCIA

ESTADO
FECHA
INSPECCION X

43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

SN043
SN044
SN045
SN046
SN047
SN048
SN049
SN050
SN051
SN052
SN053
SN054
SN055
SN056
SN057
SN058
SN059
SN060
SN061
SN062
SN063
SN064
SN065
SN066
SN067
SN068
SN069
SN070
SN071
SN072
SN073
SN074
SN075
SN076
SN077
SN078
SN079
SN080
SN081
SN082
SN083
SN084
SN085
SN086
SN087
SN088
SN089
SN090
SN091
SN092
SN093
SN094

ESTADO
ESTADO
FECHA
FECHA
INSPECCION X
INSPECCION

OBSERVACION

RESPONSABLE. BERNARDINO BARRETO

INSPECCIONADO POR: MILLER FLOREZ
ITEM SERIAL SMITH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42

FN001
FN002
FN003
FN004
FN005
FN006
FN007
FN008
FN009
FN010
FN011
FN012
FN013
FN014
FN015
FN016
FN017
FN018
FN019
FN020
FN021
FN022
FN023
FN024
FN025
FN026
FN027
FN028
FN029
FN030
FN031
FN032
FN033
FN034
FN035
FN036
FN037
FN038
FN039
FN040
FN041
FN042

HERRAMIENTA

REFERENCIA

ESTADO
FECHA
INSPECCION X

43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94

FN043
FN044
FN045
FN046
FN047
FN048
FN049
FN050
FN051
FN052
FN053
FN054
FN055
FN056
FN057
FN058
FN059
FN060
FN061
FN062
FN063
FN064
FN065
FN066
FN067
FN068
FN069
FN070
FN071
FN072
FN073
FN074
FN075
FN076
FN077
FN078
FN079
FN080
FN081
FN082
FN083
FN084
FN085
FN086
FN087
FN088
FN089
FN090
FN091
FN092
FN093
FN094

ESTADO
ESTADO
FECHA
FECHA
INSPECCION X
INSPECCION

OBSERVACION

Aprobador: Jefe de Mantenimiento

FORMATO DE INSPECCION HERRAMIENTAS

RESPONSABLE:

ITEM SERIAL SMITH

INSPECCIONADO POR:

HERRAMIENTAS

REFERENCIA

FECHA
INSPECCION

BASE:

MECANICO

ESTADO
ELECTRICO

AREA:

AO

OBSERVACION

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Formato MTO No. 067

Rev. Nuevo 05/25/2010

Pg. 1 de 1