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DAÑOS MATERIALES
Identificación de la propiedad
dañada:
Naturaleza del daño:
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Nombre Responsable
Investigación Cargo Firma Fecha
Nombre Administrador De
Obra Cargo Firma Fecha
DECLARACIÓN DE SUPERVISOR
NOMBRE:
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NOMBRE TESTIGO
CARGO
RUT
FIRMA
DECLARACION DE TESTIGO
NOMBRE TESTIGO
CARGO
RUT
FIRMA
DECLARACIÓN DE ACCIDENTADO
NOMBRE:
RUT:
EMPRESA:
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ANEXO FOTOGRAFICO