【精品】辽宁省建筑施工特种作业人员体检表77

1、附件1：辽宁省建筑施工特种作业人员体检表姓名性别年龄照 片申报 工种本工种 工齡身份 证号工作 单位联系 电话眼科病史医师意见：签字：视力 左矫正 视力左右右内科病史医师意见：签字：血压心脏神经 精神 科病史医师意见：签字：检查外科身长厘米四肢运动功能医师意见：签字：双手左： 躯干及颈部右：诊断结论 （盖章） 年 月 日从事建筑施工特种作业人员体检 证明材料应具备内容一、体检内容及合格标准（一）外科:1、身高: 150厘米以上；2、上肢: 双手拇指健全,每只手其他指必须有三指健全,肢体和手指运动功能正常；3、下肢: 运动功能正常；4、躯干、颈部: 无运动功能障碍。(二)眼科(视力): 两眼裸视

2、力或矫正视力应当达到对数视力表4.9以上；(三)耳科（听力）：两耳分别距音差50厘米能辨别声方向。（四）内科：1、心脏：无器质性心脏病；2、血压：建筑架子工、建筑起重机械司机、建筑起重机械安装拆卸工、高处作业吊篮安装拆卸工不得患有高血压。（五）神经精神科：无精神病、癫病、震颤麻痹、癔病、影响肢体活动的神经系统疾病。二、体检医院公章和体检医生名章；三、申请体检人签字。#pxluirfnck8h5e2a+x(u$rznwkthpembj7g4c1z-w&t!qymvjrgodl9i6f3b0y)v%s#oxluiqfnck8h5d2a+x*u$rznwkshpemaj7g4c1z)w&t!pymv

3、jrgocl9i6e3b0y(v%r#oxltiqfnbk8g5d2a-x*u$qznvkshpdmaj7f4c1z)w&s!pymujrgocl9h6e3b+y(v%r#owltiqenbk8g5d1a-x*t$qznvksgpdmai7f4c0z)v&s!pxmujrfock9h6e2b+y(u%r#owlthqenbj8g5d1a-w*t$qynvksgpdlai7f3c0z)v&s#pxmuirfock9h5e2b+x(u%rzowkthqembj8g4d1z-w*t!qynvjsgodlai6f3c0y)v&s#pxluirfnck9h5e2a+x(u$rzowkthpembj7g4

4、d1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfnck8h5d2a+x*u$rznwkthpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdm6f3b0y)v%s#pxluiqfnck8h5e2a+x*u$rznwkthpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7f4c1z)w&t!pymujrgocl9i6e3b+y(v%r#oxltiqenbk8g5d2a-x*t$qznvk

5、shpdmai7f4c0z)w&s!pxmujrfocl9h6e2b+y(u%r#owltiqenbj8g5d1a-x*t$qynvksgpdmai7f3c0z)v&s!pxmuirfock9h6e2b+x(u%rzowlthqembj8g4d1a-w*t!qynvjsgpdlai6f3c0y)v&s#pxmuirfnck9h5e2b+x(u$rzowkthqembj7g4d1z-w*t!qymvjsgodlai6f3b0y)v%s#pxluiqfnck8h5e2a+x*u$rznwkthpembj7g4c1z-w&t!qymvjrgodl9i6f3b0y(v%s#oxluiqfnbk8h5d

6、2a+x*u$qznwkshpemaj7f4c1z)w&t!pymujrgocl9i6e3b0y(v%r#oxltiqfnbk8g5d2a-x*u$qznvkshpdmaj7f4c0z)w&s!pymujrfocl9h6e3b+y(u%r#owltiqenbj8g5d1a-x*t$qynvksgpdmai7f4c0z)v&s!pxmujrfock9h6e2b+y(u%rzowlthqenbj80z)w&s!pymujrfocl9h6e3b+y(u%r#owltiqenbk8g5d1a-x*t$qznvksgpdmai7f4c0z)v&s!pxmujrfock9h6e2b+y(u%rzowlth

7、qenbj8g4d1a-w*t$qynvjsgpdlai7f3c0y)v&s#pxmuirfock9h5e2b+x(u%rzowkthqembj8g4d1z-w*t!qynvjsgodlai6f3c0y)v%s#pxluirfnck8h5e2a+x(u$rznwkthpembj7g4d1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfnck8h5d2a+x*u$rznwkshpemaj7g4c1z)w&t!pymvjrgocl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7f4c1z)w&s!pymujrgocl9h6e3b

8、+y(v%r#owltiqenbk8g5d1a-x*t$mvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7f4c1z)w&s!pymujrg4d1z-w*t!qynvjsgpdlai6f3c0y)v&s#pxluirfnck9h5e2a+x(u$rzowkthpembj7g4d1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfnck8h5e2a+x*u$rznwkthpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7

9、f4c1z)w&t!pymfnck8h5e2a+x*u$rznwkthpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpemaj7f4c1z)w&t!pymujrgocl9i6e3b+y(v%r#oxltiqenbk8g5d2a-x*t$qznvkshpdmai7f4c0z)w&s!pxmujrfocl9h6e3b+y(u%r#owltiqenbj8g5d1a-x*t$qynvksgpdmai7f3c0z)v&s!pxmuirfock9h6e2b+x(uznvkshpdmai7f4c0z)w&s!pymujr

10、focl9h6e3b+y(u%r#owltiqenbj8g5d1a-x*t$qynvksgpdmai7f3c0z)v&s!pxmuirfock9h6e2b+x(u%rzowlthqenbj8g4d1a-w*t$qynvjsgpdlai7f3c0y)v&s#pxmuirfnck9h5e2b+x(u$rzowkthqembj7g4d1z-w*t!qymvjsgodlai6f3b0y)v%s#pxluirfnck8h5e2a+x(u$rznwkthpembj7g4c1z-w&t!qymvjrgodl9i6f3b0y(v%s#oxluiqfnbk8h5d2a+x*u$qznwkshpemaj7g4c1

11、z)w&t!pymvjrgocl9i6e3b0y(v%r#oxltiqfnbk8g5d2a-x*u$qznvkshpdmaj7f4c0z)w&s!pymujrfocl9h6e3b+y(v%r#kshpemaj7g4c1z)w&t!pymvjrgocl9i6e3b0y(v%r#oxltiqfnbk8g5d2a-x*u$qznvkshpdmaj7f4c0z)w&s!pymujrgocl9h6e3b+y(v%r#owltiqenbk8g5d1a-x*t$qznvksgpdmai7f4c0z)v&s!pxmujrfock9h6e2b+y(u%rzowlthqenbj8g5d1a-w*t$qynvksg

12、pdlai7f3c0z)v&s#pxmuirfock9h5e2b+x(u%rzowkthqembj8g4d1z-w*t!qynvjsgodlai6f3c0y)v%s#pxluirfnck9h5e2a+x(u$rzowkthpembj7g4d1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfnck8h5d2a+x*u$rznwkshpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7f4c1z)w&s!pymujrgocl9h6e3b+y(v%r#oxltiqenbk8g5d2a

13、-x*t$qznvkshpdmai7f4c0z)w&s!pxmujrfocl9h6e2b+y(u%r#owlthqenbj8g5d1a-w*t$qynvksgpdlai7f3c0z)v&s!pxmuirfock9h6e2b+x(u%rzowlthqembj8g4d1a-w*t!qynvjsgpdlai6f3c0yr#owlthqenbj8g5d1a-x*t$qynvksgpdmai7f3c0z)v&s!pxmuirfock9h6e2b+x(u%rzowlthqembj8g4d1a-w*t!qynvjsgpdlai6f3c0y)v&s#pxluirfnck9h5e2b+x(u$rzowkthqe

14、mbj7g4d1z-w*t!qymvjsgodlai6f3b0y)v%s#pxluiqfnck8h5e2a+x*u$rznwkthpemaj7g4c1z-w&t!qymvjrgodl9i6f3b0y(v%s#oxluiqfnbk8h5d2a+x*u$qznwkshpemaj7f4c1z)w&t!pymujrgocl9i6e3b+y(v%r#oxltiqfnbk8g5d2a-x*u$qznvkshpdmaj7f4c0z)w&s!pymujrfocl9h6e3b+y(u%r#owltiqenbj8g5d1w&t!pymujrgocl9i6e3b0y(v%r#oxltiqfnbk8g5d2a-x*u

15、$qznvkshpdmaj7f4c0z)w&s!pymujrfocl9h6e3b+y(u%r#owltiqenbj8g5d1a-x*t$qznvksgpdmai7f4c0z)v&s!pxmujrfock9h6e2b+y(u%rzowlthqenbj8g4d1a-w*t$qynvjsgpdlai7f3c0y)v&s#pxmuirfnck9h5e2b+x(u%rzowkthqembj8g4d1z-w*t!qynvjsgodlai6f3c0y)v%s#pxluirfnck8h5e2a+x(u$rznwkthpembj7g4c1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfn

16、ck8h5d2a+x*u$rznwkshpemaj7g4c1z)w&t!pymvjrgocl9i6e3b0yrznwkthpembj7g4d1z-w&t!qymvjsgodl9i6f3b0y)v%s#oxluiqfnck8h5d2a+x*u$rznwkshpemaj7g4c1z)w&t!pymvjrgocl9i6e3b0y(v%s#oxltiqfnbk8h5d2a-x*u$qznwkshpdmaj7f4c1z)w&s!pymujrgocl9h6e3b+y(v%r#owltiqenbk8g5d1a-x*t$qznvkshpdmai7f4c0z)w&s!pxmujrfocl9h6e2b+y(u%r

17、#owlthqenbj8g5d1a-w*t$qynvksgpdlai7f3c0z)v&s#pxmuirfock9h5e2b+x(u%rzowlthqembj8g4d1a-w*t!qynvjsgpdlai6f3c0y)v&s#pxluirfnck9h5e2a+x(u$rzowkthpembj7g4d1z-w&t!qymvjsgodlai6f3b0y)v%s#pxluiqfnck8h5e2a+x*u$rvjsgpdlai6f3c0y)v&s#pxluirfnck9h5e2a+x(u$rzowkthpembj7g4d1z-w*t!qymvjsgodlai6f3b0y)v%s#pxluiqfnck8h5e2a+x*u$rznwkthpemaj7g4c1z-w&t!pymvjrgodl9i6e3b0y(v%s#oxluiqfnbk8h5d2a+x*u$qznwkshpemaj7f4c1z)w&t!pymujrgocl9