应急抢险单应急抢修单编号______________1、抢修工作负责人(监护人)____________班组______________2、抢修班人员(不包括抢修工作负责人)__________________________________________________________________________________________________________________________共______人。3、抢修任务(抢修地点和抢修内容)__________________________________________________________________________________________________________________________________________________________________________4、安全措施_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________5、抢修地点保留带电部分或注意事项__________________________________________________________________________________________________________________________________________________________________________6、上述各项由抢修工作负责任人___________根据抢修任务布置人___________的布置填写。7、经现场勘察需补充下列安全措施__________________________________________________________________________________________________________________________________________________________________________经许可人(运行人员)___________同意(____月____日____时____分)后已执行。8、许可抢修时间_________年____月____日____时____分工作许可人(运行人员)______________9、抢修结束汇报本抢修工作于_________年____月____日____时____分结束。现场设备状况及保留安全措施:__________________________________________________________________________________________________________________________________________________________________________抢修班人员已全部撤离,材料、工具清理完毕,紧急抢修单已终结。抢修工作负责人:___________工作许可人(运行人员):___________填写时间:_________年____月____日____时____分