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    ["fields_name"] => string(8) "fields_0"
    ["fields_value"] => string(0) ""
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    ["fields_title"] => string(15) "姓名或工號"
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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      [3] => string(7) "車工
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      [4] => string(7) "普工
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      [5] => string(7) "其他
"
    }
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  ["fields_3"] => array(4) {
    ["fields_title"] => string(39) "本人身體狀況是否有不良反映"
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      [0] => string(4) "是
"
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"
      [2] => string(10) "不涉及
"
    }
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  ["fields_4"] => array(4) {
    ["fields_title"] => string(27) "近日與家人發生矛盾"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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  ["fields_5"] => array(4) {
    ["fields_title"] => string(33) "近日與工友是否發生矛盾"
    ["fields_name"] => string(8) "fields_5"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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  ["fields_6"] => array(4) {
    ["fields_title"] => string(45) "今天工作任務危險源識辯是否清楚"
    ["fields_name"] => string(8) "fields_6"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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    ["fields_title"] => string(30) "今天安全措施是否到位"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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  ["fields_8"] => array(4) {
    ["fields_title"] => string(36) "本人勞保用品穿戴是否齊備"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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  ["fields_9"] => array(4) {
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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  ["fields_10"] => array(4) {
    ["fields_title"] => string(30) "今天安全事項是否宣講"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
      [2] => string(10) "不涉及
"
    }
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(8) "textarea"
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"
      [1] => string(16) "環保作業區
"
      [2] => string(16) "保產作業區
"
      [3] => string(13) "設備制造
"
    }
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    ["fields_name"] => string(9) "fields_14"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
  }
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      [0] => string(7) "環保
"
      [1] => string(7) "保產
"
      [2] => string(13) "設備制造
"
    }
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  }
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    ["fields_name"] => string(9) "fields_16"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
  }
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    ["fields_name"] => string(9) "fields_17"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
  }
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    ["fields_name"] => string(9) "fields_18"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
  }
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    ["fields_title"] => string(34) "發動機-結構狀態是否正常"
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"
      [1] => string(4) "否
"
    }
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    ["fields_title"] => string(25) "發動機-是否有異響"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
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    ["fields_title"] => string(37) "蓄電池-蓄電池端子是否腐蝕"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
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    ["fields_title"] => string(34) "方向盤-操作情況是否正常"
    ["fields_name"] => string(9) "fields_23"
    ["fields_value"] => array(2) {
      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
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    ["fields_title"] => string(34) "轉向系統-是否靈活、順暢"
    ["fields_name"] => string(9) "fields_24"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(46) "制動器-踏板間隙是否在正常范圍內"
    ["fields_name"] => string(9) "fields_25"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(28) "制動器-制動是否正常"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(25) "車輪-氣壓是否正常"
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"
      [1] => string(4) "否
"
    }
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    ["fields_title"] => string(37) "導管-導管是否有泄漏、損壞"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(46) "升降油缸-是否有裂紋、損傷、變形"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
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    ["fields_title"] => string(37) "升降油缸-是否有磨損、漏油"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(28) "安全帶-卡扣是否牢固"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
  ["fields_35"] => array(4) {
    ["fields_title"] => string(37) "喇叭及倒車蜂鳴器-是否有效"
    ["fields_name"] => string(9) "fields_35"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
  ["fields_36"] => array(4) {
    ["fields_title"] => string(25) "燈光-是否有效齊全"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_name"] => string(9) "fields_37"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
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    ["fields_title"] => string(31) "其他-精神狀態是否良好"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
  ["fields_39"] => array(4) {
    ["fields_title"] => string(25) "其他-是否飲酒上崗"
    ["fields_name"] => string(9) "fields_39"
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      [0] => string(4) "是
"
      [1] => string(4) "否
"
    }
    ["fields_type"] => string(6) "select"
  }
  ["fields_40"] => array(4) {
    ["fields_title"] => string(18) "異常現象表述"
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(8) "textarea"
  }
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    ["fields_title"] => string(30) "所在作業區（或班組）"
    ["fields_name"] => string(9) "fields_41"
    ["fields_value"] => array(3) {
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"
      [1] => string(7) "保產
"
      [2] => string(13) "設備制造
"
    }
    ["fields_type"] => string(6) "select"
  }
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    ["fields_name"] => string(9) "fields_42"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
  }
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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"
      [1] => string(4) "否
"
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"
      [1] => string(4) "否
"
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"
      [1] => string(4) "否
"
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"
      [1] => string(4) "否
"
    }
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"
      [1] => string(4) "否
"
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    ["fields_type"] => string(6) "select"
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"
      [1] => string(4) "否
"
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"
      [1] => string(4) "否
"
    }
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"
      [1] => string(4) "否
"
    }
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"
      [1] => string(4) "否
"
    }
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"
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"
    }
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"
      [1] => string(4) "否
"
    }
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      [1] => string(4) "否
"
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"
      [1] => string(4) "否
"
    }
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"
      [1] => string(4) "否
"
    }
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    ["fields_name"] => string(9) "fields_59"
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"
      [1] => string(4) "否
"
    }
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    ["fields_value"] => array(2) {
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      [1] => string(7) "保產
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      [2] => string(13) "設備制造
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    ["fields_name"] => string(9) "fields_68"
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    ["fields_type"] => string(5) "input"
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    ["fields_name"] => string(9) "fields_70"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_name"] => string(9) "fields_73"
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    ["fields_name"] => string(9) "fields_74"
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      [1] => string(4) "否
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"
      [1] => string(4) "否
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"
      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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      [1] => string(4) "否
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      [1] => string(4) "否
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      [1] => string(4) "否
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    ["fields_value"] => string(0) ""
    ["fields_type"] => string(8) "textarea"
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    ["fields_name"] => string(9) "fields_87"
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      [0] => string(7) "環保
"
      [1] => string(7) "保產
"
      [2] => string(13) "設備制造
"
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    ["fields_type"] => string(6) "select"
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    ["fields_name"] => string(9) "fields_88"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_name"] => string(9) "fields_89"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_name"] => string(9) "fields_90"
    ["fields_value"] => string(0) ""
    ["fields_type"] => string(5) "input"
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    ["fields_type"] => string(6) "select"
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      [0] => string(4) "是
"
      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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"
      [1] => string(4) "否
"
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    ["fields_type"] => string(6) "select"
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      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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"
      [1] => string(4) "否
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"
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      [1] => string(4) "否
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"
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"
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    ["fields_type"] => string(6) "select"
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"
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"
      [1] => string(4) "否
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    ["fields_type"] => string(6) "select"
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    ["fields_name"] => string(10) "fields_111"
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"
      [1] => string(4) "否
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"
      [1] => string(4) "否
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"
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"
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      [1] => string(4) "否
"
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    ["fields_type"] => string(6) "select"
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      [1] => string(4) "否
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