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["安庆职业技术学院安全隐患排查、自查情况统计表"]
["填表单位：                                        安全负责人签字：                                    时间：       年   月   日"]
["序号","检查时间","检查人","检查部位","问题隐患","整改情况","对未及时整改的隐患要说明情况"]
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