Fabiola Ma. Betancur G y Patricia Canney V

!" # $ %&'
(
) %!
'
!
&& )
'
%
( "* &% &" + *, ++' -!
+
%& !
. ++!
&% , %'
!& ++
" '
'
! &%
% /0 " +'
(" +
0
+
" ,(&%
.!
+
% 1!
+
%
2!
'0 , %&
(&
3( ,"!
' " +4&2* & +, 4
( 5++ & %
( " +
0 &!
*!
+
%+ , "
*" +
( %0 , +& ,
% 6+ (&!
'(+" + &
" !
" #$%
+ "
+
, &+ "
%
'
( &% '&%'0 1 +
% "" 7
" + !
+
%
!
&%+ !
&%&%+
,"!
''
!
2& '
!&%
6
4
!
' 3( '*!&5& '& " + &
%$
$
" +
.&%+
0 (&3( +
!
&(& '
"
!
&% " '
!
2& &% "" +
0 )'
("*!
& &'&" +%
'%
0 3( )
( & '*, & " !
&% " '
!
2& &% " + !
4 &%+'(++)"
* & '* + !
&4
"()&) % *!
& & &% +
6
+ " 2,%
!
'
" + &43( ++
!
+
%
8*!
'+ , '&* " +3( . &*9+ ""9 " +
'(++ ! '
%+ " '
!& + '& " +'& !
'
!& + * !&%" + ) '
%+ !
&+7( +
0
!
&'
"() & '* '(++ 6
'+
" + , " *+
+7(! 0 " + 4'
% +
7 &!
5'
!& " +
0 %'
& "27!
'+
0
7+
%
!
2&0
"! 5
7 0 &% % +
: * % " 76 3( + % / 9 & " , +&% '
(* &% +
%
9 +
& "* "
'(+"!
" +'
'
! &%+ % / , ,( +
% , $! ) * !
&0 3( ,"!
'
" *("%
!
'(+"!
" + .&%+
% .8+
'(++ ! '
%+ ;'& !
'
!& +
+
( +
%
9&
+) '
%+ +
( +
%
9&
+
<) 9+
!
'+ ;4'
% + , +& " +
0 4'
% +
% / ) 4"%
'&% "< +
% * % " 76 1 +
! (%
!
"!
5
,
" &+
%
!
%
(%
&% & '
!& "
&% "
8 ! +; : <
0
+
& + 1 !
.
("7
*('
1+
*, ++ " *(&
+!
*, %&% & % 3( *('
1+ '
'
! &%+ !
&'
! &%+ * & + ,( & +
!
&. +
%
!
7 +, , +& "
" 9
% / 1'
!& (+
" * % " 76
+"('
!
2& , " * +3( !
&'
"() 1 *!&%+4
9'
!
" + * & / 0 '* " ""(.
!
! +
0" +
,!
&
, +
' ) " !7 * '(++= 4'
%
" , +&% '
(* &% %
!& '* , ,2+
!
% &% 7
" + 4+
!& " + " +"( )
" +7(! 0 " + " * &%+%2!
'+)* % "27!
'+3( " +
!. &
!&%'
!
2&,
" !
&. +
%
!
7'
!
2&) &9"!
+
!
+ " +'
'
! &%+ % / '&(& &43( !
&%7 " + "
'
( " + ,( &! &%
!
4
!
' " +'(++ 9+
!
'+ " + .&%+) ,"!
' " +* ! +
, .&'
!
2&)'&% " + " 7 +
%
!
2&7 &'
!" )" +, '++
1
Para consultar más al respecto se pueden remitir al siguiente material:
SURATEP. Manejo de la creatividad para la solución de problemas. Elaborado por: Fabiola
Betancur G.
SURATEP. Investigación de accidentes de trabajo. Módulo 4. Formación de líderes. D2019DCAP, 2002
+ ,(
".! 3( " !
&.+
%
!
7'
!
2& " '
'
! &% +(& %
8'
&!
'
+7(!
'
%
!
. 3( +
"!
5
+
,(8+
3( '
( & " + . &%+
" +* ! +
, .&'
!
2& ) '&% " 3( +
(/&
!
'
1 !
&. +
%
!
7'
!
2&
& %& (& !($
"
) *3( "" . '&% " +
!
%
('
!& ++
!
*!
" + & % +,( +
%+ % / )
7&
" +* ! + *!
&!
+
%%
!
. +) 7 +
%
!
2&,
3( % %
!
,
+
('++& +
+&' & &
+0 +*('
1 *9+ & 4
!
'
!+ ,
" +
!
+
%*
) +"
" , -*, 3( , *!
% %*
'
'
!& +' '
%
!
.+), . &%
!
.+ &%+ 3( '
(
(& " +
!
2&
"" " *, +
4
!
&!0 +7>&+ " 4 '
( &'
! +
( '
( &'
!0
" +%
!
, +
. &%+3( +
9& & "!
5
*& , 4
(& 0 '* ,
/*,"
&'
! &%+ 3( ,( ! & 1
'(+
" *( %0 " +
!& + + !+
?+ "
, ,!
: + %+3( + '7 &
" !
&. +
%
!
7'
!
2&
, !
2!
'* &% ,
4
!
&! %& &'
!+)%*
4'"!
5 + &" !
*, %&%
'
'
! &%+ !
&'
! &%++ & "!
5&
'
!
+
!& + , %
(& +
, . &'
!
2&
.
", + .&7 , '(+
" +
!
2& 79&!
'0 (& ,
@0 % <
, ,!
,8 ! " ,
$
)
+ /
+
('+ , &%
!
& 3(
,
'+
!
2& " % / )3( , (5
' & "% /
(&
%
( '
!
2&4
(&'
!& "0 (& !
&. "! 5 " *( % ; ' % " )
.&% !
& +
3( '(+ ?
" 7 &%0 , /
(!
'
!+ "
'+
", $
%
'&%'
!
*!&% &
+
3(
, ,!
,8 ! & " , '+
)
+
("% &
?
"
'"
" + , +& +
0
?
+
"
/ ('+ &
+
3(
/'
!'
(&+
%&'
!+"!
7 * &% !
4 &%+, 6
1
+
("%
&(& ,8 ! 0 ) + " +
!& + " +, +& +
0 ? " , ,! 0 "
, '+
" * !&%
0 +" /
,!
3( %
!& " + 3(!
, +
01
&% % +
0,
'+
!& " +
!& +
?+
+/
'& !
'
!& +
3( '
( (&
*& ,
7 +
!
.
+
+, %
*!&%+
0 *8% +
0 , 9'
%
!
'+"
" +
0
, "!
7 %
!& (&7
!+
7
!
"!
3( " ', '
!
'+
!&
? ++ '
%
( "!
' &" +
(%
!
"!
5'
!
2&
, +
!
'
!
2& +(& '* !
&'
!
2& " ,
!
"!
.&% , "!
7 + +
, '
6
4
!
' )" ;+
<'&+'
( &'
!;+
<3( !
7!
& :*)
!
"!
'
( &'
! , &
" "!
*!
&'
!
2& '&% " " " * &%
", / !+
7 3( + 1
('
!
(&&!
." 3( "
7 &!
5'
!
2&,(
& " '
!
2&'&+
(+ "!
7'
!& +" 7 " +)+
(, ,! , "6
%
!
'
A
0'"
!
&'
! &%
(+ & 2,%
!
*
" + '
(++'* '&+'
( &'
!
(&
+
.
!'
!
2&
+$"
$ " / '&/
(&%
'& '
!
*!&%+%
8'
&!
'+)'
!&%
6
4
!
'+ 7 &!
5
,"!
' + " ! &%
!
4
!
''
!
2&0 ."( '
!
2&)'&% "
" +'
'
! &%+
+)
.
" " + +&% + 3( "" + /%+
0!
&+
%(* &%+
0!
&+
%" '
!& + * !&%" +
0
'
'
!& +1(* & +0 3( &'
! &(& ', '
! , %&'
!"
, ('
!" +
!& +
?+
* % !" + +
% ,(
'
%
( ,
+
6*!
+
*
0 '* 7 & "* &% '
( 0 &
'* !
&'
!
2&'& % +
$
/ +& % + 3( "" +'& !
'
!& +3( & % *!
& +
'
!'
(&+
%&'
!++ +
.
6& (& +
%
9& ) &% & 4 * , %
(& +'
( &'
!
.&%+3( %
!& &'*
+
("% (& '
'
! &% !
&'
! &%
$
%
/ +&" +'
!'
(&+
%&'
!+3( + , +&%& &%+ " '&%'
% )3(
!
7!
& & !'
%* &% " '
'
! &% , " 7 & " + ,( & + . 4
9'
!
"* &% ,
"!
&. +
%
!
7
)+ 4
! & '& !
'
!& + '*, %*!&%+!
&+7( +
$ ,1
!
&* !%+
!
&. +
%
!
7
/ +& 3( "" +4'
% +3( '&%!()& "
-!
+
%&'
!
" +'(++
" 7 & " + 3(!
(&* ) &9"!
+
!
+,
+
'& '
! +,
"
* !
8&+ " + & *!
& '(++ 6
5
0 '(++!
&!'
%+ '&%!() &%+
2/
0
•
•
•
3
/
*, & " +4
(& * &%+%2!
'+)'&',%
(" + " *
" +'
'
! &%+ % / , ,( +
% , $! ) * !
&
"
" !
*, %&'
!
!
&'
! &%+ % /
,"!
' " *8%
'
'
! &%
(& , "6
%
!
''
"
$ " 0,
,
"
" &%
!
4
!
''
!
2&
'(+"!
" +'
'
! &%+
'7 " + .! &'
!+
+
,(8+
(&
•
&%
!
4
!
' " +,8 ! +
0 " +'&%'
%+
0 " +'(++!
&* !%+
0 " +'(++ 9+
!
'+
0"
4"%
'&% " )"
" '
!
2& &% ' (&
"" +
0,
" 7 (& &9"!
+
!
+!
&%7 "
" +'
'
! &%+ !
&'
! &%+'6
%
!
'+
•
+
'!! " + " * &%+
(& *
+7(!
*!&% " ++"('
!& +
"
9+
!
' ,
"
%*
'
!
+
!& + ) "
24B (9" + " *8%
*9+ ',%
!
&'
! &%+ % /C
'
%
( "* &% ,
!
&.+
%
!
7 " + '
'
! &%+
B (9" ++&" + %
($ # 5($ , "
) ",
'7 " + .
! &'
!+
3( "
9&+, % " !
&. +
%
!
7'
!
2& " + '
'
! &%+ % /C
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
B (9" +" !
4 &'
! &% '(++!
&* !%+) 9+
!
'+
C
-%
,
' (&
"" +
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
@ B &3(8+ +, % (& ( &," &
'
'
!
2&C
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
/
01+4&
""
1$
+$6
" ) "! " $ "
$
247
&"
&%
!
7E
" + *>+
'
(" + & +
, &+ " +
"
& 76 (%
!
"!
5
,
"
, ('
'
!
2&
!& +)+ .!
'
!+
0 )" +!
&!
.!( +, 6&%& (&* ) '&% " +
" + !+
7 + " +'
(" + +
% & ,( +
%+
& " +'
!
& (+
%!"
1)
0 " , ('
'
!
2& + "" .
'
%.
8+
%+
4
( &%+
& 760 " 3( 1 ' 3( " !
&!
.!( & +
!*, %&7 " '&% " ! '
%
+
" + !+
7 +3( ,( & '+
!& (& '
'
! &%
% / +
%+
!
%
('
!
2&1 '
3( " 4&2* &
'(+"!
+ '*," / ) & '+
!
% + '*, & !
, 4
(& ! ,
,
* / " , .&'
!
2& " + '
'
! &%+
@
: + % 6+ ) * " + +
" + '
'
! &%+ /
( 7 & (& , , " !
*, %&%
'" '
'
!
2& !
&4 * '
!
2&+
" + !+
7 +3( ,( &"" .
" '
( &'
!
" +
!
2&
? * % !" +
%+ )
( & "!
&. +
%
!
7
•
•
•
•
•
&"
(&
(& !
* 7 &* &%"
" +'
( &'
! " '
'
! &%
F ' " +, 7(&%+' '
%+
!
4
!
' 3( % +" + %+!
*, %&%+ +
%
8&, +&%+
& "!
5
" '
!& + &% ,!5+ !
&4 * '
!
2&
&%
!
4
!
' '
'
!& + * !" +
F!
&!
'
1;
G<
0
+ ""2 +
% % 60 '& '
! '* " % 6
%
& +
%
* "
" '
'
! &% +
+
'! '* (& ' &
'& !
'
!& + ) .&%+ 3(
'
("*!
& & &(& '
'
! &%
, & &" ' & '
!
&' 4'
% ++'
( &'
!" + &" '
("
'
4'
% !
&4
"() +
" +
!
7(!&% +
%+4'
% ++& * !&% +'
!"0 4""
"
% / 0 '
%!
&+7( /
(&% '&(& !+
7 *'
9&!
' 4
6
+
!
'0 " '
'
! &% ) " ?
" +
!
2& F !
&!
'
1+
(7!!
23( " + '
'
! &%++ , 6&, .&!+
!+ ,
" ' &
'(+" "!
*!
& & (&
+
%+4'
% +
+
% # " 1 !
&4
"( &'
!
"
+ ""
" + !
4 &%+ +
3( * + ,
"
'
" +
!
4
!
''
!
2& " + '
'
! &%+ : %& &'
! '
%
( " +"
!
&'
"(! & " &9"!
+
!
+ " +
'(++" +4'
% + *!
&!
+
%%
!
.+
7+
%
!
2&"" * & " %&'
!
2&+
"!
*, '
%
3( %
!& & +
%+ &" , +
!!
"!
'
( &'
!
'
%+ )'& !
'
!& +!
&+7( +
" &+
%
!
%
(% ,
" '&% " %%"
,8 ! +;$! ) * !
& H <
0 1 * !
4
!
' "
% 6 *!
&2 !
7!
&" !
&'
"() & " 7 +
%
!
2& " 7 &'
! )" 4"%
'&% " '*
'(++ +&' & &%+ " + .&%+ * !
8&1
*," 5
"4
!
&"
" ' &
"%
8*!
& " +
!
2&0 , (& *9+ *,"! '"
0 "'
(" !
&'
"() ? + " +, +& +
0
? +* % !" +) ? + * !&%" + : +'(++ 9+
!
'+ '(++ 6
5
0 !
&'
"()&
" * &%+ *!
&!
+
%%
!
.+ 7 & " + +
!
*!
" +
3( "" + &'&% + & " +
, 7 * + '"!
"+
!
7(!&% 794
!
'!
"(+
% " + &% +)" ++"! + " * "
'(+"!
" '
'
! &% #9+ " &% + !
&'
"(!9(& ,"!
''
!
2&*9+ %""
" + " * &%+ " ' & '(+"
+
% 7(6 7 &'
!" ,
" '&% " %%"
,8 ! +(%
!
"!
5 , *!
" +
) /'
(%
!
. + & " *(& 0 1 ' 8&4+
!
+ &" ++
!
7(!&%+,(&%+
"
1!
8/
Causas
Básicas y
falta de
control
"
"
6
Desviaciones
%
$
Incidente
Víctima
Absorbe
energía
+
(, .
!
+ +
'"
Pérdida
• Personas
• Medio
Ambiente
• Propiedad
• Reputación
0
•
: +'
( &'
!
'(++) 4'
%+ &4%
!
5 & " 4"%
'&% "
*!
&!
+
%%
!
.
'* " , !
* , +,
3( + , (5
' " ,8 !
" %&% " , !
* , +
,
*/
" +7(!
+ ! &%
!
4
!
'& ) '&% " & " + '(++ 9+
!
'+
, +&%+ & " +
!
+
%*
*!
&!
+
%%
!
.
•
$(+
' *9+ ""9
9+
!
'+ " '
!&
•
" '* ! " '&',%
'
%+)'& !
'
!& +!
&+7( + "
'
%+)'& !
'
!& +
( +
%
9&
+
0 , 3( + +
(* 3( " *, + '&+
%(! ) !
.
("7 " 4 *
' '
%
1 ' " +'++
•
: +'(++ 9+
!
'+ " +, " * + +7(! +&" +*!
+
* +'(++ " +
, " *+
'"! 0 '+
%+ ) , ('
'
!
2& +
% '&"" . (& *,"!'
!
2& "
'&',%
" I
4 * +7( J " I
4* ' '
%J
0 3( +
!
7&!
4
!
' +7( 0
"%
'"! )'&*6
&!
* +'+
%+
84 0
9
0
" ++
6
&%* +; '
%+)'& !
'
!& ++
( +
%
9&
+
<" +'(++
+'&" +, +& +
0 " % /) " +
!
+
%*
*!
&!
+
%%
!
.
.
K& ( & , '+
!
&. +
%
!
7'
!
2&
'
'
! &%+ !
&'
! &%+'& "% , %&'
!"
,8 ! 0
+
% +, %
& (& , "6
%
!
' 3( +
, '
!
4
!
3( '
" * &% "
!
*, %&'
!
!
&. +
%
!
7 +
%%
!
,
.&%+
0 " + +
, &+ " +
0 " + '
(++)" +
, !! +
!
&% . &'
!
2& +7>& + " !
*, %&'
! " , %&'
!"
,8 ! :
, "6
%
!
' %* !
8&
'&%*," "
" '
!&
'&" , %
(&!
&"
!
'
(
'&" & * %
!
. " 7" .
!
7 &%
:!
&.+
%
!
7'
!
2&'&+
!
+
% & & "!
5 " +1 '
1 +,
% *!
& " '&/
(&%
'(++
0
3( ! '
% !
&!'
%* &% !
&% .
!
&! & & " .&%0 , ! !
5 " +'& '!
% !+
'+
%
&4
!
'
! ) ,"!
' " +* ! + , .&'
!
2&)'&% "
, %
! " , "6
%
!
'+
& +
, '
!
4
!
' , ' !
*!&%+3( !
&'
"()&'!
% !+'
" +
" '&% "
" +
!
%
('
!
2&L" ,"!
''
!
2& " +, !
* + (!
"!+
L" ! &%
!
4
!
''
!
2&
" +4
( &%+ " '
'
! &%L"
'" '
'
!
2&)'&+ .'
!
2& " + .! &'
!+
0 3(!
8&
!
&4 *
'
'
'
! &% !
&'
! &%0 &3( %
!*, 1 ' " + '
'
!& +' '
%
!
.+)
, .&%
!
.+ , & !&
" 7 .
" !+
7 0 &% % + +
, '
%+
,
2
Para consultar el procedimiento relacionado con la notificación de los accidentes de trabajo a
SURATEP, se debe consultar: SURATEP. Notificación de accidentes de trabajo. Gerencia de
Prevención de Riesgos. Preparado por: Fabiola Ma Betancur G., Medellín, 2000
G
* !
8&
3(
'
"
3(81 ' ,
'
(*,"!'&" +," 5+ +
% " '
! + &"
, "6
%
!
' , ' !
*!&%+ &'+
& '+
!
% + *9+, ( + *9+!
&4 * '
!
2&+
" . &% ) 3( "" .
, +
%7 "
"
'
!
2& " !
&4 *
& +
% '+ ,(
+
(7 !+ "
"
'
!
2&
(& !
&4 * , .!
+
!& " )(& .53( " !
&4 * '
!
2& +
&'
( &% !
+
, &!" + ,( , ,
"!
&4 *
4
!
&!
%
!
.
+& '+ ! 3( " *, + %&7 +
% " '
! 0 &%
+
(+, "6
%
!
'+ +7(! 0 "
, !!
" !
&. +
%
!
7'
!
2& +
, '
% '
( "3(! % %
!
,
% /0 '& " 4
!
&
3( " !
&4 * '
!
2& +
, %
(& 0 ) & + ,! & .! &'
!+!
*, %&%+,
"
4
!
&!
'
!
2& " +'(++ " +)" + '
'
!& +' '
%
!
. +), .&%
!
. + %*
*, + +7>&+ " 4
"(/
'
'
! &%+& %
!
4
!
' +)" ', '
! ) -, !&'
!
" +* & +* !+
0 4
!
& 3( '
" +
'
'
! &%+
&+ !
&.+
%
!
7 +, (&
'*!
%
8
+
, '
!"!
+
%+ , " +, +& + " +9 + % /
/*," " +
'
'
! &%+ !
&'
! &%+ % / '& "% , %&'
!"
,8 ! 0 " +3( '+
!& &
" +
!& ++ !+ 3( "" +3( ,( &%& " ' 9'
%
, +
(&%++&!
&.+
%
!
7 +
,
" + +
, '
!"!
+
%+
" +9 +
, ('
'
!
2& )
+"( ) +7(! 0 '& (&
, +&%&%
"
*!
%
8 " +
%
'
'
! &%+;'& " +
!
2&
? +* % !" +
<
0
,( & + !
&.+
%
!
7 +, " ++
(, .
!
+ + "6 +
+7(! '& "
*!
%
8
!
%!
"( N'
(, '
!& "
:4
3
;
;
: !
&.+
%
!
7'
!
2& " '
'
! &% 3(!
(&'
(! + &9"!
+
!
+3(
'* &5
'&"
'" '
'
!
2& " + .! &'
!+)% *!
& '&" ! &%
!
4
!
''
!
2& " +'(++ +
" + !'
%+1 +
% " + 9+
!
'+
'7 " + .
! &'
!++ +
(7! (%
!
"!
5 " %'
!
&7"8++
!
7&!
4
!
'& , +
!
%
!&0 , ," 0 , %
+
0, , +
<
$ " 0: ; 3( &
•
0
;, +
!
%
!&< + 4
!
" !
&4 * '
!
2&3( +& '+ ! '7 &
" '
!
2&'& " "(7
'
( &'
!0 " ( !
''
!
2& " % / 0 " +1 *!&%+ " +
* % !" +
7 &%
!
5
'7 , ( +
" , +
!
'
!
2& & 3( 3(
& " + 3(!
, +
0
* % !" +)" +, +& +
0+
! + " '+0 +
&1 ' !7 * + !(/+ %*
4%+ K& !7 * +
!
*," +
2"
*
(& +, '+*!
&(%+),(
1
%
!*,
( &% " +, +++
!
7(!&%+ " !
&. +
%
!
7'
!
2& &% " +4%+'* " + !7 * +
&!
&'
"(! +
2" " + 4'
% + " .&%+ " '
'
! &% !
& * 7 '
(&
"
'
'
! &% +7 . * %" + '*!& " (+
(&* ,
+
'" *9+ - '
% '&
"4
!
& 3( ,( + >%
!
" &+
!
%
('
!& +/
(!
'
!" +
3
Tomado de: DET NORSKE VERITAS. Practical Accidenta investigación interactive CD. Loss Control
Management, Georgia, 1997.
M
•
0
% /
" +
!&
%+
<
, ," =
& % + 3( "" + .
! &'
!+ 3( +
'7 & "
0 " +%+
%
!
7+
0 " /4 !
&* !%0 " /4
* &%&!
*!&%0 &%
+
% +& '+ ! &% .!
+
%0 , !
*
3( % 0 " " +
!&
'* , %7 &!
+
%
" +
('+0 +
!*, )'
(& " 7 .
" " +
!
2&" , *!
%
!
+
%
!%+
%
!
7+
0
+
'&4 &%
'*," * &% " !
&4 * '
!
2& '& "" +
0 &% .
!
+
%
9& " +
* & +,
+!
*, %&% '&+
("% ' '
" +%
8'
&!
'+ " &% .
!
+
%,
3( +
% , '+ + , ('
%
!
.,
" !
&. +
%
!
7'
!
2&@
, 4 &'
!" !
&4 * '
!
2&
+ '*," * &% , , +& +!2& +
0 +7>&
+ &" +' '
%6
+
%
!
'+ " 1 '
1 0 %" +'*
"+
(, .!
+ , '& ' *9+ ' ' " % / )" +' '
%6
+
%
!
'+ +
( 4
!
'
!
" /4
, ('
'
!
2&0 3( %
!& (& .
!
+
!
2& *9+ *,"!
" +, ' !
*!&%+
%
8'
&!
'+
0 " , '+ ) " + !
7 &'
!+ , ('
'
!
2&
" /4
* &%&!
*!&%0 , + '& '
" +
% *'
9&!
'
" +*93(!
& +)
3(!
, +
0 +
6'*
", 7 *
* &%&!
*!&%
" /4
!
&7 &! 6 +
%
9& 0 3( ,( , , '
!&
%+*9+, '
!
+++
" +
!
%
* +)*8% + % /
" +
, &+ "
"
7 *
"( N'
(, '
!& "0 3(!&%
!& " + " * &%+,
."( " +* ! +)& * + +7(! 0 +
6'* " +& '+
! + , .&'
!
2&)
" +!
&% .&'
!& +3( *9++ /
(+
%& " +' '
%6
+
%
!
'+ "
7 &!
5'
!
2&
•
0
;, %
+
< &'
"() " &9"!
+
!
+
" !
&4 * '
!
2& , . &!&%
" +
1 *!&%+
0 3(!
, + *93(!
&+
0 " !
+?
" ,( +
%
% / ) *9+* % !" +
3( " " +
!& (%
!
"!
5
& " * * &% " '
'
! &%
+
%!
&4 * '
!
2&%
!& '* , ,2+
!
%. !
4
!
' " '1 &'
! &% "
+
'!
,'
!
2& "
+
('+ 3( + &'
( &% & " 4 * %
&%
!
4
!
''
!
2&)" +, %+3( !
&% '
%
( &
'& " , +& &%+
+&' & + " 1 '
1
* !
8& + % %
% *!
&
'& !
'
!& +, "!
7 ++%" +'*
4'
%
" + 3(!
, +
0 %&% , +
( !
+? '*
, +
( +
7+
%L' &'
!
!
+
, +
!
%
!
. + 7(
+ +7(! L &% % +
•
7
;, , +
<
4
!
" +, ' !
*!&%+ '
(* &% +
0
& *+
+7(! 0
7!
+
%+
* &%&!
*!&%0
7!
+
%+
&% & *!&%+ )
', '
!
%'
!& + " , +& " '
'
! &% 0 +
6'* % + .
! &'
!+ " '
!& +'&
" +%
(& +) ( '
!
2& " / &
% /
: &% ! , *!
%
% *!
& *8% + !
&+7( + ',% + ,
% &+
7 +
!
2&
+
%
9&
+
+7(! L4"%
&% & *!&%
" +
(, .
!
+
!
2&L
', '
!
%'
!
2& "
4
Algunas recomendaciones al respecto se pueden consultar en Frank E, Bird y Geroge L.
Germain. Liderazgo práctico en el control de pérdidas. La conservación de gente, propiedad,
procesos y ganancias. Det Norske Veritas, USA, Atlanta, Edición revisada 1990, p.64-65
H
, +& "0 !
&'&+
!
+
%&'
!+'&" 1
%+
" '
'
! &% )"
( '
!
2&
" /&
0 &%
K& . 5 " !
&.+
%
!
7
>& % " !
&4 * '
!
2& " '
!&
'&" +1 '
1+
0
!
&!
'
! (& &9"!
+
!
+3( , *!
%!
&%7 " + %+
0 ."
8+
%+ &'
( &% +
(4
!!
"!
) ('
!" +'(++ +
% + " ,(&% 3( + , +&% '&%
!
&( '
!
2&
>4
: +, ! +
0 '* + ,"!
'
2 &% ! * &%0 +& " +
("%
(&, '+ 3( +
+&' & , %
! (&4
"(/ & '&% "
& 760 3( %
!& +
(+ 6
'+ &(&
4"%
'&% " 7 &'
!" +
%4
"(/
& 76 3( ,( 7 &
'&+'
( &'
!+ &"
, +& 0 " * ! * !&% " + !& +* % !" +
.5 '
( ,
5 0 &"
*) 6
" +'++ +
%
9, ' !
(& + !
+
.
!'
!& +;'(++ 9+
!
'+)
'(++!
&* !%+
<3( (* &% " 4 '
( &'
! )'&+'
( &'
!+ " + '
'
! &%+ "
'&% " +
+
%+ +
.
!'
!& +
0 %
!& (& 4'
% !
&* !% & " ,
!
"!
'
( &'
!
'
'
! &%+
:
N
!
&
K
N:
7 *
'
(
2. +%
9&
!
&
'
(
K
#
$
'
% +
, +& " +
&!
'
!& +
+
(& * " +
; &!
'
!& +
* !&%" +
, "!
7 ++
<
+
+
& '
(
'
(*,"!
*!&%
" ++
%
9&
+
%
'
% +
/
N
&%'
% '&
"
& 76
+
(+
%&'
!
&%
,!
'+
# !
* !&%
"
'
%+
+
(& * " +
; '
%+
!
&+7( +
<
N#N
&% "
,
'&%'
%
N
&% "
'&%'
%
&% "
'&%'
%
, +
%
: &.+
%
!
7'
!
2&
'
'
! &%+ + " , !
* , + ,
! &%
!
4
!
' % +" + +
, '
%+
" . &%+
+
% ' &
.&%+ '&%
!
&( '
!
2& + ,"!
'& '
(&
" +
" * &%+
+
% +'
( &'
!
%9+1 '
! " &%
0'"
",!
* , + &" &.+
%
!
7'
!
2& +
%
9 !&%
% *!
& " %&+
!
2&
" ? " ,8 ! :+,8 ! +*9+'*(& ++&" +" +
!& + &" +, +& +) "
? " , ,!
)" +, '++ " %
!
,
7
" ,8 ! +
0 &'
!% * 0
(& +
!
%
('
!
2& 3( + +"
'&%&'
!
*!&% !
&+
!
7&!
4
!
'&%
'&% " : '&+'
( &'
! ,(
(& '%+
%24
!
'
4
"('
%
(
+
(&
0?
•
•
•
•
"
/
*,(%'
!
2& (&*!*
F ! &# &
:+
!
2&
/+
%
'O
•
•
•
•
%
"
*"
5 "
? + &" + 3(!
, +)* 3(!
& !
+ &" , ('
'
!
2&
+
%
'
'
!& +' '
%
!
.+
%
'
O
/
:+ '
'
!& +,
*!
&!
*!
5 " +,8 ! + & +
% %,
" +'
( &'
!0 !
&'
"()&" +
'
(! + , %
(& +)
'
( + ,!
* + (-!
"!+)
%&'
!
2&*8 !
'0 9,! )
4'
%
!
. '&% "
" 4
(70 "
, %
(& , '
!
2& " 3(!
,
" +!
&+
%" '
!& +
? +) (& 4'
%
!
. 1 !
"!
%'
!
2& " +, +& +,
!
&%7 + " % /
: !
* &+
!
2& " ? +(&, 9* % !
*, %&% ,
+
% " ' , ! ! + &"
!
*," * &%'
!
2&
* ! + +7(! ),
+
% " ' " '+
%
" +,8 ! +
" '
!& +'& " '
'
! &%
% /
&%
!
4
!
' " %
!
,
" +
!
2& )" , % "
'
( ,
4'
%
& " + +
% 6
+
%
!
'+
" + '
'
! &%+ )(
, !!
5 " +
!
&% . &'
!& +
" #8%
*%
!
. * !
'& %
!& (& '
" +
!
4
!
''
!
2&3( , *!
%' !
4
!
' % +" +
, +
!" +,8 ! +3( '
( & &" +, +& +
+
%++ " + & *!
& &%
( " 5
" " +
!
2& ) , %
" '
( ,
4'
%
P G
+ !
+
, &
(&
'
" +
!
4
!
''
!
2& +
%& !
5
" + ,8 ! + & " + * % !" +
0 , '++
0 3(!
, +)
* ! * !&%
*, + ,(
1' +
(, ,! '
" +
!
4
!
''
!
2&
'
(
'& "
"'&' 3(
4
!
&
"" ,(
1 ' (+
" +'%7 6+3( , +&% $! )
*!
&
/ +
% + " +
('+ &% !
" ,8 ! * " '&%'
% '&(& 4
( &%
& 76 +
(+
%&'
! 3( '(+ " " +
!
2&
?
( & " '&%
!
& 76
% &+
4 ! + -'+
!
. 0 " 7 '(+
? + &" +, +& + &" + !& +* % !" +
+
% & 76 ,( + "8'
%!
'0 '
>+
%
!
'0 %
8*!
'0
!'
%
!
. 3(6
*!
'
•
•
•
5
6
"%
(
6 &!
."
&%'
% '&
;'&%'
% '& & 76 +
(+
%&'
!<
",
, ,(&%+4
!
" ++
•
&1 " '
!
2& %
2!
'+
•
%,
&%
!
"" +
•
%
'
•
Frank E, Bird y Geroge L. Germain. Liderazgo práctico en el control de pérdidas. La
conservación de gente, propiedad, procesos y ganancias. Det Norske Veritas, USA, Atlanta,
Edición revisada 1990, p.26
" '&+
!
" '
'
! &% &%
8*!
& + (&'&%'
% !
&% '* !
& 760 )
(
&4' " , &+*!&% 1 '
! " +* !+
'&% " 3( +
%
8& & ', '
!
"%
+
" & 76 '& " , ,2+
!
%
*!
&!
*!
5 "
? : + 3(!
, +
, %'
'
!
2& , +& "0 " + +
7(
+
, %'
'
!
2& ) " '* !
(& +
(+
%&'
!
3(6
*!
',
% * & + ?!
& +& /*," +%
6
,!
'+
" #8%
*%
!
. * !
'& %
!& (& '
" +
!
4
!
''
!
2&3( , *!
%' !
4
!
' % +" +
, +
!" +%
!
, + '&%'
%
+
%++ " + & *!
& %
!
,
'
'
! &% ;
*+
PG <
$
%
<6 %
)
=/ :+ '(++!
&* !%+
" +
'
'
! &%++&" +'
!'
(&+
%&'
!+3( + , +&%&
" '&%'
%
&4 '
( &'
!
+ " + & *!
& '
%+!
&+7( + '& !
'
!& +, "!
7 ++ !
& * 7 '* +
%+
'(++ , +&%&(&
+
.
!'
!
2&0 , %
! (& +
%
9&
, ' !
*!&% ',%
+
,
&%
(&, '+0 +*('
1 *9+ *,"!0 >%
!
" ), 4+
!& " *,"
" +
%
8*!
&+
'
%++
( +
%
9&
+)'& !
'
!& ++
( +
%
9&
+
•
•
•
•
7
$, 1 " /
(+ " 3(!
,
, %'
'
!
2&
, +& "
/ ." '
! !
&+7(
N,
3(!
, ++
!
& (% !
5'
!
2&
%
'
O
9
7
•
•
•
•
•
$, 1 " /
"" * '
9&!
'
F *!&% 4'
%
(+
+
7(
+!
& '
( +
N &)"!
*,!5 4
!
'
!&%+
%
'
O
&. +
%
!
7'
!& +1 & * +
%
3( !
+
% (& '& !
'
!
2&+
( +
%
9& , '
'
%
+
( +
%
9& 0 '* '(+
" + '
'
! &%+
*9+ (& 7 & &>*
+
%+
'& !
'
!& +'&"" . (& !
+? 7 &2*!
' 4
!
'
!&%
*93(!
&+
0 3(!
, +
0 , '++
)* ! * !&%
" %&% +& '+ ! , 7(&% + B
, 3(8+ , (/ + '
%
+ '& !
'
!
2&+
( +
%
9& C: +
,( +
% + &'
( &% & " " * &% +
!
7(!&%
"
+'
( &'
! '(+"!
" #8%
*%
!
. * !
'& %
!& (& '
" +
!
4
!
''
!
2&3( , *!
%' !
4
!
' " +'(++
!
&* !%+ ;
*+
PG <
$
,1
/ :+ '(++ 9+
!
'+ ' +
, & & " + 5& + ,
" +'
(" +
'
( &" + '
%+)'& !
'
!& ++
( +
%
9&
+
0 + '
! " +4'
% +3( 0 (& .5
! &%
!
4
!
' +
0 , *!
%& (&'&% "
+ " 7+
%
!
2&7 &'
!"
&4 '
( &'
!+ " +
"" * %* !
8&'(++ 6
7&+
0!
&!'
%+
6
5
0 ),
+
(! &%
!
4
!
''
!
2&+ & '+
!
% (&
, ' *9+ !
&.+
%
!
7'
!
2&3( " +'(++ ! '
%+ K& '
%+
( +
%
9& '* I" &
,"!
' (& , ' !
*!&%
" *&
' '
%J,(
'
(& 4"%
', '
!
%'
!
2& &% & *!&% 7(!
(& '* ! & , .
!
+
% &" +'& !
'
!& + "
, '+
" '&% "
" +'(++ 9+
!
'+ + " 3( 7 &%
!
5 4'
%+ (
+ & " &!
."
+7(!
" *, + +
%++ '
" +
!
4
!
'& & +'%7 6+
0 " +'
( " ++ , +&%&
'& "7(& + /*," + & " +
!
7(!&% '
(
.
"
•
•
•
•
"
/
, '
! !
& '
(
"%
'& '
!
*!&%
&+
!
2&
%
'
O
.
•
•
•
•
"
", -/
:
! 5
7 )+
(, .
!
+
!
2& 4
!
'
!&%
&7 &! 6 !
& '
(
# &%&!
*!&% !
& '
(
%
'
O
" #8%
*%
!
. * !
'& & !
&'
"() +
% '
" +
!
4
!
''
!
2& +
% + " , %
!
'
!& "
" :
" *8%
&.+
%
!
7'
!
2&
'
'
! &%+
'&+
("% " +
. ! " + " *8%
*%
!
. * !
'& )" + " : + ,( & *!
%
! "+
!
7(!&%
'
(* &%
! " +)'
2!
7 +,
" &9"!
+
!
+ " +'
'
! &%+ % /
=
-%
)
+
" , -4
K& ,
!
* &%&!
*!&%
"!
5
"
+ ,!
&%
(
" %". (& "%
(
, !
*
@ * % +)( !
'
+
"
& % &+
, %
!
'
1 3(!
,
( &% " , '
!
2& " % /
, !
2 " 3(!
"! ! ') &
" ,!
+
(& "%
(
@ * %+
0 '(+
9& " " *( % K&'*, ?
" +
'
('
1 "I
+
!
" ! J " ,!
+
%"
,!
&% 0 + ' '
2 " "(7 &'&% & " '
( ,
"% /
+
" ,!
+
" % /
'
!!
2 (& !
&+
%('
'
!
2& 7 & " +
" (+
3(!
, + , %'
'
!
2&
, +& " ,
% / & "%
( +
0 ,
& !
+
% (& +
%
9&
+7(! 3(
7 &%
!
' " +'& !
'
!& + +7(!
&%+
"!
5 +
%%
!
,
"
+
.
0
0
7
!
& , "6
%
!
'
"(
&'
!
/%
!
.+
+
%%
87!
'+
,
!
&% .&'
!
2&
+7>&
, !! +
"
+
!
+
%*
(, .
!
+
!
2&
4
!
'
!&%
(+&'
!
(&
& *
,
% /
& "%
(
!
+?
!
& , ,!
,( +
%
(+
" +
" * &%+
, %'
'
!
2&
, +& " ; &8+
7(! 0
'
(
.
!0
'+
'0 7 4+
<
/
&
"%
(
+
+
(, 4
!
'
! "!
+
)
!
4
6
'
!
"
'
'+
" % /
+
+ " )
'
(&
"%
(
@
* %+
#( %
(&
% /
."( '
!
2&
!+
7+
&
!
&"'
() % +" +
% +
"%
!+
7
-"
,( +
%
,
7 &%
!
5 (&
, '
!
2&
+7(
'
'+
"
1
& "
& 2 + , +&% "
+
'!
,'
!
2&
(& '
'
! &%
% /
&"
!
&4 * '
!
2& ""6+
(*!
&!
+
%
! &%
!
4
!
3( " +,8 ! +
0 "%
!
,
.&%0 " +'(++
!
&* !%+
0 " +'(++ 9+
!
'+)" 4"%
'&% "
!
'+,
" "
'
!
2& (&9 " '(+"
84: & "
& 8 " +'&',%+ 9+
:( 7 '&+
%() (&9 "
'(++ , %
! " + %+ '7! + &" '
%
!
.
!
&% ! ! &%
!
4
!
3( " +, +
!" +'& !& + &% "" +
" "($ /
&.+
%
!
7'
!
2& " + '
'
! &%+ !
&'
! &%+'6
%
!
'++
"!
5 %& , &% '*
• : !
'
( 0)+
6,
" '"!
5 9,! * &% % +" + " * &%+3( !
&% .
!
&! & & " +
('+
)'&% '& % "
.! &'
! & '+ ! ,
% *!
& " +'(++ : % &5 !
7!
&
. !'
!
2& &" +'& !
'
!& + -!
+
%&%+). !'
!
2& &" + ,!
&!& + " +%+
%
!
7+
&.+
%
!
7'
!
2&+
• :!
"!
5
&"+
!
%
!
'
( &'
!
&.+
%
!
7
+1 &
.
!
% " +, /
(!
'
!+ &" %*
• : +!
"!
+!
*, '
!"
•
"
,
•
•
/%
!
.
" !
&.+
%
!
7'
!
2& +" '"!
5 '(++ .
!
%&
+ &'
(+'
!& +*(%
(+
& ',% '* '(++ " + 1 '
1+
+
(, +
!
'
!& +
•
%+
0 + '
!0 +
(.!
+
!
2&
& " '&+
!
7& '
!
2&
" + %+
+. +
0 " +3( + %
(.
! &,
"
*+
%
+
!
7&
+
, &+ " +
0 ,
+
0 &(&' " + 3( +
"
&
, )& &
!
&.+
%
!
7'
!
2&
!
+
%
!
&7(!+ &% " + 1 '
1+
'
" '
!& +)" +3( + + & &
('
'
!& +
& "7(& +'++ +& '+ !
"!
5 " !
&% 7 % ! !
&!
.!( " ,
.!
% !
&4
"( &'
!+
" +'*, ? + /4+ !
& * 7 +*9+'&.&!&% 4'
%
( '
" '
!& +'" '
%
!
.+ &
+
, '
!" '
( & + , +&%& !
. 7 &'
!+ & " +%+
%
!
* &!+ :+ ,!
&!& +
, +& +
, !
* &% + +
("%& 7 &(%
!
"! ,
'
"
,(&%+ ( ++
@4
7
0
:
*!
&!
+
%'
!
2&
" +* ! + , . &'
!
2&)'&% "
&+ , ('
%
(&
&9"!
+
!
+/
(!
'
!+
" + '(++ " .&%0 '& " 4
!
&
! &%
!
4
!
' '
" * &% "
, " *9%
!
' )" + "% & %
!
. + +"('
!
2&L "
!
*," * &% " ," &
'
'
!
2&)
1 ' +7(!
*!&% ) ."( " + +
("% +
+
%+, ++,
" %*
'
!
+
!& +
0 3( + " '
!& &'& " *8%
G
, " *+
0 + +
(* & & " +
!
7(!&% 794
!
'
7
0
+"('
!
2&
7
CARACTERIZAR LA PROBLEMÁTICA
• Identificación el problema
• Observar sus características
• Analizar las causas básicas y las alternativas
de solución (espina de pescado, árbol causal)
DISEÑAR Y EJECUTAR EL PLAN DE ACCIÓN
• Definir y evaluar alternativas
• Establecimiento de objetivos
• Ejecución del plan
VERIFICAR LA EFECTIVIDAD DE LA ACCIÓN
• Comparar el antes con el después
• Identificar no conformidades
• Llevar a cabo las acciones preventivas y
correctivas
ESTANDARIZAR Y HACER SEGUIMIENTO
• Documentar el estándar
• Revisar nuevas prioridades
• Planear otras acciones
6
SURATEP. Creatividad para la solución de problemas. Gerencia de Prevención. División de
Capacitación. Preparado por: Fabiola Ma. Betancur G. Medellín, 1999
@
"
&9"!
+
!
+'
(! +
" + '(++
0 , *!
% 3( " , '+
! &%
!
4
!
''
!
2& "
" * + !
%+
+
(. 5(&, " * !& 4
!
&! )
(
3( " + "% & %
!
.+
+"('
!
2& + & " +*9+' '& + " +& '+
! +
"
*, + +
6*!
+
* "
+
'7 &'
! '%
"% & %
!
.+4'
!
"!
%+
(!
*," * &%'
!
2&)" ' '
'
!
2&
"
+
!
%
('
!
2&, " *9%
!
'
,
K& ( & *8%
%*
'
!
+
!& +!
*,"!
' ! &%
!
4
!
' & +" " +4'
% +
!+
7 !'
%++
!
& +
, '
!"* &% " +4'
% +
!+
7 9+
!
'+
0 3( .&*9+ ""9 "
.&% , %
!
'
("
& "!
5
+ '
!&
+
% '&!
&+
%" (& , %'
'
!
2& & " ,(&%
, '
!
2&
(& *93(!
& 3( 1
*+
%
+ , "!
7 +0
'& 4 5 (&
&% & *!&% " '
'
! &% 0 +
!
& 3( +
, +
% + %&'
!
2& " +7(!
" +*93(!
& +) " ++
!
+
%* +
&% & *!&%
4'
%
!+
7
%'
%
&
(& '
'
! &% + '&+
!
+
!
*," * &% '* (& '+ , %
!
'
("
(& 4'
% *9+
7& "
& *!
&
, %&'
!"0 '
() ' '
'
!
2& , . &'
!
2& , &
" 7
'*, *!
+
" 7 &'
!
:+ * ! +
, .&'
!
2&
,% +
&+
/%
(& '&% "
%
!
,
*!
&!
+
%%
!
. 3( !
&'
"() . ! " + , +& 0 "(7 0 %
!*, )'+
% ;3(!
8&0 2& 0
'
(9& )'
(9&%< K& 7(6
7!
+
% ,
"" . +
% " , 9'
%
!
' + , +&%
'&%
!
&( '
!
2&
%
"
,
"
. #
"+
.
$
, "
)
+!
*, %&% & % 3( &
+
% '&+7(!(&* "
%*
'
!
+
!& ++
!" +
7 &!
5'
!& +& "
&!
*, %&'
! "
+ ""
" +1 !
"! ++'
!" + " +
, +& + !&% + 7 &
'*, %&'
!+,
" % / & 3(!
, 0 " * &/
'&4
"!
'
%+)" "!
& '
!
2& !
&% ++). " +
: ,( +
% &* '
1 ) +7(!
*!&% " +," & +
'
'
!
2& + " +
("%
(&
, '+
, &!
5/ & " '
(" "
7 &!
5'
!
2&+ &% & &" 4 *
, '
!!" +
, " * +)%*
'
!
+
!& +& 7 '
! + +
% , &!
5/ 7 & "* &% 1 "" .
" + 7 &!
5'
!& +
&%&
3( " + +"('
!& + & +" +& %
8'
&!
'+ +
!
&
+
, '
!"* &% 7 &!
5'
!& " +)
'*, %*!&%
'&%
!
&( '
!
2& + &'
( &% &
(& + !
'
'
!& +, . &%
!
.+
0 3( ' +
, & & (& "!
+
% !
&'*," %0 '
()
!
&%&'
!
2& +
/*," + 1 '
! & +
& !!
7!" +," & + '
'
!
2&
'
"
+
%
A
" %
"* "
" +7(!
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
'(+"!
+
"!
*!
&
('
! " !+
7 & " 3(!
,
!
+? * 3(!
& ! ) 3(!
, '&4
! " &%
8*!
& + +7(!
&+
%" 7(
+
+
(+
%
!
%
(! 3(!
,
, %'
'
!
2&, +& "
!
+
%!(! " +
, '
! ;:) (%
<
'
( " !
"(*!
&'
!
2&0 .&%
!
" '
!
2&0 %*, %
(
&% " " +&!
." +
(!
+
%!
&7! " (+
* % !" +, "!
7 ++
&+
, % )* & / * % !" + &4 * +7(
.
!
+ " ++
!
+
%* + +" '
'
!
2& , +& "
.
!
+
4
!
&!'*, %&'
!+
.
!
+
4
!
&!," & + 4 * '
!
2&
&+
%(! +
%
9&
+ +7(!
&+
%(!+
!
+
%* +
."( '
!
2& " +*, ?
'
(* &% " +, '++,
" .!
7!
" &'
! " '
'
! &%
+
% " ' (%
!
& +,
!
&+
, '
'
!
2&)* &%&!
*!&%
3(!
,
+
% " ' +
!
+
%* + , *!
++,
% +
"% !+
7
&
+
, '
!+,
" +"('
!
2& , " * +'&" + 3(!
, +
% /
"
(&," &
+
,( +
% &% * 7 &'
!+
(' ) &% & " , +& "
,"!
' %
8'
&!
'+
% "!
* &%'
!
2&, +
!
%
!
.
&% & &&( . + +
%
!
" + "! 5
7
,"!
' (&+
!
+
%*
4
( 5, +
!
%
!
. )& 7 %
!
.
7(&% , " +'(++ " +, " * +)" ++"('
!& +
,8 ! +'&+
!
3( " "% "
,
*/
< &. +
%
!
7 " +'
'
! &%+ '
(!+
<# /
"+
!
+
%*
*!
&!
+
%%
!
.
'
< $(+
' " + -,"!
''
!& + " ++
6
&%* +
< !
&7(&
" + &% ! +
: " "!
+
%
" * &%+3( +
!.&
.
! &'
!+) )
( & " &9"!
+
!
+ "
'
'
! &%
% /0 )"( 7
($
"
'
"
) " " %
, 7(&% " "
!
5
3(!
3( '&'
(
'&"
+
,( +
% ""
'
1
G
"
< %+) !7 * +
< 7!
+
%+
&% & *!&%
'
< &% .
!
+
%+ , +& +'
" .+
<# 3(!
&+
!
&7(
7>& " *8%
$
,1
;
;
;
;
< %+;, %
+
<
< &% ;, ," <
< +
!
'
!
2&;, +
!
%
!&<
< '
(* &%+;, , +
<
: 0 (&
" ++
!
7(!&%+'(++
" '
'
! &%
&9" "
< # &%&!
*!&% !
& '
(
< (, .
!
+
!
2& 4
!
'
!&%
'
<
"%
'& '
!
*!&%
< "" * '
9&!
'
@
7>& " *8%
: (&
%
" '
'
! &%
" ++
!
7(!&%+'(++
&9" "
"
"
"
"
$
< N,
3(!
, ++
!
& (% !
5'
!
2&
4
< N,
." '
! +!
& '
( +
7< "%
'& '
!
*!&%
1< K+ 3(!
, + 4'
%
( ++
" 8-!
%
"
'
'
! &%+
0
*!
&!
+
%'
!
2& " +," & +
'
'
!
2&,
/
, &
" ++
!
7(!&%+, ++
0 &
'&% "
, .&!
< +
'!
,'
!
2&'
"
" .&%
<
&%
!
4
!
''
!
2&)4 *(" '
!
2& " , " *
'
< . "( '
!
2&)+" '
'
!
2&
"% & %
!
.+
< *," * &%'
!
2&)'&% "
+
("% +
M
8/
.
.
,- )
•
•
•
"!
5
"
"!
&4 *
7
*7
7
A -/
!
&.+
%
!
7'
!
2&'&'!
% !+
'"!
), %
(&!
&+
%(!(&+
!
+
%*
!
&4 * '
!
2&+, %
&(&4 * % +
%& !
5 )(&
*8% (&!
4*
&9"!
+
!
+3( , *!
% '7 " % &4 * '&4
!" ,
! &%
!
4
!
' , ! ! +)7 &
," & +
'
'
!
2&
4
!
&!" +!
&!
'
+ !
*, '
% )" +!
&!
'
+
1 ' " +7(!
*!&% " +* ! + !
&% .&'
!
2&
, '+ 3( +& 9+
!
'+,
)
B
Q(8 " * &%+!
&'
"(!6 (+
% & (& !
&4 *
!
&.+
%
!
7'
!
2&
'
'
! &%+
!
&'
! &%+'6
%
!
'+
C
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
84B
3(8 + !
*, %&% (& ( & +
!
+
%*
5& +
:4B (9" +!
&!
'
% /CB (9" ,
/
24
!
&4 * '
!
2&C +
'! *6
&!
* %+
+ !
*, '
% '& ' (+
% ,
1' .
!
7!
" &'
! " '
'
! &%
6 + (&!
&!
'
, '+C
01+4&
""
1$
.
+$6
" ) "! " $ "
$
7
H
"!
&4 *
!
&.+
%
!
7'
!
2& + 7 &!
*, %&'
! , .&%
!
. )" 7 "0 , 3( & +
%
+ &'
( &% & +
(*! +" +1 '
1 + 9+
!
'+ " +
('+ " '
!& +'&" +. ! " +
, +& 0 %
!*, )"(7 0 "
. "( '
!
2& " !+
70 "
+
'!
,'
!
2& " +
('+0 " +
'(++ 9+
!
'+ ) ! '
%+ 3(
+&' & & " '
'
! &% ) " + * ! +
, .&'
!
2&)'&% " 4
!
&! +) " +
, &+ "
"!
&4 *
: *, +
"
(&4 *(" ! +
%
9&
!
&. +
%
!
7'
!
2&3( '&%&7 +
%+
) % +. ! " +3( + '&+
! &'&.&!&%+)'& " '
( " + ,( &'
(*,"!" +
3(!
+
!
%+ " ))+
% 7 &%
!
5 " '&+
!
+
%&'
! &" !
&4 * '
!
2&,
4'
%+
+
% 6
+
%
!
'+)
, &!
5/
* !
8& +(& 4
( &%
!
&4 * '
!
2&!
*, %&% ,
+ , +&% (& 4 * % ,
" +7(!
*!&% " +," & +
'
'
!
2& & " & "
"!
&4 *
!
&.+
%
!
7'
!
2& , %
! " 4
!
" +4
6 " '&% " %%"
,8 ! +
: '
" .
(& ( & !
&4 *
7 &%
!
5 3(
•
•
•
•
•
•
!
&. +
%
!
7'
!
2& + + '
"
:
+
'!
,'
!
2& " .&% !
&'
"() " + '
'
!& +3( , %
!
'
!
,
'&%'
%0 '&%'
% ), +
%'&%'
%<
: +! +)" + 5& *!&%++ &'
( &% & !& + ""
&1 '
1+
&'
( &% & '
" * &% !
4 &'
! +" ++
6
&%* + ;
+
( +
%
9&
+
< " +'(++ 9+
!
'+;4'
% +, +& " +)
: +1 '
1 +'*,
++
%
8&'
" * &% !
4 &'
! + "
3(!
/ "7(& & %
(&1 '
1 & '*,
'&+7(!*9+!
&4 * '
!
2& +
%+
&3(
& " '*,
4
!
& (&," &
'
'
!
2&'& +
, &+ " +)4'
1+
+" + +
, '
!+ & " &' + &'
( &% &"" & +
)+
!
*,"
+
%
& & " .&% ;,
+)4
(& * &% +
'
%+ ) '& !
'
!& +
% /<
++
(, +
!
'
!& + !+
" !
*, +
!!
"!
+ .'
!& +
'*!& 3( " + *, ++%&7 & 4
!
&! (&, '+
* !
'
!
2& " '"!
" +!
&4 * +
0 "'
( " ,( +
.
!
+ )'"!
4
!
' ,
" , 4+
!& "
+7(!
84
M
0
: !
&4 * '
!
2&3( + '7 +
!
+
%*9%
!
'* &%
" !
&.+
%
!
7'
!
2&
+ (&!
4*
!
&'
"(!+" 3( "" +. ! " +3( + &>%
!
" +,
" +
% 6
+
%
!
' , %
! " '
(" +
,( & !&% " +, "6
%
!
'+ , .&'
!
2&)" +," & +
'
'
!
2&
*, +
'&+
%(! (& 4 * %
!
&. +
%
!
7'
!
2& +
%& !
5
3( '&%&7 " + . ! " + )
'%7 6+ !
&% 8+,
" &9"!
+
!
+ +
%!
&4 * '
!
2&,
3( + .
9"!
+
' !
4
!
' , , +& "
*!
&!
+
%%
!
., ,
7
Una metodología al respecto se puede consultar en: Frank E, Bird y Geroge L. Germain.
Liderazgo práctico en el control de pérdidas. La conservación de gente, propiedad, procesos y
ganancias. Det Norske Veritas, USA, Atlanta, Edición revisada 1990, p.72
: !
&4 * '
!
2&3( +
(*!
&!
+
% " 4* %
*6
&!
*
'
(% !
&% 7 &%+
!
&. +
%
!
7'
!
2&
+
,( +
% '*
B
Q(!
8& 3(!
8& ++&" + 4'
% +
C;. ! "
, +& <
B (9&
'
(!
2 " . &%C;. ! "
%
!*, <
B 2& + , +&% " .&%C;. ! "
"(7 <
B (9" +4
( &" +' '
%6
+
%
!
'+ " .&%C;. ! " + " &9"!
+
!
+ " '
'
! &%<
: *) 6
" + . ! " + * 794
!
'+ +
%
9& 7!
+
% + & " 4* %
&%
!
4
!
''
!
2& " '
'
! &%
"" & + & '+ ! , %
!" + & " !
&4 *
!
&. +
%
!
7'
!
2&, 3( +
%++&!
*, +
'
!
& !" +,
" &9"!
+
!
++
% 6
+
%
!
'
84
2
7
.
0
0"
&" , +& !
+
%&(& + !
*& !
&'
! &'
! &" + '
'
! &%+
•
)+-
*
70
. ! " +3( ,(
*!
% ! &%
!
4
!
' " +7(, +,
&%& (& * )
+- *9+.
("&
" +
+
%+ . &%+
•
N'
(, '
!
2&
'
%
!
.
!
(
+
%' '& !
'
!& + +
, '
6
4
!
'+
( '
(, '
!
2&
!+
7
+'
! +
(&
•
" ! " !
&7 + * & % ! '*
% *!
& &%
" '& !
'
!
2& +'
!
'& *!
'0 ,(
/
(7 (&, , " !
*, %&% &"
'
( &'
!
" + '
'
! &%+
!
&* 7 +
( *,"
+"!
*!
%
! " '*," /
+
(!
&% . &'
!
2&
•
(''
!
2& +
%. ! " 0 " '
!& '& " &!
." +'
!= '& *!
'
" +, +& +
0
,(
!
&4
"(! &'*, %*!&%++7( + !
&+7( + & '
%
!
%
( +, '
%
!
.+
'
%
!
.+4 &% " +7(! ) " % /
' + 3( , +& +'&&!
." +
('%
!
. + /++&*9+, , &++ " '
'
! &%
•
-, !&'
! : -, !&'
! & " 4
!
'
! +(& . ! " 3( 1 +
%
" '
!&
'& " + '
'
! &%+
% / & "7(& +'++ +
% ,(
+'
! + '& (&
*) '
'
! &%"!
!
" I
4*!
"! !
5'
!
2&J3( " , +& ,(
%& '&
" ++
!
%
('
!& +
!+
7 & %+
0 ,
" '&% !0 (& &>*
!
*, %&%
'
'
! &%+3( !
&. "(' & , +& ++
!
& , !&'
!0 ,(
+ (& !
&!
'
4"" + &" +, '++
&% & *!&%
•
/ &'
%
(& ) %
(& + :+, +& +3( % /& '& +
%+'& !
'
!& +
0
+
%
9& ,( +
%+ (& 4'
%
!+
7
!
'
!& " , 3( ,
&%
( " 5 " +
1(* & + !
(& ) +
% '& !
'
!
2&1 ' 3( " , '+
,%'
!
2&0 " '* !
1 !&'
%
(& 0 + " &%
•
("&
!
"!
7 &8%
!
'0 3(
"
!
&'
! &'
!
+ % ('
+
%.!" & + 4
!
(& , !
+
, +
!
'
!
2&
& '&',%+ '* , , &+
!
2&0 , '
"!
.
!
, "!'
'
! &%"! 0 +
!
&
(& .
("&
!
"! 0 3( %
!& " , +& 0
+
(4!
'
'
! &%++7>& + " '&%-% +'
!"
"
" %&% +>%
!
"
&%
" +
+
!
+
%* +
!
&4 * '
!
2& ! &%
!
4
!
' " + , +& + 3( 1 & +
(4! % + *9+
.&%+ &(& ? 0 ,
1 ' &9"!
+
!
+*9+ %""
+ " +'(++< & " & @+!
&'
"() (& "!
+
%
'
1 3( 3( ,(
)
( ,
+
% , ,2+
!
%
% / +(& . ! " 3(
4
!
&!+ & 4
(&'
!
2&
(& (&!
* !
; 6+
0 +* & +
0 * ++
0 ?+
< #( +
% " , +&'
!0 (+&'
!0 '* !+ %& &'
!+
&" +4'
% +
!+
7 " + .&%+3( +
%+ '+
!& &
: I
.!" %
!*, J *( +
% " '*, %*!&%
" + .&%+ & (& , 6
1!
+
%
2!
'0
" %& &'
! &(&, 6 4
(%
(
*!
8&, *!
%.
!
+
( "!
5 "7
* / *!&%
" +'& !
'
!& + % / )'*, %*!&%+ " +% /
+
0
" " 7
(&, 6
%
!*,
!
7( " * & 4'
!
"!
% '*,
+
("% + &%
, 6 +; ? &% ! ) ? '
%
( "0 * ++!
7( " +
+ ?+ !
4 &%+
<
: 4'
1
" '
'
! &% +
7 & (%
!
"!
&%
" +!
&4 * +& +
2" ,
%+
'& &'
!" 7" +
!
& %* !
8&,
4'
%+ +
% 6
+
%
!
'+
+
(
:1
" '
'
! &% , 6
&%
"%
(&
% / +% .!" !
*, %&%
%
!*, 3( , *!
% ! &%
!
4
!
' +
! !
+
%& , " * +
4%
!
7
, 6 +
!
& , ,! +
+
'&+ +7>&+ " %
!*, 3( "" . " , +& "
&
&%+
'
(! " '
'
! &%
$+ "
/ " "(7 , *!
% & "!
5 " , +&'
!
4'
% ++7>& 7!& +
0 '&% +
% /0 +'
'
!& +
0 , '++( 4
!
'
!+
0 '& " 4
!
& ! &%
!
4
!
' 7(, + , " '
!
2&*9+
,( +
%+
& +
%%
!
,
. ! " ++
" ++
!
7(!&%++
!
%
!+
(
&%
"
+
%'&,
+
(!
*, %&'
!,
*, + .6+,> "!
'+
0 "(7 +
"
" &9"!
+
!
+
' '
!
2&0 '
" + .&%+
% +
0 &%
*, + N4
!
'
!
& +) +
, '
1+
0 "* '& +) ,2+
!
%+
0 %""
!
& (+
%!"0 5& + ,
%'
1+
0 &% % +
('
'
!
2&0 , %
!+
"
0 +'. & +)7 " 6++
(%
%+
" '"
& +
0
84
8
* ) + 1 6 * &'
!&
"
'
( &'
!
(& '
'
! &%0 , " 7 & "0 +"
'
("*!
&'
!
2& (& + ! +
('++' " %
!
. + K& 7!
+
%
% ++
%+1 '
1+ +
7 & (%
!
"! ,
"
*, +
, %* &% +
, &+ "
& " , .&'
!
2&
'
'
! &%+ !
& * 7 "!
&'
"(!% " ' &
1'
1+ ' '
'
'
'
! &%
& "
7!
+
% +
% 6
+
%
!
' '*,"!
'6 +
(+
!
+
%* %
!
5'
!
2& ) !
4
!
'
("% 6 " %*
'
!
+
!& +
& +&'
!0 " &9"!
+
!
+
+
!
7(!&%+, 7(&%+
•
•
•
•
•
(&'+ ,
, ,2+
!
%+ +
% 6
+
%
!
'+
B (9" 4
(" " +
!
2&C
B
Q(8, % " '
( ,
+
("%
2 4'
% C
B
Q(8 /% +
(+
%&'
! , (/ " " +
!
2&C
B 2* &%2 &'&%'
% " , +& " +
!&
B (9" +4
( &" +'(++ " '
'
! &%C
'& "
/%
+
, &
+
(+
%&'
!& *
" +
C
:+ +
,( +
%+
0
!
'
1 +, 7(&%+
0 + ,( & &'&%
&" +'%7 6+ & "6
%
!
'+
3( + -,"!
'&
'&%
!
&( '
!
2&0 %&!&
&'
( &% 3( " + '
(% , !
* +
' +
, & & " +? "
,
" #8%
*%
!
. * !
'& 0 )" >"%
!
* + 4
!
" '
" +
!
4
!
''
!
2& + ""
,
" #8%
: : +'%7 6+)'
2!
7 + (& +)
% ++ ,( &'&+
("% & " '
(* &% I
. ! " +)'
2!
7 +,
" &9"!
+
!
+ " +
'
'
! &%+ % /J
0'
2!
7 -$" A
/
& *!
& , +
(+, !
&'
!
, " +' '
%6
+
%
!
'+4
6
+
!
'+
/*," + *,(%'
!
2&0 4 '
%
( 0 1 ! 0 "(* "7!0 3( * ( 0 &% % +
( & + , +&%&" +
!& +*>"%
!
," ++
" 7!" " +
!
2&*9++ !
/*," 0
+ +" '
'
!&
, 4 &'
! (& " +
!
2&3( !
*,"!
'!
&', '
! , * & &% &%+3(
(& " +
!
2&'&!
&', '
! %*, "
(& " + " +
!& +
!
4 &% & %
( " 5 ,
'
" +
!
4
!
'&'* " +
!& +*>"%
!
," +
'& +
!
7( " * 7&!
%
(0 +
0"
$"
!
/
'
" +
!
4
!
'" , % "'
( , 3( +
("%
2 !'
%* &%
4'
% , " " +
!
2& ( &
" &%
( " 5
" " +
!
2& " +
!& + 4'
% . !+
+'
'
!& +
(& , % , !
&'
!
, "
" '
( ,
!
4 &%+*!* +, !
&'
!
, " + "
'
( , 0
(%
!
"!
5 + " '%7 6 I
, %+*>"%
!
," +
J
0
'
(
'&" + 7" + "
*8%
/*," + # & 0
+
0 ,!0 % &'0 ' 5
+
!
7& " +
('+ 3( ! '
%* &% , (/ " " +
!
2& &%
8+
%++ &'
( &% &
",
'&% , L'6
(&&!
." +
(, !
(&*!
+
*
&!
. "L'7! &0
/
&% L+
+
4
( 5L'&%'
% '&0 &% % +
+
/
4
!
"
/%0 +
(+
%&'
!0 , +
!
'
!
2&0 * .
!
*!&%
'
( , 3( ! '
%* &% , (/ " " +
!
2& /*," + # 3(!
& % 3( "
0 +
'"
'/0 +
(+
%&'
!+3(6
*!
'+
04
(70 %
'
+
(+" '
'
!
2&
"
0
%& + &'
( &% " +
!
7(!&%
• : " +
!
2& + " +
("%
(& '&%'
% .!" &% &%
,( & +
% 4
!
/+ &* .
!
*!&%
+
*9+
/%+
0 3(
• N'
(!
2 '* '&+'
( &'
!
(& %&+
!
2&
+
7 *!&% ,
*.
!
*!&% " '
( ,
• (' !
2 ! (&+
+
4
( 5 " " .&% 0 1 " 0 *,(/ 0 &%
• ( , ('
% " '
'
! &%
(&. 16
'
("
('
! ,
(&
%+
$
/ : +'(++ " '
'
! &% + !
.! & &'(++!
&* !%+)
'(++ 9+
!
'+ :+, !
* +'* + '
9%
!& &3( . '&" +'
!'
(&+
%&'
!+
3( + , +&% & /
(+
% &%+ " '&%'
%
&4 '
( &'
! + " + & *!
& '
%+
!
&+7( + '& !
'
!& +!
&+7( + : ++7(& +' +
, & & " +'(++3( +
%
9&
%9+
" ++
6
&%* +
0 + '
! " + 5& + , " + '
(" + '
( & " +'(++
!
&* !%+
0'"
"
* "
%
"
/
4
!
" +'+
%+3(
7& & " + , '
!& + ,!5+
,( +
%,
? + &" + 3(!
, +
L" %
!*,
" + , '
!& +
0"
%&'
!
2& " * 3(!
& ! " +.16
'
(" + &%
8*!
& + ,8 !
, ('
%
!
.
! 0 &% % +
" '"
/ &'
"() ,8 ! + " , ('
'
!
2&, " +* &!
4+
%'
!& + !
&% 8+
'* &% !+ " +% /
+
0,
" &% & *!&% "
*," 50 , " "!
*,!5
" "(7
* !
8&+ 4
!
" '+
%
" + '
'
!& +' '
%
!
.+ !
4 &%+ " +
, '
!& +
0 / & " &!
*!&% " " +
!&
+
(+'*, ? +
0 &% % +
6
,
"
/
4
! " %%"
6+3( " , +& " +
!&
'(+ " '
'
! &% " % + %*
" !
&', '
! *8 !
'
/ + " '+
%
* % !" +) % %
!
,
+
%
!
*
,8 ! +
"
" +
?+ & "
/
2
, ,!
%
/
0 , '++
) $
" +/
& " 4
!
&
)
(
" %*
'
!
+
!& + ) "
% *!
&'
!
2&
, !! + &* % !
, .&'
!
2&0 + !
*, %&% ."( "
* 7&!
%
(
" !+
7 * !&% (& '* !
&'
!
2&
+
(7 .
, %&'
!" '& "
,
!
"!
'
( &'
!
"" +
+
, &
" +
!
7(!&% , 7(&% B
+
!
& + %* &* ! +' '
%
!
.+), . &%
!
. +'&3( 4 '
( &'
!+ , 6 +
,
3( +
,!
% " . &%C
*9+ B
'
(9" + 6 " , %&'
!"
7 .
" +
'&+'
( &'
!+
C
(
+ 3( (&+
('+ &
+
3( +"
!'
2*
+
("% ,8 ! +* & +
,(
, +
" , %&'
!" ,
3( '
( (& ,8 ! 7 . 1 +
% " *( %0 '*
%* !
8&(& ? !
*, %&% " , ,!
:+ '
'
! &%+ !
&'
! &%+3( %&7 & (& "% , %&'
!"
,
!
"!
3( ,(
+
('
&( . * &%0
&+
!
&* !%
:4
7 .
/%
) (& "%
(& %&'
!
2&
: !
&. +
%
!
7'
!
2& " + '
'
! &%+ !
&'
! &%+'6
%
!
'+ *9+ %& (&, ,2+
!
%
'
"
!&%
" ' '
'
!
2&), .&'
!
2& " +4'
% +
!+
7 3( 7 &
& "
.&%0 %* !
8&+
!. ,
%& !
&4 * '
!
2& +
%%
87!
' 3( +>%
!
" & " , '+
' '
%!
5'
!
2& " , " *9%
!
' &+7(!
/*," 0 " &9"!
+
!
+ ,(
*+
% 3( (& 7 & '&%
!
'
'
! &%+
!
&'
! &%+ + , ('& & " '
!
2& '& '
! %+ * % !" +
0 *93(!
&+
3(!
, +
0
' +
, & & % /
+'&'
! %+&!
." +
, !&'
!0 + '&'&% & &(& +
'
( &%+'(++ 9+
!
'+ !
&* !%+ !& '
( & &(&,( +
% 9
% /
+
, '
6
4
!
'
* !
8&*( +
% &'
(9&%+ '
'
! &%+ '
( & '
(9&%+ 6++ ,! & &
(&, 6
%
!*,
*, +
+" '
'
!& " +'('+
. ! " +3( *9+" !
&% +& ,
!&% 0 + " +," & + +"( )+7(! 0 " + '
'
!& + , .&'
!
2&)'&% "
: +" '
'
!
2& " !
&4 * '
!
2& , &
4'
% +%" +'* " , "!
7 +
!
" +
4'
% +
!+
7 0 " ', '
!
, %
!
.
" , +& " 3(
"!
5 " &9"!
+
!
+
0 " +
+
!
+
%* + !
&4 * '
!
2& 3( !
+
, &7 &0 &% % +
"7(& +
" +. ! " +*9+'*(& + >%
!
" + &" + &9"!
+
!
++&
•
!
" $
5 +" )
"
"
" , -*
*"
$ !
4+
%+'
!
4 +, +&%&(&1!
+
% !"
" +
'
'
! &%+), *!
%&'"'
(" " +%& &'
!+ &( " + &>%
!
" + &" * ! 3( & +
, *!
%&'*,
" + %+ &% , 6 +'& " 4
!
&
% *!
& "!
*, '
%
" +
'
'
!& + , .&'
!
2&)'&% "
•
, *!
%
3( ,(
+B +
51"
% " 4+
% '('
+ . 3( , , '
!
2&
.&%++ '&'&% & &(& + 7 &%+ " +
!
2&
&+ ' '
%6
+
%
!
'+ '
! %+9 + , '++ % /
•
+B
$" A
* "
$"
!
51"
% "
*!
% & "!
5 +
!" +" +
!& ++ 7(, & & &(& , %
+
, '
!" " '
( ,
+ '&'&% & &(&
!
4 &%+& %
( " 5
" +
!
2& ( &
+ ,( & %& " + , '+ .
!
%" +
+
%+ . ! " + + *('
1 *9+ 4
9'
!
" "
!
&% . &'
!
2&) " !
*, '
% + ,( .
' % ," 5
•
+B
$
($
+ "4 +
%
!
&4 * '
!
2& , *!
% ! &%
!
4
!
' & +" " + '(++ !
&* !%+ *9+ '*(& + +
!
&
%* !
8&" +'(++ 9+
!
'+3( +
%
9& %9+
"" + & ' " +, '+'6
%
!
'+,
'(++, *!
%!
*," * &% ," & +
'
'
!
2& " '
!& +'& " !
&' * &%
"
' %
(
" 4 5*!&%
(& &% & *!&%0 '&(&'* ! & " + +
%
!
" +
+
(, .
!
+
!
2&0 '&" * /
&" +, '++ '*,
" + " * &%+ , %'
'
!
2&0
&% % +
N% +'('+!
*, %&%++&" +3( + 1 '&'&"
0 " &!
."
-, !&'
!)
% +. ! " + !
&% 8+) + & * 794
!
'+
" '
!& +'& " '
'
! &%
@
:+ +
!
+
%* +
* &/
%+
%.
8+
(& +4
%
R
, *!
% & "!
5
9,! * &% 7 & + '&%
! +
!
&4 * '
!
2&
'
(
'& " + . ! " +
!
&% 8+ ((%
!
"!
, &
" '"!
" !
&4 * '
!
2&3( + " !
&7 + ) "
'"!
" , 7 * (%
!
"!
5 ,
, '+ "
(& " !
&4 * '
!
2& +!
*, '
!
+
%
!&
+ ' !
4
!
''
!
2& + !
4
6
'
!
" %*
'
!
+
!& + ' % +
+!
*, %&% & % 3( " ++
(, .
!
+ + /4+ 9 +,( &* & / 7!
+
%+
'& %++&'
!
"" + +
(, ,! 9 0 3( " + )
(
%'
% , " * +) '
%
(
*&
, %
(& +
" +*!
+
*+ !
& * 70 " !
&4 * '
!
2&,
" &9"!
+
!
+ " +
%& &'
!+
+ ' !
4
!
'
, , +& " , ,
,
3( ,(
!&% " +
'
!
+
!& + &%
" +," & + +
%%
87!
'+ +"( )+7(!
>4
70
0
: +%& &'
!+
'
'
! &%"! +7>&, 6 +)9 + % /0 + " 7 & % .
8+
!
&!
'
+ %" + '* %++
0 6
&!
'+
4'
( &'
!0 6
&!
'+
+. ! 0
, '&%/
'
'
! &%+'& 6+, ! +
0 &% % +3( "
*, + '&+
!
'&.&!&%
& +
%+!
&!
'
++ ,(
* ! " !
*, '
%
" +!
&% .&'
!& +
( &% , 6 + %
!*,
!
& * 7 !
+
%& % + !
&!
'
+ , ,!+ " , '+
!
&.+
%
!
7'
!
2&
'
'
! &%+ 3( !
7( "* &% +&
(%
!
"!
,
7 &%
!
5 "
%&'
!
2&
" +
+
("% + &%
+
%+ + * &'
!& &
, '
!
2&
'
'
! &%+
!
&'
! &%+
!
&. +
%
!
7 + +
, '
%
" + , % +
L, , '
!
2&
!
&4 * +
!
&.+
%
!
7'
!
2&
'*," %+ ) !& !
"!
7 &'
! + +
, '
% " %%"
!
&.+
%
!
7 +
L, , '
!
2&
'
'
!& + , .&'
!
2&)'&% "
"!
5 + +
, '
% " +, 7 * +
"
•
S
&!
'
%
4'
( &'
!
'
'
! &%+
/
+"
" '
!
2& &% " &>*
%%"
'
'
! &%+ % /0 '&)+
!
&!
&', '
! 0
7!
+
% + &(& , ! ) " %%"
1 +1 *
% / + ( &% " , !
'&+
!
*("%
!
,"!
'
,
T +
% '&+
%&% + !
7( "
) +
("%
*("%
!
,"!
'
% /
+3( "
& @ 1 ++* & " +,
+* & +3(
%
!& " ?
"
+
("%
+ !
&% , % 9 '*
" &>*
( &% " >"%
!
* ? , '
% /
6
&!
' + ,( (%
!
"!
5 ,
" +!
&'
! &%+ %
U
%%"
+
/
'
'
! &%+
% / '
(!+
%
!*, '*," % +
% *!
+
*
&" ?
FF ?
- T
•
S
&!
'
4'
( &'
!
'
'
! &%+
%
/ '&!
&', '
!
+"
" '
!
2& &% " &>*
'
'
! &%+'&!
&', '
!
&(&, ! ) " %%"
" +1 +1 *
% / + ( &% " , ! '&+
!
*("%
!
,"!
'
, T
-, + " %%"
'
'
! &%+ % / !
&', '
!
%&%+ '
( ! + ( &% " >"%
!
*
? , '
% /
+ %
!*, '*," %
!& + %
!& & 7!
+
%+
0 " &>*
1 +1 *
% / +;
FF <+ %
!&
* !&% " +
(* % ! " +1 +3( ' % /
4'
%
!
.* &% "
2 ( &% "
, 6
."( 0 !
&'
"()& 1 + % +)'
( "3(! % %
!*, +
(," * &% !
U
'&!
&', '
!
&" ?
FF ?
" +
("% + !
&% , % 9'*
'
( ! + ( &% " >"%
!
* ? ,
•
, '
!
2&
'
'
! &%+
%
" &>*
'
- T
'
'
! &%+ % / '&!
&', '
!
% /
+ %
!*, '*," %
/ '&!
&', '
!
-, + "
" '
!
2& , '&%
(" !
+
%&% &% " + '
'
! &%+
!
&', '
! ) " %%"
'
'
! &%"!
" *, +
V
•
S
&!
'
U
W
+. !
'
'
! &%+
'&!
&', '
!
%%"
%
4
!
& '* "
" '
!
2& &% " &>*
'
'
! &%+ ( &% (& , ! ) " %%"
, ! '&+
!
*("%
!
,"!
' , T
U
-, + " &(*
>"%
!
* ? , '
6+,
•
S
&!
'
/ '&
&" ? ?
/
6+ , ! + ) ' 7 + , " +
1 +1 *
% / + ( &% "
! +)' 7 +,
FF ?
&" ?
6+, ! +)' 7 +,
'
'
! &%+
% /
+ %
!*, '*," %
6+' 7 +
0 ' +
, &
', '
! "
";
*
%
%
-T
/ ( &% "
" + 6+ 3(!
." &%++7>&" +, '&%/+
<P G
:+
!& +!
&', '
!
%&%+
'
'
! &%+
,8 !
/
+
, &
"
" '
!
2& &% " +6
&!
'+ 4 '
( &'
! )+. !
'
'
! &%+
/ '& !
&', '
!
+ (& 6
&!
' 7"
"
" '*, %*!&%
" +
!& +
!
&', '
!
%&%+
0 3( & %
!& (&! + ((%
!
"!
!
' &" '*,
!
"!
&%
G
!
4 &%++'
'
!& + " *!
+
* *, +0 '& "" *!
+
* & !
4 &%+, ! +
0 '&
!
4 &%+ *, + '& " +'
% '&2*!
' " 3( , %& '
:
•
U
-
, '
!
2&
" %"!
'
'
! &%+
/
-, + "
" '
!
2& , '&%
("
'
'
! &%+ * %" + '
(!+ & " , !
" '
!
2&'& " &>*
%%"
'
'
! &%+
/ '
( ! + & " *!
+
* , !
:%"!
U
"
•
* %" + & " ? %%"
?
"
, '
!
2&
V
!
&.+
%
!
7
'
'
! &%+ !
&'
! &%+!
&.+
%
!
7
+U
>*
V
&'
! &%+
!
&.+
%
!
7 +U
>*
!
&'
! &%+!
&.+
%
!
7
>*
, '
!
2&
!
&4 * +
V
, %+ !&
!
"!
7 &'
! +U
, '
!
2&
'"'
(" ,
V
U
+ &(&, 6
%
!*, -
!
&'
! &%+ , % + ( &% " *!
+
* , 6
!
&.+
%
!
7'
!
2& !& !
"!
7 &'
! +
>*
, %+ !& !
"!
7 &'
! + &(&, 6
>*
•
+
!
&.+
%
!
7 + &(&, 6
%
!*, , % + ( &% " *!
+
* , 6
>*
•
&
'
'
!& + '
, %+ "
%
!*, -
+ ( &% " *!
+
* , !
'
%
!
.+ ) , .&%
!
.+ ;
<
"!
5 + ;+ ,(
'
'
! &%+ !
&'
! &%+
<
>*
>*
K& !
&4 *
!
&.+
%
!
7'
!
2&
+
!
7(!&%+ " * &%+
"!
5 + &(&, 6
%
!*, , % + ( &% " *!
+
* , 6
'
'
! &%+
,
< " "(7
-'
%
" '
'
! &%0 "
+
'!
,'
!
2& "
,8 ! +
0 " +'(++ ! '
%+) 9+
!
'+
0 " +* ! +
%+
%
!
7+
$"
%
%6 %
" +
.&%0 !
&4 * '
!
2& +
, . &'
!
2&)'&% " )" +
M
< &4 * '
!
2& 7 & " ;, +& 0 4'
1 ) "(7 <
0 !
&4 * '
!
2& +
,8 ! +
0 "
."( '
!
2& " !+
70 "
+
'!
,'
!
2& " .&%0 " +'(++ ! '
%+) 9+
!
'+
0 " +
* ! + , .&'
!
2&)'&% " )" + +
, &+ " +
'
< &4 * '
!
2& 7 & " ;, +& 0 4'
1 ) "(7 <
0 !
&4 * '
!
2& +
,8 ! +
0 "
+
'!
,'
!
2& " .&%0 " +'(++ ! '
%+
0 " +* ! + , .&'
!
2&)'&% " )
" + +
, &+ " +
< " "(7 -'
% " '
'
! &%0 " + '
" '
!& + " +%+
%
!
7+
0 " . "( '
!
2& "
!+
70 "
+
'!
,'
!
2& " .&%0 " + '(++ ! '
%+
0 " + '(++ 9+
!
'+
0 " +
* ! + , .&'
!
2&)'&% " )" + +
, &+ " +
'&%
!
&( '
!
2&1 ) +"!
+
%+ , "
+
L " !
5
3(!
+ 4
!
" +'%7 6+
& "6
%
!
'+ " '
'
! &% ) "
'
1 " +' '
%6
+
%
!
'+ (& '
'
! &%
"%
6
" +' '
%6
+
%
!
'+ " .&% 3( ' +
, & & '
'%7 6 & "6
%
!
'
<
%
( " 5
<
%
'
< 7 &%
< !
,
<
" " +
!
2&
"'
( ,
+
'+ '
4'
%
:.&%
" " +
!
2&
!
&'
!
2&
&4 * !
&'
'
%
+
, "
'
'
! &%
+
%
9&
&!
'
!
2&+
( +
%
9&
+!
&
'
(
+
+
4
( 5
4
< '
%+
( +
%
9&
:
(* "7!
7<
'
% +, +& " +
1<
'
% + "%
+
, '
! "!
*!
%
/
%
/
!
"" +
:
'
" +
!
7(!&%
4
!
&!
'
!
2& ) C
($ 6
+
, & I+"
" '
!
2& &% " &>*
%%"
'
'
! &%+ % /0 '&)
+
!
&!
&', '
! 0 7!
+
% + &(&, ! ) " %%"
1 +1 *
% / +
( &% " , ! '&+
!
*("%
!
,"!
' , TJ
<S
&!
'
4'
( &'
!
<S
&!
'
+. !
'
< +
'
'
! &%"!
<
, '
!
2&
'&!
&', '
!
@
<
: ++
!
7(!&%+ +
,( +
%+ +"%& "
&
/
+ ' '& " + +
("% + +
,
!
*, %&'
!
" +!
&!
'
+
, '+0
+
H
<
'
<
<
+)
( & &%
!
'
!
, & + " + .&%+
+*( +
% &" ++
6
&%* + " +, " * +
+, *!
%&1 ' /
(+
%+ " +
% %7!
;
0
/
2
$
"
#8%
'(+"!
,8 ! + " : ; &+
%
!
%
(% &% & '
!& "
&% "
%"
8 !+
<
%+
0 7 &%0 , +
!
'
!
2&0 '
(* &%+
(++!
&* !%+ N,
3(!
, +
!
& (% !
5'
!
2&; '
%+
( +
%
9& < )
&)"!
*,!5
4
!
'
!&% ;'& !
'
!
2& +
( +
%
9& <
(++ 9+
!
'+
" *+
* * ! ;4'
%
, +& "<)"! 5
7 !
& '
( ;4'
%
% /<
@
&%
!
4
!
' ) 4 *("
" , " *L +
% " '
/%
!
.+
0 (+
' ) ."( +"('
!& +
0
+" '
'
!&
!
*," * &% " +"('
!
2&0 '&% " " + +
("% +
$
;
<
%
+;, %+
<
L; '<
," ;7 &%<
L;
< +
!
%
!&;, +
!
'
!
2&<
L;
< , +;
'
(* &%+
<
@ 7
;
0
/
8
$
"
&'
"(+
!
2&, '&+&+
& "!
5 %& &'
!+,
%*
'
!
+
!& +
0 '& ' " +, " * +'6
%
!
'++7>& 9 +
7 &%+ " +
!
2&0 ! &%
!
4
!
' " 8!
%
" +* ! +, .&%
!
.+
0 &% % +
S
&!
'
4'
( &'
!0 6
&!
'
+. ! 0 %+
'
'
! &%"! 0 &% % + K&!
&!
'
, '+ ,( + ,
/*,"
" , '&%/
+"('
!& + /'
(% +
$
%
( " 5
" " +
!
2&
% "'
( , 4'
%
7 &%
" " +
!
2&
!
,
'
'
! &%
&!
'
!
2&+
( +
%
9&
'
%+
( +
%
9&
'
% +, +& " +
'
% + "% /
@ '
:
(* "7!
+
, "
!
"" +
+
4
( 5
+
, '
! "!
*!
%
% /
:.&% &4 * !
&' '
%
+
'+ ' !
&'
!
2&
+
%
9&
+!
& '
( +
.
$ : #N
0 # &( "
7(! )* !
'
!
&
"('
1 '&% " + '
'
! &%+
% / &
:
% /
!
'
!
2&0 +
, ?0 M ,
" % / & " , .&'
!
2& )"
:
:N 0 "6+ " '
'
! &%
$
K
, '++
!" 0
0 "
!
+
%* + .!
7!
" &'
! &+"( )+7(! '*
* / '&%
!
&(
'
(* &% !
&8 !
% & , )'
%
!
'
!
2&0 # ""6
&0
$
%
!" 0
""6
&0
M
K
/ #
0
"
! " +,
" &9"!
+
!
+
" + '
'
! &%+
KN
KN
N :
$ ++ ,
(& !
+
%*
!
7!
" &'
!
,! *!"27!
'
" '
'
! &%
/ #!
&!
+
%!
/ ) 7(!
'
!"0
&+
%
!
%
(%
7( + '
!" +
0
'
'
!& " &%
!3(!0 !
.
!
+
!
2&
"( N'
(, '
!& "0
, ,
,
!" # $ %&'
( 0 # ""6
&0
N X
N N:
N#$
N
" +1 '
1 + 9+
!
'+ " '
!&
% /
*+
P G
@
N T
# & 7 * &%
0
K
#8%
*%
!
. * !
'&
7!
+
%
+'& " & %
( " 5 ) '
( &'
!
" +" +
!& + "
!
& * &( "
+
% 6
+
%
!
' ) &9"!
+
!
+
'
'
! &%+
0 ,
'
%
!
'"
7!0
:
N
"
N4
!
'
!
& &% & '
!& "
, @ G
'
'
! &% !
&.+
%
!
7'
!
2&!
&% '
%
!
.
"( )"
"% /
7(!
& "
" Y #!
&!
+
%!
/
&4'
'
!
2& " 9 " '(+"
/ ) 7(!
'
!"0 H 0
F
P P (7(+
% !
7!
" &'
! ,! *!"27!
' K&!
!
&'
!
,!+
0 8'
&!
'+) ,"!
''
!& + #!
" +
0 X&!
'
'
Z
0 # ""6
&0 K
N :: : 0
HH0 ,97
G
:+
+ &% "
M
"4
7(!
F!
7!&
& " %
&
,! *!" 76
0,
/ # '*
0 +
, ?0
0
D 2/
K&
"
0
"
3( , %& '
6 " 3(!
,
* &%&!
*!&%
" *, + '
!!
2
&
, '
!
2& (& %
( 6 3( '& (' -)" " ;+".&%< (&%&3(
"* '& *!&%
' !
& -! " 0
+
&
+ !
+
, &+
,
"
4 !
''
!
2& ,!
&%
( + &" 5&
, ('
'
!
2& " , ' !
*!&% 3(! 3(
" %
( 6+
" 3(
0
& 0 " .
) .!
+
,
.!
4
!
' 3( +
%
"!
7 ++ +
%!
&4 * '
!
2&
+ '&+
!
7&
& " , *!
+ 3(
!
"!
7 &'
! + &%+ '* &5 +
%"
, %%+
* &!
,(" '
!
2& (&
+
!
+
%* , "!
7 + :( 7
%+
"
" 3(!
,
+"
(
" 9 0 +
, ' !
2
"!
5 " %
" +"
+ &'&%
'*, ?
(& )( &%0 * + '
" * & "
3(!
,
, %'
'
!
2& , +& " ;7( &%+
0 ' % ,
+"
( 0
" &%"0
, " !
&+
0 -%
!
&%
!
&'& !+)* *, +
<)+ !!
7! & " 9
% /
" * * &%
!
&!
'
! " , '+
+"
( + , (/ (& -," +
!
2&
!
&%&+0 " +
!
+
%*
" *
" '*, ?6 + '
%
!
. )" + *
++
+
," 5 & " +
!
%
!
" -," +
!
2& & & (&
" +% /
+) 1 6
'&% "
" '& %
!
&'& ! , ('
! , " !
7&!
'
!
2&
(&* % !"
'%
2&' '& " 9
" '
'
! &%
* '&+'
( &'
! " '
'
! &% " +"
) )( &% ) +, +& +* +
3( + &'&% & & " 9
+
("% &" +
!& +) " 3(!
,
+"
(
+
(4!
2 ?+ & "
7("
" +"
)+
( )( &% +
(4! &3( * ( +
&'
( "" ) &% 5+ '
" +
!
4
!
' + '* 7
0 * + 3(!! & +
%+
"
+ " +
!
%
! +
!
+
%&'
!" *9+' '& & &
'
!! & % %*!&%
*8 !
' :+ % + +, +& +" +
!& ++
(4! &3( * ( +7
&
' )'
( "" 0 4
( &% +
"
+ " '&% +
!
+
%&'
!" !
7( "* &%
&" !
&. +
%
!
7'
!
2&!
&!
'
!" & +
, "!
7 ++
0 " + 7( &%+ 4
( &
+? " +
1
+
! (%
!
"!
5
&'&% & .!
++3( !
+
" &
&'&%2 .! &'
! 3( " %
(
! " !
&'
! &%
, +& + !
2+
(+
,
*!&% ++
"!
5
+
," 5 " 7(,
+"
-, % ,
&'&%2 " , *!
+ ,
% / &+
!
+
%* +
&'&% + ' ' " +
!
%
! " '
'
! &% +
!
&
+ ( &% " , ' !
*!&%
*, ' +
" 9
&" '
(" +
"!
5
" % /
64
( " 3(
"
, %* &%
, ('
'
!
2&
& " +"
+ , ('
'
!
2&,
& " +"
+
, '
!
2&0 ,
* &%&!
*!&%
" *, + ; ,
3( )(
&" +"
+
,
& " '
(" "
&
+
, '
!
[1 +
0
" +'
( " +1( 3(
+& +
<)'&% % (&
'
!
2&
D 8
"9 "
'(+++ 1 '&+
%
!
%
(! &(&*8%
4
!
'5,
!
&.+
%
!
7 ) & "!
5 " +
'
'
! &%+ % / +(&, ' !
*!&% 3( , *!
% * &% + 1 +
% " !
7&
" ' &
!
+
4
(&'
!& +3( % *!
&2 & " +
!& +, +& " +
? +* % !" +
(& + +
!
* "!
5"
, +
!" + .&%+3( % *!
& & & " '&%'
!
*!&%
&
+
0 " !7 *
3(! " '&4
!
7( '
!
2& (&9 " 3( + . 7 & &
&" * ! &3( + , 4
(& !
5 &" +'(++ 9+
!
'+
& " 9 " '(+" + !
&!
'&" +'& -!& +' & "27!
'+)"27!
'+ &% " +1 '
1+
%'
% + 4'
% +
!+
7 3( , ' ! & " '
( &'
! "+
('+
" 9 " '(+" '*!&5
(& .&% " +
!
2&
" ++
!
7(!&%+, 7(&%+
'&+
%(!+ * !&% (& 5& *!&% 1 '
! %9+ , %
!
'
&%' &% %'
% + ," &% &+
!
+
%*9%
!
'* &%
Q( &%' &% ;\<'(+
2 !'
%* &% " &%' &% ;Y<C
• B
F +
! " &%' &% ;\<+
(4
!
'
!&% , +
6*!
+
* ,
'(+ " &%' &% ;Y<C
• B
!& + +
6
0 B
3(8 % + &%' &%+;\ 0 \ \&<+& %* !
8& & '+ !+,
'(+
•
!'
%* &% ;Y<C
" &% ! 7(,
, 7(&%++'
" + &%' &%+ +
%++&
•
'& -!& +"27!
'+ &%
$
/ K& &%' &% ;Y<%
!& (& '(+ ! '
% >&!
' ;\<
(4
!
'
!&% ,
3( '
( ;Y< /*,"
+& '+ ! )+
' &'
! !
& ('
'
!
2&
) &% & *!&%
•
" "(5" +% +%
!
, +
" %&% ;\<
, ' !
*!&%
!
&' '
%
5$
/
+ *9+ &%' &%+;Y 0 Y <%
!& &(& '(+ ! '
% >&!
'
'
!;\< +& '+ ! )+
(4
!
'
!&% ,
3( '
( ;Y 0 Y < /*,"
K!
''
!
2&!
*, ,!
' &'
!
, "6
%
!
'+
+" '
'
!
2&
"%
/
+
+7(!
*!&%
+"(
•
" +'& !
'
!& +
$
/ K& &%' &% ;Y<%
!& *9+ (& '(+ ! '
% ;\ 0 \ <
"
%&%0 '
&%' &% ;\ 0 \ < +& '+ ! ,
3( '
( ;Y<,
&!
&7(& +
+
(4
!
'
!&% , +
6+
2" L" '&/
(&'
!
2& +& '+ ! /*,"
' &'
!
'&
+) .
!
++
&'&
*(&!
''
!
2&.
!
& '
(
" *93(!
&
"
K& . 5 +
% " '
! +% +" + " '
!& + &'&% +
0 "7(& +. '++
!
*," +
0 %+
*9+'*," /+
0 + . '&+
%()&
" 9 " '(+"
+'*>& &'&% &" +'(++
3( ! '
%* &% , ('& " + '&+'
( &'
!+
0 '& !
'
!& + %
8'
&!
'+ ) '& ('
%+
!
&+7( +
L) &" +'(++ 9+
!
'+
0 '& !
'
!& + *!
&!
+
%%
!
.+)+
!
'+'
!" +
" , ,! 1 '
1
!
+?
" 9 " '(+" "" . " !
&. +
%
!
7
) +
( 3(!
,
, 4
(& !
5 & " &9"!
+
!
+
0
"!
79& " *('
1 +.'+ '*," * &% " !
&4 * '
!
2&
'7! &% ! * &% )
," &%
"%
!
,
'& !& + &'&% + : ,! 5)
4
!
''
! & " '&+
%('
'
!
2& " 9 "
, & & " '& '
!
*!&% ) ' %
!
.
!
"
& "!
+
%,
!
&!
+
'
(%
!" * &% " , 9'
%
!
' +(&4'
% *()!
*, %&%
"9 "
,(
"
(& ,
'(+++ '&+
%()
*& !
& ('
%
!
.0
" , %
!
'
("
" 7 & " )+
&4 *
('
%
!
.0
" 7& " " , %
!
'
(" L *9++ '&+
%
!
%
() &
+ )
(
, !!
5'
!
2&0 ,
!
&% .&!" +4'
% +
!+
7
@
D :/ .
7
0
24
!
% "
0?
"/
/
" E
. #
< E77E
=/
% + *!
%& % + %+ !
&% 8+,
, !&'
!0 &% % +
0 , 3( +
%+
% /
84 !"
%
,"
% "
. #
)
" % / 0 '* "
& +
% & " 4* %
+
/
< E77E
=/
'
(, '
!
2&0 " %
!*,
&%
!
4
!
''
!
2&
'
'
! &%+
'"
F
0
0
0?
0
$" A
0"
/
$"
!
+
$,
($
C
/
/
< ($
C=
$
'"
* ,-
, "
)
/
/
6
"
:4
+
")
7 5"
"
7
"
@
"
/
'"
0" , ,
($
$"
"
7
-
$
;3(!&0 3( 0 '
(& 0
& 0 )'*
'
(!
2=
$ )%
/
@4 ,$-
G4 1
$
$
!
($
$
%
1
/
/
;
/;
$ "
&!
'
!& +) '
%++
( +
%
9&
'
% +, +& " +
, "
)
($ )
" /
&4 * '
!
2& !
'
!& " 3( )
(
! &%
!
4
!
''
!
2& " +*!
+
*+
%
3( '(+ & " '
'
! &%=
/ 3( '(+ & " '
'
! &%<
$
" '*, &+
!
2&
!
" +'(++
$
'
"
"
!
4
!
'
("%
G
&"
H40
'
'
! &% '
(
; " &+
'
'
!
2&,
&( .* &%<
'&% "
0
,
" +'(++) .
!
% 3( "
. #
- $
< E77E
. #
) "!
=
< E77E
=
24
84
:4
>4
I4 ) +
%,"
J40 "
"< =
"
+
."
%
")
%," / KKKKKKKKKKKKKKKKKKKKKKKKK
"
+ / KKKKKKKKKKKKKKKKKK
%," / KKKKKKKKKKKKKKKKKKKKKKKKK
"
+ / KKKKKKKKKKKKKKKKKK
%," / KKKKKKKKKKKKKKKKKKKKKKKKK
"
+ / KKKKKKKKKKKKKKKKKK
%," / KKKKKKKKKKKKKKKKKKKKKKKKK
"
+ / KKKKKKKKKKKKKKKKKK
2L4 )
."
%
"
"
+
. #
M
D >/
3
M
;M
;
0
.
0
0
+
% "!
+
% +(& +
(* &)
,%'
!
2& " "!
+
%
4'
% +, +& " + " !
+
%*
: 0 (%
!
"!
5 ,
" &9"!
+
!
+ " +'
'
! &%+ % /
"
!
+
%& *('
1 +, " * +4
6
+
!
'+
0
1 !
"! +
0 '7&!
%
!
.+
0 * &%" +
*'
!& " + 3(
7& & ( + ' '
" ', '
!
"% /
,
/'
(% (&% / +
%+, " * +
+ !
7!
& & &(& . !
+
!
%
('
!& +
0 3( + " '
!& & &% +
6 (& * & , %
!
'
("
&' '&%-% &% +
%++
!
%
('
!& ++ * &'
!& & " (+
7+
0 " "'1 "!
+
*0 "
+
%8+
0 " + , " * +.
!
+
(" + " +
' !
&'
!
2& *(+
'
(" ) " + " '
!& + '& (&
*%
!
.'
!
2&!
& '
( 0 (&'& '
!
*!&% 1 !
"! !
&+
(4
!
'
!&% ,
"!
5 " %
:
+ .'
!
2&). !
4
!
''
!
2&
+
%+'& !
'
!& +
0
+ (& .
!
+
!
2&!
&%7 " " , " * 0 +
.!
%" !
*, %&'
! ,
" , .&'
!
2& ) '&% "
" +" +
!& + & " + % /
+
!
&'
! &%+
0
!
3( & +
2" &% & &/
( 7 " +'& !
'
!& + +7(!
" ,( +
%
% /+
!
& %* !
8& " +4'
% + *!
&!
+
%%
!
. +), +& " +3( , %&'
!"!
5& " !+
7
'
'
! &%
: +
!
7(!&% "!
+
%
'
1 3( "
)
( 9
&4' + &" , " *9%
!
'
,
!&% " +* ! + !
&% .&'
!
2& &" ! '
'
!
2&' '
%
:
F QK N
N :
N NN #
N
K N
B " , '
%
!
'
2 (& -* & *8 !
'
, *," C
B +* %
!
2 (& , (
,%
!
%
( +
, *," C
B "
+
!
7&2 " %
&4* '
" 0
4
!
&!& +
(+ +
, &+ !
"! +
0 " + !+
7+
!
&."(' +)" +, 9'
%
!
'++7( +
C
@ B '
!!
2 (& &% & *!&% 4 * "
&+
(
% /
3(
!
&'
"()
" + *8% +
0
, ' !
*!&%+
0 & * + ) '*, %*!&%+
+7( +
C
B '
!!
2!
&+
%('
'
!& + +
'* (+
' '
% )
'
( * &% " + " * &%+
, %'
'
!
2&C
:
F $:
B " &% & *!&% 4
(
,
, +& "
, .!* &% &% &
,
"" C
G B (%
!
"!
5
2 " *8%
&% & *!&%
" +'
!
&' , ++
C ;* %
!
.0
'
!0 * +
% 0
,
). !
4
!
'<
M !" , +& &
+*, ?
" %
'&
7(" ! 0 B
+ " '&' !
2 (& , 9'
%
!
'
, + +
(, .
!
+
&%+
+
!
7& " "
% C
N
N$
" '+
!
&'
! &%
N
N
H
]
H
B
&'&%
,
'
!&
"7(&
&4 *
, +/ 3( " 1( !+ , ('
!
(& +
%8+ , +& "
3( !
+
*!
&()+ +
(+
', '
! ++&+ !" +
C
B
&'&%
(+&
"7>&* !
'* &%
/ "
!
&4
"( &'
!
"7(&
70
!
&'
"()&
" "'1 "C
B( " ' 7
% /0 +
( 6
%
*
"
%
!*,
( '
!
2&
" %
%& %* +
'* ,
%&+
!& 4
6
+
!
' * &%"* &% "
, +& C
B
F(
"7(& , '
(, '
!
2& * &%"
!
7!
&
,
, " * + , +& " +
4*!
"! +
C
B
&'&%
" , +& +* %
!
*.
!
*!&%+ , +
%
( +4 5 +
"!
5&
+
+
4
( 5+ " " .&% % &+
, %C
#N
K
@ !" % /
1!
5 '+ *!
+
(&
& *
+7(! 0 B 6 %& '
( "3(!
, .'
1 , +& " '* 0
1
%
!*, 0
+
4
( 50 * " +
%
!+
C
B &6 "7(& 5
2&"27!
',
& (+ " +
3(!
, + , %'
'
!
2&, +& "C
G B
: , +& 1 '
!!
% "!
* &%'
!
2&
, % " +
(, .!
+ &% '*, %*!&%+
!
&+7( +
C
:
P NY K
K
M "+
(, .!
+ B
, *( . " +7(!
&+
(
9
* !&%
(&!& +
!
&.
!
%'
!
2&
+"('
!& , " * +'&+
(7 &%C
H " +
(, .
!
+ B
1
'
!! &% & *!&%
& *!
&!
+
%'
!
2& " +7(! C
" 4'
%
!+
7 3( ! "(7
"
'
'
! &% B
+ &'&%
."(
& (&
!
&.&% !
!+
7+
C
B
:+
!
%
('
!
2&
!+
7 1 6+
! & "!
5
, .!* &% /
(&% '&+
(+* ! + '&% "C
B " 1!
5 +7(!
*!&% " +* ! +
'&% " ( &% " >"%
!
* *+
C
B" % /
1 6 !
&4 *
+
(
+
(, .!
+ +
" +
!
%
('
!
2&
!+
7 3(
7& 2 " '
'
! &%C