【國立陽明交通大學】學生校外賃居處所安全自主檢核表  National Yang Ming Chiao Tung UniversityStudent Safety Self-Check Form for Off-campus Rental Premises
透過學生填報校外賃居處所安全自主檢核表,以強化學生校外賃居關懷安全訪視及緊急事件聯繫之用,以降低並減少學生賃居意外事件發生,達成家長放心、學生安心之目標,防範意外事端發生,關懷校外賃居生安全。

Through students’ filling out the “Student Safety Self-Check Form for Off-campus Rental Premises,” we aim to strengthen the off-campus rental housing safety visit and emergency contact for students. We also strive to reduce the off-campus rental housing accidents in order to achieve the goal of reassuring both parents and students, preventing accidents and caring for the safety of off-campus rental students.


此問卷內容依據「教育部推動大專校院學生校外賃居安全暨服務工作注意事項」建立,賃居工作注意事項於110年8月1日起適用。

The contents of this questionnaire are based on the “Ministry of Education Guidelines for Promoting Safety and Services for Off-campus Rental Housing Among College and University Students,” which have been in effect since August 1, 2021.


個人資料蒐集、處理及利用告知聲明   
本調查表符合個資法第16條規定之利用,所蒐集個資部分,係運用於校外賃居安全教育運用,若您對此告知事項之內容有任何疑慮,請聯絡
交大校區承辦人:張郁青教官,分機50718,聯絡信箱amego0612@nycu.edu.tw
陽明校區承辦人:謝明擧教官,分機62206,   聯絡信箱da958454@nycu.edu.tw

Notice of Collection, Processing and Use of Personal Data

This questionnaire complies with the provisions of Article 16 of the Personal Data Protection Act. The personal data collected shall be used for off-campus rental housing safety education. If you have any concerns about the content of this notice, please contact:

Chiao Tung campus contact person: Instructor Yu-Ching Chang, ext. 50718, email address: amego0612@nycu.edu.tw

Yang Ming campus contact person: Instructor Ming-Chu Hsieh, ext. 62206, email address: da958454@nycu.edu.tw

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⚠️  本表單資料僅供教育部及本校服務賃居學生使用 ⚠️
The information on this form shall only be used by the Ministry of Education and the University’s service for students living in rental housing.
案:2023年1月1日晚間11時許,本校大學部六名學生於校外租屋處,因使用置於陽台的瓦斯熱水器洗澡導致一氧化碳中毒情形,血中一氧化碳濃度10~40%不等,後送急診治療。經查本賃居處所學生均未告知校方,故無訪視紀錄賃居調查的意義在與租屋者共同檢視租屋安全,盼能有效減少憾事發生。
Case: At approximately 11:00 p.m. on January 1, 2023, six off-campus rental housing University undergraduate students took showers using a gas-powered water heater placed on their balcony, resulting in carbon monoxide poisoning, with carbon monoxide concentrations ranging from 10 to 40% in their blood, and were sent to the emergency room for treatment. We have checked that none of the students informed the University of their rental premises, so there is no record of visits. The significance of the rental survey is to review rental safety with the renters in the hope of effectively reducing the occurrence of accidents.

🚩租賃寶典如下:

🚨為了您的安全,不得不提醒您注意🚨

一、注意用電安全:使用高耗能電器(如:電磁爐等)時,勿再同一條延長線上使用多種電器用品。

二、確認消防設備:瞭解居住環境之滅火設備設置地點及使用方式。

三、防範一氧化碳中毒:使用瓦斯熱水器沐浴及瓦斯爐煮食安全事項,特須注意室內保持空氣流通,切忌門窗緊閉。

四、熟悉進出動線:熟悉居住處所之進出動線,並保持通道暢通。

五、租屋處加強門禁管制:對個人使用空間,視需要更換或加裝鎖具,避免外人入侵。

六、登載聯絡資訊:對學校提供校外安全事件協助電話或方式,登載於個人手機或電腦內。

🚨 For your safety, we have to remind you to 🚨

1.      Pay attention to electrical safety: when using high energy consumption appliances (e.g., induction cookers), do not use multiple appliances on the same extension cord.

2.      Check the fire-fighting equipment: know where the fire-fighting equipment is located and how it is used in the living environment. Check the expiration date.

3.      Prevent carbon monoxide poisoning: when using gas water heaters for bathing and gas stoves for cooking, pay extra attention to keep the air circulating in the room, and do not close the doors and windows.

4.      Familiarize yourself with the entry and exit routes: familiarize yourself with the entry and exit routes of the living premises and keep the passageways clear.

5.      Strengthen access control in the rental premises: replace or add additional locks to personal use space as necessary to avoid intrusion by outsiders.

Register contact information: provide phone numbers or methods of assistance for off-campus safety incidents to the school and register them on your personal cell phone or computer.

系級

Department and Year

*
學號
Student ID Number
*
姓名
Name
*
連絡電話
Phone number
*
房東(或管理員)姓名

Name of landlord (or administrator)

房東(或管理員)連絡電話

Landlord’s (or administrator’s) phone number

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