125 lines
6.0 KiB
XML
125 lines
6.0 KiB
XML
<metal:block use-macro="main_template">
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<div metal:fill-slot="content">
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<br />
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<!-- ENTETE -->
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<div class="row">
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<h4>ADRESSE d'INTERVENTION</h4>
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<table class="table table-condensed ">
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<tr>
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<td>
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<p>
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<h4>${rapport.C_QUALITE} ${rapport.C_NOM}</h4>
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${rapport.C_ADR}<br />
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<span tal:condition="rapport.C_ADR2">${rapport.C_ADR2}<br /></span>
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${rapport.C_CP} ${rapport.C_VILLE}<br />
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</p>
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</td>
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<td>
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<p>
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Assureur : <b>${rapport.NOMCLI}</b><br />
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No Sinistre : ${rapport.NOSIN}
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<br />
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Etage : ${rapport.C_ETAGE}<br />
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Téléphone : ${rapport.C_TEL1}<br />
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Mobile: ${rapport.C_TELP}<br />
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</p>
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</td>
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</tr>
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</table>
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</div> <!-- row -->
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<div class="row">
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<form id="rdv_edit-form" action="${url}" method="post"
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data-fv-framework="bootstrap"
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data-fv-icon-valid="glyphicon glyphicon-ok"
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data-fv-icon-invalid="glyphicon glyphicon-remove"
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data-fv-icon-validating="glyphicon glyphicon-refresh">
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<div class="form-group">
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<label class="control-label" for="comment">Caractéristique du risque sinistré :</label>
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<select class="form-control" id="caracteristique" name="caracteristique">
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<div tal:repeat="item caracteristiques">
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<option value="${item}" tal:attributes="selected str(rapport.caracteristique)==item[0] and 'selected' or None">${item}</option>
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</div>
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</select>
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</div>
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<h4 class="text-center">ANALYSE</h4>
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<div class="form-group">
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<label class="control-label" for="equipement">Les dommages sont-ils causés par un bien d'équipement ?</label>
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<select class="form-control" id="equipement" name="equipement">
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<div tal:repeat="item equipements">
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<option value="${item.libelle}" tal:attributes="selected str(rapport.equipement)==item.libelle and 'selected' or None">${item.libelle}</option>
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</div>
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</select>
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</div>
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<div class="form-group">
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<label class="control-label" for="reseau_int">Les dommages sont-ils causés par un bien d'équipement ?</label>
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<select class="form-control" id="reseau_int" name="reseau_int">
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<div tal:repeat="item reseaux_int">
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<option value="${item.libelle}" tal:attributes="selected str(rapport.reseau_int)==item.libelle and 'selected' or None">${item.libelle}</option>
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</div>
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</select>
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</div>
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<h4 class="text-center">TRAVAUX relatifs à la DETECTION de la fuite</h4>
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<div class="form-group">
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<label class="control-label" for="descr_detect">Descriptif détection</label>
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<textarea class="form-control" rows="6" cols="40" id="descr_detect" name="descr_detect"
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data-fv-stringlength="true"
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data-fv-stringlength-max="2000"
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data-fv-stringlength-message="2000 caractères maximum">${rapport.descr_detect}
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</textarea>
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</div>
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<h4 class="text-center">TRAVAUX relatifs à la REPARATION de la fuite</h4>
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<div class="form-group">
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<label class="control-label" for="descr_repar">Descriptif réparation</label>
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<textarea class="form-control" rows="6" cols="40" id="descr_repar" name="descr_repar"
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data-fv-stringlength="true"
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data-fv-stringlength-max="2000"
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data-fv-stringlength-message="2000 caractères maximum">${rapport.descr_repar}
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</textarea>
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</div>
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<h4 class="text-center">PHOTOS</h4>
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<p>
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<a href="${request.application_url}/upload_doc/${nodossier}" class="btn btn-success" role="button">
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<span class="glyphicon glyphicon-cloud-upload"></span> Ajouter une photo</a>
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</p>
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<h4 class="text-center">CONCLUSIONS</h4>
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<div class="form-group">
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<label class="control-label" for="conclusions">Conclusions</label>
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<textarea class="form-control" rows="6" cols="40" id="conclusions" name="conclusions"
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data-fv-stringlength="true"
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data-fv-stringlength-max="2000"
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data-fv-stringlength-message="2000 caractères maximum">${rapport.conclusions}
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</textarea>
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</div>
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<div class="form-group">
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<label class="control-label">Dern. modif le</label>
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<div>
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<p class="form-control-static">${rapport.modif_le.strftime('%d-%m-%Y %H:%M')} par ${rapport.USERMAJ}</p>
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</div>
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</div>
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<div class="form-group">
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<div class="col-sm-offset-3 col-sm-9">
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<div class="form-group">
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<a class="btn btn-default" href="${request.route_url('dossier_view', nodossier=nodossier)}">
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<span class="glyphicon glyphicon-arrow-left"></span> Annuler</a>
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<button class="btn btn-primary" type="submit" name="form.submitted">
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<span class="glyphicon glyphicon-ok"></span> Enregistrer</button>
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</div>
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</div>
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</div>
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</form>
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</div> <!-- row -->
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<br />
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<br />
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<br />
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</div>
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</metal:block>
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