Unitatea ..........................................

Subunitatea ....................................
Adresa ............................................
Adresa ............................................
Telefon ...........................................
Telefon ...........................................

FIA
de identificare a factorilor de risc profesional
Denumirea postului. ......................................................................................................................................................................................
Secia/Departamentul ........................................................................................................................................................................................
Atelierul ............................................................................................................................................................................................................
Naveta:
da
cte ore/zi?
nu
Descrierea activitii:
> n echip: da
nu
;
Nr. ore/zi
;
Nr. schimburi de lucru
;
Schimb de noapte
sau nu
; Pauze organizate
sau nu
/ Band rulant
> Risc de: infectare
/ electrocutare
/
/ nalt tensiune
/ joas, medie tensiune
/
nnecare
/ asfixiere
/ blocare
/ microtraumatisme repetate
/ lovire
/ mpucare
/
muctur
/ zgriere
/ strivire
/ tiere
/ nepare
ardere
/ oprire
/ degerare
/ micri repetitive
;
> Alte riscuri: ...............................................................................................................................................................................................

Conduce maina instituiei: da

nu
;
Dac da, ce categorie: ...........................................................................................
/
Loc de munc: n condiii deosebite
n condiii speciale
sector alimentar
port-arm
Operaiuni executate de lucrtor n cadrul procesului tehnologic: .............................................................................................................
.....................................................................................................................................................................................................................
......................................................................................................................................................................................................................
.........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
Descrierea spaiului de lucru:
> Dimensiuni ncpere: L................. l ................... H ....................... M
> Suprafaa de lucru: vertical
orizontal
oblic
> Munca: n condiii de izolare
/ la nlime
/ la altitudine
/ n micare
/ pe sol
/ pe ap
/ sub ap
/ ni
/ cabin etan
/ aer liber
/
n aer
altele: ......................................................................................................................................................................................................
> Efort fizic: mic
/
/ mare
/
mediu
foarte mare

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Compatibility Report for Fisa de identificare a factorilor de risc profesional.xls

Run on 6/14/2013 12:23
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