Sunteți pe pagina 1din 3

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

...................................

....................................
....................................

...............................

..............................................

.............................
...............................
................................
...................................
..................................

...............................

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


Run on 6/14/2013 12:23
The following features in this workbook are not supported by earlier versions of
Excel. These features may be lost or degraded when you save this workbook in
an earlier file format.
Minor loss of fidelity
Some cells or styles in this workbook contain formatting that is not supported
by the selected file format. These formats will be converted to the closest
format available.

# of occurrences
1