FIA DE INSTRUIRE INDIVIDUAL

privind securitatea i sntatea n munca

NUMELE I PRENUMELE _________________________________________________

DOMICILIUL _____________________________________________________________
Data i locul naterii _______________________________________________________
Calificarea _________________ Funcia _______________________________________
Locul de munca __________________________________________________________
Autorizaii (ISCIR, s.a.) _____________________________________________________
Traseul de deplasare la/de la serviciu _________________________________________
________________________________________________________________________

Instruirea la angajare

1) Instruirea introductiv general, a fost efectuat la data __________________________

timp de ________ ore, de ctre ______________________________________________
avnd funcia de __________________________________________________________
Coninutul instruirii ________________________________________________________
________________________________________________________________________
________________________________________________________________________

Semnatura celui Semnatura celui care a Semnatura celui care a

instruit efectuat instruirea verificat nsuirea cunotinelor

2) Instruirea la locul de munca, a fost efectuat la data ____________________________

loc de munca/post de lucru _________________ timp de _____________ ore,
de ctre _______________________ avnd funcia de ___________________________
Coninutul instruirii ________________________________________________________
________________________________________________________________________
________________________________________________________________________

Semnatura celui Semnatura celui care a Semnatura celui care a

instruit efectuat instruirea verificat nsuirea cunotinelor

3) Admis la lucru
Numele i prenumele ______________________________________________________
Funcia (ef secie, atelier, antier etc.) ________________________________________
Data i semnatura _________________________________________________________