Sunteți pe pagina 1din 6

UNITATEA: S.C. GENPACT ROMANIA S.R.L.

TUC_RAIL
adresa. Bd. Dimitrie Pompei, nr. 5-7, Cladirea A, Hermes Business Campus Sector 2, Bucuresti
Telefon: 0372108451
Numele şi prenumele lucrătorului: Dicu Oana Florenta
CNP: 2740816443013

Fisa
De identificare a factorilor de risc profesionali

Denumirea postului si a locului de munca: Analist Servicii Clienti


Sectia/Departamentul: Analist Servicii Clienti

NAVETA: da [ ] cate ore/zi? [ ] nu [ ]

Descrierea activitatii:
In echipa da [ x] sau nu [ ]/ Nr. ore/zi [ ]/ Nr. schimburi de lucru [ ]/ Schimb de noapte [ ]
Pauze organizate da [ ] sau nu [ ]/ Banda rulanta [ ]

Risc de: infectare [ x ]/electrocutare [ x]/inalta tensiune [ ]/joasa, medie tensiune [x ]/


inecare [ ]/asfixiere [ ]/blocare [ ]/microtraumatisme repetate [ ]/lovire [ ]/
muscatura [ x ]/zgariere [ x ]/strivire[x ]/taiere [ x ]/intepare [x ]/impuscare [ ]/ardere [ ]/
oparire [ ]/degerare [ ]/miscari repetitive [ x]

Alte riscuri: ..........................................................................................................................


Conduce masina institutiei: da [ ]; nu [ x ], daca da, ce categorie: .............................................
Conduce utilaje/vehicule numai intrauzinal [ ]
Loc de munca: in conditii deosebite [ ]/in conditii speciale [ ] sector alimentar [ ]
port-arma [ ]
Operatiuni executate de lucrator in cadrul procesului
tehnologic: .............................................................................................................................................................................................................
................................................................................................................................................................................................................................
...................................................................................................................................................................................................
Descrierea spatiului de lucru:
Dimensiuni incapere: L 8, l 10, H 2.5 m
Suprafata de lucru: verticala [ x ]; orizontala [ ]; oblica [ ]
Munca: in conditii de izolare [ ]/la inaltime [ ] la altitudine [ ]/in miscare [ ]/pe sol [ ]/in aer [ ]/pe apa [ ]/sub apa [ ]/nisa [
]/cabina etansa [ ]/aer liber [ ]/altele: ............................................................................................................................................................
Deplasari pe teren in interesul serviciului: da [ x ]; nu [ ], daca da,
descriere: ............................................................................................................................................................
Efort fizic: mic [ x ]; mediu [ ]; mare [ ]; foarte mare [ ]
Pozitie preponderent: ortostatica/in picioare [ ]; asezat [ x ]; aplecata [ ]; mixta [ ]/pozitii fortate, nefiziologice: da [ ]; nu [ ], daca da,
ce tip: ............................................................................................................................................................ Gesturi
profesionale: .........................................................................................................................

Suprasolicitari:
vizuale [ x ]; auditive [ x ]; suprasolicitari neuropsihosenzoriale [ ], daca da: mentale [ ]; emotionale [ ]; altele [ ]
Suprasolicitari osteomusculoarticulare:
miscari fortate: da [ ]; nu [ ]/repetitive: da [ x ]; nu [ ], daca da, specificati zona: coloana vertebrala (cervicala: da [ ]; nu [ ]; toracala:
da [ ]; nu [ ], lombara: da [ ] ; nu [ ]), membre superioare (umar: da [ ]; nu [ ], cot: da [ x ]; nu [ x ], pumn: da [ ]; nu [ ]), membre
inferioare (sold: da [ ]; nu [ ], genunchi: da [ ]; nu [ ], glezna: da [ ]; nu [ ]).
Manipulare manuala a maselor:
Daca da, precizati caracteristicile maselor manipulate:..................................................................... ridicare [ ]; coborare [ ]; impingere [ ];
tragere [ ]; purtare; [ ]; deplasare [ ]
Greutate maxima manipulata manual ...............................................................................................

Agenti chimici: da [ ]; nu [x ], daca da, precizati:


Tipul agentului chimic < V.L.E. > V.L.E Fp C P

Legenda: V.L.E. = valoarea-limita de expunere profesionala/Fp = foarte periculos/C = cancerigen/P = patrunde prin piele (Puteti atasa fisei
un tabel separat.)

Agenti biologici: ................................................................................................ Grupa .............


Agenti cancerigeni: .........................................................................................................
Pulberi profesionale: da [ ]; nu [ ], daca da, precizati:

Tipul pulberilor < V.L.E. > V.L.E.

Legenda: V.L.E.= valoarea-limita de expunere profesionala

Zgomot profesional: < V.L.E. [ ]/>V.L.E. [ ]/zgomote impulsive da [ ]/nu [ ]


Vibratii mecanice: < V.L.E. [ ]/> V.L.E. [ ], daca da, specificati zona: coloana vertebrala [ ] membre superioare [ ] actiune asupra
intregului organism [ ]
Microclimat:
Temperatura aer: 22 grade , variatii repetate de temperatura: da [ ] nu [ ]
Presiune aer:.....................................................
Umiditate relativa:........................................................................
Radiatii: da [ ]; nu [x ], daca da:
Radiatii ionizante: daca da, se va completa partea speciala.

PARTE SPECIALA PENTRU EXPUNEREA PROFESIONALA LA RADIATII IONIZANTE:


Data intrarii in mediul cu expunere profesionala la radiatii ionizante: …………………………
Clasificare actuala in grupa A [ ] sau B [ ] si conditii de expunere:
Aparatura folosita ..........................................................................................................................
Proces tehnologic:.........................................................................................................................
Operatiuni indeplinite:...................................................................................................................
Surse folosite: inchise [ ]; deschise [ ]
Tip de expunere: externa [ x ]; gamma externa [ ]; interna [ ]; externa si interna [ ].
Masuri de protectie individuala:......................................................................................................
Expunere anterioara:
Perioada: ............................... nr. ani: [ ][ ]
Doza cumulata prin expunere externa (mSv): |_|_|_|_|
Doza cumulata prin expunere interna: |_|_|_|_|
Doza totala: |_|_|_|_|

Supraexpuneri anterioare:
- exceptionale
- Tip de expunere: externa [ x ]; gamma externa [ ]; interna [ ]; externa si interna [ ];
- data: .............................
- doza (mSv): .................
- concluzii: ......................
- accidentale
- Tip de expunere: externa [ x ]; gamma externa [ ]; interna [ ]; externa si interna [ ];
- data: .............................
- doza (mSv): .................
- concluzii: ......................
Radiatii neionizante:
Tipul: .........................................................................................................................
Iluminat: suficient [ ]; insuficient [ ]/natural [ ]; artificial [ ]; mixt [ x ]
Mijloace de protectie colectiva: .................................................................................
Mijloace de protectie individuala: ..............................................................................
Echipament de lucru: ..................................................................................................
Anexe igienico-sanitare: vestiar [ ]; chiuveta [ ]; WC [ ]; dus [ ]; sala de mese [ ]; spatiu de recreere [ ]
Altele:............................................................................................................................................

Observatii:

Data completării: 19 Iulie 2023__

Angajator, (nume, prenume, funcţie) IONESCU ALINA-GEORGETA, Manager Resurse Umane

Semnătura şi ştampila unităţii:

Lucrător desemnat,

Serviciul intern/extern de prevenire şi protecţie, Bordea Andreea Mihaela


COMPANY: S.C. GENPACT ROMANIA S.R.L. TUC_RAIL
Address: Bd. Dimitrie Pompei, nr. 5-7, Cladirea A, Hermes Business Campus Sector 2, Bucuresti
Phone: 0372108451
EMPLOYEE NAME: ............
PIN (PERSONAL IDENTIFICATION NUMBER): ................................................ ..

Identification of professional risk factors form

Job and workplace: Analist Servicii Clienti


Department Analist Servicii Clienti
Commute: Yes [ ] how many hours / day? [ ] No [ ]

Activity description:
Team work Yes [ x ] or [ ] / No. hours / day [ ] / N. shifts [ ] / night shift [ ]
Organized Breaks Yes [ x ] or no [ ] / Conveyors [ ]

Risk: infection [ x ] / electric [x ] / High Voltage [ ] / low, medium voltage [ x ] /


drowning [ ] / asphyxiation [ x ] / lock [ ] / repeated micro traumatisms [ ] / smashing [ ] /
bite [ x ] / scratch [ x ] / crushing [ ] / cutting [ x ] / puncture [ x ] / shooting [ ] / burning [ ] /
scalding [ ] / frostbite [ ] / repetitive movements [ x ]

Other risks:..........................................................................................................................
Driving the company car: Yes [ ]; No [ x ], if so, what category: ........................................ .....
Driving machinery (Forklifts) / other vehicles [ ]
Work place : Special conditions [ ]; food sector [ ] fire weapon [ ]
Operations performed by the worker in the technological process: ………………………………........
…………………………………………………………………………………………………………..
Description workspace:
Room size: L 8, l 10, H 2.5 m
Working surface: vertical [ x ]; Horizontal [ ]; oblique [ ]
Work: isolation conditions [ ] / at height [ ] at altitude [ ] / moving [ ] / on the ground [ x ] / in the air [ ] / in the water [ ] / under
water [ ] / on a niche [ ] / sealed cabin [ ] / outdoor [ ] /
other:..........................................................................................................................................................
Field trips in the interest of the service: yes [ ]; no [ ] If yes, description:..........................................
…………………………………………………………………………………………………………...
Physical effort: low [ x ]; medium []; high []; very high []
Body position mainly: orthostatic / standing [ ]; seated[ x ]; bent []; mixed [] / forced position, un-physiological: Yes [ ]; not [x], if so,
what type:...................................................................... Professional
Gestures:.........................................................................................................................

Overload: Visual [ x ]; acoustic [ x ]; neuro-psycho-sensory [ ], if yes: mental [ ]; emotional [ ]; others [ ]


Osteo-muscular-articular overload:
forced movements: Yes [ ]; not [ ] / repetitive: yes [ x ]; not [ ], if so, specify the: spine (cervical: yes [ ] no [ ]; thoracic yes [ ] no [
], lumbar: yes [ ] no [ ]), upper limbs (shoulder: yes [ ] no [ ], elbow: yes [ ] no [ ], fist: yes [ ] no [ ]), legs (hips: yes [ ] no [ ],
knees: yes [ ] no [ ] ankle: yes [ ] no [ ]).
Manual mass handling:
If yes, manipulated masses features: .............. lifting .................. [ ]; descent [ ]; push [ ]; drawing [ ]; bearing; [ ];shifting [ ]
Maximum weight manually manipulated .............................................. .................................................

Chemical Agents: Yes [ ]; No [ x ], if so, specify: ……………………………………..

Type of chemical agent < E.L.V > E.L.V. VD C P


Legend: E.L.V. = exposure limit value /VD = very dangerous / C carcinogen / P penetrates through the skin (You may attach a separate
table sheet.)

Biological agents: ............................................... .................................................


Group .............
Carcinogens:.........................................................................................................

Professional Powders: Yes [ ]; not [ ], if so, specify:

Powder Type < E.L.V > E.L.V.

Professional Noise: < E.L.V. [ ] /> E.L.V [] / Impulsive noises Yes [ ] / No [ ]


Mechanical vibrations: < E.L.V. [ ] /> E.L.V. [ ]
If yes, specify the: spine [ ] upper limbs [ ] action on the whole body [ ]
microclimate:
Air temperature: 22 degrees, repeated variations of temperature: Yes [ ] No [ x ]
Air pressure:
Relative humidity:
Radiation: Yes [ ]; not [ X ], if so:
Ionizing radiation: If yes, please complete the special section bellow.

SPECIAL SECTION for exposure to ionizing radiation:


Date of entry into the environment with occupational exposure to ionizing radiation: ...........................
The current classification in group A [ ] and B [ ] and exposure conditions:
equipment used ..........................................................................................................................
technological process: .........................................................................................................................
Operations met: ...................................................................................................................
Sources used: closed [ ]; open [ ]
Type of exposure: external [x ]; external gamma [ ]; internal [ ]; external and internal [ ].
Individual protection measures: ......................................................................................................
Previous exposure:
Period: ............................... no. years: [ ] [ ]
Cumulative external exposure dose (mSv): | _ | _ | _ | _ |
Internal exposure dose accumulated by: | _ | _ | _ | _ |
The total dose: | _ | _ | _ | _ |

Previous overexposure:
- exceptional
- Type of exposure: external [x ]; external gamma [ ]; internal [ ]; external and internal [ ];
- Date: .............................
- Dose (mSv): .................
- Conclusions: ......................
- accidental
- Type of exposure: external [ x ]; external gamma [ ]; internal [ ]; external and internal [ ];
- Date: .............................
- Dose (mSv): .................
- Conclusions: ......................
Non-ionizing radiation:
Products:.........................................................................................................................
Lighting: enough [ ]; insufficient [ ] / natural [ ]; artificial [ ]; mixed [ x ]
Collective protection equipment: ............................................. ....................................
Personal Protection: ............................................. .................................
Work equipment: Computers, Monitors, Laptops, Printers, Scanners, Copiers, Punchers, Staplers, Telephone, etc.
Attachments sanitary: locker room [ ]; sink [ ]; WC [ ]; shower [ ]; dining room [ x ]; recreational space [ ]
Others:............................................................................................................................................

Completion date: ................................

Employer, (name, surname, role) IONESCU ALINA-GEORGETA, Human Resources Manager

Signature and stamp:

Designated worker,

Internal service prevention and protection, Bordea Andreea Mihaela

S-ar putea să vă placă și