Você está na página 1de 2

SESTPREV

SEGURANA E MEDICINA DO TRABALHO

RELATRIO DE VISITA TCNICA


SETOR:____________________________________________________________________________
FUNCIONRIOS DO SETOR:___________________________________________________________
___________________________________________________________________________________
N DE FUNCIONARIOS DO SETOR: _____________________________________________________
AGENTE DE RISCO

INTENSIDADE

NIVEIS (QUANDO HOUVER)

FISICO
RUDO
TEMPERATURA
UMIDADE
VIBRAES
RADIAO IONIZANTE
RADIAO N IONIZANTE
QUIMICO
VAPORES
GASES
NEVOAS
PRODUTOS QUIMICOS EM
GERAL
BIOLGICOS
VIRUS
BACTRIAS
PROTOZOARIOS
ERGONOMICOS
TRANSPORTE DE PESO
POSTURA INADEQUADA
TRABALHO EM TURNO E
NOTURNO
MONOTONIA E REPETITIVIDADE
ACIDENTES
QUEDA DE ALTURA
CHOQUE EETRICO
PERFURAO/MUTILAO
QUEDA DE MESMO NIVEL
EPI NECESSRIOS:
____________________________________________________________________________________
____________________________________________________________________
EPI UTILIZADOS:
___________________________________________________________________________________________
_____________________________________________________________

RUA MIRANDA REIS, 477, POO. CUIAB/MT


(65) 3321 2802 / 8405 1288
www.sestprevseguranca.com.br

SESTPREV
SEGURANA E MEDICINA DO TRABALHO
OSERVAES IMPORTANTES:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Cuiab,

Entrada:________________

Sada:______________________________

__________________________
SESTPREV

_____________________________________
Responsavel pela atividade

RUA MIRANDA REIS, 477, POO. CUIAB/MT


(65) 3321 2802 / 8405 1288
www.sestprevseguranca.com.br

Você também pode gostar