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03 Checklist III Pcmat
03 Checklist III Pcmat
SETOR : _______________________________________________
FONTE : ___________________________________________________________________
DOSE : ___________
ALTERNATIVAS DE CORREÇÃO :
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4 - Enclausuramento da Fonte de Ruído : __________________________________________
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II - CALOR :
SETOR : _______________________________________________
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ALTERNATIVAS DE CORREÇÃO :
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SETOR : _______________________________________________
FONTE : __________________________________
ALTERNATIVAS DE CORREÇÃO :
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( ) INVIÁVEL ( ) VIÁVEL prazo : ____________________________
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SETOR : _______________________________________________
FONTE :
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ALTERNATIVAS DE CORREÇÃO :
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V - VIBRAÇÕES :
SETOR : _______________________________________________
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FONTE : ___________________________________________________________________
DOSE : ___________
ALTERNATIVAS DE CORREÇÃO :
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VI - FRIO :
SETOR : _______________________________________________
FONTE :
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ALTERNATIVAS DE CORREÇÃO :
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VII - UMIDADE :
SETOR : _______________________________________________
FONTE : ___________________________________________________________________
ALTERNATIVAS DE CORREÇÃO :
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SETOR : _______________________________________________
ALTERNATIVAS DE CORREÇÃO :
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IX - POEIRAS MINERAIS :
SETOR : _______________________________________________
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CONCENTRAÇÃO MEDIDA : ______________ LIMITE DE TOLERÂNCIA : ____________
ALTERNATIVAS DE CORREÇÃO :
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( ) INVIÁVEL ( ) VIÁVEL prazo : ____________________________
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X - AGENTES BIOLÓGICOS :
SETOR : _______________________________________________
FONTE : ________________________________
ALTERNATIVAS DE CORREÇÃO :
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XI - AGENTES ERGONÔMICOS :
Em cumprimento ao disposto nos itens da Norma Regulamentadora n.º 17 da
Portaria 3214/78.
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XII. ATIVIDADES E OPERAÇÕES PERIGOSAS :
A - EXPLOSIVOS :
Restringir o número de trabalhadores expostos ao essencial em cada turno, proibindo a
exposição dos demais através de Ordem de Serviço de Segurança e Saúde no Trabalho.
B - INFLAMÁVEIS :
Restringir o número de trabalhadores expostos ao essencial em cada turno, proibindo a
exposição dos demais através de Ordem de Serviço de Segurança e Saúde no Trabalho.
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C - RADIAÇÃO IONIZANTE :
Restringir o número de trabalhadores expostos ao essencial em cada turno, proibindo a
exposição dos demais através de Ordem de Serviço de Segurança e Saúde no Trabalho.
D - ELETRICIDADE :
Restringir o número de trabalhadores expostos ao essencial em cada turno, proibindo a
exposição dos demais através de Ordem de Serviço de Segurança e Saúde no Trabalho.
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XIII. EQUIPAMENTOS DE PROTEÇÃO INDIVIDUAL (EPI)
INDICADOS:
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XIV. EDIFICAÇÕES :
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XVI. TRANSPORTE, ARMAZENAGEM E MANUSEIO DE MATERIAIS
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XVIII. TRABALHO A CÉU ABERTO :
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XX. CONDIÇÕES SANITÁRIAS :
Em cumprimento ao disposto nos itens da Norma Regulamentadora n.º 24 da Portaria
3214/78.
SETOR POSTO DE CORREÇÕES PROPOSTAS PRAZOS
TRABALHO
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RESPONSÁVEL TÉCNICO
NOME:__________________________________________________
CRM / CREA ________________ RG MTb-SSMT ____._________
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