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03 - Checklist III Ppra
03 - Checklist III Ppra
EMPRESA :____________________________
SETOR : _______________________________________________
FONTE : ___________________________________________________________________
DOSE : ___________
ALTERNATIVAS DE CORREÇÃO :
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II - CALOR :
SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : __________________________________ METABOLISMO : ___________
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1 - Eliminação ou substituição do equipamento no processo : ___________________________
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SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : __________________________________
TEMPO DE FUNCIONAMENTO /DIA : ________HORAS POR TURNO . DOSE : __________
ALTERNATIVAS DE CORREÇÃO :
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SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE :
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ALTERNATIVAS DE CORREÇÃO :
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( ) INVIÁVEL ( ) VIÁVEL prazo : ____________________________
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V - VIBRAÇÕES :
SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : ___________________________________________________________________
TEMPO DE FUNCIONAMENTO /DIA : ______HORAS POR TURNO . NPS : ________ dB(A)
DOSE : ___________
ALTERNATIVAS DE CORREÇÃO :
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VI - FRIO :
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SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : ___________________________________________________________________
TEMPO DE FUNCIONAMENTO /DIA : ________HORAS POR TURNO .
ALTERNATIVAS DE CORREÇÃO :
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VII - UMIDADE :
SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : ___________________________________________________________________
TEMPO DE FUNCIONAMENTO /DIA : ________HORAS POR TURNO .
ALTERNATIVAS DE CORREÇÃO :
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ALTERNATIVAS DE CORREÇÃO :
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IX - POEIRAS MINERAIS :
SETOR : _______________________________________________
POSTO DE TRABALHO : __________________________
FONTE : ___________________________________________________________________
CONCENTRAÇÃO MEDIDA : ______________ LIMITE DE TOLERÂNCIA : ____________
ALTERNATIVAS DE CORREÇÃO :
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3 - Remoção do Posto de Trabalho para outra área : __________________________________
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X - AGENTES BIOLÓGICOS :
SETOR : _______________________________________________
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POSTO DE TRABALHO : __________________________
FONTE : ________________________________
TEMPO DE FUNCIONAMENTO /DIA : ________HORAS POR TURNO .
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.
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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.
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. CALDEIRAS E VASOS DE PRESSÃO:
XIX. FORNOS :
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XX. TRABALHO A CÉU ABERTO :
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XXII. CONDIÇÕES SANITÁRIAS :
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XXIV. SINALIZAÇÃO DE SEGURANÇA :
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XXVI. Com relação a Produtos Químicos no trabalho rural :
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RESPONSÁVEL TÉCNICO
NOME:__________________________________________________
CRM / CREA ________________ RG MTb-SSMT ____._________
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