Uyga vazifa topshiriqlari:
Jarohat olganlar uchun beriladigan imtiyozlar haqida malumotni gazeta jurnallardan foydalangan holda yozib kelish.
TASDIQLAYMAN
______________________
korxona rahbari
“______” ___________ 2014 yil
DALOLATNOMA № ___
Ishlab chiqarishdagi baxtsiz hodisalarni va xodimlar salomatligining boshqa xil zararlanishini tekshirish to’g’risida
Korxona nomi _____________________________________________________________
Korxonaning manzili _____________________________________________________________
(viloyat, shahar, tuman, ko’cha, uy)
Mulkchilik shakli _____________________________________________________________
(davlat aktsiyadorlik, xususiy va x.)
Baxtsiz hodisa yuz byergan joy ______________________________________________________________
(bo’linma, sex)
Vazirlik, korporasiya, uyushma, konsern _______________________________________________________________
Xodimni yo’llagan korxona _______________________________________________________________
(nomi, manzili, vazirlik)
__________________________________________________________________
(korporasiya, uyushma, konsern)
Jabrlanuvchining familiyasi, ismi, otasining ismi _______________________________________________________________
Jinsi, erkak, ayol (tagiga chizilsin)
Yoshi (to’liq, yillar soni ko’rsatilsin) _______________________________________________________________
Kasbi lavozimi _______________________________________________________________
Gazarazryadi, klassi ______________________________________________________________
Baxtsiz hodisa yuz byerganda bajarilayotgan ish bo’yicha ish staji _______________________________________________________________
Mehnat xavfsizligi bo’yicha yo’riqnoma o’qitish:
______________________________________________________________
Kirish yo’riqnomasi (sana) _______________________________________________________________
Mehnat xavfsizligi bo’yicha o’qitish (sana) _____________________________________________________________
Birlamchi (davriy) yo’riqnoma (sana) _____________________________________________________________
O’ta xavfli ishlar uchun bo’limlarni tekshirish (sana) ______________________________________________________________
Ishga kirayotganda va davriy tibbiy ko’rikdan o’tganligi _______________________________________________________________
Baxtsiz hodisa yuz byergan sana va vaqt _______________________________________________________________
(yil, kun, oy)
__________________________________________________________________
(ish boshlashdagi to’liq soatlar soni)
Baxtsiz hodisa holati _______________________________________________________________
__________________________________________________________________
__________________________________________________________________
11.1. Baxtsiz hodisa sabablari _________________________________________________________________
__________________________________________________________________
11.2. Jarohat yetkazilishiga sabab bo’lgan asbob-uskuna __________________________________________________________________
11.3. Jabrlanuvchining hushyorligi (alkogol yoki narkotik ta’siridaligi) __________________________________________________________________
(tibbiy xulosaga binoan)
11.4. Tashxis _______________________________________________________________
(dastlabki, oxirgi)
Baxtsiz hodisa sabablarini bartaraf etish tadbirlari:
t/r
|
Tadbirlar nomi
|
Bajarish muddati
|
Bajaruvchi
|
Bajarilishi haqidagi belgi
|
|
|
|
|
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Mehnat to’g’risidagi qonunchilik, mehnatni muhofaza qilish qoidalari va me’yorlari buzilishiga yo’l qo’ygan shaxslar
__________________________________________________________________
(F.I.O, lavozimi korxona nomi)
________________________________________________________________
(ular tomonidan buzilgan qonunlar, qoidalar va me’yoriy hujjatlarning moddalari, bandlari)
Baxtsiz hodisa guvohlari ______________________________________________________________
Dalolatnoma tuzildi _________________________________________________________________
(yil, kun, oy)
Komissiya raisi _____________________________________________________________
(F.I.O. imzo)
Komissiya a’zolari ___________________________________________________________
(F.I.O. imzo)
1 - ilova.
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