1-mavzu xavfsizlik muammolari. Mikroiqlim sharoiti va uning inson faoliyatiga ta’siri

DALOLATNOMA № ____

Ishlab chiqarishdagi baxtsiz hodisa va salomatlikka

boshqa xil zarar etkazilishi to‘g‘risida

1. 
   Korxonaning nomi____________________________________________________
   

1.1. Korxonaning manzili _________________________________________________

(viloyat, shahar, tuman, ko‘cha, uy)

2. 
   Mulkchilik shakli ____________________________________________________
   

(davlat, aksiyadorlik, hususiy va hokazo)

3. 
   Baxtsiz hodisa yuz bergan joy __________________________________________
   

(bo‘linma, sex)

2. 
   Vazirlik, korporatsiya, uyushma, konsern __________________________________
   

1. 
   Xodimni yo‘llagan korxona _____________________________________________
   

(nomi, manzili, vazirlik

______________________________________________________________________

(korporatsiya, uyushma, konsern)

4. 
   Jabrlanuvchining ismi-sharifi ____________________________________________
   

______________________________________________________________________

5. 
   Jinsi: erkak, ayol (tagiga chizilsin)________________________________________
   

1. 
   Yoshi (to‘liq yillar soni ko‘rsatilsin)_______________________________________
   
2. 
   Kasbi, lavozimi _______________________________________________________
   

1. 
   Razryadi, klassi ______________________________________________________
   

8. 
   Baxtsiz hodisa yuz berganda bajarilayotgan ish bo‘yicha ish staji ________________
   

9. 
   Mehnat xavfsizligi bo‘yicha yo‘riqnoma, o‘qitish:
   

1. 
   Kirish yo‘riqnomasi (sana)______________________________________________
   
2. 
   Mehnat xavfsizligi bo‘yicha o‘qitish (sana)_________________________________
   
3. 
   Dastlabki (davriy) yo‘riqnoma (sana)______________________________________
   
4. 
   O‘ta xavfli ishlar uchun bilimlarni tekshirish (sana)___________________________
   

________________________________________________________________________

5. 
   Ishga kirayotganda va davriy tibbiy ko‘rikdan o‘tganligi ______________________
   

_______________________________________________________________________

10. Baxtsiz hodisa yuz bergan sana va vaqt ____________________________________

(yil, kun, oy)

_______________________________________________________________________

(ish boshlashdagi to‘liq soatlar soni)

11. 
    Baxtsiz hodisa holati ___________________________________________________
    

________________________________________________________________________

11.1. Baxtsiz hodisa sabablari _______________________________________________

________________________________________________________________________

2. 
   Jarohat etkazilishiga sabab bo‘lgan asbob-uskuna ___________________________
   

1. 
   Jabrlanuvchining hushyorligi (alkogol yoki narkotiklar ta’siridaligi)____________
   

(tibbiy hulosaga binoan)

11.4. Tashhis _______________________________________________________

(dastlabki, ohirgi)

12. 
    Baxtsiz hodisa sabablarini bartaraf etish tadbirlari:
    

Tartib raqami	Tadbirlar nomi	Bajarish muddati	Bajaruvchi	Bajarilishi haqida belgi

13. Mehnat to‘g‘risidagi qonunchilik, mehnat muhofaza qilish qoidalari va me’yorlari buzilishiga yo‘l qo‘ygan shaxslar __________________________________________________

_____________________________________________________________________________

(ismi, sharifi, lavozimi, korxona nomi) _____________________________________________________________________________

(ular tomonidan buzilgan qonunlar, qoidalar va

_____________________________________________________________________________

me’yoriy hujjatlarning moddalari, bandlari)

14. 
    Baxtsiz hodisa guvohlari________________________________________________
    

Dalolatnoma tuzildi _______________________________

(yil, kun, oy)