DALOLATNOMA № ____
Ishlab chiqarishdagi baxtsiz hodisa va salomatlikka
boshqa xil zarar etkazilishi to‘g‘risida
Korxonaning nomi____________________________________________________
1.1. Korxonaning manzili _________________________________________________
(viloyat, shahar, tuman, ko‘cha, uy)
Mulkchilik shakli ____________________________________________________
(davlat, aksiyadorlik, hususiy va hokazo)
Baxtsiz hodisa yuz bergan joy __________________________________________
(bo‘linma, sex)
Vazirlik, korporatsiya, uyushma, konsern __________________________________
Xodimni yo‘llagan korxona _____________________________________________
(nomi, manzili, vazirlik
______________________________________________________________________
(korporatsiya, uyushma, konsern)
Jabrlanuvchining ismi-sharifi ____________________________________________
______________________________________________________________________
Jinsi: erkak, ayol (tagiga chizilsin)________________________________________
Yoshi (to‘liq yillar soni ko‘rsatilsin)_______________________________________
Kasbi, lavozimi _______________________________________________________
Razryadi, klassi ______________________________________________________
Baxtsiz hodisa yuz berganda 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)_________________________________
Dastlabki (davriy) yo‘riqnoma (sana)______________________________________
O‘ta xavfli ishlar uchun bilimlarni tekshirish (sana)___________________________
________________________________________________________________________
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)
Baxtsiz hodisa holati ___________________________________________________
________________________________________________________________________
11.1. Baxtsiz hodisa sabablari _______________________________________________
________________________________________________________________________
Jarohat etkazilishiga sabab bo‘lgan asbob-uskuna ___________________________
Jabrlanuvchining hushyorligi (alkogol yoki narkotiklar ta’siridaligi)____________
(tibbiy hulosaga binoan)
11.4. Tashhis _______________________________________________________
(dastlabki, ohirgi)
Baxtsiz hodisa sabablarini bartaraf etish tadbirlari:
Tartib raqami
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Tadbirlar nomi
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Bajarish muddati
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Bajaruvchi
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Bajarilishi haqida belgi
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13. Mehnat to‘g‘risidagi qonunchilik, mehnat muhofaza qilish qoidalari va me’yorlari buzilishiga yo‘l qo‘ygan shaxslar __________________________________________________
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(ismi, sharifi, lavozimi, korxona nomi) _____________________________________________________________________________
(ular tomonidan buzilgan qonunlar, qoidalar va
_____________________________________________________________________________
me’yoriy hujjatlarning moddalari, bandlari)
Baxtsiz hodisa guvohlari________________________________________________
Dalolatnoma tuzildi _______________________________
(yil, kun, oy)
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