Misją Instytutu jest dzialalność naukowo-badawcza prowadząca do nowych rozwiązań technicznych i organizacyjnych użytecznych w kształtowaniu warunków pracy zgodnych z zasadami bezpieczeństwa pracy i ergonomii oraz ustalanie podstaw naukowych do właściwego ukierunkowywania polityki społeczno-ekonomicznej państwa w tym zakresie.
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Company (department) | WORK POST
RISK ASSESSMENT FORM | Date | card number | |||||
Prepared by | ||||||||
Work post | Forename and surname of the worker/workers | |||||||
No. | Threat | Measures reducing occupational risk | Estimate / assessment of occupational risk | Recommendations on the introduction of additional protective measures | ||||
Write here all the identified threats, which could result in injuries or diseases to the workers, e.g.:
- noise - infrasound or ultrasound noise - vibrations (positional or general) - microclimate (cold or hot) - radiation (infrared, ultraviolet, laser) - electromagnetic field - machines in motion - moving components - sharp, protruding, coarse elements - fluids under pressure - slippery, uneven surfaces - restricted areas (approaches, entrances, accesses) - threat of explosion and fire - low voltage - high voltage - biological agents (viruses, bacteria and others) - static loads - monotony - physical exertion - psychological load - moderate microclimate - lighting (intense, dazzling, uniformity, pulsing) | List here the measures that are applied in order to reduce occupational risk related to every identified threat - collective protective equipment (e.g. ventilation), personal protective equipment (e.g. hearing protectors), instructions on safe work, training etc. | Write here - for every identified threat - the result of the estimate of the occupational risk and its assessment following the application of the protective measures mentioned (e.g. "medium risk / permissible" or "large risk / not permissible") | Write here the activities that are planned to reduce occupational risk. These activities must be implemented in the shortest possible time if the occupational risk is not permissible. | |||||
Confirmation of receipt of the information by the worker(s) | Signature(s) | Date |