Formulario de Accidente

Formulario de Accidente - CHERIE K. BERRY JOHN R. BOGNER,...

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CHERIE K. BERRY JOHN R. BOGNER, JR. COMMISSIONER CONSULTATIVE SERVICES BUREAU CHIEF DIVISION OF OCCUPATIONAL SAFETY AND HEALTH WELCOME! This sample program is provided to assist you as an employer in developing programs tailored to your own operation. We encourage you to copy, expand, modify and customize this sample as necessary to accomplish this goal. This document is provided as a compliance aid, but does not constitute a legal interpretation of OSHA Standards, nor does it replace the need to be familiar with, and follow, the actual OSHA Standards (including any North Carolina specific changes.) Though this document is intended to be consistent with OSHA Standards, if an area is considered by the reader to be inconsistent, the OSHA standard should be followed. Of course, we welcome your comments and feedback! The North Carolina Department of Labor OSH Consultative Services Bureau can be contacted for further assistance such as helping you set up your individual program and even with on-site surveys. Feel free to contact us at 1-800-NCLABOR or at 919-807- 2899. You may also want to visit our website at http://www.nclabor.com/osha/consult/bcs1.htm Remember: A written safety/health program is only effective if it is put into place!
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1101 MAIL SERVICE CENTER. RALEIGH. NORTH CAROLINA 27699-1101 (919) 807-2899 FAX (919) 807-2902 John.Bogner@labor.nc.gov Forma para Reportar Lesiones de Empleados Instrucciones : Los empleados utilizarán esta forma para informar todo el trabajo relacionado a lesiones, enfermedades, o “fallo cercano” eventos (cuál podría haber causado una lesión o enfermedad) – no importa cuan menor . Esto nos ayuda a identificar y corregir peligros antes de que estos causen serias lesiones. Esta forma debe ser completada por empleados tan pronto como sea posible y entregado a un supervisor para futura acción. Reportando un incidente laboral por: Lesión Enfermedad Peligro Su nombre: Puesto que ocupa: Supervisor: ¿Ya le dijo informo a su supervisor sobre lesión/situación peligrosa? Si No ¿Día que ocurrió: ¿A que hora ocurrió: Nombre de Testigo (si alguno): ¿Donde exactamente ocurrió el incidente? ¿Que estaba hacienda en ese momento?
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Formulario de Accidente - CHERIE K. BERRY JOHN R. BOGNER,...

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