Preventiebeleidsverklaring - GO! onderwijs van de Vlaamse ...
Preventiebeleidsverklaring - GO! onderwijs van de Vlaamse ...
Preventiebeleidsverklaring - GO! onderwijs van de Vlaamse ...
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INSPECTIE-EENHEIDSFICHE<br />
Inspectie-eenheid Nummer (administratie): ..............................................................................................................................................<br />
Beschrijving (eventueel): ..............................................................................................................................................................<br />
Sleutelwoord (voorstel): ................................................................................................................................................................<br />
Auditor(s): ....................................................................................................................................................................................<br />
__________________________________________________________________________________________________________<br />
Preventiedienst<br />
Preventieadviseur: ...............................................................................................Prestatie preventieadviseur (%): .....................<br />
Aantal adjuncten: ...................... Prestatie adjuncten (%): ....................................Tel. <strong>van</strong> <strong>de</strong> dienst: ..........................................<br />
Vorming: Niveau 1 Niveau 2 An<strong>de</strong>re bijk. vorming Volgt vorming Aantal werknemers on<strong>de</strong>r toezicht:<br />
................<br />
Adres dienst: zie adres werkgever zie adres exploitatiezetel an<strong>de</strong>r adres:<br />
......................................................................<br />
.................................................................................................................................................................................<br />
Organisatie: Eigen dienst Gemeenschappelijke dienst met nr. ................. Gemeenschappelijke dienst zon<strong>de</strong>r<br />
nummer<br />
Comité: Geen comité Comité Syndicale afvaardiging Overlegcomité<br />
Commentaar: ................................................................................................................................................................................<br />
__________________________________________________________________________________________________________<br />
Werkgever naam: .....................................................................................................................................................................................<br />
Han<strong>de</strong>lsvorm: ...............................................................................................................................................................................<br />
Adres: ...........................................................................................................................................................................................<br />
RSZ-nummer: ...................................................................... BTW-nummer: ................................................................................<br />
__________________________________________________________________________________________________________<br />
Exploitatiezetel Han<strong>de</strong>lsnaam: ................................................................................................................................................................<br />
Adres: zie adres werkgever an<strong>de</strong>r adres<br />
.............................................................................................................................<br />
Tel.: ........................................................................ Fax: ...................................................................................................<br />
NACE-co<strong>de</strong>: ..................................................................................................................................................................................<br />
Aantal werknemers: ......................................................................................................................................................................<br />
Bestuur<strong>de</strong>r + functie: .....................................................................................................................................................................<br />
Contactpersoon + telefoonnummer: ..............................................................................................................................................<br />
Commentaar: ................................................................................................................................................................................<br />
__________________________________________________________________________________________________________<br />
Inspectie-in<strong>de</strong>x Bezoekdatum: ............................<br />
A. Naleving <strong>van</strong> <strong>de</strong> reglementering<br />
Arbeidsmid<strong>de</strong>len Arbeidsplaatsen<br />
0 1 2 3 4 0 1 2 3 4 0 1 2 3 4<br />
Aankoop en indienststelling Valgevaar Chemische agentia<br />
Veiligheid machines Brand Lawaai - trillingen<br />
Instructies Signalisatie P.B.M.<br />
Transport en hefwerktuigen Arbeidsklimaat Interimkrachten<br />
Beeldschermen Elektriciteit Manueel hanteren<br />
B. Situationele factor (x = ja)<br />
C. Appreciatie zelfwerkzaamheid<br />
0 1 2 3 4 0 1 2 3 4<br />
Directie Preventiediensten<br />
Hiërarchische lijn Werknemers<br />
Overlegcomité<br />
Commentaar: ...............................................................................................................................................................................
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