CHECK LIST

Occupational Safety
Company: Data:
Inspection companion: Cargo:
Occupational Technician:
Start Time: Term:
Signature of the visitor ASSOCIATE DEGREE IN OCCUPATIONAL THERAPY

EVALUATION / APPLICATION OF STANDARDS:

Technical visit aimed at conducting an environmental survey and data collection in order to carry out a diagnosis related to the entire
the material that guides labor legislation, through Ordinance 3214/78 of the MTE, and, social security legislation through
Decree 3048/99 of the INSS.

During the visit:

Yes No NA
NR-01 – GRO/PGR
Sent model I for updating employee data, sectors, and positions?
Does it have a service order as required by NR-1?
Client oriented regarding the change from PPRA to GRO/PGR on 01/02/2022 according to updates.
the Regulatory Standards of Ordinance 3214/78.
NR - 05 INTERNAL COMMITTEE FOR ACCIDENT PREVENTION - CIPA
Is it necessary to establish a CIPA according to the classification of NR-05?
Is it necessary to designate a member of the CIPA?
Guided by the CIPA Constitution from the opening of the electoral process to the training of
Cypeiros.
Oriented on the functioning, assignments, and periodic and extraordinary meetings.
Directed regarding the preparation of the Risk Map according to item 5.3.1 letter 'b' of NR 5?
Guided on the execution of the election and management of the CIPA electronically through the Group's SST
Occupational - SOC?
NR-06 - PERSONAL PROTECTIVE EQUIPMENT - PPE
Does the company provide PPEs?
The company records the provision of PPE in its own individual file, according to item 6.6.1.
"item h" of NR 6?
Does the company comply with the frequency of changing PPE?
Focused on employee data, frequency of PPE changes, admission date,
signature of the form, certificate of approval (CA) and the validity of the PPE, according to item 6 6.6.1
from NR 6.
NR-07 - PROGRAM OF MEDICAL CONTROL OF OCCUPATIONAL HEALTH
Does the company have first aid materials, as per NR 7?
Is this material kept stored in an appropriate location and under the care of a trained person for this purpose?
NR-08 - BUILDINGS
Stairs and/or ramps have handrails on both sides, according to NBRs 9050 / 9077?
Do stairs and/or ramps have non-slip processes, according to NR 8?
Do the workplace coverings have protection against the elements? Example: Direct exposure to
ultraviolet radiation, torrential rains, storms, etc.
On the floors, stairs, ramps, corridors, and passages of workplaces where there are risks of
Does the slip area have signage or anti-slip material?
Do the floors and walls have openings that pose fall hazards for employees?
NR-10 - ELECTRICAL INSTALLATIONS
Are the sockets and electrical panels identified according to NR 10?
Is the wiring housed in conduits, according to NR 10?
Does the company have a single-line diagram of the electrical circuits, according to NR-10?
Do you have emergency lights?
Do the lamps in the industrial area have protection?
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Safety at Work
The machines and equipment that use or generate electrical energy are grounded, as per item
10.2.3 of NR 10?
Does the company have a professional who maintains the electrical systems?
Is the professional qualified according to NR 10 (Electrical Installations and Services)?
The company is interested in receiving a proposal regarding the necessary electrical adaptations.
agreement with NR-10?
NR-11 - TRANSPORT, MOVEMENT, STORAGE AND HANDLING OF MATERIALS
The stacked material is being kept away from the building's side structures at a distance of
at least 0.50cm (fifty centimeters), according to item 1.3.3 of NR 11?
A empresa possui equipamentos com força motriz própria? Exemplo: Escavadeira, Trator, Carregadeira,
Forklift, crane, freight elevators, overhead cranes, etc.
The professionals involved in the operation of the equipment were trained by the company accordingly.
with item 11.1.5 of NR 11?
The operators have identification cards, with their name and photograph, in a visible place as per the item.
11.1.6?
NR-12 - SAFETY AT WORK WITH MACHINES AND EQUIPMENT
Do the machines and/or equipment have emergency stop devices?
The machines and equipment that pose a risk of breaking their parts, projection of materials,
particles or substances have protections that ensure the health and safety of workers,
according to item 12.48 of NR 12?
Do all machine operators have training?
Do the machines and/or equipment have EPC?
The company has an inventory of machines and equipment identified by type, capacity,
security systems and location in floor plan, prepared by a qualified professional or
legally authorized, according to NR 12?
The company has the manuals and operational procedures for the machines and equipment, as per
item 12.3 of NR-12?
The company is interested in receiving a proposal regarding the adjustments to the machines and
necessary equipment for NR-12?
NR-13 - BOILERS, PRESSURE VESSELS, AND PIPING AND METAL STORAGE TANKS
Does Caldeira have a record, according to NR 13?
Does the pressure vessel have a record, according to NR 13?
Does the pressure vessel/boiler have an identification plate?
Do you have a trained professional for the operation of a boiler or pressure vessel?
The company keeps updated documentation in accordance with item 13.4.1.6, such as: Patient records,
safety register, installation project, inspection reports, calibration certificates.
Client is interested in receiving a proposal regarding the necessary adjustments according to the
NR-13?
NR-15 - UNSANITARY ACTIVITIES AND OPERATIONS
Annex 01 - Is there any machine or equipment capable of producing sound pressure levels
Elevated? If yes, list below by position.
Annex 02 - Is there impact noise? Such as presses, hammers, etc. If yes, list below by
cargo.
Annex 03 - Are there artificial sources of heat? Such as furnaces, stoves, greenhouses, boilers, etc. If so,
relate below by position.
Appendix 05 - Are there sources of ionizing radiation? Such as X-ray equipment, substances
radioactive, etc. If yes, list below by position.
Annex 06 - Are there hyperbaric conditions? Such as hyperbaric chambers, divers. If so,
relate below by position.
Annex 07 - Are there sources of non-ionizing radiation? Such as welding processes or work at
open position. If yes, list below by position.
Anexo 08 - Há alguma máquina ou equipamento com capacidade de vibrações mecânicas? Tais como
hand tools, brush cutter, hammer drill, motor vehicles, etc. If yes, list below by position.
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Work Safety
Annex 09 - Is there exposure to temperatures below 12°C? Such as cold chambers. If yes, please list.
below by position.
Annex 10 - Are there exposures to flooded or soaked areas? Such as car washes, heavy cleaning,
etc. If so, list below by position.
Is there exposure to chemical risks? If so, list below by position.
Annex 11 – Is there exposure to fumes or metallic dust? Such as welding processes, cutting and
sanding of parts, casting, etc. If yes, list below by position.
Annex 11 - Is there exposure to chemical products? If so, list below by position and request MSDS.
Annex 12 – Is there exposure to dust? Such as silica, PNOS, cadmium or asbestos. If so, list them.
below by position.
Is there exposure to biological risks? If so, list them below.
Annex 14 - Is there exposure to biological risks? Such as hospital environments, clinics
veterinary clinics, analysis laboratories, sewage network maintenance, etc. If so, list below
by position.
Client oriented regarding the need for conducting quantitative assessments to verify the
employee exposure to harmful agents identified as per item 1.5.4.4 of the NR-
01?
Does the client make payment for the hazardous duty bonus to any employee?
Qual?_______________________________________________________________________________
Does the client have an L.I. (Health Hazard Report)?
Does the client have an interest in receiving a proposal related to the preparation of LI?
NR-16 – DANGEROUS ACTIVITIES AND OPERATIONS
Annex 01 – Is there exposure to explosives?
Annex 02 – Is there exposure to flammable liquids? Such as refueling with fossil fuels,
storage of flammable products (>200L), supply of LPG (>135 kg), etc. If so,
list below by position.
Annex 03 - Are there armed security activities? If so, list below by position.
Annex 04 - There is maintenance activity on electrical consumption and power system (SEC
and/or SEP)? If yes, list below by position.
Does the client make a hazard pay payment to any employee?
Which?
Does the client have L.P. (Dangerous Activity Report)?
Does the client have an interest in receiving a proposal related to the preparation of a landing page?
NR-17 - ERGONOMICS
Does the client have AET (Ergonomic Work Analysis)?
Is there exposure to ergonomic risks detected on-site? Such as night work, headset noise,
I work with shift variation, lifting and transporting loads and volumes, inadequate furniture.
etc. If so, list below by position.
Does the client have an interest in receiving a proposal related to ergonomics?
NR – 23 – FIRE PROTECTION
Is there fire protection (fire extinguishers, hydrants, etc.)?
Are the fire extinguishers within the maintenance period?
Do the fire extinguishers have an inspection control sheet?
Does it have signage and an emergency exit?
Does the company have a valid AVCB (Fire Department Inspection Report)?
Does the company have an active firefighting team with a responsibility matrix?
The client is interested in receiving a proposal regarding the adequacy of the Fire Safety Certificate, fire project and
fire brigade?
NR – 24 – SANITARY AND COMFORT CONDITIONS IN THE WORKPLACES
There is material for cleaning, wiping, or drying hands, prohibiting the use of shared towels.
agreement with item 24.3.4 of NR 24?
Does the company have more than 10 workers per shift?
Company focused on the elimination of the need for separate restrooms by gender
according to item 4.1.1 of NR-24.
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Occupational Safety
The company has activities involving the handling of infectious materials, toxic substances, irritants,
aerodispersoids or dust that impregnate the skin and clothing of the worker?
Company oriented towards the use of double compartment lockers or two single lockers.
in accordance with item 24.4.5 of NR-24.
Company oriented towards the use of individual lockers according to item 24.2.16 of NR 24.
Does the company prohibit the use of shared cups according to item 4.3 of NR 24?
Are the sanitary cabinets in accordance with NR 24, item 24.1.26?
Client oriented regarding the necessary adjustments according to item 24.1.26 of NR 24.
NR-33 - CONFINED SPACE
Are there activities carried out in confined spaces? Such as: caissons, silos, pipelines, galleries
subterranean, interiors of storage tanks, etc.
If so, is there a possibility of IPVS atmospheres occurring (an atmosphere that is imminently hazardous to health)?
or life), which may have a deficiency of oxygen, flammable or explosive atmosphere and/or concentration of
toxic or lethal substances for the worker?
If an IPVS atmosphere occurs, tests are carried out with multigas equipment, air blower,
decommissioning of equipment and use of intrinsically safe equipment?
All activities carried out in confined spaces are preceded by the preparation of a PET.
(Entry and work permit, issued by the entry supervisor?)
Company focused on training for work in confined spaces and Exams
Complementary, according to NR 33?
NR-35 – WORKING AT HEIGHT
Is there work being done at heights?
Company focused on training for work above 2 meters in height and exams
Complementary, according to NR 35?
Company oriented regarding the need for issuing a work permit (APR) whenever it is
to carry out work at height.
Company oriented regarding the need to issue a work permit (PT) whenever it is necessary.
executed work at height.
Company focused on conducting complementary exams for individuals who perform
activities above 2 meters or in confined spaces, which include: psychosocial questionnaire,
Electroencephalogram - EEG, Electrocardiogram - ECG, Complete blood count with platelet count
Visual acuity, Romberg test, and glucose.
SOCIAL SECURITY LEGISLATION / ESOCIAL
Does the company have an LTCAT (Technical Report on Work Conditions)?
The company collects the F.A.E. (Financing of special retirement) for some
function? Which?
Was the company informed about the start of the obligation to send the SST events to eSocial?
Data 01/10/2022 for group II / III
The company was advised about the incorrect collection of the FAE and informed at the event.
S1200 may be challenged by sending the existing risks that warrant special retirement.
for the event S2240?
Client oriented towards the need to send events S2220 and S2240 by the 15th day of the month
following the occurrence of these and that the failure to send within the deadlines may result in fines?
Client oriented on the importance of keeping the information of the CAs of the PPEs updated for
to feed and update the S-2240 event of your employees?
Client oriented on the importance of keeping regular exams within the established deadlines by
PCMSO to prevent automatic fines from being issued in the system?
Customer oriented towards the possibility of registering the company's A1 digital certificate and automating
the sending of SST events from eSocial through the SOC system?

TYPE OF PPE
TYPE OF PPE CA (WHEN THERE IS)
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Occupational Safety

TYPE OF EPC LOCAL INSTALLED

PHYSICAL RISKS POSITIONS

Noise

Impact noise

Heat

Cold

Non-ionizing radiation

Ionizing radiation

Humidity

Whole body vibrations

Localized vibrations
Chemical hazards POSITIONS
Mineral Dust or PNOS

Metallic fumes

Metallic dust
Chemical products. Mention:

BIOLOGICAL RISKS CHARGES

Places dedicated to the care of human health or
veterinary (Technical staff)

Laboratories of clinical and anatomical analysis and preparation

of soros.

Maintenance of networks and sewage galleries

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Occupational Safety
Cleaning and sanitizing of bathrooms

Collection and industrialization of waste

MECHANICAL RISK / ACCIDENT CHARGES

Work at height

Conditions or procedures that may cause contact

with electricity

Machines and equipment without protection*

Improper storage

Inadequate tools*

Classified areas

Falling objects

Bad weather

Venomous animals

Furniture and/or surfaces with sharp edges, burrs or

exposed fastening elements*
Floors, passages, walkways, platforms, ramps and
corridors with protrusions, discontinuities, openings or
obstructions, or slippery
Heated surfaces and/or materials exposed

Areas for pedestrian, vehicle, and material traffic without

demarcation

Driving vehicles of any kind on public roads

Cutting and/or piercing objects

Material handling

Particle Projection
ERGONOMIC RISK CHARGES
Manual Handling and Transport of Loads

I work with the need for shift variation

Night Work

Sitting posture for long periods

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Work Safety

Standing for long periods

I work in uncomfortable or less comfortable positions because

long periods

Frequent walking during the workday

ADDITIONAL INFORMATION
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Occupational Safety
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Occupational Safety