İş Kazası Tutanağı Nasıl Olmalıdır ?

İŞ KAZASI TUTANAĞI

 

KAZA GEÇİREN İŞÇİNİN             

 

ADI-SOYADI                                     :

KURUM SİCİL NO.                           :

SİGORTA SİCİL NO                          :

BABA ADI                                         :

DOĞUMYERİ                                    :

DOĞUM TARİHİ                               :

GÖREV YAPTIĞI BİRİM                  :

GÖREVİ                                             :

İŞE BAŞLAMA TARİHİ                    :

KAZA TARİH VE SAATİ                  :

KAZA TARİHİNDEKİ İŞÇİ SAYISI  :

KAZA GÜNÜ İŞBAŞI SAATİ                        :

EV ADRESİ                                       :

EV VE CEP TELEFONU                    :

UZUV KAYBI                                   : Vardır/ Yoktur

KAZANIN NASIL OLDUĞU : ……………………………………………………………………………………………………..

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Birim Amiri              Kazalı                    Tanık              Tanık

Adı-Soyadı      :

 

Görevi            :

 

Adresi             :

 

Telefonu         :

 

İmza                :

 

 

NOT    : İş kazası tutanağı kazanın olduğu gün içerisinde Personel Dairesi Başkanlığına bildirilecektir.

6 thoughts on “İş Kazası Tutanağı Nasıl Olmalıdır ?

  • 20 Ocak 2017 at 07:39
    Permalink

    aha, jeden gość z Czech nagrywaÅ‚ na kamerÄ™ cyfrowÄ…, ale ktoÅ› mu jÄ… niestety zwinÄ…Å‚ w czasie imprezy. czyli takie nagranie też istnieje, ale nie wiem czy ktoÅ› siÄ™ pr#0&nazz823y; 🙂

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    Permalink

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    Permalink

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    Permalink

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