The control list - Basic

Nr rej.: _ _ _ _ _ _ / K _ _ _ /LP/2006

REGON:

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/

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PKD:

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Answer Number

lp.

Surveyed issue

YES

NO

NO CONCER

N

Wor

k

er

s P

Sates of work S

Machines U

COMMENTS

1 2 3

4

5

6

7

WP

General information

1

Did employer inform on written PIP note about place , type and range of running
trading?

2

Were there issued IP decisions done earlier?

LP

Work attitude

1

Did employer give eployee some written information about work conditions , not
after 7 days from the date of transacting work contract?

2

Was there written acceptance about kind of work contract and its conditions no
later than the day of starting work?

3

Were the rules connected with discharge of work contract obeyed with
resignation?

4

Were the rules connected with discharge of work contract obeyed without
resignation?

5

Were work certficates issued to employees?

J1P

Bhp training

1

Were employees trained in range of Bhp training?

2

Did employer take part in employers training?

J2P

Medical screenings

1

Were employees undergone to profilactic medical screeinings?

J3P

Additional qualifications

1

Do emploees posses additional required qualifying rights?

MP

The time of work

1

Is there record time of work files conducted?

2

Were there any recrutations average five days in the week in given account
period?

3

Is it obeyed acceptable average weekly limit of overtime working hours?

4

Is it obeyed acceptable limits of overtime working hours in calendar year?

PP

Payment and other benefis

1

Was there payment for work of employees ?

2

Was payment for work paid in hight of minimum average country payment?

3

Was it correct hight of payment paid for overtime hours of work?

SP

Labour holidays

1

Was it correct right established to recreation holiday in the first year of working?

2

Was it correct right established to the next recreation holiday?

3

Were there any recreation holidys granted in the calendar year in which
employees acquired to its rights , not later than to the end of first quarter of next
year after that year?

K1P

Estimation of occupational hazards

1

Did employer do and substantiate risk assessment on work vacancys?

2

Did employer inform employees about occupational hazards connected with
present job?

3

Is work institution record files of accidents during work conducted?

IP

Wrongdoing, drudging and dangerous factors

1

Did employer conduct researches and measurements of wrongdoing factors?

2

Do appearing exposures not transcend allowable standards?

3

Does employer who execut tasks of security service and work hygiene had a
training which was necessary to carry on taska of this service?

4

Does employer consult with emploees or with their representatives all actions
connented with security and hygiene of the work?

INFORMATION ABOUT WIDENING THE RANGE OF THE CONTROL:

(should be filled in by inspector pointing issues which are beyond LkP)

INFORMATION ABAUT ACCIDENTS:

The number of accidents in the work

2003 2004 2005

On the whole

Fatal

Serious

Employment

-the number of employees at the end of the year

Indicator of frequency

IS IT SPECIALIST CONTROL INDICATED? YES | | NO | |

If yes – mark range(symbol)

……………………………. …………………………………………....

(place and date)

(work inspector’s sygnature and seal)