INSPECCION DE HIGIENE Y SEGURIDAD

NOTIFICACION DE ACTUACION CORRECTIVA Hoja...............de..............

EMPRESA:…………............................................................................................................ C.U.I.T. Nº: ..…………………………..………………........

Domicilio Visitado.:............................................................................................. Localidad: ………………………………………………………
Área/Sector: ......................................................... Responsable: ……………………………………………..………………………………….............

INFORME TÉCNICO Fecha de inspección: ………........ /……..…...../ 2 0 1 4

Observaciones detectadas:
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Medidas correctivas solicitadas:

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RESPONSABLE POR LA EMPRESA P/ HIGIENE Y SEGURIDAD LABORAL

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FIRMA Y ACLARACION