Elaborado por:

Revisado por:
ESTUDIO DE LINEA BASE Codigo:
Fecha:

A.- LISTA DE VERIFICACIÓN DE LINEAMIENTOS DEL SISTEMA DE GESTIÓN DE SEGURIDAD Y SALUD EN EL TRABAJO

% %
II-. Política de III. Planeamiento y IV. VII. Control de VIII. Revisión por la
TIPO REDES Y CENTROS Cumpli Incumpli I. Compromiso e Implementacion y V.Normativa
Evaluacion
2/ 3/ ASISTENCIALES miento miento
STATUS Involucramiento Seguridad y Salud
Ocupacional Aplicación operación
VI. Verificacion Informacion y
documentos dirección
General General % % % % % % % % % % % % % % % %
Cumplim Incumpli Cumpli Incumpli Cumplim Incumpli Cumpli Incumpli Cumpli Incumpli Cumpli Incumpli Cumpli Incumpli Cumpli Incumplimi
iento miento miento miento iento miento miento miento miento miento miento miento miento miento miento ento

67% 33% DESAPROBADO 90% 10% 58% 42% 53% 47% 88% 12% 86% 14% 56% 44% 36% 64% 83% 17%

65% 35% DESAPROBADO 70% 30% 83% 17% 88% 12% 72% 28% 60% 40% 48% 52% 64% 36% 0% 100%

53% 47% DESAPROBADO 50% 50% 67% 33% 35% 65% 76% 24% 50% 50% 52% 48% 55% 45% 0% 100%

72% 28% APROBADO 90% 10% 75% 25% 65% 35% 100% 0% 80% 20% 44% 56% 64% 36% 50% 50%

81% 19% APROBADO 90% 10% 91% 9% 65% 35% 88% 12% 100% 0% 60% 40% 91% 9% 100% 0%

96% 4% APROBADO 70% 30% 92% 8% 100% 0% 100% 0% 100% 0% 100% 0% 91% 9% 100% 0%

93% 7% APROBADO 90% 10% 67% 33% 94% 6% 100% 0% 100% 0% 96% 4% 91% 9% 100% 0%

72% 28% APROBADO 50% 50% 33% 67% 65% 35% 88% 12% 70% 30% 76% 24% 82% 18% 100% 0%

78% 22% APROBADO 70% 30% 92% 8% 65% 35% 92% 8% 70% 30% 60% 40% 91% 9% 100% 0%

25% 75% DESAPROBADO 0% 100% 67% 33% 29% 71% 20% 80% 60% 40% 16% 84% 9% 91% 0% 100%

96% 4% APROBADO 100% 0% 100% 0% 100% 0% 96% 4% 100% 0% 84% 16% 100% 0% 100% 0%

78% 22% APROBADO 60% 40% 100% 0% 47% 53% 72% 28% 80% 20% 88% 12% 100% 0% 83% 17%

53% 47% DESAPROBADO 50% 50% 67% 33% 24% 76% 40% 60% 100% 0% 52% 48% 55% 45% 100% 0%

69% 31% DESAPROBADO 70% 30% 92% 8% 24% 76% 80% 20% 70% 30% 80% 20% 100% 0% 0% 100%

78% 22% APROBADO 80% 20% 67% 33% 88% 12% 92% 8% 60% 40% 60% 40% 91% 9% 100% 0%

90% 10% APROBADO 90% 10% 83% 17% 100% 0% 96% 4% 88% 13% 88% 12% 82% 18% 83% 17%

84% 16% APROBADO 60% 40% 58% 42% 94% 6% 84% 16% 100% 0% 92% 8% 73% 27% 100% 0%

78% 22% APROBADO 80% 20% 67% 33% 82% 18% 92% 8% 90% 10% 72% 28% 64% 36% 67% 33%

84% 16% APROBADO 80% 20% 92% 8% 88% 12% 84% 16% 75% 25% 84% 16% 73% 27% 100% 0%

91% 9% APROBADO 90% 10% 92% 8% 100% 0% 88% 12% 60% 40% 96% 4% 100% 0% 100% 0%

66% 34% DESAPROBADO 60% 40% 50% 50% 59% 41% 84% 16% 90% 10% 63% 38% 64% 36% 33% 67%

72% 28% APROBADO 70% 30% 83% 17% 59% 41% 76% 24% 100% 0% 60% 40% 91% 9% 50% 50%

84% 16% APROBADO 80% 20% 75% 25% 71% 29% 76% 24% 90% 10% 96% 4% 91% 9% 100% 0%

87% 13% APROBADO 80% 20% 83% 17% 71% 29% 84% 16% 100% 0% 96% 4% 91% 9% 100% 0%

69% 31% DESAROBADO 80% 20% 75% 25% 56% 44% 77% 23% 88% 13% 70% 30% 50% 50% 57% 43%

61% 39% DESAPROBADO 60% 40% 67% 33% 71% 29% 61% 39% 80% 20% 60% 40% 45% 55% 17% 83%

68% 32% DESAPROBADO 80% 20% 67% 33% 41% 59% 88% 12% 88% 12% 56% 44% 64% 36% 67% 33%

55% 45% DESAPROBADO 40% 60% 67% 33% 59% 41% 61% 39% 60% 40% 60% 40% 45% 55% 17% 83%

85% 15% APROBADO 20% 80% 67% 33% 94% 6% 92% 8% 100% 0% 92% 8% 100% 0% 100% 0%

85% 15% APROBADO 20% 80% 67% 33% 94% 6% 92% 8% 100% 0% 92% 8% 100% 0% 100% 0%

95% 5% APROBADO 100% 0% 92% 8% 100% 0% 92% 8% 70% 30% 100% 0% 100% 0% 100% 0%

89% 11% APROBADO 100% 0% 100% 0% 82% 18% 64% 36% 100% 0% 100% 0% 100% 0% 100% 0%

78% 22% APROBADO 100% 0% 67% 33% 100% 0% 40% 60% 70% 30% 88% 12% 100% 0% 100% 0%
41% 59% DESAPROBADO 51% 49% 65% 35% 45% 55% 53% 47% 58% 42% 20% 80% 19% 81% 18% 82%

28% 72% DESAPROBADO 10% 90% 55% 45% 16% 84% 15% 85% 45% 55% 15% 85% 17% 83% 9% 91%

37% 63% DESAPROBADO 51% 49% 67% 33% 63% 37% 45% 55% 58% 42% 8% 92% 3% 97% 0% 100%

35% 65% DESAPROBADO 15% 85% 46% 54% 73% 27% 45% 55% 61% 39% 5% 95% 13% 87% 26% 74%

36% 64% DESAPROBADO 57% 43% 67% 33% 35% 65% 57% 43% 45% 55% 8% 92% 8% 92% 12% 88%

33% 77% DESAPROBADO 25% 75% 59% 41% 60% 40% 35% 65% 65% 35% 6% 94% 3% 97% 9% 91%

28% 72% DESAPROBADO 27% 73% 65% 35% 12% 88% 47% 53% 45% 55% 12% 88% 10% 90% 9% 91%

40% 60% DESAPROBADO 42% 58% 59% 41% 85% 15% 48% 52% 49% 51% 11% 89% 15% 85% 12% 88%

34% 66% DESAPROBADO 31% 69% 23% 77% 75% 25% 49% 51% 56% 44% 13% 87% 15% 85% 8% 92%

30% 70% DESAPROBADO 31% 69% 74% 26% 18% 82% 59% 41% 35% 65% 8% 92% 9% 91% 9% 91%

53% 47% DESAPROBADO 66% 44% 73% 27% 78% 22% 69% 31% 76% 24% 5% 95% 20% 80% 37% 63%

27% 73% DESAPROBADO 15% 85% 64% 36% 27% 73% 33% 67% 65% 35% 6% 94% 0% 100% 9% 91%

25% 75% DESAPROBADO 26% 74% 38% 62% 12% 88% 58% 42% 49% 51% 13% 87% 9% 91% 0% 100%

50% 50% DESAPROBADO 41% 59% 69% 31% 85% 15% 59% 41% 49% 51% 21% 79% 49% 51% 24% 76%

10% 90% DESAPROBADO 0% 100% 45% 55% 18% 82% 3% 97% 17% 83% 0% 100% 0% 100% 0% 100%

19% 81% DESAPROBADO 27% 73% 70% 30% 0% 100% 24% 76% 11% 89% 0% 100% 9% 91% 9% 91%

30% 70% DESAPROBADO 5% 95% 56% 44% 51% 49% 34% 66% 60% 40% 5% 95% 9% 91% 20% 80%

46% 54% DESAPROBADO 36% 64% 60% 40% 80% 20% 64% 36% 68% 32% 16% 84% 30% 70% 18% 82%

24% 76% DESAPROBADO 0% 100% 37% 63% 27% 73% 44% 56% 60% 40% 0% 100% 15% 85% 11% 89%

30% 70% DESAPROBADO 11% 89% 65% 35% 68% 32% 28% 72% 61% 39% 5% 95% 6% 94% 0% 100%
40% 60% DESAPROBADO 70% 30% 67% 33% 24% 76% 40% 60% 57% 43% 48% 52% 0% 100% 0% 100%

75% 25% APROBADO 50% 50% 67% 33% 94% 6% 80% 20% 80% 20% 72% 28% 55% 45% 100% 0%

84% 16% APROBADO 80% 20% 90% 10% 76% 24% 84% 16% 60% 40% 96% 4% 82% 18% 100% 0%

75% 25% APROBADO 80% 20% 83% 17% 76% 24% 76% 24% 40% 60% 72% 28% 90% 10% 83% 17%

72% 28% APROBADO 100% 0% 83% 17% 100% 0% 76% 24% 50% 50% 56% 44% 36% 64% 67% 33%

26% 74% DESAPROBADO

26% 74% DESAPROBADO

26% 74% DESAPROBADO

84% 16% APROBADO 80% 20% 75% 25% 88% 12% 88% 12% 60% 40% 88% 12% 91% 9% 83% 17%

31% 69% DESAPROBADO 50% 50% 42% 58% 12% 88% 46% 54% 25% 75% 23% 77% 36% 64% 0% 100%

22% 78% DESAPROBADO 10% 90% 42% 58% 12% 88% 28% 72% 60% 40% 12% 88% 9% 91% 0% 100%

39% 61% DESAPROBADO 40% 60% 50% 50% 12% 88% 63% 38% 71% 29% 32% 68% 33% 67% 0% 100%

25% 75% DESAPROBADO 50% 50% 50% 50% 18% 82% 35% 65% 57% 43% 8% 92% 0% 100% 0% 100%

11% 89% DESAPROBADO 30% 70% 25% 75% 12% 88% 17% 83% 14% 86% 0% 100% 0% 100% 0% 100%

17% 84% DESAPROBADO 50% 50% 33% 67% 0% 100% 28% 72% 10% 90% 12% 88% 0% 100% 0% 100%

18% 82% DESAPROBADO 20% 80% 0% 100% 0% 100% 48% 52% 30% 70% 16% 84% 0% 100% 0% 100%

21% 79% DESAPROBADO 10% 90% 42% 58% 6% 94% 46% 54% 71% 29% 0% 100% 0% 100% 0% 100%

4% 96% DESAPROBADO 30% 70% 8% 92% 0% 100% 4% 96% 0% 100% 0% 100% 0% 100% 0% 100%

26% 74% DESAPROBADO 50% 50% 25% 75% 0% 100% 64% 36% 25% 75% 16% 84% 9% 91% 0% 100%

13% 87% DESAPROBADO 20% 80% 8% 92% 0% 100% 8% 92% 10% 90% 32% 68% 0% 100% 17% 83%

10% 90% DESAPROBADO 10% 90% 25% 75% 0% 100% 8% 92% 33% 67% 8% 92% 9% 91% 0% 100%

88% 12% APROBADO 10% 90% 0% 100% 0% 100% 4% 96% 40% 60% 32% 68% 0% 100% 0% 100%

58% 42% DESAPROBADO 80% 20% 67% 33% 59% 41% 48% 52% 50% 50% 52% 48% 73% 27% 50% 50%

76% 24% APROBADO 70% 30% 75% 25% 94% 6% 80% 20% 90% 10% 68% 32% 82% 18% 17% 83%

72% 28% APROBADO 60% 40% 60% 40% 29% 71% 100% 0% 100% 0% 64% 36% 100% 0% 57% 43%

66% 34% DESAPROBADO 90% 10% 75% 25% 65% 35% 88% 12% 70% 30% 40% 60% 64% 36% 17% 83%
 72% 28% APROBADO 60% 40% 75% 25% 29% 71% 100% 0% 100% 0% 60% 40% 100% 0% 57% 47%

70% 30% DESAPROBADO 50% 50% 58% 42% 88% 12% 67% 33% 60% 40% 88% 12% 80% 20% 17% 83%

0% 100% DESAPROBADO 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100%

55% 45% DESAPROBADO 80% 20% 75% 25% 35% 65% 84% 16% 60% 40% 32% 68% 27% 73% 50% 50%

91% 9% APROBADO 90% 10% 83% 17% 100% 0% 92% 8% 80% 20% 96% 4% 82% 18% 100% 0%

91% 9% APROBADO 90% 10% 83% 17% 100% 0% 92% 8% 80% 20% 96% 4% 82% 18% 100% 0%

91% 9% APROBADO 90% 10% 83% 17% 100% 0% 92% 8% 80% 20% 96% 4% 82% 18% 100% 0%

78% 22% APROBADO 90% 10% 67% 33% 59% 41% 84% 16% 80% 20% 80% 20% 90% 10% 83% 17%

85% 15% APROBADO 100% 0% 100% 0% 100% 0% 100% 0% 60% 40% 80% 20% 36% 64% 83% 17%

62% 38% DESAPROBADO 50% 50% 92% 8% 53% 47% 88% 13% 50% 50% 64% 36% 9% 91% 50% 50%

85% 15% APROBADO 90% 10% 92% 8% 82% 18% 83% 17% 70% 30% 88% 12% 91% 9% 83% 17%

58% 42% DESAPROBADO 50% 50% 75% 25% 71% 29% 54% 46% 50% 50% 56% 44% 55% 45% 33% 67%

100% 0% APROBADO 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0% 100% 0%

52% 48% DESAPROBADO 40% 60% 42% 58% 29% 71% 56% 44% 70% 30% 48% 52% 73% 27% 83% 17%

53% 47% DESAPROBADO 80% 20% 58% 42% 65% 35% 64% 36% 20% 80% 40% 80% 45% 55% 50% 50%

32% 68% DESAPROBADO 40% 60% 42% 58% 12% 88% 72% 28% 60% 40% 4% 96% 9% 91% 0% 100%

38% 62% DESAPROBADO 20% 80% 17% 83% 41% 59% 60% 40% 50% 50% 40% 60% 27% 73% 0% 100%

71% 29% APROBADO 70% 30% 75% 25% 47% 53% 96% 4% 80% 20% 64% 36% 64% 36% 67% 33%

86% 14% APROBADO 70% 30% 100% 0% 82% 18% 100% 0% 68% 13% 74% 26% 90% 10% 83% 17%

65% 35% DESAPROBADO 60% 40% 70% 30% 6% 94% 72% 28% 80% 20% 92% 8% 73% 27% 50% 50%

30% 70% DESAPROBADO 10% 90% 42% 58% 18% 82% 56% 44% 40% 60% 36% 64% 18% 82% 17% 83%

13% 87% DESAPROBADO 40% 60% 50% 50% 0% 100% 4% 96% 20% 80% 0% 100% 18% 82% 0% 100%

37% 63% DESAPROBADO 20% 80% 25% 75% 53% 47% 56% 44% 70% 30% 0% 100% 64% 36% 17% 83%

67% 33% DESAPROBADO 70% 30% 42% 58% 59% 41% 79% 21% 86% 14% 61% 39% 70% 30% 83% 17%

68% 32% DESAPROBADO 30% 70% 67% 33% 71% 29% 64% 36% 50% 50% 72% 28% 100% 0% 100% 0%

16% 84% DESAPROBADO 0% 100% 50% 50% 24% 76% 8% 92% 30% 70% 12% 88% 0% 100% 0% 100%

14.9% 85.1% 14.1% 85.1% 16.4% 82.8% 14.1% 85.1% 16.6% 82.6% 16.6% 82.6% 12.7% 86.6% 13.0% 86.2% 11.9% 87.3%

B.-RESUMEN FINAL

2. Política de seguridad y salud

1. Compromiso e Involucramiento 3. Planeamiento y aplicación 4. Implementación y operación
ocupacional

SI NO SI NO SI NO SI NO
14.15% 85.11% 16.45% 82.78% 14.08% 85.15% 16.63% 82.61%

7. Control de información y
5. Evaluación Normativa 6. Verificación 8. Revisión por la dirección
documentos
SI NO SI NO SI NO SI NO
16.58% 82.61% 12.67% 86.62% 12.99% 86.24% 11.91% 87.33%

Diagnostico de Linea Base de ESSALUD a nivel Nacional %

Cumplimiento del SGSST 14.93%

Incumplimiento del SGSST 85.09%
STATUS Desaprobado

Cantidad Total de Hospitales y Centros Asistenciales 390

Enviaron Resultado de Diagnostico de linea Base 105
Cantidad de Aprobados 65
Cantidad de Desaprobados 40
No enviaron Resultado de Diagnostico de Linea Base 285

Resultado Nacional del Cumplimiento del SGSST 14.93%

cumplimien 14.93%

Resultado Nacional del Incumplimiento del SGSST 85.09%

incumplimi 85.09%

STATUS Desaprobado

B. INSTRUCTIVO:
1.- Solamente insertar informacion en los casilleros INFERIORES de los cuadros SI, NO.
2.- La sumatoria final en El casillero de ITEMS EVALUADOS de la derecha deben ser iguales en comparacion con el cuadro ITEMS EN LISTA por ser el total de
preguntas de evaluacion en el presente documento, es decir deben coincidir. Si no coinciden verificar nuevamente los datos en los casilleros de SI, NO.

INFORME FINAL STATUS PLAN DE ACCION

MENOR O IGUAL A 60% DESAPROBADO / SANCION GRAVE Rearmar su sistema de gestion. Consolidar procedimientos, metodos y registros
ENTRE 61 A 70% DESAPROBADO / SANCION BAJA Revisar y mejorar lo desarrollado. Mejorar las evidencias
ENTRE 71 A 80% APROBADO / MEJORAR ESTANDARES Actualiza listas maestras y difusion
ENTRE 81 A 100% APROBADO Mantener el estandar de SST

C. ESTADISTICAS

Resultado del Diagnostico de Linea Base del SGGSST de ESSALUD a Nivel Nacional

15%

cumplimiento del SGSST

incumplimiento del SGSST

85%

D.-APROBACION

Documento Compilado Por: …………………………………………………………………………..…………………………

Firma

Fecha de realización del Estudio de Línea Base:

El presente registro ha sido revisado y aprobado por el SUB COMITÉ DE SEGURIDAD Y SALUD EN EL TRABAJO – CSST:

…….…………………… ………………………………….. …………………………………..

Presidente Secretario Miembro

………………………………….. …………………………………..
Miembro Miembro
OBS: El presente Diagnostico de Linea Base a sido realizado en funcion de la informacion enviada por