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	<title>Predefinição:Tabela190 - Histórico de revisão</title>
	<link rel="self" type="application/atom+xml" href="https://nr.wiki.br/index.php?action=history&amp;feed=atom&amp;title=Predefini%C3%A7%C3%A3o%3ATabela190"/>
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	<updated>2026-08-20T22:48:51Z</updated>
	<subtitle>Histórico de revisões para esta página neste wiki</subtitle>
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		<id>https://nr.wiki.br/index.php?title=Predefini%C3%A7%C3%A3o:Tabela190&amp;diff=2679&amp;oldid=prev</id>
		<title>Rubinei José Weber Butzke: Criou página com &#039;&lt;!--  NR 05 Origem 0 1983 --&gt; &lt;div style=&quot;width:100%; max-width:750px; margin: 0 auto; font-family: Arial, sans-serif; color: #000;&quot;&gt; {| class=&quot;wikitable&quot; style=&quot;width:100%; border: 1px solid #aaa; padding: 10px; background: #fff;&quot; |-  | colspan=&quot;4&quot; style=&quot;text-align:center; font-weight:bold; border-bottom: 2px solid #000;&quot; | &lt;span style=&quot;font-size:1.1em;&quot;&gt;ANEXO II – NR 5&lt;/span&gt;&lt;br /&gt; &lt;br /&gt; FICHA DE ANÁLISE DE ACIDENTES&lt;br /&gt; COMISSÃO INTERNA DE PREVENÇÃO DE ACIDE...&#039;</title>
		<link rel="alternate" type="text/html" href="https://nr.wiki.br/index.php?title=Predefini%C3%A7%C3%A3o:Tabela190&amp;diff=2679&amp;oldid=prev"/>
		<updated>2026-08-20T14:47:53Z</updated>

		<summary type="html">&lt;p&gt;Criou página com &amp;#039;&amp;lt;!--  NR 05 Origem 0 1983 --&amp;gt; &amp;lt;div style=&amp;quot;width:100%; max-width:750px; margin: 0 auto; font-family: Arial, sans-serif; color: #000;&amp;quot;&amp;gt; {| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;width:100%; border: 1px solid #aaa; padding: 10px; background: #fff;&amp;quot; |-  | colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; font-weight:bold; border-bottom: 2px solid #000;&amp;quot; | &amp;lt;span style=&amp;quot;font-size:1.1em;&amp;quot;&amp;gt;ANEXO II – NR 5&amp;lt;/span&amp;gt;&amp;lt;br /&amp;gt; &amp;lt;br /&amp;gt; FICHA DE ANÁLISE DE ACIDENTES&amp;lt;br /&amp;gt; COMISSÃO INTERNA DE PREVENÇÃO DE ACIDE...&amp;#039;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nova&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;lt;!--  NR 05 Origem 0 1983 --&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;width:100%; max-width:750px; margin: 0 auto; font-family: Arial, sans-serif; color: #000;&amp;quot;&amp;gt;&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;width:100%; border: 1px solid #aaa; padding: 10px; background: #fff;&amp;quot;&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; font-weight:bold; border-bottom: 2px solid #000;&amp;quot; |&lt;br /&gt;
&amp;lt;span style=&amp;quot;font-size:1.1em;&amp;quot;&amp;gt;ANEXO II – NR 5&amp;lt;/span&amp;gt;&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;br /&amp;gt;&lt;br /&gt;
FICHA DE ANÁLISE DE ACIDENTES&amp;lt;br /&amp;gt;&lt;br /&gt;
COMISSÃO INTERNA DE PREVENÇÃO DE ACIDENTES&amp;lt;br /&amp;gt;&lt;br /&gt;
CIPA N.º _______________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;padding-top: 15px;&amp;quot; | &amp;#039;&amp;#039;&amp;#039;EMPRESA:&amp;#039;&amp;#039;&amp;#039; __________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;ENDEREÇO:&amp;#039;&amp;#039;&amp;#039; _________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| style=&amp;quot;width:25%;&amp;quot; | &amp;#039;&amp;#039;&amp;#039;N.º:&amp;#039;&amp;#039;&amp;#039; ____________________&lt;br /&gt;
| style=&amp;quot;width:25%;&amp;quot; | &amp;#039;&amp;#039;&amp;#039;DATA:&amp;#039;&amp;#039;&amp;#039; __________________&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; style=&amp;quot;width:50%;&amp;quot; | &amp;#039;&amp;#039;&amp;#039;HORA:&amp;#039;&amp;#039;&amp;#039; ______________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;NOME DO ACIDENTADO:&amp;#039;&amp;#039;&amp;#039; ______________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;1&amp;quot; | &amp;#039;&amp;#039;&amp;#039;IDADE:&amp;#039;&amp;#039;&amp;#039; _________________&lt;br /&gt;
| colspan=&amp;quot;3&amp;quot; | &amp;#039;&amp;#039;&amp;#039;OCUPAÇÃO:&amp;#039;&amp;#039;&amp;#039; _________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | &amp;#039;&amp;#039;&amp;#039;DEPARTAMENTO DO ACIDENTE:&amp;#039;&amp;#039;&amp;#039; ________________________&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; | &amp;#039;&amp;#039;&amp;#039;SEÇÃO:&amp;#039;&amp;#039;&amp;#039; ____________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;DESCRIÇÃO DO ACIDENTE:&amp;#039;&amp;#039;&amp;#039; ___________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;PARTE CORPO ATINGIDA:&amp;#039;&amp;#039;&amp;#039; ____________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;INFORMAÇÃO DO ENCARREGADO:&amp;#039;&amp;#039;&amp;#039; _________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; padding: 25px 0 10px 0;&amp;quot; | ___________________________________________________&amp;lt;br /&amp;gt;&amp;#039;&amp;#039;&amp;#039;ENCARREGADO&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; font-weight:bold; background:#f9f9f9; padding: 8px 0;&amp;quot; | INVESTIGAÇÃO DO ACIDENTE&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;COMO OCORREU:&amp;#039;&amp;#039;&amp;#039; _____________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;CAUSA APURADA:&amp;#039;&amp;#039;&amp;#039; _____________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; padding: 25px 0 10px 0;&amp;quot; | ___________________________________________________&amp;lt;br /&amp;gt;&amp;#039;&amp;#039;&amp;#039;MEMBRO DA COMISSÃO&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; style=&amp;quot;text-align:center; font-weight:bold; background:#f9f9f9; padding: 8px 0;&amp;quot; | CONCLUSÕES DA COMISSÃO&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;CAUSA DO ACIDENTE:&amp;#039;&amp;#039;&amp;#039; _________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;RESPONSABILIDADE:&amp;#039;&amp;#039;&amp;#039; __________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;4&amp;quot; | &amp;#039;&amp;#039;&amp;#039;MEDIDAS PROPOSTAS:&amp;#039;&amp;#039;&amp;#039; _________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
__________________________________________________________________________________________________________________________&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; style=&amp;quot;text-align:center; padding: 40px 20px 10px 20px;&amp;quot; | ___________________________________________________&amp;lt;br /&amp;gt;&amp;#039;&amp;#039;&amp;#039;SECRETÁRIO&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
| colspan=&amp;quot;2&amp;quot; style=&amp;quot;text-align:center; padding: 40px 20px 10px 20px;&amp;quot; | ___________________________________________________&amp;lt;br /&amp;gt;&amp;#039;&amp;#039;&amp;#039;PRESIDENTE&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;/div&gt;</summary>
		<author><name>Rubinei José Weber Butzke</name></author>
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