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	<id>https://nr.wiki.br/index.php?action=history&amp;feed=atom&amp;title=Predefini%C3%A7%C3%A3o%3ATabela197</id>
	<title>Predefinição:Tabela197 - Histórico de revisão</title>
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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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	<entry>
		<id>https://nr.wiki.br/index.php?title=Predefini%C3%A7%C3%A3o:Tabela197&amp;diff=2690&amp;oldid=prev</id>
		<title>Rubinei José Weber Butzke em 16h24min de 20 de agosto de 2026</title>
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		<updated>2026-08-20T16:24:21Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Edição anterior&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Edição das 13h24min de 20 de agosto de 2026&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l12&quot;&gt;Linha 12:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Linha 12:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Ilmo Sr. Delegado &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;__________________________________________________________________________________________________________&lt;/del&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Ilmo Sr. Delegado &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_____________________________________________&lt;/ins&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Regional do Trabalho ou do Trabalho Marítimo)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Regional do Trabalho ou do Trabalho Marítimo)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;A &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;__________________________________________________________________________________________________________________________&lt;/del&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;A &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_____________________________________________________________&lt;/ins&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Razão Social)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Razão Social)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Situada &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_____________________________________________________________________________________________________________________&lt;/del&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Situada &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_____________________________________________________________________________&lt;/ins&gt;&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;____________________ (CEP), com atividade &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;____________________________________________________________________________________&lt;/del&gt;,&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;____________________ (CEP), com atividade &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_______________________________________________&lt;/ins&gt;,&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Principal)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Principal)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;grau de risco ________________ vem, mui respeitosamente, requerer a V.Sª. o registro da Comissão Interna de Prevenção de Acidentes – CIPA, estabelecimento situado &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_______________________________________________________________________________________&lt;/del&gt;,&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;grau de risco ________________ vem, mui respeitosamente, requerer a V.Sª. o registro da Comissão Interna de Prevenção de Acidentes – CIPA, estabelecimento situado &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_________________________________________________________&lt;/ins&gt;,&amp;lt;br /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;____________________ (CEP), ____________________ (Telefone), ____________________ (CGC), com atividade &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;____________________________________________________________________________________&lt;/del&gt;, de conformidade com o Art. 163, da CLT e a NR 5, da cópias das atas da Eleição e da Instalação e Posse (ou as mesmas registradas no livro de atas), livro de Atas para autenticação e Calendário Anual das Reuniões Ordinárias da CIPA.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;____________________ (CEP), ____________________ (Telefone), ____________________ (CGC), com atividade &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;________________________________________&lt;/ins&gt;, de conformidade com o Art. 163, da CLT e a NR 5, da cópias das atas da Eleição e da Instalação e Posse (ou as mesmas registradas no livro de atas), livro de Atas para autenticação e Calendário Anual das Reuniões Ordinárias da CIPA.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: left; margin-top: 25px; margin-bottom: 25px;&amp;quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;div style=&amp;quot;text-align: left; margin-top: 25px; margin-bottom: 25px;&amp;quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Rubinei José Weber Butzke</name></author>
	</entry>
	<entry>
		<id>https://nr.wiki.br/index.php?title=Predefini%C3%A7%C3%A3o:Tabela197&amp;diff=2689&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: 20px; background: #fff; line-height: 1.8em;&quot; |-  | style=&quot;padding: 20px;&quot; | &#039;&#039;&#039;MODELO N.º 5&#039;&#039;&#039;  &lt;div style=&quot;text-align: center; font-weight: bold; margin-bottom: 25px;&quot;&gt; MODELO DE REQUERIMENTO &lt;/div&gt;  Ilmo Sr. Delegado _______________________________________________...&#039;</title>
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		<updated>2026-08-20T16:21:18Z</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: 20px; background: #fff; line-height: 1.8em;&amp;quot; |-  | style=&amp;quot;padding: 20px;&amp;quot; | &amp;#039;&amp;#039;&amp;#039;MODELO N.º 5&amp;#039;&amp;#039;&amp;#039;  &amp;lt;div style=&amp;quot;text-align: center; font-weight: bold; margin-bottom: 25px;&amp;quot;&amp;gt; MODELO DE REQUERIMENTO &amp;lt;/div&amp;gt;  Ilmo Sr. Delegado _______________________________________________...&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;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; style=&amp;quot;width:100%; border: 1px solid #aaa; padding: 20px; background: #fff; line-height: 1.8em;&amp;quot;&lt;br /&gt;
|-&lt;br /&gt;
&lt;br /&gt;
| style=&amp;quot;padding: 20px;&amp;quot; |&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;MODELO N.º 5&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-weight: bold; margin-bottom: 25px;&amp;quot;&amp;gt;&lt;br /&gt;
MODELO DE REQUERIMENTO&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Ilmo Sr. Delegado __________________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Regional do Trabalho ou do Trabalho Marítimo)&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
A __________________________________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Razão Social)&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Situada _____________________________________________________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
____________________ (CEP), com atividade ____________________________________________________________________________________,&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Principal)&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
grau de risco ________________ vem, mui respeitosamente, requerer a V.Sª. o registro da Comissão Interna de Prevenção de Acidentes – CIPA, estabelecimento situado _______________________________________________________________________________________,&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center; font-size: 0.9em; margin-top: -5px; margin-bottom: 10px;&amp;quot;&amp;gt;(Endereço)&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
____________________ (CEP), ____________________ (Telefone), ____________________ (CGC), com atividade ____________________________________________________________________________________, de conformidade com o Art. 163, da CLT e a NR 5, da cópias das atas da Eleição e da Instalação e Posse (ou as mesmas registradas no livro de atas), livro de Atas para autenticação e Calendário Anual das Reuniões Ordinárias da CIPA.&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: left; margin-top: 25px; margin-bottom: 25px;&amp;quot;&amp;gt;&lt;br /&gt;
Nestes Termos&amp;lt;br /&amp;gt;&lt;br /&gt;
Pede Deferimento&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: left; margin-bottom: 40px;&amp;quot;&amp;gt;&lt;br /&gt;
_______________________, _____ de _______________________ de 19____.&lt;br /&gt;
&amp;lt;/div&amp;gt;&lt;br /&gt;
&lt;br /&gt;
&amp;lt;div style=&amp;quot;text-align: center;&amp;quot;&amp;gt;&lt;br /&gt;
___________________________________________________________________________&amp;lt;br /&amp;gt;&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;(Assinatura do Empregador)&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
&amp;lt;/div&amp;gt;&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>
	</entry>
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