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<table align="center" border="1" cellpadding="1" cellspacing="1" style="width:100%">
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			<td rowspan="2" style="width: 198px; border-color: rgb(0, 0, 0);"><img alt="" src="http://gd.intranet.htmeletronica.local/img/logo_htm_4.png" style="height:80px; width:200px"></td>
			<td style="width: 807px; text-align: center; border-color: rgb(0, 0, 0);"><span style="color:#000000"><strong>REGISTRO DA QUALIDADE</strong></span></td>
			<td style="text-align: center; border-color: rgb(0, 0, 0);"><span style="color:#000000"><strong>RQ18.66</strong></span></td>
			<td style="text-align: center; border-color: rgb(0, 0, 0);"><span style="color:#000000"><strong>REV.01</strong></span></td>
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			<td colspan="3" rowspan="1" style="width: 1060px; text-align: center; border-color: rgb(0, 0, 0);"><span style="color:#000000"><strong>DECLARA&Ccedil;&Atilde;O DE INTEGRA&Ccedil;&Atilde;O SOBRE SA&Uacute;DE, SEGURAN&Ccedil;A E MEIO AMBIENTE</strong></span></td>
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<p>&nbsp;</p><table border="1" cellpadding="1" cellspacing="1" style="width:100%">
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			<td colspan="2" style="background-color: rgb(238, 238, 238); border-color: rgb(238, 238, 238);">
			<p style="margin-left:13.1pt;"><span style="font-size:12px"><span style="color:#000000">Eu&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="NOME-TERCEIRIZADO" maxlength="45" name="b9903d8150_GDwkcy6bOI" readonly size="45" type="text">&nbsp;portador do RG <input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="N-RG-TERCEIRIZADO" maxlength="9" name="b9903d8150_LNvERedB6B" readonly size="9" type="text">, funcion&aacute;rio da&nbsp; empresa terceirizada&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="NOME-EMPRESA-TERCEIRIZADA" maxlength="45" name="b9903d8150_aQsAd9vUYt" readonly size="45" titleregname="1" type="text">, CNPJ&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="CNPJ-TERCEIRIZADO" maxlength="14" name="b9903d8150_MHGLyFDYsc" readonly size="14" type="text">, situada &agrave;</span></span></p>

<p style="margin-left:13.1pt;"><span style="font-size:12px"><span style="color:#000000"><input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="ENDERECO-EMPRESA-TERCEIRIZADA" maxlength="45" name="b9903d8150_OYRtoaMvil" readonly size="45" type="text">, telefone/celular n&ordm;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="TELEFONE/CELULAR" maxlength="11" name="b9903d8150_fMIFPM3VTA" readonly size="11" type="text">.</span></span></p>

<p style="margin-left:13.1pt;"><span style="font-size:12px"><span style="color:#000000">Declaro para os devidos fins, que nesta data recebi instru&ccedil;&otilde;es das normas e procedimentos da empresa, estou ciente da obrigatoriedade do uso dos meus Equipamento de Prote&ccedil;&atilde;o Individual (E.P.I), tenho ci&ecirc;ncia da import&acirc;ncia e necessidade para minha prote&ccedil;&atilde;o, preven&ccedil;&atilde;o de acidentes e doen&ccedil;as ocupacionais, foi passado &agrave;s normas e procedimentos de seguran&ccedil;a da empresa e os riscos que estarei exposto.</span></span></p>

<p style="margin-left:13.1pt;"><span style="font-size:12px"><span style="color:#000000">O Departamento de Seguran&ccedil;a do Trabalho da HTM Eletro &ndash; Eletr&ocirc;nica Ltda, no uso de suas atribui&ccedil;&otilde;es e atendendo a determina&ccedil;&atilde;o da Portaria n&ordm; 3.214 de 08 de junho de 1978 do Minist&eacute;rio do Trabalho, divulga entre os empregados de empresas terceirizadas &agrave;s normas de Seguran&ccedil;a e Medicina do Trabalho, cuja inobserv&acirc;ncia implicar&aacute; na aplica&ccedil;&atilde;o das penalidades previstas em Lei.</span></span></p>

<p style="margin-left: 13.1pt; text-align: center;"><span style="color:#000000"><span style="font-size:12px">Amparo,<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="DIA" maxlength="2" name="b9903d8150_fRjSiwRiZN" readonly size="2" type="text"> de&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="MES" maxlength="9" name="b9903d8150_R71emyc2uW" readonly size="9" type="text">&nbsp;de&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="ANO" maxlength="4" name="b9903d8150_6LPhJxGyMr" readonly size="4" type="text">.</span></span></p>

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			<td style="background-color: rgb(238, 238, 238); width: 617px; border-color: rgb(238, 238, 238);">
			<p><span style="font-size:12px">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <span style="color:#000000"><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp;Seguran&ccedil;a do Trabalho - HTM<br>
			&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</strong></span><span style="color:#000000"><input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="RESPONSAVEL-HTM" maxlength="30" name="b9903d8150_sYGag2181I" readonly size="30" type="text"></span> &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</span></p>
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			<td style="background-color: rgb(238, 238, 238); width: 634px; border-color: rgb(238, 238, 238);">
			<p><span style="font-size:12px"><span style="color:#000000">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<strong>&nbsp;Colaborador - Empresa Contratada<br>
			&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</strong>&nbsp;<input class="tem-permissao" data-permissao="g:254;346;347;348|u:17;799;814" infolog="RESPONSAVEL-CONTRATADO" maxlength="30" name="b9903d8150_8s9g6MZ4eR" readonly size="30" type="text"></span></span></p>
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			<td style="background-color: rgb(238, 238, 238); width: 617px; border-color: rgb(238, 238, 238);">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;___________________________________________________</td>
			<td style="background-color: rgb(238, 238, 238); width: 634px; border-color: rgb(238, 238, 238);">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; ___________________________________________________</td>
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</table><p>&nbsp;</p></table>

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