제조업 등 유해/위험방지계획서 신청서 서식 -개인정보서명란 추가

제조업 등 유해/위험방지계획서 신청서 서식 입니다. 신청시 담당자 정보와 개인정보 수집 및 이용동의란을 작성하여야 수수료 안내 및 전자계산서를 받아 보실 수 있습니다   담담자 작성란과 개인정보동의서가 있는 신청서 입니다. 최신양식 입니다.    <TABLE style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none" border=1 cellSpacing=0 cellPadding=0> <TBODY> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=43 vAlign=center width=643 colSpan=28> 제조업 등 유해ㆍ위험방지계획서</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=15 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=2> 접수번호</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=4> 접수일자</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=5> 처리일자</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=5>  </TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=80 colSpan=3> 처리기간 </TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=26 vAlign=top width=84 colSpan=3> 15일</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 0pt; PADDING-RIGHT: 0pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=8 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" height=118 vAlign=center rowSpan=4 width=80 colSpan=2> 제출자</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=44 vAlign=top width=361 colSpan=16> 사업장 명    </TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=44 vAlign=top width=202 colSpan=10> 업종 평판디스플레이 제조용     기계 제조업(29272) </TD></TR> <TR> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=25 vAlign=top width=361 colSpan=16> 사업주 성명  </TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=25 vAlign=top width=202 colSpan=10> 근로자 수  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=25 vAlign=top width=563 colSpan=26> 전화번호      </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=25 vAlign=top width=563 colSpan=26> 소재지       </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 0pt; PADDING-RIGHT: 0pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=1 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" height=121 vAlign=center rowSpan=4 width=80 colSpan=2> 계획사항</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=25 vAlign=top width=563 colSpan=26> 공사금액     50 억원</TD></TR> <TR> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=25 vAlign=top width=279 colSpan=14> 작업 시작 예정일   2012.10.25</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=25 vAlign=top width=284 colSpan=12> 공장(또는 설비)시운전 예정일  2013.01.10</TD></TR> <TR> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=44 vAlign=top width=563 colSpan=26> 심사대상 공사종류  기타기계 및 장비제조설비 (평판디스플레이 제조용 기계  제조설비                29272) 신설 2,000 KW</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=28 vAlign=top width=186 colSpan=8> 예정 총동원 근로자 수  60</TD> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=28 vAlign=top width=186 colSpan=10> 참여 예정 협력업체 수   10</TD> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=28 vAlign=top width=191 colSpan=8> 참여 예정 협력업체 근로자 수 60</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=8 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" height=44 vAlign=center rowSpan=2 width=80 colSpan=2> 계획서  작성자</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=23 vAlign=top width=563 colSpan=26> 성명    황일현 </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=22 vAlign=top width=563 colSpan=26> 작성자 보유 자격  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=8 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" height=44 vAlign=center rowSpan=2 width=80 colSpan=2> 계획서  평가자</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=23 vAlign=top width=563 colSpan=26> 성명</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=21 vAlign=top width=563 colSpan=26> 지도사 등록 번호</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.9pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #000000 0.9pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=7 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 2.8pt" height=47 vAlign=center rowSpan=2 width=80 colSpan=2> 담당자</TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #bbbbbb 0.4pt solid; PADDING-TOP: 2.8pt" height=24 vAlign=top width=242 colSpan=12> 성명     </TD> <TD style="BORDER-BOTTOM: #bbbbbb 0.4pt solid; BORDER-LEFT: #bbbbbb 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=24 vAlign=top width=321 colSpan=14> 휴대전화번호   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 2.8pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: #bbbbbb 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=24 vAlign=top width=563 colSpan=26> 전자우편 주소   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" bgColor=#bbbbbb height=18 vAlign=center width=643 colSpan=28> 개인정보 수집 및 이용 동의</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=99 vAlign=center width=643 colSpan=28> 본인은 유해위험방지계획서 심사 및 확인 업무처리와 관련하여 한국산업안전보건공단이 상기 개인정보를 수집하고 이용하는 것에 동의합니다. ※ 수집한 개인정보는 수수료 납부 안내, 전자계산서 발송, 업무 수행을 위한 연락, 고객만족도 조사의 목적으로만 사용됩니다.    또한, 개인정보 수집에 동의하지 아니하는 경우 수수료 납부 안내 및 전자계산서를 받아 보실 수 없음을 알려드립니다.                                                                                       담당자               (서명 또는 인)</TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=8 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=19 vAlign=center width=643 colSpan=28> 「산업안전보건법 시행규칙」 제121조제1항 및 제2항에 따라 제조업 등 유해ㆍ위험방지계획서를 제출합니다.</TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=28 vAlign=center width=643 colSpan=28>  2012 년        10  월          일</TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 2.8pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=32 vAlign=center width=321 colSpan=13> 제출자(사업주 또는 대표자)</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=32 vAlign=center width=128 colSpan=6>   </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=32 vAlign=center width=71 colSpan=4>   </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=32 vAlign=bottom width=123 colSpan=5> (서명 또는 인)</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 2pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 2.8pt" height=28 vAlign=center width=643 colSpan=28>   한국산업안전보건공단 이사장 귀하</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=12 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=99 vAlign=center rowSpan=2 width=80 colSpan=2> 첨부서류</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=57 vAlign=center width=82 colSpan=4> 산업안전보건법 시행규칙 제121조제1항 </TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=57 vAlign=center width=396 colSpan=19>   1. 건축물 각 층의 평면도   2. 기계ㆍ설비의 개요를 나타내는 서류   3. 기계ㆍ설비의 배치도면   4. 원재료 및 제품의 취급, 제조 등의 작업방법의 개요   5. 그 밖에 고용노동부장관이 정하는 도면 및 서류</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=99 vAlign=center rowSpan=2 width=84 colSpan=3> 수수료 고용노동부장관이 정하는 수수료 참조</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=42 vAlign=center width=82 colSpan=4> 산업안전보건법 시행규칙 제121조제2항</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=42 vAlign=center width=396 colSpan=19>   1. 설치장소의 개요를 나타내는 서류   2. 설비의 도면   3. 그 밖에 고용노동부장관이 정하는 도면 및 서류</TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 2pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 0pt; PADDING-RIGHT: 0pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=8 vAlign=center width=643 colSpan=28>  </TD></TR> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #5d5d5d 2pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" bgColor=#bbbbbb height=19 vAlign=center width=643 colSpan=28> 처리절차 [한국산업안전보건공단(지역본부, 지도원)]</TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=49 vAlign=center width=643 colSpan=28> <TABLE style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BORDER-COLLAPSE: collapse; BORDER-TOP: medium none; BORDER-RIGHT: medium none" border=1 cellSpacing=0 cellPadding=0> <TBODY> <TR> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=76> 계획서</TD> <TD style="BORDER-BOTTOM: #000000 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=17>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=13> ‣</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=76> 접 수</TD> <TD style="BORDER-BOTTOM: #000000 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=17>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: #58595b 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=13> ‣</TD> <TD style="BORDER-BOTTOM: #58595b 0.4pt solid; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #58595b 0.4pt solid; BORDER-RIGHT: #58595b 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=79> 확인ㆍ검토</TD> <TD style="BORDER-BOTTOM: #000000 0.4pt solid; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=13>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: #58595b 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=13> ‣</TD> <TD style="BORDER-BOTTOM: #58595b 0.4pt solid; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #58595b 0.4pt solid; BORDER-RIGHT: #58595b 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=91> 결 재</TD> <TD style="BORDER-BOTTOM: #000000 0.4pt solid; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=20>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=13> ‣</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=76> 시 행</TD> <TD style="BORDER-BOTTOM: #000000 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=20>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: medium none; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=13> ‣</TD> <TD style="BORDER-BOTTOM: #5d5d5d 0.4pt solid; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #5d5d5d 0.4pt solid; BORDER-RIGHT: #5d5d5d 0.4pt solid; PADDING-TOP: 1.4pt" height=32 vAlign=center rowSpan=2 width=68> 통 보</TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #000000 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=17>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #000000 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=17>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #000000 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=13>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: #58595b 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #000000 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=20>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: #5d5d5d 0.4pt solid; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 1.4pt; PADDING-RIGHT: 1.4pt; BORDER-TOP: #000000 0.4pt solid; BORDER-RIGHT: medium none; PADDING-TOP: 1.4pt" height=16 vAlign=center width=20>  </TD></TR></TBODY></TABLE>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 0pt; PADDING-RIGHT: 0pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=center width=23>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=74 colSpan=2> 신청인</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=36>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=74 colSpan=3> 문서접수 담당부서</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=21>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=87 colSpan=3> 유해위험방지 계획서 업무 담당부서</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=21 colSpan=4>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=105 colSpan=3> 지역본부ㆍ지도원장</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=19 colSpan=3>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=71 colSpan=3> 문서 발송 담당부서</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=32 colSpan=2>  </TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 5.1pt; PADDING-RIGHT: 5.1pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=top width=73> 문서발송 담당부서</TD> <TD style="BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; PADDING-BOTTOM: 1.4pt; PADDING-LEFT: 0pt; PADDING-RIGHT: 0pt; BORDER-TOP: medium none; BORDER-RIGHT: medium none; PADDING-TOP: 0pt" height=23 vAlign=center width=7>  </TD></TR></TBODY></TABLE> <a href="javascript:checkVirus('grpid%3D1QYI1%26fldid%3DBxtT%26dataid%3D40%26fileid%3D1%26regdt%3D20121008224051')"><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_hwp_s.gif?rv=1.0.1" border="0" alt="첨부파일" class="vam"/> 유해위험방지계획서_신청서_양식_.hwp</a>