{"id":3599,"date":"2018-02-05T12:44:33","date_gmt":"2018-02-05T12:44:33","guid":{"rendered":"https:\/\/www.ub.edu\/ossma\/?page_id=3599"},"modified":"2022-01-02T10:07:27","modified_gmt":"2022-01-02T10:07:27","slug":"full-declaracio-activitats","status":"publish","type":"page","link":"https:\/\/www.ub.edu\/ossma\/procediments-tramits\/full-declaracio-activitats","title":{"rendered":"Full de declaraci\u00f3 d\u2019activitats"},"content":{"rendered":"\n<p>El full es divideix en diversos apartats, el primer d&#8217;aplicaci\u00f3 general. Completa la resta d\u2019apartats nom\u00e9s si et s\u00f3n d\u2019aplicaci\u00f3.<\/p>\n\n\n\n<p>Pots omplir el formulari que trobar\u00e0s a continuaci\u00f3 o descarregar els PDF&#8217;s de cada apartat, emplenar-los i enviar-los a ossma@ub.edu: <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-1-general.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Dades generals<\/a>, <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-2-eines-epis.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Eines de treball i EPI&#8217;s<\/a>, <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-3-productes-quimics.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Productes qu\u00edmics<\/a>, <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-4-biologics.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Agents biol\u00f2gics<\/a>, <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-5-nanomaterials.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nanomaterials<\/a>, <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-6-agents-fisics.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Agents f\u00edsics<\/a> i <a href=\"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2020\/04\/full-declaracio-activitats-7-sortides-camp.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Sortides de camp<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"formulari\">Formulari<\/h2>\n\n\n\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3601-o1\" lang=\"ca\" dir=\"ltr\" data-wpcf7-id=\"3601\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ossma\/wp-json\/wp\/v2\/pages\/3599#wpcf7-f3601-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulari de contacte\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3601\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ca\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3601-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:3601,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-relacio-pdi&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;relacio-ub&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;PDI&quot;}]},{&quot;then_field&quot;:&quot;group-relacio-pas&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;relacio-ub&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;PAS&quot;}]},{&quot;then_field&quot;:&quot;group-relacio-investigador&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;relacio-ub&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Investigador&quot;}]},{&quot;then_field&quot;:&quot;group-relacio-becari&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;relacio-ub&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Becari de col\\u00b7laboraci\\u00f3&quot;}]},{&quot;then_field&quot;:&quot;eines&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-eines&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]},{&quot;then_field&quot;:&quot;quimics&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-quimics&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]},{&quot;then_field&quot;:&quot;biologics&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-biologics&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]},{&quot;then_field&quot;:&quot;nanomaterials&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-nanomaterials&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]},{&quot;then_field&quot;:&quot;fisics&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-fisics&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]},{&quot;then_field&quot;:&quot;sortides&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;obrir-sortides&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;S\\u00ed&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<h3>Progressi\u00f3\n<\/h3>\n<p>Aquest formulari t\u00e9 apartats generals i d'altres en relaci\u00f3 amb el tipus d'activitat desenvolupada:<br \/>\nDades generals, Eines de treball i EPI\u2019s, Productes qu\u00edmics, Agents biol\u00f2gics, Nanomaterials, Agents f\u00edsics i Sortides de camp.\n<\/p>\n<div class=\"form-two-columns\">\n\t<h3>Dades generals\n\t<\/h3>\n\t<p>Els camps amb asterisc (*) s\u00f3n obligatoris<br \/>\n<label for=\"pla-acollida\">Est\u00e0s completant el Pla d'acollida?*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"pla-acollida\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"pla-acollida\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"pla-acollida\" value=\"S\u00ed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"pla-acollida\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<fieldset>\n\t\t<legend>Dades personals\n\t\t<\/legend>\n\t\t<p><label for=\"nom\">Cognoms i Nom*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nom\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tel\">Tel\u00e8fon de contacte*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"email\">Adre\u00e7a electr\u00f3nica*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"email\">Declaraci\u00f3 volunt\u00e0ria d'especial sensibilitat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"sensibilitat\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"sensibilitat\" aria-invalid=\"false\" multiple=\"multiple\" name=\"sensibilitat[]\"><option value=\"Embar\u00e0s\">Embar\u00e0s<\/option><option value=\"Lact\u00e0ncia\">Lact\u00e0ncia<\/option><option value=\"Discapacitat f\u00edsica motora\">Discapacitat f\u00edsica motora<\/option><option value=\"Discapacitat f\u00edsica no motora\">Discapacitat f\u00edsica no motora<\/option><option value=\"Discapacitat sensorial visual\">Discapacitat sensorial visual<\/option><option value=\"Discapacitat sensorial auditiva\">Discapacitat sensorial auditiva<\/option><option value=\"Discapacitat intel\u00b7lectual\">Discapacitat intel\u00b7lectual<\/option><option value=\"Malaltia mental\">Malaltia mental<\/option><option value=\"Altres casos de especial sensibilitat\">Altres casos de especial sensibilitat<\/option><option value=\"No procedeix\">No procedeix<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<fieldset>\n\t\t<legend>Dades profesionals\n\t\t<\/legend>\n\t\t<p><label for=\"relacio-ub\">Relaci\u00f3 amb la UB*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"relacio-ub\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"relacio-ub\" aria-required=\"true\" aria-invalid=\"false\" name=\"relacio-ub\"><option value=\"\"><\/option><option value=\"PDI\">PDI<\/option><option value=\"PAS\">PAS<\/option><option value=\"Investigador\">Investigador<\/option><option value=\"Becari de col\u00b7laboraci\u00f3\">Becari de col\u00b7laboraci\u00f3<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<div data-id=\"group-relacio-pdi\" data-orig_data_id=\"group-relacio-pdi\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label for=\"tipus-relacio\">Especifiqueu tipus de relaci\u00f3*<br \/>\n<span class=\"small\">(Tipus de PDI)<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tipus-relacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"tipus-relacio\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tipus-relacio\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-relacio-pas\" data-orig_data_id=\"group-relacio-pas\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label for=\"tipus-relacio\">Especifiqueu tipus de relaci\u00f3*<br \/>\n<span class=\"small\">(Categoria i pla\u00e7a)<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tipus-relacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tipus-relacio\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-relacio-investigador\" data-orig_data_id=\"group-relacio-investigador\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label for=\"tipus-relacio\">Especifiqueu tipus de relaci\u00f3*<br \/>\n<span class=\"small\">(Any de doctorat)<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tipus-relacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tipus-relacio\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div data-id=\"group-relacio-becari\" data-orig_data_id=\"group-relacio-becari\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t\t\t<p><label for=\"tipus-relacio\">Especifiqueu tipus de relaci\u00f3*<br \/>\n<span class=\"small\">(Tipus de becari)<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tipus-relacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tipus-relacio\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<p><label for=\"facultat\"> Facultat\/centre*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"facultat\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"facultat\" aria-required=\"true\" aria-invalid=\"false\" multiple=\"multiple\" name=\"facultat[]\"><option value=\"\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Casa Jeroni Granell)\">\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Casa Jeroni Granell)<\/option><option value=\"\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Edifici El Carme)\">\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Edifici El Carme)<\/option><option value=\"\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Torre de la Creu)\">\u00c0rea de Formaci\u00f3 Complement\u00e0ria (Torre de la Creu)<\/option><option value=\"Aulari Josep Carner\">Aulari Josep Carner<\/option><option value=\"Centre de Recerca d\u2019Alta Muntanya\">Centre de Recerca d\u2019Alta Muntanya<\/option><option value=\"Edifici Baldiri Reixac 2\">Edifici Baldiri Reixac 2<\/option><option value=\"Edifici Hist\u00f2ric\">Edifici Hist\u00f2ric<\/option><option value=\"Edifici Sol\u00e9 i Sabar\u00eds (CCiTUB)\">Edifici Sol\u00e9 i Sabar\u00eds (CCiTUB)<\/option><option value=\"Dip\u00f2sit CRAI (Cervera)\">Dip\u00f2sit CRAI (Cervera)<\/option><option value=\"Facultat de Belles Arts\">Facultat de Belles Arts<\/option><option value=\"Facultat d\u2019Informaci\u00f3 i Mitjans Audiovisuals (UB Sants)\">Facultat d\u2019Informaci\u00f3 i Mitjans Audiovisuals (UB Sants)<\/option><option value=\"Facultat de Biologia\">Facultat de Biologia<\/option><option value=\"Facultat de Ci\u00e8ncies de la Terra\">Facultat de Ci\u00e8ncies de la Terra<\/option><option value=\"Facultat de Dret\">Facultat de Dret<\/option><option value=\"Facultat d\u2019Economia i Empresa\">Facultat d\u2019Economia i Empresa<\/option><option value=\"Facultat d\u2019Educaci\u00f3\">Facultat d\u2019Educaci\u00f3<\/option><option value=\"Facultat de Farm\u00e0cia i Ci\u00e8ncies de l\u2019Alimentaci\u00f3 (Campus de Torribera)\">Facultat de Farm\u00e0cia i Ci\u00e8ncies de l\u2019Alimentaci\u00f3 (Campus de Torribera)<\/option><option value=\"Facultat de Farm\u00e0cia i Ci\u00e8ncies de l\u2019Alimentaci\u00f3 (Diagonal Sud)\">Facultat de Farm\u00e0cia i Ci\u00e8ncies de l\u2019Alimentaci\u00f3 (Diagonal Sud)<\/option><option value=\"Facultat de Filosofia i Facultat de Geografia i Hist\u00f2ria\">Facultat de Filosofia i Facultat de Geografia i Hist\u00f2ria<\/option><option value=\"Facultat de F\u00edsica i Facultat de Qu\u00edmica\">Facultat de F\u00edsica i Facultat de Qu\u00edmica<\/option><option value=\"Facultat de Medicina i Ci\u00e8ncies de la Salut (Campus Cl\u00ednic)\">Facultat de Medicina i Ci\u00e8ncies de la Salut (Campus Cl\u00ednic)<\/option><option value=\"Facultat de Medicina i Ci\u00e8ncies de la Salut (Campus de Bellvitge)\">Facultat de Medicina i Ci\u00e8ncies de la Salut (Campus de Bellvitge)<\/option><option value=\"Facultat de Psicologia\">Facultat de Psicologia<\/option><option value=\"Finca Pere Pons\">Finca Pere Pons<\/option><option value=\"Parc de les Humanitats i les Ci\u00e8ncies Socials (Edifici Can Jaumandreu)\">Parc de les Humanitats i les Ci\u00e8ncies Socials (Edifici Can Jaumandreu)<\/option><option value=\"Pavell\u00f3 Rosa\">Pavell\u00f3 Rosa<\/option><option value=\"Servei d\u2019Esports\">Servei d\u2019Esports<\/option><option value=\"Altres espais de la UB\">Altres espais de la UB<\/option><option value=\"Altres espais fora de la UB\">Altres espais fora de la UB<\/option><\/select><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"departament\">Departament\/servei\/unitat*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"departament\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"departament\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"departament\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"edifici\">Edifici\/s<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"edifici\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"edifici\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"edifici\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"ubicacio\"> Ubicaci\u00f3 habitual <small>(Zona, pis, n\u00fam. de despatx, n\u00fam. de laboratori)<\/small><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"ubicacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"ubicacio\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ubicacio\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"altres-ubicacions\"> Altres posibles ubicacions <small>(PCB, hospitals, centres d'invesgiaci\u00f3)<\/small><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"altres-ubicacions\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"altres-ubicacions\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"altres-ubicacions\" \/><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<fieldset>\n\t\t<legend>Dades de recerca\n\t\t<\/legend>\n\t\t<p><label for=\"grup-recerca\"> Grup de recerca<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"grup-recerca\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"grup-recerca\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"grup-recerca\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"linia-recerca\"> L\u00ednia de recerca<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"linia-recerca\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"linia-recerca\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"linia-recerca\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"investigador-projecte\"> Investigador principal del projecte<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"investigador-projecte\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"investigador-projecte\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"investigador-projecte\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"projecte\"> Projecte de recerca<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"projecte\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"projecte\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"projecte\" \/><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<fieldset>\n\t\t<legend>Tasques\n\t\t<\/legend>\n\t\t<p>% de temps aproximat de dedicaci\u00f3 (considereu la situaci\u00f3 habitual, calculada sobre un total del 100%)\n\t\t<\/p>\n\t\t<p><label for=\"tasques-administracio\">Administraci\u00f3 i gesti\u00f3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-administracio\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-administracio\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-administracio\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-docencia-aula\">Doc\u00e8ncia en aula<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-docencia-aula\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-docencia-aula\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-docencia-aula\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-docencia-laboratoris\">Doc\u00e8ncia en laboratoris de pr\u00e0ctiques<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-docencia-laboratoris\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-docencia-laboratoris\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-docencia-laboratoris\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-laboratori\">Treball de laboratori<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-laboratori\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-laboratori\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-laboratori\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-taller\">Treball al taller<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-taller\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-taller\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-taller\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-sortides\">Sortides de camp<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-sortides\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-sortides\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-sortides\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-recerca\">Recerca documental<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-recerca\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-recerca\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-recerca\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques-altres\">Altres tasques<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-altres\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" id=\"tasques-altres\" min=\"0\" max=\"100\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"tasques-altres\" \/><\/span><br \/>\n<label for=\"tasques-altres-text\"><small>(Especifiqueu aquestes tasques)<\/small><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques-altres-text\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tasques-altres-text\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"tasques\">Breu descripci\u00f3 de les tasques que realitzeu*<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tasques\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"tasques\" aria-required=\"true\" aria-invalid=\"false\" name=\"tasques\"><\/textarea><\/span>\n\t\t<\/p>\n\t\t<p>Zones a les que accedeix o en les que desenvolupa les seves tasques <small>(Especifiqueu, si s'escau, n\u00fam. de despatx, nom d'aulari, etc...)<\/small>\n\t\t<\/p>\n\t\t<p><label for=\"zones-despatx\">Despatx\/oficina<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-despatx\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-despatx\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-despatx\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-aulari\">Aulari<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-aulari\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-aulari\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-aulari\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-laboratori\">Laboratori\/s<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-laboratori\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-laboratori\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-laboratori\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-experimentacio\">Unitat d'experimentaci\u00f3 animal<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-experimentacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-experimentacio\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-experimentacio\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-quirofan\">Quir\u00f2fan\/s<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-quirofan\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-quirofan\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-quirofan\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-radiactiva\">Instal\u00b7laci\u00f3 radiactiva<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-radiactiva\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-radiactiva\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-radiactiva\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-cultius\">Sala de cultius<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-cultius\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-cultius\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-cultius\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-freda\">C\u00e0mara freda<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-freda\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-freda\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-freda\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-taller\">Taller\/s<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-taller\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-taller\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-taller\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"zones-altres\">Altres <small>(especifiqueu)<\/small><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"zones-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"zones-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zones-altres\" \/><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<p><b>Identificaci\u00f3 dels possibles factors de risc (ergonomia)<\/b>\n\t<\/p>\n\t<fieldset>\n\t\t<legend>Factors de risc ergonomics\n\t\t<\/legend>\n\t\t<p><label for=\"equips-gestio\">\u00das de pantalles<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-gestio\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"equips-gestio\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"equips-gestio[]\" value=\"Ordinador de sobretaula\" \/><span class=\"wpcf7-list-item-label\">Ordinador de sobretaula<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-gestio[]\" value=\"Tauleta\" \/><span class=\"wpcf7-list-item-label\">Tauleta<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"equips-gestio[]\" value=\"Ordinador port\u00e0til\" \/><span class=\"wpcf7-list-item-label\">Ordinador port\u00e0til<\/span><\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"equips-gestio-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-gestio-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"equips-gestio-altres\" aria-invalid=\"false\" name=\"equips-gestio-altres\"><\/textarea><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"risc-ergonomic\">Tipus de risc<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"risc-ergonomic\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"risc-ergonomic\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"risc-ergonomic[]\" value=\"Manipulaci\u00f3 de c\u00e0rregues\" \/><span class=\"wpcf7-list-item-label\">Manipulaci\u00f3 de c\u00e0rregues<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"risc-ergonomic[]\" value=\"Posicions for\u00e7ades\" \/><span class=\"wpcf7-list-item-label\">Posicions for\u00e7ades<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"risc-ergonomic[]\" value=\"Moviments amb elevada repetitivitat\" \/><span class=\"wpcf7-list-item-label\">Moviments amb elevada repetitivitat<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"risc-ergonomic[]\" value=\"Treball amb ordinador m\u00e9s de 4h\/dia \u00f3 20 h\/set\" \/><span class=\"wpcf7-list-item-label\">Treball amb ordinador m\u00e9s de 4h\/dia \u00f3 20 h\/set<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"risc-ergonomic[]\" value=\"Altes exig\u00e8ncies visuals\" \/><span class=\"wpcf7-list-item-label\">Altes exig\u00e8ncies visuals<\/span><\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"risc-ergonomic-especificar\">En cas de marcar alguna casella, especifiqueu el risc<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"risc-ergonomic-especificar\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"risc-ergonomic-especificar\" aria-invalid=\"false\" name=\"risc-ergonomic-especificar\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<fieldset id=\"altres-riscos\">\n\t\t<legend>Altres factors de risc detectats\n\t\t<\/legend>\n\t\t<p><label for=\"soroll\">Soroll<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"soroll\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"soroll\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"soroll\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"vibracions\">Vibracions<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"vibracions\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"vibracions\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vibracions\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"temperatura\">Temperatura<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"temperatura\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"temperatura\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"temperatura\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"organitzacio\">Factors relacionats amb l'organitzaci\u00f3, contingut o execuci\u00f3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"organitzacio\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"organitzacio\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"organitzacio\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"viatges\">Viatges i participaci\u00f3 en seminaris \/ congressos, etc. <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"viatges\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"viatges\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"viatges\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label for=\"altres-riscos-detectats\">Altres riscos detectats<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"altres-riscos-detectats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"altres-riscos-detectats\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"altres-riscos-detectats\" \/><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<fieldset>\n\t\t<legend>Observacions\n\t\t<\/legend>\n\t\t<p><label for=\"altres-observacions\">Altres observacions<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"altres-observacions\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"altres-observacions\" aria-invalid=\"false\" name=\"altres-observacions\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/fieldset>\n\t<h3>Eines de treball i EPI's\n\t<\/h3>\n\t<p><label for=\"obrir-eines\">Faig servir eines de treball o EPI's:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-eines\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-eines\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-eines\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-eines\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"eines\" data-orig_data_id=\"eines\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset id=\"eines\">\n\t\t\t<legend>Equips de treball\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"equips-maquines\">M\u00e0quines i eines de taller<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-maquines\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"equips-maquines\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Serra\" \/><span class=\"wpcf7-list-item-label\">Serra<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Trepant\" \/><span class=\"wpcf7-list-item-label\">Trepant<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Torn\" \/><span class=\"wpcf7-list-item-label\">Torn<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Matxucadora\" \/><span class=\"wpcf7-list-item-label\">Matxucadora<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Eines el\u00e8ctriques portatils\" \/><span class=\"wpcf7-list-item-label\">Eines el\u00e8ctriques portatils<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"equips-maquines[]\" value=\"Eines tallants\/punxants\" \/><span class=\"wpcf7-list-item-label\">Eines tallants\/punxants<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"equips-maquines-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-maquines-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"equips-maquines-altres\" aria-invalid=\"false\" name=\"equips-maquines-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"equips-laboratori\">Equipament de laboratori<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-laboratori\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"equips-laboratori\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Bany ultrasons\" \/><span class=\"wpcf7-list-item-label\">Bany ultrasons<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Centr\u00edfuga\" \/><span class=\"wpcf7-list-item-label\">Centr\u00edfuga<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Autoclau\" \/><span class=\"wpcf7-list-item-label\">Autoclau<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Dip\u00f2sits dewar\" \/><span class=\"wpcf7-list-item-label\">Dip\u00f2sits dewar<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Equips RMN\" \/><span class=\"wpcf7-list-item-label\">Equips RMN<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Difract\u00f2metre RX\" \/><span class=\"wpcf7-list-item-label\">Difract\u00f2metre RX<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Forn \/ mufla\" \/><span class=\"wpcf7-list-item-label\">Forn \/ mufla<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Molins\" \/><span class=\"wpcf7-list-item-label\">Molins<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Bunsen\" \/><span class=\"wpcf7-list-item-label\">Bunsen<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Material de vidre\" \/><span class=\"wpcf7-list-item-label\">Material de vidre<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Material tallant \/ punxant\" \/><span class=\"wpcf7-list-item-label\">Material tallant \/ punxant<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Microscopi \u00f2ptic\" \/><span class=\"wpcf7-list-item-label\">Microscopi \u00f2ptic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Microscopi electr\u00f2nic\" \/><span class=\"wpcf7-list-item-label\">Microscopi electr\u00f2nic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Micr\u00f2tom\" \/><span class=\"wpcf7-list-item-label\">Micr\u00f2tom<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"equips-laboratori[]\" value=\"Ultramicr\u00f2tom\" \/><span class=\"wpcf7-list-item-label\">Ultramicr\u00f2tom<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"equips-laboratori-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"equips-laboratori-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"equips-laboratori-altres\" aria-invalid=\"false\" name=\"equips-laboratori-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset id=\"epis\">\n\t\t\t<legend>Equips de protecci\u00f3\n\t\t\t<\/legend>\n\t\t\t<p><b>Equips de protecci\u00f3 col\u00b7lectiva<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"proteccio-colectiva\">Indica els equips<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"proteccio-colectiva\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"proteccio-colectiva\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"proteccio-colectiva[]\" value=\"Vitrina d\u2019extracci\u00f3 de gasos\" \/><span class=\"wpcf7-list-item-label\">Vitrina d\u2019extracci\u00f3 de gasos<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"proteccio-colectiva[]\" value=\"Vitrina de sobretaula\" \/><span class=\"wpcf7-list-item-label\">Vitrina de sobretaula<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"proteccio-colectiva[]\" value=\"Cabina de bioseguretat\" \/><span class=\"wpcf7-list-item-label\">Cabina de bioseguretat<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"proteccio-colectiva[]\" value=\"Cabina de fluxe laminar\" \/><span class=\"wpcf7-list-item-label\">Cabina de fluxe laminar<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"proteccio-colectiva-altres\">Altres sistemes d'extracci\u00f3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"proteccio-colectiva-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"proteccio-colectiva-altres\" aria-invalid=\"false\" name=\"proteccio-colectiva-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Equips de protecci\u00f3 individual<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"guants\">Guants protecci\u00f3 qu\u00edmics \/ biol\u00f2gic<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"guants\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"guants\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"guants[]\" value=\"L\u00e0tex\" \/><span class=\"wpcf7-list-item-label\">L\u00e0tex<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"guants[]\" value=\"Vinil\" \/><span class=\"wpcf7-list-item-label\">Vinil<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"guants[]\" value=\"Nitril\" \/><span class=\"wpcf7-list-item-label\">Nitril<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"guants[]\" value=\"Neopr\u00e8\" \/><span class=\"wpcf7-list-item-label\">Neopr\u00e8<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"guants[]\" value=\"PVC\" \/><span class=\"wpcf7-list-item-label\">PVC<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"guants-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"guants-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"guants-altres\" aria-invalid=\"false\" name=\"guants-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"guants-term\">Guants protecci\u00f3 t\u00e8rmica \/ mec\u00e0nica<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"guants-term\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"guants-term\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"guants-term[]\" value=\"Criog\u00e8nia\" \/><span class=\"wpcf7-list-item-label\">Criog\u00e8nia<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"guants-term[]\" value=\"Radiaci\u00f3 t\u00e8rmica\" \/><span class=\"wpcf7-list-item-label\">Radiaci\u00f3 t\u00e8rmica<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"guants-term[]\" value=\"Cuir o similar\" \/><span class=\"wpcf7-list-item-label\">Cuir o similar<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"guants-term-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"guants-term-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"guants-term-altres\" aria-invalid=\"false\" name=\"guants-term-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"ulleres\">Protecci\u00f3 ocular<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"ulleres\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"ulleres\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"ulleres[]\" value=\"Ulleres seguretat\" \/><span class=\"wpcf7-list-item-label\">Ulleres seguretat<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ulleres[]\" value=\"Pantalla facial\" \/><span class=\"wpcf7-list-item-label\">Pantalla facial<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"ulleres[]\" value=\"Ulleres soldadura\" \/><span class=\"wpcf7-list-item-label\">Ulleres soldadura<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"ulleres-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"ulleres-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"ulleres-altres\" aria-invalid=\"false\" name=\"ulleres-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mascares\">Protecci\u00f3 respirat\u00f2ria (m\u00e0scares)<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"mascares\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"mascares\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"mascares[]\" value=\"Tipus quir\u00fargica\" \/><span class=\"wpcf7-list-item-label\">Tipus quir\u00fargica<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"mascares[]\" value=\"Pols\/part\u00edcules\" \/><span class=\"wpcf7-list-item-label\">Pols\/part\u00edcules<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"mascares[]\" value=\"Gasos\/vapors\" \/><span class=\"wpcf7-list-item-label\">Gasos\/vapors<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mascares-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mascares-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"mascares-altres\" aria-invalid=\"false\" name=\"mascares-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"auditiva\">Protecci\u00f3 auditiva i altres<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"auditiva\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"auditiva\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"auditiva[]\" value=\"Taps\" \/><span class=\"wpcf7-list-item-label\">Taps<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"auditiva[]\" value=\"Auriculars\" \/><span class=\"wpcf7-list-item-label\">Auriculars<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"auditiva[]\" value=\"Casc\" \/><span class=\"wpcf7-list-item-label\">Casc<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"auditiva[]\" value=\"Botes\" \/><span class=\"wpcf7-list-item-label\">Botes<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"auditiva-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"auditiva-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"auditiva-altres\" aria-invalid=\"false\" name=\"auditiva-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Productes qu\u00edmics\n\t<\/h3>\n\t<p><label for=\"obrir-quimics\">Faig servir productes qu\u00edmics a la meva feina:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-quimics\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-quimics\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-quimics\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-quimics\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"quimics\" data-orig_data_id=\"quimics\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset id=\"quimics\">\n\t\t\t<legend>Productes qu\u00edmics\n\t\t\t<\/legend>\n\t\t\t<p><small>Classificaci\u00f3 dels productes segons frases de perillositat (frases H) d\u2019acord amb etiquetat GHS (Global Harmonized System)<\/small>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-desconeguts\">Productes qu\u00edmics dels quals desconeixeu la classificaci\u00f3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-desconeguts\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-desconeguts\" aria-invalid=\"false\" name=\"quimics-desconeguts\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Productes qu\u00edmics cancer\u00edgens (H 350 - H351) | Productes qu\u00edmics mut\u00e0gens (H340 - 341) | Productes qu\u00edmics t\u00f2xics per a la reproducci\u00f3 (H360 - H361 - H362) | Productes qu\u00edmics amb toxicitat aguda 1\u00f3 2 i\/o amb toxicitat espec\u00edfica en determinants \u00f2rgans (STOT 1)<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-cancerigens\">Tipus de producte<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-cancerigens\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"quimics-cancerigens\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Bromur d\u2019etidi\" \/><span class=\"wpcf7-list-item-label\">Bromur d\u2019etidi<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Acrilamida\" \/><span class=\"wpcf7-list-item-label\">Acrilamida<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Hex\u00e0\" \/><span class=\"wpcf7-list-item-label\">Hex\u00e0<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Dicromat pot\u00e0ssic\" \/><span class=\"wpcf7-list-item-label\">Dicromat pot\u00e0ssic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Cloroform\" \/><span class=\"wpcf7-list-item-label\">Cloroform<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Formaldehid\" \/><span class=\"wpcf7-list-item-label\">Formaldehid<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Fenol\" \/><span class=\"wpcf7-list-item-label\">Fenol<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quimics-cancerigens[]\" value=\"Metanol\" \/><span class=\"wpcf7-list-item-label\">Metanol<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-cancerigens-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-cancerigens-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-cancerigens-altres\" aria-invalid=\"false\" name=\"quimics-cancerigens-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Productes qu\u00edmics amb toxicitat aguda 3 i\/o amb toxicitat espec\u00edfica en determinats \u00f2rgans (STOT 2) (H301 - H310 - H311 - H330 - H331)<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-toxicitat\">Tipus de producte<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-toxicitat\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"quimics-toxicitat\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quimics-toxicitat[]\" value=\"Tetr\u00f2xid d\u2019osmi\" \/><span class=\"wpcf7-list-item-label\">Tetr\u00f2xid d\u2019osmi<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-toxicitat[]\" value=\"Fluorur s\u00f2dic\" \/><span class=\"wpcf7-list-item-label\">Fluorur s\u00f2dic<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quimics-toxicitat[]\" value=\"Clorur de bari\" \/><span class=\"wpcf7-list-item-label\">Clorur de bari<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-toxicitat-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-toxicitat-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-toxicitat-altres\" aria-invalid=\"false\" name=\"quimics-toxicitat-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Productes qu\u00edmics sensibilitzants (H317 - H334) | Productes qu\u00edmics irritants (H315 - H316 - H319 - H320 - H335) | Productes qu\u00edmics amb toxicitat aguda 4 i\/o toxicitat espec\u00edfica en determinats \u00f2rgans (STOT 3) (H302 - H303 - H305 - H312 - H313 - H332 - H333 - H336)<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-sensibilitzants\">Tipus de producte<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-sensibilitzants\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"quimics-sensibilitzants\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"Acetonitril\" \/><span class=\"wpcf7-list-item-label\">Acetonitril<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"Isopropanol\" \/><span class=\"wpcf7-list-item-label\">Isopropanol<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"\u00c0cid trifluoroac\u00e8tic\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid trifluoroac\u00e8tic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"\u00c0cid ox\u00e0lic\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid ox\u00e0lic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"Trietilamina\" \/><span class=\"wpcf7-list-item-label\">Trietilamina<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quimics-sensibilitzants[]\" value=\"Xil\u00e8\" \/><span class=\"wpcf7-list-item-label\">Xil\u00e8<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-sensibilitzants-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-sensibilitzants-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-sensibilitzants-altres\" aria-invalid=\"false\" name=\"quimics-sensibilitzants-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Productes qu\u00edmics corrosius (H314 - H318)<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-corrosius\">Tipus de producte<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-corrosius\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"quimics-corrosius\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"\u00c0cid n\u00edtric\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid n\u00edtric<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"\u00c0cid sulf\u00faric\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid sulf\u00faric<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"\u00c0cid ac\u00e8tic\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid ac\u00e8tic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"\u00c0cid f\u00f2rmic\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid f\u00f2rmic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"\u00c0cid fosf\u00f2ric\" \/><span class=\"wpcf7-list-item-label\">\u00c0cid fosf\u00f2ric<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quimics-corrosius[]\" value=\"Hidr\u00f2xic s\u00f2dic\" \/><span class=\"wpcf7-list-item-label\">Hidr\u00f2xic s\u00f2dic<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-corrosius-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-corrosius-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-corrosius-altres\" aria-invalid=\"false\" name=\"quimics-corrosius-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Gasos liquats, gasos t\u00e8cnics en bombona i\/o gasos t\u00e8cnics en instal\u00b7laci\u00f3<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-gasos\">Tipus de producte<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-gasos\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"quimics-gasos\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Nitrogen l\u00edquid\" \/><span class=\"wpcf7-list-item-label\">Nitrogen l\u00edquid<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Heli l\u00edquid\" \/><span class=\"wpcf7-list-item-label\">Heli l\u00edquid<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Hidrogen\" \/><span class=\"wpcf7-list-item-label\">Hidrogen<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Di\u00f2xid de carboni\" \/><span class=\"wpcf7-list-item-label\">Di\u00f2xid de carboni<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Oxigen\" \/><span class=\"wpcf7-list-item-label\">Oxigen<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Aire comprimit\" \/><span class=\"wpcf7-list-item-label\">Aire comprimit<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Nitrogen\" \/><span class=\"wpcf7-list-item-label\">Nitrogen<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"quimics-gasos[]\" value=\"Arg\u00f3\" \/><span class=\"wpcf7-list-item-label\">Arg\u00f3<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"quimics-gasos-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quimics-gasos-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"quimics-gasos-altres\" aria-invalid=\"false\" name=\"quimics-gasos-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset  id=\"residus\">\n\t\t\t<legend>Gesti\u00f3 de residus\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"residus-tipologia\">Tipologia de residus<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"residus-tipologia\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"residus-tipologia\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"residus-tipologia[]\" value=\"Qu\u00edmics\" \/><span class=\"wpcf7-list-item-label\">Qu\u00edmics<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"residus-tipologia[]\" value=\"Bioperillosos (sanitaris grup III)\" \/><span class=\"wpcf7-list-item-label\">Bioperillosos (sanitaris grup III)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"residus-tipologia[]\" value=\"Citot\u00f2xics (sanitaris grup IV)\" \/><span class=\"wpcf7-list-item-label\">Citot\u00f2xics (sanitaris grup IV)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"residus-tipologia[]\" value=\"Animals d\u2019experimentaci\u00f3\" \/><span class=\"wpcf7-list-item-label\">Animals d\u2019experimentaci\u00f3<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"residus-activitat\">Activitat<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"residus-activitat\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"residus-activitat\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"residus-activitat[]\" value=\"Generaci\u00f3\" \/><span class=\"wpcf7-list-item-label\">Generaci\u00f3<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"residus-activitat[]\" value=\"Transport al magatzem del centre\" \/><span class=\"wpcf7-list-item-label\">Transport al magatzem del centre<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Agents biol\u00f2gics\n\t<\/h3>\n\t<p><label for=\"obrir-biologics\">He de manipular agents biol\u00f2gics a la meva feina:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-biologics\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-biologics\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-biologics\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-biologics\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"biologics\" data-orig_data_id=\"biologics\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset  id=\"biologics\">\n\t\t\t<legend>Manipulaci\u00f3 d'agents biol\u00f2gics\n\t\t\t<\/legend>\n\t\t\t<p><small>Classificaci\u00f3 dels grups de risc biol\u00f2gic d\u2019acord amb l\u2019annex II del RD 664\/1997, de 12 de maig, sobre la protecci\u00f3 dels treballadors contra els riscos relacionats amb l\u2019exposici\u00f3 a agents biol\u00f2gics durant la feina.<\/small>\n\t\t\t<\/p>\n\t\t\t<p><b>Microorganismes<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"microorganismes-1\">Grup de risc 1<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"microorganismes-1\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"microorganismes-1\" aria-invalid=\"false\" name=\"microorganismes-1\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"microorganismes-2\">Grup de risc 2<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"microorganismes-2\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"microorganismes-2\" aria-invalid=\"false\" name=\"microorganismes-2\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"microorganismes-3\">Grup de risc 3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"microorganismes-3\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"microorganismes-3\" aria-invalid=\"false\" name=\"microorganismes-3\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Mostres de proced\u00e8ncia humana \/ animal \/ vegetal<br \/>\n<small>(Especifiqueu si s\u00f3n garantides o amb possibilitat d\u2019algun tipus d\u2019infecci\u00f3)<\/small><\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mostres-teixit\">Mostres de teixit<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mostres-teixit\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mostres-teixit\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mostres-teixit\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mostres-cultius\">Cultius primaris<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mostres-cultius\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mostres-cultius\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mostres-cultius\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mostres-hemoderivats\">Hemoderivats<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mostres-hemoderivats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mostres-hemoderivats\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mostres-hemoderivats\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mostres-fluids\">Fluids corporals<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mostres-fluids\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mostres-fluids\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mostres-fluids\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"mostres-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mostres-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"mostres-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mostres-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Manipulaci\u00f3 d\u2019animals de laboratori<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-especie\">Esp\u00e8cie animal<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-especie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-especie\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-especie\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-activitat\">Activitat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-activitat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-activitat\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-activitat\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-inoculat\">Inoculat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-inoculat\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"animal-inoculat\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"animal-inoculat\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"animal-inoculat\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-agent\">Agent inoculat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-agent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-agent\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-agent\" \/><\/span>\n\t\t\t<\/p>\n\t\t<hr \/>\n\t\t\t<p><label for=\"animal-especie1\">Esp\u00e8cie animal<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-especie1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-especie1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-especie1\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-activitat1\">Activitat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-activitat1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-activitat1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-activitat1\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-inoculat1\">Inoculat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-inoculat1\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\" id=\"animal-inoculat1\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"animal-inoculat1\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"animal-inoculat1\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"animal-agent1\">Agent inoculat<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"animal-agent1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"animal-agent1\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"animal-agent1\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><b>Organismes modificats gen\u00e8ticament<\/b>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"omg-1\">Grup de risc 1<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"omg-1\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"omg-1\" aria-invalid=\"false\" name=\"omg-1\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"omg-2\">Grup de risc 2<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"omg-2\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"omg-2\" aria-invalid=\"false\" name=\"omg-2\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"omg-3\">Grup de risc 3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"omgs-3\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"omg-3\" aria-invalid=\"false\" name=\"omgs-3\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"replicatiu\">L\u2019insert \u00e9s replicatiu?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"replicatiu\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"replicatiu\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"replicatiu\" value=\"S\u00ed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"replicatiu\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"oncogen\">L\u2019insert codifica per a un oncogen?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"oncogen\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"oncogen\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"oncogen\" value=\"S\u00ed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"oncogen\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"punxada\">Dany potencial a la salut en cas de punxada o inoculaci\u00f3 accidental? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"punxada\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"punxada\" aria-invalid=\"false\" name=\"punxada\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset  id=\"residus\">\n\t\t\t<legend>Gesti\u00f3 de residus\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"residus-tipologia1\">Tipologia de residus<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"residus-tipologia1\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"residus-tipologia1\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"residus-tipologia1[]\" value=\"Qu\u00edmics\" \/><span class=\"wpcf7-list-item-label\">Qu\u00edmics<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"residus-tipologia1[]\" value=\"Bioperillosos (sanitaris grup III)\" \/><span class=\"wpcf7-list-item-label\">Bioperillosos (sanitaris grup III)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"residus-tipologia1[]\" value=\"Citot\u00f2xics (sanitaris grup IV)\" \/><span class=\"wpcf7-list-item-label\">Citot\u00f2xics (sanitaris grup IV)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"residus-tipologia1[]\" value=\"Animals d\u2019experimentaci\u00f3\" \/><span class=\"wpcf7-list-item-label\">Animals d\u2019experimentaci\u00f3<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"residus-activitat1\">Activitat<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"residus-activitat1\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"residus-activitat1\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"residus-activitat1[]\" value=\"Generaci\u00f3\" \/><span class=\"wpcf7-list-item-label\">Generaci\u00f3<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"residus-activitat1[]\" value=\"Transport al magatzem del centre\" \/><span class=\"wpcf7-list-item-label\">Transport al magatzem del centre<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Manipulaci\u00f3 de Nanomaterials\n\t<\/h3>\n\t<p><label for=\"obrir-nanomaterials\">He de manipular nanomaterials a la meva feina:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-nanomaterials\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-nanomaterials\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-nanomaterials\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-nanomaterials\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"nanomaterials\" data-orig_data_id=\"nanomaterials\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset>\n\t\t\t<legend>Forma f\u00edsica\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"nano-accidental\">Nanomaterials accidentals o incidentals<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-accidental\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-accidental\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-accidental[]\" value=\"Fums de soldadura\" \/><span class=\"wpcf7-list-item-label\">Fums de soldadura<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-accidental[]\" value=\"Productes de combusti\u00f3\" \/><span class=\"wpcf7-list-item-label\">Productes de combusti\u00f3<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-accidental-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-accidental-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-accidental-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-accidental-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-objectes\">Nanomaterials manufacturats: Nano-objectes<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-objectes\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-objectes\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-objectes[]\" value=\"Nanoplaca\" \/><span class=\"wpcf7-list-item-label\">Nanoplaca<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-objectes[]\" value=\"Nanofil (nanofibra el\u00e8ctricament conductora)\" \/><span class=\"wpcf7-list-item-label\">Nanofil (nanofibra el\u00e8ctricament conductora)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-objectes[]\" value=\"Nanotub (nanofibra buida)\" \/><span class=\"wpcf7-list-item-label\">Nanotub (nanofibra buida)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-objectes[]\" value=\"Nanovareta (nanofibra s\u00f2lida)\" \/><span class=\"wpcf7-list-item-label\">Nanovareta (nanofibra s\u00f2lida)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-objectes[]\" value=\"Nanopart\u00edcula\" \/><span class=\"wpcf7-list-item-label\">Nanopart\u00edcula<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-objectes-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-objectes-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-objectes-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-objectes-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nanoestructurats\">Nanomaterials manufacturats: Materials nanoestructurats<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nanoestructurats\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nanoestructurats\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nanoestructurats[]\" value=\"Pols nanoestructurat\" \/><span class=\"wpcf7-list-item-label\">Pols nanoestructurat<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nanoestructurats[]\" value=\"Nanocompost\" \/><span class=\"wpcf7-list-item-label\">Nanocompost<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nanoestructurats[]\" value=\"Nanoescuma s\u00f2lida\" \/><span class=\"wpcf7-list-item-label\">Nanoescuma s\u00f2lida<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nanoestructurats[]\" value=\"Material nanopor\u00f3s\" \/><span class=\"wpcf7-list-item-label\">Material nanopor\u00f3s<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nanoestructurats[]\" value=\"Nanodispersi\u00f3 fluida\" \/><span class=\"wpcf7-list-item-label\">Nanodispersi\u00f3 fluida<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset>\n\t\t\t<legend>Forma i composici\u00f3 qu\u00edmica\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"nano-inorganic\">Nanomaterials inorg\u00e0nics no met\u00e0l\u00b7lics<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-inorganic\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-inorganic\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"S\u00edlice amorfa sint\u00e8tica\" \/><span class=\"wpcf7-list-item-label\">S\u00edlice amorfa sint\u00e8tica<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"\u00d2xid d\u2019alumini\" \/><span class=\"wpcf7-list-item-label\">\u00d2xid d\u2019alumini<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"Di\u00f2xid de titani\" \/><span class=\"wpcf7-list-item-label\">Di\u00f2xid de titani<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"\u00d2xid de ceri\" \/><span class=\"wpcf7-list-item-label\">\u00d2xid de ceri<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"\u00d2xid de zinc\" \/><span class=\"wpcf7-list-item-label\">\u00d2xid de zinc<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"\u00d2xid de ferro\" \/><span class=\"wpcf7-list-item-label\">\u00d2xid de ferro<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-inorganic[]\" value=\"\u00d2xid de zirconi\" \/><span class=\"wpcf7-list-item-label\">\u00d2xid de zirconi<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-inorganic-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-inorganic-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-inorganic-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-inorganic-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-metalls\">Metalls i aliatges<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-metalls\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-metalls\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-metalls[]\" value=\"Or\" \/><span class=\"wpcf7-list-item-label\">Or<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-metalls[]\" value=\"Plata\" \/><span class=\"wpcf7-list-item-label\">Plata<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-metalls[]\" value=\"Aliatge de plat\u00ed\" \/><span class=\"wpcf7-list-item-label\">Aliatge de plat\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-metalls[]\" value=\"Aliatge de pal\u00b7ladi\" \/><span class=\"wpcf7-list-item-label\">Aliatge de pal\u00b7ladi<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-metalls-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-metalls-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-metalls-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-metalls-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-carboni\">Nanomaterials amb base de carboni<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-carboni\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-carboni\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Fullerens\" \/><span class=\"wpcf7-list-item-label\">Fullerens<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Graf\u00e8\" \/><span class=\"wpcf7-list-item-label\">Graf\u00e8<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Nanotubs de paret simple\" \/><span class=\"wpcf7-list-item-label\">Nanotubs de paret simple<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Nanotubs de paret m\u00faltiple\" \/><span class=\"wpcf7-list-item-label\">Nanotubs de paret m\u00faltiple<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Nanofibres de carboni\" \/><span class=\"wpcf7-list-item-label\">Nanofibres de carboni<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-carboni[]\" value=\"Negre de fum (carboni pur elemental en forma de part\u00edcules)\" \/><span class=\"wpcf7-list-item-label\">Negre de fum (carboni pur elemental en forma de part\u00edcules)<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-carboni-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-carboni-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-carboni-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-carboni-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset>\n\t\t\t<legend>Altres\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"nanopolimers\">Nanopol\u00edmers<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nanopolimers\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nanopolimers\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nanopolimers\" \/><\/span><br \/>\n<label for=\"dendrimers\">Dendr\u00edmers<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"dendrimers\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"dendrimers\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"dendrimers\" \/><\/span><br \/>\n<label for=\"quantics\">Punts qu\u00e0ntics<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"quantics\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"quantics\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quantics\" \/><\/span><br \/>\n<label for=\"nanoargiles\">Nanoargiles<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nanoargiles\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nanoargiles\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nanoargiles\" \/><\/span><br \/>\n<label for=\"nano-mes-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-mes-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-mes-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-mes-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset>\n\t\t\t<legend>Proc\u00e9s de treball amb nanomaterials\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"nano-descripcio\">Descripci\u00f3<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-descripcio\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"nano-descripcio\" aria-invalid=\"false\" name=\"nano-descripcio\"><\/textarea><\/span><br \/>\n<label for=\"nano-manufacturacio\">Fabricaci\u00f3 del nanomaterial<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-manufacturacio\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-manufacturacio\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-manufacturacio[]\" value=\"Per fresat\" \/><span class=\"wpcf7-list-item-label\">Per fresat<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-manufacturacio[]\" value=\"Per s\u00edntesi en fase gasosa\" \/><span class=\"wpcf7-list-item-label\">Per s\u00edntesi en fase gasosa<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-manufacturacio[]\" value=\"Per s\u00edntesi en fase l\u00edquida o coloidal\" \/><span class=\"wpcf7-list-item-label\">Per s\u00edntesi en fase l\u00edquida o coloidal<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-incorporacio\"> Incorporaci\u00f3 del nanomaterial en un producte intermedi o final (especificar)<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-incorporacio\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"nano-incorporacio\" aria-invalid=\"false\" name=\"nano-incorporacio\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-procesar\">Manera de manipular el nanomaterial<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-procesar\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-procesar\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Part\u00edcules prim\u00e0ries\" \/><span class=\"wpcf7-list-item-label\">Part\u00edcules prim\u00e0ries<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Aglomerats\" \/><span class=\"wpcf7-list-item-label\">Aglomerats<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Agregats\" \/><span class=\"wpcf7-list-item-label\">Agregats<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Pols\" \/><span class=\"wpcf7-list-item-label\">Pols<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Soluci\u00f3\" \/><span class=\"wpcf7-list-item-label\">Soluci\u00f3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Matriu\" \/><span class=\"wpcf7-list-item-label\">Matriu<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Suspensi\u00f3\" \/><span class=\"wpcf7-list-item-label\">Suspensi\u00f3<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-procesar[]\" value=\"Altres\" \/><span class=\"wpcf7-list-item-label\">Altres<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-dades\">Altres dades d'inter\u00e8s<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-dades\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-dades\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-dades[]\" value=\"Biopersistent\" \/><span class=\"wpcf7-list-item-label\">Biopersistent<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-dades[]\" value=\"Soluble en aigua o medi biol\u00f2gic\" \/><span class=\"wpcf7-list-item-label\">Soluble en aigua o medi biol\u00f2gic<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-dades[]\" value=\"Inflamable\" \/><span class=\"wpcf7-list-item-label\">Inflamable<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-dades[]\" value=\"Altres\" \/><span class=\"wpcf7-list-item-label\">Altres<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-treball\">Treball en<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-treball\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-treball\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-treball[]\" value=\"Cabina de bioseguretat\" \/><span class=\"wpcf7-list-item-label\">Cabina de bioseguretat<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-treball[]\" value=\"Caixa seca\" \/><span class=\"wpcf7-list-item-label\">Caixa seca<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-treball[]\" value=\"Sala Blanca\" \/><span class=\"wpcf7-list-item-label\">Sala Blanca<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-treball-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-treball-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nano-treball-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nano-treball-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nano-epi\">Equip de protecci\u00f3 individual<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"nano-epi\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"nano-epi\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Guants (especifiqueu)\" \/><span class=\"wpcf7-list-item-label\">Guants (especifiqueu)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"M\u00e0scara per a pols i part\u00edcules FFP3\" \/><span class=\"wpcf7-list-item-label\">M\u00e0scara per a pols i part\u00edcules FFP3<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Ulleres de seguretat (obertes\/ tan cades)\" \/><span class=\"wpcf7-list-item-label\">Ulleres de seguretat (obertes\/ tan cades)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Roba de treball de poli\u00e9ster\" \/><span class=\"wpcf7-list-item-label\">Roba de treball de poli\u00e9ster<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Mono de treball tipus TYVEC\" \/><span class=\"wpcf7-list-item-label\">Mono de treball tipus TYVEC<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Protecci\u00f3 cabell\" \/><span class=\"wpcf7-list-item-label\">Protecci\u00f3 cabell<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"nano-epi[]\" value=\"Protecci\u00f3 peus\" \/><span class=\"wpcf7-list-item-label\">Protecci\u00f3 peus<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Exposici\u00f3 a agents f\u00edsics\n\t<\/h3>\n\t<p><label for=\"obrir-fisics\">A la meva feina estic exposat a agents f\u00edsics:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-fisics\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-fisics\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-fisics\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-fisics\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"fisics\" data-orig_data_id=\"fisics\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset  id=\"fisics\">\n\t\t\t<legend>Exposici\u00f3 a agents f\u00edsics\n\t\t\t<\/legend>\n\t\t\t<p><label for=\"radiacions\">Radiacions no ionitzants<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"radiacions\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"radiacions\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Llums germicides UV\" \/><span class=\"wpcf7-list-item-label\">Llums germicides UV<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Pantalles de visualitzaci\u00f3 d\u2019ADN\" \/><span class=\"wpcf7-list-item-label\">Pantalles de visualitzaci\u00f3 d\u2019ADN<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Radiaci\u00f3 IR-A \/ IR-B \/ IR-C\" \/><span class=\"wpcf7-list-item-label\">Radiaci\u00f3 IR-A \/ IR-B \/ IR-C<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Radiaci\u00f3 l\u00e0ser classe 3A \/ 3B \/ 4\" \/><span class=\"wpcf7-list-item-label\">Radiaci\u00f3 l\u00e0ser classe 3A \/ 3B \/ 4<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Camps electromagn\u00e8tics estables (RMN)\" \/><span class=\"wpcf7-list-item-label\">Camps electromagn\u00e8tics estables (RMN)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"radiacions[]\" value=\"Camps electromagn\u00e8tics variables\" \/><span class=\"wpcf7-list-item-label\">Camps electromagn\u00e8tics variables<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"radiacions-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radiacions-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"radiacions-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"radiacions-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"radiacions-ionitzants\">Radiacions ionitzants<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"radiacions-ionitzants\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"radiacions-ionitzants\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"radiacions-ionitzants[]\" value=\"Equips de radiodiagn\u00f2stic m\u00e8dic dental (raigs X)\" \/><span class=\"wpcf7-list-item-label\">Equips de radiodiagn\u00f2stic m\u00e8dic dental (raigs X)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions-ionitzants[]\" value=\"Equips de radiodiagn\u00f2stic m\u00e8dic amb finalitat  no m\u00e8dica (raigs X)\" \/><span class=\"wpcf7-list-item-label\">Equips de radiodiagn\u00f2stic m\u00e8dic amb finalitat  no m\u00e8dica (raigs X)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions-ionitzants[]\" value=\"Equips de raigs X per equips de control de processos i t\u00e8cniques anal\u00edtiques\" \/><span class=\"wpcf7-list-item-label\">Equips de raigs X per equips de control de processos i t\u00e8cniques anal\u00edtiques<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"radiacions-ionitzants[]\" value=\"Is\u00f2tops radiactius. Font encapsulada\" \/><span class=\"wpcf7-list-item-label\">Is\u00f2tops radiactius. Font encapsulada<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"radiacions-ionitzants[]\" value=\"Is\u00f2tops radiactius. Font no encapsulada\" \/><span class=\"wpcf7-list-item-label\">Is\u00f2tops radiactius. Font no encapsulada<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"radiacions-ionitzants-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radiacions-ionitzants-altres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"radiacions-ionitzants-altres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"radiacions-ionitzants-altres\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Si realitzes sortides de camp\n\t<\/h3>\n\t<p><label for=\"obrir-sortides\">La meva feina implica sortides de camps:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"obrir-sortides\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"obrir-sortides\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"obrir-sortides\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"obrir-sortides\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<div data-id=\"sortides\" data-orig_data_id=\"sortides\" data-clear_on_hide class=\"\" data-class=\"wpcf7cf_group\">\n\t\t<fieldset  id=\"sortides\">\n\t\t\t<legend>Sortides de camp\n\t\t\t<\/legend>\n\t\t\t<p>En el cas que realitzeu treballs de camp, marqueu els espais on podeu realitzar l\u2019activitat:\n\t\t\t<\/p>\n\t\t\t<p><label for=\"sortides\">Tipus<\/label><span class=\"formulari-dreta\"><span class=\"wpcf7-form-control-wrap\" data-name=\"sortides\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"sortides\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Museus, biblioteques o similars (sortides urbanes)\" \/><span class=\"wpcf7-list-item-label\">Museus, biblioteques o similars (sortides urbanes)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Camp, muntanya (activitats assimilables a excursions amb baix nivell de dificultat)\" \/><span class=\"wpcf7-list-item-label\">Camp, muntanya (activitats assimilables a excursions amb baix nivell de dificultat)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Alta muntanya (activitats amb cert nivell de dificultat i necessitat de material de muntanya)\" \/><span class=\"wpcf7-list-item-label\">Alta muntanya (activitats amb cert nivell de dificultat i necessitat de material de muntanya)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Entorn de platja, riu, llac o similar\" \/><span class=\"wpcf7-list-item-label\">Entorn de platja, riu, llac o similar<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Mar, llac, riu o similar (requereix embarcaci\u00f3)\" \/><span class=\"wpcf7-list-item-label\">Mar, llac, riu o similar (requereix embarcaci\u00f3)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Mar, llac, riu o similar (requereix immersi\u00f3)\" \/><span class=\"wpcf7-list-item-label\">Mar, llac, riu o similar (requereix immersi\u00f3)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Jaciments arqueol\u00f2gics\" \/><span class=\"wpcf7-list-item-label\">Jaciments arqueol\u00f2gics<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Expedicions a zones \u00e0rtiques\" \/><span class=\"wpcf7-list-item-label\">Expedicions a zones \u00e0rtiques<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Expedicions a zones des\u00e8rtiques\" \/><span class=\"wpcf7-list-item-label\">Expedicions a zones des\u00e8rtiques<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"sortides[]\" value=\"Expedicions a zones boscoses equatorials o tropicals\" \/><span class=\"wpcf7-list-item-label\">Expedicions a zones boscoses equatorials o tropicals<\/span><\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"sortides-altres\">Altres<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"sortides-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"sortides-altres\" aria-invalid=\"false\" name=\"sortides-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t\t<fieldset>\n\t\t\t<legend>Sortides de camp. Treballs de risc\n\t\t\t<\/legend>\n\t\t\t<p>En el cas que realitzeu treballs de camp amb condicions especials de risc, expliqueu les situacions:\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-alcada\">Treballs en al\u00e7ada<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-alcada\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"camp-alcada\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"camp-alcada\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-confinat\">Treballs en espais confinats<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-confinat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"camp-confinat\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"camp-confinat\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-aillat\">Treballs en zones a\u00efllades o muntanya<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-aillat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"camp-aillat\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"camp-aillat\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-rius\">Treballs en zones properes a rius, zones pantanoses, etc<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-rius\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"camp-rius\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"camp-rius\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-barrancs\">Treballs en zones properes a barrancs, penya-segats, etc<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-barrancs\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"camp-barrancs\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"camp-barrancs\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"sortides-risc-altres\">Altres sortides de risc<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"sortides-risc-altres\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"sortides-risc-altres\" aria-invalid=\"false\" name=\"sortides-risc-altres\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p>Si la resposta \u00e9s s\u00ed en algun dels punts anteriors, indiqueu el nom de la persona responsable del grup de recerca que fa les funcions de direcci\u00f3 de grup i recurs preventiu:\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nom-risc\">Nom i cognoms<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nom-risc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nom-risc\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-risc\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"nif-risc\">NIF<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"nif-risc\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"nif-risc\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nif-risc\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label for=\"camp-descripcio\">Breu descripci\u00f3 de les activitats de camp<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"camp-descripcio\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"camp-descripcio\" aria-invalid=\"false\" name=\"camp-descripcio\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p>Recorda que si ets ub i desenvolupes la teva tasca en un altre centre, has de complimentar <a href=\"https:\/\/www.ub.edu\/ossma\/coordinacio-activitats-empresarials-cae\/documentacio-personal-ub-activitats-centres-aliens\/\">el seg\u00fcent tr\u00e0mit<\/a>.\n\t\t\t<\/p>\n\t\t<\/fieldset>\n\t<\/div>\n\t<h3>Enviament\n\t<\/h3>\n\t<fieldset>\n\t\t<legend>Signatura\n\t\t<\/legend>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"faig-constar\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"faig-constar\" value=\"1\" id=\"faig-constar\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Faig constar que les dades aqu\u00ed indicades s\u00f3n certes i em comprometo a notificar a l\u2019OSSMA qualsevol modificaci\u00f3 en la meva ubicaci\u00f3, tasques o activitats assenyalades*<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<div class=\"form-two-columns\">\n\t\t\t<p><label for=\"signatura\">Signatura del treballador*<br \/>\n<small>(Dibuixa la teva signatura al requadre)<\/small><\/label><span class=\"formulari-dreta\"><div class=\"dscf7_signature\">\n\t\t\t<div class=\"dscf7_signature_inner\">\n\t\t\t\t<canvas id=\"digital_signature-pad_signatura\" name=\"signatura\" class=\"digital_signature-pad\" color=\"#000000\" backcolor=\"#dddddd\" width=\"300\" height=\"200\"><\/canvas>\n\t\t\t\t<input class=\"clearButton\" type=\"button\" value=\"+\">\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap signatura\" data-name=\"signatura\">\n\t\t\t\t<input class=\"wpcf7-form-control wpcf7-signature wpcf7-validates-as-required wpcf7-validates-as-signature dscf7-signature\" id=\"signatura\" value=\"\" type=\"hidden\" name=\"signatura\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signatura-attachment\" class=\"wpcf7_input_signatura_attachment\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signatura-inline\" class=\"wpcf7_input_signatura_inline\"\/>\n\t\t\t<\/span>\n\t\t<\/div><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/fieldset>\n\t<p><b>Dret d\u2019informaci\u00f3 relatiu al tractament de dades personals<\/b>\n\t<\/p>\n\t<p>(1) El responsable del tractament de les vostres dades \u00e9s la Secretaria General de la Universitat de Barcelona. (2) La finalitat del tractament \u00e9s gestionar la prevenci\u00f3 de riscos laborals. (3) Teniu dret a accedir a les vostres dades, rectificar-les, suprimir-les, oposar-vos al seu tractament, sol\u00b7licitar-ne la portabilitat i la limitaci\u00f3 dels tractaments, en determinades circumst\u00e0ncies. (4) Podeu consultar <a href=\"https:\/\/www.ub.edu\/ossma\/dret-informacio-addicional\/\" target=\"_blank\">la informaci\u00f3 detallada dels tractaments esmentats<\/a>\n\t<\/p>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dret-informacio\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"dret-informacio\" value=\"1\" id=\"dret-informacio\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Declaro que he llegit el dret d\u2019informaci\u00f3<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n<\/p>\n<p>(El formulari pot trigar uns segons a confirmar l'enviament. Si us plau, no el reenvieu ni recarregueu la p\u00e0gina)\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"44\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El full es divideix en diversos apartats, el primer d&#8217;aplicaci\u00f3 general. Completa la resta d\u2019apartats nom\u00e9s si et s\u00f3n d\u2019aplicaci\u00f3.<\/p>\n","protected":false},"author":1,"featured_media":24958,"parent":771,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"class_list":["post-3599","page","type-page","status-publish","has-post-thumbnail"],"coauthors":[],"author_meta":{"author_link":"https:\/\/www.ub.edu\/ossma\/author\/ossmau1","display_name":"OSSMA"},"relative_dates":{"created":"Posted 8 anys ago","modified":"Updated 4 anys ago"},"absolute_dates":{"created":"Posted on 05\/02\/2018","modified":"Updated on 02\/01\/2022"},"absolute_dates_time":{"created":"Posted on 05\/02\/2018 12:44","modified":"Updated on 02\/01\/2022 10:07"},"featured_img_caption":"","featured_img":"https:\/\/www.ub.edu\/ossma\/wp-content\/uploads\/2021\/04\/banner-notificacions.jpg","series_order":"","_links":{"self":[{"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/pages\/3599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/comments?post=3599"}],"version-history":[{"count":10,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/pages\/3599\/revisions"}],"predecessor-version":[{"id":28373,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/pages\/3599\/revisions\/28373"}],"up":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/pages\/771"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/media\/24958"}],"wp:attachment":[{"href":"https:\/\/www.ub.edu\/ossma\/wp-json\/wp\/v2\/media?parent=3599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}