{"id":44973,"date":"2023-08-10T13:57:19","date_gmt":"2023-08-10T13:57:19","guid":{"rendered":"https:\/\/easyjur.com\/blog\/?post_type=modelos-de-peticao&p=3650"},"modified":"2023-08-10T13:57:19","modified_gmt":"2023-08-10T13:57:19","slug":"comunicacao-de-acidente-do-trabalho-cat","status":"publish","type":"modelos-de-peticao","link":"https:\/\/easyjur.com\/blog\/modelos-de-peticao\/comunicacao-de-acidente-do-trabalho-cat\/","title":{"rendered":"[MODELO] COMUNICA\u00c7\u00c3O DE ACIDENTE DO TRABALHO – CAT"},"content":{"rendered":"

<\/p>\n\n\n\n\n\n
\n

<\/p>\n<\/td>\n

\n

PREVID\u00caNCIA SOCIAL<\/strong>
INSTITUTO NACIONAL DO SEGURO SOCIAL<\/strong><\/p>\n<\/td>\n

\n

1- Emitente <\/p>\n<\/td>\n<\/tr>\n

\n

1- Empregador 2- Sindicato 3- M\u00e9dico 4- Segurado ou dependente
5- Autoridade p\u00fablica<\/p>\n<\/td>\n<\/tr>\n

\n

COMUNICA\u00c7\u00c3O DE ACIDENTE DO TRABALHO – CAT<\/strong><\/p>\n<\/td>\n

\n

2- Tipo de CAT <\/p>\n<\/td>\n<\/tr>\n

<\/td>\n\n

1- Inicial 2- Reabertura 3- Comunica\u00e7\u00e3o de \u00d3bito em:<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n\n
\n

I – EMITENTE<\/strong> <\/p>\n<\/td>\n<\/tr>\n

\n

Empregador<\/strong> <\/p>\n<\/td>\n<\/tr>\n

\n

3- Raz\u00e3o Social \/Nome <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

4- Tipo 1- CGC\/CNPJ 2- CEI 3- CPF 4-NIT <\/p>\n<\/td>\n

\n

5- CNAE
<\/p>\n<\/td>\n

\n

6- Endere\u00e7o – Rua\/Av.
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

Complemento (continua\u00e7\u00e3o)
<\/p>\n<\/td>\n

\n

Bairro
<\/p>\n<\/td>\n

\n

CEP
<\/p>\n<\/td>\n

\n

7- Munic\u00edpio
<\/p>\n<\/td>\n

\n

8-UF
<\/p>\n<\/td>\n

\n

000- Telefone
<\/p>\n<\/td>\n<\/tr>\n

<\/td>\n<\/tr>\n<\/table>\n\n\n\n<\/tr>\n<\/table>\n
\n

Acidentado<\/strong> <\/p>\n<\/td>\n<\/tr>\n

\n

10- Nome <\/p>\n<\/td>\n<\/tr>\n

\n\n
\n

11- Nome da m\u00e3e <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

12- Data de nasc.
<\/p>\n<\/td>\n

\n

13- Sexo
1- Masc. 3- Fem.<\/p>\n<\/td>\n

\n

14- Estado civil
1- Solteiro 2- Casado 3- Vi\u00favo
4- Sep. judic. 5- Outro
6 – Ignorado<\/p>\n<\/td>\n

\n

15- CTPS- N\u00ba \/S\u00e9rie\/ Data de emiss\u00e3o
<\/p>\n<\/td>\n

\n

16- UF
<\/p>\n<\/td>\n

\n

17- Remunera\u00e7\u00e3o Mensal
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

18- Carteira de Indentidade
<\/p>\n<\/td>\n

\n

Data de emiss\u00e3o
<\/p>\n<\/td>\n

\n

Org\u00e3o Expedidor
<\/p>\n<\/td>\n

\n

1000- UF
<\/p>\n<\/td>\n

\n

20- PIS\/PASEP\/NIT
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

21- Endere\u00e7o – Rua\/Av\/
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n<\/tr>\n<\/table>\n
\n

Bairro
<\/p>\n<\/td>\n

\n

CEP
<\/p>\n<\/td>\n

\n

22- Munic\u00edpio
<\/p>\n<\/td>\n

\n

23- UF
<\/p>\n<\/td>\n

\n

24- Telefone
<\/p>\n<\/td>\n<\/tr>\n

\n\n\n
\n

25- Nome da ocupa\u00e7\u00e3o
<\/p>\n<\/td>\n

\n

26- CBO
<\/p>\n<\/td>\n

\n

27- Filia\u00e7\u00e3o \u00e0 Previd\u00eancia Social
1- Empregado 2- Tra. avulso 7- Seg. especial
8- M\u00e9dico residente<\/p>\n<\/td>\n

\n

28- Aposentado?
1- sim 2- n\u00e3o<\/p>\n<\/td>\n

\n

2000-\u00c1reas
1- Urbana 2- Rural<\/p>\n<\/td>\n<\/tr>\n

<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

Acidente ou Doen\u00e7a<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

30- Data do acidente
<\/p>\n<\/td>\n

\n

31- Hora do acidente
<\/p>\n<\/td>\n

\n

32-Ap\u00f3s quantas horas de trabalho?
<\/p>\n<\/td>\n

\n

33- tipo
1-T\u00edpico 2- Doen\u00e7a 3- Trajeto<\/p>\n<\/td>\n

\n

34- Houve afastamento?
1-sim 2-n\u00e3o<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

35- \u00daltimo dia trabalhado
<\/p>\n<\/td>\n

\n

36- Local do acidente <\/p>\n<\/td>\n

\n

37 – Especifica\u00e7\u00e3o do local do acidente
<\/p>\n<\/td>\n

\n

38- CGC\/CNPJ
<\/p>\n<\/td>\n

\n

3000- UF
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

40-Municipio do local do acidente
<\/p>\n<\/td>\n

\n

41-Parte(s) do corpo atingida(s)
<\/p>\n<\/td>\n

\n

42- Agente causador
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

43- Descri\u00e7\u00e3o da situa\u00e7\u00e3o geradora do acidente ou doen\u00e7a

<\/p>\n<\/td>\n

\n

44- Houve registro policial ? 1- sim 2- n\u00e3o<\/p>\n<\/td>\n<\/tr>\n

\n

45- Houve morte ? 1- sim 2- n\u00e3o<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

Testemunhas<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

46- Nome <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n\n
\n

47- Endere\u00e7o – Rua\/Av\/n\u00ba\/comp.
<\/p>\n<\/td>\n<\/tr>\n

\n

Bairro
<\/p>\n<\/td>\n

\n

CEP
<\/p>\n<\/td>\n

\n

48- Munic\u00edpio
<\/p>\n<\/td>\n

\n

4000- UF
<\/p>\n<\/td>\n

\n

Telefone
<\/p>\n<\/td>\n<\/tr>\n

<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

50- Nome <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n\n
\n

51- Endere\u00e7o – Rua\/Av\/n\u00ba\/comp.
<\/p>\n<\/td>\n<\/tr>\n

\n

Bairro
<\/p>\n<\/td>\n

\n

CEP
<\/p>\n<\/td>\n

\n

52- Munic\u00edpio
<\/p>\n<\/td>\n

\n

53- UF
<\/p>\n<\/td>\n

\n

Telefone
<\/p>\n<\/td>\n<\/tr>\n

<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

Local e data
<\/p>\n<\/td>\n

\n

_______________________________________
Assinatura e carimbo do emitente<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n\n
\n

II – ATESTADO M\u00c9DICO <\/strong><\/p>\n

Deve ser preenchido por profissional m\u00e9dico.<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

Atendimento<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

54- Unidade de atendimento m\u00e9dico
<\/p>\n<\/td>\n

\n

55-Data
<\/p>\n<\/td>\n

\n

56- Hora
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

57- Houve interna\u00e7\u00e3o
1-sim 2- n\u00e3o<\/p>\n<\/td>\n

\n

58- Dura\u00e7\u00e3o prov\u00e1vel do tratamento dias<\/p>\n<\/td>\n

\n

5000- Dever\u00e1 o acidentado afastar-se do trabalho durante o tratamento?
1-sim 2-n\u00e3o<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

Les\u00e3o<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

60- Descri\u00e7\u00e3o e natureza da les\u00e3o
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

Diagn\u00f3stico<\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

61- Diagn\u00f3stico prov\u00e1vel
<\/p>\n<\/td>\n

\n

62- CID-10
<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

63- Observa\u00e7\u00f5es:


<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

Local e data
<\/p>\n<\/td>\n

\n

_______________________________________
Assinatura e carimbo do m\u00e9dico com CRM<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

III – INSS<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n\n
\n

64- Recebida em
<\/p>\n<\/td>\n

\n

65- C\u00f3digo da Unidade
<\/p>\n<\/td>\n

\n

66-N\u00famero do CAT
<\/p>\n<\/td>\n

\n

Notas:
1-<\/strong> A inexatid\u00e3o das declara\u00e7\u00f5es desta comunica\u00e7\u00e3o implicar\u00e1 nas san\u00e7\u00f5es previstas nos artigos. 171 e 2000000 do C\u00f3digo Penal.<\/p>\n<\/td>\n<\/tr>\n

\n

67- Matricula do servidor <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n


Matricula<\/p>\n<\/td>\n

\n

_______________________________________
Assinatura do servidor <\/p>\n<\/td>\n

\n

2- <\/strong>A comunica\u00e7\u00e3o de acidente do trabalho dever\u00e1 ser feita at\u00e9 o 1\u00b0 dia \u00fatil ap\u00f3s o acidente, sob pena de multa, na forma prevista no art. 22 da Lei n\u00ba 8.213\/0001. <\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
\n

A COMUNICA\u00c7\u00c3O DO ACIDENTE \u00c9 OBRIGAT\u00d3RIA, MESMO NO CASO EM QUE N\u00c3O HAJA AFASTAMENTO DO TRABALHO<\/strong><\/p>\n<\/td>\n<\/tr>\n<\/table>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"content-type":""},"categoria-modelo":[154],"class_list":["post-44973","modelos-de-peticao","type-modelos-de-peticao","status-publish","hentry","categoria-modelo-previdenciario"],"_links":{"self":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/modelos-de-peticao\/44973","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/modelos-de-peticao"}],"about":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/types\/modelos-de-peticao"}],"wp:attachment":[{"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/media?parent=44973"}],"wp:term":[{"taxonomy":"categoria-modelo","embeddable":true,"href":"https:\/\/easyjur.com\/blog\/wp-json\/wp\/v2\/categoria-modelo?post=44973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}