Meldformulier incident en (bijna) ongevallen
Heb je een incident, bijna-ongeval of onveilige situatie meegemaakt of gezien? Dan vragen we je dit te melden via onderstaand formulier. Ook wanneer er uiteindelijk geen schade of letsel is ontstaan, kan jouw melding waardevolle informatie opleveren om risico’s te herkennen en herhaling te voorkomen.
Door je ervaring met ons te delen, help je mee aan een veilige leer- en werkomgeving voor iedereen. We vragen je het formulier zo volledig mogelijk in te vullen. Je melding wordt zorgvuldig behandeld en waar nodig opgevolgd.
Meldformulier incident en (bijna) ongevallen
{"field_1697b54":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_b22d588","cfef_logic_field_is":"==","cfef_logic_compare_value":"Anders","_id":"87634c8"}]},"field_f139ed3":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_19cb07a","cfef_logic_field_is":"==","cfef_logic_compare_value":"Anders","_id":"1981b68"}]},"field_ccdf0c4":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_00fd8bd","cfef_logic_field_is":"==","cfef_logic_compare_value":"Anders","_id":"1981b68"}]},"field_c994dcb":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_3cca7c0","cfef_logic_field_is":"==","cfef_logic_compare_value":"Anders","_id":"1981b68"}]},"field_f45e824":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_3666eda","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ontbreken van","_id":"1981b68"}]},"field_9c8ef58":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_3666eda","cfef_logic_field_is":"==","cfef_logic_compare_value":"Gebrek in \/ aan","_id":"1981b68"}]},"field_c941612":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_a3042d5","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ja","_id":"c89dd97"}]},"field_2f64aac":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_a3042d5","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ja","_id":"c89dd97"}]},"field_f766d57":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_d3721de","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ja","_id":"c89dd97"}]},"field_79dfd62":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_d3721de","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ja","_id":"c89dd97"}]},"field_4e0e9e5":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_6aa51a9","cfef_logic_field_is":"==","cfef_logic_compare_value":"Na verzorging verder gegaan met...","_id":"c89dd97"}]},"field_900ab20":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_6aa51a9","cfef_logic_field_is":"==","cfef_logic_compare_value":"Poliklinisch behandeld in het ziekenhuis","_id":"c89dd97"}]},"field_6cec0ce":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_6aa51a9","cfef_logic_field_is":"==","cfef_logic_compare_value":"Opgenomen in het ziekenhuis (langer dan 24 uur)","_id":"c89dd97"}]},"field_740644d":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_6aa51a9","cfef_logic_field_is":"==","cfef_logic_compare_value":"Anders","_id":"c89dd97"}]},"field_bdc4b37":{"display_mode":"show","fire_action":"All","file_types":"png","logic_data":[{"cfef_logic_field_id":"field_adf0f5a","cfef_logic_field_is":"==","cfef_logic_compare_value":"Ja","_id":"c89dd97"}]}}