Notification of accidents and incidents

You can download and print the document of the Notification of accidents or fill and send the following form.

Form

    Fields marked with * are required.

    Person reporting the accident

    TeacherPASStudentThird cycle studentsOthers

    Affected personBody responsible for the place or activity where the accident has taken placeWitnessOthers

    Affected person

    These data are not obligatory, if you consider it appropriate to include them, click on the box. In this case, a copy of the accident notification will be sent to the e-mail address provided.

    YesNo

    YesNo

    Body responsible of the place / activity where risk is detected

    These data are not obligatory, if you consider it appropriate to include them, click on the box. In this case, a copy of the accident notification will be sent to the e-mail address provided.

    YesNo

    Witnesses of the accident or incident

    These data are not obligatory, if you consider it appropriate to include them, click on the box. In this case, a copy of the accident notification will be sent to the e-mail address provided.

    YesNo

    YesNo

    Description of the accident or incident

    YesNo



    Signature

    Right of information in relation to the data processing
    (1) The responsible for the processing of your data is the Secretary General of the University of Barcelona. (2) The purpose of the treatment is to manage the prevention of occupational risks. (3) You have the right to access your data, rectify them, delete them, oppose their processing, request portability and the limitation of processing, in certain circumstances. (4) You can consult detailed information on the above-mentioned treatments

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