Henk Westenbrink

Schade(bel)gesprek kort - 111 versie 5

PAT

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Information

Naam en chauffeursnummer:
Chauffeur gebeld / 1 op 1
Datum en tijd:
Schadenummer / schadedatum / schadeplaats
Auditor

Conclusie en afspraken

Omschrijving schadegebeurtenis:
Wat is er gebeurd volgens jou ?
Hoe had deze schade voorkomen kunnen worden ?
Welke maatregelen ga je nemen om schade in de toekomst te voorkomen ?
Advies Auditor naar chauffeur, evt benodigde acties en evt.afspraken
Algemene indruk van de chauffeur
Commentaar CC
Foto,s schade / div.
Handtekening Auditor
handtekening chauffeur

Henk Westenbrink

Schade(bel)gesprek kort - 111 versie 5

PAT

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.