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An Incident and Non-Conformance Management Form helps Dutch organizations track and respond to workplace accidents, safety issues, and quality deviations. It's a crucial tool for meeting the requirements of the Dutch Working Conditions Act (Arbowet) and ISO standards, particularly in manufacturing, healthcare, and construction sectors.

The form captures essential details about what went wrong, immediate actions taken, root causes, and corrective measures. Companies use these records to prevent similar issues, demonstrate regulatory compliance, and maintain their safety management systems. It's particularly important for organizations that need to report incidents to the Dutch Labor Inspectorate (Inspectie SZW) or maintain ISO certification.

Use an Incident and Non-Conformance Management Form immediately after any workplace accident, near-miss, or quality deviation occurs in your Dutch organization. This includes machinery malfunctions, safety protocol breaches, environmental incidents, or situations where work procedures weren't followed correctly.

The form becomes essential when reporting serious incidents to the Inspectie SZW within 24 hours, documenting ISO compliance violations, or tracking quality issues that affect product safety. It's particularly crucial in high-risk industries like construction, manufacturing, or healthcare, where detailed incident documentation helps prevent future problems and protects your organization during regulatory inspections or legal proceedings.

• Basic Health & Safety Incident Form: Records workplace accidents, injuries, and near-misses for Arbowet compliance and SZW reporting
• Quality Management Non-Conformance Form: Tracks product defects and process deviations for ISO certification requirements
• Environmental Incident Report: Documents environmental breaches and compliance issues under Dutch environmental regulations
• Combined Incident Investigation Form: Comprehensive version covering accidents, quality issues, and root cause analysis in one document
• Digital Reporting System Template: Modern electronic version enabling quick submission and automated workflow management

• Safety Officers: Lead the incident investigation process and complete initial form documentation
• Department Managers: Review incidents, approve corrective actions, and ensure implementation of preventive measures
• Quality Control Teams: Document and track non-conformances in products or processes
• HR Departments: Maintain incident records and coordinate with Inspectie SZW when required
• Works Councils: Review incident patterns and propose safety improvements under Dutch labor laws
• External Auditors: Assess incident documentation during ISO certification or compliance reviews

• Initial Details: Gather date, time, location, and names of all persons involved in the incident
• Incident Description: Document exact sequence of events, conditions, and immediate actions taken
• Evidence Collection: Take photos, preserve relevant documents, and gather witness statements
• Risk Assessment: Rate severity and probability of recurrence according to Dutch Arbowet guidelines
• Root Cause Analysis: Identify underlying factors using established investigation methods
• Corrective Actions: Define specific measures, responsibilities, and implementation timeline
• Compliance Check: Verify alignment with Dutch reporting requirements and ISO standards

• Incident Identifiers: Unique reference number, date, time, and location details as required by Arbowet
• Involved Parties: Names and roles of affected persons, witnesses, and investigating officers
• Incident Classification: Category according to Dutch SZW reporting requirements
• Risk Assessment: Severity rating and potential consequences under ISO guidelines
• Investigation Findings: Detailed description of root causes and contributing factors
• Corrective Actions: Specific measures, responsibilities, and deadlines
• Privacy Statement: GDPR-compliant declaration on personal data handling
• Authorization: Signatures of responsible manager and safety officer

The Incident and Non-Conformance Management Policy is often confused with an Incident and Non-Conformance Management Form, but they serve distinct purposes in Dutch organizations. While the Policy outlines the overall framework and procedures, the Form is the practical tool used to document specific incidents.

• Scope and Purpose: The Policy sets company-wide guidelines and procedures, while the Form captures details of individual events
• Timing of Use: The Policy is established proactively and reviewed annually, while Forms are completed reactively after specific incidents
• Legal Standing: The Policy demonstrates systematic compliance with Arbowet requirements, while Forms provide evidence of proper incident handling
• Content Focus: The Policy describes roles, responsibilities, and procedures; Forms document specific facts, actions, and outcomes
• Regulatory Context: The Policy aligns with ISO standards and Dutch law, while Forms fulfill specific reporting obligations to Inspectie SZW