reportform

Report form IKB

You report an incident on your own farm?

Yes

Your farm is IKB certified?

Yes

With effect from 1 June 2019, incidents (or suspicions) on your own farm must be reported to the IKB Reporting Centre. Your notification will allow IKB Kip to identify the scope of the incident and help limit its impact. Reporting incidents on your own farm is an addition to the existing IKB Reporting Centre.

IKB Kip participants should report incidents that concern their own farm that relate to the scope of IKB Kip, e.g. in the areas of food safety, hygiene or traceability (statutory and non-statutory regulations). IKB Kip participants should report this within 24 hours of the incident being observed.

Everyone can report incidents or suspicions of it to the IKB report centre by filling in the report form.
Not all questions in the report form are obligated. It is also possible to fill in the report form anonymously.

In order to perform (future) actions, it is necessary to report as much information as possible.
We handle your personal informatie confidential.

Data reporter

Type of farming

IKB registration number

Farm name

Street (locatie farm)

House number

Postal code (location farm)

City

E-mail

Phone number

Phone number (mobile)

At which certification body is your farm affiliated?

Kiwa Verin

IsaCert

Description notification

What does the incident/report relate to?

What do you think the cause of the incident is?

Please describe details of the incident

What do you want to report?
(please describe in details)

Which facts have you perceived?

Date of incident

Which action(s) has been taken to limit the impact of the incident?

When did you perceive the facts?

Which other people or organisations are involved in this incident?

Have you informed these people or organisations about the incident?

Yes

Which actions will still be taken to limit the impact of the incident? *

Is the IKB report centre allowed to contact you in order to get more information?

*

Yes

Other comments

Is there any other information about the report that could be of importance?

* = Invoer verplicht

Bezig met initialiseren . . .

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