Notice of Occupational Accident/Disease

Instructions on completing the notice of occupational accident

The employer must notify the insurance institution of occupational accidents without delay and no later than within 10 working days from the date when the employer or their representative became aware of the accident. Send this notice to the insurance institution which underwrote the employer’s insurance policy under the Workers’ Compensation Act at the time of the accident. If the employer does not have a statutory insurance, send the notice to the Workers’ Compensation Center.

During the course of work
In the location of the working area, not during the course of work.
During travel between home and the workplace
During a meal or recreational break outside the location of the working area
Other special circumstances
During work-related training
Describe how the accident happened and send the programme for the work-related training to Alandia Insurance.
Accidents in special circumstances
Describe how the accident happened and send the programme for the work-related training to Alandia Insurance.
During occupational health care appointment
During return journey from home or the location of the working area to an event or activity mentioned above
Accidents during return journeys from home or the location of the working area to an event or activity mentioned above shall be specified in the notification.
Description of the accident
Describe how the accident happened

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e fingers, knee) or by using the relevant codes in the appropriate field.

Head
11 Head (Caput), brain and cranial nerves and vessels
12 Facial area
13 Eye(s)
14 Ear(s)
15 Teeth
18 Head, multiple sites affected
19 Head, other parts not mentioned above
Neck
21 Neck, inclusive spine and vertebra in the neck
29 Neck, other parts not mentioned above
Back
31 Back, including spine and vertebra in the back
39 Back, other parts not mentioned above
Torso and organs
41 Rib cage, ribs including joints and shoulder blades
42 Chest area including organs
43 Pelvic and abdominal area including organs
48 Torso, multiple sites affected
49 Torso, other parts not mentioned above
Upper extremities
51 Shoulder and shoulder joints
52 Arm, including elbow
53 Hand
54 Finger(s)
55 Wrist
58 Upper extremities, multiple sites affected
59 Upper extremities, other parts not mentioned above
Lower extremities
61 Hip and hip joint
62 Leg, including knee
63 Ankle
64 Foot
65 Toe(s)
68 Lower extremities, multiple sites affected
69 Lower Extremities, other parts not mentioned above
Whole body and
multiple sites of the body

71 Whole body (Systemic effects)
78 Flera skadade kroppsdelar
Multiple sites of the body affected 99 Other Parts of body injured, not mentioned above
00 No information

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e fingers, knee) or by using the relevant codes in the appropriate field.

Head
11 Head (Caput), brain and cranial nerves and vessels
12 Facial area
13 Eye(s)
14 Ear(s)
15 Teeth
18 Head, multiple sites affected
19 Head, other parts not mentioned above
Neck
21 Neck, inclusive spine and vertebra in the neck
29 Neck, other parts not mentioned above
Back
31 Back, including spine and vertebra in the back
39 Back, other parts not mentioned above
Torso and organs
41 Rib cage, ribs including joints and shoulder blades
42 Chest area including organs
43 Pelvic and abdominal area including organs
48 Torso, multiple sites affected
49 Torso, other parts not mentioned above
Upper extremities
51 Shoulder and shoulder joints
52 Arm, including elbow
53 Hand
54 Finger(s)
55 Wrist
58 Upper extremities, multiple sites affected
59 Upper extremities, other parts not mentioned above
Lower extremities
61 Hip and hip joint
62 Leg, including knee
63 Ankle
64 Foot
65 Toe(s)
68 Lower extremities, multiple sites affected
69 Lower Extremities, other parts not mentioned above
Whole body and
multiple sites of the body

71 Whole body (Systemic effects)
78 Flera skadade kroppsdelar
Multiple sites of the body affected 99 Other Parts of body injured, not mentioned above
00 No information

Material Agent: the tool, object, or instrument being used by the victim when the accident happened, just before the accident. If there are several material agents associated with the specific physical activity, the material agent most closely linked to the accident or injury must be recorded.

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e fingers, knee) or by using the relevant codes in the appropriate field.

Head
11 Head (Caput), brain and cranial nerves and vessels
12 Facial area
13 Eye(s)
14 Ear(s)
15 Teeth
18 Head, multiple sites affected
19 Head, other parts not mentioned above
Neck
21 Neck, inclusive spine and vertebra in the neck
29 Neck, other parts not mentioned above
Back
31 Back, including spine and vertebra in the back
39 Back, other parts not mentioned above
Torso and organs
41 Rib cage, ribs including joints and shoulder blades
42 Chest area including organs
43 Pelvic and abdominal area including organs
48 Torso, multiple sites affected
49 Torso, other parts not mentioned above
Upper extremities
51 Shoulder and shoulder joints
52 Arm, including elbow
53 Hand
54 Finger(s)
55 Wrist
58 Upper extremities, multiple sites affected
59 Upper extremities, other parts not mentioned above
Lower extremities
61 Hip and hip joint
62 Leg, including knee
63 Ankle
64 Foot
65 Toe(s)
68 Lower extremities, multiple sites affected
69 Lower Extremities, other parts not mentioned above
Whole body and
multiple sites of the body

71 Whole body (Systemic effects)
78 Flera skadade kroppsdelar
Multiple sites of the body affected 99 Other Parts of body injured, not mentioned above
00 No information

Material Agent: the tool, object, or instrument being used by the victim when the accident happened, just before the accident. If there are several material agents associated with the specific physical activity, the material agent most closely linked to the accident or injury must be recorded.

Describe the chain of events that led to the accident. Be as specific as you can. Please give detailed answers to the questions (what kind of work the injured person performed, how the situation developed and how the accident occured). Please describe all deviations. These refer to events that differed from the norm and led to the accident (e.g. electrical fault, loss of control of a handheld grinder, slip). If the accident occurred in the course of travel, describe the destination, the route and the means of transport. Information that you enter here is required for the compensation decision and for compiling accident statistics. Example: “The injured person was performing a fitting task and used his hands to position a pipe. The pipe slipped from his hands and the end of the pipe scratched his right thigh. He fell down from the impact of the pipe and hurt his left knee.”

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e fingers, knee) or by using the relevant codes in the appropriate field.

Head
11 Head (Caput), brain and cranial nerves and vessels
12 Facial area
13 Eye(s)
14 Ear(s)
15 Teeth
18 Head, multiple sites affected
19 Head, other parts not mentioned above
Neck
21 Neck, inclusive spine and vertebra in the neck
29 Neck, other parts not mentioned above
Back
31 Back, including spine and vertebra in the back
39 Back, other parts not mentioned above
Torso and organs
41 Rib cage, ribs including joints and shoulder blades
42 Chest area including organs
43 Pelvic and abdominal area including organs
48 Torso, multiple sites affected
49 Torso, other parts not mentioned above
Upper extremities
51 Shoulder and shoulder joints
52 Arm, including elbow
53 Hand
54 Finger(s)
55 Wrist
58 Upper extremities, multiple sites affected
59 Upper extremities, other parts not mentioned above
Lower extremities
61 Hip and hip joint
62 Leg, including knee
63 Ankle
64 Foot
65 Toe(s)
68 Lower extremities, multiple sites affected
69 Lower Extremities, other parts not mentioned above
Whole body and
multiple sites of the body

71 Whole body (Systemic effects)
78 Flera skadade kroppsdelar
Multiple sites of the body affected 99 Other Parts of body injured, not mentioned above
00 No information

Material Agent: the tool, object, or instrument being used by the victim when the accident happened, just before the accident. If there are several material agents associated with the specific physical activity, the material agent most closely linked to the accident or injury must be recorded.

Describe the chain of events that led to the accident. Be as specific as you can. Please give detailed answers to the questions (what kind of work the injured person performed, how the situation developed and how the accident occured). Please describe all deviations. These refer to events that differed from the norm and led to the accident (e.g. electrical fault, loss of control of a handheld grinder, slip). If the accident occurred in the course of travel, describe the destination, the route and the means of transport. Information that you enter here is required for the compensation decision and for compiling accident statistics. Example: “The injured person was performing a fitting task and used his hands to position a pipe. The pipe slipped from his hands and the end of the pipe scratched his right thigh. He fell down from the impact of the pipe and hurt his left knee.”

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e cut, sprain) or by using the relevant codes in the appropriate field.

010 Wounds and superficial injuries
020 Bone fractures
030 Dislocations, sprains and strains
040 Traumatic amputations (Loss of body parts)
050 Concussion and internal injuries
060 Burns, scalds and frostbites
070 Poisonings and infections
080 Drowning and asphyxiation
090 Effects of sound, vibration and pressure
100 Effects of temperature extremes, light and radiation
110 Shock
120 Multiple injuries
999 Other specified injuries not included under other headings
000 No information

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e fingers, knee) or by using the relevant codes in the appropriate field.

Head
11 Head (Caput), brain and cranial nerves and vessels
12 Facial area
13 Eye(s)
14 Ear(s)
15 Teeth
18 Head, multiple sites affected
19 Head, other parts not mentioned above
Neck
21 Neck, inclusive spine and vertebra in the neck
29 Neck, other parts not mentioned above
Back
31 Back, including spine and vertebra in the back
39 Back, other parts not mentioned above
Torso and organs
41 Rib cage, ribs including joints and shoulder blades
42 Chest area including organs
43 Pelvic and abdominal area including organs
48 Torso, multiple sites affected
49 Torso, other parts not mentioned above
Upper extremities
51 Shoulder and shoulder joints
52 Arm, including elbow
53 Hand
54 Finger(s)
55 Wrist
58 Upper extremities, multiple sites affected
59 Upper extremities, other parts not mentioned above
Lower extremities
61 Hip and hip joint
62 Leg, including knee
63 Ankle
64 Foot
65 Toe(s)
68 Lower extremities, multiple sites affected
69 Lower Extremities, other parts not mentioned above
Whole body and
multiple sites of the body

71 Whole body (Systemic effects)
78 Flera skadade kroppsdelar
Multiple sites of the body affected 99 Other Parts of body injured, not mentioned above
00 No information

Material Agent: the tool, object, or instrument being used by the victim when the accident happened, just before the accident. If there are several material agents associated with the specific physical activity, the material agent most closely linked to the accident or injury must be recorded.

Describe the chain of events that led to the accident. Be as specific as you can. Please give detailed answers to the questions (what kind of work the injured person performed, how the situation developed and how the accident occured). Please describe all deviations. These refer to events that differed from the norm and led to the accident (e.g. electrical fault, loss of control of a handheld grinder, slip). If the accident occurred in the course of travel, describe the destination, the route and the means of transport. Information that you enter here is required for the compensation decision and for compiling accident statistics. Example: “The injured person was performing a fitting task and used his hands to position a pipe. The pipe slipped from his hands and the end of the pipe scratched his right thigh. He fell down from the impact of the pipe and hurt his left knee.”

These data are collected for the purpose of compiling statistics. You can enter the information as an open response ( i e cut, sprain) or by using the relevant codes in the appropriate field.

010 Wounds and superficial injuries
020 Bone fractures
030 Dislocations, sprains and strains
040 Traumatic amputations (Loss of body parts)
050 Concussion and internal injuries
060 Burns, scalds and frostbites
070 Poisonings and infections
080 Drowning and asphyxiation
090 Effects of sound, vibration and pressure
100 Effects of temperature extremes, light and radiation
110 Shock
120 Multiple injuries
999 Other specified injuries not included under other headings
000 No information

If the accident took place at work or in the working area, please enter the occupational accident codes. The data is collected for the prevention of accidents according to the ESAW –method (European Statistics on Accidents at Work)

Please fill in the form below

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The text of the Submit button turns green when all required fields are completed and valid. While red, you can click the button to highlight any fields that require entry.

If you have questions, please contact us by phone +358-18-29000 or e-mail olycksfall@alandia.com

Does the notification concern an self-employed person or employee?
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What kind of injury does the notification concern?
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What kind of injury does the notification concern?
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Information in case of death
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Contact details of the person who can provide further information on exposure(e.g. supervisor)
Place and date
Signature
Signature
Contact details of the person who can provide further information on the accident (e.g. supervisor)
Name
Telephone
E-mail
Place
Date
I hereby certify that the information is correct
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I am
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Professional role
Name
*
I hereby certify that the information is correct
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Signature
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