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Home
Institutional
Our Dentists
Branches
Patient Guide
Contact
FAQ
Home
Institutional
Our Dentists
Branches
Patient Guide
Contact
FAQ
Appointment
Near-Miss Notification Form
1
Step 1
Filling in the Form
Surname
Soyadı
Department
Duty
Date
date_range
1. Description of the dangerous event or near-miss event you observed/experienced :
0
/
2.What do you think could have happened at the end of this ?
0
/
3.What do you think is the reason why nothing more serious has happened ?
0
/
4. What do you think can be done to prevent this incident from happening again and to prevent anyone else from being injured? ?
0
/
reCaptcha v3
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