Emergency Form
Phone
Karel Waska
+420 734 157 217
name
e-mail
mobile phone
Type of Accident
Industrial / production - related
Transportation accident - related
Fire / explosion - related
Natural disaster - related
Other
Place of Accident:
Contaminating substance:
Corrosives (acids, lyes, ...)
Flammables (petroleum hydrocarbons, ...)
Explosives (volatile compounds, ...)
Toxics (heavy metals, ...)
Carcinogens (chlorinated solvents, ...)
Unknown.
Extent of Accident
Objects at risk:
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HEAD OFFICE
+420 572 503 019
V Pastouškách 205
68604 Kunovice
Czech Republic
