{"id":12513,"date":"2016-07-10T17:21:47","date_gmt":"2016-07-10T17:21:47","guid":{"rendered":"https:\/\/www.basquemtb.com\/?page_id=12513"},"modified":"2021-01-09T10:45:58","modified_gmt":"2021-01-09T10:45:58","slug":"accident-reporting-form","status":"publish","type":"page","link":"https:\/\/www.basquemtb.com\/de\/unfallmeldeformular\/","title":{"rendered":"Unfallmeldeformular"},"content":{"rendered":"<div style=\"padding-left:5%;padding-right:1%\" class=\"wp-block-genesis-blocks-gb-container text-fullscreen gb-block-container\"><div class=\"gb-container-inside\"><div class=\"gb-container-content\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Unfallbericht<\/h3>\n                            <p class='gform_description'>ein Formular f\u00fcr die Meldung von Unf\u00e4llen<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/de\/wp-json\/wp\/v2\/pages\/12513' data-formid='5' novalidate data-trp-original-action=\"\/de\/wp-json\/wp\/v2\/pages\/12513\">\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_5_17\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>LinkedIn<\/label><div class='gfield_description' id='gfield_description_5_17'>Dieses Feld dient zur Validierung und sollte nicht ver\u00e4ndert werden.<\/div><div class='ginput_container'><input name='input_17' id='input_5_17' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_5_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Name des Kunden<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_1'>Vollst\u00e4ndiger Name des Kunden<\/div><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_1\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_2'>Datum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_5_2' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_2_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_2_date_format' class='screen-reader-text'>TT Schr\u00e4gstrich MM Schr\u00e4gstrich JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_2' class='gform_hidden' value='https:\/\/www.basquemtb.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_3\" class=\"gfield gfield--type-time field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Zeit<\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_5_3'>\n                            <input type='number' name='input_3[]' id='input_5_3_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_5_3_1'>Stunden<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_3[]' id='input_5_3_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_5_3_2'>Minuten<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_3[]' id='input_5_3_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_5_3_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Allgemeines Wetter<\/label><div class='gfield_description' id='gfield_description_5_5'>Alle zutreffenden Punkte ankreuzen<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_5'>\n\t\t\t<li class='gchoice gchoice_5_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Good weather'  id='choice_5_5_0'    \/>\n\t\t\t\t<label for='choice_5_5_0' id='label_5_5_0' class='gform-field-label gform-field-label--type-inline'>Gutes Wetter<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Wet'  id='choice_5_5_1'    \/>\n\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1' class='gform-field-label gform-field-label--type-inline'>Nass<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='Cold'  id='choice_5_5_2'    \/>\n\t\t\t\t<label for='choice_5_5_2' id='label_5_5_2' class='gform-field-label gform-field-label--type-inline'>Kalt<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='Windy'  id='choice_5_5_3'    \/>\n\t\t\t\t<label for='choice_5_5_3' id='label_5_5_3' class='gform-field-label gform-field-label--type-inline'>Windig<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Poor visibility'  id='choice_5_5_4'    \/>\n\t\t\t\t<label for='choice_5_5_4' id='label_5_5_4' class='gform-field-label gform-field-label--type-inline'>Schlechte Sichtbarkeit<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Standort<\/label><div class='gfield_description' id='gfield_description_5_4'>Wo sich der Unfall ereignet hat. Geben Sie so viele Details wie m\u00f6glich an, und wenn m\u00f6glich, eine Gitterreferenz, Breite\/L\u00e4nge. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_5_4' class='textarea medium'  aria-describedby=\"gfield_description_5_4\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Beschreibung der Symptome<\/label><div class='gfield_description' id='gfield_description_5_6'>Was wurde verletzt. Diagnose der ersten Ebene.\n\nZ.B. Schlag auf den Kopf, keine Gehirnersch\u00fctterung. Oder Arm gebrochen. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_5_6' class='textarea medium'  aria-describedby=\"gfield_description_5_6\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'>Menschen am Tatort \/ Details<\/label><div class='gfield_description' id='gfield_description_5_7'>Wer war dabei und wer war beteiligt. Hat sonst noch jemand Erste Hilfe geleistet oder Unterst\u00fctzung angeboten? <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_7' id='input_5_7' class='textarea medium'  aria-describedby=\"gfield_description_5_7\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Verwendete Ausr\u00fcstung<\/label><div class='gfield_description' id='gfield_description_5_8'>Angaben zu der von Ihnen verwendeten Ausr\u00fcstung. Foliendecken, Erste-Hilfe-Material usw. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_5_8' class='textarea medium'  aria-describedby=\"gfield_description_5_8\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Krankenhaus erforderlich<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_10'>\n\t\t\t<li class='gchoice gchoice_5_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Hospital Required'  id='choice_5_10_0'    \/>\n\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>Krankenhaus erforderlich<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Hospital advised but patient refused'  id='choice_5_10_1'    \/>\n\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Krankenhaus empfohlen, aber Patient verweigert<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='Hospital not needed'  id='choice_5_10_2'    \/>\n\t\t\t\t<label for='choice_5_10_2' id='label_5_10_2' class='gform-field-label gform-field-label--type-inline'>Krankenhaus nicht erforderlich<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Ergriffene Ma\u00dfnahmen<\/label><div class='gfield_description' id='gfield_description_5_9'>Was haben Sie getan? Hilfe mit dem Lieferwagen, Krankenwagen, etc. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_5_9' class='textarea medium'  aria-describedby=\"gfield_description_5_9\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_11'>Ereignisse im Vorfeld des Unfalls<\/label><div class='gfield_description' id='gfield_description_5_11'>Wird nachher ausgef\u00fcllt. So viele Details wie m\u00f6glich \u00fcber die Ereignisse im Vorfeld des Unfalls. Anzahl der Tage, an denen Sie Rad gefahren sind, haben Sie irgendwelche \u00dcbungen gemacht, haben Sie der Gruppe Ratschl\u00e4ge gegeben, gab es vorher kleinere Unf\u00e4lle usw. usw. So viele Details wie m\u00f6glich. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_5_11' class='textarea medium'  aria-describedby=\"gfield_description_5_11\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_12'>Welches Krankenhaus besuchten Sie bei Ihrer Ankunft?<\/label><div class='gfield_description' id='gfield_description_5_12'>Wenn Sie im Krankenhaus waren, sagen Sie uns, in welchem und wann Sie angekommen sind. <\/div><div class='ginput_container ginput_container_text'><input name='input_12' id='input_5_12' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_12\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>Weiterf\u00fchrende Informationen<\/label><div class='gfield_description' id='gfield_description_5_15'>Verwenden Sie dieses Feld f\u00fcr alle Informationen, die nach der Ankunft im Krankenhaus erfolgen. Dies ist nur f\u00fcr unser Lernen.\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_5_15' class='textarea large'  aria-describedby=\"gfield_description_5_15\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Lerninhalte<\/label><div class='gfield_description' id='gfield_description_5_16'>Wenn der Unfall so schwerwiegend ist, dass ein weiteres Treffen mit den Fremdenf\u00fchrern erforderlich ist, notieren Sie hier die Einzelheiten.\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_5_16' class='textarea large'  aria-describedby=\"gfield_description_5_16\"    aria-invalid=\"false\"   rows='10' 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