{"id":11582,"date":"2015-06-29T20:32:32","date_gmt":"2015-06-29T20:32:32","guid":{"rendered":"http:\/\/fhcam.net\/issaglik\/?p=11582"},"modified":"2015-06-29T20:32:32","modified_gmt":"2015-06-29T20:32:32","slug":"meslek-hastaligi-bildirimi-ile-ilgili-mevzuat","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/meslek-hastaligi-bildirimi-ile-ilgili-mevzuat\/","title":{"rendered":"Meslek Hastal\u0131\u011f\u0131 Bildirimi ile ilgili Mevzuat"},"content":{"rendered":"

\"resmigazete\"<\/a>Meslek hastal\u0131klar\u0131 ile ilgili verileri toplamak i\u00e7in gerekli d\u00fczenlemeler 6331 say\u0131l\u0131 \u0130\u015f Sa\u011fl\u0131\u011f\u0131 Ve G\u00fcvenli\u011fi Kanunu ve Sosyal Sigortalar Mevzuat\u0131 ile belirlenmi\u015ftir.<\/p>\n

Sosyal G\u00fcvenlik Mevzuat\u0131<\/strong><\/h2>\n

5510 Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 Kanunu\/Md. 21<\/strong><\/h3>\n

\u0130\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 veya sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi mevzuat\u0131na ayk\u0131r\u0131 bir hareketi sonucu meydana gelmi\u015fse, Kurumca sigortal\u0131ya veya hak sahiplerine bu Kanun gere\u011fince yap\u0131lan veya ileride yap\u0131lmas\u0131 gereken \u00f6demeler ile ba\u011flanan gelirin ba\u015flad\u0131\u011f\u0131 tarihteki ilk pe\u015fin sermaye de\u011feri toplam\u0131, sigortal\u0131 veya hak sahiplerinin i\u015fverenden isteyebilecekleri tutarlarla s\u0131n\u0131rl\u0131 olmak \u00fczere, Kurumca i\u015fverene \u00f6dettirilir. \u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi dikkate al\u0131n\u0131r.<\/p>\n

\u0130\u015f kazas\u0131n\u0131n, 13 \u00fcnc\u00fc maddenin ikinci f\u0131kras\u0131n\u0131n (a) bendinde belirtilen s\u00fcrede i\u015fveren taraf\u0131ndan Kuruma bildirilmemesi halinde, bildirim tarihine kadar ge\u00e7en s\u00fcre i\u00e7in sigortal\u0131ya \u00f6denecek ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi, Kurumca i\u015fverenden tahsil edilir.<\/p>\n

\u00c7al\u0131\u015fma mevzuat\u0131nda sa\u011fl\u0131k raporu al\u0131nmas\u0131 gerekti\u011fi belirtilen i\u015flerde, b\u00f6yle bir rapora dayan\u0131lmaks\u0131z\u0131n veya eldeki rapora ayk\u0131r\u0131 olarak b\u00fcnyece elveri\u015fli olmad\u0131\u011f\u0131 i\u015fte \u00e7al\u0131\u015ft\u0131r\u0131lan sigortal\u0131n\u0131n, bu i\u015fe girmeden \u00f6nce var oldu\u011fu tespit edilen veya b\u00fcnyece elveri\u015fli olmad\u0131\u011f\u0131 i\u015fte \u00e7al\u0131\u015ft\u0131r\u0131lmas\u0131 sonucu meydana gelen hastal\u0131\u011f\u0131 nedeniyle, Kurumca sigortal\u0131ya \u00f6denen ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi i\u015fverene \u00f6dettirilir.<\/p>\n

\u0130\u015f kazas\u0131, meslek hastal\u0131\u011f\u0131 ve hastal\u0131k, \u00fc\u00e7\u00fcnc\u00fc bir ki\u015finin kusuru nedeniyle meydana gelmi\u015fse, sigortal\u0131ya ve hak sahiplerine yap\u0131lan veya ileride yap\u0131lmas\u0131 gereken \u00f6demeler ile ba\u011flanan gelirin ba\u015flad\u0131\u011f\u0131 tarihteki ilk pe\u015fin sermaye de\u011ferinin yar\u0131s\u0131, zarara sebep olan \u00fc\u00e7\u00fcnc\u00fc ki\u015filere ve \u015fayet kusuru varsa bunlar\u0131 \u00e7al\u0131\u015ft\u0131ranlara r\u00fcc\u00fb edilir.<\/p>\n

\u0130\u015f kazas\u0131, meslek hastal\u0131\u011f\u0131 ve hastal\u0131k; kamu g\u00f6revlileri, er ve erba\u015flar ile kamu idareleri taraf\u0131ndan g\u00f6revlendirilen di\u011fer ki\u015filerin vazifelerinin gere\u011fi olarak yapt\u0131klar\u0131 fiiller sonucu meydana gelmi\u015f ise, bu fiillerden dolay\u0131 haklar\u0131nda kesinle\u015fmi\u015f mahk\u00fbmiyet karar\u0131 bulunanlar hari\u00e7 olmak \u00fczere, sigortal\u0131 veya hak sahiplerine yap\u0131lan \u00f6demeler veya ba\u011flanan gelirler i\u00e7in kurumuna veya ilgililere r\u00fcc\u00fb edilmez. Ayr\u0131ca, i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 sonucu \u00f6l\u00fcmlerde, bu Kanun uyar\u0131nca hak sahiplerine ba\u011flanacak gelir ve verilecek \u00f6denekler i\u00e7in, i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131n\u0131n meydana gelmesinde kusuru bulunan hak sahiplerine veya i\u015f kazas\u0131 sonucu \u00f6len kusurlu sigortal\u0131n\u0131n hak sahiplerine, Kurumca r\u00fcc\u00fb edilmez.<\/p>\n

5510 Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 Kanunu\/Md. 76<\/strong><\/h3>\n

\u0130\u015fveren, i\u015f kazas\u0131na u\u011frayan veya meslek hastal\u0131\u011f\u0131na tutulan genel sa\u011fl\u0131k sigortal\u0131s\u0131na sa\u011fl\u0131k durumunun gerektirdi\u011fi sa\u011fl\u0131k hizmetlerini derhal sa\u011flamakla y\u00fck\u00fcml\u00fcd\u00fcr. Bu ama\u00e7la i\u015fveren taraf\u0131ndan yap\u0131lan ve belgelere dayanan sa\u011fl\u0131k hizmeti giderleri ve 65 inci madde h\u00fck\u00fcmlerine g\u00f6re yap\u0131lacak masraflar Kurum taraf\u0131ndan kar\u015f\u0131lan\u0131r.<\/p>\n

Birinci f\u0131krada belirtilen y\u00fck\u00fcml\u00fcl\u00fcklerin yerine getirilmesindeki ihmalinden veya gecikmesinden dolay\u0131, genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131n tedavi s\u00fcresinin uzamas\u0131na veya mal\u00fbl kalmas\u0131na veya malull\u00fck derecesinin artmas\u0131na sebep olan i\u015fveren, Kurumun bu nedenle yapt\u0131\u011f\u0131 her t\u00fcrl\u00fc sa\u011fl\u0131k hizmeti giderini \u00f6demekle y\u00fck\u00fcml\u00fcd\u00fcr.<\/p>\n

(De\u011fi\u015fik \u00fc\u00e7\u00fcnc\u00fc f\u0131kra: 17\/4\/2008-5754\/46 md.) <\/strong>\u0130lgili kanunlar\u0131 gere\u011fince sa\u011fl\u0131k raporu al\u0131nmas\u0131 gerekti\u011fi halde sa\u011fl\u0131k raporuna dayanmaks\u0131z\u0131n veya al\u0131nan raporlarda s\u00f6z konusu i\u015fte \u00e7al\u0131\u015fmas\u0131 t\u0131bb\u00ee y\u00f6nden elveri\u015fli olmad\u0131\u011f\u0131 belirtildi\u011fi halde genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131 \u00e7al\u0131\u015ft\u0131ran i\u015fverenlere, bu nedenle Kurumca yap\u0131lan sa\u011fl\u0131k hizmeti giderleri tazmin ettirilir. Sa\u011fl\u0131k kurulu raporu ile belli bir i\u015fte \u00e7al\u0131\u015famayaca\u011f\u0131 belgelenen 4 \u00fcnc\u00fc maddenin birinci f\u0131kras\u0131n\u0131n (a) bendi kapsam\u0131ndaki ki\u015filer bu i\u015fte \u00e7al\u0131\u015ft\u0131r\u0131lamaz. Bu ki\u015fileri \u00a0\u00e7al\u0131\u015ft\u0131ran i\u015fverenler, genel sa\u011fl\u0131k \u00a0sigortal\u0131s\u0131n\u0131n ayn\u0131 hastal\u0131k sebebiyle Kurumca yap\u0131lan masraflar\u0131n\u0131 \u00f6demekle y\u00fck\u00fcml\u00fcd\u00fcr. Tedavinin sona erdi\u011fine ve \u00e7al\u0131\u015f\u0131labilir durumda oldu\u011funa dair Kurumca yetkilendirilen hekim veya sa\u011fl\u0131k kurullar\u0131ndan belge almaks\u0131z\u0131n ba\u015fka i\u015fte \u00e7al\u0131\u015fan genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131n ayn\u0131 hastal\u0131\u011f\u0131 sebebiyle yap\u0131lan tedavi masraflar\u0131 ise kendisinden al\u0131n\u0131r.<\/p>\n

\u0130\u015f kazas\u0131 ile meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 veya genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131n i\u015f sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi ile ilgili mevzuat h\u00fck\u00fcmlerine ayk\u0131r\u0131 hareketi sonucu olmu\u015fsa, Kurumca yap\u0131lan sa\u011fl\u0131k hizmeti giderleri i\u015fverene tazmin ettirilir. \u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi dikkate al\u0131n\u0131r. (1)<\/sup><\/p>\n

\u00a0(M\u00fclga be\u015finci f\u0131kra: 17\/4\/2008-5754\/46 md.)<\/strong><\/p>\n

\u00a0(De\u011fi\u015fik alt\u0131nc\u0131 f\u0131kra: 17\/4\/2008-5754\/46 md.) <\/strong>Genel sa\u011fl\u0131k sigortal\u0131s\u0131na ve bunlar\u0131n bakmakla y\u00fck\u00fcml\u00fc oldu\u011fu ki\u015filere kast\u0131 veya su\u00e7 say\u0131l\u0131r bir hareketi veya ilgili kanunlarla verilmi\u015f bir g\u00f6revi yapmamas\u0131 ya da ihmali nedeniyle Kurumun sa\u011fl\u0131k hizmeti sa\u011flamas\u0131na veya bu ki\u015filerin tedavi s\u00fcresinin uzamas\u0131na sebep oldu\u011fu mahkeme karar\u0131yla tespit edilen \u00fc\u00e7\u00fcnc\u00fc ki\u015filere, Kurumun yapt\u0131\u011f\u0131 sa\u011fl\u0131k hizmeti giderleri tazmin ettirilir.<\/p>\n

Sosyal Sigorta \u0130\u015flemleri Y\u00f6netmeli\u011fi\/Md. 45<\/strong><\/h3>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 sonucunda meydana gelmi\u015fse i\u015fveren Kuruma kar\u015f\u0131 sorumlu h\u00e2le gelir.<\/p>\n

Kas\u0131t; i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131na, i\u015fverenin bilerek ve isteyerek, hukuka\u00a0ayk\u0131r\u0131 eylemiyle neden olmas\u0131 h\u00e2lidir. \u0130\u015fverenin eylemi hukuka ayk\u0131r\u0131 olmamakla birlikte, yapt\u0131\u011f\u0131 hareketin hukuka ayk\u0131r\u0131 sonu\u00e7 do\u011furabilece\u011fini bilmesi, ihmali veya a\u011f\u0131r ihmali sorumlulu\u011funu kald\u0131rmaz.<\/p>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 i\u015fverenin, sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi\u00a0ile ilgili mevzuat h\u00fck\u00fcmlerine ayk\u0131r\u0131 hareketi sonucunda olu\u015fmu\u015fsa i\u015fvereni Kuruma kar\u015f\u0131\u00a0sorumlu h\u00e2le getirir.<\/p>\n

Mevzuat; yasal olarak y\u00fcr\u00fcrl\u00fc\u011fe konulmu\u015f ve y\u00fcr\u00fcrl\u00fc\u011f\u00fcn\u00fc muhafaza eden, sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi alan\u0131nda, yasa koyucu ile yasa koyucunun y\u00fcr\u00fctme veya idareye verdi\u011fi yetki sonucu, bu organlarca kabul edilen genel, objektif kural veya h\u00fck\u00fcmlerin t\u00fcm\u00fcd\u00fcr.<\/p>\n

\u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi dikkate al\u0131n\u0131r.<\/p>\n

Ka\u00e7\u0131n\u0131lmazl\u0131k; olay\u0131n meydana geldi\u011fi tarihte ge\u00e7erli bilimsel ve teknik kurallar gere\u011fince al\u0131nacak t\u00fcm \u00f6nlemlere ra\u011fmen, i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131n\u0131n meydana gelmesi durumudur. \u0130\u015fveren al\u0131nmas\u0131 gerekli herhangi bir \u00f6nlemi almam\u0131\u015f ise olay\u0131n ka\u00e7\u0131n\u0131lmazl\u0131\u011f\u0131ndan s\u00f6z edilemez.<\/p>\n

Genel Sa\u011fl\u0131k Sigortas\u0131 Uygulamalar\u0131 Y\u00f6netmeli\u011fi\/Md.38<\/strong><\/p>\n

\u0130\u015fveren, i\u015f kazas\u0131na u\u011frayan veya meslek hastal\u0131\u011f\u0131na tutulan genel sa\u011fl\u0131k sigortal\u0131s\u0131na, sa\u011fl\u0131k durumunun gerektirdi\u011fi sa\u011fl\u0131k hizmetlerini derhal sa\u011flamakla y\u00fck\u00fcml\u00fcd\u00fcr. Bu ama\u00e7la i\u015fveren taraf\u0131ndan yap\u0131lan ve belgelere dayanan sa\u011fl\u0131k hizmeti giderleri ve yol gideri,<\/p>\n

g\u00fcndelik ve refakat\u00e7i giderleri, Sa\u011fl\u0131k Hizmetleri Fiyatland\u0131rma Komisyonu taraf\u0131ndan belirlenen tutar\u0131 ge\u00e7memek \u00fczere SGK taraf\u0131ndan kar\u015f\u0131lan\u0131r.<\/p>\n

Belirtilen y\u00fck\u00fcml\u00fcl\u00fcklerin yerine getirilmesindeki ihmalinden veya gecikmesinden dolay\u0131, genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131n tedavi s\u00fcresinin uzamas\u0131na veya malul kalmas\u0131na veya malull\u00fck derecesinin artmas\u0131na sebep olan i\u015fveren SGK\u2019n\u0131n bu nedenle yapt\u0131\u011f\u0131 her t\u00fcrl\u00fc sa\u011fl\u0131k hizmeti giderini \u00f6demekle y\u00fck\u00fcml\u00fcd\u00fcr.<\/p>\n

\u0130\u015f kazas\u0131 ile meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 veya sigortal\u0131n\u0131n i\u015f sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi ile ilgili mevzuat h\u00fck\u00fcmlerine ayk\u0131r\u0131 hareketi sonucu olmu\u015fsa, SGK taraf\u0131ndan yap\u0131lan veya yap\u0131lacak i\u015f kazas\u0131na y\u00f6nelik sa\u011fl\u0131k hizmetine ili\u015fkin giderler ile yol gideri, g\u00fcndelik ve refakat\u00e7i giderleri i\u015fverene tazmin ettirilir.<\/p>\n

\u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi dikkate al\u0131n\u0131r. \u0130\u015fverenin bu maddenin uygulanmas\u0131na ili\u015fkin sorumluluklar\u0131, yurt d\u0131\u015f\u0131nda ge\u00e7ici ya da s\u00fcrekli g\u00f6revlendirme h\u00e2linde de devam eder.<\/p>\n

Genel Sa\u011fl\u0131k Sigortas\u0131 Uygulamalar\u0131\u00a0<\/strong>Y\u00f6netmeli\u011fi\/Md. 39<\/strong><\/h3>\n

\u0130lgili kanunlar\u0131 gere\u011fince \u00e7al\u0131\u015faca\u011f\u0131 i\u015f i\u00e7in sa\u011fl\u0131k raporu al\u0131nmas\u0131 gerekti\u011fi h\u00e2lde, sa\u011fl\u0131k raporuna dayanmaks\u0131z\u0131n veya al\u0131nan raporlarda \u00e7al\u0131\u015ft\u0131\u011f\u0131 i\u015fte t\u0131bb\u00ee y\u00f6nden \u00e7al\u0131\u015fmas\u0131n\u0131n elveri\u015fli olmad\u0131\u011f\u0131 belirtildi\u011fi h\u00e2lde, genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131 \u00e7al\u0131\u015ft\u0131ran i\u015fverenlere, bu nedenlerle SGK taraf\u0131ndan yap\u0131lan sa\u011fl\u0131k hizmetine ili\u015fkin giderler ile yol gideri, g\u00fcndelik ve\u00a0refakat\u00e7i giderleri tazmin ettirilir.<\/p>\n

5510 say\u0131l\u0131 Kanunun 4\u2019\u00fcnc\u00fc maddesinin birinci f\u0131kras\u0131n\u0131n a ve c bentleri kapsam\u0131ndaki ki\u015filer, hekim veya di\u015f hekimi sa\u011fl\u0131k raporu ile \u00e7al\u0131\u015famayaca\u011f\u0131 belgelenen i\u015flerde \u00e7al\u0131\u015ft\u0131r\u0131lamaz. Bu ki\u015fileri \u00e7al\u0131\u015ft\u0131ran i\u015fverenler, genel sa\u011fl\u0131k sigortal\u0131s\u0131n\u0131n ayn\u0131 hastal\u0131\u011f\u0131 ile illiyet ba\u011f\u0131 kurulan<\/p>\n

hastal\u0131klar\u0131 sebebiyle SGK taraf\u0131ndan yap\u0131lan masraflar\u0131n\u0131 \u00f6demekle y\u00fck\u00fcml\u00fcd\u00fcr. Bu ki\u015filer, bir ba\u015fka i\u015fverene ait i\u015fyerinde \u00e7al\u0131\u015fm\u0131\u015f ise bu durumu bilerek \u00e7al\u0131\u015ft\u0131ran i\u015fveren ile genel sa\u011fl\u0131k sigortal\u0131s\u0131, do\u011facak masraflardan SGK\u2019ya kar\u015f\u0131 m\u00fc\u015ftereken ve m\u00fcteselsilen sorumludur.<\/p>\n

\u0130\u015f Kazas\u0131 ve Meslek Hastal\u0131\u011f\u0131 Sigortas\u0131 Bak\u0131m\u0131ndan \u0130\u015fverenin, \u00dc\u00e7\u00fcnc\u00fc Ki\u015filerin ve Sigortal\u0131lar\u0131n Sorumlulu\u011fu ile Pe\u015fin Sermaye De\u011ferlerinin Hesaplanmas\u0131yla \u0130lgili \u0130\u015flemler Hakk\u0131nda Tebli\u011f\/Md. 5<\/strong><\/p>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131n\u0131n, i\u015fverenin kast\u0131 veya sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi mevzuat\u0131na ayk\u0131r\u0131 bir hareketi sonucu meydana gelmesi durumunda, i\u015fveren SGK\u2019ya kar\u015f\u0131 sorumlu hale gelir.<\/p>\n

Kas\u0131t; i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131na i\u015fverenin bilerek ve isteyerek, hukuka ayk\u0131r\u0131 eylemiyle neden olmas\u0131 halidir. Zarara neden olan eylemin bilin\u00e7li olarak yap\u0131lmas\u0131 kas\u0131t i\u00e7in yeterli olup, sonu\u00e7lar\u0131n\u0131n istenip istenmemesi kast\u0131 ortadan kald\u0131rmaz.<\/p>\n

\u0130\u015fverenin eylemi hukuka ayk\u0131r\u0131 olmamakla birlikte, yapt\u0131\u011f\u0131 hareketin hukuka ayk\u0131r\u0131 sonu\u00e7 do\u011furabilece\u011fini bilmesi, ihmali veya a\u011f\u0131r ihmali SGK\u2019ya kar\u015f\u0131 sorumlulu\u011funu kald\u0131rmaz.<\/p>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 veya sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi mevzuat\u0131na ayk\u0131r\u0131 bir hareketi sonucu meydana gelmi\u015fse, SGK taraf\u0131ndan sigortal\u0131ya veya hak sahiplerine 5510 say\u0131l\u0131 Kanun gere\u011fince yap\u0131lan veya ileride yap\u0131lmas\u0131 gereken \u00f6demeler ile ba\u011flanan gelirin ba\u015flad\u0131\u011f\u0131 tarihteki ilk pe\u015fin sermaye de\u011feri toplam\u0131, sigortal\u0131 veya hak sahiplerinin i\u015fverenden isteyebilecekleri tutarlarla s\u0131n\u0131rl\u0131 olmak \u00fczere, SGK taraf\u0131ndan i\u015fverene \u00f6dettirilir.<\/p>\n

\u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi dikkate al\u0131n\u0131r. Ka\u00e7\u0131n\u0131lmazl\u0131k; olay\u0131n meydana geldi\u011fi tarihte ge\u00e7erli bilimsel ve teknik kurallar gere\u011fince al\u0131nacak t\u00fcm \u00f6nlemlere ra\u011fmen i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131n\u0131n meydana gelmesi durumudur. \u0130\u015fveren al\u0131nmas\u0131 gerekli bir \u00f6nlemi almam\u0131\u015f ise olay\u0131n ka\u00e7\u0131n\u0131lmazl\u0131\u011f\u0131ndan s\u00f6z edilemez.<\/p>\n

\u0130\u015f kazas\u0131n\u0131n, 5510 say\u0131l\u0131 Kanunun 13\u2019\u00fcnc\u00fc maddesinin ikinci f\u0131kras\u0131n\u0131n a bendinde belirtilen s\u00fcrede i\u015fveren taraf\u0131ndan Kuruma bildirilmemesi halinde, bildirim tarihine kadar ge\u00e7en s\u00fcre i\u00e7in sigortal\u0131ya \u00f6denecek ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi, Kurumca i\u015fverenden tahsil edilir.<\/p>\n

Meslek hastal\u0131\u011f\u0131n\u0131n, 5510 say\u0131l\u0131 Kanunun 14\u2019\u00fcnc\u00fc maddesinde belirtilen s\u00fcrede i\u015fveren veya Kanunun 4\u2019\u00fcnc\u00fc maddesinin birinci f\u0131kras\u0131n\u0131n b bendi kapsam\u0131ndaki sigortal\u0131lar\u0131n \u00a0kendilerince Kuruma bildirilmemesi halinde, bildirim tarihine kadar ge\u00e7en s\u00fcre i\u00e7in SGK taraf\u0131ndan bu durum i\u00e7in yap\u0131lm\u0131\u015f masraflar ile \u00f6denmi\u015fse ge\u00e7ici i\u015f g\u00f6remezlik \u00f6denekleri kendilerine r\u00fccu edilir.<\/p>\n

\u0130\u015f Kazas\u0131 ve Meslek Hastal\u0131\u011f\u0131 Sigortas\u0131 Bak\u0131m\u0131ndan \u0130\u015fverenin, \u00dc\u00e7\u00fcnc\u00fc Ki\u015filerin ve Sigortal\u0131lar\u0131n Sorumlulu\u011fu ile Pe\u015fin Sermaye De\u011ferlerinin Hesaplanmas\u0131yla \u0130lgili \u0130\u015flemler Hakk\u0131nda Tebli\u011f\/Md. 6<\/strong><\/p>\n

Sigortal\u0131 \u00e7al\u0131\u015ft\u0131rmaya ba\u015fland\u0131\u011f\u0131n\u0131n s\u00fcresi i\u00e7inde sigortal\u0131 i\u015fe giri\u015f bildirgesi ile SGK\u2019ya bildirilmemesi halinde, bildirgenin sonradan verildi\u011fi veya sigortal\u0131 \u00e7al\u0131\u015ft\u0131r\u0131ld\u0131\u011f\u0131n\u0131n Kurumca tespit edildi\u011fi tarihten \u00f6nce meydana gelen i\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 halleri sonucu\u00a0ilgililerin gelir ve \u00f6denekleri SGK taraf\u0131ndan \u00f6denir.<\/p>\n

Ancak bu durumda, SGK taraf\u0131ndan yap\u0131lan ve ileride yap\u0131lmas\u0131 gerekli bulunan her t\u00fcrl\u00fc masraflar\u0131n tutar\u0131<\/strong> ile gelir ba\u011flan\u0131rsa bu gelirin ba\u015flad\u0131\u011f\u0131 tarihteki ilk pe\u015fin sermaye de\u011feri tutar\u0131<\/strong>, 5510 Say\u0131l\u0131 Kanunun 21\u2019inci maddesinin birinci f\u0131kras\u0131ndaki sorumluluk halleri aranmaks\u0131z\u0131n (<\/em>\u0130\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131 ile hastal\u0131k bak\u0131m\u0131ndan i\u015fverenin ve \u00fc\u00e7\u00fcnc\u00fc ki\u015filerin sorumlulu\u011fu)<\/em>, i\u015fverene ayr\u0131ca \u00f6dettirilir.<\/p>\n

K\u0131sa Vadeli Sigorta Kollar\u0131 Uygulama Tebli\u011f\/Md. 18<\/strong><\/p>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 i\u015fverenin, kast\u0131<\/strong> sonucunda meydana gelmi\u015fse: \u0130\u015fveren SGK\u2019ya kar\u015f\u0131 sorumlu hale gelir.<\/p>\n

Kas\u0131t; i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131na, i\u015fverenin bilerek ve isteyerek<\/strong>, hukuka ayk\u0131r\u0131 eylemiyle neden olmas\u0131 halidir. Zarara neden olan eylemin bilin\u00e7li olarak<\/strong> yap\u0131lmas\u0131, kas\u0131t i\u00e7in yeterli olup, sonu\u00e7lar\u0131n\u0131n istenip istenmemesi kast\u0131 ortadan kald\u0131rmaz.<\/p>\n

Ayr\u0131ca, i\u015fverenin eylemi hukuka ayk\u0131r\u0131 olmamakla birlikte, yapt\u0131\u011f\u0131 hareketin hukuka ayk\u0131r\u0131 sonu\u00e7 do\u011furabilece\u011fini bilmesi,<\/strong> ihmali veya a\u011f\u0131r ihmali, sorumlulu\u011funu kald\u0131rmaz.<\/p>\n

\u0130\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131 i\u015fverenin, sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi ile ilgili mevzuat h\u00fck\u00fcmlerine ayk\u0131r\u0131 hareketi<\/strong> sonucunda olu\u015fmu\u015fsa i\u015fvereni SGK\u2019ya kar\u015f\u0131\u00a0sorumlu hale getirir.<\/p>\n

(Mevzuat, yasal olarak y\u00fcr\u00fcrl\u00fc\u011fe konulmu\u015f ve y\u00fcr\u00fcrl\u00fc\u011f\u00fcn\u00fc muhafaza eden, sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi alan\u0131nda, yasa koyucu ile yasa koyucunun y\u00fcr\u00fctme veya idareye verdi\u011fi yetki sonucu, bu organlarca kabul edilen genel, objektif kural veya h\u00fck\u00fcmlerin t\u00fcm\u00fcd\u00fcr.)<\/em><\/p>\n

\u0130\u015fverenin sorumlulu\u011funun tespitinde ka\u00e7\u0131n\u0131lmazl\u0131k ilkesi<\/strong> dikkate al\u0131n\u0131r.<\/p>\n

(Ka\u00e7\u0131n\u0131lmazl\u0131k, olay\u0131n meydana geldi\u011fi tarihte ge\u00e7erli bilimsel ve teknik kurallar gere\u011fince al\u0131nacak t\u00fcm \u00f6nlemlere ra\u011fmen, i\u015f kazas\u0131 veya meslek hastal\u0131\u011f\u0131n\u0131n meydana gelmesi durumudur.<\/em><\/p>\n

\u0130\u015fveren al\u0131nmas\u0131 gerekli herhangi bir \u00f6nlemi almam\u0131\u015f ise<\/strong> olay\u0131n ka\u00e7\u0131n\u0131lmazl\u0131\u011f\u0131ndan s\u00f6z edilemez. \u00c7al\u0131\u015fma mevzuat\u0131nda sa\u011fl\u0131k raporu al\u0131nmas\u0131 gerekti\u011fi belirtilen i\u015flerde, b\u00f6yle bir rapora dayan\u0131lmaks\u0131z\u0131n veya eldeki rapora ayk\u0131r\u0131 olarak b\u00fcnyece elveri\u015fli olmad\u0131\u011f\u0131 i\u015fte \u00e7al\u0131\u015ft\u0131r\u0131lan sigortal\u0131n\u0131n, bu i\u015fe girmeden \u00f6nce var oldu\u011fu tespit edilen veya b\u00fcnyece elveri\u015fli olmad\u0131\u011f\u0131 i\u015fte \u00e7al\u0131\u015ft\u0131r\u0131lmas\u0131 sonucu meydana gelen hastal\u0131\u011f\u0131 nedeniyle, SGK taraf\u0131nca sigortal\u0131ya \u00f6denen ge\u00e7ici i\u015f g\u00f6remezlik \u00f6dene\u011fi i\u015fverene \u00f6dettirilecektir.<\/p>\n

6331 \u0130\u015f Sa\u011fl\u0131\u011f\u0131 ve G\u00fcvenli\u011fi Kanunu\/Md.14<\/strong><\/h3>\n

\u0130\u015fveren; b\u00fct\u00fcn i\u015f kazalar\u0131n\u0131n ve meslek hastal\u0131klar\u0131n\u0131n kayd\u0131n\u0131 tutar, gerekli incelemeleri yaparak bunlar ile ilgili raporlar\u0131 d\u00fczenler.<\/p>\n

\u0130\u015fyerinde meydana gelen ancak yaralanma veya \u00f6l\u00fcme neden olmad\u0131\u011f\u0131 halde i\u015fyeri ya da i\u015f ekipman\u0131n\u0131n zarara u\u011framas\u0131na yol a\u00e7an veya \u00e7al\u0131\u015fan, i\u015fyeri ya da i\u015f ekipman\u0131n\u0131 zarara u\u011fratma potansiyeli olan olaylar\u0131 inceleyerek bunlar ile ilgili raporlar\u0131 d\u00fczenler.<\/p>\n

\u0130\u015fveren, a\u015fa\u011f\u0131daki hallerde belirtilen s\u00fcrede Sosyal G\u00fcvenlik Kurumuna bildirimde bulunur:<\/p>\n

    \n
  • \u0130\u015f kazalar\u0131n\u0131<\/strong> kazadan sonraki \u00fc\u00e7 i\u015f g\u00fcn\u00fc<\/strong> i\u00e7inde.<\/li>\n
  • Sa\u011fl\u0131k hizmeti sunucular\u0131 veya i\u015fyeri hekimi taraf\u0131ndan kendisine bildirilen meslek hastal\u0131klar\u0131n\u0131<\/strong>, \u00f6\u011frendi\u011fi tarihten itibaren \u00fc\u00e7 i\u015f g\u00fcn\u00fc<\/strong> i\u00e7inde.<\/li>\n<\/ul>\n

    \u0130\u015fyeri hekimi veya sa\u011fl\u0131k hizmeti sunucular\u0131; meslek hastal\u0131\u011f\u0131 \u00f6n tan\u0131s\u0131 koyduklar\u0131 vakalar\u0131, Sosyal G\u00fcvenlik Kurumu taraf\u0131ndan yetkilendirilen sa\u011fl\u0131k hizmeti sunucular\u0131<\/strong>na sevk eder.<\/p>\n

    Sa\u011fl\u0131k hizmeti sunucular\u0131 kendilerine intikal eden i\u015f kazalar\u0131n\u0131, yetkilendirilen sa\u011fl\u0131k hizmeti sunucular\u0131<\/strong> ise meslek hastal\u0131\u011f\u0131 tan\u0131s\u0131 koyduklar\u0131<\/strong> vakalar\u0131 en ge\u00e7 on g\u00fcn i\u00e7inde<\/strong> Sosyal G\u00fcvenlik Kurumuna bildirir.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Meslek hastal\u0131klar\u0131 ile ilgili verileri toplamak i\u00e7in gerekli d\u00fczenlemeler 6331 say\u0131l\u0131 \u0130\u015f Sa\u011fl\u0131\u011f\u0131 Ve G\u00fcvenli\u011fi Kanunu ve Sosyal Sigortalar Mevzuat\u0131 ile belirlenmi\u015ftir. Sosyal G\u00fcvenlik Mevzuat\u0131 5510 Sosyal Sigortalar ve Genel Sa\u011fl\u0131k Sigortas\u0131 Kanunu\/Md. 21 \u0130\u015f kazas\u0131 ve meslek hastal\u0131\u011f\u0131, i\u015fverenin kast\u0131 veya sigortal\u0131lar\u0131n sa\u011fl\u0131\u011f\u0131n\u0131 koruma ve i\u015f g\u00fcvenli\u011fi mevzuat\u0131na ayk\u0131r\u0131 bir hareketi sonucu meydana gelmi\u015fse, […]<\/p>\n","protected":false},"author":4,"featured_media":12819,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[93],"tags":[101,102,103,104],"class_list":["post-11582","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-isyeri-hekimi-rehberi","tag-isyeri-hekimi-rehberi","tag-meslek-hastaligi","tag-mevzuat","tag-yapilacak-islemler"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/11582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=11582"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/11582\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/media?parent=11582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=11582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=11582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}