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Get Canada Employer Incident Investigation Report (EIIR) 2016

Ame (legal name and trade name) SCHOOL DISTRICT NO. 52 (PRINCE RUPERT) WorkSafeBC account number Operating location number 037595 Employer s head office address 634 6TH AVE EAST City Province Postal code PRINCE RUPERT BC V8J 1X1 Employer s representative s name Phone number (include area code) Email address 2. Injured persons Last name First name Job title a) b) c) d) 3. Place, date, and time of incident Location where incident occurred City (street address or GPS coord.

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