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Get Accident Report Sample Form With Answer

Y the person suffering the loss or injury. Injured person Surname Forenames Address Post code Telephone number Employee Date of birth Volunteer Member of the public Exhibitor Contractor Other Date and time of accident Date and time reported Person reported to Details in accident book? Tick box Yes No Details of injury (specify left or right side), and/or loss or damage 1 Details of action taken/First aid given Assisted by event representative (please give name) First-aid administ.

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