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Accident Report Book
Once completed, these records will be stored for 3 years by East Boldon Scout Group.
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Company reporting
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East Boldon Scout Group
External Hire
About you, the person completing this form.
Name
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
Occupation/ role
Your answer
Date
*
MM
/
DD
/
YYYY
About the person who had the accident
Name
Your answer
Address
*
Your answer
Postcode
Your answer
Occupation/ role/ section
Your answer
About the accident
When did it happen?
*
MM
/
DD
/
YYYY
Time
*
Time
:
AM
PM
Where did it happen?
*
Your answer
How did it happen and why?
*
Your answer
Give details of any injury suffered and treatment given.
*
Your answer
Give any recommendations to avoid similar accidents occuring
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Your answer
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