Title Page
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Name of the person reporting the accident
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Date of Accident
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Time of accident
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Where did the accident / incident/ near miss happen?
Details of the accident, incident or near miss
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Who was present at the time of the accident?
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How did the accident happen? Give details of the events and the cause?
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Who was involved in the accident?
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Occupation of the person involved in the accident
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Was the person involved in the accident injured? If so what was the injury?
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Were any of D&S IFCA assets damaged? If so give details