Title Page
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Third Space Canary Wharf
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Personnel
Details about the person who had the accident
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Name
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Address
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Contact number
Details about the person filling in the record
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name
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NameDepartment
About the accident
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Date and time of the accident
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Location
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How the accident happened along with the cause
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Injury sustained
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Any other notes
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Sign once completed
Follow up by club
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RIDDOR reportable?
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Follow up information by the Duty Manager if required
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Date completed
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Initial and sign as completed
