anna leow no, we sent her by car to save time.
acham scott it sounds like it’s the pany’s fault, then. i’ve told the manager about that
carpet before. have you filled in a report form?
anna leow no, i’m going to do it now. more paperwork.
acham scott (laughing) well, you are the assistant manager, aren’t you!
(20 marks)
question 4 continued
neilson carpet factory
accident report form
this form must ve pleted in capitals by the person reporting the
accident on the day of the accident
full name of injured person ___________________________________________
title (mr/mrs/miss/ms) ___________________________________________
home address ___________________________________________
__________________________________________
__________________________________________
status of injured person __________________________________________
date of accident __________________________________________
time of accident __________________________________________
location of accient __________________________________________
details of injury __________________________________________
cause of accident _________________________________________ (how did it happen?)
__________________________________________
__________________________________________
taken to hospital yes [] by ambulance [] by car []
(please tick) no []
do you consider the pany is at fault? yes/no(delete which does not apply)
if ’yes’ give reason _________________________________________
__________________________________________
accident reported by __________________________________________
pany status __________________________________________
date signature 本文共3页:
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