Instructions: Look at the employee and fill out the accident report.
Accident Report Form
Accident Report Form
Employee name ____________________________ Employee number _________
Date of accident _____________________________ Time ____________________
Type of injury ____________________________________________________________________
How did it happen? _______________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Signature ____________________________________ Date ___________________________
Employee name Jason Smith Employee number 8747
ReplyDeleteDate of accident
February 19,2011 Time 10:00 P.M.
Type of injury
Every bone in his body
How did it happen?
He is a delivery man and this day he fell sleep and he has a car crash with a three. As the result of this accident his broken all his bones. He arrived in air ambulance to the hospital.
Signature
J. Smith
Date January 26,2011
This man is lucky to be alive!
DeleteReview the following:
Type of injury
Every bone in his body has broken
How did it happen?
He is a delivery man. He fell asleep while driving and crashed into a tree. As the result of this accident he has broken all the bones in his body. He arrived by air ambulance to the hospital.
Employee name Bryan Clever Employee number 1234
ReplyDeleteDate of accident April 15,2012 Time 9:45 A.M.
Type of injury: Fracture in his body
How did it happen?
Yesterday, the school carpenter Dr. Pedro Perea Fajardo fell from the second floor, inflicting on a huge fracture in his body. He needs to visit a hospital to be treated.
Signature Bryan Clever Date April 16,2012
A fall like this could have been fatal. Poor janitor.
DeleteType of injury: Fracture in his body
How did it happen?
Yesterday, the school janitor at the Dr. Pedro Perea Fajardo High School fell from the second floor. The fall inflicted many fractures all over his body. He was quickly taken to to the nearest hospital to be treated.
Almost There
ReplyDeleteAccident Report
Employee Name : Alfredo Tua.
Employee number: 027338. Date of accident: October 20, 2004.
Time: 7:15 pm
Type of Injury: Broken Knee
How did it happened?
The Police is doing the arrest but the person start running to the back yard.
Where is the pool, the police caught the person, and that moment both felt into the pool and the police hit the knee with the edge of pool.
Signature, Date: October 21, 2004
ATC
Good work
DeletePlease review the following:
Type of Injury: Broken Knee
How did it happened?
While the Police officer was doing an arrest, the assailent started to run to the back yard.
Where the pool was. The officer caught the person, and at that moment they both fell into the pool. The officer hit his knee with the edge of pool and fractured it.
Accident Report
ReplyDeleteEmployee Name: Alfredo Tua Date: April 18, 2012
Comment: Treatment,
The (Police) patient need a replace of Knee. (KNEE PROSTHESIS)
Date of Surgery: May 16, 2012
: Look at the employee and fill out the accident report.
ReplyDeleteAccident Report Form
Employee name: Sergio Rivera
Employee number: 2205778
Date of accident: April 4, 2009 Time: 11:00 P.M.
Type of injury: Fractures
How did it happen? I was going to work. I was driving on the road from Hormigueros to San German and suddenly a cow crossed my way. I put the brakes but I couldn't stop. I crashed into the cow. I broke old the bones in my body. I needed a cast for my whole body.
Signature:
SERGIO RIVERA Date: April 5, 2009
Poor Sergio I hope he gets better soon. If all of his bones are broken, how can he still move around?
ReplyDeleteVery Good Work Maria!