RICHARD GARRETT & SONS, LIMITED, LEISTON WORKS
REPORT OF ACCIDENT
Tally no. ___825____________________
_Name___________Baker_____________
Date and Time of Accident___________________10.5
A.M.____28/8/13_________
Nature of Injury________Crushed
Foot_____________________________________
How Caused______T295
gear fell over____________________________________
_____________________________________________________________________
Occupation at time of Accident____Bolting
T295 gear__________________________
State if caused by Machinery in Motion_______No______________________________
Date_______28/8/13____________Foreman's
Signature__J.R.
Thorpe ___________
This Report must be sent to Office immediately after Accident
occurs.