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  • Sportking India Limited: (Unit-Sportking Industries), Vpo-Jeed A Kotkapura Road, Bathinda

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    jaspreet singh
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    This document is an accident report form for Sportking India Limited. It collects information about an accident including the name and designation of the injured employee, date and time of accident, nature and location of the accident, and a brief description of how it occurred. The form is to be signed by the sectional incharge and head of department to certify the details, and includes a section to be filled out by a medical officer treating the injured person.

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    Accident Report Form

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    This document is an accident report form for Sportking India Limited. It collects information about an accident including the name and designation of the injured employee, date and time of accident, nature and location of the accident, and a brief description of how it occurred. The form is to be signed by the sectional incharge and head of department to certify the details, and includes a section to be filled out by a medical officer treating the injured person.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    21 views2 pages

    Sportking India Limited: (Unit-Sportking Industries), Vpo-Jeed A Kotkapura Road, Bathinda

    Uploaded by

    jaspreet singh
    This document is an accident report form for Sportking India Limited. It collects information about an accident including the name and designation of the injured employee, date and time of accident, nature and location of the accident, and a brief description of how it occurred. The form is to be signed by the sectional incharge and head of department to certify the details, and includes a section to be filled out by a medical officer treating the injured person.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
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    SPORTKING INDIA LIMITED

    (UNIT-SPORTKING INDUSTRIES),VPO- JEED A


    Kotkapura Road, Bathinda.

    ACCIDENT REPORT

    Dated...................................
    .
    Code No:...............................

    Name of employee: ............................................................................................................................

    Father’s Name:...................................................................................................................................

    Designation:
    .................................................Department:...................................................................

    Date & Time of Accident.................................................Time..............................Shift...................

    Nature of Accident.............................................................................................................................

    Department / S action & exact place where the accident happened..............................................

    Describe briefly how the accident happened................................................................................

    ..............................................................................................................................................................

    I certify that to the best of my knowledge and behalf the above particulars are correct in
    every respect.

    Signature of Sectional incharge Signature of H.O.D.


    Date.................................. Date..........................

    To be filled by Medical Officer

    Injured person treated at...................................................................................................................

    Name & address of Doctor/Dispensary............................................................................................

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