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  • Form Notice of Accident

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    Libra Nine
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    This document is a notice of accident form for Nippon Express Co., Ltd. It collects information about an accident such as the name and location of the injured person, date and time of accident, nature of injury, medical leave details, who reported it, and details and causes of the accident. The form aims to document workplace accidents and identify countermeasures to prevent future incidents.

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    Form Notice of accident

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    This document is a notice of accident form for Nippon Express Co., Ltd. It collects information about an accident such as the name and location of the injured person, date and time of accident, nature of injury, medical leave details, who reported it, and details and causes of the accident. The form aims to document workplace accidents and identify countermeasures to prevent future incidents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    4 views1 page

    Form Notice of Accident

    Uploaded by

    Libra Nine
    This document is a notice of accident form for Nippon Express Co., Ltd. It collects information about an accident such as the name and location of the injured person, date and time of accident, nature of injury, medical leave details, who reported it, and details and causes of the accident. The form aims to document workplace accidents and identify countermeasures to prevent future incidents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    NIPPON EXPRESS CO.

    , LTD

    Notice of Accident

    Name Of Injured Person: Date Of Accident:

    Location Time Of Accident:

    Nature Of Injury: Reported By:

    Medical Leave: Treated at:

    Reported by: Section Head

    Injured Person’s Supervisor Injured person’s Section


    NEX Safety
    Head

    Injured Location: Accident Illustration:

    Details And Causes Of Accident:

    Countermeasures / Preventive Actions:

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