• Accident Record

    Accident Record

    Contains public sector information published by the Health & Safety Executive and licensed under the Open Government Licence v1.0. Note: Items marked with an asterisk have to be completed. Click the section to expand and complete it.
    • About the person who had the accident 
    • About you, the person filling in the form 
    • About the accident 
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    •  :
    • Upload a File
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    • Consent 
    •  - -
    • Send the accident record 
    • Send to the company where you had the accident. If you'd also like a copy give your own email address below:
    • Should be Empty: