• Connection Flooring Ltd. Henson Close, South Church Enterprise Park, Bishop Auckland. DL14 6WA
  • Personal Accident/Injury form

    This form should be used to report a personal accident or injury where someone has been injured.
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  • 1. Details about the person who had the accident

    Please complete all section.
  • 2. Details about the person completing this form

    The person completeing this form may or may not be the person directly involved in the incident.
  • 3. Person clompleting the form

  • 4. About the accident

    MEANING: An accident is In general, an unplanned or unexpected event which occurs suddenly and causes injury or loss
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  • 5. Declaration

    The information from this form will be kept as a record to allow the company to comply with the Health & Safety at Work Regulations 1974. All data will be collected, used and stored in line with GDPR. The use of advanced electronic signatures is in line with 'article 3' of eIDAS regulations.
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