1998年商务英语初级BEC1试题d

NEILSON CARPET FACTORY
　　ACCIDENT REPORT FORM
　　THIS FORM MUST VE COMPLETED IN CAPITALS BY THE PERSON REPORTING THE 　ACCIDENT ON THE DAY OF THE ACCIDENT
　　FULL NAME OF INJURED PERSON ___________________________________________
　　TITLE (MR/MRS/MISS/MS) ___________________________________________
　　HOME ADDRESS ___________________________________________
　　__________________________________________
　　__________________________________________
　　STATUS OF INJURED PERSON __________________________________________
　　DATE OF ACCIDENT __________________________________________
　　TIME OF ACCIDENT __________________________________________
　　LOCATION OF ACCIENT __________________________________________
　　DETAILS OF INJURY __________________________________________
　　CAUSE OF ACCIDENT _________________________________________ (HOW DID IT HAPPEN?)
　　__________________________________________
　　__________________________________________
　　TAKEN TO HOSPITAL YES [] BY AMBULANCE [] BY CAR []
　　(Please tick) NO []
　　DO YOU CONSIDER THE COMPANY IS AT FAULT? YES/NO(delete which does not apply)
　　IF 'YES’ GIVE REASON _________________________________________
　　__________________________________________
　　ACCIDENT REPORTED BY __________________________________________
　　COMPANY STATUS __________________________________________
　　DATE SIGNATURE