1998年劍橋商務(wù)英語考試試題(BEC1)(4)

QUESTION 4 CONTINUED
    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