Biku Khadka
$6/hr
Professional Data entry Operator
- Reply rate:
- -
- Availability:
- Full-time (40 hrs/wk)
- Location:
- Kathmandu, Bagmati, Nepal
- Experience:
- 8 years
Accident Report
EMPLOYEE ACCIDENT REPORT
TO:
Concerned Dept.
DATE:
STORE NAME:
STORE MANAGER:
NAME OF EMPLOYEE INJURED/
PHONE NUMBER
EMPLOYEE CODE
DATE OF BIRTH
DATE OF HIRE
DATE & TIME OF ACCIDENT
PLACE OF ACCIDENT
NAME OF SHIFT INCHARGE
SPECIFY NATURE AND EXTENT OF
INJURY (LEG/HAND/ETC)
ACTION TAKEN
STATE THE REASON OF ACCIDENT
NOTE
* Original Medical Report sign and stamped by the doctor with all test reports/sick leaves/attached
with the Accident Report should be forwarded to Concerned Dept.
*Notification along with all request details should be forwarded to Concerned Dept. within 48 Hrs.
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