{"text":"- i ! '\/ \u2018 :\\. ' , \n7 VoS \\'\\\\\\ (\\ Paa \u2018}l- \\ . : ; \ni ',\"\\\\\u2018 N \\.' by l'l lu < ':I -\u2018l G \u2018:\u2019- \u201c.\":\u2018j\u2018 \"98\u2018 . \nH1GCHLAND REGMJNA\/L COUNCIL i ! Y-, \"'i:\"\"\u2019\"l | \n\u2019 (N \u00a2 _,{ baim o~ s . e e \nSOCIAL WORK ocpmmcn'r [ U A0 l \nlNULHNLSS DIVISION ) \n1\\\/ \nLA~ 'j'-lv-(( G- \nREPORT OF ACCIDENT YO A RCSIDENT | \n1e Name of Cstablishment: \nRascclens Clatolicns Ao w~o \n\u201c2. Particulars of injured person: \n(a) Nams SAUNDERS _ {b) Age lo Y B8RRS \n(c) Christian Name{s) (\"Lt~ \n(d) Home Address 2 (1\u20190.\\,3 D idobs Q\u2018ft,n\u2019act \n3 3 . \u2019 '_1 \n3. Date, time & place of ihe accident: L{Ol\\da'-l.f \u2018qH\u2018APQLL P psl\u2014ke . \n4, HName of member of staff supervising at the time: \n\u00a3 . Macliusse \n&, Mar.Pinsig ey \n6. Naturs of In]unes\u2018 Q. bg_g_w\\]: OGS LR \u201c&Ma_c{ vl o 6@ Scyatch \n7. How did the accident arise? Adoce Wy another boy wWhale quanreluw \n8. Was the accident due to any defect in the premises, lack of supervision etc.? \nNo . \n8. Action taken following the accident: \n(a) First aid v+ \n(b) Further Treatment W -T\u00aeoK Wims o hie Cdoctor ~+\u2014he Nest clay - \n(c) 1Informing parents\/relatives ete. \n5. To whom was the accident reporteds: \n10. Action regsrding Medical Treatment: \n(a) Name of Doctor \u2014 DR Ac;;cl\u2018eval \u00a9 z & oncler obseunh \n(b) Name of Hospital \u2014 in-patient\/eut\u2014patient R?\ufb01(mche Ieeer : \n)11. Names & Addresses of Witnesses: o \\,od'h-cs...-e\u201c ef\u201c'\u2014CQP\/L\u2014 - \nSignature & Designation of Reporting Officer: }: h\u2014fmf\u2019%m \nDATE s A0\/ \/\u2018-r\u2019\/? J \n{ \nFOR OFFICYIAL USE I \n'1. Oirector of Social ld;)rlr \u2018 [{Q\\th\ufb01 Date: \u00e9\u2018\/\u00e9\"\/\ufb01z\u2018 \n2. Further Action Taken: Lu \ufb02\/\\v \\%\/]w\u2019\ufb02 U \/ Vs, vg\u2018fm-\\-gfw \n' \/ 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