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Van stuck in telephone wires - The W1nners' Club

1.    About the person who had the accident:

Name: Paul Wilson
Address: 27 Willoughbury Lane, Dulverton, Somerset
Postcode: TA67 4JD
Occupation:  Delivery Driver

2.    About you the person filling in this record:

Complete if you did not have the accident:

3.    About the accident:

Say when it happened:
Date: 30/11/2017 Time: 14:10pm
Say where it happened (which room or place):
On the Taunton Bypass
Say how it happened (include the cause if you can):
Well – I was rushing to get my final deliveries done because I needed to get home in time for an Amazon delivery (which if you ask me is at least a little bit ironic). Anyway, we’ve had a few storms lately and on my way back from my last delivery, they announced via a news flash on the radio that everyone should stop what they’re doing and not use the roads because Harry Kane will be in the area and everyone should take the appropriate measures. Being the die hard Tottenham Hotspur fan that I am, I decided to stop the van to see if I’d get to see my idol and maybe even get an autograph and a selfie taken with him. It was only when the sky started going a rather odd grey colour that I realised I might have misheard the radio presenter and what they actually meant was there is a hurricane in the area.
Say if the person who had the accident suffered any injury:
Only a few minor electric shocks as I tried to exit the vehicle (see picture attached)
Please sign and date:
Sign: Signature - The W1nners' Club
Date: 30/11/2017

4.    For the employee only:

By ticking this box, I give my consent to my employer to disclose my personal information and details of the accident, which appear on this form to safety representatives to carry out the health and safety functions given to them by law.


Sign:Signature - The W1nners' Club Date: 30/11/2017

5.    For the employer:

Complete this box, if the accident is reportable under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR).
How was it reported? We only heard about what happened when Paul called the office to ask if he could order a cherry picker on company expenses – before going on about the difference between Harry Kane and various types of extreme weather conditions.
Sign: signature 1 - The W1nners' Club
Date: 30/11/2017



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