| Description | Columns printed for date, name and signature of workman, address, age, occupation, place of last employment, whether qualified to work alone under Section 75 of the Coal Mines Act 1911, whether incapacitated from work by Miners Nystagmus or other industrial disease, whether ruptured, whether met with accident previously which prevented employment for more than 3 months, and witness. Other columns have been added in hand for date of birth, employment or tally number, last company employed at before 30 Apr 1926, class of work before 30 Apr 1926, booth numbers.
Volume has lost its covers and spine. |