| Description | Recording accidents numbered 7542-7841, with fields for name of pit or works, name of person injured, check number, age, occupation, date and time, place, witness (if any), cause and description, date and hour ceased work, occupation at time, nature of injuries, residence, place to where removed, by whom reported, date and time accident reported to official and name of official, name of panel doctor, signature of manager or under manager, date of signature, suggestion for prevention against recurrence [not used], and whether workman was wearing helmet, boots, gloves, shin guards and spine pads. |