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Your name:
Male Female Age:
Postal address:
Postcode Phone number
Email address:
Number of months spent working
onsite
Number of people working
onsite
Number of minor accidents
in that time
Number of serious accidents
in that time
Please outline accidents
in as much detail as possible, including age and gender of anyone
injured, what happened, when, how and nature of injuries, cost
in $$$ and/or time off work.
Were you insured
to cover this accident Yes No
Details:
Could your accident have
been avoided? If so how? Do you have any general observations,
based on your experience, or tips to help other owner builders
stay safe? Please outline them here:
Thanks for your participation.
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Email:
Murray
Johnson (byohouse.com.au)
Snail
Mail:
106 Liberty Parade, Bellfield 3081 Victoria Australia
Phone:
0417
339 203
Home:
www.byohouse.com.au
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