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CONFIDENTIAL For Safety Unit Use ONLY ACCIDENT NO: IMPERIAL COLLEGE ACCIDENT REPORT FORM MAJOR INJURIES MUST BE REPORTED TO THE SAFETY UNIT IMMEDIATELY BY TELEPHONE ON 0780 878 3003 SURNAME: FORENAME:

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What is confidential date this completed?

Confidential date this completed refers to the date on which confidential information must be submitted or reported.

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Any individual or entity that has access to confidential information and is required by law or regulation to report it.

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Confidential date this completed can be filled out by providing the necessary information and submitting it to the appropriate regulatory body or authority.

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The purpose of confidential date this completed is to ensure that sensitive information is properly reported and handled in accordance with legal requirements.

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The specific information that needs to be reported on confidential date this completed will vary depending on the regulations and requirements of the governing body.

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