KOWLOON-CANTON RAILWAY.
(BRITISH SECTION.)
ACCIDENT REPORT.
Form E. No. 3.
546
THE HONGKONG GOVERNMENT GAZETTE, DECEMBER 16, 1916.
Locality
Name
· and
Brief
of
Time of Description.
persons
Nature of injuries as far as ascertainable and whether result-
Damage done to Permanent
Action taken
Person
Way or
Accident.
injured.
ing in death.
Property.
and
Nature of aid
rendered.
Cause
or
of Accident.
Persons
responsible.
Punishment
proposed.
Remarks.
Remarks
!
Signature of Officer fin warding report.
Signature of Subordinate submitting report.