S.I. No. 180/1956 - Factories (Notification of Accidents) Regulations, 1956.

1. (i) Occupier of Factory (or person undertaking Building Operations or Works of Engineering Construction, or carrying on processes at Docks and certain other places).

Name..................................

Address..............................

Industry...............................

(ii) Actual employer of injured person if another than above

Name......................................

Address.................................

2. Premises where accident (or dangerous occurrence) happened :—

(i) Address of Department, Branch or Site. . . . ................................

(ii) Exact Place. . . . . ..........................

(iii) Nature of work carried on therein (if Building Operation state whether construction, maintenance or demolition) ............................................................ ..........................................................

3. Injured Person

(a) Full name (Surname first)............................................

.....................................................

(b) Sex.................... Age.................... Occupation....................

(c) Address.................................

4. Accident (or Dangerous Occurrence)

(a) Date.................... time.........................................

(b) Description and cause............................................................ ...........................

............................................................ ............................................................ ...

(c) State exactly what injured person was doing at the time............................................................ ..........................................................

(d) If due to machinery state—

(i) name of machine and part causing accident

............................................................ ..........................................................

(ii) whether in motion by mechanical power at the time

............................................................ ........................................................

5. Injuries and Disablement

(a) Nature and extent of injury (e.g. fracture of leg, laceration of arm, scald, scratch followed by sepsis) .............................................

(b) Whether fatal or non-fatal. ........................................................

(c) If not fatal, state if injured person was disabled for more than three days from earning full wages at the work at which he was employed

............................................................ ................................................

6. Has accident (or dangerous occurrence) been entered in the General Register ?

............................................................ .................................................

Signature of Occupier, Employer or Agent............................................................ ........................

Date............................................................ ............................................................ ...........

GIVEN under my Official Seal, this 4th day of July, 1956.

WILLIAM NORTON,

Minister for Industry and Commerce.

S.I. No. 180 of 1956.

FACTORIES (NOTIFICATION OF ACCIDENTS) REGULATIONS, 1956.

I, WILLIAM NORTON, Minister for Industry and Commerce, in pursuance of subsection (1) of

section 74

of the

Factories Act, 1955

(No. 10 of 1955), hereby make the following regulations :—

1.—(1) These Regulations may be cited as the Factories (Notification of Accidents) Regulations, 1956.

(2) These Regulations shall come into operation on the 1st day of October, 1956.