EEI CORPORATION

THE BEACON TOWER PROJECT

Construction Division R

Job # 7040

Date : May 8, 2009

To : F.T. Dacquel, Jr.
From : SAFETY DEPARTMENT
Subject : ACCIDENT REPORT

PERSONAL CIRCUMSTANCES:

PERSON INVOLVED : CHRISTOPHER C. CASTA (LH-Rough Carpenter)

DATE/TIME OF ACCIDENT: May 8, 2009 /4:00 P.M.
PLACE OF ACCIDENT : Area 3, level 31
EXTENT OF INJURY : Foreign body on right eye

DESCRIPTION OF ACCIDENT:
At the given date and time, while Christopher Casta was doing formworks at
level 31 of area 3, dust flew and accidentally hit his right eye.

RECOMMENDATION:

1.) To be referred to St. Patrick Clinic for further examination.

2.) To be discussed in the next toolbox meeting.

For your information.

H.A. Adion
Safety Engineer