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    MARICEL CANTARA
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    9 views2 pages

    Accident Report PDF

    Uploaded by

    MARICEL CANTARA

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    SAMANTHA M.

    CANTARA TLE 9
    9 Austria September 22, 2022

    Date: September 22, 2022


    Form No. 0001 Accident Report Form
    Rooom No. 21
    Name: Samantha M. Cantara Yr/ Section: 9 Austria
    Type of Injury Cause of Injury Remedy

    Suffered scratches and Wash the scratches with mild


    bruises because she slipped Slippery wet floor due to rain soap and put anti bacterial
    on the floor ointment

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