Salon Accident Report Please fill out the details of the accident below. Salon Number* -None- 002 HEAD OFFICE 003 GRAFTON ST 005 OCONNELL ST 007 RATHMINES 008 BLOOMFIELD 009 KILLINEY 010 CORNELSCOURT 011 NORTHSIDE 012 SUTTON 014 STILLORGAN 015 LIFFEY VALLEY 016 MERRION 017 BRAY 018 DUNDALK 020 WATERFORD 021 WEXFORD 022 BLANCHARDSTOWN VILLAGE 023 FINGLAS 025 CORRIB 026 WHINTHROP ST 027 TERRYLAND 028 WILTON 030 WILLIAM ST 031 CLONMEL 032 DUNDRUM MAIN ST 033 NAVAN 035 DOUGLAS 037 RATHFARNHAM 039 NUTGROVE 040 SWORDS MAIN ST 041 MARKET CROSS 042 TRALEE 043 NEWBRIDGE 044 CRESCENT SC 046 BLACKROCK 047 SLIGO 048 THE SQUARE LEVEL 2 049 THE SQUARE LEVEL 1 050 MALAHIDE 051 LUCAN 052 CARLOW 053 BLANCHARDSTOWN SC 055 ENNIS 056 MULLINGAR 057 ATHLONE 058 BLACKPOOL 060 NAAS 061 CASTLEBAR 062 MAHON POINT 063 DUNDRUM TOWN CENTRE 064 SCOTCH HALL 065 WHITEWATER 066 KILLARNEY 067 ARKLOW 068 MCDONAGH JUNCTION 069 STYLE CLUB PAVILIONS 070 STYLE CLUB SOUTH WILLIAM ST 071 LETTERKENNY 072 PORTLAOISE 073 BISHOPSTOWN 090 TRAINING CENTRE – NES 091 TRAINING SCHOOL – Limerick 093 HR 095 TRAINING COLLEGE – SWS 099 LAUNDRY 161 ABBEYCENTRE 162 LISBURN 165 PORTADOWN 168 FORESTSIDE Your Email* This location doesn’t use a shared salon email address, so please enter your own email. Client/Employee Full Name* Employee or Client?* Please Select Employee Client Employee Role* Please Select Manager Salon Coordinator Stylist Trainee Client/Employee Address Client/Employee Email Address Contact Number* Date of Accident* Approx Time Range of the Accident* From Until Nature of the Accident* Witnessed by:* Location of the Accident* Was Medical Assistance Needed:* Yes No What action was taken and by which member of staff Your Name (staff filling this form) Submit