Summary
An Ambulance Room Report form used by the Superintendent at H. V. McKay Massey Harris Pty Ltd. The form recorded the name of the employee, and an assessment of whether the employee should return to work. The form has not been used. The form summary sheet is dated 13 December 1945. This is part of the H. V. McKay Sunshine Collection.
Physical Description
A form consisting of a yellow sheet and a light brown sheet of paper adhered together along the left margin, with the yellow sheet on the top. An identical form is printed on the obverse of both sheets. Printed text and lines appear in black ink. There are two holes and a rust stain where a metal pin was previously fastened to the sheets. A smaller sheet of cream paper, which is a form summary sheet, is adhered to the obverse of the yellow sheet and obscures most of the text of the form. The form summary sheet is a standard text form printed on the obverse in brown ink, with handwriting in black ink.
More Information
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Collection Names
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Collecting Areas
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Acquisition Information
Donation from Massey Ferguson Iseki Australia Ltd, by Mar 1995
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Place & Date Used
H.V. McKay Massey Harris Pty Ltd, Sunshine, Victoria, Australia, 13 Dec 1945
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Inscriptions
Printed, obverse of light brown sheet, black ink, "Name Dept. / The above has reported to the Ambulance Room complaining / of sickness." There is further printed text on the form. Printed and handwritten, obverse of form summary sheet, brown and black ink, "Form No C58 Job No 433 Date [13 / 12 / 1945]". There is further printed and handwritten text on the form summary sheet.
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Classification
Manufacturing & industry, Agricultural & horticultural equipment, Stationery
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Category
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Discipline
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Type of item
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Overall Dimensions
177 mm (Width), 77 mm (Height)
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Keywords
Agriculture, Manufacturing Works, Healthcare & Medicine, Ambulances, Occupational Health & Safety
