death from accidental bomb wounds
inquiry reports
Army form W. 3428
REPORT ON ACCIDENTAL OR SELF-INFLICTED INJURIES.
1. Number, Rank, Name, and Unit
of
injured man |
WR/30777 Pioneer Horsley 316th Road
Construction Company, R.E., | Date of Casualty
2/10/1918 |
| 2. Nature, Location, and Severity of
injury. (N.B. Field Ambulance to be notified at once if wound is believed to
be self-inflicted) | Bomb wounds Thighs (R. and L.)
Upper Arm (R) Abdominal (Penetrating) and Leg (L). Accidental. Severe.
(Signed) F.C.H. Goss, Captain R.A.M.C.
Medical Officer |
| 3. Short statement of the circumstances of the case.
(Signed statements of witnesses to be attached to this form) |
The Company had just moved to a new camp site near Gouzecourt. Pioneer
Horsley was unloading a steam wagon and threw down a bag. An explosion took
place which upon investigation was found to have been caused by an enemy
shell fuse. |
4. Commanding officer's opinion as to whether
the man was:-
(a) In the performance of military duty
(b) To blame
(c) Whether any other person was to blame.
Date 4/10/1918 |
(a) Yes.
(b) No.
(c) No.
(Signed) J. PULLEN, Captain, G.C.,
316th Rd Con. Coy., R.E., |
5. (a) Opinion of G.O.C. Brigade.
(b) Disciplinary action taken or proposed, whether against injured man or
another.
Date 28/11/1918 |
(a) I concur.
(b) I concur.
(c) Pioneer Davey.
(Signed) W. PAUL, Colonel, Comdt.,
3rd Army Railheads, |
6. To 3rd Army
Army "A"
Forwarded with reference to my Casualty Wire No. ______ dated
20/11/1918
(Signed
J PAUL, Colonel, Comdt., 3rd Army Railheads.
|
7. To D.A.G.,
G.H.Q., 3rd Echelon.
Forwarded for record. This casualty should be reported as
Died of Injuries (acc.)
(Signed) WALDO R. BRIGGS, Captain S.C., For G.O.C., Third Army.
12/1/1919 |