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/11033 Pioneer 
	FAWCETT 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) | S.W. Knee, ( L ) and fingers. 
	(Signed) A. B. PAUL, Lieutenant, 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 
	Fawcett was assisting to unload a steam wagon when an explosion took place 
	and upon investigation was found to have been caused by an enemy 
	nosecap. | 
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 Davies. 
	 
	(Signed) J. 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 R'heads. 
	 
	 | 
	7.  To D.A.G., 
	        
	G.H.Q., 3rd Echelon. 
	 
	Forwarded for record. This casualty should be reported as  
	Injured ( Accidentally ).           
	 
	       
	(Signed) WALDO R. BRIGGS, Captain S.C.,  For G.O.C., Third Army. 
	 
	12/1/1919 |