Hi, Rob.
I think the document is very interesting, in that it is a detailed description of an incident.
I would have liked to see a better scan, as it would be interesting to read the stamps and other text on the form, in order to get a better idea on how this form was used, to whom it was sent and so forth. As this form is dated four months after the incident, it has not been a part of the GenQu reporting system in my opinion, maybe it went into the personnel file of the personnel in question.
The loss record in the GenQu reports is as follows:
http://www.ahs.no/ref_db/lw_loss_pub...?lossid=109702
Regards,
Andreas