Claims
Malling address: PO Box 4700 Stn Terminal, Vancouver BC V6B 1)1
Phone 604.231.8888 } 1.888.967.5377 | Fax 604.233.9777 1+

fee February 03, 2026

BRITISH COLUMBIA RAPID TRANSIT COMPANY LTD.

. WorkSafeBC Claim number 42647461
attn: WorkSafeBC Contact ia stones nom inne
ATTN: OCCUPATIONAL HEALTH | Date of injury 2026-01-12
BURNABY BC V3N 4S7 00201 ; Claim Key number 520286 }

To whom it may concern:

RE: BRITISH COLUMBIA RAPID TRANSIT COMPANY LTD.
LOCATION: 001 - OMC , 6800 14TH AVE

We have received a report indicating that your employee, MARK HOLAND, was injured at work.

Please report the workplace injury
If you have not already done so, please submit an injury report to us as soon as possible. You can
do this in one of the following two ways:

» Go to worksafebc.com and click on “Report a workplace injury." If you don’t have an online
services account, you'll need the claim key number provided above. If we have already
received an injury report from your employee, some fields on the form will contain
information your employee provided.

» Complete an Employer’s Report of Injury or Occupational Disease (Form 7). To get a Form 7,
go to worksafebc.com or call us.

We will ask for the following information as part of your report:

« The claim number provided above.

» Details of the incident(s) that led to the injury or disease.

» The employee’s work schedule, rate of pay, and, if possible, their total earnings over the last
12 weeks (3 months). We only require this information if the employee is unable to do their
pre-injury job due to the injury.

* The days (or shifts) missed due to the injury, if any.

» Whether you have offered and made available suitable work and/or a modified work schedule
fo support a safe return to work,

As an employer, you are required to report injuries within three days of the injury. By reporting
promptly, you avoid penalties and ensure we have your information as we make decisions about the
claim and any benefits we can offer.

If you are not aware that an injury occurred or if you have any concerns, please submit a report
indicating this. If you need help completing the form or have any questions, please call us at
604.231.8888 or toll-free 1.888.967.5377.

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