Time reported to employer: 12:00 AM
Name of the person reported to: Ronald Wainwright - Operations Manager

r~ Incident Location

Did the worker's injury occur on employer's

premises or an authorized worksite? YES

Did the incident occur in BC? YES

Describe the location of the incident (example lunch room, parking lot). Include the province and country if not BC.

As per workers account: BC Rapid Transit Co Ltd - 6800 14th Ave, Burnaby

r— Incident Detail

Describe how the incident happened:

As per workers account: The worker was participating in a training course between the

dates of January 12th to January 25th. The worker reports that when in the classroom s
etting, they had two large racks of computer servers directly behind where they were se
ated. The worker advised that the servers made a constant noise, over time this began
to impact the worker. The worker noted pain in their left ear, headache symptoms, and
stress related symptoms. Worker was able to continue with the course until January 26t
h, when they needed to take time off.

r— Witness Information

Were there any witnesses? NO

Injury Cause

Did the injuries or exposure result from a specific

incident? NO

What was the contributing factor(s) for the injury?

Unsure/Other

If a 3rd party was involved N/A

Describe the injury in detail. What part of the body was injured?(i.e. sprained left ankle, broken right wrist, etc.)

As per workers account: Pain in the left ear and migraine symptoms, worker feels it is r
elated to noise coming from servers in their training class.

r~ Treatment Details
Did the worker receive first aid? NO
Did the worker go to a hospital, medical clinic, or
visit a physician or a qualified practitioner? YES
Date of treatment: 2026/01/25
Provider Details

Provider name:
Provider phone:

Country: Canada
Address

City:

Province: British Columbia

Postal code:

Were the worker's actions at the time of injury for

the purpose of your business? YES

Did the incident occur during the worker's normal

shift? YES

Was the worker performing regular work duties at

the time of the incident? YES

Are you aware of any recent pain or disability in the

area of the worker’s reported injury? NO

Wage Details

Did the worker miss any time from work beyond the

date of injury? YES

Last Day Worked
Last day worked: 2026/01/22
Did the worker continue to work past the day of
injury? YES
Number of hours worked on the last day worked: 10.00
Number of hours paid by employer on the last day
worked: 10.00
Number of hours scheduled to work on the last day
worked: 10.00
Amount paid for the last day worked: $ 473.40

— Employment Details