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HeathroDerotti (date of birth is November 1, 1958) is an employee of Marvelous Digit  Supply Inc. ("Digit"). Digit is located at 83 Marshall Street, Unit 9 in Toronto, M1R 8T7. Heathro started working at Digit as a warehouse worker on February 1, 2005 and he has never worked for anyone else during that time. He was promoted to Junior Manager on August 1, 2008. His social insurance number is 478 956 798. He resides at 758 Orchard Avenue, Vaughan L8T 5K8.

On Wednesday February 4, 2015 at 8:45 a.m. Heathro was in his office in the warehouse and was talking to a co-worker, Diego Burns, a warehouse worker, about the upcoming PanAm Games. Heathro and Diego, each with a hot cup of coffee in hand and still enthusiastically discussing all things fencing, left Heathro's office and were walking in the warehouse when they both saw a pile of pens on a table. Diego grabbed a pen and said, "en garde", to which Heathro also picked up a pen and playfully started to fence against each other. As they continued to attack each other with the pens, their arms bumped, spilling hot coffee on Heathro's arm. Heathro lost his balance, fell against a steel shelving unit and landed on the floor.

As Heathro lay on the floor, Diego saw blood gushing from Heathro's cheek below his left eye. Heathro sat up and was wincing and holding his left foot which had landed on when he fell. Diego got a cloth and pressed it against the wound to try and stop the bleeding and immediately called the Senior Manager, Archibald Wagner, to come and assist.
Deigo received no injury whatsoever; curiously, his strategically knotted man bun remained perfectly intact despite the incident.

Archibald arranged for Heathro to go to a nearby walk-in clinic, called 123 Medical Inc., by taxi. At the clinic, they did an x-ray of his left foot, confirming that it wasn't broken but was only sprained. They wrapped his foot and gave him crutches. They also performed an x-ray of his skull and confirmed that there was no fracture. They stitched the gash under Heathro's eye - 7 stitches in total. He was also diagnosed with a mild concussion and first degree burns. He was prescribed Tylenol 3 with Codeine for pain and told to ice both his head and foot every 2 hours. The clinic physician recommended that Heathro see his own doctor early the following week for a checkup and to begin physiotherapy. Heathro did go to physiotherapy on Tuesdays and Thursdays starting February 16th until his return to full time duties on March 9th.

Heathro did not return to work that day. However, based on his doctor's advice and discussions on Thursday February 12, 2015 with Archibald about returning to work, Heathro will return to part time work on March 16, 2015. On that day he will go back to his regular job, but will be working half days. They do not want him back full time right away because of the concussion.

Heathro earns $20 per hour, and his normal work week before the accident, was 8:30 a.m. to 5:30p.m. Monday to Friday, with one hour for lunch between 12 p.m. and 1 p.m. He was not paid for his lunch hour. When he goes back on March 16, 2015 he will work from 8:30 a.m. to 12 noon. Heathro is expected to return to full working hours (his pre-accident hours and schedule) commencing March 30, 2015. Heathro has not received any pay since the accident.

1. Do not make up any information.

2. Make sure that Form 7 is filled out within the proper time frame and is indicated accordingly on the form. Pay attention to the time frames - i.e. what information you would have known as at the date the form is to be completed in a real life scenario.

3. Complete Form 6 as at March 23, 2015 to turn in with your package, but try to do it before the Form 7 so you know what you are responding to.

4. Turn in this assignment sheet together with your forms and analyses through Blackboard.

Attachment:- form.rar

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