Safety Incident Agreement

A collection of 7 sample articles on safety accident agreements

In our ordinary daily lives, people use agreements on more and more occasions. Signing an agreement can protect their legal rights to the greatest extent. Many people must be worried about how to write a good agreement. Below are 7 safety incident agreement documents that I have compiled. Welcome to read and collect them.

Safety Accident Agreement Part 1

1. When hotel employees are working (if an individual fails to follow normal operating standards and causes personal safety), the hotel and the team will not bear any costs.

2. If hotel employees are not at work during work (such as joking with colleagues, holding tools or playing with tools, causing safety accidents), the hotel and the team will not be responsible

3. If hotel employees go out after get off work and cause safety accidents due to personal or other reasons, the hotel and the team will not be responsible.

This agreement will take effect upon signature

Signed by:

April 20, 20xx

Hotel Safety Accident Handling Standards

1. Fire accident handling

Anyone who discovers smells, fireworks, or abnormal heat in the hotel is responsible for reporting to the police in time. The handling method is:

1. If you find a fire, call the police in the store. When calling the police, you should clearly state the specific location of the fire, what is burning, the size of the fire, the name, identity, department and location of the person who called the police.

2. If the fire situation is possible, you should put out the fire first, then report it to the fire center, and protect the scene. If the fire situation does not allow it, you should immediately smash the alarm device on the wall to alarm, and at the same time take the alarm in the area Use a portable fire extinguisher for self-rescue.

3. When you discover a fire, don’t panic or shout loudly. You should report it calmly and quickly to the hotel commander. Only after making a decision can you call 119.

Fire confirmation:

After receiving the alarm or phone call, the fire center should immediately rush to the scene with the key. At the same time, the security firefighters should rush to the scene with the walkie-talkie. Confirm whether there is a fire, and carry a portable fire extinguisher nearby to be prepared to put out the fire. When confirming the fire, you should pay attention: do not open the door hastily. Try the door first. If there is no temperature, you can open the door to check. If the temperature is high, confirm that there is a fire inside. If there are guests in the room at this time, you should try to save people first. If no one is around, be prepared to put out the fire before opening the door to put out the fire. Never face the door when opening it.

Fire notification:

1. After receiving the alarm, the fire center immediately notifies the telephone switchboard that the fire has been confirmed, and then operates according to the procedures. The remaining personnel should rush to the scene immediately to put out the fire.

2. The switchboard should promptly notify the relevant departments in the following order:

First-level fire: Security Department, Engineering Department, General Manager or Deputy General Manager or Manager on Duty, Housekeeping Department, Infirmary.

Secondary fire: Security department, engineering department, general manager or deputy general manager or duty manager, housekeeping department, sales department, fire department, medical office and other departments.

Command organization:

When a fire breaks out, a leadership group should be formed quickly to be responsible for organizing and directing fire-fighting and self-rescue work. The group members are: general manager, duty manager, security department manager, and engineering department manager. , housekeeping department manager, etc.

The main tasks are:

1. Organize and direct firefighting, depending on whether the fire situation is reported to "119".

2. Depending on the fire situation, decide whether to shut down the supply air unit or return air unit; whether to cut off the power and air source;

3. Depending on the fire situation, decide whether to issue an evacuation order.

(1) The fire chief briefly introduces the fire situation to the team members and assigns tasks.

(2) The team members push the fire truck or other fire-fighting equipment and take the fire elevator to the fire scene

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(3) Quickly send two team members to go upstairs carefully along the evacuation stairs. Observe the situation. If it is deemed safe, use the fire elevator to send the fire-extinguishing equipment to the incident floor, and then return the fire elevator to the first floor for the fire brigade. and others to use.

(4) Quickly organize team members to put out fires according to fire-fighting procedures, and report work progress to the headquarters at any time.

6. Actions that each department should take:

(1) Security Department:

① The security department manager carries a walkie-talkie and quickly goes to the fire center to accept the instructions from the rescue headquarters.

② Except for one person in the firefighting and office staff who stayed behind, the others rushed to the scene quickly with flashlights and walkie-talkies. The security foreman led the security guards to maintain order, control the hotel door, and prevent outsiders from entering the hotel to prevent accidents.

(2) Engineering department action: The engineering department manager quickly went to the fire center to receive instructions. Employees in all parts of the Engineering Department stick to their jobs and prepare for various tasks. Other employees rushed to the scene immediately to put out the fire.

(2) Housekeeping Department

①The department manager rushed to the fire center to receive instructions.

②The deputy manager or service staff will rush to the scene with the key and be on standby.

③ Leave one person on duty at the service center to promptly report the number of guests living on the fire floor to the rescue headquarters.

(4) Other departments move

○1 After receiving the notice, after each department retains enough personnel in the position, the remaining personnel will be on standby in their respective positions.

② Organize accounts, documents, information, etc. in an orderly manner, lock them, and prepare for evacuation.

7. To evacuate guests when necessary, it will be decided based on the fire situation whether a comprehensive evacuation of guests is required. The evacuation order shall be issued by the commander-in-chief. The specific implementation method is as follows: (1) The fire control center is responsible for using emergency broadcast notifications and first notifying the fire floor. The upper layer, followed by the layer below the fire layer, and the third layer above the fire layer are broadcast layer by layer. When notifying, emergency broadcasts must not be turned on all at the same time.

(2) The sales department and room department managers are responsible for organizing the room attendants to guide the guests to evacuate and arrange the evacuated guests to a safe place.

8. Cooperate with the professional fire brigade. If an alarm has been reported to the "119" station of the fire station, all departments should closely cooperate with the professional fire brigade. The specific methods are as follows: (1) After receiving the fire notification, each department shall In addition to performing the designated tasks, everyone else should stand by and wait for instructions

(2) The security department is responsible for maintaining order in front of the door and directing the vehicles in front of the door according to the situation so that the fire brigade can arrive smoothly

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(3) The customer service department should send people to the door to guide the fire brigade to the scene of the accident

(4) The engineering department should send people to the door to introduce the fire brigade to the scene after the fire brigade arrives. Fire water sources and fire system conditions, and decide to cut off power and gas as appropriate or as ordered by the commander-in-chief.

(5) After the professional fire brigade arrives at the scene, the on-site commander should hand over the command power, take the initiative to introduce the fire situation, and assist in evacuation and fire-fighting work according to their requirements.

9. After the fire is extinguished, the following aftermath work must be done:

(1) After complete evacuation, each department must count its personnel to see if all the dangerous areas have been evacuated, and the housekeeping department must count the guests. Prevent omissions.

(2) The Administrative Office will be responsible for contacting water companies, gas companies, hospitals and other units as appropriate. (3) The catering department will prepare food and beverages as appropriate and arrange temporary living arrangements for evacuated guests.

(4) After the fire is extinguished, the engineering department should promptly close the automatic water sprinkler valve, replace damaged sprinkler heads or other fire-fighting equipment, and restore all fire-fighting facilities to normal.

(5) The security department is responsible for protecting the scene and re-equipping lightweight fire extinguishers.

10． Things to note during implementation:

(1) When the fire can be put out by the hotel’s own organization, do not alert the fire department.

(2) The general headquarters is located in the fire center. The general commander or the manager on duty serves as the general commander, and all orders are issued by him.

(3) After a fire occurs, all intercoms They should be on standby, and when called by the commander-in-chief, they should use concise language and accurately report the situation.

(4) When the guest room department and sales department implement the evacuation plan, they must evacuate guests from the fire escape and never wait for the elevator. The elevator is only for firefighters. It is necessary to prevent guests who are not aware of the fire danger from returning to their rooms, and cannot stay during evacuation to avoid blocking the passage

(5) The guest room attendant is responsible for guiding and checking the evacuation situation. The inspection includes: whether there are any leaves under the bed and in the bathroom Are there people who did not hear the evacuation notice, are there any guests with limited mobility, are there any cigarette butts and lights that are not turned off, and are the main entrances and exits closed.

2. Standards for Handling Food Poisoning Accidents

Food poisoning mainly presents symptoms of acute gastroenteritis such as nausea, vomiting, abdominal pain, diarrhea, etc. If a guest has the above symptoms at the same time, he should report it immediately General manager, guest room, catering, security and other relevant department managers. After receiving the report, the managers of the relevant departments will handle it according to the following standards:

1. Diagnose and provide emergency treatment to the poisoned person. If the condition is serious, send him to the hospital for rescue in a timely manner

2. Carry out emergency treatment Food sampling, testing, and determination of the cause of poisoning

3. The catering department conducts special controls on suspicious foods and related tableware to prepare for verification and prevent other people from being poisoned.

4. The catering department is responsible, with the assistance of the security department, to investigate the poisoning incident and identify the cause, number of people, identities, etc.

5. According to the instructions of the store leader, notify the public security The government agencies, health and epidemic prevention departments, security department and catering department should do their respective reception work and assist them in the investigation.

6. The housekeeping department and sales department will notify the reception unit or family members of the poisoned guests, explain the situation to them, and assist in the aftermath.

7. Internal employees with food poisoning, human resources The department is responsible for handling the aftermath.

3. Safety incident reporting management

1. When homicides, robberies, massacres, major thefts, frauds and other vicious criminal cases occur in the store, once employees discover that they should Report the crime to the Security Department within 5 minutes. After receiving the report, the Security Department quickly rushes to the scene of the crime, identifies the situation, protects the scene, and immediately asks the store leader for instructions and reports the crime directly to the Municipal Public Security Bureau.

2. When security cases such as theft, fights, hooligans, and destruction of public property occur in the store, once employees find out, they should report the case immediately and protect the scene. After receiving the report, the security department should rush to the scene quickly. Go to the scene, conduct investigation and processing, and decide to report immediately or report afterwards depending on the urgency of the situation.

3. For various cases raised by hotel guests when they complain to the lobby manager and duty manager, the lobby manager must ask the guests to fill in the report form and report the case to the security department within 5 minutes.

4. All kinds of disputes and security cases among employees should be reported to the security department while reporting to the department leaders. If they are stolen or lost, they should be reported to the security department in a timely manner.

5. If the time limit for reporting a case is exceeded and the opportunity to handle the case is delayed, sanctions or fines will be imposed depending on the circumstances. 4. Management of personnel involved in forced purchases, forced sales, reverse transfers, and exchange transfers

⑴ The security department must divide responsibilities and establish an inspection system in key public places of the hotel.

(2) Personnel on duty shall strictly control the gate to prevent unauthorized persons from entering.

(3) Patrol and on-duty personnel will pay close attention to those staying in the store, and through observation and questioning, will advise those who engage in improper behavior to leave the hotel.

(4) Inspection personnel will strengthen patrols around the area and conduct inspections around the vehicles parked by guests.

(5) During the peak hours when guests return from an outing, the security department will dispatch additional security guards. If necessary, a dedicated person will be responsible for when guests get on and off the bus until the guests have completely left the hotel or entered the lobby.

(6) The security department must be aware of those who often come to the store and may engage in reverse transfers, cut-offs, exchanges, and forced purchases and sales, and contact the public security department in a timely manner if any illegal activities are found. behavior, take immediate action.

(7) Door posts should be strengthened to control, and the visitor registration and verification system should be strictly implemented for those who receive customers.

(8) Room attendants should pay attention to the words and deeds of guests during their work. In particular, they should promptly monitor suspicious persons who knock on the door one by one and report them to the security department.

How to deal with people who are forced to buy, sell, reverse, and cut foreign exchange

(1) The service staff finds that people who are forced to buy, sell, reverse, and cut foreign exchange are in conflict with When customers make transactions, immediately report to the Security Department and take control measures

(2) After receiving the report, the Security Department will deploy police forces to control the scene and conduct forced buying, forced selling, reverse transfers, and foreign exchange transactions according to the information provided. , the currency exchanger took it to the security department for processing. However, you should remember to try not to disturb the guests, keep the impact to a minimum, and prevent heckles and robberies from happening

(3) A dedicated person from the security department will be responsible for checking on-site to see if there are any leftover items. If the situation is serious, report them immediately. Report the matter to the hotel leader or manager on duty, and then report it to the police station or public security organ for handling.

5. Regulations for the management of explosives and suspected explosives

1. Alarm upon discovery

(1) Hotel employees who discover explosions or suspected explosives should immediately report Call and report to the switchboard operator. When receiving the alarm, the operator should ask for the time, location and circumstances, as well as the name, department and location of the person who reported the incident.

(2) The operator will notify the relevant personnel to arrive in the following order: first, the security department manager, engineering department manager, and lobby manager; second, the general manager or deputy general manager, and night shift manager; third, the guest room manager; The fourth is the medical room and driver's class. Also fill in the "Explosives and Alarm Telephone Records".

2. Handling specifications of each department:

(1) Engineering Department, close nearby equipment that may cause serious accidents due to explosion, and remove valuables that can be moved near the site and equipment.

(2) The Security Department immediately organized personnel to go to the scene, evacuate people within a radius of 25 meters around the explosives and set up a temporary cordon. No one is allowed to enter without authorization

② Call the Public Security Bureau to report the case. After the public security personnel arrive at the scene, assist the public security personnel in removing the explosives and conducting investigations

③Report the on-site situation to the hotel leadership, actively cooperate with various tasks, and organize relevant personnel to do so Be prepared to put out fires and rescue the wounded Safety Accident Agreement 2

Party A: Address: (Gender, Han nationality, year and month of birth, residence, ID number, contact number)

Party B: Address: (Gender, Han nationality, year and month of birth, residence, ID number, contact number)

Around the morning of the year, month and day, Party A and Party B had a quarrel over a trivial matter, which later resulted in a physical conflict , resulting in Party B being injured and sent to the hospital for treatment. His condition is now no longer serious. Party A and Party B reached the following agreement on the basis of equality, voluntariness and consensus through consultation:

1. Compensation amount:

During Party B’s hospitalization, the medical expenses (10,000 yuan) have been paid by Party A . Party A now pays Party B follow-up medical expenses, lost work expenses, food subsidy during hospitalization, nursing expenses, nutrition expenses, disability compensation, mental damage solatium, transportation expenses, accommodation expenses and other reasonable expenses as well as humanitarian compensation. ***The total amount is RMB 10,000 (in capital letters: 10,000 yuan). Party B is required to sign and write a receipt.

2. After receiving the appeal money, Party B must deliver all the bills incurred due to the accident, including hospitalization medical bills, transportation bills, etc. to Party A on the spot.

3. After Party A compensates Party B for the above amount, Party B and Party A reach an understanding.

Party B will no longer hold Party A responsible for any liability, including criminal liability and civil liability. Party B guarantees that it will not require any other expenses from Party A for Party B's injury in any form or for any reason.

4. Payment term: Party A will pay the appeal amount to Party B after Party A is released on bail pending trial.

5. After Party A performs in accordance with this Agreement, Party B voluntarily gives up its right to arbitrate and litigate the damage.

6. If Party B violates this agreement, Party A has the right to require Party B to return all the money and compensate for losses.

7. This agreement is made in duplicate and will take effect upon signature by both parties.

Party A: Party B:

Year, month, day, year, month, day Safety Accident Agreement Part 3

Party A: ____, male, April 14, 1983 Date, ID number

Party B: ____, male, February 28, 1990, ID number

Xu Qirong, male, May 9, 1988, ID number

On March 12, 20xx, Party A and Party B had a dispute at Anhai Yongsheng KTV over trivial matters and fought with each other. Party B slightly injured Party A. The hospital examination proved that Party A has returned to normal and has no major injuries. hinder. After negotiation between Party A and Party B, the "Personal Injury Compensation Agreement" was signed on ______31___, May _20xx____, and the following agreement was reached:

Article 1: Compensation issues:

Party B shall compensate Party A for medical expenses, nursing expenses, lost work expenses, nutrition expenses, food subsidies, etc. of RMB 60,000 and 2,000. Party B has paid RMB 20,000 to Party A for medical expenses, etc. The agreement of RMB 40,000 shall be effective upon signing and payment of RMB 20,000 shall be made, and the remaining RMB 20,000 shall be paid within one year.

Article 2 Regarding Party A’s future physical condition:

Party A accepts compensation from Party B. Any future physical health problems of Party A will have nothing to do with Party B.

Article 3 After signing the agreement, Party A will no longer claim the right to dispute with any agency or unit. Party A expresses its understanding to Party B.

Article 4 Once both parties sign and fingerprint the agreement, it will become legally effective and will never go back on it.

Article 5 This agreement is made in triplicate, each party holds one copy, and has the same legal effect.

Party A: _X____, gender _____, ethnicity _____, born on _____ month _____ day _____ year, place of origin _____, address _____, ID number: _____.

Party B: __ /p>

Because Party A _____ drove a motorcycle _____ from _____ to _____ direction, and when it reached _____, it collided with a truck driven by xxx with license plate xxxxxx, causing xxx to be injured. xxx was seriously injured and was hospitalized in the County People's Hospital. Now the treatment has come to an end and xxx has basically recovered.

After negotiation between Party A and Party B on the basis of equality, fairness and good faith, the following agreement has been reached. Both parties must abide by it and neither party can regret it.

1. The medical expenses of XX yuan (in capital letters: XX) for the treatment of Party A and the two persons in the County People’s Hospital shall be paid by Party B;

2. In addition to the medical expenses, Party B shall make a one-time compensation Party A's two persons total RMB XX yuan. (Capital: Lu Qian Yi Bai Eight Shi Yuan). The amount shall be allocated by Party A and Party A themselves (how the allocation is done has nothing to do with Party B).

This section includes all expenses such as hospitalization food subsidy, hospitalization nursing expenses, lost work expenses, transportation expenses, etc. After Party A receives the payment, it is up to Party A to decide whether to continue re-examination (or treatment). The cost will be borne by Party A and has nothing to do with Party B. The changes in the condition have nothing to do with Party B.

3. Each party is responsible for the vehicle losses caused by the accident, and each party shall bear the repair costs.

4. After both parties sign the agreement, Party B shall pay the compensation on the spot.

5. After receiving the payment, Party A waives any form of compensation and compensation. Party B shall not be entangled for any reason or excuse, including reasserting rights with any agency or department through litigation or non-litigation.

6. After both parties A and B sign, Party A will transfer all rights to claim compensation from the insurance company to Party B, and Party A is obliged to assist Party B in handling insurance claims. Party A shall provide Party B with a copy of the ID card and hospitalization medical record on the day the Agreement is signed.

7. After Party A provides Party B with relevant documents for insurance claims, Party B will handle the insurance claims on its own. If the claim is unsuccessful, Party B shall not require Party A to return it for any reason; if the claim is successful, Party A shall not require the distribution of the insurance benefits obtained by Party B for any reason.

8. This agreement is made in triplicate, two copies for Party A and one copy for Party B.

9. This agreement will take effect after being signed (or stamped) by both parties.

Party A (two people): Party B:

Year, month, day, year, month, day

Signature of those present: Safety Incident Agreement Part 5

Party A: Male, XX years old, address:, ID number:

Party A: Male, XX years old, address:, ID number:

Party B on 20xx An injury accident occurred on June XX, 2018. After treatment and reexamination, he has now recovered. In order to properly resolve the matter of Party B's injury, Party A and Party B have reached the following agreement through friendly negotiation based on the principles of equality, voluntariness, mutual understanding and accommodation:

1. What actually happened from the date of Party B's injury to the date of signing of this agreement and other medical expenses, transportation expenses and other expenses that should be paid by Party A, totaling XXX yuan (in capital letters: XXX RMB), have been fully paid by Party A before the signing of this agreement, and Party B shall not Claim against Party A for any expenses incurred during the aforementioned period for any reason.

2. Within XX days after the signing of this agreement, Party A shall pay Party B RMB XX yuan (in capital letters:

3. After Party B receives the one-time subsidy, it shall reasonably allocate and handle it, and consciously reserve enough for possible follow-up treatment, rehabilitation, living and other expenses. The method of allocating and handling the aforementioned expenses shall be decided by Party B at its own discretion, and the consequences shall be borne by Party B at its own risk.

4. If Party A delays paying Party B the one-time subsidy stipulated in this agreement, Party A shall pay 3‰ of the one-time subsidy to Party B as a late payment penalty for each day of delay, and the total late payment penalty shall not exceed 20 of the total one-time subsidy.

5. After Party B receives the one-time subsidy paid by Party A, if Party B makes any cost and responsibility requirements to Party A for any reason, Party B shall refund all fees paid by Party A to resolve this matter. , and bear all losses caused to Party A due to breach of contract, and shall pay Party A a liquidated damages of 20% of the one-time subsidy.

6. This agreement is the result of equal and voluntary negotiations between both parties. It is the true expression of both parties’ intentions and is fair and reasonable.

7. Party A and Party B have read and understood the entire content of this agreement. Party A and Party B understand the consequences of violating this agreement. Party A and Party B are completely satisfied with the outcome of this agreement.

8. This agreement is made in two copies, with Party A and Party B each holding one copy. The agreement will become legally effective upon signature by Party A and Party B.

9. This agreement is a one-time termination agreement. Both parties shall conclude this agreement, fully and effectively perform the contract, and shall not continue to argue for any reason. Any physical or mental problems that Party B may have in the future will have nothing to do with Party A.

Party A’s signature: XXX

Time: X, month XX, 20xx

Party B’s signature: XXX

Time: X, 20xx Day XX

Witness: XXX

Attached: Copy of Party A’s and Party B’s ID card Safety Accident Agreement Part 6

Party A:

Authorized representative:

Party B: XXX, male, Han nationality, age XX years old, ID number:

Due to the work-related injury accident of Party B at Party A's construction site, both parties passed by After friendly negotiation, taking into account the family situation of Party B and the actual situation of Party A, and on the basis of reasonableness, legality, mutual accommodation, equality and voluntariness, the following agreement was reached:

Article 1 This agreement is based on the "Work-related Injuries" of the State Council. Insurance Regulations", "Guangdong Provincial Work-related Injury Insurance Regulations", "Interpretations of the Supreme People's Court on Several Issues Concerning the Application of Laws in the Trial of Personal Injury Compensation Cases" and other relevant regulations have been reached, and both parties A and B fully know and understand these two regulations and other relevant regulations. Contents, clearly indicating Party B’s compensation items and amounts for work-related injuries.

Article 2 Party B is an employee of Party A at the construction site. He was injured at the construction site on June XX, 20xx and was treated by Longhua People’s Hospital. Party A has paid XXX yuan for medical expenses, living expenses and other expenses due to Party B's injury.

Article 3 In accordance with the provisions of relevant laws and regulations, the two parties have negotiated a total compensation of RMB 1.4 million. Party B understands and agrees that the above compensation includes but is not limited to one-time disability subsidy, one-time Sexual disability employment subsidy, one-time work-related injury medical subsidy, medical expenses, lost work expenses, nursing expenses, transportation expenses, accommodation expenses, hospitalization food subsidy, necessary nutrition expenses, disability compensation, disability assistive device expenses, dependents Living expenses, as well as necessary rehabilitation fees, nursing fees, and follow-up treatment fees actually incurred due to rehabilitation care and continued treatment, and include all compensation payments such as solitary payments for mental damage to Party B and his family members.

Article 4: Identity and guarantee of each party:

1. Party A represents and guarantees to the parties as follows:

(1) It is a company A limited liability company established in accordance with the law and validly existing;

(2) It has the right to carry out the actions stipulated in this agreement, and has taken all necessary corporate actions to authorize the signing and performance of this agreement;

(3) This agreement constitutes a binding obligation on it from the date of signing.

2. Party B represents and warrants to all parties as follows:

(1) It has the right to perform the acts specified in this Agreement and has taken all necessary actions to sign and perform this Agreement ;

(2) When signing this agreement, Party B has fully understood the matters dealt with in this agreement and signed this agreement on an equal and voluntary basis. Party B guarantees that after receiving the above compensation, it will not use any Any reason to claim any other compensation from Party A or any other person;

(3) This agreement constitutes a binding obligation on Party A from the date of signing;

Article 5 Liability for breach of contract If any party breaches this Agreement, the Agreement will be void. Either party may file a lawsuit in the People's Court. If one party breaches its representations, warranties or other obligations in this Agreement and causes the other parties to suffer losses, the other parties have the right to demand compensation.

Article 6 Confidentiality Clause: One party has the obligation to keep confidential the other party’s business secrets or personal privacy learned as a result of this work-related injury compensation, and shall not disclose it to other relevant third parties. However, China’s current laws and regulations otherwise Except as specified or with the written consent of the other party.

Article 7 This agreement is made in duplicate, with Party A and Party B each holding one copy. It will take effect upon signature and seal of both parties, and both parties will have the same legal effect.

Party A: ____Cai Qingliang, male, April 14, 1983, ID number xxxxxxx, No. 9, Qianqian Road, Shetan Village, Anhai Town, Jinjiang City, Fujian Province_____

Party B :____Wang Zhichun, male, February 28, 1990, ID number xxxxxxx, No. 35, Yuying Road, Dashanhou, Jinjiang City, Fujian Province_____

Xu Qirong, male, May 1988 On the 9th, ID number xxxxxxx, Kemu Village, Anhai Town, Jinjiang City, Fujian Province.

Party A and Party B had a dispute at Anhai Yongsheng KTV on March 12, 20xx, and fought with each other. Party B slightly injured Party A. The hospital examination proved that Party A has returned to normal and has no symptoms. Big deal. After negotiation between Party A and Party B, the "Personal Injury Compensation Agreement" was signed on ______31___, May _20xx____, and the following agreement was reached:

Article 1: Compensation issues:

Party B shall compensate Party A for medical expenses, nursing expenses, lost work expenses, nutrition expenses, food subsidies, etc. of RMB 60,000 and 2,000. Party B has paid RMB 20,000 to Party A for medical expenses, etc. The agreement of RMB 40,000 shall be effective upon signing and payment of RMB 20,000 shall be made, and the remaining RMB 20,000 shall be paid within one year.

Article 2 Regarding Party A’s future physical condition:

Party A accepts compensation from Party B. Any future physical health problems of Party A will have nothing to do with Party B.

Article 3 After signing the agreement, Party A will no longer claim the right to dispute with any agency or unit. Party A expresses its understanding to Party B.

Article 4 Once both parties sign and fingerprint the agreement, it will become legally effective and will never go back on it.

Article 5 This agreement is made in triplicate, each party holds one copy, and has the same legal effect.

Party A: _________ Party B: _________ _________

Year____month____day _________year____month____day