Osh Compliance

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*PLEASE EDIT WHITE CELLS ONLY. IF NOT APPLICABLE, PUT ZERO (O).

MCI

INDUSTRIAL ACCIDENT / INCIDENT STATISTICS JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
A. DISABLING ACCIDENTS/ LOST TIME: 0 0 0 0 0 0 0 0 0 0 0 0
▪ Temporary Total Disability - 0 - 0 0 - 0 - 0 - 0 -
▪ Permanent Partial Disability - 0 - - - - - - - - - -
▪ Permanent Total Disability - 0 - - - - - - - - - -
▪ Fatality - 0 - - - - - - - - - -
B. DAYS CHARGED FOR THE ACCIDENTS - - - - - - - - - - - -
C. ACCIDENT COSTS: - - - - - - - - - - - -
▪ SSS & ECC Compensation Payments - - - - - - - - - - - -
▪ Cost of Medicines and Hospitalization - - - - - - - - - - - -
▪ Cost of Equipment/Materials Damaged - - - - - - - - - - - -
▪ Others - - - - - - - - - - - -
D. NON-DISABLING ACCIDENTS/ NON-LOST TIME 0 0 0 0 0 0 0 0 0 0 0 0
E. NEAR-MISS INCIDENTS 0 0 0 0 0 0 0 0 0 0 0 0
F. SAFE MAN-HOURS: 115,440.00 227,240.00 341,640.00 457,080.00 570,960.00 685,880.00 801,060.00 916,500.00 1,031,420.00 1,146,080.00 1,261,520.00 1,375,960.00
▪ Man-Hours Worked (Actual Hours billed to client) 115,440.00 111,800.00 114,400.00 115,440.00 113,880.00 114,920.00 115,180.00 115,440.00 114,920.00 114,660.00 115,440.00 114,440.00
▪ Man-Hours Lost due to Accident/Incident - - - - - - - - - - - -
G. AVERAGED NUMBER OF MEMBERS 432 432 432 432 432 432 432 432 432 432 432 432
H. INJURY RATES: 115,440.00 227,240.00 341,640.00 457,080.00 570,960.00 685,880.00 801,060.00 916,500.00 1,031,420.00 1,146,080.00 1,261,520.00 1,375,960.00
▪ Frequency Rate - - - - - - - - - - - -
▪ Severity Rate 1 1 1 1 1 1 1 1 1 1 1 1
I. WORK-RELATED ILLNESS 0 0 0 0 0 0 0 0 0 0 0 0
J. WORK-RELATED ILLNESS COSTS: - - - - - - - - - - - -
▪ SSS & ECC Compensation Payments - - - - - - - - - - - -
▪ Cost of Medicines and Hospitalization - - - - - - - - - - - -
K. ENVIRONMENTAL INCIDENT VICTIM (Natural Calamities) 0 0 0 0 0 0 0 0 0 0 0 0
L. OSHE TRAININGS (No. of Participants) 0 0 0 0 0 0 0 0 0 0 0 0
M. OSHE MEETINGS/ TOOLBOX (No. of Participants) 30 25 25 30 35 25 30 30 25 25 30 30
N. OSHE AUDITS/ INSPECTIONS 0 0 0 0 0 0 0 0 0 0 0 0
O. OSHE PROMOTIONS 0 0 0 0 0 0 0 0 0 0 0 0
P. PHYSICAL EXAMINATION RECORDS:
▪ Pre-Placement (Newly Engaged) 0 0 0 0 0 0 0 0 0 0 0 0
▪ Total Costs - - - - - - - - - - - -
▪ Periodic (Annual) 0 0 0 0 0 0 0 0 0 0 0 0
▪ With Abnormal Values 0 0 0 0 0 0 0 0 0 0 0 0
▪ Corrected 0 0 0 0 0 0 0 0 0 0 0 0
▪ Percent Correction
▪ Total Costs - - - - - - - - - - - -
(1) “Medical Treatment Injury” shall mean an injury which does not result in a disabling injury but which requires first aid an

(2) ‘Disabling Injury” shall mean a work injury which results in death, permanent total disability, permanent partial disabilit

(3) “Death” shall mean any fatality resulting from a work injury regardless of the time intervening between injury and death

(4) “Permanent Total Disability” shall mean any injury or sickness other than death which permanently and totally incapacit

a. both eyes;

b. one eye and one hand, or arm, or leg or foot;

c. any two of the following not in the same limb, hand, arm, foot, leg;

d. permanent complete paralysis of two limbs;

e. brain injury resulting in incurable imbecility or insanity.

(not curable within 6 mos.)

(5) “Permanent Partial Disability” shall mean any injury other than death or permanent total disability, which results in the

(one body part only)

(6) “Temporary Total Disability” shall mean any injury or illness which does not result in death or permanent total or perma

(curable within 6 mos.)

Hi sir @jpferrer@asiapro.coop @jmapalad@asiapro.coop @lnavarro@asiapro.coop madams @argalang@asiapro.coop @jinta

In line with HSD's request to complete our Industrial Accident/Incident Statistics for 2021, I would like to seek your help to com
but which requires first aid and medical treatment of any kind.

ty, permanent partial disability or temporary total disability.

ning between injury and death.

manently and totally incapacitates an employee from engaging in any gainful occupation or which results in the loss or the complete los

disability, which results in the loss or loss of use of any member or part of a member of the body regardless of any pre-existing disability

or permanent total or permanent partial disability but which results in disability from work for a day or more.

argalang@asiapro.coop @jintan@asiapro.coop @rtadina@asiapro.coop ,

uld like to seek your help to complete your respective tables (by client)
n the loss or the complete loss of use of any of the following in one accident:

s of any pre-existing disability of the injured member or impaired body function.

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