Document jBr08D0qM1Ma8YvjLQL79wmg2
Accident Records and Injury Rates
Company, a&<?.
Monthly
_ Plant.
Summary
^
Period
No. of Non*
Disabling
Injuries
No at
Man-Hour. Worked
NUMBER OF DISABUNC INJURIES
Avg No of
Deaths
A Perm
Employees Total
Perm Partial
Temporary Total
Tout
Cost. Adj Curr My Curr
My.
FREQUENCY RATE
This Period
Same Period
Last Year
Jan Fdi
Cum. Mar
Cum Apr.
lio US' xis 111 4nt 1*3
34SO** *19. o*o 143S 0*o 3S3 Mo 111 O*o 90S, O*o
A olo A oto A 03S A OtO A OSo A 0*o
// 3
i4
/ i S'
4
A3 S' 1_ l 4
S to tSL to *1 4- oi
_4.1t < eL 2 S3 /o S4 l o%- lit IS OS' ssf
Cum. May
Cum June
Cum. July
Aug. Com.
Sept. Com.
Oct. Cum.
Nor Com
Dec YEAR
Ll4 19X3. OOo A, Oil
X4E SIS O*o A IS*
1,1*3, 0*o S. Olo
110 S*St*** 1.900
/.of* * 0*C o*o *033
i+r S9S00* /, sxS
l.*4o A sot t 0** *oo4
/Co srso*o 1 to*
t.4oo SStC O** lift
1to 3*1. 0*0 ISIS
/ st* Xttf 0*0 1.911
ISO Sox. 0*0 1.493
1.1to am o** 1. ISO
ISS S3*, oo* lsllS
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t, US
t.1>4
IS* SIS Ooo I. ISO
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1-SJ US 13.33 1 *C ttl It43 So 14* 4 9S l.CS J3.se n iL tsi SSL /fo4 3 is.
1ST rt* sss
tsi in 9.3J_ 19 31-
1.t4 3.104.1+ ft4 4.41 11 3.U 1X94 Ui 1**
National Safety Council
FlC 11-4 -- Results of the safetv program ma\ be gauged from data on this "Monthiv Summary of Injuries" form (8 V. X 14 in ) Injurs' rates computed
for the month, year to date (cumulative), and year permit comparisons be-
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