Document yk99BRGRDDMZx8wOGR0QOD0yd

6--Accident Records and Injury Rates INJURY AND ILLNESS RECORD OF EMPLOYEE S. P. Smith______________________________________________845 (Name) (Employee Number) Occupation PackerDepartment ShippingDate Employed 1-23-69 Case Number 164 192 349 Iniury 01 Illness Date of Occurrence Z16 Type (Fatal. Permanent Temporary. Non-disabling) Ini. 2-12-70 Non-dlsab. 111. 8-3-71 Temporary Ini. 3-16-73 Temporary Z16 Days Charged Comp, and Other Costs OSHA Type (Fatal. Lost Workday. NonLost Workday) OSHA Lost Workdays 00 8 0 Lost Workday 6 3 0 Lost Workday 1 (Reverse side may be used for remarks) Issued by NATIONAL SAFETY COUNCIL. 425 N Michigan Ave . Chicago. Ill 60611 IS3 Rev Printed in US A Stock No 129 23 Fic 6-4 --The "Injury and Illness Record of Employee," a 4 X 6 in card for recording injuries ability Therefore, one temporary total dis ability and 42 days of lost time would be entered in the March summary The employee returned to work on April 27 as estimated, and treatment for stiffness of the arm was begun On September 10, the phy sician decided that the injury had caused 20 percent permanent disability of the arm The entry for March would be changed, and the cumulative through September would be com puted to reflect the change in the March esti mate That is, the injury was changed in the ANSI Z16 1 records to a permanent partial disability, and the 42 days charge was changed to 900 days (20 percent of 4500 days) Annual report. Whereas monthly summa ries of injuries are prepared primarily to show the trend of safety performance during the year, annual reports aie prepared so that com parisons for the longer period may be made with the experience of previous years, and with the experience of similar companies and of the industry as a whole 130 Especially in smaller companies, monthly injury rates often show wide variations which make it difficult to evaluate the safety per formance correctly If a small company has only two or three injuries in a year, m the months m which these injuries occur the rates will jump to extreme highs, but m the other months, the rates will be zero These vari ations will he smoothed out m annual totals, however, and the late for the longer penod will have increased significance Annual reports should be prepared as soon after the close of the year as information be comes available, but again not later than the twentieth of the month following If any in jury report is still incomplete twenty days after the close of the year because the em ployee has not returned to work, or if the classification of any injury is in doubt at that time, an estimate of the outcome should be made by the company physician and the re port included with the completed cases When annual lecords are closed, the esti mated charges or OSHA lost workdays on