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Project No.

Project Name Project Location

MONTHLY STATUS OF INCIDENTS / ACCIDENTS / NEAR MISS AND SICKNESS CASES

FOR THE MONTH OF :


Date wise No. of incidents
Types of Incidents Total %age
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Arm Injury - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Eye / Nose Injury - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Head Injuries - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Foot Injuries - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Burn Injury - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Electric Shock - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Back Injury - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Arm Injury - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Near Miss - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Total - - - - - - - 1 - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Date wise No. of Sickness Cases


Types of Sickness / Total %age
illness
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Low BP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

High BP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Back Pain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Foot pain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Hand Pain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Eye Wash - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Others - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!
Total - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - #DIV/0!

Emergency Handled Others (Injury) Others (Sickness) Remarks


T/L Hosp self
Injury Cases - 10 1 100.0%
Sickness Cases - 0 - 0.0%
Sent to Hospital - 0.0%
Total - - 1 100.0%

Injuries Reasons Minor / Major

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