You are on page 1of 1

INJURY/DISEASE STATISTIC REPORT

PROJECT NAME: CONTRACT NO.: CONTRACTOR: NAME OF SAFETY ENGR.:

12

10
Number of Injury/Diseaes

0
January February March April May June July August September October November December

2023 ACCIDENT REPORT


MONTH ### January February March April May June July August September October November December Total
First Aid 0 0 5 10 0 0 0 0 0 0 0 0
Medical Treatment/ Minor 0 8 9 7 8 0 0 0 0 0 0 0 0
Major Injury 0 0 0 0 7 0 0 0 0 0 0 0 0
Property Damage 0 0 9 9 0 0 0 0 0 0 0 0 0
Vehicle/Traffic Accident 0 0 0 0 0 0 0 0 0 0 0 0 0
Fire Accident 0 0 0 0 0 0 0 0 0 0 0 0 0
Fatality 0 0 0 0 0 0 0 0 0 0 0 0 0
NUMBER OF Injury/ Disease 0 0 8 0 21 0 0 0 0 0 0 0 0 0

Prepared By: Checked by: Revision No:


Page: 1/1
Project Manager 0

You might also like