WORK ACCIDENT REPORT

YR2021

Vertis North Orean Place Project

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL
TYPE OF INJURY FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT
Superficial injuries and open wounds - - 0
Fractures - - 0
Dislocations, sprains and strains - - 0
Traumatic amputations - - 0
Concussions and internal injuries - - 0
Burns, corrosions , scalds and frostbites - - 0
Acute poisonings and infections - - 0
Foreign body in the eye - - 0
Others - - 0

PART OF BODY INJURED

Head - - 0
> forehead - - 0
> eye - - 0
> ears - - 0
> face - - 0
Neck - - 0
Back - - 0
Trunk or Internal Organs - - 0
Upper Extremities - 0
> fingers - - 0
> hand - - 0
> elbow - - 0
> forearm - - 0
> upper arm - - 0
Lower Extremities - 0
> toes - - 0
> foot - - 0
> ankle - - 0
> leg - - 0
> thigh - - 0
Whole Body or Multiple Sites Equally Injured - - 0

CAUSE OF INJURY
Falls of persons - - 0
Struck by falling objects - 0
Stepping on, striking against or struck by objects, - - 0
excluding falling objects
Caught in or between objects - - 0
Over-exertion or strenuous movement - - 0
Exposure to or contact with extreme temperature - - 0
Exposure to or contact with electric current - - 0
Exposure to or contact with harmful substances or - - 0
radiation
Others - - 0

AGENT OF INJURY
Buildings, structures - - 0
Prime movers - - 0
Distribution systems - - 0
Hand tools - - 0
Machines, equipment - - 0

Conveying/transport/packaging equipment or vehicles - - 0

Materials, objects - - 0
Chemical substances - - 0
Humans, animals, plants, etc. - - 0
Others - - 0
* No work accident reported for the month of January 2019
Legend:
Prepared by: Mary Luz Ann M. Magday, RN Reviewed by: Rex B. Peña, OSHP Noted by: Rolando Sapasap Jr FA - First Aid
Project Nurse Safety Superintendent Project In Charge MT - Medical Treatment