Employees (RRM-Including office staff) Subcontractor(including Office Staff) Total
Activities Workers Supervisor Workers Supervisor Period Cumulative Fatalities nil nil n/a n/a nil n/a Lost Time Injuries (LTI) 24 nil n/a n/a 24hr 24
Medical Treatment cases nil nil nil nil nil nil
First Aid injuries 1 nill n/a n/a 24hr 24h Property damage nil nil n/a n/a Man-Hours worked Average no of staff Days Lost Freaquency rate (LTI Rate) Severity Rate
LTI Accident with at least 1 day lost
Frequency Rate LTI x 200 / Man - hours worked severity Rate Days lost x 200 / Man- hours worked
Fatalities and lost time Injuries Summary
Name Employer Lost Work Days Injury Accident Description