Scribd Logo
Upload

Welcome to Scribd!

  • 159 views

    Annual Work Accident-Illness Exposure

    Uploaded by

    Bryan Ruiz
    This annual report form collects workplace injury and illness exposure data from establishments. It requests information on the number of employees, total hours worked, disabling injuries, non-disabling injuries, frequency rate, and severity rate. Frequency rate is the number of disabling injuries per million hours worked and severity rate is the number of lost work days per million hours worked. The report must be submitted to the appropriate labor authority by the 30th day of the year following the reporting period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Annual Work Accident-Illness Exposure

    Uploaded by

    Bryan Ruiz
    159 views1 page
    This annual report form collects workplace injury and illness exposure data from establishments. It requests information on the number of employees, total hours worked, disabling injuries, non-disabling injuries, frequency rate, and severity rate. Frequency rate is the number of disabling injuries per million hours worked and severity rate is the number of lost work days per million hours worked. The report must be submitted to the appropriate labor authority by the 30th day of the year following the reporting period.

    Original Description:

    DOLE work accident form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This annual report form collects workplace injury and illness exposure data from establishments. It requests information on the number of employees, total hours worked, disabling injuries, non-disabling injuries, frequency rate, and severity rate. Frequency rate is the number of disabling injuries per million hours worked and severity rate is the number of lost work days per million hours worked. The report must be submitted to the appropriate labor authority by the 30th day of the year following the reporting period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    159 views1 page

    Annual Work Accident-Illness Exposure

    Uploaded by

    Bryan Ruiz
    This annual report form collects workplace injury and illness exposure data from establishments. It requests information on the number of employees, total hours worked, disabling injuries, non-disabling injuries, frequency rate, and severity rate. Frequency rate is the number of disabling injuries per million hours worked and severity rate is the number of lost work days per million hours worked. The report must be submitted to the appropriate labor authority by the 30th day of the year following the reporting period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    DOLE/BWC/OHSD/IP-6b

    Republic of the Philippines


    Department of Labor and Employment
    BUREAU OF WORKING CONDITIONS
    Manila
    ______________________________
    Date

    ANNUAL WORK ACCIDENT/ILLNESS EXPOSURE DATA REPORT


    Name of Establishment : ________________________________________________________________________
    Nature of Business

    : ________________________________________________________________________

    Address
    : ________________________________________________________________________
    ========================================================================================
    EXPOSURE DATA
    January to December 19_________
    ========================================================================================
    Number of Employees: ________________________________________________________________________
    Total Hours Worked by All Employees During the Year: ____________________________________________
    ========================================================================================
    INJURY SUMMARY
    ========================================================================================
    Total-All Disabling Injuries/Illnesses: ____________________________________________________________
    Total-Non-Disabling Injuries: ___________________________________________________________________
    Frequency Rate: ______________________________________________________________________________
    Severity Rate: ________________________________________________________________________________
    ========================================================================================
    _____________________________
    General Manager
    1.

    This report shall be accomplished whether or not there were accident/illness occurrences during the period covered and
    submitted to the Regional Labor Office or local government having jurisdiction not later than 30th day of the month
    following the end of each calendar year.

    2.

    Frequency Rate is the total number of disabling injuries per million-employee hours of exposure.
    Frequency Rate = Total number of disabling injuries x 1,000,000
    Employee-hours of Exposure

    3.

    Severity Rate is the total number of days lost or charged per million-employee hours of exposure.
    Severity Rate

    = Total number of days lost or charged x 1,000,000


    Employee-hours of Exposure

    4.

    Exposure is the total number of hours worked by all employees in each establishment including employees of operating
    production, maintenance, transportation, electrical, administrative, sales and other departments.

    5.

    Disabling injuries - work injuries, which result in death, permanent total disability, permanent partial disability or temporary
    total disability.

    6.

    Non-disabling injuries (Medical Treatment) - injuries which do not result into disabling injuries but required first aid or medical
    attention of any kind.

    You might also like