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    Annual Work Accident/Illness Exposure Data Report

    Uploaded by

    Oferations Suffort Defartment
    A template of AEDR by the Department of Labor and Employment created for submission annually by companies in the Philippines.

    Copyright:

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

    Annual Work Accident/Illness Exposure Data Report

    Uploaded by

    Oferations Suffort Defartment
    1K views1 page
    A template of AEDR by the Department of Labor and Employment created for submission annually by companies in the Philippines.

    Copyright

    © © All Rights Reserved

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    RTF, PDF, TXT or read online from Scribd

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    A template of AEDR by the Department of Labor and Employment created for submission annually by companies in the Philippines.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    1K views1 page

    Annual Work Accident/Illness Exposure Data Report

    Uploaded by

    Oferations Suffort Defartment
    A template of AEDR by the Department of Labor and Employment created for submission annually by companies in the Philippines.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, 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 : ____________________Mechanical Dynamics Inc._____________________________________
    Nature of
    Business

    : _________________Electro-Mehcanical Contractor_______________________________

    : Lot 1B Block 4A, Filinvest Technology Park Calamba, Brgy. Punta, Calamba City, Laguna ,
    Philippines
    Address
    ========================================================================================
    EXPOSURE DATA
    January to December 2016________
    ========================================================================================
    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.

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