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Department of Labor and Employment: Annual Work Accident/Illness Exposure Data Report

This annual report from an establishment provides work accident and illness exposure data for a calendar year. It includes the number of employees, total hours worked, disabling injuries, non-disabling injuries, and calculates the frequency and severity rates based on million employee hours of exposure. The report must be submitted to the appropriate authority by the 30th day of the month following the reported year.

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529 views1 page

Department of Labor and Employment: Annual Work Accident/Illness Exposure Data Report

This annual report from an establishment provides work accident and illness exposure data for a calendar year. It includes the number of employees, total hours worked, disabling injuries, non-disabling injuries, and calculates the frequency and severity rates based on million employee hours of exposure. The report must be submitted to the appropriate authority by the 30th day of the month following the reported year.

Uploaded by

RERREFAIT
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 ___________
=====================================================================================
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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