Injury and Accident Records

8/13/2019 Injury and Accident Records

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Accidents Records and InjuryIndices


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OSH RULE REPORT/FORM WHEN TO REPORT WHERE TO

REPORT

Rule 1050

Notification and

Keeping of

Accidents

and/or

Occupational

Illnesses

Work Accident Illness

Report (WAIR)-

DOLE/BWC/IP-6)

WAIR

-On or before the

20th day of the

month following the

date of occurrence of

the accident

2 copies, to

be submitted

to concerned

RO copy

furnished the

Bureau

Annual ExposureData Report (AEDR)-

(DOLE/BWC/IP-6b)

-On or before Jan. 20of the following year

Fatal/major accident Within 24 hours

RULE 1050 - 1059 - Notification & Keeping of

Accident and/or Occupational Illnesses
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What must be reported?

work-related accidents which cause death;

work-related accidents which cause certain

serious injuries (reportable injuries); diagnosed cases of certain industrial

diseases; and

certain dangerous occurrences (incidentswith the potential to cause harm)


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Why report?

Reporting certain incidents is a legal requirement. The

report informs the enforcing authorities about

deaths, injuries, occupational diseases and

dangerous occurrences, so they can identify

where and how risks arise, and whether they need

to be investigated. This allows the enforcing

authorities to target their work and provide advice

about how to avoid work-related deaths, injuries, ill

health and accidental loss.


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What must be reported?

Work -related accidents

An accident is a separate, identifiable, unintended incident that causesphysical injury. This specifically includes acts of non-consensualviolence to people at work.

the accident is work-related; and

it results in an injury of a type which is reportable

When deciding if the accident that led to the death or injury is work-related, the key issues to consider are whether the accident wasrelated to:

the way the work was organized, carried out or supervised; any machinery, plant, substances or equipment used for work; and

the condition of the site or premises where the accident happened.

If none of these factors are relevant to the incident, it is likely that areport will not be required.


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Types of Reportable Injury

Deaths

All deaths to workers and non-workers must be reported if they arise from a work-

related accident, including an act of physical violence to a worker. Suicides are not

reportable, as the death does not result from a work-related accident.

Speci f ied in jur ies to workers a fracture, other than to fingers, thumbs and toes;

amputation of an arm, hand, finger, thumb, leg, foot or toe;

permanent loss of sight or reduction of sight;

crush injuries leading to internal organ damage;

serious burns (covering more than 10% of the body, or damaging the eyes,

respiratory system or other vital organs); scalpings (separation of skin from the head) which require hospital treatment;

unconsciousness caused by head injury or asphyxia;

any other injury arising from working in an enclosed space, which leads to

hypothermia, heat-induced illness or requires resuscitation or admittance to hospital

for more than 24 hours.


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Types of Reportable Injury

Over-seven-day injur ies to workers

This is where an employee, or self-employed person, isaway from work or unable to perform their normal workduties for more than seven consecutive days (not

counting the day of the accident).

Injur ies to non-work ers

Work-related accidents involving members of the public orpeople who are not at work must be reported if a person isinjured, and is taken from the scene of the accident to hospitalfor treatment to that injury. There is no requirement to establishwhat hospital treatment was actually provided, and no need toreport incidents where people are taken to hospital purely as aprecaution when no injury is apparent.

If the accident occurred at a hospital, the report only needs tobe made if the injury is a specifiedinjury


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Reportable occupational diseases

Employers and self-employed people must report diagnoses ofcertain occupational diseases, where these are likely to havebeen caused or made worse by their work. These diseasesinclude:

carpal tunnel syndrome; severe cramp of the hand or forearm;

occupational dermatitis;

hand-arm vibration syndrome;

occupational asthma;

tendonitis or tenosynovitis of the hand or forearm; any occupational cancer;

any disease attributed to an occupational exposure to abiological agent.


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Reportable dangerous occurrences

Explosion of boilers used for heating or power.

Explosion of a receiver or storage container, with pressure greater than

atmospheric of any gas or gases (including air) or any liquid resulting

from the compression of such gases or liquid

Bursting of a revolving wheel, grinder stone or grinding wheel operated

by mechanical power

Collapse of a crane, derrick, winch, hoist or other appliances used in

raising or lowering persons or goods or any part thereof, the overturning

or a crane, except the breakage of chain or rope sling

Explosion of fire causing damage to the structure of any room or place

in which persons are employed or to any machine contained thereinresulting in the complete suspension of ordinary work in such a room or

place, stoppage of machinery or plant for not less than 24 hours, and

Electrical short circuit or failure of electrical machinery, plant or

apparatus, attended by explosion or fire causing structural damage

thereto and involving its stoppage and misuse for not less than 24hours


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OSHS Recordkeeping


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OSHS Recordkeeping

The employer shall maintain and keep an accident or illnessrecord which shall be open at all times for inspection to authorizedpersonnel containing the following minimum data: Date of accident or illness;

Name of injured or ill employee, sex and age;

Occupation of injured or ill employee at the time of accident or illness; Assigned causes of accident or illness;

Extent and nature of disability;

Period of disability (actual and/or charged);

Whether accident involved damaged to materials, equipment ormachinery, kind and extent of damage, including estimated or actual

cost; and Record of initial notice and/or report to the Regional Labor Office or

authorized representative.


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Days or Scheduled Charges


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Days Charged

1) Death resulting from accident shall be assigned at timecharge of 6,000 days.

2) Permanent total disability resulting from work accident shallbe assigned a time charge of 6,000 days.

3) Permanent Partial disability either traumatic or surgical,resulting from work accident shall be assigned the timecharge as provided in Table 6 on Time Charges. Thesecharges shall be used whether the actual number of dayslost is greater or less than the scheduled charges or even ifno actual days are lost at all.

4) For each finger or toe, use only one charge for the highestvalued bone involved. For computations of more than onefinger or toe, total the separate charges for each finger ortoe.
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Days Charged

5) Charges due to permanent impairment of functions shall be apercentage of the scheduled charges corresponding to thepercentage of permanent reduction of functions of the member orpart involved as determined by the physician authorized by theemployer to treat the injury or illness.

6) Loss of hearing is considered a permanent partial disability only in

the event of industrial impairment of hearing from traumatic injury,industrial noise exposure or occupational illness.

7) The charge due to permanent impairment of vision shall be apercentage of the scheduled charge corresponding to thepercentage of permanent impairment of vision as determined bythe physician authorized by the employer to treat the injury or

illness.8) For permanent impairment affecting more than one part of the

body, the total charge shall be the sum of the scheduled chargesfor the individual body parts. If the total exceeds 6,000 days, thecharge shall be 6,000 days.


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Days Charged

9) Where an employee suffers from both permanent

partial disability and a temporary total disability in

one accident, the greater days lost shall be used and

shall determine the injury classification.

10)The charge for any permanent partial disability other

than those identified in the schedule of time chargesshall be a percentage of 6,000 days as determined

by the physician authorized by the employer to treat

the injury or illness


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Days Charged

11) The charge for a temporary total disability shall be the total number

of calendar days of disability resulting from the injury or fitness as

defined in Rule (8), provided that:

The day of injury or illness and the day on which the employee

was able to return to full-time employment shall not be counted as

days of disability but all intervening period or calendar days

subsequent to the day of injury or illness shall be counted as days

of disability;

Time lost on a work day or on a non-workday subsequent to the

day of injury or illness ascribed solely to the unavailability of

medical attention or necessary diagnostic aids shall be considered

disability time, unless in the opinion of the physician authorized to

treat the injured or ill employee, the person will be able to work on

all those days subsequent to the day of the injury;


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Days Charged

11) If the physician, authorized by the employer to treat the injured or ill

employee, is of the opinion that the employee is actually capable of

working a full normal shift of a regularly established job but has

prescribed certain therapeutic treatments, the employee may be

excused from work for such treatments without counting the

excused time as disability time. If the physician, authorized by the employer to treat the injure or ill

employee, is of the opinion that the employee was actually capable

of working a full normal shift of a regularly established job, but

because of transportation problems associated with his injury, the

employee arrives late at his place of work or leaves the workplace

before the established quitting time, such lost time may be excused

and not counted as disability time. However, the excused time shall

not materially reduce his working time, and that it is clearly evident

that his failure to work the full shift hours was the result of a valid

transportation problem and not a deviation from the regularly

established job.


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11.

If the injured or ill employee receives medical

treatment for his injury, the determination of the

nature of his injury and his ability to work shall rest

with the physician authorized by the employer to

treat the injured or ill employee. If the employee

rejects medical attention offered by the employer,

the determination may be made by the employer

based upon the best information available to him if

the employer fails to provide medical attention, the

employeesdetermination shall be controlling.
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Incidence Rates


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Incidence Rates

Incident rates are an indication of how many incidents have

occurred, or how severe they were. They are measurements only of

past performance or lagging indicators. Incident rates are also only

one of many items that can be used for measuring performance.

They tend to be viewed as an indication of something that is wrongwith a safety system, rather than what is positive or right about the

system. In spite of this, for many companies, incident rates remain

the primary indicator of safety performance measurement.

Disabling Injury/Illness Frequency Rate

Disabling Injury/Illness Severity Rate

Days Away/Restricted or Job Transfer Rate

Lost Time Case Rate


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Incidence Rates

(1) Disabling Injury /Illnesses Frequency Rates - The disabling

injury/illness frequency rate is based upon the total number of

deaths, permanent total, permanent partial, and temporary total

disabilities which occur during the period covered by the rate. The

rate relates those injuries/illnesses to the employee hours worked

during the period and expresses the number of such

injuries/illnesses in terms of a million man-hour unit by the use of the

formula:


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Incidence Rates

Disabling Injury/Illness Severity Rate - The disabling injury / illness

severity rate is based on the total of all scheduled charges for all

deaths, permanent total and permanent partial disabilities, plus the

total actual days of the disabilities of all temporary total disabilities

which occur during the period covered by the rate. The rate relatesthese days to the total employee-hours worked during the period and

expresses the loss in terms of million man-hour unit by the use of the

formula:


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Incidence Rates

(3) Days Away/Restricted or Job Transfer Rate - This rate is

calculated by adding up the number of incidents that had one or

more Lost Days, one or more Restricted Days or that resulted in an

employee transferring to a different job within the company, and

multiplying that number by 200,000, then dividing that number by thenumber of employee labor hours at the company.


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Incidence Rates

(4) Lost Time Case Rate - Any occupational injury or illness

which results in an employee being unable to work a full

assigned work shift. (A fatality is not considered a LTC.) Lost

time cases result when there are no reasonable circumstances

under which the injured employee could return to meaningfulwork.
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Injury Reports

Superficial injuries and open wounds, most common type of

occupational injuries, largely in manufacturing.

Three types of occupational injuries accounted for about one-

tenth each, namely: dislocations, sprains and strains (11.9%);

fractures (10.1%); and burns, corrosions, scalds andfrostbites (10.0%).

Two out of five cases of occupational injuries affected wrist and

hand.

More than one-third of injuries caused by stepping on, striking

against or struck by objects, excluding falling objects. Almost half of cases of occupational injuries due to machines,

equipment and materials, objects


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EC Sickness/Accident BenefitClaims Requirements


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Documentary Requirement in Filing

EC Claims at the GSIS

1. Certified true copy of service record or

statement of service;

2. Job description or actual duties and

responsibilities performed by the

employee at the time of the contingency ;

3. For sickness claim benefit, pre-

employment medical check-up or in itsabsence, a certification by the office that

the employee is physically fit when hired;


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4. For injury which resulted to disability or death, the

following documents are needed:

Employersreport of injury/death

Certification under oath by Head of Office as to the

circumstances surrounding the accident

a. Injury/death happened within office premises

Time card/logbook of attendance/Daily Time Record

Affidavit of witnesses


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b. Accident happened outside office premises

Mission/Travel Order/Trip Ticket

Certificate of Appearance

Police Investigation Report

Vicinity sketch showing the distance in meters/km between theplace of accident, place of work/place of destination and place

of residence.

c. Wounded in Action (for AFP Members)

After battle/Encounter Report/Army Operations Center Journal Spot Report

Hospitalization claim for payment duly accomplished and signed

by authorized representative of hospital and attending physician.


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5. For death, claim, the following documents are also necessary:

a. For Uniformed Personnel

NAPOLCOM Adjudication Award for PNP uniformed personnel.

Line of Duty (LOD) Proceedings with narrative summary for

deceased AFP personnel

Killed in Action - Casualty report

b. For Primary Beneficiaries

Death Certificate

Marriage Contract

Birth Certificate of the deceased worker if single;

Birth Certificate of children below 21 years old


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c. For Secondary Beneficiaries

Death certificate of deceased employee

Marriage contract of parents Death certificate of a parent, if any

Birth certificate of deceased employee

Affidavit by parents of the deceased that the latter

died single leaving no child/children and thatthey/he/she are/is wholly dependent upon deceased

for support.


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6. A certified true copy of the page of the office logbook

containing the entry for the particular sickness, accident or

death;

7. The medical findings of the attending doctor or the hospital

records; and8. A certification of GSIS and Employees Compensation

premium contributions one year prior to the sickness, injury or

death.

When shall the claim be filed with the GSIS?

The claim shall be filed with the GSIS within three years from the

date of the sickness, injury or death.


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Forms to be accomplished:

1. For sickness/Accident/Disability and Death Claims

Income Benefits Claim for Payment

Hospitalization Claim for Payment EC

Attending Physicianscertification2. For Death Claim, proofs of Surviving Legal Heirs and Guardianship

are necessary

3. For Medical Reimbursement Claim

EC Medical Reimbursement Claim Form

Attending Physicianscertification

[EC Medical Reimbursement claims can only be filed after the EC

sickness/ accident/ disability/ death claim has been approved by the

GSIS]
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EC Claims at the SSS

1. A certificate of employment signed by the employer or his authorized

representative including description of actual duties and

responsibilities performed by the worker at the time of the

contingency.

a. For sickness claim, pre-employment medical check-up done

by the company or in its absence, a certification by the company that

the worker is physically fit when hired;

b. For injury claim, accident report signed by the workersimmediate supervisor and by the human resource officer if the

accident happened within the company premises.

Police report is needed if the accident happened outside the

company premises.


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EC Claims at the SSS

c. For death claim, the following documents are necessary:

Death certificate;

Marriage contract;

Birth certificate of the deceased worker if single;

Birth certificate of children below 21 years of old.

[All of which shall be certified true copies issued by the National Statistics Office (NSO)]

2. A certified true copy of the page of the company logbook containingthe entry for the particular sickness or accident;

3. Medical findings of the attending doctor or the hospital records

(certified true copy of the original).


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Forms to be accomplished:

All EC claims shall be filed using the prescribed forms furnished by

the SSS and endorsed by the employer or his duly authorized

representative.

1. For sickness/Accident Claim EmployeesNotification (SSS Form B300)

Sickness/Accident Report (SSS Form B309)

Sickness Benefit Application for separated members

(SS Form CLD-9A) [if applicable]

2. For Death Claim

DDR Form for Death (DDR-1)

FilersAffidavit

DDR Savings Account Form

Report of Death (EC Form BPN-105)
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3. For Disability Claim

Death, Disability and Retirement claim form for disability

(DDR-1)

Medical Certificate (SSS Form MMD-102)

DDR Savings Account Form

4. For Medical Reimbursement Claim (after the EC

sickness/accident/disability, death claim has been approved

by the SSS) EC Medical Reimbursement Benefit Application

(EC Form B301) [pages 1 & 2]
http://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Form%20B301.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/EC%20Medical%20Reimbursement%20Benefit%20Application.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_8/SSS%20Form%20MMD-102.pdf


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Injury and Accident Records