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Jason Gould freeware accident/incident Calculator version 1

This easy to ammend spread sheet is to help Safety Managers build up faster reports for monthly briefs etc. I have not added
our own preferred method of displaying data and making comparisons. If however you struggle adding the charts and comparis
07840442733 or email at jason.gould3@ntlworld.com

Please take the time to look at the example sheet provided and hover the mouse pointer to where I have added comment.

1 With some excel skills this sheet can be adjusted to monitor other scenarios i.e. machine breakdowns etc.

2 I find this sheet an ideal tool for students to get to grips with accident data and even note patterns within the data.

3 I would appreciate any feedback (good or bad) with regards to the tools layout and practicality so please send any c

I am currently in the process of creating a simple survey analysis sheet so feel free to request a update on progress
4 free to send example question sets.

No levy or charge should be placed upon this product or any other products produced by myself however feel free to pass onto

Please direct comments and suggestions to

Jason Gould at jason.gould3@ntlworld.com or telephone on 07840442733

p.s. I would appreciate it if anyone has any ideas or forms that help companies gather KPI info for safety

Please enjoy
culator version 1

y briefs etc. I have not added the charts as we all have


dding the charts and comparison info please call me on

e I have added comment.

ine breakdowns etc.

ote patterns within the data.

acticality so please send any comments via email.

request a update on progress and a copy of finished product. Feel

however feel free to pass onto anyone who may need such a tool.

one on 07840442733
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
JANUARY CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FINISHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0


Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duration rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0

FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT
THAN FOUR OVER THREE DAYS INCIDENTS
NEEDED

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
0.00 0.00
431637

431637

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
JANUARY CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FINISHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0


Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duration rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT
THAN FOUR OVER THREE DAYS INCIDENTS
NEEDED

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
0.00 0.00
431637

431637

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 2500 COST 88 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
FEBRUARY CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FINISHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duration rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
0.00 0.00
410260

841897

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
MARCH CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
1252157

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
APRIL CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
1662417

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
MAY CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
2072677

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
JUNE CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
2482937

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
JULY CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
2893197

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
AUGUST CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
3303457

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
SEPTEMBER CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
3713717

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
OCTOBER CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
4123977

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
NOVEMBER CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
4534237

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00
TOTAL EMPLOYEES = 551 COST 468.22 ESTIMATED COST 0.00 DAYS LOST
No Employees

EXPOSURE TO HOT
STRUCK BY OR CAUGHT IN, ON OR ERGONOMIC OR WORK RELATED ILL
DECEMBER CONTACTED WITH BETWEEN
SLIPS TRIPS FALLS METAL / CHEMICALS
MANUAL HANDLING HEALTH & OTHER
ETC

Yr. To Yr. To Yr. To Yr. To Yr. To


DEPARTMENT This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.
date
This mo.

40 TOOL ROOM 0 0 0 0 0

27 MAINTENANCE DEPARTMENT 0 0 0 0 0

52 FOUNDRY Days 0 0 0 0 0

38 FOUNDRY Nights 0 0 0 0 0

104 PRESS ROOM / PRESSES 0 0 0 0 0

29 PRESS ROOM/FLASH BREAKING 0 0 0 0 0

67 PRESS ROOM / FIINSHING ROOM 0 0 0 0 0

20 FIRST INSPECTION 0 0 0 0 0

62 FINNISHING & POLISHING 0 0 0 0 0

20 FINAL INSPECTION 0 0 0 0 0

33 PACKAGING 0 0 0 0 0

17 GOODS IN / OUT 0 0 0 0 0

42 OFFICE & ADMINISTRATION 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo. This mo. This mo.
date date date date date
TOTAL No INCIDENTS
0 0 0 0 0 0 0 0 0 0 0

Totals for Period Last Year 0 0 0 0 0 0 0 0 0 0 0

TAIFR (total Accident & Incident


Number of accidents/incidents per 100,000 man-hrs worked
frequency rate)

AFR (accident frequency rate) Number of reportable accidents per 100,000 man-hrs worked

AIR ( accident Incident rate) Number of reportable accidents per 1000 employees

DR (duation rate) Average number of man-hours worked between accidents

SEVERITY RATE Average number of days lost per 1000 man-hours worked
DAYS LOST THIS MONTH. 0 Yr. To date 0
FIRST AID OR
MORE THAN ONE RIDDOR
WORK RELATED ILL HOSPITAL
DAY OFF BUT LESS REPORTABLE OR
TOTAL
HEALTH & OTHER TREATMENT INCIDENTS
THAN FOUR OVER THREE DAYS
NEEDED
Yr. To Yr. To Yr. To Yr. To Yr. To
This mo. This mo. This mo. This mo.
date date date date date

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

Yr. To Yr. To Yr. To Yr. To Yr. To


This mo. This mo. This mo. This mo.
date date date date date
0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0

THIS MONTH. YR. TO DATE Man hrs


worked
0.0 0.0 Worked
Yr. To
THIS MONTH. YR. TO DATE Month
date
worked
0.0 0.0

THIS MONTH. YR. TO DATE


ees
4944497

0.00 0.00
410260

THIS MONTH. YR. TO DATE


dents
#DIV/0! #DIV/0!
THIS MONTH. YR. TO DATE
orked
0.00 0.00

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