SAFE 645 Principles of Occupational Safety

SAFE 645 Principles of Occupational Safety

Module 2 Accident Investigation

Homework: OSHA Recordkeeping

I.  Use the following information to complete O.S.H.A. Form 301. The incident occurred on 1/5/99.

Phil R. Upp, a 47 year old first class mechanic from the maintenance department lacerated his forearm. The laceration required three sutures by a physician, Dr J. 0. Johnson. Mr. Upp was tightening a nut with a crescent wrench when the wrench slipped off the nut. Mr. Upp’s right arm struck a piece of sharp metal which lacerated his arm He returned to his regular job the same day. The accident occurred on the employer’s premises.

The Lumpy Couch Company

Rest Haven Blvd

Davenport, Iowa

Mr. Upp lives at:

112 Footstool Lane

Soft, Iowa

II.  Use the following incidents as well as the previous one to complete O.S.H.A Form 300 and 300A.

A.  On January 28, 1999, Jane R. Smith, a duplicating machine operator, was sent to a dermatologist. She diagnosed that Ms. Smith had a case of dermatitis caused by a solvent used in one of the duplicating machines. The doctor treated the dermatitis and had Ms. Smith return to work with a note that she could not be in contact with the solvent. The employer permanently transferred Ms. Smith from the Reproduction Department of the Distribution Department.

B.  B On January 29, 1999, Myron X Cowsnofski, Accounting Department Manager, twisted has ankle coming down a flight of stairs Mr. Cowsnofski was off work for ten days When he returned, he resumed has regular job.

C.  On January 30, 1999. Vi Didu Duit, a Maintenance Department plumber, bruised her shoulder severely enough that she had to be put on light work status for ten work days.

D.  D On January 30, 1999, John R. Doe, a tubing production forklift operator, got a piece of dirt in his eye. The plant physician’s treatment consisted only of washing the dirt from Mr. Doe’s eye Thereafter, Mr. Doe returned to his fork lift truck. He did not return to the Medical Department again because of that incident.

Hint: Visit the OSHA Website:

http://www.osha.gov/recordkeeping/index.html for help in completing the forms

III.  OSHA Incidents Rates

Directions: Below is a plant's injury experience for a year. Use their experience to calculate the following OSHA rates:

A.  Recordable incident rate

B.  Lost workday case rate

C.  Lost work days rate

D.  OSHA DART Rate

Injury Situation

A.  One death

B.  One injury where employees lost 10 workdays then was put on permanent total disability.

C.  Three injuries requiring treatment (beyond first-aid)

D.  One injury treated by nurse under a physician’s orders that was beyond first-aid

E.  Eight injuries given first aid treatment by a physician with no follow treatment

F.  Two injuries involving light work duty by a physician’s orders. A total of 30 days involved for both.

G.  One injury where injured was temporarily transferred to another job for 20 days

H.  Two injuries where employees worked halftime, injury for 25 days

I.  Three cases of temporary total disability. The case resulted in a total of 100 days away from work.

Employee hours worked - 600,000