Direction:Indicate or place a check mark on diagram the areas of the body involved in the incident.

DETAILS OF ACCIDENT

• Place of Incident: Storage room at Customer Service office
• In Consultation: Ladesma Procorpio
• Position: Fitness Trainer
• Nature of Incident: Workplace Accident

1 13 25. 37. 2 14 C 26. 38 3 15 27 39. O 16 28. 40. O 17 29. 41 6. 18 30 42 7. 19 31. 13 O 8 20 32. 44 9 21 33 45 10 22 34 46 11. C 23 35. 47 12 24 36. 48 Legend for front side of body Legend for rear side of body 1. Front right side of head 13 Front left side of head 25. Rear left side of head 37. Rear right side of head 2. Front right side of earl Front left side of ear 14 26. Rear left side of neck 35. Rear right side of neck cheeks cheeks 3. Front right side of chin 15 Front left side of chin 27. r left side of shoulder 39 Rear right side of shoulder Front right side of neck collar Front left side of neck Rear left side of upper Rear right side of upper 4. 16 28 40 bone collar bone back shoulder blade back/ shoulder blade Front right side of shoulder/ Front left side of shoulder Rear right side of lower 5. 17. 29 Rear left side of lower back 41. forearm forearm back Front right side of wrist/ Front left side of wrist/ 18 30 Rear left side of hip 42 Rear right side of hip hand/ fingers hand/finger/s Front right side of chest/ Front left side of chest/ 7. 31. Rear left side of buttock 43 Rear right side of buttock breas breas Front right side of lower 20 Front left side of lower Rear left side of upper Rear right side of upper 32 44 abdomen/ groin abdomen/ groin thigh thighs 9 Front right side of thighs 21 Front left side of thighs 3.3 Rear left side of knee 45 Rear right side of knee 10 Front right side of knee 22 Front left side of knee 34 Rear left side of calf 46 Rear right side of calf 11. Front right side of calf/ ankle 23 Front left side of calf/ ankle 35 Left side of heel 47. Right side of heel 12 Front right side of foot toels 24. Front left side of foot/ toe/'s 36 Left side of sole 43 Right side of sole