QUESTION 18

1. The safety manager of XYZ Company, Inc. has the following cases of injuries recorded on OSHA 300 , 300A and 301 forms.

   Establishment Name: XYZ Company, Inc. ; 125 ABC Street, Farmingdale, NY 11735;Standard Industrial Classification (SIC): 3674

   Manufacturer of Semiconductors; Total Number of Employees: 165 ; Total Number of Hours Worked in 2018: 260,000 hrs

   The following are the work related incidences :

   (Please note that all employees listed below began work at 8:00 am on the days the listed incidence occurred)

   Name of Employee	Type of Incidence	Incidence Date & Time	Explanations
   John Greene	First Aid Case	2/11/18 @ 1:15 pm
   James Zwigly	Foot injury. Lost 12 days of work and 15 days of restricted work due to broken ankle	2/11/18 @1:15 pm	Treatment: Emergency room
   Cindy Claire	Lost 22 days of work due to shoulder injury as a result of fall from a ladder	8/21/18 @ 3:10 pm	Treatment: Emergency room; No overnight hospitalization
   Christine Ramos	Lost 9 days of work. Two weeks of restricted work due to wrist injury.	10/17/18 @ 10:10 am	Treatment: Emergency room; No overnight hospitalization

   Calculate the incidence rate and severity rate for this company . Show your calculations.

   Note:

   Incidence rate = N * 200,000/T

   where; T = Total number of hours worked by the employees during the entire year

   N= Total number of recordable injuries occurred during the entire year

   Severity Rate = R * 200,000/T

   where; T = Total number of hours worked by the employees during the entire year

   R= Total number of lost days during the entire year = Number of days away from work + number of restricted days at work

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6 points

QUESTION 19

1. OSHA 300, 300A and 301 Forms are included in the file below. As the safety manager of XYZ Company (Described in Question # 18) determine how many OSHA 301 Forms you are required to fill out.

   Note: You do not need to fill out the forms. The file given below is for your review only.

   OSHA FORMS.xls

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5 points

QUESTION 20

1. OSHA 300, 300A and 301 Forms are included in the file below. As the safety manager of XYZ Company (Described in Question # 18) list the name of employees whose cases are to be included on the list in Form 300.

   Note: You do not need to fill out the forms. The file given below is for your review only.

   OSHA FORMS.xls

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