Annual Report. Occupational Injuries and Illnesses. Prepared by

Size: px
Start display at page:

Download "Annual Report. Occupational Injuries and Illnesses. Prepared by"

Transcription

1 Annual Report of Occupational Injuries and Illnesses Prepared by Mississippi Workers' Compensation Commission P. O. Box 5300 Jackson, Mississippi (601)

2 TABLE OF CONTENTS Statistical Highlights Injuries/Illnesses by Gender Injuries/Illnesses by Industry Death Claims by Cause Injuries/Illnesses by Nature Injuries/Illnesses by Part of Body Injuries/Illnesses by Cause Injuries/Illnesses by Month Injuries/Illnesses by Day of Week Injuries/Illnesses by County of Occurrence Statistics associated with Self-Insured Employers Financial Report..**currently not available

3 Statistical Highlights There were 11,003 claims filed in that caused employees to miss work 5 or more days. There were 2,765 claims controverted in. Hinds County was the county with the most occurrence of injuries with a total of 1,216 claims followed by Harrison county with 770 claims. Females were reported less frequently with 4,408 claims (40.1%). Major injuries or illnesses occurred on Tuesday, with a total of 2,074 claims. October was reported most frequently as the month of occurrence with 1,024 claims or 9.3% followed by August with 1,023 claims or 9.3%. Strain was the leading nature of injury with 3,952 claims or 35.9%. Lower Back -Lumbar was the part of body affected most with a total of 1,488 claims or 13.5% followed by Multiple Body Parts with a total of 1,279 claims or 11.6%. Lifting was the leading cause of injury with a total of 1,407 claims or 12.8%, followed by Fall Slip, trip with 990 claims or 9.0%. There were 68 fatalities reported in. There were 7,821 claims received from Insurance carriers, 3,112 from Self-Insured employers.

4 INJURIES/ILLNESSES BY INDUSTRY INDUSTRY NO. OF CLAIMS PERCENT Agriculture, Forestry, Fishing % Mining % Construction % Manufacturing 2, % Transportation, Utilities 1, % Wholesale Trade % Retail Trade % Finance,Ins, Real Estate % Services 1, % Public Administration % NonClassifiable % Other 4, % Total Claims 11, % Male, 6,187, 56% Injuries/Illnesses by GENDER Unknown, 408, 4% Female, 4,408, 40% INJURIES/ILLNESSES BY INDUSTRY Agriculture, Forestry, Fishing, 29 Mining, 88 Construction, 144 Other, 4,359 Manufacturing, 2,048 Transportation, Utilities, 1,368 NonClassifiable, 9 Public Administration, 547 Services, 1,079 Retail Trade, 715 Wholesale Trade, 175 Finance,Ins, Real Estate, 442

5 TOTAL NUMBER OF INJURIES/ILLNESSES RESULTING IN DEATH LISTED BY CAUSE - Total :68 Description Number Percent Caught in/between NOC 2 2.9% Fall/Slip Different Level 2 2.9% On Same Level 1 1.5% Fall/Slip/Trip NOC 3 4.4% Motor Vehicle/Collision % Fixed Object/Collision 1 1.5% Airplane Crash 1 1.5% Vehicle Upset 3 4.4% Motor Vehicle NOC % Strain/Injury NOC 3 4.4% Stationary Object 1 1.5% Struck/Inj by Falling Object 2 2.9% Motor Vehicle 2 2.9% Electrical Current 4 5.9% Person (Criminal Act) 1 1.5% Other Than Physical 5 7.4% Cumulative All Others 6 8.8% Other Misc. Causes % TOTAL %

6 NUMBER OF INJURIES/ILLNESSES BY NATURE OF INJURY No Physical Injury % Amputation % Angina Pectoris % Burn % Concussion % Contusion 1, % Crushing % Dislocation % Electric Shock % Enucleation (Remove) % Foreign Body % Fracture % Freezing % Hearing Loss or % Impairment (Traumatic) Heat Prostration % Hernia % Infection % Inflamation % Laceration % Myocardial Infarction % Poisoning - General, NOC % Puncture % Rupture % Severance % Sprain 1, % Strain 3, % Swooning, fainting, passing % out, no other injury Asphyxiation % Vascular Loss % Vision Loss % All Other Injuries -NOC 1, % Resp Disorder/Gas, Fumes % Poisoning-Chemical % Poisoning - Metal % Dermatitis % Mental Disorder % All other Occupational % Disease Injury, NOC Loss of Hearing % Contagious Disease % Mental Stress % Carpal Tunnel Syndrome % All other Cumulative Injury % Multiple Injury -Physical % Multiple Injuries including % Both Physical &Psychological Unknown % Radiation % Cancer % Total 11, %

7 DESCRIPTION NO. PERCENT Multiple Head Injury % Skull % Brain % Ear(s) % Eyes(s) % Nose % Teeth % Mouth % Other Soft Tissue % Facial Bones % Multiple Neck Injury % Vertebrae % Disc(neck) % Spinal Cord - Neck % Soft Tissue % Trachea % Multiple Upper Extremities % Upper Arm % Elbow % Lower Arm % Wrist % Hand % Finger(s) % Thumb % Shoulders 1, % Wrist(s) & Hand(s) % Multiple Trunk % Artificial Appliance % NUMBER OF INJURIES/ILLNESSES BY PART OF THE BODY AFFECTED DESCRIPTION NO. PERCENT Upper Back-Thoracic % Lower Back - Lumbar 1, % Disc(Trunk) % Chest - Ribs -Stern % Sacrum and Coccyx % Pelvis % Spinal Cord -Vetebral % Internal Organs % Heart % Multiple Lower Extremities % Hip % Thigh % Knee 1, % Lower Leg % Ankle % Foot % Toes & Great Toe % Lungs % Abdomen Include Groin % Buttocks % Trunk Vertebrae % Insufficient Information % No Physical Injury % Multiple Body Parts 1, % Body System Multiple % Whole Body % Unknown % Total 11, %

8 NUMBER OF INJURIES/ILLNESSES BY CAUSE OF INJURY Chemicals % Contact with Hot % Objects/Substances Temperature Extremes % Fire or Flame % Steam or Hot Fluids % Dust, Gases, Fumes or Vapors % Welding Operations % Radiation % Contact with, NOC % Machinery % Cold Objects or Substances % Object Handled % Caught In, Under or Between % Cut, Scrape - Broken Glass % Hand Tool, Not Powered % Object Being Lifted or Handled % Powered Hand Tool, Appliance % Cut, Puncture/Scrape, Misc % Collapsing Materials % Fall, Slip From Different Level % From Ladder or Scaffolding % From Liquid or Grease Spills % Into Openings % Fall on Same Level % Slipped, Did Not Fall % Fall/Slip/Trip (All Other) % On Ice or Snow % On Stairs % Crash of Water Vehicle % Collision or Sideswipe/Motor % Vehicle Collision with a Fixed Object % Vehicle Upset % Motor Vehicle, NOC % Continual Noise % Holding or Carrying % Twisting % Jumping or Leaping % Lifting 1, % Pushing or Pulling % Reaching % Using Tool or Machinery % Strain or Injury By, NOC % Wielding/Throwing % Strike/Stepped on Moving Part % Lifted/Handled Object % Sand,Scrap,Clean OPR % Stationary Object % Step on Sharp Object % Strike Against or Step on, NOC % Person (Not in Act of Crime) % Struck/Inj By Falling Object % Hand Tool or Machine in Use % Motor Vehicle % Moving Parts of Machine % Lifted or Handheld Obj % Object Handled By Others % Struck/Injured By, NOC % Absorption/Ingestion % Electrical Current % Animal or Insect % Explosion or Flare Back % Foreign Body in Eye % Rubbed/Abraded, NOC % Person(Criminal Act) % Other Than Physical % Repetitive Motion % Cumulative (all others) % Other - Miscellaneous, NOC % Gunshot % Total 11, %

9 Month Frequency Percent January % February % March % April % May % June % July % August % September % October % November % December % Unknown % Total 11, % November, 750 October, 1024 September, 997 August, 1023 Number of Injuries/Illnesses Listed By Month - Unknown, 13 December, 669 July, 921 June, 955 January, 956 February, 887 May, 977 March, 892 April, 939 Number of Injuries/Illnesses Listed By Day - Day Frequency Percent Sunday % Monday 2, % Tuesday 2, % Wednesday 1, % Thursday 1, % Friday 1, % Saturday % Unknown % Total 11, % Wednesday, 1,917 Tuesday, 2,074 Thursday, 1,908 Friday, 1,745 Saturday, 753 Monday, 2,016 Sunday,577 Unknown, 13

10 NUMBER OF INJURIES/ILLNESSES BY COUNTY Adams Alcorn Amite Attala Benton Bolivar Calhoun Carroll Chickasaw Choctaw Claiborne Clarke Clay Coahoma Copiah Covington DeSoto Forrest Franklin George Greene Grenada Hancock Harrison Hinds 1, Holmes Humphreys Issaquena Itawamba Jackson Jasper Jefferson Jefferson Davis Jones Kemper Lafayette Lamar Lauderdale Lawrence Leake Lee Leflore Lincoln Lowndes Madison Marion Marshall Monroe Montgomery Neshoba Newton Noxubee Oktibbeha Panola Pearl River Perry Pike Pontotoc Prentiss Quitman Rankin Scott Sharkey Simpson Smith Stone Sunflower Tallahatchie Tate Tippah Tishomingo Tunica Union Walthall Warren Washington Wayne Webster Wilkinson Winston Yalobusha Yazoo Out-of-state TOTAL 11, Hinds County was the county with the highest number of occurrence with 1,216 claims. Harrison county followed with 770 claims. Madison county with 563 claims.

11 CONTROVERTED CASES - Statistics Associated with Self-Insured Employers Cases Controverted Cases Settled by 9I Order Admin. Judges Order 2,765 2, Full Commission Cases Held Appealed to Supreme Court Full Commission Order 2, Total Handled By SI

Nature of Accident Nature of Injury Body Part Code Table

Nature of Accident Nature of Injury Body Part Code Table Nature of Accident Burn or Scald; Heat or Cold Exposure Contact With Chemicals 01 Hot Objects or Substances (Contact with Hot Objects) 02 Temperature Extremes 03 Fire or Flame 04 Steam or Hot Fluids 05

More information

Personal Services Contract Review Board

Personal Services Contract Review Board Personal s Contract Review Board On-site Mobile Shredding s Preapproved Vendor List March 17, 2015 This List Expires March 16, 2018 210 East Capitol Street, Suite 800 Jackson, Mississippi 39201 Phone:

More information

Reporting Instructions for LIBC-344 Employer s Report of Occupational Injury or Disease IMPORTANT INFORMATION:

Reporting Instructions for LIBC-344 Employer s Report of Occupational Injury or Disease IMPORTANT INFORMATION: Reporting Instructions for LIBC-344 Employer s Report of Occupational Injury or Disease All work related injuries/incidents should be reported to your supervisor and the Office of Human Resources immediately.

More information

Victim Assistance Coordinators District Attorney s Office

Victim Assistance Coordinators District Attorney s Office Victim Assistance Coordinators District Attorney s Office 1st Judicial District P.O. Box 7237 Tupelo, MS 38802 Jimmie Hicks Office: 662.432.2800 Fax: 662.432.2831 Email: [email protected] Service

More information

**Student Employee** Workplace Injury Reporting Instructions

**Student Employee** Workplace Injury Reporting Instructions **Student Employee** Workplace Injury Reporting Instructions **Student Employee** Employer s Report of Occupational Injury or Disease (Injury Report) The two-page Injury Report form must be completed and

More information

MISSISSIPPI HEAD START/EARLY HEAD START AGENCY INFORMATION. Agency Director Service Area Agency Address

MISSISSIPPI HEAD START/EARLY HEAD START AGENCY INFORMATION. Agency Director Service Area Agency Address MISSISSIPPI HEAD START/EARLY HEAD START AGENCY INFORMATION Agency Director Service Area Agency Address Mississippi Collaboration Office Holly Spivey Director Jackson, MS P.O. Box 139 Jackson, MS 39205-00139

More information

c. Fostering study of the names by which greater skill in the management of land and water can be developed and put into practice.

c. Fostering study of the names by which greater skill in the management of land and water can be developed and put into practice. MISSISSIPPI CHAPTER SOIL AND WATER CONSERVATION SOCIETY CONSTITUTION AND BYLAWS ARTICLE I Name The name of this chapter shall be the Mississippi Chapter, hereinafter referred to as the CHAPTER, of the

More information

BANKRUPTCY General Information for Hurricane Victims

BANKRUPTCY General Information for Hurricane Victims BANKRUPTCY General Information for Hurricane Victims Prepared by: Josh Clemons, Research Counsel Mississippi-Alabama Sea Grant Legal Program University of Mississippi (662) 915-7775 [email protected]

More information

TAXES AND CREDITS IN MISSISSIPPI*

TAXES AND CREDITS IN MISSISSIPPI* TAXES AND CREDITS IN MISSISSIPPI* All businesses in Mississippi are subject to state taxes. These taxes fall into four basic tax types: Corporate Income Tax Corporate Franchise Tax Sales & Use Tax Property

More information

Disabilities Service Providers

Disabilities Service Providers Disabilities Service Providers Addie McBride Rehabilitation Center for the Blind P.O. Box 5314 Jackson, MS 39216 Rosie Gibson, Interim Director Office: 601.364.2700 Fax: 601.364.2677 Blake Clinic P.O.

More information

County Agency Name Phone Number Address Service Web Address Adams AJFC 601-442- 8681 1038 N. Union St., Bldg- A CSBG, LIHEAP

County Agency Name Phone Number Address Service Web Address Adams AJFC 601-442- 8681 1038 N. Union St., Bldg- A CSBG, LIHEAP County Agency Name Phone Number Address Service Web Address Adams AJFC 601-442- 8681 1038 N. Union St., Bldg- A CSBG, LIHEAP http://www.ajfccommunityaction.org/ Natchez, MS 39120 Alcorn Northeast MS CS

More information

SBA Finance Programs. Rhonda Fisher Supervisory Lender Relations Specialist

SBA Finance Programs. Rhonda Fisher Supervisory Lender Relations Specialist SBA Finance Programs Rhonda Fisher Supervisory Lender Relations Specialist 1 2 SMALL BUSINESS: Discover New Possibilities! 3 SBA & America s Entrepreneurs A Partnership for the 21st Century 7(a) Loan Guaranty

More information

Mississippi. General. Forms to File. New for 2012. Residency Status. Filing Requirements. The Magnolia State

Mississippi. General. Forms to File. New for 2012. Residency Status. Filing Requirements. The Magnolia State The Magnolia State Forms request mailing address General Forms request Tax assistance 601-923-7089 Website www.dor.ms.gov Refund hotline 601-923-7801 Income Tax Division P.O. Box 1033 Jackson MS 39215

More information

Regional Coordinated Transportation Planning Groups Resource & Contact Information Service Area Participating Organizations

Regional Coordinated Transportation Planning Groups  Resource & Contact Information Service Area Participating Organizations Regional Coordinated Transportation Planning Groups Developed by the Mississippi Department of Rehabilitation Services For Agency and Consumer Use Updated December 20, 2013 Resource & Contact Information

More information

The Past, Present and Future of Insurance in Mississippi. A presentation of The Mississippi Insurance Department August 2008

The Past, Present and Future of Insurance in Mississippi. A presentation of The Mississippi Insurance Department August 2008 The Past, Present and Future of Insurance in Mississippi A presentation of The Mississippi Insurance Department August 2008 Mississippi Insurance Department (MID) Created by the Mississippi Legislature

More information

Creative Commons. Disclaimer. 978-1-74361-779-3 (pdf) 978-1-74361-795-3 (docx)

Creative Commons. Disclaimer. 978-1-74361-779-3 (pdf) 978-1-74361-795-3 (docx) 2011 12 Australian Workers Compensation Statistics In this report: >> Summary of statistics for non-fatal workers compensation claims by key employment and demographic characteristics >> Profiles of claims

More information

MISSISSIPPI DEPARTMENT OF REVENUE. Modernized E-File Guide For Individual Income Tax

MISSISSIPPI DEPARTMENT OF REVENUE. Modernized E-File Guide For Individual Income Tax MISSISSIPPI DEPARTMENT OF REVENUE Modernized E-File Guide For Individual Income Tax Revised January 05, 2015 Table of Contents Individual Income Tax Introduction 4 Calendar 5 Changes for Tax Year 2014

More information

transfer guide University of Mississippi to admissions, scholarships and financial aid transfer.olemiss.edu

transfer guide University of Mississippi to admissions, scholarships and financial aid transfer.olemiss.edu transfer guide to admissions, scholarships and financial aid 2015 2016 University of Mississippi transfer.olemiss.edu why ole miss? As a transfer student, your move to the Ole Miss family will be one of

More information

County Affairs (C); Business and Financial Institutions; Drug Policy; Energy; Finance; Highways and Transportation; Insurance

County Affairs (C); Business and Financial Institutions; Drug Policy; Energy; Finance; Highways and Transportation; Insurance David Blount 1305 Saint Mary Street Jackson MS 39202 District 29 Hinds Mississippi State Senate 2015 Post Office Box 1018 Jackson Mississippi 39215-1018 Revised June 19, 2015 Public Property (C); Elections

More information

ivos Reporter How to Create and Present Key data to Your campus Community

ivos Reporter How to Create and Present Key data to Your campus Community ivos Reporter How to Create and Present Key data to Your campus Community Why is Data Important? Why should I put the energy into running reports to prove something I already know? Why is Data Important?

More information

Fall Injuries in Residential Construction 2012-2014

Fall Injuries in Residential Construction 2012-2014 Fall Injuries in Residential Construction 2012-2014 Main data source: Workers Compensation Information System (WCIS) and Census of Fatality Occupational Injuries(CFOI). 1200 Residential Construction WCIS

More information

Kentucky Department of Workers Claims KENTUCKY S DETAILED CODES & DEFINITIONS MANUAL. November 2005

Kentucky Department of Workers Claims KENTUCKY S DETAILED CODES & DEFINITIONS MANUAL. November 2005 Kentucky Department of Workers Claims KENTUCKY S DETAILED CODES & DEFINITIONS MANUAL November 2005 KY DEPARTMENT OF WORKERS CLAIMS INFORMATION & RESEARCH DIVISION 657 CHAMBERLIN AVENUE FRANKFORT, KY 40601

More information

An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry

An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry An Examination of Workers Compensation Claims Data for the Colorado Oil and Gas Industry MARGARET COOK- SHIMANEK, MD, MPH THE UNIVERSITY OF COLORADO OCCUPATIONAL AND ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM

More information

A Basic Overview of the Oil & Gas Industry in Mississippi. June 2013. Judith Phillips. [email protected] 662.325.3329

A Basic Overview of the Oil & Gas Industry in Mississippi. June 2013. Judith Phillips. jgp1@sig.msstate.edu 662.325.3329 A Basic Overview of the Oil & Gas Industry in Mississippi June 2013 Judith Phillips [email protected] 662.325.3329 The Mission Statement of the John C. Stennis Institute of Government Elected to the

More information

of INJURY REPORT and APPLICATION for Benefit Occupational Health and Safety Authority PART 1. TO BE FILLED IN BY THE PERSON MAKING THE CLAIM / REPORT

of INJURY REPORT and APPLICATION for Benefit Occupational Health and Safety Authority PART 1. TO BE FILLED IN BY THE PERSON MAKING THE CLAIM / REPORT 38, Ordnance Street, Valletta VLT2000 Tel: 2590 3000 Fax: 2590 3001 e-mail: [email protected] website: www.socialsecurity.gov.mt SPIC (Social Policy Information Centre) Tel: 159 Occupational Health

More information

Workers Compensation Claim Frequency Continues to Decline in 2009

Workers Compensation Claim Frequency Continues to Decline in 2009 [Type text] NCCI RESEARCH BRIEF September 2010 by Jim Davis and Matt Crotts Workers Compensation Claim Frequency Continues to Decline in 2009 Overview The decline in claim frequency for workers compensation

More information

INCIDENT REPORTING POLICY

INCIDENT REPORTING POLICY INCIDENT REPORTING POLICY Revised April 2011 1 Incident Reporting Policy Introduction This policy has been developed to detail the standards to be applied following an accident or incident at Northumbria

More information

2nd Circuit Drug Court Est. August 1, 2003. 4th Circuit Drug Court

2nd Circuit Drug Court Est. August 1, 2003. 4th Circuit Drug Court 2nd Circuit Drug Court Est. August 1, 2003 Acting Coordinator: Harrison, Hancock, and Stone Hon. Stephen S. Simpson P.O. Box 1570 Gulfport, MS 39502 (228) 865-4880 Phone (228) 865-4376 Fax Hon. Roger T.

More information

A. The following rules and regulations relative to sport fishing are adopted: 1. Statewide creel limits on game and sport fish are as follows:

A. The following rules and regulations relative to sport fishing are adopted: 1. Statewide creel limits on game and sport fish are as follows: Part 3, Chapter 1. General Fisheries rules. RULE 1.4 STATEWIDE CREEL LIMITS. A. The following rules and regulations relative to sport fishing are adopted: 1. Statewide creel limits on game and sport fish

More information

Request for Designated Doctor Examination Type (or print in black ink) each item on this form

Request for Designated Doctor Examination Type (or print in black ink) each item on this form Texas Department of Insurance Division of Workers Compensation 7551 Metro Center Drive, Suite 100 MS-603 Austin, TX 78744-1645 (512) 804-4380 phone (512) 804-4121 fax Complete, if known: DWC Claim # Carrier

More information

Australian Workers Compensation Statistics, 2012 13

Australian Workers Compensation Statistics, 2012 13 Australian Workers Compensation Statistics, 2012 13 In this report: Summary of statistics for non-fatal workers compensation claims by key employment and demographic characteristics Trends in serious claims

More information

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological

More information

Large Personal Injury Claims by Accident Type (Number)

Large Personal Injury Claims by Accident Type (Number) Mooring Incidents Large Personal Injury Claims by Accident Type (Number) STRUCK BY MOTOR VEHICLE BURNS CHEMICAL EXPOSURE STRAIN BY HOLDING OR CARR BURNS BY STEAM OR FLUIDS CRUISE CANCELLATION EXPLOSION

More information

MISSISSIPPI COMMISSION ON WILDLIFE, FISHERIES, AND PARKS MISSISSIPPI DEPARTMENT OF WILDLIFE, FISHERIES, AND PARKS

MISSISSIPPI COMMISSION ON WILDLIFE, FISHERIES, AND PARKS MISSISSIPPI DEPARTMENT OF WILDLIFE, FISHERIES, AND PARKS MISSISSIPPI COMMISSION ON WILDLIFE, FISHERIES, AND PARKS MISSISSIPPI DEPARTMENT OF WILDLIFE, FISHERIES, AND PARKS Title 40: Wildlife, Fisheries, and Parks Part 3. Fisheries Part 3, Chapter 1. General Fisheries

More information

MISSISSIPPI. Bond, Bradley G. Mississippi: a Documentary History. Jackson: University Press of Mississippi, 2003. F 341.5.B66 2003

MISSISSIPPI. Bond, Bradley G. Mississippi: a Documentary History. Jackson: University Press of Mississippi, 2003. F 341.5.B66 2003 MISSISSIPPI Bond, Bradley G. Mississippi: a Documentary History. Jackson: University Press of Mississippi, 2003. F 341.5.B66 2003 Busbee, Westley F. Mississippi: a History. Wheeling Ill.: Harlan Davidson,

More information

Injury / Incident Investigation

Injury / Incident Investigation Injury / Incident Investigation CAA HSU INFO 5.3 Rev 02: 08/09 Contents Flowcharts Forms Injury/Incident Investigation Injury/Incident Form Investigation Form Serious Harm Notification Form Definitions

More information

A Review of the Department of Rehabilitation Services

A Review of the Department of Rehabilitation Services #480 Joint Legislative Committee on Performance Evaluation and Expenditure Review (PEER) Report to the Mississippi Legislature A Review of the Department of Rehabilitation Services In response to a legislative

More information

R NR. 2012 Mississippi Resident and Non-Resident/Part-Year Resident Income Tax Instructions

R NR. 2012 Mississippi Resident and Non-Resident/Part-Year Resident Income Tax Instructions MISSISSIPPI DEPARTMENT OF REVENUE OFFICE OF TAX ADMINISTRATION FORM 80-100 2012 R NR PHOTOCOPIES ARE NOT ACCEPTABLE Web Site: www.dor.ms.gov. For links to commercial on-line electronic filing, go to web

More information

Accidents at Work: Q3/2015

Accidents at Work: Q3/2015 4 November 2015 1100 hrs 202/2015 Claims in respect of non-fatal accidents at work in the third quarter of 2015 remained almost at par with the corresponding quarter in 2014 increasing by just one case.

More information

LossConnect Workers Comp Injury Code Quick Reference

LossConnect Workers Comp Injury Code Quick Reference INJURY CODING LossConnect Workers Comp Injury Code Quick Reference Injury Code Examples No Physical Injury 1 No physical injuries / No apparent injury Amputation 2 Cut off finger at or past the 1st knuckle,

More information

An accident is an unplanned event that causes personal injury, or damage to property, product or the environment.

An accident is an unplanned event that causes personal injury, or damage to property, product or the environment. Accidents and Incidents. An accident is an unplanned event that causes personal injury, or damage to property, product or the environment. An incident is an unplanned event that could have but did not

More information

Construction Industry Profile

Construction Industry Profile Construction Industry Profile KEY FACTS 30% of falls injuries were caused by ladders 31% decrease in the rate of serious claims in the construction industry between 2001 02 and 2011 12 20% of serious claims

More information

Injury Analysis Report

Injury Analysis Report Instructions for Injury Analysis Sheet Section A Input all company information into this section, including the firm and rate group number. Ensure that the reporting period is filled out, and is consistent

More information

Manitoba Workplace Injury and Illness Statistics Report

Manitoba Workplace Injury and Illness Statistics Report Manitoba Workplace Injury and Illness Statistics Report 2000-20072007 Index 2.3 Occupations Disease Fatalities... 21 Table 5 - Occupational Disease Fatalities Accepted by the WCB, 2000 to 2007.21 Table

More information

Accidents at Work: Q4/2014

Accidents at Work: Q4/2014 3 February 2015 1100 hrs 023/2015 Accidents at Work: Q4/2014 Claims in respect of non-fatal accidents at work in the fourth quarter of last year decreased by 29, or 3.7 per cent, compared to the corresponding

More information

MISSISSIPPI 2007. 2007 Corporation Income and Franchise Tax FormsForms STATE TAX COMMISSION OFFICE OF REVENUE FORM 83-100 GENERAL INSTRUCTIONS

MISSISSIPPI 2007. 2007 Corporation Income and Franchise Tax FormsForms STATE TAX COMMISSION OFFICE OF REVENUE FORM 83-100 GENERAL INSTRUCTIONS MISSISSIPPI 2007 STATE TAX COMMISSION OFFICE OF REVENUE FORM 83-100 C 2007 Corporation Income and Franchise Tax FormsForms There are some important things you can do to help speed the processing of your

More information

Did you know that you can securely file Form 7 online with our eservices?

Did you know that you can securely file Form 7 online with our eservices? Did you kw that you can securely file Form online with our eservices? eform offers a fast, effective solution for managing your Form reports with the WSIB. To submit an eform, visit our eservices site.

More information

Range of Injury Scale Values

Range of Injury Scale Values Range of Injury Scale Values Civil Liability Regulations 2014 SCHEDULE 4 Range of Injury Scale Values (summary) Item Injury ISV Range Part 1-Central Nervous System and Head Injuries 1 Quadriplegia 75 100

More information

Occupational accident statistics 2008

Occupational accident statistics 2008 Labour Market 2010 Occupational accident statistics 2008 158,000 accidents at work occurred in Finland in 2008 Slightly more than 153,000 accidents at work occurred in Finland in 2008. early 142,000 of

More information

The Mississippi Legislature

The Mississippi Legislature #348 Report To The Mississippi Legislature An Accountability Assessment of the Mississippi Department of Rehabilitation Services November 12, 1996 MDRS has not properly implemented a management information

More information

WORKERS COMPENSATION FORMS CENTRAL STORES COMMODITY CODES

WORKERS COMPENSATION FORMS CENTRAL STORES COMMODITY CODES WORKERS COMPENSATION FORMS CENTRAL STORES COMMODITY CODES Employer s Report of Occupational Injury/ Illness (5020) 7673 Authorization to Release Records (WC10) 7697 Workers Compensation Benefit Election

More information

ACCIDENT/INCIDENT INVESTIGATION RIDDOR

ACCIDENT/INCIDENT INVESTIGATION RIDDOR 1.0 INTRODUCTION ACCIDENT/INCIDENT INVESTIGATION RIDDOR In the event of an employee, contractor, visitor or member of the public suffering an injury from a work related incident, certain procedures must

More information

Return to Work Rates & Other Selected Characteristics of Workers Compensation Claimants

Return to Work Rates & Other Selected Characteristics of Workers Compensation Claimants Return to Work Rates & Other Selected Characteristics of Workers Compensation Claimants Data Supplement to Report of the Commissioner on Return to Work Pursuant to Section 35 of the Workers Compensation

More information

STATE OF MISSISSIPPI Department of Human Services Division of Family and Children s Services

STATE OF MISSISSIPPI Department of Human Services Division of Family and Children s Services STATE OF MISSISSIPPI Department of Human Services Division of Family and Children s Services Child and Family Services Review Statewide Assessment 2010 Mississippi Statewide Assessment 2010 Child and Family

More information

Application for a Medical Impairment Rating (MIR)

Application for a Medical Impairment Rating (MIR) STATE OF TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Workers Compensation Division Medical Impairment Rating Program 220 French Landing Drive Nashville, TN 37243-1002 Phone (615) 253-1613 Fax

More information

Accident Coverage Details

Accident Coverage Details Accident Coverage Details Choose Level 1 or Level 2 Benefits Accident Coverage provides 24-hour coverage or off-the-job coverage. Select the level of coverage that best meets your needs and budget. BENEFITS

More information

Incident Investigation and Reporting Procedures - Code of Practice 3.11

Incident Investigation and Reporting Procedures - Code of Practice 3.11 - Code of Practice 3.11 Distribution: To be brought to the attention of all Heads of Service, managers, supervisors, employees, trade union representatives and Head Teachers Introduction This code of practice

More information

MISSISSIPPI STATE DEPARTMENT OF HEALTH

MISSISSIPPI STATE DEPARTMENT OF HEALTH MISSISSIPPI STATE DEPARTMENT OF HEALTH Birth Defects Surveillance Report 2000 2007 Beryl W. Polk, PhD, MS, CPM Director, Genetic Services AUTHORS AND CONTRIBUTORS Ninglong Han, MS Biostatician, Office

More information

Sun Life Financial Accident Insurance Plan. Frequently Asked Questions

Sun Life Financial Accident Insurance Plan. Frequently Asked Questions Accident Insurance Plan FAQ Sun Life Financial Accident Insurance Plan Frequently Asked Questions 1. Can I make more than one claim per accident? A: Yes. For example, an individual who has torn knee cartilage

More information

Accidents at Work: Q4/2015

Accidents at Work: Q4/2015 3 February 2016 1100 hrs 019/2016 Accidents at Work: Q4/2015 Claims in respect of non-fatal accidents at work in the fourth quarter of 2015 decreased marginally by 11 when compared with the corresponding

More information

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience January 2009 RESEARCH UPDATE California Workers Compensation Reform Monitoring Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience by Alex Swedlow, MHSA and John Ireland, MHSA

More information

NEW STUDENT-ATHLETE MEDICAL HISTORY FORM

NEW STUDENT-ATHLETE MEDICAL HISTORY FORM Student-Athlete Information NEW STUDENT-ATHLETE MEDICAL HISTORY FORM Name Date Birth SSN Sport Student ID Number Academic Class 1 Personal Physician s Name Phone # Person to Contact In The Event of Emergency

More information

COUNTY GOVERNMENT TAX LEVIES

COUNTY GOVERNMENT TAX LEVIES COUNTY GOVERNMENT TAX LEVIES ASSOCIATION OF ARKANSAS COUNTIES Association of Arkansas Counties 1415 West Third Street www.arcounties.org ARKANSAS 2 5 5 3 3 S.D. 1.3 N.D. 1.0 ASHLEY 3 5 5 1.4 1.4 0.9 0.9

More information

Lincoln Voluntary Accident Plan Highlights

Lincoln Voluntary Accident Plan Highlights Lincoln Voluntary Accident Plan Highlights With Voluntary Accident Benefits from Lincoln Financial Group, employees are empowered to protect their income from unexpected expenses related to an accident.

More information

Application for Employment

Application for Employment POSITION SOUGHT Application for Employment Please complete both the front and back of this form (if you have already submitted your resume or are enclosing you do not need to complete the section on page

More information

LOCAL UNIFORM CIVIL RULES

LOCAL UNIFORM CIVIL RULES LOCAL UNIFORM CIVIL RULES of the UNITED STATES DISTRICT COURTS for the NORTHERN DISTRICT OF MISSISSIPPI and the SOUTHERN DISTRICT OF MISSISSIPPI EFFECTIVE APRIL 30, 2013 TABLE OF CONTENTS PREAMBLE.................................................................

More information

SPORTS INSURANCE PROPOSAL FORM (All questions must be answered in ink)

SPORTS INSURANCE PROPOSAL FORM (All questions must be answered in ink) SPORTS INSURANCE PROPOSAL FORM (All questions must be answered in ink) Hanleigh Management Inc. Hanleigh Management, Inc., Hanleigh General Agency, Inc. 50 Tice Blvd., Suite 122, Woodcliff Lake, New Jersey

More information

Industrial Injuries Branch, Castle Court, Royal Avenue, Belfast, BT1 1SD Tel: 028 9033 6000, Fax 028 9033 6956, www.dsdni.gov.uk

Industrial Injuries Branch, Castle Court, Royal Avenue, Belfast, BT1 1SD Tel: 028 9033 6000, Fax 028 9033 6956, www.dsdni.gov.uk Form BI 100A - December 2005 Industrial Injuries Industrial Injuries Disablement Benefit for an accident at work Industrial Injuries Branch, Castle Court, Royal Avenue, Belfast, BT1 1SD Tel: 028 9033 6000,

More information

Circuit Court Clerks

Circuit Court Clerks Circuit Court Clerks February 23, 2015 Adams County Circuit Clerk Edward C. Walker 115 South Wall St. Natchez, MS 39121-1224 Phone: 601-446-6326 Fax: 601-445-7955 Alcorn County Circuit Clerk Joe Caldwell

More information

INCIDENT RATES DEFINITIONS:

INCIDENT RATES DEFINITIONS: INCIDENT 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

More information

Accepted disabling workers' compensation claims for Health Workers where the Event of Injury is Assaults and Violent Acts

Accepted disabling workers' compensation claims for Health Workers where the Event of Injury is Assaults and Violent Acts Assaults and Violent Acts Health Workers Health Workers 63 68 73 91 83 21 399 Page 1 Health Workers x Industry 623210 Residential Mental Retardation Facilities 2 2 622110 General Medical and Surgical Hospitals

More information

INCIDENT REPORTING INSTRUCTIONS

INCIDENT REPORTING INSTRUCTIONS INSURING AMERICA'S PASTIMES AND FUTURE TIMES INCIDENTREPORTINGINSTRUCTIONS WheneveranAccidentOccurs: AnIncidentReportformmustbecompletedimmediatelyafteranaccidentoccursandmailedor faxedtoamericanspecialtyinsurance&riskservices,inc.asindicatedbelow.thisholdstrue

More information

Avoid The Dreaded Back Injury by Proper Lifting Techniques

Avoid The Dreaded Back Injury by Proper Lifting Techniques Avoid The Dreaded Back Injury by Proper Lifting Techniques If you ve ever strained your back while lifting something, you ll know the importance of lifting safely. Agenda Introduction About the Back The

More information

o Understand the anatomy of the covered areas. This includes bony, muscular and ligamentous anatomy.

o Understand the anatomy of the covered areas. This includes bony, muscular and ligamentous anatomy. COURSE TITLE Kin 505 Activities, Injuries Disease in the Larger Society On-Line offering Instructor Dr. John Miller [email protected] Course Description. Sports and exercise are a part of American society

More information