SCT Banner Human Resources / Release Guide / 7.0

Section 14 OSHA Reports for 2003 - FunctionalChanged ReportREPORT: PEROSHA Banner University PAGE 1 of 14 Country View RoadMalvern,PA,19355OSHA Form 300Incidents From 01-JAN-2003 to 31-DEC-2003___________________________________________________________________________________________________________________________________Identify the Person Describe the Case Classify the Case No Of Days Injury and Illness Type___________________________________________________________________________________________________________________________________(A) (B) (C) (D) (E) (F) (G) (H) (I) (J) (K) (L) (M1) (M2) (M3) (M4) (M5) (M6)Case No Employee Name/ Date of Injury/Illness/ Death Days Job Other Away On job Injury Skin Resp. Poison Hearing AllJob Title Where the event away trans record- from trans Dis- Cond. Loss otheroccurred/ from or able work or Order illDescription/ Work restr cases restr___________________________________________________________________________________________________________________________________931 25-AUG-2002 XDirectorSkin Disease947 Peggy Olsen 03-FEB-2003 X 7Assistant DirecWrist - Carpal Tunnel Syn951 Heidi A Meyer 22-MAR-2003 X XSkin Disease953 Eileen Innis 06-APR-2003 X 4 XDeafness970 Peggy Olsen 31-OCT-2003 X 61 XAssistant DirecSkin Disease970 Privacy Case 31-OCT-2003 XDeafness1017 Judi Croft 27-SEP-2002 X 98 XReceiving/DeliveryDeafness______________________________________________________________________________Page totals : 1 2 2 105 65 1 1 4Human Resources/Position ControlRelease 7.0 January 2005194 Release Guide Confidential