SCT Banner Human Resources / Release Guide / 7.0

Section 14 OSHA Reports for 2003 - FunctionalChanged ReportREPORT: PEROSHA Banner University4 Country View RoadMalvern,PA,19355Industrial Description: HIGHER EDUCATIONSIC Code: 5461OSHA Form 300AIncidents From 01-JAN-2003 to 31-DEC-2003________________________________________________________________________________________________________________________________Number of casesTotal Number of Total Number of Total Number ofTotal number Cases with Days Cases with job other recordableof Deaths away from work transfer or restriction cases(G) (H) (I) (J)1 2 2________________________________________________________________________________________________________________________________Number of DaysTotal Number of days Total Number of days ofaway from work job transfer or restriction(K) (L)105 65________________________________________________________________________________________________________________________________Injury and Illness Types------------------------Total number of...(M1) Injuries 1(M2) Skin disorders 1(M3) Respiratory Conditions(M4) Poisonings(M5) Hearing Loss 4(M6) All other illnesses________________________________________________________________________________________________________________________________Employment Information----------------------Annual average number of employees: 15Total hours worked by all employees last year: 10310I certify that I have examined this document and that to the best of my knowledge, the entries are true, accurate, and complete.________________________________________________________________________________________________________________________________Company Executive Title________________________________________________________________________________________________________________________________Phone DateHuman Resources/Position ControlRelease 7.0 January 2005196 Release Guide Confidential