MONTHLY SAFETY CHART
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= Injury = Safe No injury
Doc #
1 2 3 4 5 6 Year:
Unit: .
Month: .
7 8 9 10 11 12
Description:
13 14 15 16 17 18
19 20 21 22 23 24
25 26 27 28 29 30
Note:
31
Daily Injury Information
Department First Aid treatment
# Date Department Name of Person Accident Details
In-charge provided
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