傷亡事故月報(bào)表
年 月 表9-3
一、本月份平均人數(shù): 人,其中外協(xié)隊(duì)伍人數(shù) 人,二、本月份負(fù)傷頻率: ‰,
三、負(fù)傷者在本月份內(nèi)的歇工總?cè)諗?shù): 天
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總 計(jì)
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總 計(jì)
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死亡
(人)
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重傷
(人)
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輕傷
(人)
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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死亡
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重傷
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輕傷
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物體打擊
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提升車輛傷害
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機(jī)械傷害
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起重傷害
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觸 電
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灼 燙
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火 災(zāi)
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高處墜落
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坍 塌
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其 他
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填表單位: 填表人: 年 月 日