Regulation Of The Minister Of Labour And Social Policy Dated 7 January 2009 On The Statistical Card Of An Accident At Work

Original Language Title: ROZPORZĄDZENIE MINISTRA PRACY I POLITYKI SPOŁECZNEJ z dnia 7 stycznia 2009 r. w sprawie statystycznej karty wypadku przy pracy

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On the basis of article. 237 § 3 of the Act of 26 June 1974-labour code (Journal of laws 1998, No 21, item 94., as amended. 2)) are managed as follows: § 1. The regulation specifies the pattern of the statistical card of an accident at work, the manner and timing of its preparation and transmission to the competent Statistical Office.

§ 2. Specifies the pattern of the statistical card of an accident at work, with the symbol of the-KW, hereinafter referred to as "statistical", which is the annex No. 1 [1].

§ 3. Statistical card shall be drawn up on the basis of an approved Protocol to determine the circumstances and causes of an accident at work, hereinafter referred to as the "Protocol of the damage", or on the basis of a Charter case, asserting that the accident is an accident at work or an accident treated on an equal footing with an accident at work.

§ 4. 1. Statistical card shall be drawn up according to the explanatory notes, classification and code indications to fill this card, which are set out in annex 2 to the regulation.

2. Part I of the statistical card shall be drawn up not later than within 14 working days from the date on which it was approved Protocol and repairable or in which the card case.

3. Part II, Supplement, statistical card shall be made in sufficient time for the behavior of the term its transmission, referred to in § 5. 2. § 5. 1. Statistical card, with the exception of part II, complementary, the employer shall communicate by 15. working day of the month following the month in which the approved Protocol and repairable, or in which the card case.

2. A completed part II, Supplement, statistical card, the employer shall, no later than the expiry of 6 months from the date of approval of the Protocol of salvage or from the date of the card.

3. Statistical card shall be in electronic form on the reporting portal, the Central Statistical Office.

4. the employer employing not more than 5 employees can pass the original statistical card drawn up in paper form to the Statistical Office in Gdansk when you submit a reasoned opinion about the choice of this form.

§ 6. Repealed the Ordinance of the Minister of economy and labour dated 8 December 2004 on the statistical card of an accident at work (Journal of laws No. 269, poz. 2672).

§ 7. This Regulation shall enter into force after the expiry of 7 days from the date of the notice.



 

1) Minister of labour and social policy directs Government Administration Department – work under § 1 para. 2 paragraph 1 of the regulation of the Prime Minister of 16 November 2007 on the detailed scope of the Minister of labour and social policy (OJ No 216, 1598).

2) Changes the consolidated text of the said Act were announced in the journal of laws of 1998, no. 106, item. 668 and # 113, item. 717, with 1999 No. 99, item. 1152, 2000 No 19, item. 239, no. 43, item. 489, no. 107, item. 1127 and No. 120, item. 1268, 2001 # 11. 84, no. 28, item. 301, no. 52, item. 538, No 99, item. 1075, no. 111, item. 1194, # 123, poz. 1354, no. 128, item. 1405 and # 154, poz. 1805, 2002 No. 74, item. 676, No 135, item. 1146, # 196, poz. 1660, # 199, item. 1673 and # 200. 1679, from 2003 No 166, item. 1608 and # 213. 2081, 2004, no. 96, item. 959, no. 99, item. 1001, no. 120, item. 1252 and # 240. 2407, 2005 No. 10, item. 71, # 68, item. 610, no. 86, item. 732 and # 167, item. 1398, 2006, no. 104, item. 708 and 711, no. 133, item. 935, no. 217. 1587 and # 221, item. 1615, with the 2007 No. 64, item. 426, no. 89, item. 589, No 176, item. 1239, # 181, item. 1288 and # 225, item. 1672 and 2008 # 93, item. 586, Nr 116, poz. 740, no. 223, item. 1460 and # 237. 1654. Appendix 1. [STATISTICAL CARD CASE]

The annexes to regulation of the Minister of labour and social policy of January 7, 2009 (item 80) Appendix 1 STATISTICAL CARD CASE, annex 2. [EXPLANATION, CLASSIFICATIONS AND CODE MARKINGS TO FILL STATISTICAL CARD CASE (-KW)]

Annex No 2 EXPLANATIONS, classifications and CODE MARKINGS to FILL STATISTICAL CARD CASE (-KW) and the explanation of the basic concepts according to the article. 3 of the Act of 30 October 2002 on social insurance in respect of accidents at work and occupational diseases (Journal of laws No. 199, poz. 1673, as amended): 1) for an accident at work is considered sudden event caused the cause of outer causing injury or death, which happened in connection with work: a) in the course of or in connection with the performance of the employee's normal operations or commands of superiors , b) in the course of or in connection with the performance of the employee's actions on behalf of the employer, even without a command, c) at the time the employee remain at the disposal of the employer on the way between the seat of the employer and the place of performing the obligation arising from the employment relationship;

2) on par with an accident at work, as regards entitlement to benefits defined in the law, be treated case, which the employee has: a) during a business trip in circumstances other than those referred to in paragraph 1, unless the accident was caused by a concerned employee, that is not in connection with the performance of the tasks entrusted to him, b) during training in the universal self defense, c) in the performance of tasks by acting on the employer's trade union organisations;

3) for an accident at work shall also be sudden event caused the cause of outer causing injury or death, which happened during the accident insurance with your title when: a) sports during competitions and trainings by a person that retrieves an athletic scholarship, b) perform work based fee referrals for work at the time of imprisonment or detention, c) carry out the mandate of the Deputy or Senator , requesting the salary, d) the exercise of a mandate of a member of the European Parliament selected in the Republic of Poland, e) of training, internships or apprenticeships in the workplace by the person levying the scholarship during the period of this training, internships or apprenticeships in the workplace based on referral issued by emplyment or by another entity that directs, f) run by a member of the agricultural production cooperatives, cooperative agricultural pin and by another person treated on an equal footing with a member of a cooperative within the meaning of the social security system , work for these cooperatives, g) work on the basis of an agency agreement, contract or agreement for the provision of services, to which in accordance with the Civil Code provisions relating to orders, h) cooperation in the performance of work under an agency agreement contract or agreement for the provision of services, to which in accordance with the Civil Code provisions relating to orders, and ordinary related operations) into non-agricultural activities within the meaning of the social security system , j) performing ordinary activities related to cooperation in non-agricultural activities within the meaning of the social security system, k) the exercise by a person gathering of religious activities or activities connected with entrusted pastoral functions or religious, and of replacement services) m) study at the National School of public administration by the listeners receive a scholarship, n) work on the basis of an agency agreement, contract or agreement for the provision of services to which in accordance with the Civil Code shall apply the rules concerning the order or contract, if such an agreement was concluded with the employer, to which the person is in an employment relationship, or if such an agreement it performs work for the employer, which remains in the employment relationship) of the officer of customs duties;

4) for fatal accident at work is considered an accident, in which the death occurred in a period not exceeding 6 months from the date of the accident;

5) too heavy an accident at work is considered an accident, as a result of which there has been a severe injury, such as loss of vision, hearing, speech, reproductive output, or other injury or incapacitating, violating the basic body functions, as well as incurable disease or life-threatening, persistent mental illness, total or partial inability to work in the profession or persistent, significant disfigurement or distortion of the body;

6) for collective accident at work shall be deemed an accident, whether as a result of the same event has at least two people.

B. explanatory notes to the fulfilment of the statistical card case, the number of working (without conversion to full-time)-code markings (B address parts form) Who are the persons performing work that led to the earnings or income. For working, in part on a study of accidents at work (A), include all working as on the day of the event, regardless of whether these people are also working in other reporting units (without the people working under contract), namely: 1) persons employed under an employment relationship (i.e. employment contract, appointment, election or appointment) together with seasonal and casual employees;

2) employers and the self-employed;


a) owners and joint owners (including contributing members of their families) units established (with the exception of the shareholders of the companies, who do not work in the company), b) self-employed persons, for example. members of the liberal professions;

3) agents working on the basis of agency agreements and agreements on the conditions of the order (including contributing members of their families and persons employed by agents);

4) persons performing tolling;

5 members of agricultural production cooperatives) and members of the cooperative agricultural pin;

6) clergy performing pastoral duties.

 

The number of working code 1 working (samozatrudniająca, without employees) 0 2-9 working (without conversion to full-time) 1 10-49 working (without conversion into FTE) 2 50 – 249 working (without conversion into FTE) 3 250 – 499 working (without conversion into FTE) 4 500 or more working (without conversion to full-time) 5 unknown number of working 9 is a commune (municipality) , which is an entity (the question x 1).

In this field you must enter the name of the town (municipality), and the code (7-digit) for the village will be completed by the Statistical Office (as in question 15).

Type of activity according to the Polish classification of activities (PKD) (question X 2).

In this field you can enter the name of the type of activity performed by an entity that is the actual place of work the victim (e.g., branch, branch office, shop, warehouse), and the code (5 digit) for this activity will be completed by the Statistical Office.

Form of ownership (FW)-classification and code markings (question 3) form of ownership Code PUBLIC SECTOR Ownership of the State Treasury State legal persons Owned 111 112 113 local Ownership ownership of mixed public-sector ownership of mixed ownership with a predominance of public sector Treasury 121 mixed Ownership with a predominance of public sector ownership of State-owned legal persons Owned 122 public sector ownership with a predominance of mixed local 123 mixed Ownership in the public sector with the lack of any kind of advantage of public ownership the ownership of the 127 1 2 mixed between sectors with a predominance of public sector ownership ownership of mixed across sectors with a predominance of public sector ownership, including ownership of the State Treasury 131 mixed Ownership between sectors with a predominance of public sector ownership, including the predominance of State ownership of legal persons, 132 mixed Ownership between sectors with a predominance of public sector ownership, including ownership of the municipality of 133 mixed Ownership between sectors with a predominance of public sector ownership with the lack of competitive advantage of any kind of public property 137 PRIVATE SECTOR ownership of national natural persons 214 private property national remained 215 foreign ownership 216 mixed Ownership in the private sector ownership of mixed ownership with a predominance of private sector domestic individuals 224 mixed Ownership in the private sector with a predominance of private property ownership of the 225 remaining national mixed in the private sector with a predominance of foreign ownership 226 mixed Ownership in the private sector with the lack of any kind of advantage of private property ownership of the 227 mixed across sectors with a predominance of private sector joint Ownership ownership between sectors with a predominance of property sector private, including the predominance of national ownership of individuals 234 Ownership mixed across sectors with a predominance of the ownership of the private sector, including with a predominance of private property ownership of the 235 remaining national mixed across sectors with a predominance of private sector, including ownership of majority foreign ownership 236 mixed Ownership between sectors with a predominance of private sector property with the lack of any kind of advantage of private property 237 NO SECTORAL ADVANTAGES mixed Ownership between sectors of the same share ownership of the public and private sectors with the highest participation ownership of the State Treasury in the capital a total of 331 joint Ownership between sectors of the same share ownership of the public and private sectors with the highest share of State ownership of legal persons in the capital a total of 332 joint Ownership between sectors of the same share ownership of the public and private sectors with the highest participation of local ownership in the capital a total of 333 joint Ownership between sectors of the same share ownership of the public and private sectors with the highest participation of national ownership of individuals in the capital a total of 334 mixed Ownership between sectors with the same share ownership of the public and private sectors with the highest participation of ownership of other national units of private capital a total of 335 mixed Ownership between sectors of the same share ownership of the public and private sectors with the highest share ownership of foreign persons in the capital a total of 336 joint Ownership between sectors of the same share ownership of the public and the private sector with the lack of any kind of advantage in the capital a total of 338 Citizenship – classification and code (question 03) citizenship of the Nationality Code unknown 0

A citizen of the country in which the accident took place 1 Citizen of an EU country other than the one in which the event took place 2 non-National EU countries 3 Employment Status-classification and code markings (question 4) Status of employment Code Unknown Person is samozatrudniająca, 000 status 100 Employee hired for an indeterminate period, full-time worker 311 indeterminate, part-time fixed-term worker 312 321, working full time worker, part-time collaborator 322 400 Apprentice/student 500 other 900 occupation (question 5) until the end of 2010. the profession of the victim must be reported using the classification of professions and specialities for needs of labour market introduced by Decree of the Minister of economy and labour dated 8 December 2004 on the classification of professions and specialities for needs of labour market and its scope (Journal of laws No. 265 , item. 2644, as amended. d.). From 1 January 2011, use the classification of professions and specialities introduced by Decree of the Minister of labour and social policy dated April 27, 2010 on the classification of professions and specialities for needs of labour market and its scope (Journal of laws No. 82, item 537). About the medical profession (specialty) carried out by persons injured in accidents at work we describe the full code of the profession (specialty). 6 digits and is assigned to the code specifying the clutter.

Type of injury – classification and code markings (question 8) type of injury Code the type of injury unknown or unspecified 000 wounds and superficial injuries 010 020 fractures displacements, dislocations, sprains and strained 030 traumatic Amputations (loss of body parts) 040 internal Injuries 050 Burns with fire or chemicals, burns with water or steam, frostbite 060 070 infection Poisoning Sinking, Brown due to lack of oxygen 080 Effects sounds , vibration and pressure 090 Effects extreme temperatures, lighting and radiation (different from frostbite) 100 shock (acute stress reaction, shock traumatic) 110 Numerous injuries 120 Different trauma 999 Site of injury – classification and code markings (question 9) Site of injury Code Site injury unknown or unspecified 00 Head Skull, brain, blood vessels 11 12 Face Eye, eyes 13 Ear, ears 14 Tooth , teeth 15 head, numerous places 18 Head, places not mentioned or unknown 19 Neck along with the backbone of the cervical region 20 butt, including spine 30 Trunk and internal organs Ribs, shoulder 41 internal organs of the chest and abdomen, pelvic area 42 with internal bodies 43 Trunk and internal organs, numerous places of injury 48


Trunk and internal organs, not space or unknown 49 arms Shoulder with shoulder joint pond 51 Arm with elbow 52 53 54 Palm Finger fingers, Wrist 55 upper limbs, numerous places of injury 58 upper limbs, not space or unknown 59 lower limbs Hip with a lap 61 Leg with a pond without knee ankle Foot 63 62 64 Finger, fingers 65 lower limbs , numerous places of injury 68 lower limbs, not space or unknown 69 the whole body and its different parts of whole body 71 Numerous injuries of body parts 78 Different body part 99 Estimated material losses caused by the accident (question 14) is the sum of the value of the damaged machinery, equipment, tools, raw materials, finished products, buildings and their equipment, etc.

The geographical location of the accident (question 15). In this field you must enter the name of the town in which the accident occurred.

In the case of a village within the country code (7-digit) for the village will be completed by the Statistical Office in accordance with the IDs and names of territorial units of the country referred to in annex 1 to the regulation of the Council of Ministers of 15 December 1998 on the detailed rules of conduct, application and sharing national register of official territorial country and related obligations of the Government and the local government units (Journal of laws No. 157 , item. 1031, as amended. d.), in force since 1 January 1999 for the village outside the country statistical office in place of the code you type 7 times "with" (symbol: zzzzzzz).

Place of formation (question 18) is a place in which he was injured at the time of the accident (this can be either a room or other place).

 

Place the creation of case classification and code markings Place the creation of case no data Code 000 manufacturing industrial production 011 Place maintenance and repair 012 013 storage Other not mentioned or unknown spots in this group 019 construction site, Quarry, mining construction site-property in the construction of the 021 construction site-it dismantled, demolished, renovated 022 mining, Quarry, etc.

023 the construction site-underground 024 construction site-on the water, water + 025 construction site-in an environment of high pressure 026 Other, not specified or unknown sites in this group 029 Space cultivation, livestock breeding, fishing, forests and green areas place of rearing 031 Place crop crops 032 Place crop trees and shrubs 033 034 woodland place of rearing and/or fishing, aquaculture, etc.

035 garden, park, Botanical Garden, Zoo 036 Other, not specified or unknown spots in this group 039 offices, colleges and schools, the betting services Office, library, conference room, etc.

041 scientific Facility, school, kindergarten 042 Place trade 043 Zakład usługowy 044 Other, not specified or unknown spots in that group health Facility 049 050 places, and public transport public transport Areas (e.g., roads, parking lots, waiting rooms, etc.)

061 062 land transport Sites associated with public, intended only for authorized personnel (e.g. rail, airport, etc.)

063 Other, not specified or unknown places and measures in this group 069 households apartment, detached 071 Other, not specified or unknown spots in this group 079 Sports Sports indoor 081 sports outdoor 082 Other, not specified or unknown objects in this group 089 in the air at an altitude of, excluding the construction sites at the height of the-stable (roof, terrace, etc.)

091 On height-pylon, mast, suspended platform, etc.

092 in the air – on board the aircraft, 093 other, not or unknown spots in this group 099 underground, excluding construction underground-tunnel underground 101-102 mine underground-wells, gullies 103 Other, not specified or unknown spots in this group of 109 on the water, above the water, excluding the construction sites of the sea or ocean on board all types of ships, platforms, etc.

111 Lake, River, port-on board all types of 112 vessels, platforms, etc.

 

Other, not listed or unknown spots in this group of 119 in a high pressure environment, excluding the construction sites in an environment of high pressure-under water (e.g. scuba diving) in high pressure environment 121-122 Chamber Other, not specified or unknown spots in this group 129 Other place 999 work process (question 19) is the basic type of work performed by the victim at the time when the accident occurred.

Work process-classification and code markings work process Code no 00 production, processing, storage, production, processing 11 storage of 12 other, not specified or unspecified works in this group of 19 mining and excavation, construction mining and excavation 21 Building new buildings, such as infrastructure Building 22. roads, bridges, ports, etc.

23 Rebuilding, repairing, developing, maintenance of buildings and infrastructure 24 demolition and wrecking of 25 Other, not specified or unspecified works in this group 29 agricultural crops, viticulture, gardening, horticulture, forestry, animal husbandry, fish, cereals and other agricultural crops 31 Viticulture, horticulture, fruit-32 breeding and animal husbandry 33 Works related to forestry, fisheries, fish farming 34 35 Other, not specified or unspecified works in this group of 39 Services , intellectual work, child care Services, assistance to the public 41 intellectual work is teaching, training, Office work, organize, manage 42 trade – buying, selling and services accompanying the 43 Other, not specified or unspecified works in this group of 49 other work Preparation, installation, Assembly, disassembly, undressing, etc.

51 maintenance, repair, adjustment, etc.

52 Cleaning, cleaning-machine or manually 53 waste, garbage, etc.

54 Monitoring, inspection – with or without monitoring devices 55 Other, not specified or unspecified works in this group of 59 movements, sports, career movement, including means of transport, Sport, artistic activities 61 62 Other, not specified or unspecified works in this group of 69 other process work 99 type of accident (question 20) determines the place of the incident due to the location of the jobs in the workplace or outside of it.

The local unit of the establishment work is organized whole (company, Division, subsidiary, etc.) in a place identified a separate address at which or from which it is carried out the activities of at least one person working, but: 1) leveling yourself located at a single address are separate local units;

2) covered by a separate registration of legal organizational part of the actors are local units;

3) units operating in the field of transport are units of local places from which they are issued or is organized work;

4) unit active in the field of construction are units of local places that accepted orders for execution of the works and ancillary or are executed work of the Management Board, or is the Organization of construction work and the secondary; place construction sites (place of individual construction sites) are not local units;

5) door-to-door selling, obnośna and retailer without a fixed location, as well as conducting services at the customer's is one the local unit in the place of residence of a natural person, the place of establishment of a legal person or an organizational unit without legal personality.

Type the location of the accident – classification and code indications the General characteristics of the location of the accident Code Unspecified place 0 Place in the local unit workplace 1 place outside a local unit of the establishment two other place


9 the act performed by the victim at the time of the accident (question 21) is the act performed by the victim intentionally, directly before the accident.

The action performed by the victim at the time of the accident — classification and code indications the action performed by the victim at the time of the accident the code no 00 using machines starting/stopping machines 11 Administration/receiving materials, semi-finished products, products etc.

12 monitoring and other work activities and machine handling 13 Other, not specified or unknown activities in this group of 19 Works manual tools niezmechanizowanymi Tools Work 21 22 other mechanized torches Tools Work not specifically mentioned or unknown works in this group 29 Directing/means of transport/support moving machinery and other equipment Targeting public transport or operating machinery and other mobile equipment , self-propelled 31 Targeting public transport or operating machinery and other mobile equipment, without the drive of its own 32 Riding in means of transport in the role of passenger 33 Other, not specified or unknown activities in this group of 39 Handling items Taking into the hands, grasping, holding, placing-in 41 level Binding, strapping/wrapping, picking off, unbinding/troubleshooting, squeezing, twisting/spinning the screw connections, flexing etc.

42 Mount, suspension, lifting, etc.

43 throwing, reject 44 to open or close the boxes, packages, etc.

45 drumming, filling liquid, watering, spraying, pouring, liquid, etc.

46 to open or close the drawer, door, etc.

47 Other, not specified or unknown activities in this group 49 manual vertical Transport-lifting, lowering 51 Transport in level-pulling, pushing, turning 52 Transfer 53 Other, not specified or unknown activities in this group of 59 movement walking, running, climbing, descending from, etc.

61 entering/exiting 62 jumping, jumping, etc.

63 Crawling, climbing, etc.

64 getting up, sitting 65 swimming, diving 66 Movements in place, for example. When washing, dressing/undressing, etc.

67 Other, not specified or unknown activities in this group, the presence of 69 70 Other action 99 Event which is a deviation from the normal state (question 23) this event is inconsistent with the relevant work process that raised the event.

The accident occurred as a result of a number of consecutive events, it should be registered the last of these events.

The event which is a deviation from the normal state – classification and code markings Event which is a deviation from the normal Code no 00 Deviations associated with electricity, explosion, fire, the variance associated with electricity, for example. equipment damage – leading to indirect contact 11 Variance associated with electricity, for example. equipment damage – leading to direct contact 12 Explosion 13 fire, ignition 14 Other, not specified or unspecified deviation in this group 19 Burst, leaking, the emission of harmful substances Slipped, crash, discharge of substances in the solid state 21 Transfer, leaking, oozing, flow, rozbryzgiwanie, spraying liquids 22 Emission pairs and gases 23 dust emissions, fumes, 24 Other, not specified or unspecified deviation in this group of 29 Damage , burst, crack, slipping down, collapse, collapse of the substantive material Damage factor-connecting, seam, 31, burst-forming debris (wood, glass, metal, stone, plastic, other) 32 slipping down, collapse, collapse of the material factor is the fall factor (hitting the victim falling from the top of the material factor) 33 slipping down, collapse, collapse of the material factor – down (pulling the victim down) 34 slipping down to , collapse, collapse of the material factor is at the same level of 35 Other, not specified or unspecified deviation in this group of 39 loss of control: the machine, means of transport, transported load, tool, object, animal loss of machine control (including unintentional running) or cut 41 loss of control of the means of transport or a supported mobile equipment (mechanized or not) 42 loss of control of the tool (mechanized or not) or cut the 43 losing control over a loss of control over 44 "45 Other not mentioned or undefined variance in this group of 49 slip, trip, fall of person from height people Fall – to a lower level 51 slip, trip, fall of person – at the same level of 52 Other, not specified or unspecified deviation in this group of 59 body movements without physical exertion (leading generally to injuries) entrance to the sharp object 61 Kneeling, face sitting, building 62 Catching or reject the person 63 Uncoordinated improper movements of the 64 Other, not specified or unspecified deviation in this group of 69 Event which is a deviation from the normal state ().

The code body movement associated with physical exertion (leading on to the internal injury) Raising 71 pushing, pulling 72 Stoopid 73 to rotate, twisting 74 Bad stride 75 Other, not specified or unspecified deviation in this group of 79 Shock, fear, violence, assault, threat, the presence of Shock, fear, violence, 81 attack, threat-from the workers at the workplace (including the victim) 82 Violence, assault, threat-from people outside the workplace 83 Aggression , a deduction-84 by the animal victim or a third party Presence in the danger zone 85 Other, not specified or unspecified deviation in this group 89 Other deviation 99 Event causing trauma (question 25) describes how the victim suffered trauma (physical or mental) caused by the material factor.

Event causing the injury – classification and code markings Event causing the injury Code no 00 Contact with electric current, temperature, dangerous chemical substances and preparations indirect contact with arc welding, spark of lightning bolt 11 Contact with electricity by touch direct 12 contact with flame or hot/burning object/environment 13 contact cold/frozen object/environment 14 Contact with dangerous chemical substances and preparations by inhalation of 15 Contact with dangerous substances and preparations chemicals through the skin/eyes 16 Contact with hazardous substances and chemical preparations for gastrointestinal 17 Different, uncredited or unspecified contact this group 19 Sinking, burial, closing the Sinking in the liquid 21 Burial, bridge the solid 22 Closing in environment by gas, dust, etc.

23 another uncredited or unspecified contact group 29 Clash with/in an inanimate object, vertical, Horizontal 31 32 Different, uncredited or unspecified contact in this group of 39 Hit by an object in motion Hitting by thrown object 41 Hit by a falling object 42 Hit by rolling an object Hitting 43 by rotating, moving, transported property, including vehicles 44 Collision with a moving object , including vehicles (the victim was moving), collision with person 45 Different, uncredited or unspecified contact in this group of 49 Event causing trauma (dok.)

Contact the code subject to sharp, abrasive, rough Contact with the subject sharp (knife, Blade, etc.)

51 contact subject with szpicą (a nail, a sharp tool, etc.)

52 contact subject of rough, rough 53 lnny, uncredited or an unknown contact in this group of 59 Imprisonment, crush the imprisonment, crush-in 61 Imprisonment, crush-under 62 Imprisonment, crush-between 63 Contact that causes peeling off or cutting off a body part 64


Other, not listed or an unknown contact in this group of 69 physical or mental Load Load musculoskeletal 71 Impact of radiation, noise, light, pressure 72 mental Load (e.g. sudden stress, shock) 73 Another, uncredited, or an unspecified kind of load 79 manifestation of aggression on the part of man or animal Bite 81 82 83 choke or Hit Sting another uncredited or unspecified manifestation of aggression 89 other event 99 Factor material related to the activity carried out by the victim at the time of the accident (question 22) is a machine tool or other object used by the victim at the time when it was an accident.

The material factor related to the deviation (question 24) is a machine tool, another property or environmental factor that has a direct relationship with the event that is a deviation from the normal state. If the deviation is related to several factors, it must be indicated the last of these factors.

The material factor being the source of injury (question 26) is a machine tool, another property or environmental factor, with whom contact has become cause of injury (physical or mental).

The material factor-classification and code markings Factor material a material Factor Code not present or no material Factor is not present 00.01 lack of information and x.00.02 Buildings, structures and their elements, surfaces at ground level (inside or outside, fixed or mobile, temporary) buildings, structures and their components-doors, walls, Windows. and dividers etc.

01.01 horizontal surfaces at ground level – fixed (e.g. floors, indoor and outdoor, agricultural holding, sports areas, etc.)

01.02 horizontal surfaces at ground level – the moving or temporary (e.g. bridge, a floating walkway, etc.)

01.03 another uncredited or an unknown factor in this group 01.99 Buildings, structures and their elements, surfaces-above the ground (indoor or outdoor, stationary or mobile, temporary) buildings and their elements at a height – permanent (e.g., roofs, terraces, doors and Windows, stairs, platforms, etc.)

02.01 structures, surfaces above the ground-stationary (e.g. transition, platforms, ladders, pylons, scaffolding, etc.)

02.02 structures, surfaces above ground level-(e.g. floating scaffolding, ladders, portable, mobile and platforms, raised platform, etc.)

c.02.03 constructions, surfaces above ground level-temporary (scaffolding, work baskets, etc.)

 

02.04 the objects, structures over water (e.g. drilling platforms and scaffolding on the shoulders, etc.)

02.05 another uncredited or an unknown factor in this group 02.99 material Factor (cont.)

Code Buildings, structures and their elements, surfaces-below ground level (inside or outside, stationary or mobile, temporary) Trenches, workings, wells, etc.

03.01 Caverns, tunnels, etc.

03.02 Objects, constructions under water templates s.03.03 Another, uncredited or an unknown factor in this group 03.99 supply Systems, distribution and discharge of gases, liquids and solids, pipe networks, supply and distribution Systems, a network of pipes, plants-stationary 04.01 supply and distribution Systems, pipe network, installations-moving 04.02 Installations drain, sewer, drainage, etc.

04.03 Another, niewvmieniony or an unknown factor in this group 04.99 equipment for production, processing, storage, transmission and distribution of energy equipment for production and processing of energy-motors, generators (thermal, electrical, etc.)

05.01 transmission and storage of energy (mechanical, pneumatic, hydraulic, electric, including batteries and accumulators, etc.)

05.02 another uncredited or an unknown factor in this group 05.99 hand tools without drive hand tools without drive-for 06.01 hand tools without drive-for cutting, cutting (including scissors, secateurs) 06.02 hand tools without drive-for carving, chiselling, engraving, cutting, shearing, cutting, etc.

06.03 hand tools without drive-for scraping, grinding, polishing, etc.

06.04 hand tools without drive-for drilling, turning, screw, etc.

06.05 hand tools without a drive, to joining of parts (nailing, riveting, merge with Staples, etc.)

06.06 hand tools without drive-sewing, embroidery, etc.

06.07 hand tools without drive-bonding (welding, soldering, welding, gluing, etc.)

06.08 hand tools without drive-to materiatów mining and excavation work (including agricultural tools) 06.09 hand tools without drive-for washing and cleaning, waxing, lubrication 06.10 hand tools without drive-to paint the Jasper Lawler hand tools without drive-for gripping, holding in place 06.12 hand tools without drive-to kitchen (excluding knives) 06.13 hand tools without drive-surgical and other medical-hardcore cutting, 06.14 hand tools without drive-surgical and other medical-nietnące, other medical works 06.15 another uncredited or an unknown factor in this group 06.99 mechanized Tools kept in hand or hand-guided Mechanized hand tools-sawing 07.01 Mechanized hand tools to cut, cutting (including scissors, scissors, etc.)

07.02 Mechanized hand tools-for carving, chiselling, engraving, cutting, shearing, cutting, etc.

07.03 Mechanized hand tools-for scraping, grinding, polishing, etc. (including circular saws) 07.04 Mechanized hand tools – for drilling, screwing, screw, etc.

07.05 Mechanized hand tools – to connect part (nailing, riveting, merge with Staples, etc.)

07.06 Mechanized hand tools-sewing, embroidery, etc.

07.07 Mechanized hand tools-bonding (welding, soldering, welding, gluing, etc.)

07.08 Mechanized hand tools – for the extraction of materials and earthworks (including agricultural tools, pneumatic) 07.09 Mechanized hand tools-for washing and cleaning, waxing, lubrication, etc. (including high-pressure cleaning tools, vacuum cleaners) 07.10 material Factor (cont.)

Code Mechanized hand tools-paint-07.11 Mechanized hand tools-for gripping, holding in place 07.12 Mechanized hand tools – for the kitchen (including knives) 07.13 Mechanized hand tools – that produce heat (oven, hotplates, irons, etc.)

07.14 Mechanized hand tools – surgical and other medical-sharp, cutting 07.15 Mechanized hand tools – surgical and other medical-without cutting 07.16 pneumatic tools (without a specific destination) 07.17 Another uncredited or an unknown factor in this group 07.99 machinery and equipment – portable or mobile Portable or mobile mining machines, earth-moving machinery, drilling equipment, etc.

09.01 Portable or mobile agricultural machinery Peter Sainsbury Portable or mobile machines for works (excluding the earthmoving machinery) Mobile cleaning machines 09 .03new German 09.04 another uncredited or an unknown factor in this group 09.99 machinery, equipment and Stationary stationary machines and mining equipment or moving machinery 10.01 machines and plants for the pre-treatment of materials-for grinding, milling, filter, separate , blending, mixing, etc.

10.02 machines and equipment for processing materials in chemical processes (e.g. fermentation processes, etc.)

10.03 machines and equipment for processing of materials at elevated temperatures (e.g., furnaces, dryers, ovens, etc.)

10.04 machines and equipment for processing of materials at low temperatures (e.g. refrigerators, freezers, etc.)

10.05 machines and equipment for processing materials-other processes 10.06 forming machines and equipment – by compression, compaction of 10.07 forming machines and equipment – by rolling, calendering, etc. (including paper machines) 10.08 forming machines and equipment – by injection, blowing, spinning, injection, melting, casting, stamping, etc.

cutting machine tools 10.09 10.10 10.11 Saws


Machines and equipment for cutting and cutting (including scissors, cutters, Guillotines) 10.12 machines and equipment for the cleaning, washing, drying, paint, print, 10.13 machines and equipment for coating-to electroplating, electrolytic surface treatment, thermal spray, etc.

10.14 machines and devices to connect (bonding, gluing, nailing, screwing, riveting, spinning, wire wrapping, merge with Staples, etc.)

10.15 machines and packaging machines, coil (sealing, capping, labelling, etc.)

10.16 Additional machinery and equipment for specific applications (e.g., control, measuring, weighing, research, monitoring) 10.17 Specialized machines and the equipment for cultivation of 10.18 Another uncredited or an unknown factor in this group 10.99 machinery, equipment and equipment for lifting, moving and storage, screw conveyor, bucket, etc.

11.01 Cranes, lifts, hoists, lifting 11.02 Stationary cranes, cranes, cranes on vehicles, cranes, bridge, suspended-laden 11.03 Movable devices carrying trolleys (with or without) 11.04 material Factor (cont.)

Code AIDS to transport, gripping elements (hooks, ropes, etc.), security equipment, controlling and a variety of devices (including baby carriers for children) 11.05 storage systems, packaging, containers (silos, tanks)-stationary 11.06 storage systems, packaging, containers-mobile storage, pallets, shelving Accessories 11.07 stands for pallets 11.08 a variety of small and medium-sized packaging 1st (containers, containers, bottles, boxes, etc.)

11.09 Alternative, uncredited or indeterminate in that group factor 11.99 road vehicles Heavy transport vehicles 12.01 Light transport vehicles 12.02 two-or three-wheel, driven or 12.03 another uncredited or unspecified vehicle in this group of 12.99 Other transport vehicles rail vehicles (including monorails) 13.01-cargo rail vehicles (wtaczając monorail) for the carriage of passengers 13.02 13.03 cargo floating Vehicles Vehicles flying to carry persons 13.04 to 13.05 fishing floating Vehicles vehicles for the carriage of goods 13.06

Vehicles for the carriage of passengers, Other or unspecified uncredited 13.07 vehicle in this group 13.99 Materials, items, products, parts of machinery building materials 14.01 items or assemblies of machinery or vehicles, niezmechanizowane 14.02, or teams, mechanized (including parts and components of these material factors) 14.03 mounting hardware (rivets, pins, screws, nails etc.)

14.04 dust Particles, chippings, shavings, etc.

14.05 Products farm 14.06 products used in the cultivation and breeding (including fertilizer, feed for animals) 14.07 Stored products-including items and packaging on storage areas 14.08 Stored products – in rolls, rolls 14.09 Loads-moved by the mechanized conveyor, conveyors, 14.10 Loads-suspended for lifting devices, rudder engines 14.11 Loads is moved manually 14.12 another uncredited or indeterminate in that group factor 14.99 chemicals radioactive, biological, explosive, corrosive substances, corrosive (solid, liquid or gaseous) 15.01 harmful substances, toxic (solid, liquid or gaseous) 15.02 flammable substances (constantly, liquid or gaseous) 15.03 Substances exploding easily forming reactions (solid, liquid or gaseous, and 15.04 gases, vapours biologically inert, suffocating 15.05 radioactive 15.06 biological material 15.07 inert substances, solid or liquid 15.08 another not listed or an unknown factor in this group of 15.99 machinery and equipment safety related protective devices and protective and to machinery 16.01 Measures personal protection devices and equipment for used 16.02 failure 16.03 another uncredited or an unknown factor in this group of 16.99 www.blackhairspray.com great lace material Factor (dok.)

Code Office equipment, personal, sports, weapons, furniture, Office equipment, 17.01-17.02 to communicate equipment – for learning, writing, drawing, etc.

17.03 sports equipment (including games) 17.04 17.05 Weapon personal belongings, clothes 17.06 17.07 musical instruments equipment and household items but used professionally 17.08 another uncredited or an unknown factor in this group 17.99 People and other organisms live plants Jan. 18, Animal-breeding, 18.02 18.03 18.04 micro-organisms other Animals Viruses 18.05 18.06 People Another, uncredited or an unknown factor in this group 18.99 '' Waste Waste-from raw materials of products , materials, objects, 19.01 Waste-chemical 19.02 Waste-with biological substances, plants, animals 19.03 another uncredited or an unknown factor in this group 19.99 physical phenomena and elements of the environment physical phenomena-noise, radiation, pressure 20.01 Elements environment and atmospheric phenomena (including water, land, rain, hail, snow, ice, etc.)

20.02 the factors arising as a result of the forces of nature (e.g. lava, a wave of flood, fire) 20.03 another uncredited or an unknown factor in this group of 20.99 Other material factor 99.00 Causes an accident (question 27) are any deficiencies and irregularities, which directly or indirectly contributed to the accident, associated with the material factors (technical), with the General Organization of work in a factory or workplace organization and employee.

The cause of the accident – classification and code markings Causes accident Wrong Code the status of substantive factor structural defects or improper technical and ergonomic material factor structural defects of the material factor as a source of danger 001 Inappropriate spatial structure factor of the material strength of the material factor Poor Wrong 003 002, the stability of the material factor 004 No or improper safety devices 005 No or improper collective protection measures 006 Inappropriate controls 007 No or incorrect indication of the risks non-compliance to transport material agent 008 maintenance or repair, 009 other not listed or unspecified irregularities of the design-construction 019 improper performance of substantive factor replacement materials 021 failure to comply with the required technical parameters 022 Other, not specified or unspecified irregularities implementation 039 defects in materials the material factor hidden defects material material factor 041 Other, not specified or unspecified defects 059 Causes an accident (cont.)

Code Incorrect operation of the material factor overexploitation substantive factor 061 poor maintenance of the material factor 062 Improper repair and overhaul the material factor 063 Other not specified or unspecified irregularities associated with the operation of 079 Poor overall organization of work an invalid Division of labour or layout tasks 101 102 103 surveillance No superiors Inappropriate Poor coordination of the work of the collective exercise of command of 104 people supervising, work falling outside of the duties the employee 105 No instructions to use a material factor 106 Admission to work the material factor without the required control, review of 107 by tolerating the supervisory, derogations from the provisions and the principles of safety and health at work 108 Insufficient professional preparation worker 109 No or inadequate training in occupational safety and health 110 by tolerating the supervisory, 111 technology objected to admission to the work of the employee with contraindications or without medical examinations 112


Work in too small cast of person 113 work despite the incorrect supply of tools, raw materials 114 Other, not specified or unspecified irregularities associated with the General organisation of work 119 Faulty organisation of work Inappropriate location of the devices in the workplace 121 Inadequate transition and handle 122 Inappropriate placement and storage items (raw materials, semi-finished products, products etc.

123 Some unnecessary items, of substances or energy (e.g. waste, packaging, substances, annoying if you power, etc.)

124 the lack of individual protection measures 125 Wrong selection of individual protection measures 126 Other, not specified or unspecified irregularities organization jobs 139 missing or improper handling of the material factor by the employee Using the wrong to the work of substantive factor 141 work manually instead of using the material factor 142 Use material factor while people in the danger zone 143 Inappropriate protection factor of the material (eg. niezaciągnięcie brake at standstill) 144 Provide material factor employee an unauthorised person 145 Use material factor in accordance with the It was intended to capture the material factor, holding Improper 146 147 Faulty install, mount, suspension material factor by an employee of 148 Other, not specified or unspecified irregularities in the use of the material factor 159 Causes accident (dok.)

Code not using protective equipment by a worker not to use by an employee of individual protection measures 161 Not by an employee of the safety devices do not use 162 by the employee collective protection measures 164 Other 179 Inappropriate arbitrary behaviour of the employee to perform work not contained in the scope of the duties of the employee's 181 traversing, failing or being in places prohibited 182 Entrance driving into area at risk without making sure that there are no dangers of 183 perform actions without the removal of the threat (e.g. annoying if you annoying if you machine voltage) 184 Too Fast riding 185 Improper handling of limbs in the danger zone 186 Jokes, fight 187 Other improper behaviour of the employee employee's psycho-physical state 199, which secure work due to Sudden disease, natural niedyspozycją 201 Przewlokłą, or acute mental illness 202 203 204 Zdenerwowaniem Fatigue to alcohol consumption, of narcotic drugs or psychotropic substances 205 other causes 219 incorrect behavior to the employee due to ignorance of the threat 221 Ignorance, the rules and principles of safety and health at work 222 Disdain (bravado , brinkmanship) 223 Disregard commands of superiors 224 Insufficient concentration of attention on activity 225 Surprise an unexpected event 226 227 228 Improper work pace the lack of experience in other causes of 239 Different cause 999 comments: Statistical card of an accident at work with-KW shall be completed on the basis of an approved salvage Protocol, drawn up in accordance with the model specified in the regulation of the Minister of economy and labour of 16 September 2004 on the design of the Protocol establishing the circumstances and causes of accidents at work (Journal of laws No. 227 , item. 2298), in which it was found that the accident is an accident at work or an accident treated on an equal footing with an accident at work or on the basis of a Charter case, drawn up according to the formula specified in the regulation of the Minister of labour and social policy of 19 December 2002 on the mode of recognition events arising during the accident insurance for accident at work, the legal qualification of the event, design card case and timing of its preparation (Journal of laws No. 236 , item. 1992). A copy of the statistical card of an accident at work, the employer holds for 10 years in the dossier for accidents at work, in accordance with article 5. 234 § 31 of the law of 26 June 1974-labour code (Journal of laws 1998, No 21, item 94., as amended.).

[1] Annex 1 as amended agreed § 1 point 2 regulation of the Minister of labour and social policy dated 8 November 2010 amending Regulation on the statistical card of an accident at work (Journal of laws. # 218, item. 1440; OST. d.: OJ the 2010 # 240. 1612) Revision came into force on December 21, 2010.

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