ADM:7:07/08 Appendix Page Certified School Risk Managers. All Rights Reserved.

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1 Date Employee Name Type Length of Emp. (Months) Cause of Injury Type of Injury Body Part Injured Paid Reserve Total 01/01/96 Cohn, Deborah MO 6 Bitten by resident Puncture Thigh /08/96 Disla, Xiomara MO 20 Fell Off Bike Contusion Mult body /08/96 Kane, Dean MO 58 Hit by object /09/96 Morales, Rosanne MO 33 Turned/Wrenched Knee Strain Knee 2, ,004 01/11/96 Lunas, Frances MO 97 Hit by object /12/96 Walker, Cynthia MO 27 Hit by door Laceration Toe /13/96 Beals, Marta MO 13 Bit self Contusion Hand /18/96 Benton, Katherine MO 1 Unknown Contagious Disease Int organs /19/96 Delburn, John MO 3 Bitten by resident Laceration Finger /25/96 Benoit, Louise MO 2 Lifting resident Strain Back /27/96 Crightower, Mark MO 4 Bitten by resident Bite Arm /27/96 Writz, Julia MO 6 Slip/fall Contusion Head /29/96 Dumes, Holly MO 25 Hit by resident Contusion Face /02/96 Gonzalez, Leslie MO 8 Kicked by resident Contusion Face /02/96 Mack, Pamela MO 36 Pushed And Kicked By Client(Child) Fracture Extremities, upper /02/96 Roeder, Vicki MO 8 Hit by resident Contusion Chest /03/96 Herrera, Raymond MO 2 Hit by resident Contusion Nose /05/96 Porter, Sherry MO 8 Hit by resident Bruise/laceration Face /16/96 Hebert, Michael MO 6 Slip/fall Contusion Knee /16/96 Kirkpatrick, Billy MO 1 Restraining resident Strain Back /16/96 Shropshire, Vincent MO 18 Ingested poison Pain Stomach /16/96 Vazquez, Jose MO 1 Bitten by resident Contusion Elbow /17/96 Fitts, Kenneth MO 102 Seizure Laceration Head /17/96 Stein, Elmer MO 5 Restraining resident /21/96 Thompson, Janet MO 6 Make Photo Copies/Reach/Struck Head Contusion Face /23/96 Corville, Lynda MO 1 Bitten by resident Contusion Hand /23/96 Wiblin, Enid MO 9 Tripped Fell Over Ft Strain Foot /06/96 Cilles, Sharon MO 1 Fell Going Up Stair Strain Mult body /06/96 Henry, Laura LT 55 Hit Rt Knee On Chair/Fell To Floor Strain Knee 1, ,183 03/06/96 Kelley, William MO 4 Bitten by resident Contusion Arm /08/96 Hickson, Sheila MO 3 Caring For Child Inflamation Mult body /09/96 Frank, Michele MO 53 Bitten by resident Puncture Thumb /11/96 Bagelowe, Samatha MO 1 Hit by resident Contusion Face /15/96 Holmes, Catherine MO 1 Bitten by resident Contusion Face /16/96 Alvarez, Susan MO 4 Sorting Bags/Boxes Spider Bit Her Puncture Hand /16/96 Bagelowe, Samatha MO 1 Bitten by resident Contusion Hand /17/96 Bruce, Ruby MO 6 Pushed by resident Laceration Face /18/96 Corder, Steven MO 13 Scratched by resident Scratch Hand /18/96 Wright, Sally MO 5 Slip/fall Contusion Elbow /25/96 Dick, Diane MO 25 Hit by resident Contusion Nose /29/96 Deleanides, Rebecca MO 4 Slip/fall /29/96 Pender, Joan MO 3 Sitting In Chair/Pushed Chair Out Strain Back, lower /29/96 Towns, Mary MO 7 Slipped On Wet Floor Strain Knee /29/96 Walsh, Jay MO 42 Restraining resident Scratch Hands/arms /29/96 Weidler, Davis MO 7 Restraining resident Scratch Hands/arms /01/96 Frazier, Patty MO 1 Automobile accident Strain Neck /02/96 McGuire, Tim MO 66 Trimming Trees Inflamation Mult body /04/96 Writz, Julia MO 10 Slip/fall Fracture Coccyx/head /05/96 Gregson, Lori MO 9 Exposure to disease Contagious Disease Int organs /12/96 Campbell, Mary MO /14/96 Debroux, Teresa MO 8 Bitten by resident Puncture Arm, upper /14/96 Levey, Darlene MO 8 Disarming Alarm System/Loud Contusion Ear /17/96 Ames, Elise MO 7 Slip/fall on Wet Floor Strain Extremities, lower /18/96 Gonzalo, Margaret MO /18/96 Tate, Mark MO 2 Slip/fall /19/96 Bennett, Maryanne LT 1 Lifting resident Strain Back 3,428 3,428 04/20/96 Chittum, Steven MO 16 Grabbed steel scrap Laceration Hand /20/96 Yarborough, James MO 12 Lifting Strain Shoulder /23/96 Mayfield, Hattie LT 6 Automobile accident Strain Back 5,359 5,359 04/27/96 Scott, Carolynn MO 182 Stood On Chair/Fell Off Contusion Face /28/96 Fuentes, Carmen MO 14 Slip/fall Contusion Knee/elbow /29/96 Ewardson, Tasha MO 8 Bitten by resident Puncture Hand /29/96 Miles, Angie MO 69 Lifting Table/Put It Down Strain Mult body /01/96 Davis, John MO 6 Hit by resident Contusion Face /01/96 Smith, Shelly MO 24 Grabbed by resident Contusion Wrist /03/96 Williams, Paula MO 93 Tripped Over Tool Box On Floor Contusion Knee /05/96 Cherry, Farah LT 8 Carrying Files To Car Strain Neck 3, ,030 05/05/96 De Pedro, Dayren LT 4 Carrying Box Of Files Slipped Fell Contusion Mult body /05/96 Garcia, Rosy MO 94 Hit by object Laceration Finger /09/96 Meissler, Sharon MO 8 Slip/fall Bruise Knuckles /14/96 Ferreira, Carlos MO 26 Drill Concrete Bit Jammed Hit Knee Contusion Knee /17/96 Fontenot, John MO 8 Bitten by resident Contusion Thumb ADM:7:07/08 Appendix Page 53

2 Length of Employment ( of Claims) of Claims $900,000 $800,000 $700,000 $600,000 $500,000 $400,000 $300,000 $200,000 $100,000 $ Years of Employment ADM:7:07/08 Appendix Page 54

3 Cause Cause (Frequency) 22% 15% 38% Slip/trip/f all Hit by person Lif ting Auto accident 25% Cause (Severity) 20% 20% 12% 48% Slip/trip/f all Hit by person Lif ting Auto accident ADM:7:07/08 Appendix Page 55

4 Body Part Injured Body Part Injured Back 92 $ 736,765 Extremities 17 $ 213,756 Mult body parts 127 $ 181,587 Hip 10 $ 104,655 Arm 37 $ 99,498 Knee 71 $ 76,801 Ankle 34 $ 55,533 Subtotal 388 $ 1,468,596 % of Total 51.80% 90.08% ADM:7:07/08 Appendix Page 56

5 Type Type of Injury Strain 216 $ 793,095 Contusion 226 $ 354,552 Sprain 36 $ 227,404 Broken bone 18 $ 108,262 Subtotal 496 $ 1,483,313 % of Total 66.22% 90.98% ADM:7:07/08 Appendix Page 57

6 Cause Cause of Injury Slip/trip/fall 132 $ 526,660 Hit by person 85 $ 218,723 Lifting 77 $ 211,842 Auto accident 51 $ 127,415 Subtotal 345 $ 1,084,640 % of Total 46.06% 66.53% ADM:7:07/08 Appendix Page 58

7 Type Type of Injury Strain 216 $ 793,095 Contusion 226 $ 354,552 Sprain 36 $ 227,404 Broken bone 18 $ 108,262 Subtotal 496 $ 1,483,313 % of Total 66.22% 90.98% ADM:7:07/08 Appendix Page 57

8 Cause Cause of Injury Slip/trip/fall 132 $ 526,660 Hit by person 85 $ 218,723 Lifting 77 $ 211,842 Auto accident 51 $ 127,415 Subtotal 345 $ 1,084,640 % of Total 46.06% 66.53% ADM:7:07/08 Appendix Page 58

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