1 924_092 420 623 fSkWIEN'S COMPENSAIIOI^ STATiSIICA 9YITEM OF SECMRSiSa AND COMPitSSS WORKWiK'S COMPENSATION STATISTICS EFFECTIVE JANUARY l, 1919, TO BE USEO ONLY FOA ACCIOENTf COVERED 8Y POLKilES ISSUES IN 1919 AND THEREArXER iS9UEi> SY SATiONAL WORKIEK'S C0fiSPEHSAIi8?S SERVICE BUmm 53 PARK BOW SEW YORK CITY Cornell Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924092420623 WORKMEN'S COMPENSATION STATISTICAL PLAN SYSTEM OF SECURING AND COMPILING WORKMEN'S COMPENSATION STATISTICS EFFECTIVE JANUARY I, 1919. TO BE USED ONLY FOR ACCIDENTS COVERED BY POLICIES ISSUED IN 1919 AND THEREAFTER ISSUED BY NATIONAL WORKMEN'S COMPENSATION SERVICE BUREAU ■r 13 PARK ROW NEW YORK CITY ■ ^ INTRODUCTION The statistical plan of tjie National Workmen's. Compensation Service Bureau recently has been fundamentally revised. It is the purpose of this introductory note to explain the reasons for this revision and also to give a brief comparison of the revised plan with the plat^ vrhich it will replace. A statistical plan for any form of casualty insurance grows. This statement needs no supporting analysis. Obviously, the first attempt to anticipate the future requirements of rate makers must fall somewhat short of tlie mark. Underwriting, actuarial science and safety engineering have not been thoroughly standardized. They have developed and will further develop in a measure relating to the volume of adequate and dependable experience data available. As these sciences are per- fected new problems come up for consideration and thus ever changing demands for new data are created. Statisticians must be ever oii the alert to so pattern their plans of procedure that this information so necessary to the proper development of the science of rate making may be obtainable. Not only does the character of the information required change, but methods of tabulating and compiling the information also change. The science of statistics as applied to casualty insurance is not perfect. As we progress, we discover new methods of statistical procedure. It is the function of the Bureau and its Com- mittees to see that the best statistical methods are brought to the attention of the companies, for only in this w^ay can the work which is cooperatively undertaken by its members be carried on in a most efficient and economical manner. The original statistical plan for workmen's cbmpeiisation insurance was de- signed to meet the demands of underwriters, actuaries and safety engineers, so far as these demands could be anticipated when the plan was promulgated. For the underwriter, the plan was intended to produce a classification experi- ence, that is, an exposure and loss analysis. There was an exposure card to be used for recording payrolls and premiums. There were "paid on accident" and "outstanding" cards upon which to record the losses referable to the exposure. These losses were analyzed by kind of benefit and by kind of injury. For the actuary, the plan provided an individual analysis^ and report of each accident according to the following items: age, sex, percentage of physical impair- ment, weekly wage, duration of injury, kind of injury and medical and compensa- tion losses. The basis for this accident analysis was the "tabulatable" accident. There being no agreement as to the possibility of securing the exact duration of disability in cases not extending beyond the waiting period, the plan contained the requirement that an effort should be made at least to determine whether the dis- ability was of less or more than one week's duration. Contra cards were devised for reporting developments and correcUng errors. Ill closed case" card. For a case remaining open the companies will punch a new "Incurred Jp^s — ^p^tstaqtling «!4S«" card on which will be recorded the amount of inpprr^d loss as of this subsequent date. A new "incurred loss — outstanding case" card will be punched for such cases even if the amount of incurred has not changed since the preyious repprt. The Bureau will add these case? to th^ plpsed pases of the year previous and thus obtain the matured experience. Thip prpcess will be repeated year after year ijntil the accident experience for spy «t»te 4ad year of issue is fully matured. 3. This procedure will relieve the companies from the necessity of keeping <» r4cor4 of the amounts paid and outstanding on the date as of which the experi- ence was reported (he preceding year for the purpose of cancelling the pl4 cards by punching the identical information on contra cards. 4. The analysis and punching of accidents will be simple. Taking, for ex- ample, accidents referable to policy year 1918. The companies during 1918 and 1919 will analyze and pHncb ^H cipaed cases on green cards. On January I, 1920, or any time between this 4^te and April 1, 1920, all outstanding cases will be ansly^d and punched on brown cards. Puring 1920 some of these outstanding cases will be closed and they wiU be reported again pn green cards. The outstanding cases which remain open after December 31, 1 920, will again be reported on brown cards without apy attention being paid to the infprmation reported the previPUS year. To assure the complete success of the simplified method and to guard against the failure of any company to report developments on outstandings, the Bureau will count the number of outstandings removed from each state and year of issue, keep a record of this, and at the proper time advise the companies that it expects a re- port of developments on a definite number of cases. 5. The above methpd of handling losses on outstanding cases extends to th* {Jvratipp pf disability. 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Ul -1 u 111 S u 1 6S fl! s >• u u 2 ^1 g d Z Z z o < so u (A < 3t 3 < z J 2 » u hH (J S3 n u si >5ss ■ !■ C u u s d •- * o in Q U H u z (11 in 111 St'S lb •-< u : S" g 2 < Z ■'°i» 19 11. O 3 Z H Z U Q u i < <0 »H 1 X u «» °u <» ^ ss i ^ U tew 4C a ^ s I U B Z i III ^ 1 a »S gr -1 1 flC ^ 40 a, E. 0- e 1) g O "ffl e Ul a Workmen's Compensation Statistical Plan. System of Securing and Compiling Workmen's Compensation Statistics by the National Workmen's Compensation Service Bureau. PART 11. CODES.* Page 1 . Cause of Injury, other than working machines 7 2. Cause of Injury, working machines 20 3. Kind of Payment 29 4. Kind of Injury 28 5. Nature of Injury I 6. Occupational Disease 31 7. Per cent Impairment 28 8. State 30 9. Manual Classifications Code (issued separately) — EFFECTIVE JANUARY 1, 1919. To be used only in connection with accidents covered by policies bsued in 1919 and thereafter. Issued by the NATIONAL WORKMEN'S COMPENSATION SERVICE BUREAU 13 Park Row, New York City. ^This part of the plan is also available as a separate publication. CAUSE OF ACCIDENT CODE INDEX Page Animals 11 Boilers and steam pressure apparatus 16 Explosions, electricity, fires and hot substances: Explosions 14 Electricity and conflagration 15 Hot substance and flames 15 Falling objects 8 Falls of persons 10 Handling of objects: Heavy and sharp objects 7 Hand trucks, carts, etc 7 Hand tools 11 Hoisting apparatus: Cranes 17 Conveyors and miscellaneous 19 Elevators 17 Mine cages, skips and buckets 18 Machinery other than working machines 19 Miscellaneous causes 7 Poisonous and corrosive substances IS Prime movers and power transmission apparatus 16 Stepping on or striking against objects 8 Vehicles: All other 14 Animal-drawn 13 Automobiles and bicycles 13 Mine and quarry cars and plant trucks 12 Railway cars and engines 11 Water craft 14 Working Machines: Part of machine (manner of occurrence) 20 Chemical products machines 25 Engineering and farm machines 25 Food products machines 24 Leather working machine 22' Metal Working machines 21 Mining and miscellaneous machines 27 Paper, printing and bookbinding machines 23 Paints, varnishes, dyes, etc 26- Rubber, celluloid and composition 26- Stone, clay and glass products machines 21'. Textile and laundry machines 24 Woodworking machines 22 NATURE OF INJURY CODE. (Section 1 — Nature of Injury) 0. Occupational disease. 1 . Loss or amputation. 2. Fractures. 3. Stiffness, contraction and other loss of function, partial or total. 4. Dislocations. 5. Cuts, lacerations and punctures. 6. Sprains and strains. 7. Bruises, contusions and abrasions. 8. Burns and scalds. 9. All other. Note: In case o( infection, the nature of injury should be correlated with the infection. This is especially important in cases of bruises, contusions, and abrasions, burns and scalds, and cuts and lacerations. This correlation is ac- complished by means of punching the X position above the second column of digits in the Nature of Injury field. For example, an infected burn of right foot will be coded Y8X84 and punched in the following manner: "Y" (right member) and digit 8 (burn) in the first column; "X" (infection) and digit 8 in the second column, and digit 4 in the third column of digits (digits 84 signi- fying foot) . NATURE OF INJURY CODE. (Section 2 — Location of Injury) Head. 01. 02. Eye. 03. Both eyes. 04. Loss of one eye with impairment of vision of other. 05. Internal ear. 06. Both internal ears. 07. External ear. 08. Skull or scalp. 09. Face and Neck. 1 0. Forehead. 1 1 . Eyelids. 12. Nose. 13. Upper jaw (including alveolar process). 14. Lower jaw (including alveolar process). 15. Teeth. 16. Tongue. 17. Face (n. o. c); lips, cheeks, etc. 18. 43 NATURE OF INJURY CODE (Continued). Trunk. 1 9. Spinal column — spinal cord. 20. Spinal column — ^vertebrae. 21. Back (external). 22. Sternum (breastbone). 23. Rib or Ribs. 24. Thorax — external (chest). 25. Thoracic organs, internal (heart, lungs and some large blood vessels). 26. Abdomen, external. 27. Abdominal viscera (organs within the abdominal cavity — stomach, small and large intestines, liver, spleen, pancreas, kidneys and vermiform appendix). 28. Groin — external (the depression between the abdomen and thigh). 29. Sacrum and coccyx (the last two bones of the spinal column, and forming part of pelvis). 30. Pelvis (n. o. c. ) — (consisting of two of each of the following- named bones: ilium, ischium and pubis — all situated at the lower part of the trunk of the body. 3 1 . Rectum. 32. Genital organs (external). 33. Rupture (Hernia) — inguinal, umbilical, etc. Upper Extremities. 35. Scapula (shoulder blade). 36. Clavicle (collar bone). 37. Shoulder or shoulder joint. 38. Upper arm (also humerus, the bone of upper arm). 39. Elbow or elbow joint. 40. Radius (bone at outer side of forearm). 41. Ulna (bone at inner side of forearm). 42. Forearm (including both radius and ulna). 43. Wrist or wrist joint. 44. Arm, general. 45. Both arms, or one arm and hand of the other arm. 46. Arm and leg or foot. 47. Hand, general. 48. Hand, palm. 49. Hand, back of hand. 50. Thumb, one phalange. 51. Thumb, entire (more than one). 52. Index (1st) finger, one phalange. 53. Index (1st) finger, two phalanges. 54. Index (1st) finger, entire (more than two). 55. Middle (2nd) finger, one phalange. 56. Middle (2nd) finger, two phalanges. 57. Middle (2nd) finger, entire (more than two). 58. Ring (3rd) finger, one phalange. 44 NATURE OF INJURY CODE (Continued). 59. J?.ing (3rd) finger, two phalanges. 60. Ring (3rd) finger, entire (more than two). 61. Little (4th) finger, one phalange. 62. Little (4th) finger, two phalanges. 63. Little (4th) finger, entire (more than two). 64. Thumb and one finger, one hand. 65. Thumb and two or three fingers, one hand. 66. Thumb and all fingers, one hand. 67. Two fingers, one hand. 68. TTiree fingers, one hand. 69. Four fingers, one hand. 70. Other multiple finger and thumb injuries, both hands (write description on back of cards). 71. Lower Extremities. 72. Hip or hip joint. 73. Upper leg — the thigh (including femur or thigh bone). 74. Patella (knee cap). 75. Knee, other than patella. 76. Tibia (shin bone) — the larger of the two bones of lower leg. 77. Fibula (the slender bone at outer side of lower leg). 78. Lower leg (including both Tibia and Fibula). 79. Leg, general. 80. Both legs, or one leg and foot of other leg. 8 1 . Both legs and one arm or hand. 82. Both legs and both arms or hands. 83. Ankle or ankle joint. 84. Foot. 85. Both feet. 86. Great toe, one phalange. 87. Great toe, entire (more than one phalange). 88. Lesser toe, one phalange. 89. Lesser toe, entire (more than one phalange). 90. Great toe and not more than three lesser toes, one foot. 9 1 . Two or more lesser toes, one foot. 92. All toes, one foot. 93. Other multiple toe injuries, both feet (write description on back of cards). General. 94. Multiple injuries not otherwise classified (write description on back of cards). 95. General shock. 96. Concussion of brain. 97. Neuritis (not traumatic). 98. Insanity (not result of trauma, i.e., accidental injury). 99. Indefinite or unknown. 45 NATURE OF INJURY CODE— INSTRUCTIONS GOVERNING ITS USE. 1. The classifications by nature and location of injury are those adopted by the International Association of Industrial Accident Boards and Commissions, consolidated and modified to some ex- tent to meet the requirements of casualty companies. 2. The classification of the nature of injury in cases resulting in a cure should indicate the injury as originally sustained; but when an in- jury terminates in some permanent after-result, the classification should indicate the nature of the terminal result. Thus if a lacerated finger is amiputated owing to gangrenous condition, the injury should be coded 1-54 (loss index finger) and not 5-54 (laceration index finger) ; and if a fracture of the tibia and fibula results in consider- able shortening or some degree of permanent stiffness of the leg, the injury should be coded 3-79 (stiffness or contraction — leg). 3. An injury will be indicated by a combination of three digits, the last two of which will indicate the part of body injured, and the first the nature of the injury. Thus 2-5 1 will signify a fracture of the thumb, and 1 -44 the amputation of the entire arm. 4. RIGHT OR LEFT SIDE OF BODY. , The letter L in the "X" position above the first column of digits will be punched to denote an injury on the left side of body, and the letter R in the "Y" position in the same column to denote an injury on the right side. 5. CLASSIFICATION BY LOCATION OF INJURY. To promote uniformity in the application of the nature of injury code, particularly with regard to parts of the body, special atten- tion is directed to the principle followed in constructing the code. (a) In arranging the location of injury code the common ana- tomical divisions have been followed, beginning with the head and ending with the feet. The technical medical terms have been de- fined in popular language so as to assume correct classification and promote general knowledge of the anatomy of the human body. (b) Special provision has been made for injuries involving two or more parts, such as tw^o legs and arm, etc. These classifications should be used principally in connection with dismemberments and fractures. (c) The bones of the body have been listed apart from the parts of body of which they constitute the framework in order to provide information with respect to fractures of specific bones. It is true that this plan has not been adhered to in all cases. A strict adherence to such a plan would have necessitated the extension of the code beyond the limit of 99 classifications, and the Committee, therefore, was obliged in some instances to include under one symbol both the member and the bones of the member. Care was 4G Nature of Injury Code — Instructions Governing Its Use (Cont'd). taken, however, to consolidate only in those cases where no ques- tion could arise as to the location of the injury and the specific parts involved. For example, the forearm contains two bones, the radius and the ulna. Injuries involving only one of these bones are of frequent occurrence, and to obtain this information a separate classification was erected for each. As for both bones, it was found practicable to include them with the forearm under one classifica- tion as it vfill readily be understood that flesh wounds refer to the forearm and that fractures with reference to this classification in- clude both bones. 6. MULTIPLE INJURIES. In cases of multiple injuries other than dismemberments, two methods of classifying injuries are available, the method to be used depending on conditions. For instance, an injury consisting of bruises of chest, head and arms, all of about equal degree of severity, should be coded as 7-94 (Contusions — multiple) ; and if of cuts and bruises, it may be coded 5-94 (Lacerations — multiple) or 7-94 (Contusions — multiple), personal judgment to govern the choice of the nature. But if the injured has say a severe laceration of hand and a slight laceration or contusion of forehead, code the injury as laceration of hand (5-47) and disregard the injury to the forehead. Similarly, if a fracture of the skull is accompanied by laceration of the face, report the injury as fracture of the skull (2-08). Where the injured sustains a loss of a member and a minor injury to another part of the body, report only the dismem- berment and disregard the minor injury. 7. MULTIPLE DISMEMBERMENTS. In reporting cases of multiple amputations in combinations not covered by the code, proceed in the following manner: Punch digit 1 (Loss or amputation) in first column of Nature of Injury field and digits 94 (Multiple Injuries, n. o. c.) in the next two columns, and write on die card the parts amputated. 8. RUPTURE (HERNIA). Code a rupture "6-33 (Strain — Hernia)" when the rupture is definitely determined to have been caused by overlifting or by ex- cessive weight of the object handled, and 7-33 (Contusion — Hernia) when it is caused by the injured being struck. If the cause of the rupture is in doubt or if it is pretty well determined that the rupture was not caused by an accidental injury, the injury should be coded 9-33 (All other — Hernia). 9. EYE INJURIES. Use symbol 9 (All others) to describe the nature of eye injuries other than enucleation (excision or removal of eye-ball) and com- plete or partial loss of sight. Use symbol 1 (Loss or Amputation) 47 Nature of Injury Code — Instructions Governing Its Use (Cont'd). when one or both eye-balls are enucleated or when the sight of one or both eyes is totally lost. Symbol 1 should also be used in connection with Code No. 04 (Loss of one and impairment of the other). Use symbol 3 (Loss of function) when the sight of one or both eyes is impaired. 10. INJURIES TO TEETH. Prefix digit 1 (Loss) to the code for teeth in the case of loss of a tooth or teeth, and digit 2 (Fracture) in the case of a broken tooth or teeth. 11. INJURIES TO EAR. In the case of loss of hearing, use digit 1 (Loss) and the code for internal ear or ears; in the case of impairment of hearing, use digit 3 (Loss of function). 12. INJURIES TO HNGERS. In case of dismemberment, specify the particular phalange dis- membered. For injuries other than dismemberment, use the code indicating the entire finger, as in these cases no such refinement is required. The same principle should also be followed in coding all injuries to upper and lower extremities. 48 CAUSE OF ACCIDENT CODE. (Section 1 — Causes Other Than Working Machines). I. MISCELLANEOUS CAUSES. 001. All other. 002. Flying Particles (n. o. c.) Note: Chips, dust, sparks, and other particles set in motion by working machines or tools are to be charged to the specific machine or tool. The above number applies only to non- assigned flying particles. 003. Doors, windows, covers of cellars and floor openings, and gates (not elevator). (Injured in handling, not falls). 004. Asphyxiation. 005. Drenching (not drowning). 006. Heat prostration and sunstroke. 007. Cold, including frostbite. 008. Exposure (n. o. c. ) 009. Violence of co-employee, 010. Violence, all other. Oil. Wrestling, sparring, and horseplay. 012. Compressed air (not explosions). 1 3. Breaking of dams, levees, and embankments. 014. Tornadoes, cyclones, waterspouts, floods, earthquakes, etc. 013. Lightning. 016. 017. 018. 019. 020. U. HANDLING OF OBJECTS. Heavy Objects. 028. Handling (n. o. c. ) 029. Objects thrown. 030. Objects dropped. 031. Objects falling from load or pile ('while loading, unloading or piling). Note: 030 refers to objects which are dropped while being handled; 031 to an object which falls after it has been placed upon the load or pile. 032. Caught or squeezed between object handled and other object. 033. Strain in handling or lifting. (Note: Include only strains, hernias, etc., caused by excessive weight of object handled). Sharp Objects. 034. Slivers, wood. 035. All other sharp objects (not tools). 036. Glass. 49 CAUSE OF ACCIDENT CODE. 037. Sheet metal, and sheet metal objects. 038. Objects with protruding nails. 039. Slivers, metal. Hand Trucks, Carts, and Wheelbarrows. 040. All other. 04 1 . Struck by truck, handled by co-worker. 042. Caught between truck and other object. 043. Overturning. 044. Objects falling from (not in loading or unloading). 045. Struck by truck, handled by injured person. 046. ni. STEPPING ON OR STRIKING AGAINST OBJECTS. Stepping On. 050. Other sharp objects. 051. Nails. 052. 053. (Note: — Stepping on rolling objects should be charged to 1 38 — stumbling). Striking Against. 054. 055. All other objects. 056. Nails. 057. Splinters or sharp projections from walls or structures. 058. Other fixed objects (including machinery, not a moving part). 059. Fellow-employee. IV. FALLING OBJECTS— NOT BEING HANDLED BY INJURED. CoUapse of. 060. Buildings and walls. 061. Stones, sand and earth. 062. Piles (stacked, stored or piled-up material). 063. Scaffolds or staging. 064. Chutes, conveyors and slides. 065. All other. Objects Falling from Elevation. 066. Bins and pockets. 067. Dumps — at mines and quarries. 068. Floor openings — in building construction. 069. Buildings — not in course of construction or demolition. 50 CAUSE OF ACCIDENT CODE. IV. FALLING OBJECTS (Cont'd.) 070. Buildings — in course of construction or demolition (n. o. c.) 071. Chutes, conveyors, slides and screens. 072. Machines or workbenches. 073. Piles (stacked, stored or piled-up material). Note: — Exclude accidents in piling or handling of material. 074. Racks and shelves. 075. Runways, balconies, and platforms. 076. Scaffolds and staging. 077. Temporary floors. 078. Trestles and tramways. 079. Other elevations. Objects Falling Into Excavations. 080. Into other excavations (not tunnels, mines or quarries). 081. Into ditches or trenches. 082. Cave-ins (Not Mines or Quarries). 084. 085. Of other excavations. 086. Of ditches and trenches. 087. Of tunnels. Objects Falling in Mines and Quarries (Inside). 088. All other. 089. Roof in entries. 090. Coal, rock or ore at working face — ^not roof. Note: — Include rolls of coal or rock, but exclude accidents in stopes and in pillar robbing. 09 1 . Roof in working places — not stopes. 092. Coal, rock or ore from pillars or ribs — not roof. Note: — Include rolls of rock or coal. 093. Coal, rock or ore from or in underground chutes, manways and batteries. Note: — Include rush of coal, rock or gob in same. 094. From surface into shaft. 095. From or in underground bins. 096. From cage into shaft. 097. Cave-in of mine. 098. Timbers — not in handling. 099. Ore and rock in stopes (metal mines). Other Falling Objects. 100. Trees in felling (n. o. c.) Include dead limbs and tops. 101. Poles. 51 10 CAUSE OF ACCIDENT CODE. 102. Objects tipping over (except vehicles) — not in handling. 103. Trees, lodged in felling (Include trees and limbs struck by felled tree). 1 04. Trees, not in felling. 105. Limbs, not in felling. 106. V. FALLS OF PERSONS. Falls