DOLE/BWC/HSD/OH-47-A

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT
Bureau of Working Conditions

ANNUAL MEDICAL REPORT FORM

For Period January 01, 2022 to December 31, 2022_

1. Name of Establishment: LEADER ELECTRONICS (Philippine Branch) INCORPORATED

2. Address: PHASE 2, BLK. 7, PEZA, ROSARIO, CAVITE .
3. Name of Owner/Manager: LEADER ELECTRONICS INCORPORATED .
4. Nature of Business and Products/Services (Ex. Manufacturing, Textile
MANUFACTURER, TRANSFORMER .
5. Total Numbers of Employees: 600 . Number of Shifts: 2 .
6. Number Distribution of Employees as to nature/workplace, sex and work shift:

Office Production/Shop
Ist Shift 2nd Shift 3rd Shift
Male: 50 _111__ 52 __ N/A .
Female: 20 _156 __ __ 76_ N/A .
Total: 70 _267 128 _ N/A .

7. Preventive Occupational Health Services: (Check or Cross)

a Occupational Health Services is organized/provided by:
(/) The establishment /undertaking
( ) Government authority institution
( ) Other bodies/groups/institution (specify) ________________________

b Occupational health services as described under number 7a above is

organizes/provided as a services:
(/) Solely for the workers of the establishment/undertaking
( ) Common to any number of establishment/undertakings _____________

c The employer engages the service of:

(/) Occupational health practitioner
Name & Address:
(/) Occupational Health physician
Name & Address: GEMMALYN S. SILANG, MD, ROSARIO CAVITE
( ) Occupational Health dentist
Name & Address: N/A .
(/) Occupational health nurse
Name & Address: CASEY J. GARCIA RN GENERAL TRIAS CITY, CAVITE

d. The occupational health physician/practitioner/nurse/personnel conduct an inspection

of the workplace:
(/) Once every month ( ) Once every three (3) months
( ) Once every two (2) months ( ) Once every six (6) months
( ) Other details ______________________________________________

8. Emergency Occupational Health Services:

a. The employer provides a treatment room/medical clinic in the workplace with
medicines and facilities:
(/) yes___________ ( ) No
( ) others, please specify _______________________________________

b. Schedule of attendance in the workplace:

1
 Workshift
Occupational Health Physician: _____1_________hrs./day ___1st______
Occupational Health Dentist: _____N/A __ __hrs./day __N/A ____
Occupational Health Practitioner: ___ 2 _____hr(s)./week 1st ___
Occupational Health Nurse: ________8________ hrs./day ___1st _____

c. Schedule of attendance of full time first aider

(/) 1st workshift
(/) 2nd workshift
( ) 3rd workshift
d. The following occupational health personnel of this establishment have undergone
training in occupational health and safety/first aid:
(/) occupational health physician
( ) occupational health dentist
(/) occupational health nurse
(/) first-aider
( ) others, please specify: ______________________________________

9. Occupational Health Services:

a. The occupational health personnel of this establishment conducts regular appraisal of
the sanitation system in the workplace:
(/) yes ( ) no
b. Number of workers who underwent the following medical examinations:
Physical Exams X-rays Urinalysis
1. Pre-placement 165 165___ 165 .
2. Periodic 358 343 358 .
3. Return-to-work -- -- -- .
4. Transfer -- -- -- .
5. Special -- -- -- .
6. Separation -- -- -- .

Stool Exam Blood Test ECG Others

1. Pre-placement 165 _ 165 -- .
2. Periodic 358 358 28 .
3. Return-to-work -- -- -- .
4. Transfer -- -- -- .
5. Special -- -- -- .
6. Separation -- -- -- .

10. Report of Diseases

a. Number of consultations/treatments for the following diseases
Male Female Total No.
Of Cases
Skin:
(/) allergy 15 5 20 .
( ) dermatomes - - - .
( ) infections as folliculities - - - .
abscess/paro nychia - - - .
( ) Others - - - .
Head:
(/) tension headache 63 70 133 .
( ) others - - - .
Eyes:
(/) error of refraction 40 53 93_ .
(/) bacteria/Viral 16 8 24 .
Conjunctivitis
( ) cataract - - - .
( ) others - - - .
Mouth & ENT:
( ) Gingivitis - - - .
2
 Male Female Total No.
Of Cases

( /) Herpes liables/nasal - 1 1 .
( /) Otitis/Media External - 1 1 .
( ) Deafness - - - .
(/ ) Meniere’s syndrome
Vertigo 7 13 20 .
(/ ) Rhinitis/Cold 52 63 115 .
(/ ) Nasal Polyps 1 _ - 1_ .
(/ ) Sinusitis 2 - 2 .
(/ ) Tonsillopharyngitis 29 31 60 .
(/ ) Laryngitis 3 12 15 .
( ) Others - - - .
Respiratory:
( ) Bronchitis - - - .
( ) Pneumonia - - - .
( / ) Tuberculosis - 1 1 .
( ) Pneumoconiosis - - - .
( ) Others - - - .
Hearth & Blood Vessels:
(/ ) Hypertension 5 6 11 .
(/ ) Hypotension - 3 3 .
( ) Angina Pectoris - - - .
( ) Myocardial Infarction - - - .
( ) Vascular Disturbance in
extremities due to continues - - - .
Vibration
( ) Others - - - .
Gastrointestinal:
( /) Gastroenteritis 24 26 50 .
( ) Amoebiasis - - - .
( /) Gastritis/Hyperacidity 3 11 14 .
( ) Appendicitis - - - .
( /) Infectious/Hepatitis 1 - 1 .
( ) Liver Cirrhosis - - - .
( ) Hepatic Abscess - - - .
( /) Cancer (Hepatic/Gastric) - 1 1 .
( ) Ulcer - - - .
( ) Others - - - .
Genito Urinary:
( /) Urinary Tract Infection 17 25 42 .
( ) Stones - - - .
( ) Cancer - - - .
( ) Others - - - .
Reproductive
( /) Dysmenorrhea - 80 80 .
( /) Infection (Cervicitis) - 2 2 .
(Vaginitis) - - - .
( /) Abortion (Spontaneous) - _ .
(threatened) - 2 2 .
( /) Hyperemesis Gravidarum - 1 1 .
( ) Uterine Tumors - - - .
( ) Cervical Polyp/Cancer - - - .
( /) Ovarian Cyst/Tumors - 1 1 .
( ) Sexually-Transmitted diseases - - - .

Male Female Total No.

3
 Of Cases
( ) Hernia (Inguinal) - - - .
(Femoral) - - - .
( ) Others - - - .
Neuromuscular/Skeleal/Joints:
( ) Peripheral Neuritis - - - .
( ) Torticollis - - - .
( /) Arthritis 1 - 1 .
( ) Others - - - .
Lymphatic and Circulatory
( /) Anemia - 16 16 .
( ) Leukemia - - - .
( ) Cerebrovascular - - - .
( ) Lymphadenitis - - - .
( ) Lymphoma - - - .
Infectious Diseases:
( /) Influenza 17 18 35 .
( ) Typhoid/Paratyphoid Fever - - - .
( /) Cholera - 1 1 .
( /) Measles 1 - 1 .
( ) Mumps - - - .
( ) Tetanus - - - .
( ) Malaria - - - .
( ) Schitosomiasis - - - .
( /) Herpes Zoster - 1 1 .
( /) Chicken Pox 1 - 1 .
( ) German Measles - - - .
( ) Rabies - - - .
( /) Fever 42 56 98 .
( ) Others - - - .

Diseases Due to Physical Environment:

a. Diseases Due to Noise and Vibration
( ) Deafness (noise induced) - - - .
( ) White fingers disease - - - .
( ) Musculo-skeletal disturbances - - - .
( /) Fatigue 1 - 1 .

b. Diseases Due to Temperature and

Humidity Abnormalities:
Hot temperature
( ) Heat strokes - - - .
( ) Heat cramps - - - .
( ) dehydration - - - .
( ) heat exhaustion - - - .
( ) others - - - .
Cold Temperature
( ) Childblain - - - .
( ) Frost bite - - - .
( ) Immersion foot - - - .
( ) General Hypothermia - - - .
( ) Others - - - .

c. Diseases due to Pressure Abnormalities:

( ) Decompression Sickness
( ) air embolism - - - .
( ) Bends Disease - - - .
( ) Barotraumas - - - .
( ) Hypoxia - - - .
( ) Altitude sickness - - - .

4
 Male Female Total No. of Cases

d. Diseases due to Radiation:

( ) cataracts - - - .
( ) keratitis - - - .
( ) burns - - - .
( ) radiation-related cancer - - - .

TOTAL NUMBER - - - .

Report of Occupational Accidents/injuries

Nature Male Female Number of Case
Confusion, bruises,
Hematoma .
Abrasions 2 2 .
Cuts, lacerations,
Punctures 8 3 11 .
Concussion - - - .
Avulsion 1 - 1 .

Amputation, loss of
Body parts - - 1 .
Injuries Spinal - - - .
Injuries Cranial - - - .
Injuries Sprains - - - .
Dislocation/fractures - - - .
Burns .

11. Immunization Program (indicate number immunized)

Tetanus Toxiod Injection - - - .
Tetanus Antitoxin Injection - - - .
Tetanus Globulin Injection - - - .
Hepatitis B Vaccine - - - .
Rabies Vaccine - - - .
Others (INFLUENZA VACCINE) - - - .

13. Keeping of Medical Records of Workers (Please Check)

(/) done ( ) not done

14. Health Education and counseling by health and Safety Personnel:

(Please check done or more)

(/) done individual as each worker comes to the clinic for consultation.
(/) done in organized group discussions/seminars. Health Center
(/) done with the use of visual display and/or promotional material, leaflets, etc.

15. Other Health Programs (Please Check)

Kinds of Program Seminar Use of Visual Counseling

Aid/Material
Nutrition Program   
Maternal and Child  
Care Program 
Family Planning Program  
Mental Health Activities  
Personal Health Maintenance 

5
Physical Fitness Program: (Please Check)
Sports Activities ( ) Yes ( ) No
Others (Please specify) ( / ) Yes ( ) No

16. Hazards in the workplace: (Please check give details of the substance)
Substance and/or Number of Workers
a. Chemical Hazards:
( ) dust (Ex. Silica dust) N/A N/A .
( ) liquids (Ex. Mercury) N/A N/A .
(/) mist/fumes/vapors VARNISH 9 .
COMPOUND (LEAD-FREE) 18 ______
VARNISH PAINT 2 .
(Ex. Mist from pint spraying)
( ) gas (Ex. CO, H2S) N/A N/A .
( ) others (Please Specify)
(Ex. Solvent) N/A N/A .

b. Physical Hazards
( ) Noise N/A N/A .
(/) temperature/humidity TEMP. FROM OVEN 2 .
( ) pressure N/A N/A .
( ) illuminations N/A N/A .
( /) radiations/ultraviolet _____N/A________ 1 .
Microwave
( ) vibrations N/A N/A
( ) others (Please specify) N/A N/A .

c. Biological Hazards:
( ) Viral N/A N/A
( ) Bacterial N/A N/A
( ) Fungal N/A N/A
( ) Parasitic N/A N/A
( ) Others (please specify) N/A N/A

d. Ergonomic Stress:
( ) Exhausting Physical N/A N/A .
( ) Prolong Standing N/A N/A .
( ) Excessive Mental Effort N/A N/A .
( ) Unfavorable Work Posture N/A N/A
( ) Static/monotonous work N/A N/A
( ) Others, specify N/A N/A .

Submitted by:

__ Casey J. Garcia RN ___ _January 19 , 2023__

COMPANY NURSE Date
Medical/Personnel/Title
Noted by:

Racquel Y. Cabral
Leader Electronics (Philippine Branch) Incorporated
Employer