ml...'''ml insurance company jamaica ltd.. 58 half way tree road, kingston 10....

9
~ '''ml INSURANCE COMPANY JAMAICA LTD. . 58 HALF WAY TREE ROAD, KINGSTON 10. ~- Bank of Jamaica Liability Claims _ I IYear IClaim No. IClosed On IPolicy No. -I Insured ~nt D~ Party =JDescriPtion !paid to oatelGross C/Reserve '- d i 'r-o f...,t;, received a cut below his right f thumb by a broken door lock while opening the I 20111 15534100100100 __ ~CLI-24653IBankOfJamaica L 07102/2011i:'::'::_'~-,::,, door. 1$0.00 J$O.OO t '. •. <'~ injured his right ankle while representing the Bank at a football match held at Breezy Castle on March 24 2011. He reported the incident on March 28 2011 to the Bank's Nurse who referred him to the Downtown Medical Centre. j$O.OO I- 2011 L_15720L10105/2011!CLI-24653IBank Of Jamaica __ k_ 24/03/2011l-L- /' .• 20111 16025100100100 1CLI-24653 1Bank Of Jamaica 1 25/03/20111 CU-24653 IBank Of Jamaica t. 211041201l- I I 20111 16151100100100 ICLI-24653lBankOfJamaica 1 11/04/20111. __ I 0 ~ltt']D tripped while entering Car D of the elevator hitting the left side of her body and right foot sustaining blunt injury to both. After she recovered from the jolt she realized the lift was still in the process of aligning itself to the floor. The __ ~918IQOIOOIOO ~653 1Bank Of Jamaica 1 127/04/2011 L ;;"'-" ._ -I nurse referred her to the Downtown Medical Centre·I~37 ,500.00 _I $0.00 2011 2011 16148100100/00 1---------1-------------1 1 1 I t·_ ~ 1.-,:.. ' 1., ~"l ". was entering the corridor from the Banking Hall via the electronic door when the door stopped midway came back with a force and hit her right upper arm. She sustained blunt injury to '_"_~ -' ---+~he riqht s~e o!_!,er back arm and shoulder. 1$0.00 ~ _ l" • ,_' ii~~ was loading currency notes into ! container when the cover of the container fell forward hitting him over his left eye and arm. He sustained a laceration to his left eye and blunt ____ . injuries to his left arm and little finger .. ~ ":'~'j'.~;;;;ns~ .,;perienced a headache violent coughs and dizziness when she inhaled fumes from a Guardsman Armoured Truck while working at the I entrance to the Currency Department. $0.00 $0.00 ____ 1$0.00 _ $0.00 I 1$0.00

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Page 1: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

~

'''mlINSURANCE COMPANY JAMAICA LTD.

. 58 HALF WAY TREE ROAD, KINGSTON 10.

~-

Bank of Jamaica Liability Claims _ IIYear IClaim No. IClosed On IPolicy No. -I Insured ~nt D~ Party =JDescriPtion !paid to oatelGross C/Reserve

'- d i 'r-o f...,t;, received a cut below his right

fthumb by a broken door lock while opening the

I 20111 15534100100100 __ ~CLI-24653IBankOfJamaica L 07102/2011i:'::'::_'~-,::,, door. 1$0.00 J$O.OO

t '. •. <'~ injured his right ankle whilerepresenting the Bank at a football match held atBreezy Castle on March 24 2011. He reported theincident on March 28 2011 to the Bank's Nurse whoreferred him to the Downtown Medical Centre. j$O.OOI- 2011 L_15720L10105/2011!CLI-24653IBank Of Jamaica __ k_ 24/03/2011l-L- /' .•

20111 16025100100100 1CLI-24653 1Bank Of Jamaica 1 25/03/20111

CU-24653 IBank Of Jamaica t. 211041201l-

II 20111 16151100100100 ICLI-24653lBankOfJamaica 1 11/04/20111. __

I 0 ~ltt']D tripped while entering Car Dof the elevator hitting the left side of her body andright foot sustaining blunt injury to both. After sherecovered from the jolt she realized the lift was stillin the process of aligning itself to the floor. The

__ ~918IQOIOOIOO ~653 1Bank Of Jamaica 1 127/04/2011L ;;"'-"._ -Inurse referred her to the Downtown Medical Centre·I~37 ,500.00 _I $0.002011

2011 16148100100/00

1---------1-------------1 1 1 I

t·_ ~ 1.-,:.. ' 1., ~"l ". was entering the corridor fromthe Banking Hall via the electronic door when thedoor stopped midway came back with a force andhit her right upper arm. She sustained blunt injury to

'_"_~ -' ---+~he riqht s~e o!_!,er back arm and shoulder. 1$0.00 ~ _l" • ,_' ii~~ was loading currency notes into

!container when the cover of the container fell

forward hitting him over his left eye and arm. Hesustained a laceration to his left eye and blunt

____ . injuries to his left arm and little finger ..

~ ":'~'j'.~;;;;ns~.,;perienced a headache violentcoughs and dizziness when she inhaled fumes froma Guardsman Armoured Truck while working at the Ientrance to the Currency Department. $0.00

$0.00

____ 1$0.00 _

$0.00

I1$0.00

Page 2: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

1-_ 2011 L 164571 00100100 IfLl-~653 _I Bank Of Jamaica +-

I 2011 L-- 16671 ~00100100

1- __2011L l66~*0100/~ I~LI-2465~~_Of Jamaic~ __J 18/Q4/2011(""'''' ",

----.- ~. c tCLl-2462~i Bank Of Jamaica

ICLI-24653 1Bank Of Jamaica

Claim No. I Closed On -IPolicy No. IInsured ·-=-IAccidentDate __rrhird pa_~ ~'DescriPtion

."i 1-. 1 was descending the stepsconnecting the Banking and Currency Departments

Iwhen she slipped hitting her right hand and left foot."....,.,"'''i.~e sustained blunt injury to same. -1$0.00

i ,-,r". ~I'- iustained a laceration to his head by a

_

~Piece of metal bracket when he stepped out of theway to allow Mr. Evon Higgins entry into the PSD

__ Armoury. . . . _~O.OO 1$50,000.00I~ !'T':"\ ",q, 1 injured her right middle finger onthe door of the restroom. She sustained alaceration and fracture to same. She was granted

Ifour weeks sick leave. I $0.00 1$0.00

~~-

2011

2011

2011

2011

1667Q(Q010010Q

16777100100100

17013100100100

17014100100100

CLI-24653 I Bank Of Jamaica I.

CLI-24653 1Bank Of Jamaica

~~1-246~1 Bank Of Jamaica

09/05/2011 i ~ .

03/06/2011 '-. m;\V:~?'--t-

09/06/20111 \.

23/06/2011 ,*

26/06/2011I~

11/07/2011

Paid to Date 1Gross C/Reserve

$0.00

A trolley being pushed by another employeeoverturned hitting' l on his left leg. Hebegan to feel cramps in his leg; he was treated at

'f> -Jthe clinic and then he returned to his duties. f.!9~-J $0.00 _attempted to sit on a chair which

collapsed sending her backwards against the wall.She twisted her right side and hit her back. Shereceived first aid care at the Esmond Kentish Clinicand was referred to Downtown medical for further

__. ~eatment. 1$250,000.00 j!o.o() _

"," 'H was cleaning the fourth shelf (fromthe top) of the storage cabinet when the cabinetshifted forward and a roll of hand towel fell from thetop shelf. Same hit him on his right eye; hesustained mild trauma to the eye. The matter wasreported to the Esmond Kentish Clinic on June 27;'he was referred to the DowntownMedical Centre.He returned to the downtown Medical Centre onJuly 5 and was referred to Dr, Windell Miller of

---- _llmperia' OpticalJamaica Limited, 1$0.00----1 $000 ------; , .s: . jqueezed her little right fingeribetween the arm rest of her chair and the underside

Icif her desk. First Ai@!was administered to by the

) insured's nurse. $0.00 :$0.00

Page 3: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

Year Claim No. Closed On Policy No .. Insured Accident Date Third Party Description Paid to Date Gross C/Reserve-- -

was'uslnq an electric bench-top planeto smooth a piece of board. He reached a sectionwith a notch; the board vibrated and caused hisright thumb to come into contact with the blade of1he plane. He sustained a laceration to same. Theinsured's nurse referred him to the DowntownMedical Centre for a tet-tox injection. He continued

2011 17015 00100/00 CLI-24653 Bank Of Jamaica 11/07/2011 : , to dress the wound at the Esmond Kentish Clinic. $0.00 $0.001-. ------- ) was smoothing a piece of metal

with an electric hand grinder. The machine shiftedin his hand and the blade cut his right index finger(laceration). The insured's nurse administered firstaid; he was referred to the Downtown Medical

2011 17016 00/00/00 CLI-24653 Bank Of Jamaica 18/07/2011 - - Centre for a tet-tox shot $0.00 $0.00A fire suppressant system (Inergin) released inertgases after being triggered by a small fire. Therewas an evacuation as the area wasencolsed.Approximately 5 Guardsman couriers

2011 17126 00/00/00 CLI-24653 Bank Of Jamaica 10/08/2011 ~ ___ were oresent and may present claims. $68,000.00 $500,000.00I-- - - .-... 1 reported a burning sensation to

both eyes. He reported the matter to the Bank'sNurse who examined him after which he returned to

, his duties. The next day - xeturned to thenurse to report that his eyes wen'! swollen and hewas still feeling discomfort .. i.:;'~(,i·~~

administered first aid and advised him to seek2011 18020 00/00/00 CLI-24653 Bank Of Jamaica 08/09/2011 ' further medical attention. $0.00 $0.00-- -

. . was unloading rolls of razor wireIfrom a pick-up van when he accidentally cut his leftmiddle finger. He received a tet-tox shot when he

2011 18052 00100/00 CLI-24653 Bank Of Jamaica 09109120'1- -~ - ) visited Downtown Medical $0.00 $0.00

- :1 (of Minott Chenicals) took theinsured's elevator to carry a service trolley from the-2nd floor to the 11tho When the door closed the

Ielevator began to move auicklv and jerked violentlyup to the 11th floor, ~ ~ , complained

ICLI-24653 IBank Of Jamaicaof shock diziness headache and pain to her neck

2011 18252 00/00/00 20/10/2011 when she exited the elevator. 1$0.00 $0.00

Page 4: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

IYear IClaim No. I~sed On IPolicy No. !Insured

2011

2011

20112011

18332100100100

18334100/00100

18627100/00100

CLI-24653 1Bank Of Jamaica

CLI-24653 1Bank Of Jamaica

CLI-24653 1Bank Of Jamaica

I- 20121 18882L 01/07/20131CLI-246531Bank Of Jamaica

.Accident Date Third ~arty Description _I Paid to Date IGross C/Reserve

I 1 . . ' I was travelling on the insured's '\elevator B from the the 4th floor to the 8th floor. Thedoor closed and the elevator began to moveupwards. It stoppedat the 6th floor but the doorremained closed. rstated that he tried toopen the door using the button but it did not open.He rang the bell and pressed the emergency buttonbut received no response. The elevator suddenlyfell and stopped abruptly. It then moved upwardsand stopped at the 8th floor. He experienced mildightening of his lower back muscles and mild

_--ldiscomfort to his right knee. 1$0.00 1$0.00 ~~ ,IS took the elevator A at the 2nd floorto go to the 10th floor. The elevator stopped at the10th floor but the doors did not open, Sstated that she pressed the button for help; shespoke with Protective Officer, ~r. Theelevator then descended to the first floor and wasmanually opened by a senior electician. When

was exiting the elevator the floor of theelevator was not in line with the floor outside. As aresut she tripped and fell. She sustained injury to

, her left knee. ~, ,- ,--------t,.\ ..~"- .1' I.' on slid and fell to the floor in the-'female restroom. She sustained a bruise 'to her hipand experienced pain and tenderness to her leftside. In addition she experienced pain and slight'spasms to her lower and upper back. She statedthat she noticed streaks of water on the floor as if ithad just been wiped,

02/11/2011f~.!".' x

04/11/2011 ~~.~,;,. $0.00 __ l!0.00 __ _

$0.00 1$100,000.00$355,500.00 $650,000.00

1 29/11/2011 J ,i"

I

~;,:.J,

',.

$0.00

I.., - .••••.-:.,.~was moving boxes when dust particlesentered his right eye.The left side of - 'i...,' ;'head madecontact with a protn:l'ding pipe while he wasremoving a brush from the tubing of a condenser.He sustained swelling to the left side of his face andheadache. 1$51,875.00

$0.00 $0.0013/1212011 •

I 20121 191481 01/07/20131cLI-246531Bank Of Jamaica 1 11/01/2012t::""- ,----

Page 5: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

Pol~~~~llnsured =JAccident Date _~Thi~~3rty 1 Description - _- 1Paid to Date ~oss C/Rese~. ) slipped and fell on the insured's front

I

steps while descending same. She sustained bluntinjury to her left foot and pain in her lower

_ abdomen. ~~O.OO. : i. - ne slipped and fell onto her left

buttock. She expesenced slight stiffness to the leftside of her back across her shoulders and in herneck. She was diagnosed as having sustained amild muscle spasm.t!0.OO __ Ic-'-$_O_.O_O __., .'.). .':. ~ustained a bruise to his right leg

and experienced pain in his left side when he fellonto asphatled floor. He had been standing onwooden crates while covering them with tarpaulin;he fell in a gap betwen the crates. __ I-~o.OQ ~ $0..00 _

"lif" r l 'fell injuring her right knee andpalm when she ascended the steps at the northernundercroft. This resulted in aggravation of a

.~ . ' .!Previous shoulder injury. _ _ _1$0.00__ ~350,000.oqHoward Lawrence reported ringing in both earswhile he was checking the standby generator during

"":::.:-t. [a ~~~r ~~§lge..:. ~O.OO 1-$_0._.0_0 _OJ • id> /1" was walking through the gate of

Ithe main car park when he was hit above the righteye by the automatic electronic barrier as it was

!.;.-,,~~ __ Jbeing lo~ered. . ~O.OO-------_U>0.OO _, - : t, ,t~" ''1. slipped and fell at the front doors

~

f the insured's Human Reserurce AdministrationDepartment. She sustained blunt injury to her

1- 2012+- __ 20125\ OOIOOlo.~_~ CLI-24653I Bank Of Jamaica _~ 30103/2012 j.';:;i~3..•.~'''''''~''m_ b~ttocks. UQ.OO__ ~ $0.0.91

.~' .; _,- ~!-"'was entering elevator cab C from1the ground floor when the door made contact withIher face._She experi~nced a slig~t headache. +$o..OO \$o..O~ 1." . ,..,. "~'~f:<"'iitreceived laceration to her left elbow

I when the metal handle of door closed_________rnexpectedly. o' ~OO--~ $0.00

~,

'tripped and fell down the stairs sameIreceived laceration to her right kneee and bruised ~ I

: 1 ~e:~~:t~~~l:~~o;~~rt~:~i~:~i~O~ha~t~~:~t.o:~ $~QQ-----J $O.QQ... _." was preparing food when she 1

Ireceived laceration to the palm of her left hand. 1$0.00 1$0.00

1-- 2012 [ 19149 ~00100Io.O_~LI-24653 ~Ba~9..!l~rr:!§I~_~_ 12/12/20111 _~ _

~~OOIOo. __ ICLI-2465~IBank Of Jamaica -+-..........21/03/20.14:

Year

1---~_19662 JOOIOOIOO

1---- 20:!..?~ 19?~3 jQOI00100 ~4653\ Bank Of Jamaica

I- __ 201 ~ 1§)178100100100 ~.f.!:.!::~4653JBank Of_Ja':l1~i£~o'__

30103/2014.------121272100100100 ICLI-24653 Bank Of Jamaica 11 04/06/2012

I 1---1

1--. 20~._ 21273100/00/00_. . fU'''4653 BankOf--"'<naica_L 05/06/2012 j20121 212741 20101/20141CLI-24653 [Bank Of Jamaica I 31/05/201~

2012

2012

2012

CLI-24653 1Bank Of Jamaica

19777 01/05/20141CLI-24653 IBank Of Jamaica

20129 07/02/20141 CLI-24653 1Bank Of Jamaica

$0..00

06/02/20121l~

~'-""08/02/2012 r

12/03/2012~;. ~,

12/03/2012 "i" ;,' • i~----

t

~~,..~, -~

~

"••.t._ ..•...

Page 6: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

'!'

$0.00

Year Claim No. Closed On Policy No. Insured Accident Date JThird Party IDescription Paid to Date Gross C/Reserve 1I I -.as moving a pallet of notes when he I

2012 2127500100100 CLI-24653 Bank Of Jamaica 29/05/2012 Itwisted his right ankle. $0.00 $0.00I I fell while descending the stairs

. 1same received injuries to left shin right ankle and__ ICLI-24653 Bank Of Jamaica 08/06/20121 'tnees. ° ~$O.OO 1$0.00 I

CLI-24653 Bank Of Jamaica 25/05/2012 "', ~-<Z! ---t ° ·::;n fell while descending the stairs. 1$0.00 $0.00

T :'vas attempting to remove lunches

Ifrom a trolley when he experienced severe pain inI 20121 21313100100100 ICLI-246531Bank Of Jamaica 1 29/06/2012f - his lower back and was unable to move 1$0.00 1$0.00Peteula Gayle was hit on the left side of her lowerback by the entrance door of the restroom as samewas being opened by another employee. She

_~ fsustained blunt injury to same. 1$0.00 _1$0.00 I_" suffered a twisted left ankle when

the heel of her shoe fell into a small hole in the roadin the insured's parking lot. 1$0.00

20121 21276_100100100

20121 21277100100100

20121 21599100100100 CLI-24653 1Bank Of Jamaica 17/07/201 a.

20121 21664100100100 CLI-24653 1Bank Of JamaicaI

31/08/2012 $0.00

2012 CLI-24653 1Bank Of Jamaica

'l(contractor's employee) slippedand fell on a piece of plastic which was used to

~rotect the carpet from becoming wet (as a result ofa leak in the ceiling). She experienced soreness tothe left of the mid-section of her back. There wasa sign indicating that the area was wet, "~"~

-Idid not notice same., , ,.:'s employed toMinott Janitorial Services Ltd.

0 __ 0 __ o '--=;- '<, was placing lab coats in a metal

cabinet when she sustained a laceration to her lefthand.

$0.00 ___ ~ 25,000.00

2012 23052100100/00

26/1012012

1

, __ 0_

25/09/2012 ' $0.00 $0.00

2012 23138100100/00 CLI-24653 ! Bank Of Jamaica 051111201J

,-~-- ..;.: ';- bent down to retrieve a money bagthat had fallen behind a cabinet. On standing hedislodged the fire extinghuisher from its positionresulting in it falling and hitting his left leg. He

',: Lsustain~ a s~alllac~ration to b~low his ca!f. _1$0.00f • slipped Wile descending the staircase[Ifrom the 9th to the 8th floor. She sustained minortrauma to the back of her head mid-back and left Ifoot. 1$0.00

$0.00

2012 23142100100/00 CLI-24653 1Bank Of Jamaica

.;

Page 7: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

Year IClaim No. IClosed On [Policy No. Iinsured

1-- 2013 CLI-24653 1Bank Of Jamaica

20131 252711 16/09/20131CLI-24653 1Bank Of Jamaica

2013

1-. __2013

2013

25270100/00/00

25654100/00/00

26890100/00/00

CLI-24653 1Bank Of Jamaica

CLI-246531 Bank Of Jamaica

ICLI-24653 1Bank Of Jamaica

Accident Date [Third Party J

16/05/201 :JI~-=

22/05/2013 v .-.

r--.

06/06/201 J . . ;'".,

.:,. .•. ..=:......

Description 1Paid to Date

I·.-~ - rt d .. diff I b hi.:..- .' ...;;.repo e experiencing I ICUty reat Ing

Iafter visiting an area where maintenance work wastaking place in a fan room. i$O.OO

Gross C/Reserve

$0.00_.->~ ~ allegedly walked into the glass-lanel c.au sing it to shatter in the vicinity of Money

Museum. She sustained injury to her face and aswoB~~ nose. j$24.125.00s..~_·~'\vas allegedly pruning a tree when the'machete he was using slipped from his grasp andfell cutting his left knee. $0.00 $0.00It was reported that whilE1.i;~,: -1:::-~;:'lJwasascending the steps in the undercroft to enter thebuilding the heel of her right shoe was caught at theedge of the step. She allegedly lost her balance andfell injuring her right knee and shin. Mrs. Westonalso indicated that she was using the handrail whileascending. $0.00 $0.00

$0.00

1--_ 2013~07/2013ICLI-24653IBank Of Jamaica 1 26/06/2013.~. ;::..

20/02/2013 .~'" _.;,..."";';''"

It was reported that":'';:~ ::~~.';~~Iipped froma pallet and injured her left ankle and back whilecompleting her duties. ~

~ -:-: ~~lIegedly slipped and fell to the floor

Jinthe air handling room while she attempted toadjust the air conditioning unil.She later complainedof pain in her back neck hip and knees and

__ received medical ~ention.I$26,775.00 __1$350.000.00 I.~~..:..:.r.:::., _",j~~'reported that she injured herright ankle on the pedal of the bicycle whileperforming a routine exercise. She was advised to

1 20131 26503I00/00/00-lCLI-24653·IBank Of Jamaica 1 27/08/2013j.L... '. :. ,,,.,..~-:-~~ Iseek medical attention.

1----- 2013 ~64861 00/00/00

2688~Q/00/0~~ CLI·246531 Bank Of Jamaica

-::-'d received a small laceration to thelittle finger of her right hand while cleaning a glassin the pantry area. It was further noted that she wasunaware of the broken glass while cleaning and thematter was reported to the insured's nurse where

17/09/20~_' :-:._-:._.~ ~ . ~she was advised to see further medical attention. ~~~I _. ~- 'i~ allegedly slipped and fell on thei [floor of the r'rainlnq Institute as there was a puddle

I of water on the floor. She was advised to seek24/09/2013, ~.., ,.-.,:- -_-~ Imedical attention. 1$29.750.00 1$350,250.00 I

$0.00

",,'•

$0.00 .\

$0.00

,

Page 8: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

$0.00$475,000.00

Yea~ ..._jClaim No. IClosed On jPolicy No. ~ure<L .... -=JAccident Da~JiEli{~artL ~_"j.l?eSCriotion ' '_IPaid to Date,j::' was reportedly hit in the back bythe front door of the dining area by an employeeexiting the facility. Same suffered pain and

___ Itenderness~othearea. . --I$O.OO_~ I~"_'_'_..__ - .'-.' c'~"!11was leaving her work stationwhen she accidentally hit her thigh on the edge of

I 2012L 23190L...9.3/07/2013ICLI-24653IBank Of Jamaica I. 04/12/~~L.· ~.~"-~. Ithe desk. , 1$0.00 ~~ __'., .'':;;1'-;'''\" L.- iell down along the front steps

lof the bank. Medical report to follow.

. 201~_ 231891 OOIOOIOQ JCLI-24653 ~ank Of Jamaica .L--05/12/2012 ~ _

20122012

Gross C/Reserve

231911 00100100 $26,050.00$77,925.00

CLI-24653 IBank Of Jamaica 29/11/20121~' .;,••~ .-

...~0131 __ 23681.100100100 .ICLI-24653 jBank Of Jamaica ..~.... I

It was noted that the claimant was involved in asimilar incident Janaury 2012, --- Nevers Joseyane:Mar6201312:53PM,,''':._.::, ,:, .• 'was travelling in the elevator when the car vibratedheavily and fell at the penthouse floor. Sheexperienced headache and muscle spasms in herneck and bacl~:__ 1$0.00 1$300,000.00 _._-:: •• ..::"':::. • ',:0:, ~'.".:. ~:"""~~ was travelling in the car Cof the elevator when the car vibrated heavily andfell. She sustained a headache and muscle spasms

lin her neck and back. 1$0.00 ]$0.00_----~Q..!ll--.236831_ 06/03/2013ICLI-24~53 li?ank Of Jamaica -1-_. 03/01/20~~ "'~=.....::c~....•~ •..

:'~ ":"':::-'·,,~~.\,was putting away a wooden tablewhen another table that was mounted on the chubfell and hit him on the head. He sustained bluntinjury to the head and complained of a heacache

23877100100100 ._ICLI-24653IBank Of Jamaica J_21101l201l.';' _", ""< land pain b~hind his left eye ~~',.. ..•....."~'I~""I"i was delivering mails off site whena vehicle ran in the rear of vehicle he was driving.He sustained muscle spasms and soreness in his

1_._ 2013L_ 2,4254J 17104/2013~1-246~IBank Of Jamaica L 18/02/2013~' ..,;...::,.~,~_ __._ lower back region. .____ _j$O.OO 1$0.00 .__ 1

. c?' ..•••-:~d'<~d his co-worker (.";l_~-:..M weretransporting money from an enclosed area whenboth employees tried to prevent a bag of moneyfrom falling. k-::.."..--,...,...:~~hentried to close the doorbefore same fell from the cart and accidentallysqueezed claimant's middle finger of his left hand.

1--_ 03/08/2010,'=: '::::.?-_.";;; . __~His finger was broken in three (3) places. .j!9.00 __ ..j$210,000.00,: -;.-=;::::~ " ':x''fl allegedly received minor burns onII his nose lip and left arm when he tried to light a pilot

I 20131 25269100/00/00 ICLI-24653 IBank Of Jamaica 1 17105/2013,'=-"'5 ;~~i on a stove located in the kitchen. 1$0.00 1$0.00 I

2013

2013

09/01/2013L~

$0.00

24841100/00/00 ICLI-24653.t~ank Q!,:!amaica

.--

Page 9: ml...'''ml INSURANCE COMPANY JAMAICA LTD.. 58 HALF WAY TREE ROAD, KINGSTON 10. BankofJamaica LiabilityClaims _ I IYear IClaim No. IClosed On IPolicy No.-IInsured ~nt D~ Party =JDescriPtion

Year ._1 Claim No. 1Closed On j£>olicy No. Iinsured

2013 268911 19/11/20131 CLI-24653 1Bank Of Jamaica

2013 26935~_ 12/03/20:L~1-2470~-INational Export -1m

. 20131_~6938 +2QIOOIOO ICLI-21.~07.-INational Export - 1m

20132013

27357100100100 CLI-24653 1Bank Of Jamaica

09/09/2013t-f --

_----Rescriptio!'___ _\. 1 allegedly hit her right shin~dn a dr.awer she had left open at her work station. It

._~as reported to the insured's nurse. .~.OO

J.t'. ~.. .·.~)allegedly missed her step at the.ridge and almost fell. Proceeding the incident a step

__ down r;:>mphas been installed. 1$0.00 1$0.00," , _. lalleg~dly slipped and fell as a

result of a water spill .. ". _ ' is currentlyOndergoiri'g treatment which includes therapy andthe staff member responsible has been dulywarned .. __ . I~~!', ,.... ~ vas allegedly sitttRg in aChair at her work station when the back of the saidchair snapped and hit her in the back pushing herdownwards. She reported the matter to the bank'snurse and was advised to seek further medicalattention.

Accident Date JIhird farty Paid to Date 1Gross C/Reserve

"~

22/07/2013

~..14/11/2013,· $0.00$80,650.00..-

•..•..;;~a& allegedly descending the front., ., steps of the Bank when she fell from the fifth step'.

(of a flight of 13 steps) to the landing. Shesustained blunt injury to knees shins shoulders andright ankle. The incident was reported to the Bank'snurse however she was advised to seek further

2014 28341 00100100 CLI-24653 Bank Of Jamaica 17/01/2014 • •• medical attention. $0.00------- -----_. ._- ._ ..._---- ------ '--..._--- --------------- _._------------------_ ..__ ._-

i --~...<.··~·~d ..'" ~~dministrative Assistant was ather deskcar,ying out her duties when the chair she

~. .~ was sitting on allegedly dropped suddenly and tilted..~;

her forward. She sustained injury to her lower neck

!CLI-24653as a result of the incident and the matter was

2014 28710 00100100 Bank Of Jamaica 19/02/2014 reported to thsBank's nurse two days later. $0.002014 $0.00

$0.00

$150,0.00.0.0

$290,000.00$1,650,250.00

$0.00----------

$0.00$0.00

...'.~,

• .,