CHAPTER III, SECTION 4 were all cardiac deaths and no other deaths due to injury or occupational hazard occurred at Jobsite during this period. One Holmes & Narver employee died at Queen’s Hospital in Honolulu following evacuation from Jobsite. Medicalstatistics are as follows: Men returned as Completed Contract - Injury... 25 Men returned as Physically Unqualified 000.0 102 Patient visits made at Elmer Dispensary .................... 25,178 Patient visits made at Bikini Dispensaries.............. 11,541 Days lost due to illness............ 2,694 There was no incidence of unusual occupa- tional or epidemic illnesses, nor any unusual frequency of ordinary illnesses usually encountered. Skin conditions, upper respiratory in- fections, and gastric complaints accounted for most of the patient visits. No regional or communicable ‘‘tropical” diseases were encountered during this Operation. Otomycosis, as well as dermatomycosis pedis continued to account for a good numberof visits, but the incidence per one thousand population did not appear to be much higher than in the Continental United States. Minor lacerations and abrasions accounted for the major portion of the injuries, with sunburn and corneal foreign bodies appear- ing next in order; injury fractures were a very minor part of the dispensary activity. One case of an infectious disease (chicken-pox) occurred in a User employee, but there were no contact cases resulting. One positive and one suspect case of tuberculosis occurred and tuberculin test and X-ray surveys were carried out with no contact cases showing. Hemorrhages from active peptic ulcers, both in H&N and in User and AEC employees, contributed to the medical problem for about three months. Several basilar skull fractures and jaw fractures occurred during this period but did not present an over-all high incidence. Except in one case in which actual contusion occurred, no neurologic complications were encountered. Those vaccines which needed refrigeration were the subject of a special procedure. Per- movies; church services; organized shell hunting and fishing; horseshoe pitching; tournaments in chess, billiards and other games; softball, basketball and volleyball leagues; bingo games; rebroadcasts of sports events; libraries with newspapers and magazines; a mimeographed newspaper; and carnivals and other special events. SAFETY. A continuous safety program was maintained to guard the health of employees and those User groups for whom Holmes & Narver had support responsibility, and to prevent accidents through elimination or control of conditions capable of causing personal injuries, occupational diseases, fires, or damage to equipment property and material. Safety operations encompassing two atolls and seven separate campsites were covered by a Safety Engineer at Eniwetok and an Assistant Safety Engineer at Bikini Atoll. Constant contact was maintained by correspondence, and radio was used in cases of urgency. Safety education was promoted by utilization of signs and posters, and insertions were published in the daily newspaper, designating hazardous locations, speed limitations, off-thejob safety, use of protective equipment and similar safety material. Hazardous conditions and practices found were discussed with the supervisors, recommendations were made, and corrective action was initiated. The “Manual of Accident Prevention in Construction” issued by the Associated General Contractors of America, Inc., was the accepted basis for Jobsite safety requirements with additional specific guidance from applicable bulletins issued by the AEC Santa Fe Operations Office. Additional safety rules and regulations as set forth by the Contractor’s Management were published in the form of procedures and safety bulletins. All injury cases were reviewed and investigated in order to determine the cause factors and to make recommendations which would minimize the possibility of reoccurence. Engi- mission to purchase all refrigerated items from Honolulu was obtained. A standard stock of 500 points of smallpox vaccine was established as neering plans and designs were reviewed to effect maximum application of safety engineer- of standard procedures. Jobsite attended safety orientation discussions which outlined established procedures with re- a minimum safe level. A narcotic handling procedure was written, accepted, and made a part RECREATION Provision for recreation was made as a coordinated program under a Recreation Director and his assistants. The facilities and activities varied somewhat with the size of each camp, but in general the objective was to provide outlets for leisure time. The programs provided ing standards and practices. All new arrivals at gard to swimming, shell hunting, exposure to the sun, transportation, personal hygiene, and protective equipment and clothing. Reports required by the AEC and Holmes & Narver Management were prepared and submitted, together with supporting data relevant thereto. Separate monthly narrative reports were sent to the AEC and H&N Management. Page 3-17