CHAPTER Ili, 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 Hanolulu following evacuation from Jobsite. Medical statistics are as follows: Men returned as Completed Contract - Injurv |. Men returned as Physically Unqualified oo. Paticnt visits made at. Elmer cvents. . 25 102 Dispensary. 235,178 at Bikini Dispensaries.. .. .. Days lust due to illness . 11,541 Patient visits made 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 There was no incidence of unusual occunational or epidemic illnesses, nor any unusual frequency of ordinary illnesses usually encountered, Skin conditions, uppe: respiratory infections, 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 dermatemycosis pedis continued to account for a good number of visits, but the meidence 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 sunhurn and corneai foreign bodies appearing next in order; injury fractures were a very minor part of the dispensary activity. One case of aninfectious disease (chicken-pox) occurred in a User emplovee. but there were no contact cases resulting. One positive and one suspect case of tuberculosis occurred and tuberculin test and X-ray surveys were carmed out with no contact cases showing. Hemorrhages from active peptic ulcers, both in H&N and in User and AEC employees, contnbuted to the medical problem tor about three months. Several basilar skull fractures and jaw fractures occurred Guring une prePaaedaa bur 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- mission to purchase all refmgerated items from Honolulu was obtained. A standard stock of 500 points of smallpox vaccine was established as a minimum safe level. A narcotic handling procedure was written, accepted, and made a part of standard procedures. RECREATION Provision for recreation was made as a coordinated program under a Reervation Director and his assistants. The facilities and activitics varied somewhat with the size of each camp, but in general the objective was to provide outlets for leisure time. The programs provided SAFETY, A continuous safety program was maintained to guard the health of emplovees and those User groups for whom Holmes & Narver had support respunsibility, and to prevent accidents through elimination or control of conditions capable of causing personal injuries, occupational diseases, fires, or Gamage to equipment property and material. Saiety operations encompassing two atolls and seven separate campsites were cevered by a Safety Engineer at Eniwetok and an Assistant Safety Engineer at Bikini Atoll. Constant contact was maintained hy correspondence, and radio was used in cases of urgency. Safety education was promoted by util- ization of signs and posters, and insertions were publshed in the daily newspaper, designating hazardous locations. speed limitations, off-thejob safety. use of protective cquipment 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 hasis for Jobsite safety requirements with additional specific guidance from applicable hulletins issued by the AEC Santa Fe Operations Office. Additional safety rules and regulations as set forth by the Contractor's Management were published im 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. Engineering plans and designs were reviewed to cffect maximum application of safety engineering standards and practices. All new arrivals at Jobsite attended safety orientation discussions which outlined established procedures with regard to swimming, shelf 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