LAREDO ISD WORKERS COMPENSATION LOSSES VALUED: 7/10/18. Claim Status Description of Injury Total Paid Total Reserves

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1 Date Number ant Name Date of Loss 9/1/ De La Rosa, Catalina 8/31/2017 Closed EE was walking from the lounge to her classroom when her left foot/ankle twisted causing her to lo $0.00 $0.00 $0.00 $ /1/ Osorio, Ana M 8/30/2017 Closed When EE and another employee attempted to grab a student using CPI techniques in order to deter th $0.00 $0.00 $0.00 $ /1/ Jimenez, Juan Carlos 8/28/2017 Closed EE went to pick up a can of tomato sauce and as he was walking he felt something stuck to his shoe $ $0.00 $0.00 $ /1/ Valadez, Camelia 8/23/2017 Closed EE got up from her chair heading towards the conference room when she fell to the floor landing on $5, $0.00 $0.00 $5, /1/ Moreno, Daniel Ramon 8/23/2017 Closed Student started yelling and kicking a desk in the classroom and when EE tried to control that is w $0.00 $0.00 $0.00 $ /1/ Flores, Chelsea Rebekah 8/23/2017 Closed EE picked up a box of binders and felt a pull on her lower back and feeling a tingling sensation d $3, $0.00 $0.00 $3, /1/ Flores, Laura M 8/22/2017 Closed EE was going down stairs and as she stepped on the stairs, her right foot twisted. $0.00 $0.00 $0.00 $ /1/ Macias, Diana 8/22/2017 Closed A student was misbehaving and started grabbing a backpack and employee got up and started triyng t $0.00 $0.00 $0.00 $ /1/ Gonzalez, Melissa 8/22/2017 Closed EE was walking holding on to two students, walking with them and another student crossed in front $0.00 $0.00 $0.00 $ /1/ Chaney, Robert N 8/22/2017 Closed EE was walking and as he stepped off the curb with his left leg he heard and felt a pop on left k $0.00 $0.00 $0.00 $ /1/ Trevino, Daniel A 8/22/2017 Closed As EE opened the door, the door opened all the way because it does not have a door stop and EE tri $0.00 $0.00 $0.00 $ /1/ Lopez, Margarita 8/21/2017 Closed EE laid down a trash bag which had a blade of aluminum sticking out the bag and she cut herself on $ $0.00 $0.00 $ /1/ Ybarra, Brenda Guadalup 8/17/2017 Closed EE was removing a box from the top shelve from the closet then the box fell off the shelve and EE $0.00 $0.00 $0.00 $ /1/ Salas, Heriberto 8/16/2017 Closed while cleaning the women's restroom EE cut his left index finger with a piece of broken glass that $0.00 $0.00 $0.00 $ /1/ Rodriguez, Tomas 8/10/2017 Closed EE was participating in training and during the scenario EE was portraying a victim in the hallway $0.00 $0.00 $0.00 $ /1/ Sepulveda, Maria Lourde 8/4/2017 Closed Employee opened the door to her custodian closet where she keeps her supplies when the door closed $ $0.00 $0.00 $ /1/ Mascareno, Maria Guadal 8/3/2017 Closed EE upon entering building, miss stepped and began falling injuring her left shoulder, right upper $0.00 $0.00 $0.00 $ /1/ Contreras, Blanca 7/31/2017 Closed The employee placed a ladder by a window to clean blinds and did not notice that the legs of the l $ $0.00 $0.00 $ /1/ Saldana, Margarita L 7/28/2017 Closed Washing the rotating mixer causing the item to fall onto the left arm and shoulder of EE. $ $0.00 $0.00 $ /1/ Vasquez, Hermila 7/25/2017 Closed EE tripped on the pallet jack while carrying a pallet. EE landed on both hands, arms, shoulders, a $0.00 $0.00 $0.00 $ /1/ Ibarra, Araceli P 7/13/2017 Closed EE was waxing the classroom floor and she was exiting the room when she turned her body and hit he $0.00 $0.00 $0.00 $ /1/ Pruneda, Denise I 7/13/2017 Closed Ee was pushing a desk when she slid and fell on her left side injuring her left arm, left leg and $0.00 $0.00 $0.00 $ /1/ Mendoza, Luis 7/12/2017 Closed Employee was moving a large book shelf and it slid to the left side, scrathing his left upper arm $ $0.00 $0.00 $ /1/ Pompa, Joel 7/8/2017 Closed The employee was trying to stop an argument and advised the people to leave the area when a man pu $2, $0.00 $0.00 $2, /1/ Macias, Celia 7/6/2017 Closed The employee was pushing a wax machine when she slipped on liquid and fell. $0.00 $0.00 $0.00 $ /1/ Ramirez, Roberta 6/29/2017 Closed EE stepped on a crack/hole on the sidewalk and her ankle twisted causing her to fall and injuring $0.00 $0.00 $0.00 $ /1/ Gaitan, Melissa 6/28/2017 Closed EE felt pain on hands, fingers, arms and wrists after cashiering using the automatic adding machin $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 1 of 20

2 Date Number ant Name Date of Loss 9/1/ De Hoyos, Enrique 6/28/2017 Closed As another employee was stripping area, EE was waiting out of the stripping area and he movied to $ $0.00 $0.00 $ /1/ Trevino, Rodolfo 6/28/2017 Closed EE was helping lift a table to set it on top of another about 4 ft high when his left elbow popped $31, $0.00 $0.00 $31, /1/ Cavazos, Norma 6/27/2017 Closed As EE was walking in hallway she slipped and fell on wet area hitting on the back hip and right ha $0.00 $0.00 $0.00 $ /1/ Gonzalez, San Juana 6/26/2017 Closed EE was helping move some furniture to the classroom and slipped with the dolly and fell on the rig $0.00 $0.00 $0.00 $ /1/ Ramos, Alicia 6/23/2017 Closed Ms. Ramos was waiting to exit from the working parking and to exit to the right when a vehicle hit $ $0.00 ($595.82) $ /1/ Hernandez, Ricardo 6/21/2017 Closed EE fell on his back while washing the floor peroxy for waxing. $1, $0.00 $0.00 $1, /1/ Reynoso, Armando 6/20/2017 Closed IW crushed was unloading pallets and crushed his finger on left hand. $ $0.00 $0.00 $ /1/ Ortiz, Grace 6/19/2017 Closed EE picked up a student from the floor who didn't want to enter in the classroom. As she picked him $4, $0.00 $0.00 $4, /1/ Gonzalez, Jose L 6/15/2017 Closed As he was moving a table on to a dolly, the table slipped and fell landing on his right foot. $ $0.00 $0.00 $ /1/ Cruz, Blanca S 6/15/2017 Closed EE was opening the heavy door to the safe her left shoulder started to hurt and lower arm. $3, $0.00 $0.00 $3, /1/ Pedraza, Francisco J 6/13/2017 Closed EE was driving in a company vehicle when another driver drove through a stop sign striking EE's ve $0.00 $0.00 $0.00 $ /1/ Tijerina, Gerardo R 6/9/2017 Closed EE was moving his resources from one classroom to another. As he picked up some books with his han $1, $0.00 $0.00 $1, /1/ Lozano, Anna Rosa 6/8/2017 Open she was called to open gate for trash pick up, the gate drags a little on the ground so it has to $7, $11, $0.00 $18, /1/ Saenz, Rosalinda 6/8/2017 Closed As employee was running an errand to the main office, she fell down on uneven sidewalk hitting rig $7, $0.00 $0.00 $7, /1/ Aranda, Raul 6/6/2017 Closed EE was picking up servers and batteries when he felt pain on his right upper elbow. $0.00 $0.00 $0.00 $ /1/ Garza, Hugo Rene 6/1/2017 Closed EE arrived at classroom to unlock door and he used his left shoulder as leverage and tried to open $ $0.00 $0.00 $ /1/ Gonzalez, Mary Louise 5/30/2017 Closed EE opened the door for a colleague and turned around to return to her room and her left foot slid $0.00 $0.00 $0.00 $ /1/ Dovalina, Judy Lee 5/30/2017 Open EE was walking to her office and tripped with the mat and while trying to regain her balance she f $9, $1, $0.00 $10, /1/ Miranda, Priscilla Ann 5/26/2017 Closed As EE was walking out of the award ceremony she fell on a puddle of water by the restroom area. Sh $ $0.00 $0.00 $ /1/ Cassiano, Edna Graciela 5/24/2017 Closed EE carried 3 cases of grapefruit from the dolly to the table individually. She felt a pull around $ $0.00 $0.00 $ /1/ Gonzalez, Mary Lou 5/23/2017 Closed EE was trying to get a student off the bus and student was already agitated. EE tried to walk him $ $0.00 $0.00 $ /1/ Caloca, Sandra C 5/23/2017 Closed EE was in the hallway and fell when she tripped with a student's shoe lace while the student rain $1, $0.00 $0.00 $1, /1/ Duncan, Veronica 5/23/2017 Closed EE had gone to her vehicle to get her umbrella and on her way back she fell down on sidewalk on he $4, $0.00 $0.00 $4, /1/ Torres, Juan Anselmo 5/23/2017 Closed EE and another custodian were bringing the bull statue from the gym. EE was pulling from the front $0.00 $0.00 $0.00 $ /1/ Blanco, Virginia E 5/23/2017 Closed The employee was walking up the stairs and had a misstep and slipped and fell injuring her left ha $0.00 $0.00 $0.00 $ /1/ Medina, Perfecto 5/22/2017 Closed As EE was moving wood he stepped on a nail with his right foot. $ $0.00 $0.00 $ EE was moving a chair out from a student desk. The seat of the chair slid off falling on 9/1/ Delgado, Sandra Clara 5/22/2017 Closed her right $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 2 of 20

3 Date Number ant Name Date of Loss 9/1/ Hernandez, Jose Fidel 5/19/2017 Closed As EE was walking towards the front entrance of the school he didn't see the step and stubbed his $ $0.00 $0.00 $ /1/ Gomez, Blanca Estela 5/19/2017 Closed ant was on a field trip at a park with students when she kicked ball she injured her right to $1, $0.00 $0.00 $1, /1/ Castro, Sylvia 5/17/2017 Closed EE got on the bus and did not see the seat belt buckle sticking up the seat and she sat down feel $ $0.00 $0.00 $ /1/ Morado, Rosa 5/17/2017 Closed EE was entering the ladies restroom in which at the entrance there is an uneven surface and when s $ $0.00 $0.00 $ /1/ Molina, Irma 5/16/2017 Closed EE was seating on her teacher chair and she had her right hand on the hand rest. As she turned the $0.00 $0.00 $0.00 $ /1/ Villarreal, Jacqueline 5/15/2017 Closed While throwing out the trash a spider bit her on her left hand. $0.00 $0.00 $0.00 $ /1/ Chavez, Patricia 5/15/2017 Closed Employee got to nearest table to avoid falling on top of a student and that is when she felt a pul $0.00 $0.00 $0.00 $ /1/ Zuniga, Javier 5/10/2017 Closed EE was trying to get some empty boxes out of the recyclable dumpster and could not reach the boxes $ $0.00 $0.00 $ /1/ Rivera, Maria De Jesus 5/8/2017 Closed EE was opening a drawer in the kitchen area which was broken and the drawer fell on her right big $0.00 $0.00 $0.00 $ /1/ Canales, Sylvia C 5/8/2017 Closed While EE was unlocking her office door, her MacBook slipped from her arms and landed on her left t $0.00 $0.00 $0.00 $ /1/ De La Garza, Anna Sue 5/5/2017 Closed EE was carrying laptop and equipment while walking to the entrance of the bldg. Due to uneven surf $ $0.00 $0.00 $ /1/ Polendo, Maria De La Lu 5/4/2017 Closed EE was walking at the Houston Airport from a national migrant conference. And she felt the sole of $14, $0.00 $0.00 $14, /1/ Ehrhardt, Berta F 5/4/2017 Closed EE spilled water from her cleaning bucket on the floor. As she was walking in the hallway she trip $4, $0.00 $0.00 $4, /1/ Santos, Ana Laura 5/3/2017 Closed While EE was unlocking and entering the library she felt a blow on the right side of her head in w $ $0.00 $0.00 $ /1/ Salinas, Maria Elena 5/3/2017 Closed While Ms. Salinas was directing traffic she was closing the gate and when she pulled it to close i $17, $0.00 $0.00 $17, /1/ Valdez, Maria Elena 5/3/2017 Closed EE was helping a mother with child bringing him inside campus so as EE turned quickly to hold him $0.00 $0.00 $0.00 $ /1/ Mejia, Dora A 5/3/2017 Closed EE fell as she was sweeping the floor on the cafeteria. The fall was caused by the fruit syrup on $0.00 $0.00 $0.00 $ /1/ De Leon, Jose 5/2/2017 Closed EE hurt his right index finger as he was opening vehicle door during drop off duty. $0.00 $0.00 $0.00 $ /1/ Perez, Elsa Leticia 5/2/2017 Closed EE was walking in the hallway and slipped on some ice and strain lower back $0.00 $0.00 $0.00 $ /1/ Garza, Jessica 5/1/2017 Closed EE was walking and bumped her left hand knuckle with the corner of a desk. $ $0.00 $0.00 $ /1/ Rodriguez, Maria Josefi 5/1/2017 Closed EE was walking towards her desk and she tripped and almost fell. She twisted her left ankle and s $ $0.00 $0.00 $ /1/ Tovar, Claudia 5/1/2017 Closed Two female students were engaged in a fight and employee intervened along with securities to separ $0.00 $0.00 $0.00 $ /1/ Gamez, Christina G 4/28/2017 Closed EE fell on uneven sidewalk injuring both hands and both hands. $0.00 $0.00 $0.00 $ /1/ Perez, Juan Eduardo 4/28/2017 Closed A student threw a chair to the floor then EE got student and student moved his head fast to the ba $ $0.00 $0.00 $ /1/ Leza, Maria Luisa 4/27/2017 Open While supervising students at the cafeteria, EE tripped with a student behind her falling and inju $13, $3, $0.00 $17, /1/ Campos, Martha 4/26/2017 Closed EE was attempting to move book shelf and her elbow slipped causing her to hit her left side of rib $ $0.00 $0.00 $ /1/ Resendez, Jose 4/24/2017 Closed EE was restraining student and student was pushing back and as he was pushing EE felt his right kn $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 3 of 20

4 Date Number ant Name Date of Loss 9/1/ Guerrero, Maria Teresa 4/24/2017 Closed EE fell on her knees as she was carrying some laptops that were going to be used for registration. $0.00 $0.00 $0.00 $ /1/ Saldana, Gloria 4/24/2017 Closed EE was kicked by student on left upper arm $0.00 $0.00 $0.00 $ /1/ Sanchez, Alma Veronica 4/24/2017 Closed As EE was attending a student, two boys started fighting at the nurses office and she tried to get $1, $0.00 $0.00 $1, /1/ Blanco, Sylvia 4/21/2017 Closed The morning was very windy and EE had trouble controlling the STOP sign used to cross students. Th $1, $0.00 $0.00 $1, /1/ Gonzalez, Manuel De Jes 4/20/2017 Closed EE was pulling in a pallet jack through the kitchen entry door. As he pulled the jack in the door, $0.00 $0.00 $0.00 $ /1/ Cabello, Claudia 4/20/2017 Closed The employee walked into the counseling center and her left ankle gave out, twisting it. $4, $0.00 $0.00 $4, /1/ Diaz, Albina 4/20/2017 Closed During a fire drill a female student bumped into employee's right hand/wrist with her body. $0.00 $0.00 $0.00 $ /1/ Serna, Celestina 4/17/2017 Open EE was picking up merchandise for the school downtown when she had a car/pedestrian accident $1, $3, $0.00 $4, /1/ Carmichael, Daniella M 4/11/2017 Closed Walking with the students at the cafeteria when there was a spilled chocolate milk and slipped and $0.00 $0.00 $0.00 $ /1/ Vichareli, Baltazar G 4/10/2017 Closed He was walking down the steps outside of the school and he missed a step and slipped. He grabbed $ $0.00 $0.00 $ /1/ Vasquez, Luis Francisco 4/10/2017 Closed EE grabbed the neutral chemical to pour to a spraying container and the chemical splattered into h $0.00 $0.00 $0.00 $ /1/ Hinojosa, Javier 4/10/2017 Closed Employee burned his right lower arm when he slipped & touched a hot copper pipe when he was weldin $0.00 $0.00 $0.00 $ /1/ Macias, Jose 4/7/2017 Closed As EE entered the boys restroom he slipped and fell on a soapy floor injuring his back $ $0.00 $0.00 $ /1/ Gamez, Roberto 4/7/2017 Closed Walking down the hallway when he slipped with the stripper soap hitting himself with the machine a $1, $0.00 $0.00 $1, /1/ Alvarez, Maria M 4/6/2017 Closed EE was walking back to school from her lunch break down the stairs when her right foot twisted cau $ $0.00 $0.00 $ /1/ Miranda, Priscilla Ann 4/5/2017 Closed EE was helping a student sign on to an I pad and when she came around the banana table to sit on h $0.00 $0.00 $0.00 $ /1/ Montes, Norma 4/5/2017 Closed Employee fell hurting her right ankle as she walked throught the hallway. $1, $0.00 $0.00 $1, /1/ Alvarado, Manuelita 4/3/2017 Closed Ms. Alvarado tripped and fell while she was monitoring the students in the classroom. $2, $0.00 $0.00 $2, /1/ Castillo, Maria Guadalu 4/3/2017 Closed Ms. Castillo was walking outside, close to A/C units and did not see the mud close to the door. Sh $1, $0.00 $0.00 $1, /1/ Gallagher, Phyllis 4/3/2017 Closed One of the students came from behind and struck EE several times on her back and neck $ $0.00 $0.00 $ /1/ Guzman, Maria Elena 4/3/2017 Closed After coming back from a fire drill, she tripped and fell on a rug injuring her left thigh, left $ $0.00 $0.00 $ /1/ Vasquez, Maria Del Pila 3/31/2017 Closed After dismissal EE walked out to parking lot and fell back and hit her head, spine after missing a $1, $0.00 $0.00 $1, /1/ Garcia, Alma 3/30/2017 Closed Ms. Garcia tripped with a dust mop and fell face first on to floor. $5, $0.00 $0.00 $5, /1/ Polendo, Pamela 3/30/2017 Closed The employee was standing at the entrance of bathrooms when one of the students began to run in he $ $0.00 $0.00 $ /1/ Garcia, Maria Imelda 3/28/2017 Closed EE proceeded to close the school gate and as she walked through a high grass area in order to get $6, $0.00 $0.00 $6, /1/ De La Cruz, Josefina 3/24/2017 Closed EE was transporting cafeteria tables up a ramp when she felt a pain on her right shoulder $8, $0.00 $0.00 $8, /1/ Ibarra, Elaine 3/24/2017 Closed As ee stood by a folding table containing a box of juice with ice, coffee and a box of chocolates $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 4 of 20

5 Date Number ant Name Date of Loss 9/1/ Martinez, Mario 3/23/2017 Closed EE was using the hoe to cut some weed and the hoe's handle came off causing EE to fall having his $0.00 $0.00 $0.00 $ /1/ Saldana, Margarita 3/22/2017 Closed EE injured right hand/wrist and fingers while moving frozen bread items by hitting her hand agains $0.00 $0.00 $0.00 $ /1/ Hernandez, Anita 3/22/2017 Closed EE went into the restroom and she slipped and fell due to some water on the floor. She fell forwar $0.00 $0.00 $0.00 $ /1/ Chaires, Aurora 3/10/2017 Closed EE was bending down for trash and hit her right eye with broom handle $ $0.00 $0.00 $ /1/ Flores, Sofia 3/9/2017 Closed EE was presenting lesson and the student came from behind and hugged her tight then he slammed his $0.00 $0.00 $0.00 $ /1/ Navarro, Sebastian 3/8/2017 Closed The employee was moving a desk for a teacher, when he lifted it up to put it on top of dolly, he f $10, $0.00 $0.00 $10, /1/ Cadena, Amparo 3/8/2017 Closed EE was coming back from lunch where she slipped and fell. She landed on her left knee and left han $0.00 $0.00 $0.00 $ /1/ Jimenez, Jesus 3/6/2017 Closed EE rushed to break a fight between two girls. He was pushed to the ground hitting his right elbow $0.00 $0.00 $0.00 $ /1/ Juarez, Rebecca 3/6/2017 Closed Two girls started fighting and she attempted to break up the fight and EE was pushed and hit back $0.00 $0.00 $0.00 $ /1/ Vela, Antonio 3/1/2017 Closed Mr. Vela was moving desks back to place after testing he hit his right knee on the corner causing $2, $0.00 $0.00 $2, /1/ Medina, Dolores 3/1/2017 Closed EE tripped and fell while getting gloves from cabinet on stool to serve the students lunch. Fell o $ $0.00 $0.00 $ /1/ Lopez, Eliseo A 3/1/2017 Closed EE was walking up the ramp when he attempted to adjust his duty belt and felt a sharp pain to his $4, $0.00 $0.00 $4, /1/ Riojas, Alma 2/27/2017 Closed EE was mopping classroom and chair moved and fell on her left toe. $0.00 $0.00 $0.00 $ /1/ Solorio, Marissa 2/27/2017 Closed EE was directing traffic when her whistle fell down and EE bend to grab it and felt a pull on her $ $0.00 $0.00 $ /1/ Rodriguez, Mauro Alfred 2/25/2017 Closed As EE was preparing to load the floor unto the bus he was getting in the bus to lift the floor. Th $0.00 $0.00 $0.00 $ /1/ Huante, Martin 2/24/2017 Closed While EE opened the van's door, the compressor fell on his left knee. $0.00 $0.00 $0.00 $ /1/ Garza, Laura 2/22/2017 Closed EE was walking into principal's office and lost her balance and tripped and fell on both her knees $0.00 $0.00 $0.00 $ /1/ Martinez, Anna Laura 2/21/2017 Open EE was walking down hallway when school bell rang and as students were entering their classrooms, $29, $34, $0.00 $64, /1/ Medina, David 2/21/2017 Open Mr. Medina was found by two boarder patrol officers at a law enforcement gun range off of Highway $16.52 $25.00 $0.00 $ /1/ Cabrera, Maria Cruz 2/20/2017 Closed EE was coming back to main area but chose to not use designated walkway and stepped down to cut on $1, $0.00 $0.00 $1, /1/ Ruiz, Patricia 2/17/2017 Closed EE was taking out pressure washing machine in reverse when she hit her right hand with handle. Han $0.00 $0.00 $0.00 $ /1/ Soto, Lisa P 2/16/2017 Closed After walking the parade with her dance team, EE tripped on a broken sidewalk and fell forward. He $ $0.00 $0.00 $ /1/ Castro, Pamela Kristine 2/14/2017 Closed EE was standing on bleachers when she twisted her right ankle. *Report Only* $0.00 $0.00 $0.00 $ /1/ Tijerina, Melissa Johns 2/14/2017 Closed EE was untangling wires/cables and tripped on them falling down on floor hurting her neck and back $0.00 $0.00 $0.00 $ /1/ Jasso, Adan 2/10/2017 Closed While walking K9 dog to relief himself before a search he quickly turned and pulled in the opposit $0.00 $0.00 $0.00 $ /1/ Perales, Jose 2/9/2017 Closed When teaching PK students how to run to 1st base in baseball, the employee felt a pop on his right $ $0.00 $0.00 $ /1/ Garcia, Jocelyn 2/9/2017 Closed After walking in from crossing guard duty EE began to get pain in her right ankle. $ $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 5 of 20

6 Date Number ant Name Date of Loss 9/1/ Leija, Lorena 2/9/2017 Closed EE was washing mop in sink when her hand slipped to the drain and her right middle finger was cut $0.00 $0.00 $0.00 $ /1/ Blanquez, Jose Crus 2/1/2017 Closed Students playing with a tennis ball, one of them threw or kicked the ball towards the wall but mis $0.00 $0.00 $0.00 $ /1/ Martinez, Melissa 2/1/2017 Closed EE was stepping down from the curb and stepped on uneven ground and her left ankle went inward $0.00 $0.00 $0.00 $ /1/ Ramirez, Cecilia 1/31/2017 Closed EE was walking fast to sign in and fell on pavement in parking lot hurting her left ankle and righ $ $0.00 $0.00 $ /1/ Garcia, Consuelo 1/31/2017 Closed EE was walking coiming from restroom and fell on wet surface floor injuring her hips, right wrist, $0.00 $0.00 $0.00 $ /1/ Hinojosa, Susana 1/31/2017 Closed EE was walking towards the gym area when all of a sudden a student ran into EE and bumped into her $0.00 $0.00 $0.00 $ /1/ Rodriguez, Maria Guadal 1/31/2017 Closed EE pulled out the dolly from the pantry to open as a flat bed to put the yogurt when it fell down $0.00 $0.00 $0.00 $ /1/ Garcia, Adriana 1/30/2017 Closed EE was putting chairs in and used her right knee to push chair in and right knee got hurt with the $ $0.00 $0.00 $ /1/ Santos, Ana Laura 1/30/2017 Closed EE was moving a portable bookcase full of books when books and shelves fell off and landed on EE's $0.00 $0.00 $0.00 $ /1/ Macias, Diana 1/27/2017 Closed EE pulled a fork from a student with her right hand and her right hand/wrist hurts. $0.00 $0.00 $0.00 $ /1/ Valdez, Silvia A 1/26/2017 Closed As Ms. Valdez changed a student's diaper, the student had a seizure. Ms. Valdez injured her low ba $15, $0.00 $0.00 $15, /1/ Arredondo, Sylvia 1/26/2017 Closed Student was having an outburst episode and scratching his legs and as EE tried to intervene and re $0.00 $0.00 $0.00 $ /1/ Herrera, Griselda 1/26/2017 Closed EE was walking from front office towards her office when she slipped and fell on her knees $0.00 $0.00 $0.00 $ /1/ Moreno, Daniel Ramon 1/26/2017 Closed EE was supervising and assisting student with daily work. Student has tendency to spit and did it $ $0.00 $0.00 $ /1/ Morales, Olga 1/25/2017 Closed EE tried to pick up something she had dropped and slipped from the chair and fell on her left wris $0.00 $0.00 $0.00 $ /1/ Flores, Edna Angelica 1/24/2017 Closed EE was trying to convince student to get back to class and student became aggressive an pushed EE $0.00 $0.00 $0.00 $ /1/ Garza, Gustavo Axel 1/24/2017 Closed EE was removing track equipment from the rafters and went up on a ladder losing his balance and bu $0.00 $0.00 $0.00 $ /1/ Guerra, Michael 1/23/2017 Closed EE was trying to separate two students from fighting and as he did that he hit himself on his righ $0.00 $0.00 $0.00 $ /1/ Montalvo, Lamar 1/23/2017 Closed The classroom phone rang and as she approached the phone and slipped on a piece of breakfast spoon $1, $0.00 $0.00 $1, /1/ Serna, Maria D 1/20/2017 Closed IW was walking in the building the floor was wet, slipped and fell on left knee. $1, $0.00 $0.00 $1, /1/ Medina, Martha 1/19/2017 Closed EE was getting out watermelons from a cart and injured her right shoulder $1, $0.00 $0.00 $1, /1/ Benavides, Alberto 1/19/2017 Closed EE was assisting in excorting student to cafeteria after refusing to comply with classroom rules. $0.00 $0.00 $0.00 $ /1/ Garcia, Karla M 1/16/2017 Closed EE was walking out to dismiss students and slipped and fell injuring both right elbow, both hands, $0.00 $0.00 $0.00 $ /1/ Garcia, Jose 1/9/2017 Closed IW was mopping and sweeping and developed a bruise on his right arm. $1, $0.00 $0.00 $1, /1/ Hernandez, Sandra 1/6/2017 Closed EE finished lunch and was standing. She moved the chair in a sliding motion (no lifting was done), $ $0.00 $0.00 $ /1/ Vital, Jeanetti Yesenia 1/5/2017 Closed Student tried to push EE forward and down and EE exerted all her strength to push back the student $0.00 $0.00 $0.00 $ /1/ Reyes, Gabiriel 1/4/2017 Closed EE was assisting to remove autistic student from computer area. At the time, he kicked desk and to $ $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 6 of 20

7 Date Number ant Name Date of Loss 9/1/ Anguiano, Christy 1/3/2017 Closed Employee was participating in a team event of knocker ball and collided with another co worker. $11, $0.00 $0.00 $11, /1/ Madrigal, Alicia 1/3/2017 Closed Ms. Madrigal was participating in a staff development event, principal came up with the idea of a $5, $0.00 $0.00 $5, /1/ Munoz, Alejandra 12/13/2016 Closed Walking down the hall and tripped and fell injuring her right ankle. $0.00 $0.00 $0.00 $ /1/ Ramos, Maria Del Carmen 12/9/2016 Closed EE was walking to her desk and her right foot slipped and fell on her left side $ $0.00 $0.00 $ /1/ Rodriguez, Tomas 12/9/2016 Closed Walkng to2wards entrance of school and tripped with curve and felt pain to left big toe $0.00 $0.00 $0.00 $ /1/ Salazar, Maria Elsa 12/9/2016 Closed EE was walking behind a student and the student fell and EE tripped with student's foot injuring h $0.00 $0.00 $0.00 $ /1/ Sepulveda, Melisa Angel 12/7/2016 Closed The employee went to knock at door very hard and teacher inside closed door and as she was closing $1, $0.00 $0.00 $1, /1/ ESCALERA, CLAUDIA 12/5/2016 Closed Tripped and fell over a mail basket which was in the middle of a walk way and didn't see it fallin $ $0.00 $0.00 $ /1/ Gonzalez, San Juana 12/5/2016 Closed EE was vacuuming the floor when the extension cord got caught on the legs of the chair and flip o $0.00 $0.00 $0.00 $ /1/ Barberena, Alma Anais 12/2/2016 Closed Student attacked and bit her on the right forearm. $0.00 $0.00 $0.00 $ /1/ Torres, Thelma 12/2/2016 Closed EE walked out to the loop area to look for a student. As she was walking she tripped with a board $0.00 $0.00 $0.00 $ /1/ FALCON, LAURA 12/2/2016 Closed EE WAS PUTTING STUDENT DOWN FOR A NAP AND LOST BALANCE FALLING TO LEFT SIDE LANDING ON LEFT ELBOW, $ $0.00 $0.00 $ /1/ TREVINO, CESAR G 11/30/2016 Closed STUDENT ATTACKED OTHER STUDENT AND WHEN EE HAD TO PULL STUDENT OFF THE OTHER STUDENT, ONE OF THE S $1, $0.00 $0.00 $1, /1/ Ramirez, Melina 11/29/2016 Closed Walking upstairs and missed a step and fell hitting her right knee. $0.00 $0.00 $0.00 $ /1/ Teniente, Ana Maria 11/28/2016 Closed EE was holding ice maker lid with one hand and the other pour ice into a glass and she let go the $0.00 $0.00 $0.00 $ /1/ DE LA O, ABRAHAM 11/28/2016 Closed The employee was using the weed eater, going backwards cutting grass, slipped and fell in a hole a $0.00 $0.00 $0.00 $ /1/ LOZANO, HECTOR 11/28/2016 Closed AS EE WAS PICKING UP THE "DO NOT ENTER" SIGN THAT WAS LYING ON THE DRIVEWAY AND THE TOP PART SLIPP $76.12 $0.00 $0.00 $ /1/ SANCHEZ, RODOLFO 11/16/2016 Closed EE WAS TAKING THE CASHIER BOXES AND CHANGE BOX OUT OF THE VAULT WHEN HE LIFTED THE CHANGE BOX IT S $ $0.00 $0.00 $ /1/ Perez, Carlos D 11/16/2016 Closed As Carlos was assigting two other employees with a student, the student began kicking and hitting $0.00 $0.00 $0.00 $ /1/ VILLARREAL, DORA L 11/14/2016 Closed THERE WAS A BEE ON A STUDENT AND EE TRIED TO GET IT AWAY FROM THE STUDENT AND THE BEE STUNG EE ON $0.00 $0.00 $0.00 $ /1/ CANTU, MARTHA 11/14/2016 Closed The employee was organizing the MDF to remove loose cable, the cable caught on ups and moved it fo $9, $0.00 $0.00 $9, /1/ GARCIA, CELIA 11/14/2016 Closed AS WALKING ON THE FIELD SHE MISSED A STEP AND FELL ON A 3INCH STEP INJURING HER BOTH KNEES, BOTH H $ $0.00 $0.00 $ /1/ HERNANDEZ, MARIA 11/13/2016 Closed PAIN TO BACK AND RIGHT FOOT. "INJURY THAT OCCURRED ON 11/13/16, WHICH WAS WORK RELATED." PER MEDNA $98.85 $0.00 $0.00 $ /1/ Cazares, Margarita 11/11/2016 Closed The employee removed a tray of bread from the oven when the tray fell on her chest, right arm, rig $ $0.00 $0.00 $ /1/ RIVERA, FABIOLA 11/10/2016 Closed THERE WAS SALT OR SUGAR ON THE FLOOR AND SHE SLIPPED AND FELL HURTING HER RIGHT KNEE. $0.00 $0.00 $0.00 $ /1/ MERLA, JUAN C 11/9/2016 Closed EE WAS LANDING PALLET ON TO THE PLATFORM AND THE PALLET MOVED CAUSING HIM TO FALL LANDING ON HIS K $0.00 $0.00 $0.00 $ /1/ GONZALEZ, JOSE LUIS 11/8/2016 Closed TRIP AND FALL WHILE RAKING IN THE PARKING LOT. $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 7 of 20

8 Date Number ant Name Date of Loss 9/1/ DYER, REBECCA 11/4/2016 Closed AS EE WAS TAKING OUT THE ICE CHEST AFTER BREAKFAST SHE TURNED AROUND TO GET THE TRASH CAN AND TWIS $0.00 $0.00 $0.00 $ /1/ FLORES, SOFIA 11/3/2016 Closed AFTER DISMISSAL SHE ENTERED FRONT OF THE SCHOOL DOOR AND SLAMMED ON HER LEFT TOE AND PUNCTURED IT. $0.00 $0.00 $0.00 $ /1/ URBINA, CLAUDIA 11/3/2016 Closed EE WAS GOING DOWN STAIRS AND SHE SLIPPED AND SPRAINED HER RIGHT ANKLE. $0.00 $0.00 $0.00 $ /1/ AYALA, JESSICA 11/3/2016 Closed TWO GIRLS WERE FIGHTING AND WERE ON THE FLOOR SO EE PULLED ONE GIRL AWAY TO STOP THE FIGHT WHEN EE $0.00 $0.00 $0.00 $ /1/ YDROGO, ASHLEY 11/2/2016 Closed The employee was guiding a student who was vomiting to the nearest trash can during lunch duty whe $2, $0.00 $0.00 $2, /1/ Islas, Alma 11/2/2016 Closed EE WAS LEAVING FOR THE DAY AND AS SHE WAS WALKING ON THE SIDEWALK SHE TRIPPED OVER THE UNEVEN SIDE $0.00 $0.00 $0.00 $ /1/ YORK, PILAR 11/1/2016 Closed EE WAS ROCKING A STUDENT ON A ROCKING CHAIR TO COMFORT HIM AND THE CHAIR BROKE AND SHE FELL DOWN H $0.00 $0.00 $0.00 $ /1/ LOPEZ, PATRICIA 11/1/2016 Closed Fell from a high chair and injured her left knee. $0.00 $0.00 $0.00 $ /1/ LUNA, MARIA ELENA 10/31/2016 Closed EE WAS WORKING IN HER AREA WHEN ANOTHER EMPLOYEE BUMPED INTO EE FALLING BACKWARDS INJURING HER LEF $ $0.00 $0.00 $ /1/ VALENZUELA, RICARDO 10/31/2016 Closed A STUDENT HAD EPISODE AND RAN INTO HALLWAY, GOT A WET FLOOR SIGN AND THREW IT AT THE EMPLOYEE. STU $0.00 $0.00 $0.00 $ /1/ GUERRA, SEAN MICHAEL 10/31/2016 Closed THE EMPLOYEE WAS LEANING TO SHIFT SOME ITEMS WHEN HE FELL HITTING HIS RIGHT SIDE SHOULDER, HEAD, A $2, $0.00 $0.00 $2, /1/ FALCON, LAURA 10/28/2016 Open Ms. Falcon was transferring a student to a different wheelchair, and the student lost their balanc $26, $9, $0.00 $36, /1/ GONZALEZ, ARMINDA 10/28/2016 Closed EE WAS DOING A HOME VISIT AND GOT DOWN FROM HER CAR AND WAS AT THE SIDEWALK AND A SMALL DOG BIT HE $ $0.00 $0.00 $ /1/ Rodriguez, Guadalupe 10/27/2016 Closed Employee was sitting down between a table metal pole. When she got up from the table she forgot ab $5, $0.00 $0.00 $5, /1/ TOBIAS, JOSE S 10/27/2016 Closed The employee was fixing a doorframe, and a shelf fell on the top of his head as he did so. $0.00 $0.00 $0.00 $ /1/ PREVOST, MARY A 10/27/2016 Closed On 10/27, Ms. Prevost was walking down a handicap ramp at work when she tripped and fell onto both $1, $0.00 $0.00 $1, /1/ BARRIENTOS, NORMA 10/27/2016 Closed AS EE WAS DISMISSING STUDENTS, A STUDENT CAME AROUND HER AND AS SHE STEPPED BACK SHE TRIPPED OVER $2, $0.00 $0.00 $2, /1/ LOZANO, MARTHA A 10/26/2016 Closed EE WAS BITTEN ON LEFT LATERAL FOREARM BY SOME INSECT AS SHE TRIED TO SWAP IT AWAY. $0.00 $0.00 $0.00 $ /1/ MADRIGAL, NANCY A 10/26/2016 Closed EE WAS COMING OUT OF THE TACHER'S LOUNGE WHEN CUSTODIAN WITH DRY MOP PASSED AND HIT EE AND FELL ON $13, $0.00 $0.00 $13, /1/ AYALA, HUMBERTO MARTIN 10/25/2016 Closed WHILE DRIVING TO WORK SITE, EE WAS STOPPED AT A RED LIGHT ON SAN BERNARDO AND WASHINGTON ST WHEN H $0.00 $0.00 $0.00 $ /1/ URBINA, ARTURO 10/25/2016 Closed WHILE GOING TO WORK SITE, EE WAS A PASSENGER IN THE VEHICLE AND WERE AT A RED LIGHT ON SAN BERNAR $0.00 $0.00 $0.00 $ /1/ CANTU, ROGELIO 10/25/2016 Closed EE WAS WORKING ON A FREEZER MOTOR AND WAS CUTTING STRAP HITTING HIM ON HIS RIGHT EYE. $ $0.00 $0.00 $ /1/ SANCHEZ, LUCIO 10/24/2016 Closed EE WAS CUTTING GRASS ON THE EDGE OF THE SIDEWALK AND STEPPED BACK AND BUMPED WITH A CAR CEMENT BUM $1, $0.00 $0.00 $1, /1/ ORTIZ, PATRICIA P 10/24/2016 Closed The employee was lifting a student from the Rifton wheelchair to the changing table, and she felt $2, $0.00 $0.00 $2, /1/ TORRES, FAUSTO 10/24/2016 Closed The employee was getting down from the truck and put his left hand on the truck, his coworker clos $0.00 $0.00 $0.00 $ /1/ Martinez, Lydia 10/24/2016 Closed The employee was stopping a fight when a student pushed her, causing her to fall down and land on $ $0.00 $0.00 $ /1/ ROLAN, ERICA L 10/21/2016 Closed EE STOPPED STUDENT FROM RUNNING FROM THE CLASSROOM AND FELL DOWN AND LANDED ON HER RIGHT KNEE $ $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 8 of 20

9 Date Number ant Name Date of Loss Expenses CC 9/1/ PANTOJA, GABRIEL 10/20/2016 Closed EE WAS PICKING UP STUDENT DESK AND SWIVELED HITTING HIM ON HIS LEFT EYE. $0.00 $0.00 $0.00 $ /1/ MENDIVE, JUANA EDITH 10/20/2016 Closed Stepped on a rock and fell down. She injured her knees, right elbow and twisted her left foot. $0.00 $0.00 $0.00 $ /1/ JUAREZ, VIRGINIA 10/20/2016 Closed The employee was getting ready for dismissal and she walked between chair and table and fell down $0.00 $0.00 $0.00 $ /1/ Garza, Maria A 10/19/2016 Closed Ms. Maria Garza picked trash bag and threw in tall garbage bin and felt a strain on neck and right $ $0.00 $0.00 $ /1/ PAYNE, MICHELLE RENEE 10/18/2016 Closed WALKING UP THE STAIRWAY AND MISSED A STEP AND LANDED ON HER HANDS TO PREVENT FALL. INJURED BOTH HA $0.00 $0.00 $0.00 $ /1/ IBARRA, ANTONIO JESUS 10/17/2016 Closed WHILE EMPLOYEE WAS REMOVING THE LEGS FROM THE STAGE TABLE IT FELL ON TOP OF EMPLOYEE HITTING HIM O $0.00 $0.00 $0.00 $ /1/ MORALES, REBECCA 10/13/2016 Closed AS EE WALKED INTO CLASSROOM SHE SLIPPED AND FELL ON HER RIGHT KNEE AND RIGHT ANKLE. HER LEFT LEG W $0.00 $0.00 $0.00 $ /1/ VARGAS, JAMIE C 10/13/2016 Closed EE WAS WALKING AND SLIPPED AND FELL WHEN HER RIGHT FOOT GAVE OUT LANDING ON HER KNEES. $1, $0.00 $0.00 $1, /1/ MADRIGAL, NANCY A 10/12/2016 Closed The floor was slippery and the employee fell onto her knees and was holding herself with her hands $0.00 $0.00 $0.00 $ /1/ RANGEL, DOLORES ELIZABE 10/11/2016 Closed EE WAS USING THE BUFFER WHEN IT GOT TANGLED WITH THE REFRIGERATOR CORD AND WHEN SHE PULLED IT SHE $0.00 $0.00 $0.00 $ WALKING TO BUILDING AND WHILE ON STAIRS SHE STEPPED ON AN UNEVEN STEP 9/1/ AGUILAR, MARIA VICTORIA 10/11/2016 Closed AND FELL LANDING ON HER KNEE $0.00 $0.00 $0.00 $ /1/ Gonzalez, Diana 10/11/2016 Closed Employee was kicked in the right knee by a misbehaving child. $12, $0.00 $0.00 $12, /1/ SOLDEVILLA, NOHEMI 10/11/2016 Closed EE WAS CUTTING PEACHES AND WITH THE KNIFE SHE CUT HER LEFT INDEX FINGER. $1, $0.00 $0.00 $1, /1/ ARREDONDO, MARIA DE JES 10/11/2016 Closed DIRECTING TRAFFIC ON MALINCHE ST WHEN SHE STARTED WALKING BACKWARDS AND BUMPED INTO A CONE AND FEL $0.00 $0.00 $0.00 $ /1/ ALMANZA, ELIZABETH 10/11/2016 Closed Employee was doing things real fast, when she hit herself with the drawer on her right hand. $0.00 $0.00 $0.00 $ /1/ GUTIERREZ, VERA DOROTHE 10/11/2016 Closed SLIPPED OFF THE CHAIR AND FELL DOWN HURTING HER LEFT ARM. $0.00 $0.00 $0.00 $ /1/ MENDOZA, ANA 10/11/2016 Closed The employee was in a food prep area when a coworker bumped her, causing her to slip and injure he $0.00 $0.00 $0.00 $ /1/ RUBIO, YOLANDA M 10/10/2016 Closed LEFT SHOULDER, HIP,KNEE CONTUSION. LT HIP, LT KNEE. CLAIM CREATED FROM DWC73. $ $0.00 $0.00 $ /1/ Zarate, Gloria 10/7/2016 Closed As EE was grabbing a student throwing water in the sink, he kicked and tripped her causing her rig $ $0.00 $0.00 $ /1/ SOLIS, DIANA 10/7/2016 Closed Was cleaning table and student stood and she tripped with child's foot injuring her left leg and a $ $0.00 $0.00 $ /1/ CORTEZ, LILIA E 10/7/2016 Closed The employee fell in the hallway hurting her left knee and left elbow. $0.00 $0.00 $0.00 $ /1/ HOLGUIN, DELIA 10/5/2016 Closed The garage door had to be lifted but it was not able to go all the way up. She went underneath the $0.00 $0.00 $0.00 $ /1/ VILLANUAVA, OSCAR 9/30/2016 Closed Employee was emptying trash bin and was struck by a needle that was sticking out, index finger pun $ $0.00 $0.00 $ /1/ Lozano, Erika Del Carme 9/29/2016 Closed AS EE WAS WALKING FROM HER CLASSROOM SHE TWISTED HER RIGHT ANKLE AND FELL $1, $0.00 $0.00 $1, /1/ ARMENTA, JOEL 9/27/2016 Closed Employee punctured his left thumb on an jagged edge on the stove. *Reporting purposes only* $0.00 $0.00 $0.00 $ /1/ RIOS, EULALIO 9/27/2016 Closed EE WAS CARRYING A 12' LADDER AND WALKING DOWN HILL TOWARDS SIDEWALK WHEN HE SLIPPED AND LOST CONT $1, $0.00 $0.00 $1, /1/ ESPINOZA, DIANA M 9/27/2016 Closed The employee was sitting on bottom bleacher when a student pushed another student who was sitting $0.00 $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 9 of 20

10 Date Number ant Name Date of Loss 9/1/ Benavides, Sara A 9/22/2016 Closed Ms. Sara Benavides was trying to confiscate a calculator that student got from teacher's desk and $ $0.00 $0.00 $ /1/ RODRIGUEZ, YVETTE 9/22/2016 Closed SLIPPED ON THE STAIRS AND FELL ON BOTH KNEES. $0.00 $0.00 $0.00 $ /1/ SALDANA, JUAN JOSE 9/20/2016 Closed Employee was in the classroom with students when they began pushing desks & he was struck on his l $0.00 $0.00 $0.00 $ /1/ URESTI, ESMERALDA 9/19/2016 Closed Employee was blocking the entrance classroom door for the student not to leave and all of a sudden $ $0.00 $0.00 $ /1/ ARELLANO, ALMA D 9/16/2016 Closed THE EMPLOYEE SLIPPED (SPLIT TYPE) AT THE CAFETERIA DUE TO CORN ON THE FLOOR AND STARTED BLEEDING F $2.85 $0.00 $0.00 $ /1/ BRISENO, MARISELA 9/15/2016 Closed Employee was performing job duties during lunch time and a student fell back and hit her right, lo $0.00 $0.00 $0.00 $ /1/ RODRIGUEZ, DANIELA 9/15/2016 Closed During a lesson a student dropped a ball he was holding, employee tried to catch it and hold it. S $0.00 $0.00 $0.00 $ /1/ PERUSQUIA, LARISSA 9/15/2016 Closed EE WAS WALKING DOWN THE STAIRS AND SKIPPED SECOND TO LAST STEP FALLING HEAD FIRST AND LANDING ON H $0.00 $0.00 $0.00 $ /1/ CHANEY, JOHANNA 9/12/2016 Closed EE TRIPPED OVER A CHAIR AND FELL ON TOP OF A DESK WHICH BROKE FALLING ON HER INJURING HER RIGHT S $1, $0.00 $0.00 $1, /1/ HINOJOSA, JUAN CARLOS 9/12/2016 Closed EE WAS WITH STUDENT ASSISTING STUDENT WITH A CLOTHING CHANGE AS EE LIFTED STUDENT HE FELT A SHARP $ $0.00 $0.00 $ /1/ BOTELLO, DONNA 9/10/2016 Closed She bent over to pick up child that was crying and felt pain in R knee $3, $0.00 $0.00 $3, Employee turned on left foot to pick up tennis rackets and stepped, slipped on the 9/1/ Colin, Lee Ellen 9/9/2016 Closed bag with right $27, $0.00 $0.00 $27, /1/ VELOZ, MARIA 9/8/2016 Closed Employee arrived to work in the morning and tripped in the parking lot. $ $0.00 $0.00 $ /1/ OLGUIN, VIRGINIA 9/8/2016 Closed Ms. Olguin Vehicle was rear ended upon returning to campus from a home visit injuring her left sid $1, $0.00 $0.00 $1, /1/ Cruz Saenz, Nora Elsa 9/8/2016 Closed Ms. Nora Cruz Saez was dismissing students, tripped on a speed bump and fell injuring her right kn $1, $0.00 $0.00 $1, /1/ Cazares, Margarita 9/7/2016 Open THE EMPLOYEE LIFTED A HEAVY BAG OF TRASH AND HEARD A POP ON HER LOWER BACK. $10, $5, $0.00 $15, /1/ Gonzalez, Juan F 9/6/2016 Closed Mr. Juan Gonzalez was at a red light when the vehicle he was in was hit from behind. $3, $0.00 $0.00 $3, /1/ GONZALEZ, MARIA DE LA L 9/6/2016 Closed LEAVING THE ROOM TO RUN AFTER A STUDENT THAT HAD LEFT THE CLASSROOM, EE CUT HER LEFT HAND MIDDLE F $0.00 $0.00 $0.00 $ /1/ MARTINEZ, MARIO 9/5/2016 Closed Employee was conducting traffic when he tripped on the curb & fell backwards onto his buttocks. $3, $0.00 $0.00 $3, /1/ GARCIA, JESUS 9/2/2016 Closed WHILE CLEANING THE AUDITORIUM HE WENT TO PUT BACK THE BUCKET ON STAGE AND WAS TO CLOSE TO THE EDGE $ $0.00 $0.00 $ /1/ LOZANO, HECTOR V 9/1/2016 Closed Contusion to upper back. A special ed student came from behind and hit the employee on the back. $0.00 $0.00 $0.00 $ /1/2016 9/1/ TELLO, NORA 8/30/2016 Closed 9/1/ VALDEZ, SILVIA ADRIANA 8/29/2016 Closed 9/1/ Tobias, Jose Samuel 8/29/2016 Closed 9/1/ JUAREZ, REBECCA 8/29/2016 Closed 9/1/ MARTINEZ, LYDIA 8/26/2016 Closed $433, $70, ($595.82) $503, EE opened the door to the classroom and she hit her right hand, two middle fingers with bookshelf. $0.00 $0.00 $0.00 $ ONE OF THE STUDENTS HAD A CRISIS AND EE AND TWO OTHER EMPLOYEES WERE TRYING TO CONTROL A STUDENT B $0.00 $0.00 $0.00 $ Mr. Jose Tobias was bitten on the left forearm by a student as he attempted CPI technique on stude $ $0.00 $0.00 $ The employee was walking out of the main building and tripped on her pants and fell backwards sust $0.00 $0.00 $0.00 $ EMPLOYEE FELL ON HER WAY BACK FROM THE FIRE DRILL. SHE TRIPPED AND FELL HURTING HER RIGHT KNEE. $ $0.00 $0.00 $ G:\#clients\Laredo ISD\2018\s PC\Misc\Loss Runs\WC req\laredo ISD WC valued Page 10 of 20

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