No.

HEAD

Grade

Traumatic Head Injuries to

1

Apperture unfilled with borne not over three(3) inches without brain injury

9

2.

Apperture unfilled with borne over three (3) inches without brain injury

3

3.

Severe paralysis of both upper or lower extremities or one upper and one lower extremity

1

4.

Moderate paralysis of two (2) extremities producing moderate difficulty with self care activities

6

5.

Slight paralysis affecting one extremity producing slight difficulty with self-care activities

10

6.

Severe mental disorder or Severe Complex Cerebral function disturbance or post-traumatic psychoneurosis which require regular aid and attendance as to render passenger/crew permanently unable to perform any work

1

7.

Moderate mental disorder or moderate brain functional disturbance which limits passenger/crew to the activities of daily living with some directed care or attendance

6

8.

Slight mental disorder or disturbance that requires little attendance or raid and which interferes to a slight degree with the capacity of the claimant

10

9.

Incurable imbecility

1

No.

FACE

Grade

Severe disfigurement of the face or head as to make the passenger so repulsive as to greatly handicap him in securing or retaining employment, thereby being no permanent functional disorder

2

Moderate facial disfigurement involving partial ablation of the nose with big scars on face or head

5

Partial ablation of the nose or partial avulsion of the scalp

9

Complete loss of the power of mastication and speech function

1

Moderate constriction of the jaw resulting in moderate degree of difficulty in chewing and moderate loss of the power or the expression of speech

6

Slight disorder of mastication and speech function due to traumatic injuries to jaw or cheek bones

12

No.

EYES

Grade

1.

Blindness or total and permanent loss of vision of both eyes

1

2.

Total blindness of one (1) eye and fifty percent (50%) loss of vision of the other eye

5

3.

Loss of one eye or total blindness of one eye

7

4.

Fifty percent (50%) loss of vision of one eye

10

5.

Lagopthalmos, one eye

12

6.

Ectropion, one eye

12

7.

Ephiphora, one eye

12

8.

Prosis, one eye

12

NOTE: (Smeller ™s Chart - used to grade distant vision)

No.

NOSE AND MOUTH

Grade

1

Considerable stricture of the nose (both sides) hindering breathing

11

2.

Loss of the sense of hearing in one ear

11

3.

Injuries to the tongue (partial amputation or adhesion) or palate-causing defective speech

10

4.

Loss of three (3) teeth restored by prosthesis

14

No.

EARS

Grade

1.

For the complete loss of the sense of hearing on both ears

3

2.

Loss of two (2) external ears

8

3.

Complete loss of the sense of hearing in one ear

11

4.

Loss of one external ear

12

5.

Loss of one-half ( ) of an external ear

14

No.

NECK

Grade

1.

Such injury to the throat as necessitates the wearing of a tracheal tube

6

2.

Loss of speech due to injury to the vocal cord

9

3.

Total stiffness of neck due to fracture or dislocation of the cervical pines

8

4.

Moderate stiffness or two-thirds (2/3) loss of motion of the neck

10

5.

Slight stiffness of neck or one-third (1/3) loss of motion

12

No.

CHEST-TRUNK-SPINE

Grade

1.

Fracture of four (4) or more ribs resulting to severe limitation of chest expansion

6

2.

Fracture of four (4) or more ribs with intercostal neuralgia resulting in moderate limitation of chest expansion

9

3.

Slight limitation of chest expansion due to simple rib functional without myositis or intercostal neuralgia

12

4.

Fracture of the dorsal or lumbar spines resulting to severe or total rigidity of the trunk or total loss of lifting power of heavy objects

6

5.

Moderate rigidity or two-thirds (2/3) loss of motion or lifting power of the trunk

8

6.

Slight rigidity or one-third (1/3) loss of motion or lifting power of the trunk

11

7.

Injury to the spinal cord as to make walking impossible without the aid of a pair of crutches

4

8.

Injury to the spinal cord as to make walking impossible even with the aid of a pair of crutches

1

9.

Injury to the spinal cord resulting to incontinence of urine and feces

1

No.

ABDOMEN

Grade

1.

Loss of the spleen

8

2.

Loss of the kidney

7

3.

Severe residuals of impairment of intra-abdominal organs which requires regular aid and attendance that will unable worker to seek any gainful employment

1

4.

Moderate residuals of disorder of the intra-abdominal organs secondary to trauma resulting to impairment of nutrition, moderate tenderness, nausea, vomiting, constipation or diarrhea

7

5.

Slight residuals or disorder of the intra-abdominal organs resulting in impairment of nutrition, slight tenderness and/or constipation or diarrhea

12

6.

Inguinal hernia secondary to trauma or strain

12

No.

PELVIS

Grade

1.

Fracture of the pelvic rings as to totally incapacitate passenger/crew to work

1

2.

Fracture of the pelvic ring resulting to deformity and lameness

6

No.

URINARY AND GENERATIVE ORGANS

Grade

1.

Total loss of penis

7

2.

Total loss of both testicles

7

3.

Total loss of one testicle

11

4.

Scars on the penis or destruction of the parts of the cavernous body or urethra Interfering with erection or markedly affecting coitus

9

5.

Loss of one breast

11

6.

Prolapse of the uterus

6

7.

Great difficulty in urinating

13

8.

Incontinence of urine

10

No.

THUMBS AND FINGERS

Grade

1.

Total loss of one thumb including metacarpal bone

9

2.

Total loss of one thumb

10

3.

Total loss of one index finger including metacarpal bone

10

4.

Total loss of one index finger

11

5.

Total loss of one middle finger including metacarpal bone

11

6.

Total loss of one middle finger

12

7.

Total loss of one ring finger including metacarpal bone

12

8.

Total loss of one ring finger

13

9.

Total loss of one small finger including metacarpal bone

13

10.

Total loss of one small finger

14

11.

Loss of two (2) or more fingers: Compensation for the loss or loss of use of two (2) or more fingers or one (1) or more phalangers of two or more digits of a hand must be proportioned to the loss of the hand occasioned thereby but shall not exceed the compensation for the loss of a hand

a.         Loss of five (5) fingers of one hand

6

b.         Loss of thumb, index fingers and any of 2 or more fingers of the same hand

6

c.         Loss of the thumb index fingers and any of 2 or more fingers of the same hand

7

d.         Loss of thumb and index finger

8

e.         Loss of three (3) fingers of one hand not including thumb and index finger

9

f.          Loss of the index finger and any one of the fingers of the same hand excluding thumb

9

g. Loss of two (2) digits of one hand not including thumb and index finger

10

12.

Loss of ten (10) fingers of both hand

3

No.

HANDS

Grade

1.

Total loss of use of both hands or amputation of both hands at wrist joints of above

1

2.

Amputation of a hand at carpo-metacarpal joints

5

3.

Amputation between wrist and elbow joint

5

4.

Loss of grasping power for small objects between the fold of the finger of one hand

10

5.

Loss of grasping power for large objects between fingers and palm of one hand

10

6.

Loss of opposition between the thumb and tips of the fingers of one hand

9

7.

Ankylosed wrist in normal

10

8.

Ankylosed wrist in position one third (1/3) flexed or half extended and or severe limited action of a wrist

11

No.

SHOULDER AND ARM

Grade

1.

Inability to turn forearm (forearm in normal position-supination)

11

2.

Inability to turn forearm (forearm in abnormal position-pronation)

10

3.

Disturbance of the normal carrying angle or weakness of an arm or a forearm due to deformity of moderate atrophy of muscles

11

4.

Stiff elbow at full flexion of extension (one side)

7

5.

Stiff elbow at right angle flexion

8

6.

Flail elbow joint

9

7.

Pseudoarthrosis of the humerus with musculospiral or radial paralysis

6

8.

Ankylosis of one shoulder the shoulder blade remaining rigid

9

9.

Ankylosis of one shoulder the shoulder blade remaining rigid

8

10.

Unreduced dislocation of one (1) shoulder

8

11.

Ruptured biceps or pseudoarthrosis of the humerus, close (one side)

11

12.

Inability to raise arm more than halfway from horizontal to perpendicular

11

13.

Ankylosis of the shoulder joint not permitting arm to be raised above a level with a shoulder and/or irreducible fracture or faulty union collar bone

10

14.

Total paralysis of both upper extremities

1

15.

Total paralysis of one upper extremity

3

16.

Amputation of one (1) upper extremity at or above the elbow

4

17.

Sear the size of the palm in one extremity

14

No.

LOWER EXTREMITIES

Grade

1.

Loss of a big toe

12

2.

Loss of a toe other than the big one

14

3.

Loss of ten (10) digits of both feet

5

4.

Loss of a great toe of one foot - one toe

10

5.

Loss of two (2) toes not including great toe or toe next to it

12

6.

Loss of three (3) toes excluding great toe of a foot

10

7.

Loss of four (4) excluding great toe of a foot

9

8.

Loss of great toe and two (2) other toes of the same foot

9

9.

Loss of five digits of a foot

8

10.

Loss of both feet at ankle joint or above

1

11.

Loss of one foot at ankle joint or above

6

12.

Depression of the arch of a foot resulting in weak foot

12

13.

Loss of one-half ( ) metatarsus or forepart of foot

8

14.

Loss of whole metatarsus or forepart of foot

7

15.

Tearing of achilles tendon resulting in the impairment of active flexion and extension of a foot

12

16.

Malleolar fracture with displacement of the foot inward or upward

10

17.

Complete immobility of an ankle joint in abnormal position

10

18.

Complete immobility of an ankle joint in normal position

11

19.

Total of loss of a leg or amputation at or above the knee

3

20.

Stretching of leg of the ligaments of a knee resulting in instability of joint

10

21.

Ankylosis of a knee in genuvalgus of varus

10

22.

Pseudoarthrosis of a knee cap

10

23.

Complete immobility of a knee joint in full extension

10

24.

Complete immobility of a knee joint in strong flexion

7

25.

Complete immobility of a hip joint in flexion of the thigh

5

26.

Complete immobility of a hip joint in full extension of the thigh

9

27.

Slight atrophy of calf or leg muscles with apparent shortening or joint lesion or disturbance weight-bearing line

13

28.

Shortening of a lower extremity from one to three centimeters with either joint lesion or disturbance of weight-bearing joint

13

29.

Shortening of 3 to 6 cm. with slight atrophy of calf or thigh muscles

12

30.

Shortening of 3 to 6 cm. with either joint lesion or disturbance of weight-bearing point

11

31.

Irregular union fracture with joint stiffness and with shortening of 6 to 9 cm. producing permanent lameness

9

32.

Irregular union of fracture in a thigh or leg with shortening of 6 to 9 cms.

10

33.

Failure of fracture of hips to unite

1

34.

Failure of fracture of a hip to unite

3

35.

Paralysis of both lower extremities

1

36.

Paralysis of one lower extremity

3

37.

Scar the size of a palm or larger left on an extremity

14