Depar

tmentofL
abora
n dE
mp l
oyment
OCCUP
ATIONALSAFET
YANDHE AL
THCENTER

DOLE
fey
t t
andHealh
ructo
in Sa
Const ate
Program Templ
Compr ehensive)
(
 CONSTRUCTION SAFETY AND HEALTH PROGRAM
Template (Comprehensive)

1. Statement of Commitment to Comply with OSH Requirements

I/WE (Name of Contractor’s Authorized Official and/or Project

Owner), by accomplishing this Construction Safety and Health Program,
do hereby commit and bind ourselves to comply with the requirements
of the Department Order No. 13, series of 1998 – Guidelines Governing
Occupational Safety and Health in the Construction Industry and the applicable
provisions of the Occupational Safety and Health Standards (OSHS).

We (also) acknowledge our obligation and responsibilities to

provide throughout the course of the project the appropriate Personal
Protective Equipment (PPE) as added protection for our workers and employees.

We also (hereby) commit to implement the necessary job safe-

ty and health instructions and training to all our workers for the entire (during
the) duration of the project, as well as the safety of the general public.

____________________________ ___________________________
Name of Project Owner Name of Contractor
Signature over Printed Name Signature over Printed Name
2. Company Safety and Health Policy Gen. Building Construction
Gen. Engineering Construction
It is the general policy of (Name of Contractor/company) to perform work Specialty Trade Construction
in the safest manner possible consistent with good construction practices. To ful- Others, specify:
fill the requirements of this policy, an organized and effective Construction Safe- __________________
ty and Health Program as described in this program and in consonance with
DOLE D.O. No. 13 and the OSH Standards must be carried out on every project.

To achieve these objectives, we are committed to perform the following:

v. Name of Construction Project vi. Name of Project Manager/
2.1. Identifying potential hazards that may arise from the programmed work Manager /Consultant, if any (a person Contact Number (the overall technical
activities; or entity hired by the project owner), personnel of the general constructor
2.2. Organizing the work activities so as to minimize the risk arising from them; to act in the owner’s behalf concerning and or the subcontractor in charge of
2.3. Developing and implementing project specific safety and health program; supervision and monitoring of all the actual execution of this project)
2.4. Establishing and enforcing all necessary safe work procedures, rules and matters related to the overall execution
regulations; of this project. It shall be a separate entity
2.5 Ensuring that all workers are given orientation/briefing or induction prior from the general constructor or any sub-
to deployment to the site; contractor of the construction project
2.6 Establishing a site safety and health committee to act as policy-making
body of the project on all issues pertaining to safety and health;
2.7 Ensuring the conduct of daily toolbox meetings;
2.8 Establishing a system of follow-up of actions and periodic assessment to check
program effectiveness.
3.0 Project Details
vii. Name of Resident Engineer, if any viii. Name and Classification of Constructors
(a duly licensed engineer who shall be (synonymous to builders who under-
i. Specific name of project and Name of ii. Location of the project: tasked to be present at the construction take or offer to undertake or purport to
Owner: site at all times, whenever work is being have the capacity to undertake or sub-
undertaken, and shall have the responsibility mit a bid to, or do themselves or by or
of assuring the technical conformance through others, construct, alter, repair,
of all designs, materials, processes, work add to, subtract from, improve, move,
procedures rendered for the execution of wreck or demolish any building, high-
this project, including safety and health of way, road, railroad, excavation or other
iii. Classification of the project: iv. Name of General Constructor (constructor who all persons within the construction site) structures, project, development or im-
hasgeneralsupervisionoverother constructors provement, or to do any part thereof, in-
in the execution of this project and who directly cluding the erection of scaffolding or other
receives instructions from the owner structures or works in connection with this
or construction project manager, if any) project. The term constructor includes
subcontractor and specialty contractor.)
 Name Classification xiv. Total Project Cost

1.

2.

3. xv. Total Cost on OSH (breakdown)

(Use additional sheet if necessary)

ix. Estimated maximum number of x. Work Hours (including shift) (Use additional sheet if necessary)
workers
1st shift: from ________ to_________
2nd shift: from ________ to_________ 4. Construction Safety & Health Committee
3rd shift: from ________ to_________
Others: __________________________ Section 11 of D.O. No. 13 requires that rules of Construction Safety and
Health Program must be observed and enforced at the project site, each site
shall, at the start of the construction have a construction safety and health
committee. With respect to this project, the committee will be organized in
xi. Estimated number of heavy equipment: xii. Projected dates of commencement
accordance with the requirements of Rule 1040 of the Occupational Safety and
and completion
Health (OSH) Standards of the Department of Labor and Employment (DOLE).
Backhoe: _____ Dozer: _____ Start Date: _______________________
Loader: _____ Dumptruck: _____ End Date: ________________________ 4.1 Composition of Construction Safety and Health Committee (CSHC)
Crane: _____ Grader: ______ Est. Days to Complete: ______________ Our CSHC at the (Name of Project) is composed of:
others, specify: __________________
4.1.1. Project Manager or his representative as the chairperson ex-officio
xiii. Name and address of Emergency Health Provider (any person or organiza- Name: ______________________________________________
tion who is certified or recognized by the Department of Health and who can pro- 4.1.2 General Construction Safety and Health Officer/s (overall in charge
vide the same or equivalent emergency health services as an emergency hospital, in the implementation of the OSH program of this project hired by the
including emergency treatment or workers on site, emergency transport and care General Constructor. Please attach certificate of training/s prescribed by
during transport of injured workers to the nearest hospital, with adequate personnel, DOLE. Numbers will be dependent on the numbers of workers and heavy
supplies and facilities for the complete immediate treatment of injuries or illnesses) equipment)
Name: ________________________________________________
Name: ________________________________________________
Name: ________________________________________________
4.1.3. Construction Safety and Health Officer/s from Subcontractors
any employee/worker trained and, in addition to their regular duties and
responsibilities tasked by his employer to implement occupational safety
and health program in accordance with the provisions of the OSH Standard.
Please attach certificate of training/s prescribed by DOLE).
Name:_____________________________________________
Company: __________________________________________
 Name:_____________________________________________ 4.2.7.1 Summary of all safety and health committee meeting agreements;
Company: __________________________________________ 4.2.7.2 Summary of all accident investigation reports using the
Name: _____________________________________________ DOLE/BWC/ OHSD/IP-6 form;
Company: __________________________________________ 4.2.7.3 Periodic hazards assessment with the corresponding remedial
Name: _____________________________________________ measures/actions for each hazard;
Company: __________________________________________ 4.2.7.4 Annual Medical Report using the form DOLE/BWC/HSD/OH-47-A
4.1.4. Occupational Health Personnel (qualified first-aider, nurse, dentist, (if the duration of the project is more than one year);
or physician, engaged by the employer to provide occupational health services 4.2.7.5 Initiates and supervises safety and health training for employees.
in the establishment/undertaking. Please attach certificate of training/s (Check on the boxes or list down the training to be provided for
prescribed by DOLE): workers and employees).
Name: ______________________________________________ □ 40-Hour Construction Occupational Safety and Health Course
Designation: _________________________________________ □ 1-Day Workers Safety & Health Orientation
Name: ______________________________________________ others, specify:
Designation: _________________________________________ ______________________________________________
Name: ______________________________________________ ______________________________________________
Designation: _________________________________________
4.1.5 Workers’ representatives (minimum of 3 union members if organized, 4.3 Duties of the Safety Man/Officer
not necessarily from one employer) The principal function of the Safety Man assigned to this project is to act as the
Name: ______________________________________________ employer’s (needs identification) principal assistant and consultant in the
Designation: _________________________________________ application of programs to remove the hazard from the workplace and to correct
Name: ______________________________________________ unsafe work practices. For this purpose, the Safety Man has the following duties:
Designation: _________________________________________ 4.3.1 Serves as Secretary to the SHC, as such will perform the following:
Name: ______________________________________________ 4.3.1.1 prepare minutes of meetings;
Designation: _________________________________________ 4.3.1.2 report status of recommendations made;
4.3.1.3 notify members of the meetings; and
4.2 Duties of the CSH Committee shall include but are not limited to the following: 4.3.1.4 submit (needs identification) to the employer a report of the
4.2.1 Plans, develops and oversees the accident prevention programs for the activities of the committee, including recommendations made.
construction project; 4.3.2 Acts as an advisory capacity on all matters pertaining to health and
4.2.2 Directs the accident prevention efforts of the establishment in accordance safety for guidance of the employer and the workers.
with the safety programs and performance and government regulations in 4.3.3 Conducts investigation of accident as member of the Health and
order to prevent accidents from occurring in the worksite; Safety Committee and submits his separate report and analysis of accident
4.2.3 Conducts safety meetings at least once a month. The committee will to the employer (needs identification).
hold a safety meeting every _____________ of the month; 4.3.4 Coordinates all health and safety training programs for the wokers/
4.2.4 Submits reports to the project manager on its meetings and activities employees and employer (needs identification).
one day after the meeting: 4.3.5 Conduct health and safety inspection as member committee.
4.2.5 Reviews reports of inspection, accident investigation and implementation 4.3.6 Maintains or helps in the maintenance of an efficient accident record
of program; system and coordinates actions taken by supervisors to eliminate accident
4.2.6 Provides necessary assistance to government inspecting authorities causes.
in the proper conduct of their activities specifically on the enforcement 4.3.7 Provide assistance to government agencies in the conduct of safety
of the provision of DOLE’s OSHS; and health inspection, accident investigation or any other related program.
4.2.7 Submits the monthly the following safety and health reports to the 4.3.8 For the purpose of effectiveness in the project site, the Safety Man
DOLE Regional Office having jurisdiction over the project: is to report directly to the employer (needs identification).
 4.4 Dangerous Occurrence or Major Accident instruction and training regarding the general safety and health measures we
In case of any dangerous occurrence or major accident resulting to death or plan to implement for this project, specifically:
permanent total disability, we will notify the DOLE Regional Office within 24 6.1.1 basic rights and duties of workers at the jobsite;
hours from occurrence. After the conduct of investigation by our concerned 6.1.2 means of access and egress both during normal work and in emergency
safety and health officer, we will report all permanent total disabilities to the situations;
DOLE Regional Office on or before the 20th of the month following the date 6.1.3 measures for good housekeeping;
of occurrence of accident using the DOLE/BWC/HSD-IP-6 form. 6.1.4 location and proper use of welfare amenities and first–aid facilities;
6.1.5 proper care of PPEs and other protective clothing;
5.0 Emergency Occupational Health Personnel and Facilities 6.1.6 general measures for personal hygiene and health protection;
6.1.7 fire precautions to be taken;
Section 8 of D.O. No. 13 states that the construction project owner or his rep- 6.1.8 action to be taken in case of any emergencies;
resentative shall provide competent emergency health personnel within the facilities 6.1.9 requirements of relevant health and safety rules and regulations.
based on the total number of workers in the site.
Below are the list of workers who have undergone the DOLE prescribed safety
5.1 Emergency Health Personnel and Facilities and health trainings and orientation:
Construction Number of Health Personnel & Facilities Name Title of training Remarks
Stages workers during attended
this stage Health Personnel Facilities

(Use additional sheet if necessary and attach all required training certificates in this section.)
(Use additional sheet if necessary)

6.0 Safety and Health Promotion & Education

7.0 Toolbox Meeting
The (Name of Company) is committed at ensuring that all workers or employees
D.O. No. 13 define toolbox meeting or gang meeting as a daily meeting among
are given orientation/briefing or induction prior to deployment to the site. It is our
workers and their respective supervisors for the purpose of instruction, discussion and
continuing effort to promote safety and health consciousness to all people involved this
proper briefing on the planned work, the assessment of past work, the possibility or
project by providing them with the necessary safety and health training and education to
actual occurrence of accidents at the site, tips and suggestions on how to prevent
enhance their knowledge and skills to enable us to attain a safe and healthful project
possible accidents and other related matters.
site.
7.1 Responsible for the Toolbox Meeting
6.1 Workers Safety and Health Orientation/Trainings
The following supervisor or any designated person (e.g. foreman, leadman, gang
We require new workers to attend our Safety and Health Orientation before
boss, etc.) is required to conduct daily toolbox or similar meetings prior to starting
they are deployed to this project site in consonance to Section 12 of the D.O. 13.
the tasks for the day to discuss with the workers and anticipate safety and
(Complete Name) health problems related to every task and the potential solutions to those
The assigned Safety Officer, Mr./Ms _____________________________________
problems. The supervisor will remind the workers on the necessary safety
will coordinate the conduct of this orientation. We ensure that they receive
precautions that need to be undertaken.
 Name of Supervisor Time of Toolbox Meeting Means of Documentation used to document your investigation)
(indicate shift, e.g. 1st, (attach sample
2nd, 3rd ) instrument) 8.3 Compliance with Government Requirements
We will submit the following reports to the DOLE Regional Officeconcerned:

8.3.1 In case of any dangerous occurrence or major accidents resulting to death

or permanent total disability using the form (DOLE/BWC/OHSD/IP – 6).
Notification of major accidents to DOLE Regional Office concerned will
be made within 24 hours.
8.3.2 Summary of Work Accident/Illness Exposure Data Report will be
submitted on or before the 20th of the month following the date of
occurrence of accident (for those projects with short duration or less than
(Use additional sheet if necessary)
one year duration).
8.3.3 Annual Work Accident/Illness Report using the form DOLE/BWC/
8.0 Accident/Incident/Illnesses Investigation & Reporting OHSD/IP – 6B for those construction projects with more than one year
duration.
We consider accident/incident/illnesses investigation and reporting as our
responsibility. Absenteeism can greatly affect our work schedule. Looking for replacement 9.0 Personal Protective Equipment (PPE)
can be costly for the company, the hiring effort, training of new workers, the loss of
job momentum affect our productivity. We involve our supervisors in this program because Section 6 of D.O. No. 13 requires that every employer shall, at his own expense,
they are more familiar with the people involved, they have better understanding of the furnish his workers with protective equipment for eyes, face, hands, feet, lifeline, safety
operation, and they have personal interest in the investigation since it’s their people belt/harness, protective shields and barriers whenever necessary by reason of the
who are involved. For this reason, the (Name of Company) is committed to include this hazardous work process or environment, chemical or radiological or other mechanical
responsibility to all supervisors and made them aware about it. irritants or hazards capable of causing injury or impairment in the function or any part
of the body through absorption, inhalation or physical agent.
8.1 Persons responsible for conducting investigation
In this project the following person/s will be assigned to conduct accident/ Provision of PPE shall be in accordance with Rule 1080 of the OSHS (must include Rule 1070
incident investigation: for noise). The equivalent cost for the provision of PPE (life span, depreciation, replacement,
etc.) shall be an integral part of the project cost.
All accidents All incidents/near miss Illnesses

Item No. Type of PPE Quantity Unit Price Total Cost

8.2 Conducting and documenting the accident/illnesses investigation

In conducting the accident/illness investigation, we gather facts, analyze them and (Use additional sheet if necessary)
make the necessary recommendation. (Please attach sample forms that will be
 9.1 Cleaning and Proper Maintenance of PPEs 11.0 Safety Signages
It is important that all PPE be kept clean and properly maintained. Cleaning is
particularly important for eye and face protection where dirty or fogged lenses Our safety signages provides warning to workers and employees and the public
could impair vision. Our workers or employees inspect, clean, and maintain about the hazards around the project site. These will be posted in prominent positions
their PPE according to the manufacturers’ instructions before and after each at strategic location visible as far as possible in a language understandable to most of
use. Our supervisors are responsible for ensuring that users properly maintain the workers and employees as well as the public.
their PPEs in good condition.
11.1 The specific safety signages we intend to set-up for this project include
We enforce our rule that PPEs must not be shared between workers or employees but not limited to:
until it has been properly cleaned and sanitized. PPEs are distributed for individual
use whenever possible. 11.1.1 Mandatory requirement on the usage of PPE prior to entry to the
project site (attach sample picture of this signage that you plan to use for
If workers or employees provide their own PPEs, we make sure that it is adequate this project);
for the work place hazards, and that it is maintained in a clean and stored in 11.1.2 Areas where there are potential risks of falling objects (if applicable,
a conducive condition. attach sample picture of this signage that you plan to use for this project);
11.1.3 Areas where there are potential risks of falling (if applicable, attach
We never allow the use of defective or damaged PPEs. We immediately discard sample picture of this signage that you plan to use for this project);
and replace them to avoid any unintentional use. 11.1.4 Areas where explosives and flammable substances are used or store
(if applicable, attach sample picture of this signage that you plan to use
We also consider the importance of ensuring that any contaminated PPE which for this project);
cannot be decontaminated is disposed of in a manner that protects workers 11.1.5 Areas where there are tripping or slipping hazards (if applicable,
or employees from exposure to hazards attach sample picture of this signage that you plan to use for this project);
11.1.6 Approaches to working areas where danger from toxic or irritant
10.0 Protection of the General Public airborne contaminants/substance may exist which should indicate the
name of the contaminant/substance involved and the type of respiratory
We comply with Rule 1412.09 of the DOLE OSH standard in providing a safe equipment to be worn (if applicable, attach sample picture of this signage
covered walkway over the sidewalk for use by pedestrians in a building construction that you plan to use for this project);
work less than 2.3 meter (7ft.) from a side walk or public road. 11.1.7 All places where contact with or proximity to electrical/facility
We comply with Rule 1412.10 of the OSH Standard, Protection from Falling Materials. equipment can cause danger (if applicable, attach sample picture of this
We observe the following: signage that you plan to use for this project);
11.1.8 All places where workers may come in contact with dangerous moving
10.1 We will take the steps to protect worker from falling materials, such as parts of the machineries or equipment (if applicable, attach sample picture
the provisions of safety helmets and safety shoes. of this signage that you plan to use for this project);
10.2 We will ensure that tools, objects and materials including waste materials) 11.1.9 Location of the fire alarms and fire-fighting equipment (attach
will not be thrown or tipped from a height, but will be properly lowered by sample picture of this signage that you plan to use for this project);
crane, hoist or chutes. If such is not practicable, the area where the material 11.1.10 Instructions on the usage of specific construction equipment (if
is thrown will be fenced and no person will be allowed in the fenced area. applicable, attach sample picture of this signage that you plan to use for
this project);
The person responsible for this program: 11.1.11 Periodic updating of man-hours lost.

Name: ______________________________________________ 11.2 Inspection and Maintenance of Safety Signages

Designation: _________________________________________ We will regularly inspect and maintain in good condition all safety signages
that we will be providing for this project. The person/s in charge in inspecting
 is/are (Complete Name/s) , he/she/they is/are our 14.2 Hazards Identified
(designation/s) . Inspection will be carried out on a (daily/ weekly/
monthly) basis. Based on the list of activities for this project, we found the following potential
hazards that we may possibly encounter in the course of project implementation:
Our _______________________will remove and replace any signages that
are damaged, illegible, or no longer apply with the current hazard. 14.2.1 Physical Hazards

12.0 Construction Workers Skills Certification Physical hazards are the most common in most workplaces. The physical
hazards that we identified for this project include but are not limited to
The company will ensure that all workers assigned in the critical occupations the following: (please check on the box all that applies)
as defined in Section 15 of D.O. No. 13 and those who will be assigned in the operation
of construction heavy equipment (CHE) will undergo mandatory skills testing for certification
by TESDA (Attach TESDA certificates of those workers certified by TESDA.) Machineries Power and Hand Tools
Electrical Ladders and Scaffolds
13.0 Testing & Inspection of Construction Heavy Equipment Noise Ventilation
Exposure to Heat Tripping
All construction heavy equipment will be tested and inspected in accordance Fall Hazards Collapse
with the requirements of Section 10 of D.O. No. 13. The company will ensure that all Others (please specify)___________________________________
heavy equipment will be operated by qualified and certified operators. (Attach Certificate _____________________________________________________
of Testing and Inspection of CHE used issued by DOLE Accredited Testing Organizations _____________________________________________________
for CHE and TESDA certificate of CHE operator/s).
14.2.2 Chemical Hazards
14.0 Control Measures on Construction Activities
Chemical hazards are present workers handle chemical preparations in
To ensure safe and healthy working conditions throughout the duration of any form (solid, liquid or gas). Some are safer than others, however, some
the project the following control measure activities will be enforced and disseminated workers are more sensitive to chemicals, even the common solutions
to all the workers in the site: causing illness, skin irritation or breathing problems.

14.1 Major Activities The chemical hazards that we identified for this project include but are
Major activities for this project includes but not limited to the following: not limited to the following: (please check on the box all that applies)
(please mark all that applies)
solvents paint products
Demolition Excavation acids cleaning products
Earthmoving Piling acetylene propane
Scaffold Formwork gasoline explosive chemical
Structural Steel Crane Operation welding fumes others (please specify)
Concreting Rebarworks _______________________________________________________
Welding Electrical _______________________________________________________
HVAC Plumbing _______________________________________________________
Painting Interior Decoration
Others (please specify)__________________________________ 14.2.3 Biological Hazards
_____________________________________________________
_____________________________________________________ Biological hazards come from working with infectious people, plants, and
 other living materials. The biological hazards that we have identified for order each step in a process.
this project includes but not limited to the following: (please check on the
box all that applies) (Enumerate the safe work practices that you intend to perform relative to the hazards you have
identified above.)
blood or other body fluids fungi ______________________________________________________________
bacteria and viruses plants ______________________________________________________________
insect bites animal and bird droppings
others (please specify)___________________________________ 15.0 First-Aid, Health Care Medicines and Equipment Facilities
_____________________________________________________
_____________________________________________________ The company will provide first-aid kit and health care medicines and facilities
for workers in the site in accordance with the requirements of Rule 1960 of the OSHS.
14.2.4 Ergonomic Hazards
16.0 Workers Welfare Facilities
Ergonomic hazards occur when the type of work, body position and working The following welfare facilities will be provided in the site to ensure human
conditions put strain on the body. They are the hardest to spot since one working conditions:
does not immediately notice the strain on your body or the harm these
hazards pose. Short-term exposure may result in “sore muscles” on the 16.1 Adequate supply of safe drinking water
days following exposure, but long term exposure can result in serious
16.2 Adequate sanitary, washing and sleeping facilities separate for men and
musculoskeletal injuries. women workers

The ergonomic hazards that we identified for this project includes but 16.3 Adequate facilities for changing and for the storage and drying of work
not limited to the following: (please check on the box all that applies) clothes.

16.4 Adequate accommodation for taking meals.

poor lighting frequent lifting
poor posture repetitive motion To assure that the company provides adequate welfare facilities for the workers in
exertion of force awkward movement the site the company will implement the provision of toilets and other facilities in
others (please specify)_________________________________ accordance with the requirements of the Sanitation Code
_____________________________________________________
_____________________________________________________ 17.0 Medical Surveillance
(Enumerate control measures to address identified hazards, use additional sheet if necessary)

The company will require all employees to undergo a baseline or initial medical
14.3 Safe Work Practices health examination prior to assigning to a potentially hazardous activity. The examination
will include but not limited to the following:
Safe work practices are procedures adopted for carrying out specific tasks that
ensure that worker exposure to hazardous situations, substances, and physical 17.1 Complete medical and work history;
agents is controlled. Safe work practices are generally written methods outlining 17.2 Physical examination (Pre-employment, During employment and Separation);
how to perform a task with minimum risk to people, equipment, materials, 17.3 Other special examination (Pulmonary function test, blood panel, ECG >40
environment, and processes. It should be developed as a result of completing years of age, audiogram);
a hazard assessment and should closely reflect the activities in this project. 17.4 Random drug testing.

All safe work practices should be kept in a location central to the work being
performed and readily available to the workforce. Some safe work practices
will require specific job procedures, which clearly set out in a chronological
18.0 Working Hour & Break Time policy on penalties, if there are any).

The work schedule will be on ( please check on the boxes that apply):
Monday Tuesday Wednesday Thursday Friday Saturday Sunday Safety Violation 1st offense 2nd offense 3rd offense
1. No helmet, no safety shoes, no safety warning 3-day 5-day
Check on the shift and indicate the work hours for the shift that applies. belt/harness suspension suspension

1st Shift from ________(am/pm) to __________ (am/pm) 2. No ID, Uniform, working attire, goggles, warning 3-day 5-day
gloves & apron suspension suspension
2nd Shift from ________(am/pm) to __________ (am/pm)
3rd Shift from ________(am/pm) to __________ (am/pm)
3. Eating at prohibited area warning 3-day 5-day
suspension suspension
Check on the shift and indicate the break for the shift that applies.
4. Littering and loitering warning 3-day 5-day
1st Shift from ________(am/pm) to __________ (am/pm) suspension suspension
2nd Shift from ________(am/pm) to __________ (am/pm)
3rd Shift from ________(am/pm) to __________ (am/pm) 5. Smoking at prohibited area warning 3-day 5-day
suspension suspension
19.0 Construction Waste Disposal
6. Urinating at prohibited area warning 3-day 5-day
The company including subcontractors will be responsible for minimizing waste generated suspension suspension
during the implementation of the project. The following procedures for disposal of wastes 7. Illegal dismantling of safety signages warning 3-day 5-day
will be implemented in the site: and paraphernalia suspension suspension

19.1 Ensure that the construction wastes are segregated from that of domestic 8. Illegal gambling 3-day 5-day Dismissal
waste. suspension suspension
19.2 All domestic wastes are to be collected on a daily basis. 9. Overnight stay w/o permission 3-day 5-day
19.3 Construction debris (broken hollow blocks, spoiled concrete, loose concrete, suspension suspension
etc) should be taken out on the staging area.
19.4 Oil spills and spoiled greases should be wrapping in the black garbage bag and 10. Fighting & provoking others 5-day Dismissal
suspension
will be properly disposed.
19.5 Application of good housekeeping. 11. Working under the influence of Dismissal
drugs and liquor
20.0 Emergency Preparedness
12. Possession of illegal drugs, deadly Dismissal
weapon & gambling paraphernalia
The objectives of this are to ensure that the company has developed and
communicated plans that will allow for the effective management of emergencies.
Attach copy of company emergency preparedness plan. 13. Pilferage and robbery Dismissal

21.0 Penalties/Sanctions 14. Illegal entry/exit Dismissal

For every offenses and violation of any safety rules, regulations and general 15. Refusal to surrender ID & giving false Dismissal
representation
practices promulgated by the project and/or the company, the company recommended
the following penalties and sanctions for violation of CSH program: (Please attach company
22.0 Attachments

Attached are the following:

22.1 Certificate of DOLE Company registration under Rule 1020 of the OSHS
22.2 DTI – PCAB License
22.3 Notice of Award/contract
22.4 Certificates of trainings completed of appointed safety and health personnel
22.5 CHE certificate of testing and inspection (if heavy equipment will be used)
22.6 Skills certification of workers (critical occupations)
22.7 OSH Reportorial requirements
22.8 Others ___________________________________________