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 CONSTRUCTION SAFETY AND HEALTH PROGRAM
Template for Residential Project/s
(2 Storey and Below) or Minor Repair Works
Having Less Than 10 Workers

1. Company Safety and Health Policy

It is the general policy of (Name of Owner) to perform work in the safest

manner possible consistent with good construction practices.

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

• Identification of potential hazards that may arise from the programmed/

scheduled work activities;
• Organizing the work activities so as to minimize the risk arising from them;
• Ensuring that all workers are given orientation/briefing or induction prior
to deployment to the site;
• Establishing a site safety committee to act as policy making body of the
project on all issues pertaining to safety and health;
• Ensure the conduct of daily toolbox meetings;

2. Project Details

a. Specific name of project: ______________________________________

b. Address/location: ____________________________________________
c. Classification of the project: (2 storey residential or minor repair
works with less than 10 workers) _______________________________
d. Project owner: ______________________________________________
e. Name of main contractor and list of sub-contractors (if any) and PCAB License
___________________________________________________________
___________________________________________________________
f. Estimated number of workers in the site: _________________________
g. Estimated start date of (execution of the project) construction:
__________________________________________________________
h. Duration of the project (no. of calendar days): _____________________
i. Specific scope of work to be undertaken: _________________________

3. Composition of Construction Safety and Health Committee (CSHC).

I/We (Name of Owner) am/are committed to organize a CSH Committee at

the project site to act as a policy making body of the project on all issues pertaining to and place of meeting and notifies members.
safety and health.
b. Project Coordinator
3.1 Composition of Construction Safety and Health Committee (SHC) • Ensures that all workers under his supervision understand safety
responsibility.
Our CSHC at the consists of: • Ensures that proper use of PPE
• Chairman : ________________________________________ • Acts without delay in addressing all hazards and unsafe conditions or
• Members : _________________________________________ actions within the scope of their area of responsibility.
_________________________________________ • Holds toolbox safety meeting with the workers.
_________________________________________
• Secretary: _________________________________________ c. Worker
• Consistently observes work conditions, operation, equipment and
3.2 Functions of CSH Committee shall include but are not limited to the tools for the purpose of accident prevention.
following: • Complies with all the regulations as well as safe work practices and
• Plans, develops and oversees the accident prevention programs for the safety rules.
construction project; • Uses all necessary personal protective safety equipment and other
• Gather feedback, discuss, review safety policies, procedures and recommend safe working practices.
improvements; • Corrects any unsafe practices within the scope of work operations
• Conducts safety/toolbox meetings. and reports any unsafe conditions.
• Communicate safety and health concerns and information to management • Attend all committee/toolbox meetings.
and staff personnel;
• Reviews reports of accident investigation and implementation of program; 6. Conduct of Toolbox Meeting
• Solicit, evaluate and confirm implementation of safety and health
suggestions from employees. To hold a daily safety toolbox meeting every morning before the start of work to
attain the following objectives:
4. Composition of Health & Safety Personnel (if there is any)
• To discuss matters pertaining to the job
4.1 Complete Name of Safety Officer/s: • To provide briefing on the planned work
___________________________________________________________ • To predict potential hazards or actual occurrence of accidents at the site
___________________________________________________________ • To provide tips and suggestions on how to prevent possible accidents
(please attach certificate of COSH training) • To discuss other pertinent matters (e.g. accident prevention)

4.2 Complete Name of First-Aider/s: 7. Personal Protective Equipment

___________________________________________________________
___________________________________________________________ The company will provide the following basic PPEs and enforce the use of the
(please attach certificate of First-Aid training) adequate and approved type of personal protective clothing and equipment suited to
the risk inherent in the work and operations performed:
5. Duties and Responsibilities
• Safety shoes - will be used for general works and to be worn at all times
a. Owner on the site.
• Responsible in operation, safety and health of the entire project. • Safety helmet – all workers must wear an approved safety helmet while
• Delegate personnel for the implementation of safety on the construction site.
• Chairman of the safety and health committee. Arranges schedule • Safety gloves - to be worn wherever possible for hand protection
 • Safety goggles/Face shield – protection against flying objects from doing 4. Oil spills and spoiled greases should be wrapping in the black garbage bag
work such as chipping, grinding, cutting, drilling works and alike. and will be properly disposed.
• Safety belt/harness – to be used whenever working at height. 5. Application of good housekeeping.
• Others (specify depending on the nature of work and hazard identified)
___________________________________________________________ 12.0 Safety Work Practices - (indicate safe work practices based on the scope of work
___________________________________________________________ to be undertaken. Use additional sheet if necessary)

8. First-Aid, Health Care Medicines and Equipment Facilities 12.1 Welding and Cutting
12.2 Hand and Power Tools
The owner/employer will provide the following basic first-aid kit and health 12.3 Safe Handling of Materials
care medicines and facilities for workers in the site: 12.4 Electrical Works and Installation
_____________________________________________________________
______________________________________________________________ 13.0 Enumerate/describe other safety procedures in accomplishing the project.
______________________________________________________________ _________________________________________________________
_________________________________________________________
9. Workers Welfare Facilities _________________________________________________________

The following welfare facilities will be provided in the site to ensure humane 14.0 Penalties/Sanctions – as a matter of policy and to ensure that the safety and
working conditions: health rules specified herein are complied with, the owner recommended the following
sanctions/penalties for any violations of CSH program(Please attach company policy on
a. Adequate supply of safe drinking water penalties, if there are any). :
b. Adequate sanitary, washing and sleeping facilities separate for men and
women workers • First offense – (written warning)
c. Adequate facilities for changing and for the storage and drying of work • Second offense – (penalty - 1 day salary deduction)
clothes. • Third offense – (penalty - 3 days salary deduction)
d. Adequate accommodation for taking meals. • Fourth offense – (dismissal)

10. Working Hour & Break Time (Indicate the maximum number of work hours per day). (Engineer/Foreman)
_________________________ _________________
_________________________________________________________ Name of Project Owner Date
_________________________________________________________ Signature over Printed Name
_________________________________________________________
_________________________ _________________
11. Construction Waste Disposal Name of person who will Date
supervise the project
The main constructor including subcontractors will be responsible for Signature over Printed Name
minimizing waste generated during the implementation of the project. The following
procedures for disposal of wastes will be implemented in the site:

1. Ensure that the construction wastes are segregated from that of domestic
waste.
2. All domestic wastes are to be collected on a daily basis.
3. Construction debris (broken hollow blocks, spoiled concrete, loose
concrete, etc) should be taken out on the staging area.