company logo

CSHP TEMPLATE (Comprehensive)

Statement of Commitment to Comply with OSH Requirements

I/WE (Name of Contractor’s Authorized Official and/or Project ) by accomplishing this

Construction Safety and Health Program do hereby commit and bind ourselves to comply with the
requirements of 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 safety and health instructions and training
to all our workers for the entire 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

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COMPANY SAFETY AND HEALTH POLICY

It is the general policy of ___(Name of Contractor / Company)____ to perform work in the safest
manner possible consistent with good construction practices. To fulfill the requirements of this
policy, an organized and effective Construction Safety 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:

 Identifying potential hazards that may arise from the programmed work activities;

 Organizing the work activities so as to minimize the risk arising from them;

 Developing and implementing project specific safety and health program;

 Establishing and enforcing all necessary safe work procedures, rules and regulations;

 Ensuring that all workers are given orientation/briefing prior to deployment to the site;

 Establishing on site a Safety and Health Committee to act as policy making body of the
project on all issues pertaining to safety and health;

 Ensuring the conduct of daily toolbox meetings; and

 Establishing a system of follow-up of actions and periodic assessment to check program

effectiveness.

____________________________________
Signature over Printed Name
Owner of the Company
(Authorized Managing Officer/Project Manager)

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4. CONSTRUCTION SAFETY & HEALTH COMMITTEE

Section 11 of D.O. No. 13 requires that the Construction Safety and Health Program must be
observed and enforced at the project site. Each site shall organize a safety and health committee
prior to the start of the project pursuant to the requirements of Rule 1040 of the Occupational
Safety and Health (OSH) Standards of the Department of Labor and Employment (DOLE).

(Provide Safety and Health Committee Organizational Chart)

____________________________
CHAIRMAN
(PROJECT MANAGER/ENGINEER)

__________________________ ______________________
SECRETARY HEALTH PERSONNEL
(First Aider, etc.)
(SAFETY OFFICER)

_______________________ _______________________ _______________________

MEMBERS MEMBERS MEMBERS
(WORKER/LABORER) (WORKER/LABORER) (WORKER/LABORER)

5. COMPOSITION OF CONSTRUCTION SAFETY AND HEALTH COMMITTEE (CSHC)

Our CSHC at the (___________Name of Project_________) shall consist of:

Project Manager or his representative as the Chairperson

Name: ______________________________________________

General Construction Safety and Health Committee Officer/s (overall in-charge in the
implementation of the OSH program of this project hired by the General Constructor.
Please attach certificate of training/s prescribed by DOLE. Numbers will be dependent
on the numbers of workers and heavy equipment)

If in case with Subcontractors, provide Construction Safety and Health Officer/s (any
employee/worker trained- as per DO 13 s. 1998 and, in addition to their regular duties
and responsibilities tasked by his employer to implement occupational safety and
health and related provisions of the OSH Standard. Attach certificate of training/s
prescribed by DOLE).

Occupational Health Personnel (qualified first-aider, nurse, dentist, or physician, engaged

by the employer to provide occupational health services in the
establishment/undertaking. Please attach certificate of training/s prescribed by DOLE):

Name: ______________________________________________
Designation: _________________________________________

6. DUTIES OF THE CSH COMMITTEE SHALL INCLUDE BUT ARE NOT LIMITED TO THE
FOLLOWING:

a. Plans, develops and oversee the accident prevention programs for the construction
project;

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b. Directs the accident prevention efforts of the establishment in accordance with the safety
programs and performance and government regulations in order to prevent accidents from
occurring in the worksite;
c. Conducts safety meetings at least once a month. The committee will hold a safety
meeting every _____________ of the month;
d. Submit reports to the project manager on its meetings and activities one day after the
meeting;
e. Review reports of inspection, accident investigation and implementation of program;
f. Provides necessary assistance to government inspecting authorities in the proper conduct
of their activities specifically on the enforcement of the provision of DOLE’s OSHS;
g. Submit the monthly safety and health reports to the DOLE Provincial Office having
jurisdiction over the project;
h. Keep the summary of all safety and health committee meetings and agreements;
i. Keep the summary of all accident investigation reports using DOLE/BWC/ OHSD/IP-6
form;
j. Periodic hazards assessment with the corresponding remedial measures/actions for each
hazard;\Annual Medical Report using the form DOLE/BWC/HSD/OH-47-A (if the duration
of the project is more than one (1) year);
k. Initiate and supervise safety and health training for employees. (Check on the boxes or list
down the training to be provided for workers and employees).

□ 40-Hour Construction Occupational Safety and Health (COSH) Course

□ 1-Day Workers Safety & Health Orientation
□ others, specify:
_______________________________________________________
_______________________________________________________

A. Owner
 Responsible in the operation, safety and health of the entire project.
 Delegate personnel for the implementation of safety rules and procedures.
 Act as Chairman of the safety and health committee.
 Arranges the schedule and place of meeting and notifies members.

B. Project Coordinator
 Ensure that all workers under his supervision understand safety responsibility.
 Ensure the proper use of PPE.
 Acts without delay in addressing all hazards and unsafe conditions or actions within the scope
of their area of responsibility.

C. Duties of the Safety Man/Officer

The principal function of the Safety Man assigned to this project is to act as the employer’s
principal assistant and consultant in the application of programs to remove the hazard from the
workplace and to correct unsafe work practices. For this purpose, the Safety Man has the
following duties:

 Serve as Secretary to the Safety and Health Committee, as such, shall prepare the
minutes of meetings, status report of recommendations made, notify members of the
meetings; and submit to the employer a report of the activities of the committee, including
recommendations made.
 Acts as an advisory capacity on all matters pertaining to health and safety for guidance of
the employer and the workers.
 Conducts investigation of accident as member of the Health and Safety Committee and
submits his separate report and analysis of accident to the employer.
 Coordinates all health and safety training programs for the workers/employees and
employer.
 Conduct health and safety inspection as committee member.
 Maintains or help in the maintenance of an efficient accident record system and
coordinates actions taken by supervisors to eliminate causes of accident.
 Provide assistance to government agencies in the conduct of safety and health inspection,
accident investigation or any other related program.

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 For the purpose of effectiveness in the project site, the Safety Man is to report directly to
the employer.

 Holds toolbox safety meeting with the workers.

D. Workers
 Consistently observes work conditions, operation, equipment and tools for the purpose of
accident prevention.
 Complies with all the regulations as well as safe work practices and safety rules.
 Uses all necessary personal protective safety equipment and other safe working practices.
 Corrects any unsafe practices within the scope of work operations and reports any unsafe
conditions.
 Attend all committee/toolbox meetings.

7.0 SAFETY & HEALTH PROMOTION & EDUCATION

The (Name of Company) is committed at ensuring that all workers or employees are given
orientation/briefing prior to deployment to the site. It is our continuing effort to promote safety
and health consciousness to all people involved in this project by providing them with the
necessary safety and health training and education to enhance their knowledge and skills to
enable us to attain a safe and healthful project site.

7.1 Workers Safety and Health Orientation/Trainings

We require new workers to attend our Safety & Health Orientation before they are deployed to
this project site in consonance to Section 12 of the D.O. 13. The assigned Safety Officer,
Mr./Ms __________(Complete Name)________________________ will coordinate the conduct
of this orientation.
We ensure that the workers receive instruction and training regarding the general safety and
health measures we plan to implement for this project, specifically:

a. basic rights and duties of workers at the jobsite;

b. means of access and egress both during normal work and in emergency situation;
c. measures for good housekeeping;
d. location and proper use of welfare amenities and first aid facilities;
e. proper care of PPEs and other protective clothing;
f. general measures for personal hygiene and health protection;
g. fire precautions to be taken;
h. action to be taken in case of any emergencies;
i. Requirements of relevant health and safety rules and regulations.

7.2 Specialized Instruction and Trainings

Section 12.6 of D.O. No. 13 requires specialized instruction and training be given to any person
holding critical occupation.
The inventory lists of our workers who hold critical occupation and attended the specialized
trainings are listed below. (Please attach training certificates)

Name Occupation TESDA NCII No.

JUAN DELA CRUZ WELDER 0000000000001

(Use additional sheet if necessary)

Toolbox Meeting

The company will conduct toolbox meeting as a daily meeting among workers and their respective
supervisors for the purpose of instruction, discussion and proper briefing on the planned work, the
assessment of past work, the possibility or actual occurrence of accidents at the site, tips and
suggestions on how to prevent possible accidents and other related matters as per D.O. No. 13.

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a. Responsible for the Toolbox Meeting

The following supervisor or any designated person (e.g. foreman, lead man, gang boss, etc.) is
required to conduct daily toolbox or similar meetings prior to starting the tasks for the day to
discuss with the workers and anticipate safety and health problems related to every task and the
potential solutions to those problems. The supervisor will remind the workers on the necessary
safety precautions that needs to be undertaken. (Attach sample-blank form for Toolbox minutes of
the meeting).

8.0 ACCIDENT/INCIDENT/ILLNESSES INVESTIGATION & REPORTING

We consider accident/incident/illnesses investigation and reporting as our responsibility.

Absenteeism can greatly affect our work schedule. Looking for replacement 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 they are more familiar with the
people involved, they have better understanding of the operation, and they have personal interest
in the investigation since it’s their people who are involved. For this reason, the ____(name of
company)__ is committed to include this responsibility to all supervisors and made them aware of
it.

The persons responsible for conducting investigation: (enumerate names)

a. All members of Safety and Health Committee.
b. In-charge personnel where the accident happened.
c. Persons witness to the accident.

Conducting and documenting the accident/illnesses investigation

In conducting the accident/illness investigation, we gather facts, analyze them and make the
necessary recommendation. (Attach sample forms which will be used to document the
investigation and reporting).

Compliance with Government Requirements

We will submit the following reports to the DOLE Provincial Office concerned:
a. 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 within 24 hours.
b. 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 one year duration).
c. Annual Work Accident/Illness Report using the form DOLE/BWC/OHSD/IP – 6B for those
construction projects with more than one year duration.
d. Dangerous Occurrence or Major Accident
In case of any dangerous occurrence or major accident resulting to death or
permanent total disability, we will notify the DOLE Regional Office within twenty four (24)
hours from occurrence. After the conduct of investigation by our concerned safety and
health officer, we will report all permanent total disabilities to the DOLE Provincial Office
on or before the 20th of the month following the date of occurrence of accident using the
DOLE/BWC/HSD-IP-6 form.
e. The employer shall maintain and keep an accident or illness record such as but not
limited to ECC Logbook, which shall be open at all times for inspection to authorized
personnel containing the following minimum data:
i. Date of accident or illness;
ii. Name of injured or ill employees, sex and age;
iii. Occupation of injured or ill employee at the time of accident or illness
iv. Extend and Nature of Disability;
v. Period of Disability (actual/charged);
vi. Whether accident involved damaged to materials, equipment or machinery, kind
and extent of damage, including estimated or actual cost; and
vii. Record of initial notice and/or report to the DOLE Quezon Provincial Office.

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9.0 PROTECTION OF THE GENERAL PUBLIC

We shall comply with Rule 1412.09 of the DOLE OSH standard in providing a safe covered walkway
over the sidewalk for use by pedestrians in a building construction work less than 2.3 meter (7ft.) from a
side walk or public road.

We shall comply with Rule 1412.10 of the OSH Standard, Protection from Falling Materials. We shall
observe the following:

We will take the steps to protect worker from falling materials, such as the provisions of safety helmets
and safety shoes.

We will ensure that tools, objects and materials including waste materials will not be thrown or tipped
from a height, but will be properly lowered by crane, hoist or chutes. If such is not practicable, the
area where the material is thrown will be fenced and no person will be allowed in the fenced area.

The person responsible to monitor the provisions:

Name: ______________________________________________
Designation: _________________________________________

Safety Signages

Our Safety Signages provides warning to workers and employees and the public about the
hazards around the project site. These will be posted in prominent positions at strategic location
visible as far as possible in a language understandable to most of the workers and employees as
well as the public.

A. The specific safety signage we intend to set-up for this project shall include but not limited to:
a. 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 this project);
b. Areas where there are potential risks of falling objects (if applicable, attach sample
picture of this signage that you plan to use for this project);
c. Areas where there are potential risks of falling (if applicable, attach sample picture of
this signage that you plan to use for this project);
d. Areas where explosives and flammable substances are used or stored (if applicable,
attach sample picture of this signage that you plan to use for this project);
e. Areas where there are tripping or slipping hazards (if applicable, attach sample
picture of this signage that you plan to use for this project);
f. Approaches to working areas where danger from toxic or irritant airborne
contaminants/substance may exist which should indicate the name of the
contaminant/substance involved and the type of respiratory equipment to be worn (if
applicable, attach sample picture of this signage that you plan to use for this project);
g. All places where contact with or proximity to electrical/facility equipment can cause
danger (if applicable, attach sample picture of this signage that you plan to use for
this project);
h. All places where workers may come in contact with dangerous moving parts of the
machineries or equipment (if applicable, attach sample picture of this signage that
you plan to use for this project);
i. Location of the fire alarms and fire-fighting equipment (attach sample picture of this
signage that you plan to use for this project);
j. Instructions on the usage of specific construction equipment (if applicable, attach
sample picture of this signage that you plan to use for this project);
k. Periodic updating of man-hours lost.

B. Inspection and Maintenance of Safety Signages

We will regularly inspect and maintain in good condition all safety signage that we will be
providing for this project. The person in charge in inspecting is/are ______(complete name of
person/s)____, he/she is/are our ___(designation)_____. Inspection will be carried out on a
________(specify: daily, weekly, monthly)_______.

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We will remove and replace any signage that are damaged, or no longer apply with the current
hazard.

10.0 ENVIRONMENTAL HAZARD AND CONTROL

The company will ensure monitoring and control of the environmental hazards such as noise, vibration
and air-borne contaminants such as gases, fumes, mists and vapors.

Below are controls to be implemented to ensure compliance.

 Dust – implement daily routine general site housekeeping. Provision of PPE for all

workers. Provide dust screens/ enclosure to all areas in which accumulation is rampant.
 Noise / Vibration - provides measure to minimize impacts by means of provision of PPE
for all workers by engineering control like installation of effective silencer and covers.
Avoid simultaneous operation of deafening equipment / vehicles.
 Airborne Contaminants - provision of PPE for all workers. Proper handling of materials
causing airborne contaminant.
 Illumination – provision of artificial lightings and natural lightings and proper arrangement
of work schedule suitable for the operation.
 Ventilation and air movements – must be effectively designed in consideration with the
movement of personnel and vehicles.

The company shall comply with minimum requirements indicated at Rule 1070 of OSHS.

11.0 GUARDING OF HAZARDOUS MACHINERY

The company shall comply with all the provisions for installation/design of built-in machine guards and
provisions for built-in safety in case of machine failure and provisions for guarding of exposed
walkways, access-ways, working platforms.

The employer shall ensure that standard machine guards or enclosures are provided in compliance
with Rule 1200 of OSHS.

12.0 PERSONAL PROTECTIVE EQUIPMENT (PPE)

As per compliance with Section 6 of D.O. No. 13 requires Company name shall, at his own
expense, furnish his workers with protective equipment for eyes, face, hands, feet, lifeline, safety
belt/harness, protective shields and barriers whenever necessary by reason of the hazardous
work process or environment, chemical or radiological or other mechanical irritants or hazards
capable of causing injury or impairment in the function or any part of the body through absorption,
inhalation or physical agent.

Provision of PPE shall be in accordance with Rule 1080 of the OSHS (must include Rule 1070 for
noise). The equivalent cost for the provision of PPE (life span, depreciation, replacement, etc.)
shall be an integral part of the project cost.

Item No. Type of PPE Quantity needed

(Use additional sheet if necessary)

Cleaning and Proper Maintenance of PPEs

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 could impair vision. Our workers or
employees inspect, clean and maintain their PPE according to the manufacturers’ instructions before
and after each use. Our supervisors are responsible for ensuring that users properly maintain their
PPEs in good condition.

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We will enforce our rule that Personal Protective Equipment (PPE) must not be shared between
workers or employees until it has been properly cleaned and sanitized. PPE are distributed for
individual use whenever possible.

We shall furnish PPE to our workers whenever applicable on our own expense.

We shall not allow the use of defective or damaged PPEs. We will immediately discard and replace
them to avoid any unintentional use.

We shall also consider the importance of ensuring that any contaminated PPE which cannot be
decontaminated is disposed of in a manner that protects workers or employees from exposure to
hazards

13.0 Handling of Hazardous Substances

The project involves chemical hazards in which workers handle chemical preparations in any
form (solid, liquid or gas). Some are safer than others, however, some workers are more
sensitive to chemicals, even the common solutions causing illness, skin irritation or breathing
problems.

The company must be reserve for identification, safe handling, storage, transport and disposal
of hazardous substances and emergency procedure in accordance with Material Safety Data
Sheet (MSDS) in compartments of accidents and maintain compliance with D.O. 136 s. 2014
and DTI-DENR-DA-DOF-DOH-DILG-DOLE-DOTC Administrative Order No. 1 s. 2008 for
Globally Harmonized System of Chemical classification and labeling.

The chemical hazards that we identified for this project include but are not limited to the
following: (please check on the box all that applies)

□ solvents □ paint products

□ acids □ cleaning products
□ acetylene □ propane
□ gasoline □ explosive chemical
□ welding fumes □ others (please specify)

Biological Hazards

Biological hazards coming from working with infectious people, plants, and other living
materials. The biological hazards that we have identified for this project includes but not
limited to the following: (please check on the box all that applies)

□ blood or other body fluids □ fungi

□ bacteria and viruses □ plants
□ insect bites □ animal and bird droppings
□ others (please specify)

Ergonomic Hazards

Ergonomic hazards occur when the type of work, body position and working conditions put
strain on the body. They are the hardest to spot since one 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 days following exposure, but long term exposure can result in serious
musculoskeletal injuries.

The ergonomic hazards that we identified for this project includes but not limited to the
following: (please check on the box all that applies)

□ poor lighting □ frequent lifting

□ poor posture □ repetitive motion
□ exertion of force □ awkward movement
□ others (please specify)

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(Enumerate control measures to address the hazards identified. Use additional sheet
if necessary)

Safe Work Practices

Safe work practices are procedures adopted for carrying out specific tasks that ensures
workers' exposure to hazardous situations, substances and physical agents are controlled in
a safe manner. Safe work practices are generally written methods outlining how to perform a
task with minimum risk to people, equipment, materials, environment, and processes. It
should be developed as a result of completing a Hazard Assessment and should closely
reflect the activities in this project.

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 order each step in a process.

(Enumerate below the safe work practices that you intend to perform relative to the
hazards you previously identified above.)

14.0 General Materials Handling and Storage Procedures

The company shall ensure safe material handling and storage by means of the following:

a. Safe use of mechanical materials handling equipment.

b. Secured and safe storage facilities. Bag containers, bundle, etc., stored in tiers shall be
stacked, blocked, interlocked and limited in height so that they are stable and secure against
collapse.
c. Regular housekeeping as necessary so as not to constitute and/or present hazards.
d. Clearly marked clearance limits.
e. Proper area guarding of storage facilities.
f. Storage areas shall be kept free from accumulations of materials that constitute hazards from
tripping, fire, explosion, or pest harborage.
g. Segregation of material shall be done to maintain order and cleanliness.

15.0 Construction Workers Skills Certification

The company will ensure that all workers assigned in the critical occupations 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.)

16.0 Provision for transportation facilities for workers in case of emergency

The company shall ensure that there will be a readily available stand by vehicle in case of
emergency to accommodate employees and other concerned personnel. A suitable vehicle shall
be designated as first aid transportation from the jobsite to the clinic or hospital.

17.0 Temporary Fire Protection Facilities and Equipment

Fire extinguishers, sand bags, water containers shall be available in the work area and shall be
maintained in the state of readiness.

The company shall comply with the minimum requirement of the Fire Code of the Philippines
(Republic Act No. 9514)

18.0 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.

Emergency Occupational Health Personnel and Facilities

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Section 8 of D.O. No. 13 states that the construction project owner or his representative shall
provide competent emergency health personnel within the worksite duly complemented by
adequate medical supplies, equipment and facilities based on the total number of workers in
the site.

Emergency Health Personnel and Facilities

Our number of Health Personnel & Facilities

Construction Stages workers during Health Facilities
this stage Personnel

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

The company will ensure the medical supplies and medicines provision will be in accordance with
Table 47 of Rule 1960 of OSHS.

19.0 Workers Welfare Facilities

The following welfare facilities will be provided in the site to ensure human working conditions:
 Adequate supply of safe drinking water.
 Adequate sanitary, washing and sleeping facilities separate for men and women workers.
 Adequate facilities for changing and for the storage and drying of work clothes.
 Adequate accommodation for taking meals.

To assure that the company provides adequate welfare facilities for the workers in the site the
company will implement the provision of toilets and other facilities in accordance with the
requirements of the Sanitation Code.

Medical Surveillance
The company will require all employees to undergo a baseline or initial medical health
examination prior to assigning to a potentially hazardous activity. The examination shall include
but not limited to the following:
 Complete medical and work history;
 Physical examination (Pre-employment, During employment and Separation);
 Other special examination (Pulmonary function test, blood panel, ECG >40 years of
age, audiogram);
 Random drug testing.

20.0 Working Hour & Break Time

The work schedule will be on (please check on the boxes whichever is applicable):
□ Mon. □Tue. □Wed. □Thur. □Fri. □Sat. □Sun

Check on the shift and indicate the work hours for the shift that applies.
□ 1st Shift from ________(am/pm) to __________ (am/pm)
□ 2nd Shift from ________(am/pm) to __________ (am/pm)
□ 3rd Shift from ________(am/pm) to __________ (am/pm)

Check on the shift and indicate the break for the shift that applies.
□ 1st Shift from ________(am/pm) to __________ (am/pm)
□ 2nd Shift from ________(am/pm) to __________ (am/pm)

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□ 3rd Shift from ________(am/pm) to __________ (am/pm)

Meal/Lunch break break schedule is : ____________

21.0 Construction Waste Disposal

The company including subcontractors will be responsible for minimizing waste generated during
the implementation of the project. The following procedures for disposal of wastes will be
implemented in the site:
a. Ensure that the construction wastes are segregated from that of domestic waste.
b. All domestic wastes are to be collected on a daily basis.
c. Construction debris (broken hollow blocks, spoiled concrete, loose concrete, etc) should be
taken out on the staging area.
d. Oil spills and spoiled greases should be wrapping in the black garbage bag and will be
properly disposed.
e. Application of good housekeeping.

22.0 Testing & Inspection of Construction Heavy Equipment

All construction heavy equipment will be tested and inspected in accordance with the
requirements of Section 10 of D.O. No. 13. The company will ensure that all 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).
Heavy Equipment Name of Operator TESDA NCII No.

23.0 Emergency Preparedness

One of our objectives is 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 which shall include Local emergency contact numbers nearest to the
project location and Safety and Health Committee contact numbers)

24.0 Standard Operating Procedures and Job Hazard Analysis including Control Measures on
Construction Activities

To ensure safe and healthy working conditions throughout the duration of the project the following
control measure activities will be enforced and disseminated to all the workers in the site:

Major Activities

Major activities for this project includes but not limited to the following: (please check on the box
all that applies)

□ Demolition □ Excavation
□ Earthmoving □ Piling
□ Scaffold □ Formwork
□ Structural Steel □ Crane Operation
□ Concreting □ Rebarworks
□ Welding □ Electrical
□ HVAC □ Plumbing
□ Painting □ interior Decoration
□ Others (please specify)

ACTIVITIES HAZARDS IDENTIFIED RISK CONTROL

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 Site Clearing
While extensive site clearing is not expected to be necessary, some clearing of
vegetation may be needed depending on final test pit locations and/or surface soil locations.
Clearing operations will likely consist of tree and brush removal. Tree removal will be
conducted using chain saws. Once on the ground, the trees will be cut into manageable
lengths for removal from the work area.
All hazards must be eliminated before commencing site clearing.

 Excavations
Prior to start of excavation, presence and location of any underground utilities, oil,
chemicals, gas, electric and water lines must be determined. In case the presence of
underground utility is determined, appropriate preventive measures must be installed in
coordination with its owner.
Area to be excavated shall be identified and segregated by means of barricades,
ropes and signs to prevent access of unauthorized personnel and equipment. Suitable means
shall be provided to make barrier visible at all times.
The walls of excavation over one (1) m. deep shall be supported by adequate shoring
and timbering to prevent collapse, provided that this shall not apply to an excavation: a) in
which a worker is not required to enter; b) cut in solid rock; c) the walls are sloped to forty-five
(45) degree angle from vertical or cut to the angle of repose; and d) in which a worker is
engaged in timbering or other work for the purpose compliance with the Occupational Safety
and Health Standards (OSHS).
Excavation over 6 m deep shall be provided with shoring or timbering to prevent
collapse of adjacent structure. Shoring and timbering shall be designed by a structural
engineer and approved by local authority.
No excavation in adjacent building or structure shall be undertaken unless steps are
taken to prevent danger to workers.
Before shoring and timbering, the walls of an excavation shall be stripped of loose
rocks or other materials that might slide, roll or fall on workers.
Every excavation over 1 m shall be kept of water at all times. All excavation works
must comply with OSHS.

 Erection and dismantling of scaffolds and other temporary working platforms-(indicate

if applicable)

 Temporary electrical connections/installations

No electrical installation shall be undertaken without the plans having been approved
by the Secretary or his authorized representative.
No service or power supply shall be connected to any electrical installation by any
utility company supplying electricity or by any person until the necessary final inspection is
conducted and a safety certificate/permit issued by the Regional Labor Office or authorized
representative having jurisdiction over the case.
Work shall be performed under the responsible charge or supervision of a duly
authorized electrical engineer or a master electrician in conformity with the field of action
authorized for each grade.
All electrical installations shall be in accordance with the Philippine Electrical Code.
All work shall conform to the approved plans and provision of these Standards.
All materials used in the installation shall be of the approved type.

 Use of scaffolds and other temporary working platforms

 Working at elevated working platforms or surfaces

 Use of hand tools and power tools and equipment

Hand and power tools must be used as per manufacturer’s instructions. Use only the right
tool for a specific work to avoid danger and damaging tools.
Hazards that are associated to hand and power tools are:

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 Failure of tools
 Proximity of moving parts
 Flying particles from using such tools
 Sparks
 Electrical shock
 Crushing or cutting

Things that must be considered when using hand and power tools:
 Tools must be well maintained
 Electrical power tools must be well insulated and must be grounded
 Electrical cords must be free from scratches and cuts
 All moving parts must be properly guarded

 Gas and electric welding and cutting operations

Welding or cutting operations shall not be allowed in rooms or areas containing
combustible materials or in proximity to explosives or flammable liquids until all fire and
explosion hazards are eliminated.
Welding or cutting operations on containers filled with explosives or flammable
substance is prohibited.
A portable fire extinguisher shall be provided at site where welding and cutting
operations are being undertaken.
Workers or persons directly engaged in welding or cutting operations shall use
personal protective equipment such as goggles, helmets or face shields.
All persons directly assisting in welding or cutting operations shall use gloves,
goggles or other protective clothing.
Welding or cutting operations shall not be performed in public areas where active
traffic and pedestrians are in close proximity.

 Working on confined spaces

No confined space work or activity shall be undertaken unless permit is secured from
safety officer assigned in the construction site.
Before a worker or group of workers enter any confined or enclosed space and before
any work is commenced, the following precautions and safety measure shall be taken by
project-in-charge:
 The area shall be checked visually to ensure that the water level is below 15 cm and
if water is present, a dry wooden platform shall be available for use.
 The air shall be checked for: a) explosive gases, fumes and vapors; b) oxygen
content; and c) carbon monoxide, if any burning products have been involved.
 If any of the above is present over normal levels, the area shall not be entered until
ventilation by blower is in effect.
 Approved types of breathing apparatus and other personal protective equipment shall
be provided and made available for use by the worker or workers entering a confined
space.
 No worker or group of worker shall enter a confined space unless a watcher is
available who is familiar with the job and in contact with the men at regular interval
and equally provided with self-contained breathing apparatus.
 Adequate means of ingress and egress from any confined or enclosed space shall be
provided.
 No worker must be allowed to work in confined space unless he or she has
undergone the required training for confined space work.
 Safety officer should regularly check confined space work or activity if it complies with
Rule 1120 Hazardous Work Process of Occupational Safety Health Standards.

 Use construction heavy equipment

No operation/ use of heavy shall commence unless permit is secured and below are
taken actions:
 Heavy equipment had undergone inspection by third party accredited by DOLE
testing organization prior to operation.
 Heavy equipment is properly maintained and equipped of firefighting equipment.
 Heavy equipment is operated by competent operator with skills certificate parallel to
equipment worked.

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 Demolition

No demolition works shall commence without considering the following factors:

 All activities will be monitored by competent personnel including the temporary electrical
wiring, installation of support, demolition of structure and dismantling of demolished
structure.
 Standard Procedure is properly discussed to all concerned.
 All necessary support/ shoring, sufficient working platforms are secured prior to the
activity.
 PPE is provided to all concerned workers.

The company shall strictly comply with Rule 1417 of OSHS to avoid cave-ins, explosions,
premature collapse and fire accumulation.

 Handling of hazardous and toxic chemical substance

The company shall consider all necessary measures in handling toxic and hazard chemicals
by:
 Carry-out all instruction as indicated at MSDS.
 Training all concerned on handling chemicals.
 Proper identification and labeling of chemicals.
 Provision of storages and other emergency kit in case of spill and fire accumulation.
 Ensure compliance with regulatory provision stipulated with OSHS and other government
agencies policy.
 Use of internal combustion engines
 Use of mechanized lifting appliances for movement of materials
 Installation, use and dismantling of hoist and elevators

25.0 Penalties/Sanctions
For every offense and violation of any safety rules, regulations and general 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 policy on penalties, if there are
any).

Safety Violation 1st offense 2nd offense 3rd offense

1. No helmet, no safety shoes, no warning 3 day 5 day
safety belt/harness suspension suspension
2. no ID, Uniform, working attire, warning 3 day 5 day
goggles, glove & apron suspension suspension
3. eating at prohibited area warning 3 day 5 day
suspension suspension
4. littering and loitering warning 3 day 5 day
suspension suspension
5. smoking at prohibited area warning 3 day 5 day
suspension suspension
6. urinating at prohibited area warning 3 day 5 day
suspension suspension
7. illegal dismantling of safety warning 3 day 5 day
signages and paraphernalia suspension suspension
8. illegal gambling 3 day 5 day Dismissal
suspension suspension
9. overnight stay w/o permission 3 day 5 day Dismissal
suspension suspension
10. fighting & provoking others 5 day Dismissal
suspension
11. working under the influence of Dismissal
drugs and liquor
12. possession of illegal drugs, deadly Dismissal

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weapon & gambling paraphernalia
13. pilferage and robbery Dismissal
14. illegal entry/exit Dismissal
15. refusal to surrender ID & giving Dismissal
false representation

26.0 Attachments
Attached are the following:
 Certificate of DOLE Company registration under Rule 1020 of the OSHS
 DTI – PCAB License
 Notice of Award/contract
 Certificates of trainings completed of appointed safety and health personnel
 CHE certificate of testing and inspection (if heavy equipment will be used) parallel
to the project equipment schedule.
 TESDA NCII of the CHE operators as indicated in the equipment utilization
schedule
 TESDA NCII for critical occupations such as welder, electrician, scaffold erector,
etc.
 Duly signed Project Equipment Utilization Schedule confirmed/received by
implementing agency/ project owner.
 Project Status certified by the project owner (Mayor-LGU, DE-DPWH)
 Sample minutes of the toolbox meeting or attendance sheet for orientation on the
provisions of On-site safety and health promotion and continuing information
dissemination.
 Sample accident investigation and report form.
 Sample signage for the Protection of the General Public.
 Sample inspection checklist which may include inspection for PPE, first aid
equipment, signage, emergency equipment, heavy equipment, etc. to ensure safe
worksite.

Page 16 of 16 Signature of the project manager/safety officer