Form2B CSHP Template Residential BLDG

NO FEES REQUIRED FOR THE FILING AND EVALUATION OF CSHP
Revised Form: CSHP Form 2B-

2023
Date of revision: April 30, 2023
CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP) FOR THE CONSTRUCTION OF

PRIVATE RESIDENCE OR SMALL COMMERCIAL CONSTRUCTION PROJECTS
NAME ______________________________________________________________
LOCATED AT ________________________________________________________
1.0 Commitment to comply on OSH
I/We __________Name of the Project Owner/s _________________ do hereby commit and

bind myself/ourselves to comply with the applicable provisions of the Occupational Safety and Health
Standards (OSHS) governing Occupational Safety and Health in the Construction Industry.
I/We hereby commit to implement a suitable Construction Safety and Health Program in the
construction of my/our residential house/small commercial building.
I/We also acknowledge our responsibilities to provide the appropriate personal protective
equipment (PPE) and job safety and health instructions and training to all our workers during the
duration of the construction.
2.0 Safety and Health Policy
In order to ensure the safety and health of the workers hired to construct my/our residential
house/ in the safest manner possible, I/We will implement the following:
a. Hazard Identification and Control Measures

Identify the potential hazards that may arise during the construction and provide the corresponding
safety measures to avoid possible exposure to these hazards:
Physical Hazards
Physical hazards are the most common in most workplaces. The physical hazards that i/we
identified for this project include but are not limited to the following: (please check on the box all
that applies)
□ machineries □ power and hand tools

□ electrical □ ladders and scaffolds
□ noise □ ventilation
□ exposure to heat □ tripping
□ fall hazards □ collapse
□ others (please specify) _______________
Identified hazard Control Measures
Use additional sheet if necessary
Chemical Hazards
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2023
Chemical hazards are present 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 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 come 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
□ 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
□ poor lighting □ frequent lifting
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2023
□ poor posture □ repetitive motion
□ exertion of force □ awkward movement
□ others (please specify) _______________________
b. Owner/s responsibilities
To achieve the objectives of ensuring the safety and health of all the workers, the following shall
be enforced throughout the duration of the construction activity:
o Responsible for the operation, safety, and health of all workers in the entire project;
o Ensure that all workers are given orientation/briefing prior to the start of the construction
activities;
o Explain the control measures for the above identified hazards;
o Conducts toolbox meetings and ensure that all workers understand their responsibility/ies;
o Closely monitor the compliance of workers with the declared safety procedures;
o Ensure that all workers will use the proper PPEs as provided;
o Act without delay in addressing all hazards and unsafe conditions or actions of workers in the
construction site;
o Consistently observe work conditions, operation, equipment, and tools for the purpose of
accident prevention;
o Corrects any unsafe practices within the scope of work operations and unsafe conditions; and
o Report to DOLE Field/Provincial Office having jurisdiction, in 24 hours, any disabling injury
and/or fatality that happen during the duration of the construction activity.
c. Conduct of Toolbox Meeting

To hold a daily safety toolbox meeting every morning before the start of work to attain the
following objectives:
o To discuss matters pertaining to the job;
o To provide briefing on the planned work;
o To predict potential hazards or actual occurrence of accidents at the site;
o To provide tips and suggestions on how to prevent possible accidents; and
o To discuss other pertinent matters relative to the construction activities. (e.g. accident
prevention)
d. Personal Protective Equipment

I/We shall provide the following basic PPEs and enforce the use of the adequate and approved
type of personal protective clothing and equipment suited to the risk inherent in the work and
operations performed:
o Safety shoes - will be used for general work and to be worn at all times on the site.
o Safety helmet – all workers must wear an approved safety helmet while on the construction
site.
o Safety gloves - to be worn wherever possible for hand protection
o Safety goggles/Face shield – protection against flying objects from doing work such as
chipping, grinding, cutting, drilling works, and alike.
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2023
o Safety belt/harness – to be used whenever working at height.
o Others (specify depending on the nature of work and hazard identified)
___________________________________________________________
__________________________________________________________________________________
____________________________________
e. First-Aid, Health Care Medicines and Equipment Facilities

I/We shall provide the following basic first-aid kit and health care medicines and facilities for
workers in the site, such as:
1. ________________________________
2. ________________________________
3. _______________________________
f. Workers’ Welfare Facilities

I/We shall provide the following welfare facilities in the site to ensure humane working conditions:
1. Adequate supply of safe drinking water.
2. Adequate sanitary, washing and sleeping facilities.
3. Adequate facilities for changing and for the storage and drying of work clothes.
4. Adequate accommodation for taking meals.
g. Working Hour & Break Time

The workers will be entitled to fifteen (15) minutes break in the morning and afternoon, and one
(1) hour break for a lunch break
h. Construction Waste Disposal

As a responsible citizen of this country and to support preserve mother earth, I/We shall be
responsible for minimizing waste generated during the implementation of the project. The following
procedures for the disposal of wastes will be implemented on 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.
4. Oil spills and spoiled grease should be wrapped in the black garbage bag and will be
properly disposed of.
5. Application of good housekeeping.
Prepared by:
________________________________________
Signature over printed name of the building owner
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NO FEES REQUIRED FOR THE FILING AND EVALUATION OF CSHP

Revised Form: CSHP Form 2B-

CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP) FOR THE CONSTRUCTION OF

1.0 Commitment to comply on OSH

I/We __________Name of the Project Owner/s _________________ do hereby commit and

2.0 Safety and Health Policy

a. Hazard Identification and Control Measures

□ machineries □ power and hand tools

Identified hazard Control Measures

Use additional sheet if necessary

□ solvents □ paint products

Identified hazard Control Measures

Use additional sheet if necessary

□ blood or other body fluids □ fungi

Identified hazard Control Measures

Use additional sheet if necessary

□ poor lighting □ frequent lifting

Identified hazard Control Measures

Use additional sheet if necessary

c. Conduct of Toolbox Meeting

d. Personal Protective Equipment

e. First-Aid, Health Care Medicines and Equipment Facilities

f. Workers’ Welfare Facilities

g. Working Hour & Break Time

h. Construction Waste Disposal

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I/We Name of the Project Owner/s _______ do hereby commit and