01 100 1432635

Audit Report as per

ISO 9001:2015

for
Department of Labor and Employment - Occupa-
tional Safety and Health Center
North Avenue corner Agham Road, Diliman Quezon
City, 1100 Philippines
Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Contents

1  Audit result.................................................................................................. 3
2  Scope ........................................................................................................... 4
2.1  Description of the organization............................................................................... 4
2.2  Scope of certification .................................................................................................. 4
3  Changes in the management system / Contract review .......................... 5 
4  Audit findings ............................................................................................. 5 
5  Dates ............................................................................................................ 7 

Rev. 20180701 Page 2/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Audit Leader : John Francis L. Faustorilla Jr

Audit Team : Ernesto Demoy

Client‘s representative : Mr. Noel C. Binag, Executive Director

Mr. Jose Maria S. Batino, Deputy Executive Director

Audit Date : December 12, 2018 – December 12, 2018

1 Audit result
Management system effectiveness was verified on site by means of random sampling by an appropriately selected
audit team. This applies in particular to the compliance of workflows with standard requirements and the descriptions
in management system documentation. The special features of the organization’s business activities, the applicable
statutory and regulatory requirements and the requirements set forth in other generally applicable documents were
also taken into account. This was done by means of a sampling approach, by conducting interviews and reviewing
the appropriate documentation. Audit findings and recommendations regarding opportunities for improvement have
been set forth in Sections 4 of this report.

The last audit revealed nonconformities which have been demonstrably corrected. The corrections and
corrective actions taken in this respect have been verified.
A stage 1 audit was performed and the organization found ready for certification. Identified weak-
nesses, if any, have been eliminated and the respective corrective action verified.
The current audit revealed the following nonconformities:
X Standard(s): No. of nonconformity
ISO 9001 Zero (0)
The major nonconformities (No. x) with individual standard elements require a re-audit to verify the ef-
fectiveness of the corrections and corrective actions (probable date:.ddmmyyyy)
The organization has established and maintains an effective system to ensure compliance with its pol-
icy and objectives. The audit team confirms in line with the audit targets that the organization’s man-
X
agement system complies with, adequately maintains and implements the requirements of the stand-
ard(s).

The auditors therefore recommend:

Award of the new certificates.

X Maintenance of the existing certification.
Inclusion of the changes (see Section 3) in the scope of application of existing certifications
Maintenance or issue of the certificates only after successful completion of a re-audit.

Rev. 20180701 Page 3/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

2 Scope

2.1 Description of the organization

The OSHC was established as the nationally recognized authority on safety and health research, training,
information and technical expertise. It undertakes on continuing studies and researches on occupational safety
and health , plan, develop and implement training programs in the field of occupational safety and health and
related interest. It serves as a clearing house of information and innovative methods, techniques and approached
in dealing with occupational safety and health problems and institute a mechanism of information dissemination to
the general public. They monitor the working environment by the use of industrial hygiene, field and laboratory
equiement and conduct medical examinayion of workers exposed to hazardous substance for the ready detection
of occupational diseases. The OSHC pursues in partnership with the public and private sectors the attainment of
a healthy and safe working environment through responsive and sustainable occupational safety and health
(OSH) programs and policies. It also targets the effective delivery of quality services. The OSHC aims to
increase productivity through better working environment, decrease in manpower and economic loss caused by
occupational accidents and diseases, and to improve welfare of workers and their families. The OSHC has the
following Major Final Outputs (MFOs) as its deliverables: 1) Research and Development Services and 2) Capacity
Building Advisory Services.

The OSHC has its main office in North Ave. corner Agham Road, Diliman Quezon City and to carry out its
mandate, has created three satellite offices in Regions VII, X and Caraga.

2.2 Scope of certification

Scope of certification: Provision of Occupational Safety and Health Services in-

(per standard): cluding in-house BOSH Training, conduct of Work Environ-
ment Measurement, PPE Testing, Information Dissemina-
tion, Health Services excluding X-Ray and Spirometry
ISO 9001 standard requirements to be excluded
from the scope: 8.3 Design and Development

8.3 is excluded since the organization does not undertake

Reasons for exclusions: design and development in their services. All the pro-
cesses are mandated by BWC.

The organization operates from 8am to 5pm, Monday to Friday.

The following sites and their scopes are included in the scope of certification:

Site No. Sites included in cert. No. of Scope and processes Stand- Au-
(CN ext.) Name/address of site emp. ard(s) dited
01 Department of Labor and 107 (at Provision of Occupational Safety and ISO
Employment - the Health Services including in-house BOSH 9001:20
Occupational Safety and time of Training, conduct of Work Environment 15
Health Center the au- Measurement, PPE Testing, Information
North Avenue corner dit) Dissemination, Health Services excluding X
Agham Road, Diliman, X-Ray and Spirometry
Quezon City, 1100 Philip-
pines

Rev. 20180701 Page 4/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

3 Changes in the management system / Contract review

The following changes have been implemented in the management system and the management system docu-
mentation since the last audit. Major changes are:

 Physical / facilities: installation of elevator

 Purchase of equipment
- Health Control Division: Atomic Absorption Spectrophotometer, Ventilation Hoods, AED
- Environment Control Division – IH equipment such as heat stress monitor, anemometer, octave band
analyzer and sampling pumps and laboratory requirement such as water purification system, pH meter,
analytical balance and acid resistance cabinets
- Training and Public Information Division – Camera
- Data Control – enhancement of ISSP
 ECD WEM Laboratory: Applied at Philippine Regulation Commission for Certificate of Authority to Operate
 OHSC was granted by PRC as CPD Provider
 No: of Hired Personnel in 2018 with 12 permanent positions and 3 promotions

The implementation of these changes in the existing management system and the management system documen-
tation was verified within the framework of the audit.

The description of the scope in the certificate appropriately reflects the scope of the management system.

The audit plan was not changed during the audit.

4 Audit findings
The audit findings related to the audited standards are listed in the Annexes to this report (see. Annex ISO
9001:2015).
All information gained during the audit will be treated with strict confidentiality by the auditors and the certification
body. In view of the sampling approach applied to the audit, weaknesses and nonconformities may still exist which
have not been identified during the audit.

No. Unit/Department Positive findings

Site
1 Facilities The following improvements were noted:
• Physical / facilities: installation of elevator
• Purchase of equipment
- Health Control Division: Atomic Absorption Spectrophotometer, Ventilation
Hoods, AED
- Environment Control Division – IH equipment such as heat stress monitor, ane-
mometer, octave band analyzer and sampling pumps and laboratory requirement
such as water purification system, pH meter, analytical balance and acid re-
sistance cabinets
- Training and Public Information Division – Camera
- Data Control – enhancement of ISSP

Rev. 20180701 Page 5/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

2 Management The following statutory and regulatory compliances and value addition are note-
worthy:
• ECD WEM Laboratory: Applied at Philippine Regulation Commission for Certifi-
cate of Authority to Operate
• OHSC was granted by PRC as CPD Provider
• Safety Control Division:
For Eye and Face Protection Devices
1. Optical Test Apparatus
a. refractive Power Test
b. Astigmatism Test
c. Resolving Power Test
d. Prismatic Power Test
3. High Mass Impact test Apparatus
4. For Electrical Resistance Test of Safety Shoes, Safety Helmet and Electrical
Rubber Gloves
- 100 KV Withstand Voltage Tester
3 Management The conduct of the NOSH Congress held at PICC from November 21-22, 2018
with about 1800 participants is noteworthy.
4 HR Received Certificate of Recognition – Occupational safety and health center for
obtaining maturity label 2 in recruitment, selection placement as a result of
their determination and invaluable effort to promote people excellent in their
agency for efficient and effective public service delivery on 8 March 2017, at the
Novotel, Quezon City
5 Billing Unmodified opinion in 2017 annual COA audit report
6 General Services & The 16th occupational Safety and health Congress in PICC 2 provided with two
Security augmentation security to ensure safety of participants.

The following recommendations and opportunities for improvement provided by the auditors are intended to con-
tribute to the continuous improvement of the management system.

No. Unit/Department Recommendations and opportunities for improvement

Site
1 Management Review inclusion of new statutory and regulatory requirements to issues affecting
the organization (e.g. Philippine Qualifications Framework, etc.).
2 Management Re- Ensure inclusion of management review inputs on changes affecting the internal
view and external issues and evaluation of effectiveness of actions towards risks and
opportunities. These items will be checked during the next audit.
3 Risks and Opportu- Ensure determination of risks and opportunities arising from the implementation
nities of DO198-18 Series of 2018 Implementing Rules and Regulations of Republic Act
No. 11058 Entitled “An Act Strengthening Compliance with Occupational Safety
and Health Standards and Providing Penalties for Violations Thereof”.
4 Internal Audit Consider to review the for corrective action form about preventive action wording.
5 Control of docu- Consider reviewing the completeness of identified external documents like data
mented information privacy act. Ensure that external document determine by the organization neces-
sary for planning and operation are updated.

Rev. 20180701 Page 6/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Annex ISO 9001:2015

Item Audit result
Context of the organiza- The organization has determined internal and external issues related to the following
tion subject areas (Note: subject areas can be legal requirements, co-operations, compe-
tition, community etc.)
Internal Issues
 Organization’s Culture
 Organizational structure, roles and responsibility
 Availability of reliable, qualified and competent workforce
 Job security and benefits administration
 Policies, goals and the strategies
 Assets
 Financial capability
 Transparency

External Issues
 Political Factors
 Occupational Safety and Health Standard
 Environmental Rules and Regulation
 Labor Laws / DOLE Issuances
 Tax Guidelines
 Political Stability
 Governance Commission of GOCC’s provisions
 Economic Factors
 Economic Growth
 Interest and Exchange rate
 Inflation rate
 Globalization
 Economic stability
 Un employment policies
 Budget
 Social Factors
 Demographics
 Employment growth
 Attitude towards work
 Job Market Trends
 Organizational image
 Lifestyle changes
 Technological Factors
 New development and technology on equipment
 Life cycle of current technology
 Role of the internet
 Innovation
 Speed of technology transfer

Rev. 20180701 Page 8/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Item Audit result

The organization has identified interested parties and the requirements of these par-
ties. Examples for such determined interested parties are:
 Clients/Customers (Private and Public Sectors)
 DOLE
 Accredited WEM Service Providers
 Service Providers/Suppliers
 Regional OSH Networks
 Employees
 Regulatory Bodies (DOH, PNP, PDEA, GCG, BIR, etc.)
 Other Government Agencies
 Banks
Policy / objectives Top Management has declared its quality policy binding and implemented. The qual-
ity policy is appropriate and provides a framework for the respective quality objec-
tives. It commits all employees to pursue continuous quality system improvement.
Key quality objectives include:
Strategic Planning
 SM1 – Developed and implemented the third-party survey instrument for cus-
tomer satisfaction measurement.
 SM3 – 90% Utilization of COB
 SM4 – Increase Budget for Services
 SM7 – Sustained number of research studies completed
 SM9 – Upgrade PPE Laboratory in conformance to Philippine National
Standards
 SM10 – Sustain the number of Mandatory OSH Trainings
 SM11 – Sustain the number of summits/conferences and participants
 SM13 – Sustain number of Technical Services completed within 30 working
days
 SM15 – Compliance to RA 10173 Data Privacy Act of 2012
 SM16 – Assessment of competency of Staff based on competency/model
framework

Functional Objectives
 WEM – Work Environment Measurement
o To provide WEM Services to about 200 requesting companies per year
o WEM reports are released within 30 working days process cycle time
o Response to WEM request within 72 hours
o To meet 90% satisfactory rating from client feedback
 PPE Testing
o PPE Testing and assessment will be processed within the required pro-
cess cycle time
o To meet 90% satisfactory rating from client feedback
 Health Services
o Timeliness in providing health services < 30 working days from the date of
receipt of biological samples.

Rev. 20180701 Page 9/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Item Audit result

o 90% process request for services
o compliance to statutory and regulatory requirements
o 100% of equipment related to testing are properly maintained.
 In house BOSH Training
o Conduct 20 batches of In-house BOSH training course to clients per year
o Response to request from walk in client within 72 hours
o To achieve at least 90% of participants trained a rating of “Very Satisfac-
tory”
 Distribution of IEC Materials
o Ensure availability of IEC materials 80% of the time.

These are measurable and are controlled, communicated and up-dated regularly.
Process control includ- The processes available in the organization have been identified and documented.
ing outsourced pro- Process workflows and interactions have been described and appropriately con-
cesses trolled. The processes are evaluated at regular intervals by means of key perfor-
mance indicators.
Key processes within the scope of product realization include:
 Preparation of training modules
 Selection of trainers
 Distribution of IEC Materials
 Conducting the BOSH Trainings
 Conducting PPE Testing
 Health Services
 WEM including laboratory analysis

The following processes have been outsourced:

 Maintenance
 Janitorial
 Security
 Canteen services
 Photocopying and
 Printing

These processes are appropriately reviewed and controlled.

Risk-based thinking The requirements for risk-based thinking are being realized in the organization as fol-
lows:
Risk-based thinking has been applied for the following processes:
 Preparation of training modules
 Selection of trainers
 Distribution of IEC Materials
 Conducting the BOSH Trainings
 Conducting PPE Testing
 Health Services

Rev. 20180701 Page 10/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Item Audit result

 WEM including laboratory analysis

Examples of risks and opportunities of processes identified are:

 Unresolved corrective / preventive action
 Failure to conduct the planned internal audit
 Failure to discuss the internal audit findings in the management review
 Creation of the RA 11058 / DO 198-18 on the New OSH Law
 Potential accreditation as National Reference Laboratory of Health Services

Examples of measures taken to react on identified risks are:

 Monitor corrective / preventive action by follow-up audit
 Implement the internal audit plan
 Ensure to include the internal audit findings in the succeeding Management Review
at least after one month after in internal audit

Examples of risks and opportunities concerning the context of the organization are:
 Missing documents / inadvertently mixed up with other documents
 Delayed dissemination / distribution of communications
 Failure to provide appropriate training and skills development of staff in line with
ISO QMS Standards
 Creation of the RA 11058 / DO 198-18 on the New OSH Law
 Potential accreditation as National Reference Laboratory of Health Services

Concerning risk based thinking the following tools are used:

 Risk Registry Form
Customer-related and The organization analyses and evaluates customer requirements and/or enquiries
other requirements and any documented, assumed, statutory and regulatory requirements within the
scope of a production and feasibility study performed in a team.
OSHC ensures that it understands the process requirements of clients or other stake-
holders before initiating actions to deliver its services. Specific client requirements are
determined through the use of the following: Letter of Request, Reports, and direc-
tives from other government agencies.
The following process requirements significantly affect product or service quality:
 Planning and Scheduling
 Conducting BOSH Training
 Training
 WEM Analysis

Key regulatory, statutory and customer-related requirements include:

 PD No. 1445 – Commission of Audit (Government Auditing Code of the Philippines)
 RA 9184 – Procurement Act of the Philippines

Rev. 20180701 Page 11/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

Item Audit result

 Civil Service Rules and Regulations
 RA 9485 – Anti Red Tape
 National Archive of the Philippines Law
 DOLE requirement
 DOH requirement
Customer satisfaction The organization maintains documented and effective procedures governing the han-
and complaints dling of information, data analyses, improvement actions and responses to customer
feedback.

Customer survey is conducted annually. The current customer satisfaction result is

above satisfactory level.

Quarterly Report of Customer Feedback Survey

4.73 overall rating July-September 2018
4.85 overall rating April – June 2018
4.67 overall rating January – March 2018

A procedure was established in handling customer complaint. The organization did

not receive any customer complaint at the time of the audit. No customer complaints
have been identified at the time of the audit.
Internal audit and man- The organization measures MS implementation, maintenance and effectiveness by
agement review means of annually scheduled system audits. The organization reliably carries out
these audits July 2, 5, 9 and 23 and august 3, and 6, 2018. The five (5) (1) noncon-
formities, 15 32 OFI’s and 3 Good points were identified in these internal audit had
been corrected by the time the audit documented in this report was performed. Open
NCs are still awaiting budgetary allocation to complete corrective actions and closure.
Top management reviews the organization’s quality management system at regular
intervals and in line with the requirements to ensure its continuous suitability, ade-
quacy and effectiveness. The management review of March 5, 2018 and August 28,
2018 was carried out in accordance with the requirements and was effective.
The logo and the certificate are used in compliance with the requirements. This has
Use of certificate and
been checked by sampling. The sampling included business cards, company bro-
logo
chures or websites or others.

Chapter of standard 4.1 4.2 4.3 4.4 5.1 5.2 5.3 6.1 6.2 6.3
Rating * 1 1 1 1 1 1 1 1 1 1
No. of nonconformity -- -- -- -- -- -- -- -- -- --
Chapter of standard 7.1 7.2 7.3 7.4 7.5 8.1 8.2 8.3 8.4 8.5 8.6 8.7
Rating * 1 1 1 1 1 1 1 4 1 1 1 1
No. of nonconformity -- -- -- -- -- -- -- n/a -- -- -- --
Chapter of standard 9.1 9.2 9.3 10.1 10.2 10.3
Rating * 1 1 1 1 1 1
No. of nonconformity -- -- -- -- -- --

Rev. 20180701 Page 12/13

Audit Report

Client Standard(s) Certification Number(s) Audit Type

Department of Labor and Employ- ISO 9001:2015 01 100 1432635 Surveillance Audit 1
ment - Occupational Safety and
Health Center

* Rating: 1 = conforming
2 = not audited in this audit
3 = failed/nonconformity (see nonconformity report))
4 = not applicable

Rev. 20180701 Page 13/13