Construction Safety and Health Program

CONSTRUCTION SAFETY
AND HEALTH PROGRAM
LMC-2019-SRIS-RESTORE-009-IMO-ADS,
RESTORATION OF IRRIGATION FACILITIES
AT SIMULAO RIS, TRENTO, AGUSAN DEL SUR
Submitted by:
ATR CONSTRUCTION
Road to Lavista Monte Village, Balusong Ext.,
Matina Crossing, Davao City 8000
Telephone /Telefax No: (082) 299-1260
Email Address: margaritaremollo@yahoo.com
Page 1 of 63
NO FEES REQUIRED FOR THE FILING, EVALUATION AND APPROVAL OF CSHP
Revised Form: CSHP-DO13-98:

Date of Revision: June1, 2011 Page 1of 3
REVISED APPLICATION FORM for

EVALUATION/ APPROVAL OF CONSTRUCTION
Department of Labor and Employment SAFETY & HEALTH PROGRAM (CSHP)
REGIONAL OFFICE NO. CARAGA REGION
Legal Basis: Section 5 of Department Order No. 13 s 1998
(Guidelines Governing Occupational Safety and Health In Construction Industry)
Instructions: This form shall be duly accomplished and submitted by the MAIN/GENERAL
CONTRACTOR in applying for an approval of a Construction Safety and Health Program intended for
a specific construction project.
Note: A CHECKLIST OF REQUIREMENTS shall be used in receiving the application.
Only an application form with a complete requirements and attachments will be processed.
Application found with incomplete requirements will be given 15 calendar days to comply. Failure to
comply within the prescribed period, the application will be deemed disapproved.
A. Company Profile/License/Registration of Main/General Contractor

Complete Name of the Company/ Complete Address:
Main /General Contractor ROAD TO LAVISTA MONTE VILLAGE, BALUSONG EXT.,
MATINA CROSSING, DAVAO CITY
ATR CONSTRUCTION
Tel. No: (082) 299-1260
Fax No. (082) 299-1260
Name of Project Manager/Contact Person: Email:

MARGARITA V. REMOLLO margaritaremollo@yahoo.com
Main Contractor PCAB License No. 35965 Main Contractor Total employment 9
13 Male 9 Female 4
Date of Validity: JULY 1, 2020 TO JUNE 30,
2021
DOLE Registration of Main Contractor ( Pls. attach photo copy of Registration forms received and approved by
the concerned DOLE Regional Office)
Date Registered/Approved DOLE-RO
a. per DO 18-02 ( requires yearly renewal) exempted due PCAB License
a. per Rule 1020, OSHS (one time registration) January 7, 2013 XI

b.
Sub-contractors’ Profile/License
No. of Workers PCAB Validity Date of
Name of Sub-contractors (If , any) Scope of License Date DOLE
Work and Registration
Project Cost
1.
2.
3.
4.
5.
(Use separate sheet , if necessary)
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B. Project Profile/Description
Name of the Project: (Please attach copy of Invitation to Bid/other documents indicating name and details of the
project)
LMC-2019-SRIS-RESTORE-009-IMO-ADS, RESTORATION OF IRRIGATION FACILITIES AT SIMULAO RIS,

TRENTO, AGUSAN DEL SUR
Complete Project Address/Location
SIMULAO RIS, TRENTO, AGUSAN DEL SUR
Name of Project Owner

Tel. No: 63-2-09282286616
NATIONAL IRRIGATION ADMINISTRATION - IMO AGUSAN DEL SUR
Fax No: none
Email : paulec2k@yahoo.com
Project Classification: Irrigation Date of Estimated Start/Execution of

Facilities/Small B Estimated No. of Workers to the project:
be deployed in the project:
Until Notice to Proceed/ July 4,
20 workers 2020
Month Day Year
(Workforce of the project to
Total Project Cost: PHP. 18,311,532.55 include workers of the sub- Duration of the project (Pls.
contractor/s) state the number of calendar days
300 Calendar Days
Brief Description of Activities/Work Flow (You may attach additional sheet, if necessary)
OTHER GENERAL REQUIREMENTS; EARTHWORKS; PLAIN AND REINFORCED CONCRETE WORKS;

FINISHING WORKS;
Revised Form: CSHP-DO 13-98

Date of Revision: June1, 2011 Page 2of 3
Page 3 of 63
OSH Personnel assigned to the project
Name of Appointed Safety Officer/s: Name of Appointed First-Aider/s:
ALMHER V. REMOLLO ARLENE M. BAGUIO
Date of his/her BOSH training: NOVEMBER 25-29, 2019 Date of First –Aid Training: AUGUST 21, 2019
(Pls. attach photo copy of Certificate of Completion on the Validity of ID: AUGUST 21, 2021
Basic OSH Course for Construction Site Safety Officers
issued by DOLE-BWC accredited Safety Training (Pls. attach photo copy of Certificate of First-Aid
Organizations or recognized institutions) Training and Valid First Aider ID from PNRC
Other OH personnel (if more than 50 workers will be deployed in the project)
Name Date of BOSH Training
OH Nurse
Not applicable Not applicable
OH Physician
Dentist
(If Heavy Equipment will be used in the Project)

List of Heavy Equipment to be Used in the Project Name of Heavy Equipment Operator/s (To attach
(Please attach additional sheet, if necessary) photo copy of skills certification from TESDA)
UNDER LEASE CONTRACT AGREEMENT Not applicable
Profile of the person who prepared the CSH Program for the abovementioned Project:
Name and Signature Educational Background:
BS in Civil Engineering
Work Experience in OSH:

For: Basic occupational Safety and Health Training; Construction
ALMHER V. REMOLLO Safety and Health Course; Advance OSH: Loss Control
Signature over printed name Management; Specialized OSH: Auditing
Other Qualifications:
General Engineering and Building Contractor
I HEREBY CERTIFY ON MY HONOR TO THE TRUTHFULLNESS OF THE ABOVEMENTIONED

INFORMATION. THE COMPANY HEREBY COMMITS TO STRICTLY IMPLEMENT THE
ATTACHED CONSTRUCTION SAFETY and HEALTH PROGRAM DESIGNED FOR THE
ABOVEMENTIONED PROJECT.
Submitted By:
Signature Over Printed Name MARGARITA V. REMOLLO

Position: Proprietor
Date: JANUARY 6, 2020
Revised Form: CSHP-DO 13-98
Date of Revision: June1, 2011 Page 3 of 3
Page 4 of 63
CHECKLIST FOR EVALUATION OF CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP)
Per requirements of D.O. No. 13 series of 1998
Yes No Remarks
A. General Requirements
a. Two (2) copies of letter of intent.
b. Name of authorized contact person with telephone number/s.

c. Two (2) copies of the Safety and Health Program. One copy
must be original print.
B. CSHProgram must contain the following:
1. Name of person who prepared the program.
(please indicate if accredited by DOLE as OSH Practitioner)
2. Project Description:
a. Specific name of project
b. Location of the project
c. Project classification
d. Project owner
e. Name of main contractor
f. Estimated number of workers to be deployed
g. Estimated start of execution of project
h. Estimated duration
i. Scope of work to be undertaken
3. Company Safety Policy written on a company letterhead
Must be duly signed by the highest company official or the
highest ranking company representative who has over-all
control of project execution.
4. Composition of Safety and Health Committee (Per project)
Must specify the proposed structure and membership of the
safety and health committee (Specify the names)
5. Names of Site Safety and Health personnel
(depending on the number of workers to be deployed on the
construction site)
6. Specific duties and responsibilities of the Safety Officer
C. SPECIFIC PROVISIONS ON THE FOLLOWING (if applicable)
7. On-site safety and health promotion and continuing
information dissemination
8. Accident and incident investigation and reporting
9. Protection of general public within the vicinity of the
construction site
10. Environmental control
11. Guarding of hazardous machinery
12. Personal Protective Equipment
13. Handling of Hazardous substances
14. General materials handling and storage procedures
15. Workers skills and certification (for critical occupation)
16. Provisions for transportation facilities for workers in case of
emergency
17. Temporary Fire Protection Facilities and equipment
18. First aid and health care medicines, equipment and facilities
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19. Workers Welfare Facilities
20. Proposed Hours of Work and Rest Breaks
21. Construction waste disposal
22. Testing and inspection of construction heavy equipment. (If
construction heavy equipment will be utilized in the project per
requirements of Sec. 10 D.O. No. 13)
23. Disaster and Emergency Preparedness contingency plan
Standards Operating Procedure and Job Hazard Analysis
for the following activities and other hazardous work not
outlined herein.
a. Site Clearing
b. Excavations
c. Erection and dismantling of scaffolds and other temporary
working platforms
d. Temporary electrical connections/installations
e. Use of scaffolds and other temporary working platforms
f. Working at unprotected elevated working platforms of
surfaces
g. Use of power tools and equipment
h. Gas and electric welding and cutting operations
i. Working in confined spaces
j. Use of internal combustion engines
k. Handling hazardous and/or toxic chemical substances
l. Use of hand tools
m. Use of mechanized lifting appliances for movement of
materials
n. Use of construction heavy equipment
o. Demolition
p. Installation, use and dismantling of hoist and elevators
24. Penalties/Sanctions for violation of the provision/s of the
SH Program
C. ATTACHMENTS
1. Photocopy of Registration Forms received and approved by
the concerned DOLE Regional Office:
- Per DO 18-02
- Per Rule 1020 of the OSHS (one time Registration)
2. PCAB – DTI License
3. Photocopy of Invitation to Bid/Project Contract
4. Photocopy of Certificate of Completion on required Training of
all designated OSH Personnel
- Safety Officer – Basic Occupational Safety and Health
Training for Construction Site Safety Officer
- OH Nurse – Basic Occupational Safety and Health
Training for OH Nurse (if any)
- First Aider – Standard First Aid Training and valid PNRC
ID as First Aider
- OH Physician – Standard Basic Course on Occupational
Medicine. (if any)
5. Certificate of Inspection and Testing of Construction Heavy
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Equipment (CHE) conducted by a DOLE accredited inspection
and testing organization.
6. Skills Certificate of Construction Heavy Equipment operators
issued by TESDA (if any)
7. Contract with nearby hospital/clinic in lieu of the required
infirmary hospital. (if any)
8. DOLE Report Forms
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LETTER OF INTENT
June 29, 2020
DEPARTMENT OF LABOR AND EMPLOYMENT

REGIONAL OFFICE CARAGA REGION
Nimfa Tiu Building, J. P. Rosales Avenue, Butuan City
Tel: (085) 817-2358 * E-mail: dolecaraga13@gmail.com
Thru: AGUSAN DEL SUR PROVINCIAL OFFICE

NGPI BLDG., BRGY. 5, NAT’L H-WAY, SAN FRANCISCO, AGUSAN DEL SUR
Tel: (085) 839-5379 * E-mail: dole_ads@yahoo.com
Dear Sir/Madam,
In compliance to the awarded project: LMC-2019-SRIS-RESTORE-009-IMO-ADS, RESTORATION OF

IRRIGATION FACILITIES AT SIMULAO RIS, TRENTO, AGUSAN DEL SUR, under NATIONAL IRRIGATION
ADMINISTRATION - IMO AGUSAN DEL SUR, we would like to submit our intent for the application
of Construction Safety and Health Program (CSHP).
We hope for your kind consideration and approval on this request.
Thank you very much.
Very truly yours,
MARGARITA V. REMOLLO
Proprietor
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CONSTRUCTION SAFETY AND HEALTH PROGRAM
Pursuant to the provisions of Section 25.3 of the Implementing Rules and Regulations Part A of RA
9184 and in accordance with the provisions of Section 5 of the Department Order No. 13, series of 1998, of the
Department of Labor and Employment (DOLE), we hereby submit to you, as part of the Technical Proposal
which, once approved by the Department of Health, shall be implemented by us for the said contract if it is
awarded to us.
Name of Appointed Safety Officer/s: ALMHER V. REMOLLO
Date of his/her BOSH training: NOVEMBER 25-29, 2019
B.2 Project Description

a. Specific Name of Project: LMC-2019-SRIS-RESTORE-009-IMO-ADS, RESTORATION OF IRRIGATION
FACILITIES AT SIMULAO RIS, TRENTO, AGUSAN DEL SUR
b. Location of the Project: SIMULAO RIS, TRENTO, AGUSAN DEL SUR
c. Project Classification: IRRIGATION FACILITIES; SMALL B
d. Project Owner: NATIONAL IRRIGATION ADMINISTRATION - IMO AGUSAN DEL SUR
e. Name of Main Contractor: ATR CONSTRUCTION
f. Estimated Number of Workers to be deployed: 20 WORKERS
g. Estimated Start of Execution of Project: UNTIL NOTICE TO PROCEED/ JULY 4, 2020
h. Estimated Duration: 300 CALENDAR DAYS
i. Scope of Work to be undertaken: OCCUPATIONAL SAFETY AND HEALTH PROGRAM; TEMPORARY

WORK FACILITIES; MOBILIZATION/ DEMOBILIZATION; TRAFFIC MANAGEMENT; DIVERSION WORKS;
CANALIZATION; CANAL STRUCTURE; ACCESS ROAD;
j. Total Project Cost: PHP. 18,311,532.55
k. Total Cost on OSH (breakdown):

Cost Analysis:
Total Project Cost without the Cost of Safety and Health: PHP. 18,016,716.88
Additional Cost of Safety and Health: PHP. 294,815.67
Total Project Cost including the Cost of Safety and Health: PHP. 18,311,532.55
Percentage Increase in Cost: 1.61%
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B.3 Company Safety and Health Policy
ATR Construction believes in the primary importance of safety and health at work, thus it commits itself to:
• Comply to relevant government rules and regulations pertaining to Occupational Safety and Health
(OSH) as mandated under DOLE Department Order No. 13 s. 1998 and related provisions under the
Occupational Safety and Health Standards;
• Strive to maintain a cost effective Safety and Health program that will lead to a safe working place in
all its projects and undertakings.
ATR Construction assumes full responsibility for implementing this safety and health policy and all its officers,
engineers, supervisors and workers are expected to support and implement this policy and are held
responsible in the effective implementation of the safety and health program in every project site.
All its officers, engineers, supervisors and workers are expected to support and implement this policy and are
held responsible in the effective implementation of this safety and health program.
In this regard, ATR Construction shall provide direction and motivation by:
• Appointing a safety officer on each project site
• Establish attainable company safety goals and objectives
• Ensure total commitment to the implementation of safety and health program from all members and
its all projects
• Ensure that management, coop members and employees are held accountable for the performance
of their safety responsibilities
• Establish and enforce disciplinary procedures for erring workers and coop members
• Review the safety and health program annually, and revise or update it as needed.
Prepared by: Submitted by:
For:
ALMHER V. REMOLLO MARGARITA V. REMOLLO
Safety and Health Officer Proprietor
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STATEMENT OF COMMITMENT TO COMPLY WITH OSH REQUIREMENTS
I, MARGARITA V. REMOLLO 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).
I 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.
I also hereby commit to implement the necessary job safety 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.
Proprietor
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B.4 Composition of Safety and Health Committee
The committee shall have the following responsibility:
• Address issues related to safety and health
• Make recommendations to management
• Facilitate programs and activities for the promotion of safety and health
• Conduct review of accidents/incidents
• Conduct workplace inspections
They shall meet at least once every 2 weeks or as the need arise. Subcontractors shall be represented in the
project safety committee (if applicable).
Proprietor/Project Manager
NAPOLEON P. TORRES ALMHER

ARLENE V. M.REMOLLO
BAGUIO JADE ANTHONY N. DELOS ARCOS
Project Engineer Safety and
FirstHealth
Aider Officer Material Engineer/ Material
Testing and Quality Control
(MTQC)
CONRADO M. VILLAFAÑE, JR. ARLENE M. BAGUIO

Construction Foreman First Aider
Supporting Working Force
B.5 Names of Site Safety and Health Personnel
a. Chairman Safety – MARGARITA V. REMOLLO- Project Manager

b. Secretary Safety – ALMHER V. REMOLLO- Safety and Health Officer
c. First Aider- ARLENE M. BAGUIO
d. Members:
1. NAPOLEON P. TORRES- Project Engineer/ Safety and Health Officer
2. JADE ANTHONY N. DELOS ARCOS- Material Engineer
3. CONRADO M. VILLAFAÑE, JR.- Construction Foreman
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B.6 Specific Duties and Responsibilities of the Safety Officer
The Safety Officer is responsible for monitoring and assessing hazardous and unsafe situations and developing
measures to assure personnel safety.
The Safety Officer will correct unsafe acts or conditions through the regular line of authority, although the
Safety Officer may exercise emergency authority to prevent or stop unsafe acts when immediate action is
required.
The Safety Officer maintains awareness of active and developing situations.
The Safety Officer ensures the Site Safety and Health Plan is prepared and implemented.
The Safety Officer ensures there are safety messages in each Incident Action Plan.
Only one Safety Officer will be assigned for each incident, including incidents operating under Unified
Command and multi-jurisdiction incidents. The Safety Officer may have assistants, as necessary, and the
assistants may also represent assisting agencies or jurisdictions.
The safety officer duties and responsibilities include but not limited to.
1. Developing and administrating a project emergency plan
2. Ensuring that all subcontractors have been screened according to safety criteria and that they have in
place acceptable Safety & Health Program and that they adhere to it.
3. Preparing jobsite safety plans and assuring implementation and enforcement
4. Arranging for emergency plans and assuring implementations and enforcement.
5. Arranging for emergency procedures and facilities
6. Performing new hire employees, staff and specialty trade facilities
7. Performing new hire orientations. This shall be done before starting work on the day of hire for all
employees, staff and specialty trade workers
8. Orientation and surveillances of subcontractor’s work
9. Reviewing hazard analysis before any new operation begins. Instructing the responsible supervisor or
foremen on what is required and reviewing it when completed.
10. Performing joint inspections and reviewing inspection reports to others
11. Notifying appropriate supervisors and foremen of unsafe conditions of deficiencies and following up to
ensure items are promptly corrected
12. Performing accident investigations for any near miss, property damage or personal injury. The supervisor
and/or foremen shall be part of investigation team
13. Training supervisor and foremen to conduct weekly toolbox meetings and reviewing the records for them
14. Preparing and conducting safety meetings on special topics when situations arise that necessitate it
15. Notifying the project manager on all reportable, recordable, property damage and near misses.
16. Keeping an inventory of necessary safety equipment and supplies including test equipment
17. Coordinating necessary training of supervision though the Department of Labor and Employment or its
accredited Training Centers.
18. Issuing stop workers for any operations including subcontractors, that poses an immediate danger to
protect personnel or has potential to cause injury or damage
19. Conducting special training and procedures such as Confined Space Entry Permit
20. Administering the safety the heath plan such as “right-to-know” program for hazardous substance and
maintaining the Material Safety Data Sheets (MSDS)
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21. Keeping himself informed and initiate necessary dissemination of all applicable rules and regulations of
the occupational Safety & Health Standards of all the Department of Labor and Employment
22. Compelling all required safety reports, accidents reports and any other requirements dealing with safety
or accident reporting
23. Maintaining employees bulletin boards and posters with current safety information for enhanced
communication and safety awareness
24. Facilitating transport of impaired employees to the medical faculty when treatment thereof is necessary
25. Coordinating with proper consultation the return to transitional duty of injured employees
26. Designing recommendation and implementing safety promotions programs
C.7 On-Site Safety and Health Promotion and Continuing Information Dissemination
The following shall apply:
a. Detailed information dissemination or advisories to the new employees prior to on-site assignment. e.g.
conduct of safety orientation, company’s health and safety policies, hazards related to the job safety
measures, safe work procedures.
b. Detailed programs on continuing education such as trainings and seminars, if any, that shall be given to
employees e.g. BOSH, refresher course, first aid training, refresher course toolbox meeting, construction
safety training for site safety officers, 80-hour advance safety course prescribe.
c. Arrangements for conveying information on safety and health IEC materials e.g. Posters/komics/flyers,
safety signages, handbooks/manuals, bulletin boards
d. Arrangements for setting up sub-committees on safety and health, where necessary.
e. Schedule of safety related activities e.g. toolbox meeting, health and safety committee meeting
Conduct of Toolbox Meeting

To hold a daily safety toolbox meeting every morning before the start of work to attain the following objectives:
• To discuss matters pertaining to the job;
• 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, and;
• To discuss other pertinent matters (e.g. accident prevention)
SIGNS, SIGNALS, AND BARRICADES

The use of signs, signals, and barricades is essential to make employees aware that an immediate or potential
hazard exists. Both traffic and health hazards such as airborne lead are examples of hazards on bridge
renovation/demolition sites that require signs and other devices. The following sections discuss the primary
ways that employees are made aware of hazards in their work areas. Signs, signals, regulated areas, and
barricades must be used on each construction project as appropriate.
A. Accident Prevention Signs/Tags
• Danger Signs are used wherever an immediate hazard (i.e., exposed electrical conductor) exists. The
danger signs must have red as the predominant color in the upper panel and a white lower panel for
additional sign wording.
• Caution Signs are used to warn against potential hazards or to caution against unsafe practices. The
caution signs must have yellow as the predominant color with a black upper panel (yellow lettering of
"caution" on the upper panel) and a yellow lower panel for additional sign wording.
• Exit Signs, when required, should be in legible red ¾-in (1.9 cm) stroke letters, not less than 6 in (15.2
cm) high, on a white field.
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• Safety Instruction Signs, when used, must be white with a green upper panel and white lettering to
convey the principal message. Any additional wording must be in black lettering on the white
background.
• Directional Signals must be white with a black panel and a white directional symbol. Any additional
wording must be in black lettering on the white background.
• Traffic Signs must be posted at points of hazards in all construction areas. All traffic control signs or
devices must conform to the Traffic Control Devices for Streets and Highways.
• Accident Prevention Tags are used as a temporary means of warning employees of an existing
hazard, such as defective tools, equipment, etc.
• Out of Order Tags are used to designate equipment that requires repair or maintenance. Equipment
with such a tag may not be used until the tag is removed.
B. Signaling
• Flagmen or other appropriate traffic controls must be provided for operations where signs, signals,
and barricades do not provide the necessary protection on or adjacent to a highway or street.
• Signaling directions must conform to Manual on Uniform Traffic Control Devices (MUTCD).
• Stop/Slow sign paddles must be used by flagmen when hand signaling. Red flags, at least 18 in (45.7
cm) square, may be temporarily used in traffic control.
• Flagmen are required to wear a red or orange reflective warning vest and a hard hat while flagging.
• Required signs and symbols must be visible at all times when work is being done, and removed or
covered promptly when the hazard no longer exists.
C. Cones, Barrels, Barricades, and Barriers
• Channelizing devices such as cones, barrels, or barricades are required for jobsite roadways
presenting a hazard to motorized equipment or vehicles. Barriers may also provide a greater degree
of work zone protection. Consult traffic control resources such as the Manual on Uniform Traffic
Control Devices (MUTCD) for guidance on establishing and working in road construction work zones.
• Channelizing devices must conform to sections in the Manual on Uniform Traffic Control
Devices (MUTCD).
D. Regulated Work Areas
In and adjacent to areas where overexposures to the lead PEL exist, warning signs informing employees and
visitors of the lead hazards must be posted. The signs should read: “WARNING LEAD WORK AREA POISON NO
SMOKING OR EATING”
C.8 Accident and Incident Investigation and Reporting

a. All accidents or incidences shall be investigated and recorded.
b. All work related accidents resulting to disabling injuries and dangerous occurrences as defined in OSH
Standards (Rule 1050) shall be reported.
c. Responsible or duly authorized officer for accident or incident investigation recording and reporting who
are either the employer/owner/project manager/safety officer
d. Accident Report shall contain the minimum information as required in DOLE/BWC/OHSD/IP-6.
e. Shall notify the appropriate DOLE Regional within 24 hours in case of fatal accidents. An accident
investigation shall be conducted by the Regional Office within forty eight (48) hours after receipt of initial
report of the employer.
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ACCIDENT & HAZARD REPORTING
The following reporting requirements are for your knowledge, as each one has specific recording and reporting
information required. Any employee suffering any of the following occurrences (except critical/fatal injuries)
must report as follows:
1. First Aid cases must be immediately reported to your supervisor, or their designate, and they will record the
required information in the first aid logbook.
2. Medical Aid / Health Care cases must be immediately reported to your supervisor, or their designate They
will ensure prompt medical attention and, if required, transportation to a medical facility and initiate an
investigation into the causes of the accident. The WSIB and the MOL must be notified within specified
timeframes.
3. Lost Time Injury cases are very serious, as the injured person will require time off work to recuperate.
Immediately report the injury to your supervisor in order that they can arrange for prompt medical attention,
transportation to a medical facility and initiate the investigation into the causes of the accident. The WSIB and
the MOL must be notified within specified timeframes.
4. Critical or Fatal Injuries present extremely stressful conditions and must be handled by trained personnel.
The WSIB and the MOL must be notified within specified timeframes. If you are first on the scene, the
following crisis management steps must be followed:
Send someone to notify the supervisor immediately,
If qualified to do so, render first aid until help arrives,
Send someone to call 911 to report the accident and request an ambulance,
Send someone to guide the ambulance to the scene,
Send someone to call our main office to activate our crisis response,
Stay with the injured person until the supervisor arrives or the ambulance arrives,
Turn the scene over to the supervisor once they have arrived,
Restrict access to the accident scene, (other than Emergency personnel / MOL),
Rope off the accident area for the accident investigation team,
Notify the Safety Representative or JH&SC and union (if any),
5. Hazard Reporting requires that all workers report any hazardous situation, including an unsafe act or
condition, to their immediate supervisor. The supervisor shall investigate and resolve the condition as required
and advise the worker of those steps. The worker may also advise his/her JH&SC member or WTC member.
ACCIDENT INVESTIGATION
The process of investigating any accident, illness, fire, explosion, or spill is for the sole purpose of establishing
the causes of the occurrence and then implementing corrective action to eliminate or reduce the risk of
another similar occurrence. We will investigate every personal injury accident that requires medical attention,
any reported occupational illness, major equipment or machine damage, and any incident with the potential
for serious injury or property destruction (including near misses). Reports required by the WSIB or MOL
reporting the circumstances surrounding the occurrence shall be completed within the specified timeframes. It
is impossible to complete the WSIB and MOL forms without a proper accident investigation into the facts of
the case. Our investigations will establish who was involved, what happened, when it happened, where it
happened and why it happened. In most cases, your immediate supervisor is responsible for conducting the
investigation and completing the required investigation paperwork. If an injured worker does not report their
accident, we will be unable to file the necessary reports on their behalf. Critical or fatal injury investigations
are conducted in conjunction with one or more members of our senior management team, as well as a
certified member of the Joint Health and Safety Committee. We may also request assistance from outside
specialists in this area to ensure that we are in full compliance with OH&S reporting requirements. We ask that
you respect the serious nature of these types of situations and refrain from interfering with the investigation
process. If you are a witness to an occurrence of this nature, please identify yourself as such to the person in
charge of the scene.
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Compliance with Government Requirements
We will submit the following reports to the DOLE Regional Office concerned:
• 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.
• Summary of Work Accident/Illness Exposure Data Report will be submitted on or before the 20 th of the
month following the date of occurrence of accident (for those projects with short duration or less than one
year duration).
• Annual Work Accident/Illness Report using the form DOLE/BWC/OHSD/IP – 6B (for those construction
projects with more than one year duration).
C.9 Protection of the General Public within the vicinity of the vicinity of the Construction Site
Public Protection & Access
Wherever possible our firm will protect the public from accessing our work area using caution tape or barrier
rails. When the area in question cannot completely be protected from public access, proper precautions must
be in place. When overhead work is taking place the area shall be cordoned off so that no member of the
public may walk under the overhead activity. Proper signs shall be erected to inform the public that overhead
activities are taking place. When floors are slippery, have debris, have openings or uneven floor surfaces, the
workers shall maintain the best possible housekeeping to minimize the risk of slip, trip, or fall hazards. Barriers
and signs shall be erected to inform the public of the hazard. If there is a high level of noise, reduced lighting or
electrical hazards present, proper signs shall be posted outlining the risk. Tools and equipment shall never be
left unattended where the public has access to them.
Visitors:
Any visitor entering a work area shall immediately report to the supervisor responsible for that area. All
visitors are expected to comply with all safety requirements of that area and may not enter the area in
question until they are made aware of their responsibilities. Responsibilities of the visitors are found in the
policies section of this manual. If they do not have the appropriate safety equipment, our firm will either
provide them with proper equipment or they shall not enter the area. If a visitor reports a safety concern it will
be immediately reported to the supervisor and they, along with the health and safety representative, will
investigate the concern and act upon it accordingly. All visitors are required to notify the supervisor when they
are leaving the area or site to ensure their safety. They must also return any personal protective equipment
provided to them by the company at that time. First-time visitors to the company will be required to read and
sign the visitor's code of conduct, shown in the sample below.
Visitor's Code of Conduct:

I will sign in and sign out each time I visit,
I will wear and clearly display my visitor's badge (where required) at all times,
I will report any accidents immediately (within 5 minutes) to the person I am visiting, or senior management,
regardless of the severity,
I will use and wear any necessary personal protective devices supplied,
I will never wander the company's property and/or building alone,
I will avoid restricted areas unless I am accompanied by the appropriate personnel and have the proper
authorization to enter such areas,
I will conduct my visit in a manner that is safe and does not endanger myself or any worker,
I will never engage in any form of negligence or visit in an unfit manner.
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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.
The specific safety signages we intend to set-up for this project include but not limited to:
• Mandatory requirement on the usage of PPE prior to entry to the project site (See attached sample picture
of this signage to use for this project);
• 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);
• Areas where there are potential risks of falling (if applicable, attach sample picture of this signage that you
plan to use for this project);
• 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);
• Areas where there are tripping or slipping hazards (if applicable, attach sample picture of this signage that
you plan to use for this project);
• 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);
• 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);
• 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);
• Location of the fire alarms and fire-fighting equipment (attach sample picture of this signage that you plan
to use for this project);
• Instructions on the usage of specific construction equipment (if applicable, attach sample picture of this
signage that you plan to use for this project);
• Periodic updating of man-hours lost.
Inspection and Maintenance of Safety Signages

We will regularly inspect and maintain in good condition all safety signages that we will be providing for this
project. The person in charge in inspecting is NAPOLEON P. TORRES; he is our Safety and Health Officer.
Inspection will be carried out on a weekly basis. Our Safety and Health Officer will remove and replaced any
signages that are damaged, illegible, or no longer apply with the current hazard.
C.10 Environmental Control

The provisions of Rule 1070 of the OSH Standards shall be followed if and when applicable. As a general rule,
the following shall be observed:
• Maintenance of adequate ventilation at all times
• Provision of adequate lightings and/or illumination
• Control of dusts and other airborne contaminants
• A daily check shall be conducted by the supervisor to assess the working environment of the project site
Also, in compliance with relevant environmental laws, rules and regulations set by the DENR-Environmental
Management Bureau (EMB) and by the local authorities, the following shall be observed:
• Segregation of solid waste to biodegradable and non-biodegradable
• Disposal of waste shall be done in accordance with local ordinances
• Control of dusts by constant watering of dry dust prone areas
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• Avoidance on the use of high-intensity high-frequency power tools especially during night time.
Environmental Protection
Prevention and control systems should be designed to protect both workers’ health and the general
environment. Environmental consequences include the effect of fine particles on atmospheric visibility,
damage to buildings, effects on vegetation and animals, and health effects on people outside the plant. As in
the workplace, the first priority is to prevent the generation of airborne dust, and, if generation cannot be
prevented, then secondly, its removal. Measures that minimize waste generation should be given priority, and
any inevitable waste disposal should be so planned as to avoid environmental damage.
The main ways to control a hazard include:

• Elumination (including substitution): remove the hazard from the workplace, or substitute (replace)
hazardous materials or machines with less hazardous ones.
• Engineering Controls: includes designs or modifications to plants, equipment, ventilation systems, and
processes that reduce the source of exposure.
• Administrative Controls: controls that alter the way the work is done, including timing of work, policies
and other rules, and work practices such as standards and operating procedures (including training,
housekeeping, and equipment maintenance, and personal hygiene practices).
• Personal Protective Equipment: equipment worn by individuals to reduce exposure such as contact with
chemicals or exposure to noise.
Dust control
Adequate measures should be taken to prevent the formation of, or to suppress as close to the source as
practicable, all dust in construction operations and in particular siliceous dusts consisting of particles less than
5 microns in size.
• Excavated material should not be exposed to high-velocity air currents during transport.
• If any stone-crushing equipment is used underground, adequate measures should be taken to prevent any
dust from it penetrating to areas occupied by workers.
Noise and vibration

• Employers should provide protection for workers from the harmful effects of noise and vibration from
machines and work processes, by measures including:
(a) replacing hazardous machines and processes by less hazardous ones;
(b) reducing the exposure of workers;
(c) providing personal hearing protection.
• Employers should consider the following developments and improvements in machines and processes:
(a) pneumatic drills and jackhammers to be replaced by hydraulic and electro pneumatic hammers;
(b) remote operation for vibrators, jackhammers and drills;
(c) acoustic enclosure and improved design for compressed air discharges, and the cutters, blades and
exhausts of internal combustion engines as well as the engines themselves;
(d) better means of supporting or holding manually operated tools in order to reduce the effects of
vibration or better vibration damping on vehicle controls and seats.
• Employers should give priority to the reduction of the duration of workers' exposure to noise and
vibration when operating:
(a) jackhammers, drills and compressors;
(b) high impact noise tools such as cartridge-operated guns;
(c) manually operated vibratory tools, especially those operated upwards or in a cold environment.
• Employers should provide personal protective equipment where the harmful effects of noise and vibration
will be experienced by workers; this should include:
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(a) hearing protection in accordance with national laws and regulations, which can be worn with a safety
helmet;
(b) in the case of vibration, suitable protective gloves.
Biological agents
In areas where biological agents pose a hazard, preventive measures should be taken which take account of
the mode of transmission; in particular:
• the provision of sanitation and information for workers;
• action against vectors, such as rats and insects;
• chemical prophylaxis and immunization;
• the availability of antidotes and suitable preventive and curative medicine, mainly in rural areas;
• the supply of protective clothing and other appropriate precautions.
Harmful Dust, Gases, Fumes:

(1) When harmful dusts, gases and fumes are present in an excavation to such a degree hazardous to the
safety and health of the workers, all measures shall be taken either by exhaust ventilation or by other
means to free the area of such contaminants.
(2) Internal combustion engine shall only be operated in an excavation when provision is made to ensure that
the exhaust gases and fumes are rendered harmless or discharged to a point away from the excavation.
C.11 Guarding of Hazardous Machinery

Guarding of Hazardous Machinery must meet these minimum general requirements:
• Prevent contact: The safeguard must prevent hands, arms, and any other part of a worker's body from
making contact with dangerous moving parts. A good safeguarding system eliminates the possibility of the
operator or another worker placing parts of their bodies near hazardous moving parts.
• Secure: Workers should not be able to easily remove or tamper with the safeguard, because a safeguard
that can easily be made ineffective is no safeguard at all. Guards and safety devices should be made of
durable material that will withstand the conditions of normal use. They must be firmly secured to the
machine.
• Protect from falling objects: The safeguard should ensure that no objects can fall into moving parts. A
small tool which is dropped into a cycling machine could easily become a projectile that could strike and
injure someone.
• Create no new hazards: A safeguard defeats its own purpose if it creates a hazard of its own such as a
shear point, a jagged edge, or an unfinished surface which can cause a laceration. The edges of guards, for
instance, should be rolled or bolted in such a way that they eliminate sharp edges.
• Create no interference: Any safeguard which impedes a worker from performing the job quickly and
comfortably might soon be overridden or disregarded. Proper safeguarding can actually enhance
efficiency since it can relieve the worker's apprehensions about injury.
• Allow safe lubrication: If possible, one should be able to lubricate the machine without removing the
safeguards. Locating oil reservoirs outside the guard, with a line leading to the lubrication point, will
reduce the need for the operator or maintenance worker to enter the hazardous area.
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C.12 Personal Protective Equipment
All employees must be provided with appropriate personal protective equipment (PPE) as specified by OSHA
regulations and as necessary to control or eliminate hazardous exposures that may cause injury or illness.
Personal protective equipment includes all clothing and other work accessories designed to create a barrier
against workplace hazards. Selection of the proper type of personal protective equipment is important for
protecting employees from workplace hazards. Employees should receive training on the purpose and
limitations of any prescribed equipment, and records of the training should be kept.
To prevent injuries and illnesses, supervisors/foremen must implement and enforce the use of personal
protective equipment on all company construction projects. Any employee who willfully refuses to use or
willfully damages the prescribed personal protective equipment should be subject to the company safety
enforcement policy.
A. Head Protection
Head injuries are caused by falling or flying objects, or by bumping the head against a fixed object. Head
protection must resist penetration and absorb the shock of a blow. The following points should be included in
a head protection program:
• All employees and visitors should wear protective helmets while on company projects unless otherwise
indicated in the site-specific safety plan. Protective helmets are worn to protect employees and visitors
from potential head injury caused from impact, falling or flying objects, or electrical shock and burns.
• Employees should not use paint or cleaning materials on their helmets. Some paints and cleaning
materials may damage the shell and reduce protection by physically weakening it or negating electrical
resistance.
• Helmet shells should be cleaned by dipping them in hot water containing a good detergent for at least 1
minute. Shells can then be scrubbed and rinsed in clear hot water. After rinsing, the shell should be
carefully inspected for any signs of damage.
• All components, shells, suspensions, headbands, sweatbands, and any other accessories should be visually
inspected daily by the employee for signs of dents, cracks, penetrations, or any other damage that may
reduce the protection originally provided.
• If damage is suspected, helmets should be turned in and a new one issued.
• Employees should never store or carry their helmets on the rear-window shelf of an automobile, since
sunlight and extreme heat may adversely affect the degree of protection provided by the helmet.
B. Hearing Protection
During some operations it is not feasible to reduce the noise levels or duration of employee exposure to levels,
Permissible Noise Exposures, of OSHA. Exposure to high noise levels can cause hearing loss or impairment. It
can also create physical and psychological stress. There is no cure for noise-induced hearing loss. For noise
exposures above 90 decibels (A scale), all employees must use hearing protection and must be included in a
hearing conservation program. Hearing protection devices (ear plugs or muffs) must be fitted or determined
individually by a competent person. Ear muffs or plugs should be used for operations where the employee is
exposed to excessive noise levels for extended periods of time. Cotton is not an acceptable substitute for
prescribed hearing protection.
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C. Eye and Face Protection
Eye and face protection is required wherever there is a reasonable probability of preventable injury. The
design, construction, testing, and use of eye and face protection should be in accordance with OSHA. Eye and
face protectors must:
• Provide adequate protection against hazards for which they are designed.
• Be reasonably comfortable when worn under the designated conditions.
• Fit snugly and not unduly interfere with movements of the wearer.
• Be durable.
• Be capable of being disinfected.
• Be easily cleanable.
• Be maintained in clean and good condition.
All employees must be provided with or be required to purchase appropriate eye and face protection
equipment for any operations that present potential eye or face injury from physical, chemical, or radiation
agents. The eye and face protection designated in the site-specific safety plan shall be worn at all times while
in the construction work areas.
Employees must wear full face shields, along with safety glasses that are equipped with side shields whenever
involved in grinding, chipping, or where flying particles create hazards to the eyes and face.
Safety glasses, safety goggles, or prescriptive eye wear that do not comply with at least the requirements of
OSHA are not suitable eye protection on any company construction project.
D. Foot Protection
Foot and leg injuries from falling or rolling objects, sharp objects, molten metal, hot surfaces, and wet slippery
surfaces can be prevented through the use of appropriate foot guards, safety shoes, or boots and leggings.
The following safety practices should be implemented and enforced on all company projects.
• All employees and visitors are required to wear foot protection while on the jobsite.
• Safety footwear should meet minimum requirements and specifications in for men's Safety-Toe Footwear,
and must meet the requirements.
• Safety shoes must have an impact-resistant toe. Shoes with metatarsal guards are recommended to
provide additional protection to the foot.
• Employees engaged in asphalt paving or any other operation that exposes them to hot surfaces are
required to wear heat-resistant soled shoes.
E. Hand Protection
Gloves must be required when employees' hands are exposed to hazards such as skin permeable harmful
substances, severe cuts or lacerations, severe abrasions, punctures, electrical shocks, chemical burns, thermal
burns, and harmful temperature extremes. Gloves may lessen the ergonomic hazards of many vibrating
construction tools by increasing gripping abilities and insulating the hands and arms from excessive vibration.
However, improperly selected gloves can also lessen gripping abilities, and can be sources of entanglement
danger in work around rotating and moving parts.
The degree to which the gloves are helpful or hazardous is dependent on the proper selection of the gloves.
The site-specific safety plan should include information regarding the appropriate gloves to be worn for
various tasks, conditions, and hazards identified on each jobsite.
Wearing jewelry on the hands can present an entanglement hazard around moving equipment, and should be
discouraged where such hazards exist.
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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.
We enforce our rule that PPEs must not be shared between workers or employees until it has been properly
cleaned and sanitized. PPE are distributed for individual use whenever possible.
If workers or employees provide their own PPEs, we make sure that it is adequate for the work place hazards,
and that it is maintained in a clean and stored in a conducive condition.
We never allow the use of defective or damaged PPEs. We immediately discard and replace them to avoid any
unintentional use.
We 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
C.13 Handling of Hazardous Substances

Provision on Handling of Hazardous Substances shall be followed if and when applicable. As a general rule, the
following shall be observed:
• All hazardous substances used in a workplace are required to be placed under the control of a competent
person who has adequate knowledge of the properties of the substances and its dangers.
• These substances should be kept, stored, used, and handled or disposed properly so that it will not pose a
risk to the health and safety of any person at work.
• Hazard communication through the use of warning signs, container labeling and safety data sheets are
required.
• Any work involving hazardous chemicals should be established and documented through written
procedures.
• The procedures should cover dispensing, transferring, using and disposing of the hazardous chemicals.
• During the manufacturing process of the chemicals, written procedures should be put in place for the start
up, during routine operation, at shut down and maintenance work.
• The safe work procedures should include the safety and health precautions which are to be taken during
the course of work, and the use of personal protective appliances.
• Personal protective equipment (PPE) include respirators, safety glasses, face shields, overalls, aprons,
gloves and boots.
• Fit tests should be conducted for respirators used by the workers, and the fit test certificates should be
kept.
• Workers should also conduct fit checks (positive or negative pressure fit checks) on their respirators
before using them.
• It is a good practice to perform leak tests on PPE such as gloves to check for holes before use.
• PPE should be selected properly, used correctly or comfortably fitted and maintained regularly to ensure
effective protection.
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Flammable & Hazardous Materials
1. Keep combustible materials such as oil-soaked rags and waste in approved metal containers.
2. Do not use flammable liquids such as gasoline, benzene, naphtha, paint thinner, etc., for cleaning purposes.
3. Keep all solvents in U.L / CSA approved and properly-labeled containers. Only handle and dispense gasoline,
benzene, naphtha, paint thinner and other solvents of this class using approved, labeled containers.
4. In any building (except one specified for their storage), flammable liquids such as gasoline, benzene,
naphtha, lacquer thinner, etc. shall be limited to five gallons in UL / CSA approved properly labeled
containers.
5. Observe all grounding requirements when pouring, pumping gasoline, or other flammable liquids from one
container to another.
6. Post and adhere to all “No Smoking” and “Stop Your Motor” signs at fuel dispensing locations.
C.14 General Materials Handling and Storage Procedures

MATERIALS HANDLING, STORAGE, USE, AND DISPOSAL
Materials handling accounts for 40 percent of lost-time incidents that occur in the construction industry.
These injuries are often a result of inadequate planning, administrative, and/or engineering approaches.
Therefore, in an effort to reduce workplace injuries, the following safe work practices and procedures will
need to be implemented and enforced at all construction projects.
A. General Storage Requirements
• Stack, rack, block, interlock, or otherwise secure all materials and supplies to prevent sliding, falling,
or collapse.
• Post the maximum safe load limits for floors within buildings and structures in a conspicuous
location. Never exceed the maximum safe load limit.
• Keep aisles and passageways clear to provide for the free and safe movement of material handling
equipment and employees.
• Use ramps, blocking, or grading when a difference in road or working levels exists to ensure the safe
movement of vehicles between the two levels.
• Do not place material within 6 ft (1.8 m) of any hoistway or floor opening inside buildings under
construction, nor within 10 ft (3.0 m) of an exterior wall that does not extend above the material
being stored.
• Stack bagged materials by stepping back the layers and cross-keying the bags at least every 10 bags
high.
• Do not store materials on scaffolds or runways in excess of supplies needed for immediate
operations.
• Remove all nails from used lumber prior to stacking.
• Stack lumber on level and solidly supported sills.
• Do not stack lumber higher than 20 ft (6.1 m) (16 ft (4.9 m) if handled manually).
• Stack and block structural steel, poles, pipe, bar stock, and other cylindrical materials, unless racked,
so as to prevent spreading or tilting.
• Attach handles or holders to the load to reduce the possibility of pinching or smashing fingers.
• Unload materials close to the point of final use to avoid unnecessary lifting.
• Do not stack non-compatible materials in the same pile.
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B. Manual Materials Handling
• Employees working alone should not attempt to lift or move a load that is too heavy for one person -
get help!
• When working with materials stored in silos, hoppers, tanks, or similar storage areas, be aware that
confined spaces may exist.
• Attach handles or holders to the load to reduce the possibility of pinching or smashing fingers.
• Wear protective gloves and clothing (i.e., aprons), if necessary, when handling loads with sharp or
rough edges.
• When pulling or prying objects, workers should be properly positioned.
• Riding loads, slings, the ball, crane hook, or other material hoisting equipment is prohibited.
C. Training
Employees should receive instructions on proper materials handling practices during weekly tool-box meetings
so that they are aware of the following types of injuries associated with manual handling of materials:
• Strains and sprains from lifting loads improperly, or from carrying loads that are too heavy or large.
• Fractures and bruises caused by dropping or flying materials, or getting hands caught in pinch points.
• Cuts and abrasions caused by falling materials that have been improperly stored, or by cutting
securing devices incorrectly.
D. Engineering Controls
Engineering controls should be used, if feasible, to redesign the job so that the lifting task becomes less
hazardous. This includes reducing the size or weight of the object lifted, changing the height of a pallet or
shelf, or installing a mechanical lifting aid.
E. Rigging
OSHA standard provides guidance about the limitations and uses of slings used in conjunction with other
material handling equipment for the movement of material by hoisting. Slings covered by this standard
include those made of alloy steel chain, wire rope, metal mesh, natural or synthetic fiber rope, and synthetic
web (nylon, polyester, and polypropylene). Some general work practices related to rigging include:
• Rigging equipment must be inspected prior to use on each shift and during its use to ensure that it is
safe. Defective rigging equipment shall be removed from service.
• Rigging equipment must not be loaded in excess of its recommended safe working load. The standard
provides load capacity tables for various types of slings and associated hardware.
• Rigging equipment, when not in use, must be removed from the immediate work area.
• Custom rigging must be marked to indicate the safe working loads and shall be proof-tested prior to
use to 125 percent of their rated load.
In addition to these general guidelines, the standard has specific requirements related to alloy steel chains,
wire rope, natural and synthetic rope, and synthetic webbing. Employees performing rigging work should be
adequately trained in the safety and functional aspects of rigging for materials handling operations.
C.15 Workers Skills and Certifications (for critical occupation)

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. For this project, heavy equipment operators/workers is
under lease contract agreement.
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C.16 Provisions for Transportation Facilities for Workers in case of Emergency
Rule 1963.02 of the Occupational Safety and Health Standards - Emergency Medical and Dental Services
In case of emergency, an emergency transport shall be provided by the supervisor to ferry the victim to the
nearest hospital. An ambulance will be arranged if no vehicle is found suitable for the purpose.
C.17 Temporary Fire Protection Facilities and Equipment

FIRE PROTECTION AND PREVENTION
Fire on construction projects is a constant hazard that can cause loss of life, equipment and material. To assist
in preventing fires on construction projects, all personnel must comply with the following safe work practices
and procedures:
A. Fire Protection
• Access to all available firefighting equipment must be maintained at all times.
• Firefighting equipment must be inspected monthly and maintained in operating condition. Defective
or exhausted equipment must be replaced immediately.
• All firefighting equipment should be conspicuously located at each jobsite.
• One fire extinguisher, rated not less than 2A, should be provided for each 3,000 sq ft (279 m 2) of the
protected work area. Travel distance from any point of the protected area to the nearest fire
extinguisher must not exceed 100 ft. One 55-gallon open drum of water with two fire pails may be
substituted for a fire extinguisher having a 2A rating.
• Extinguisher and water drums exposed to freezing conditions shall be protected from freezing.
• Employees should not remove or tamper with fire extinguishers installed on equipment or vehicles or
in other locations unless authorized to do so or in case of fire. After using a fire extinguisher, it must
be recharged or replaced with another fully charged extinguisher.
• Extinguishers must be selected based on the anticipated fire hazards. To aid in the proper selection of
fire extinguishers, the classes of fires are as follows:
• Class A (wood, paper, trash) - use water, dry chemical, or foam extinguisher.
• Class B (flammable liquids, gas, oil, paints, grease) - use foam, carbon dioxide, or dry chemical
extinguisher.
• Class C (electrical) - use carbon dioxide or dry chemical extinguisher.
• Class D (combustible metals) - use dry powder extinguisher only.
B. Fire Prevention
• Internal combustion engine-powered equipment should be located so that exhausts are away from
combustible materials.
• Smoking is prohibited at or in the vicinity of operations that constitute a fire hazard. Such operations
must be conspicuously posted: "No Smoking or Open Flame."
• Portable battery-powered lighting equipment must be approved for the type of hazardous locations
encountered.
• Combustible materials must be piled no higher than 20 ft (6.1 m). Depending on the stability of the
material being piled, this height may be reduced.
• Driveways between and around combustible storage piles must be at least 15 ft (4.6 m) wide and kept
free from accumulations of rubbish, equipment, or other materials.
• Portable fire extinguishing equipment, suitable for anticipated fire hazards on the jobsite, must be
provided at convenient, conspicuously accessible locations.
• Firefighting equipment must be kept free from obstacles, equipment, materials, and debris that could
delay emergency use of such equipment. Employees should familiarize themselves with the location
and use of the project's firefighting equipment.
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• All oily rags, waste, and similar combustible materials must be placed in metal containers. The
containers must be emptied on a daily basis.
• Storage of flammable substances on equipment or vehicles should be prohibited unless such unit has
adequate storage area designed for such use.
C. Flammable and Combustible Liquids

• Explosive liquids, such as gasoline, shall not be used as cleaning agents.
• Gasoline and similar combustible liquids must be stored, transported, and handled in approved and
labeled containers in well-ventilated areas free from heat sources.
• Approved wooden or metal storage cabinets must be labeled in conspicuous lettering: "Flammable-
Keep Fire Away."
• More than 60 gallons (227.1 l) of flammable or 120 gallons (454.2 l) of combustible liquids should not
be stored in any one approved storage cabinet.
• Storage of containers shall not exceed 1,100 gallons in any one pile or area. Separate piles or groups
of containers by a 5 ft (1.5 m) clearance. Never place a pile or group within 20 ft (6.1 m) of a building.
A 12 ft (3.7 m) wide access way must be provided within 200 ft (61.0 m) of each container pile to
permit approach of fire control apparatus.
• The use of flammable liquids and spray finishing needs to conform to the requirements of 1926.66
and 1926.152. Paints and reducers should be stored away from heat sources and out of the sun.
Airless spray painting apparatus should be of a type approved for hazardous locations. Any
electrically or fuel-powered equipment used to mix, convey, and spray flammable and combustible
liquids must carry an approval from a nationally recognized testing laboratory . Pneumatically
operated equipment is usually suitable for use with flammable and combustible finishes.
C.18 First Aid and Health Care Medicines, Equipment and 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.
A first aid station shall be provided with first aid kits with appropriate medicines shall be kept at all times. The
following shall be provided as part of the first-aid kits in accordance with table 47 of the OSH standards:
• Medicines
o Topical Antiseptic, 60cc
o Antiseptic eyewash, 120cc
o Isopropyl alcohol, 240cc
o Aromatic spirit of ammonia, 30cc
o Toothache drops, 15cc
o Hydrogen peroxide solution, 120cc
o Burn ointment, 1 tube
o Analgesic, antipyretic tablets, 20pcs
o Anti-acid tablets, 10pcs
o Anti-diarrhea tablets, 10pcs
• Medical Supplies and Equipment
o First aid pamphlet, 1pc
o First aid box, 1 box
o Thermometer, 1pc
o Sterile gauze pads, 5pads
o Gauze bandage, 1roll
o Adhesive tape, 1roll
o Absorbent cotton, 1pack
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o Bandage scissor, 1pc
o Triangular bandage, 1pc
o Safety pins, 10pcs
o Tongue depressors wooden, 100pcs
o Hot water bag, 1pc
o Ice bag, 1pc
o Rubber tourniquet, 1pc
o Waste pail, 1pc
o Soap, 1 bar
C.19 Workers Welfare Facilities

SANITATION
The following sanitation provisions apply to construction jobsites:
• Employees should not be required to perform work under unsanitary conditions. Adequate supplies of
potable water shall be provided at the jobsite. Containers used for drinking water will be clearly marked
and not used for any other purpose. Cups must not be shared by employees.
• Outlets for non-potable water (i.e., firefighting purposes) are not to be used by employees for drinking,
washing, or cooking purposes.
• All construction projects must have an adequate number of toilets on the jobsite according to the
following:
20 or less workers - 1 toilet
20 or more workers - 1 toilet seat and 1 urinal per 40 workers
200 or more workers - 1 toilet seat and 1 urinal per 50 workers
• Hand washing facilities need to be provided in near proximity to the jobsite for employees working where
lead is present. Hand washing facilities should also be present when employees are applying paints,
coatings, herbicides, and insecticides or in other operations where contaminants may be harmful to the
employees. Sinks shall have hot and cold or tepid running water, with soap and hand drying means
provided.
• On bridge renovation and demolition sites where lead is present, showers must be provided where
feasible-at least one shower for each 10 employees. Shower facilities must have hot and cold running
water, with soap and towels provided. Employees must also wash their hands before eating, drinking, and
smoking on lead-contaminated bridge sites. Where showers are provided, employees have to shower at
the end of the shift.
Although portable hygiene trailers make it feasible to supply washing and shower facilities at virtually any
location, alternatives to having showers on site include using other shower facilities at hotels or campgrounds,
provided proper hygiene practices are followed. Where a shower is not located on site, employees must wash
their hands and face before leaving the site, and remove all lead-contaminated clothing and shoes before
going to the non-site shower facility.
Removing work clothing and shoes protects the employees’ cars and the public’s health from lead
contamination.
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C.20 Proposed Hours of Works, and Rest Breaks
The following shall apply: work schedules for this project is from Monday to Saturday from 7:30AM to
11:30AM and 1:00PM to 5:00PM working hours. Provision of 15-minute breaks in morning between 9:30AM to
9:45AM and 3:00PM to 3:15PM in the afternoon and Lunch break of one and half (1 ½) hour shall be observed.
A mandatory break of 30 minutes shall be implemented before rendering overtime after 5:00PM.”
C.21 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:
• Ensure that the construction wastes are segregated from that of domestic waste.
• All domestic wastes are to be collected on a daily basis.
• Construction debris (broken hollow blocks, spoiled concrete, loose concrete, etc) should be taken out on
the staging area.
• Oil spills and spoiled greases should be wrapping in the black garbage bag and will be properly disposed.
• Application of good housekeeping.
HOUSEKEEPING
A policy of trash removal and the maintenance of good housekeeping practices should be implemented on all
jobsites. The accumulation of construction debris may pose a significant fire hazard in addition to tripping and
falling hazards. Good housekeeping practices are the result of planning and organization. The general
contractor and all subcontractors on the site must work together to maintain a clean worksite. The prompt
removal of waste materials will permit a free flow of traffic through the work areas. Daily or more frequent
inspections shall be conducted by the general contractor to verify that the housekeeping controls are in place
and being enforced. Fires can be prevented by limiting “stacks” of combustible materials and never storing
incompatible materials together. Housekeeping activities in themselves may pose health hazards such as
exposures to dusts, biological agents, and discarded chemicals. Liquid and solid waste chemicals must be
placed in leak-proof containers for proper disposal. Some of the bridge structures involved in renovation and
demolition activities may be contaminated with bird droppings. In addition to being an unpleasant and
unsightly mess, the droppings can harbor disease-causing organisms. Before working in areas fouled with bird
droppings, the areas should be thoroughly cleaned with soap and water using high-pressure spray methods.
Cleaning up lead-contaminated equipment, materials, and wastes often creates the potential for excessive
lead exposures. Therefore, before performing housekeeping duties on a jobsite where there is lead
contamination, employees should be trained in the use of special housekeeping and clean-up procedures such
as the use of High Efficiency Particulate Air (HEPA) vacuum systems and wet methods of cleanup to minimize
dust exposures. Lead-contaminated dirt and debris must be properly disposed of according to applicable
environmental regulations.
C.22 Testing and 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. For this project, construction heavy equipment is under lease contract agreement.
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C.23 Disaster and Emergency Preparedness Contingency Plan
Emergency Preparedness
The objectives of this are to ensure that the company has developed and communicated plans that will allow
for the effective management of emergencies.
Site engineers or project supervisors are required to ensure that:

• First aid station is available and has an emergency medical kit
• Coordinate with nearest emergency clinic
• Provide medical transport if required
Medical Emergency:
• In case of medical emergency, concerned personnel must be brought to the nearest emergency clinic.
• The giving of first immediate first aid to the victim is required. First aid kits shall be provided on
project site. Appropriate emergency vehicle will be provided to transport the victim.
Fire Emergency:
• In case of fire, inform all workers on site by shouting or any other means to their attention.
• Grab the fire extinguisher and proceed to put out the fire.
• Contact nearest fire station.
• Report immediately the incident to main office.
Evacuation Procedures:
In case of evacuation, the following should be followed:
• Gather all workers and personnel to designated assembly point.
• Check for any missing personnel/workers.
• Provide transport if required and proceed to designated evacuation site (as advised by local
authorities or government personnel).
Police/Fire Emergency Numbers:

In case of emergency, workers are advised to call the nearest Police/Fire Stations. Contact numbers of police
stations shall be posted on project site.
EMERGENCY PROCEDURE ON EARTHQUAKE

Earthquake Safety Guidelines
• Remain Calm. Sound usually precedes earthquake motion by a split second. If you have developed the
correct earthquake responses in your mind before a quake, this split second is enough time to activate your
automatic reactions. If you stay calm, you will be better able to assess your situation. The rolling and roaring
may terrify you, but unless something falls on you, the sensations probably won't hurt you. Try talking yourself
through the violent motion phase. This will release stress and others may take courage and follow your
reasoned restraint. Think through the consequences of any action you plan to take.
• If you are indoors, stay there. If you are in danger:
✓ Get under a sturdy table, desk or bed.
✓ Brace yourself in an inside corner away from windows.
✓ Move to an inner wall or corridor. (A door frame or the structural frame or inner core of the building
are its strongest points and least likely to collapse. They will also break the impact of any falling
objects).
✓ In an apartment building the safest place is by the central reinforced core of the building, which is
usually located by the elevator well.
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✓ Choose shelter which will provide an airspace if it collapses. If your furniture shelter moves, stay
under it and follow it around the apartment.
✓ Watch for falling objects - plaster, bricks, light fixtures, pots and pans, etc.
✓ Stay away from tall shelves, china cabinets and other furniture, which might slide or topple over.
✓ Stay away from windows, sliding glass doors, mirrors.
✓ Grab anything handy (blanket, pillow, tablecloth, newspapers, box, etc.) to shield your head and face
from failing debris and splinting glass.
✓ Don't be alarmed if the fire alarm or sprinklers go off.
• Do Not Rush Outside. Stay on the same floor that you are on. Stairways may be broken and exits jammed
with people. Do not use elevators as the power for elevators may go out and leave you trapped. The greatest
danger from falling debris is just outside doorways and close to outer walls. If for safety reasons you must
leave the building, choose your exits as carefully as possible.
• If you are outside, stay there. Move away from the building, garage, walls, power poles and lampposts.
Electric power lines are a serious hazard - stay away from fallen lines. If possible, proceed cautiously to an
open area.
• If you are in a moving car, stop. Stop as quickly as safety permits in the best available space. Stay in your car.
Don't stop where buildings can topple down on top of you. A car is an excellent shock absorber and will shake
a lot on its springs during an earthquake, but it's a fairly safe shelter from which to assess your situation.
• Avoid Fallen Power Lines. The possibility of encountering fallen live wires is great during and after an
earthquake. If you are on foot, make a wide path around the wires. If you are in the car and live wires have
fallen across the car, remain where you are. Your car is usually well insulated and will protect you from electric
shock. Never assume that downed power lines are dead.
Standards Operating Procedures and Job Hazard Analysis for the Following Activities and Other Hazardous
Work not outlined herein
Scopes of Works for this project are OCCUPATIONAL SAFETY AND HEALTH PROGRAM; TEMPORARY WORK
FACILITIES; MOBILIZATION/ DEMOBILIZATION; TRAFFIC MANAGEMENT; DIVERSION WORKS; CANALIZATION;
CANAL STRUCTURE; ACCESS ROAD;
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 is 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.
Our supervisor will provide a description of the work to be done as well as the actual or potential hazards that
could be encountered. The safety precautions will be listed and discussed with our workers prior to the work
proceeding. The workers will sign off on this procedure after they have understood the requirements
necessary.
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SPECIFIC SITE WORKS
GENERAL REQUIREMENTS
The contractor shall provide and maintain such offices, stores, workshops latrines, housing and messing
accommodations as are necessary. These should be located in the Contractor’s compound, distinct and
separate from the Engineer’s compound. The location dimensions and layout of such buildings and places shall
be subject to the approval of the Engineer. The contractor shall not be permitted to erect temporary buildings
or structures on the site without the specific dimensions of such buildings or structures. The contractor shall
provide and maintain throughout the duration of contract, a medical room together with all necessary supplies
to be sited in the Contractor’s main area. The contractor shall employ permanently on the site a fully trained
medical aide and safety health officer who shall be responsible from medical duties and safety precaution in
the area.
PROJECT BILLBOARD/SIGNBOARD
Installation of project billboard and signages at project site in accordance in program of works and plans.
OCCUPATIONAL SAFETY AND HEALTH PROGRAM

A. Health and Safety Plan
Within one month of notice to commence on site, the Contractor shall submit a Health and Safety Plan with
operational details of his proposals to the engineer for his approval.
B. Accident Prevention Officer; accidents
1. Due precautions shall be taken by the Contractor, at his own cost, to ensure the safety and protection
against accidents of all staff and labour engaged on the works, local residents in the vicinity of the works,
and the public travelling through the works.
2. The contractor shall have on his staff on site a designated full-time officer qualified to promote and
maintain safe working practices. This officer shall have authority to issue instructions and shall take
protective measures to prevent accidents, including but not limited to the establishment of safe working
practices and the training of staff and labour in their implementation.
3. The contractor shall be responsible for all costs including medical treatment, transport, accommodation,
etc. incurred by any member of the public or his labour forces whether on direct contract or sub-contract
as a result of injuries or illness arising from the execution of the works.
C. Protective Clothing and Safety Equipment
1. The contractor shall at his own expense provide protective clothing and safety equipment to all staff and
labor engaged on the Works to the satisfaction of the Engineer. Such clothing and equipment shall
include, at a minimum, high visibility vests for workers directing traffic, protective footwear for workmen
undertaking concrete mixing work, protective footwear and gloves for any workmen performing
bituminous paving works, protective footwear, hard hats, safety dust masks and otherwise as appropriate
to the job in hand and to the Engineer’s satisfaction.
2. If the Contractor fails to provide such clothing and equipment the employer shall be entitled to provide
the same and recover the cost from the Contractor.
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D. Medical and First-Aid Facilities
The contractor shall provide and maintain throughout the duration of the Contract, a medical examining room
and sick bay together with all necessary supplies and equipment to be sited in the Contractor’s main camp.
The rooms shall be used exclusively for medical purposes and shall be of good quality construction with
electric lighting and otherwise suitable for their purpose. The sick bay shall have at least two beds, and shall be
provided with adjacent washing and sanitation facilities. The contractor shall employ part time Safety
Practitioner and first aider on site who shall be engaged solely for medical duties. The contractor shall at his
own expense provided first aid equipment at all camps and work sites to the satisfaction of the Engineer, and
shall ensure that at all camps and works shall at all times have a person qualified in first-aid with access to
appropriate first-aid equipment. The location of the medical room and other medical and first-aid facilities
shall be made known to all employees by posting suitable notices at prominent locations around the site and
by verbal instruction upon recruitment.
E. Supply of Drinking Water, Sanitation
The Contractor shall provide on the Site and at his expense an adequate supply of potable drinking water for
all staff and labor engaged on the works, together with sanitary facilities (portable toilets or latrines), to the
satisfaction of the Engineer. The Contractor shall thoroughly disinfect and fill all latrine pits, sumps and
trenches when no longer required.
F. Measurement and Payment
Health and Safety will be measured and paid in accordance with the current DPWH Department Order, series
2005: Re “Guidelines for the Implementation of DOLE D.O. No. 13, series of 1998, Governing Occupational
Safety and health in the Construction Industry”.
MOBILIZATION/DEMOBILIZATION
MOBILIZATION Upon receipt of Notice to Proceed and signing the contract, immediately mobilize the
equipment, manpower and materials at the project site. Clear all the surrounding and construct temporary
facilities for storage of materials, water consumption, and sanitary facilities and provide PPE for all workers in
accordance with the DOLE regulation.
DEMOBILIZATION Cleans all surroundings and demobilizes all excess materials, equipment and manpower
from project site. In completion, inform the Procuring Entity for final inspection and turn-over.
TRAFFIC MANAGEMENT
To provide guidance on traffic management at the road with the aim of reducing road congestion,
ensuring a safe passage of travel and improving efficiency of available road ways and work zones.
Traffic Control
Every employer who may have workers exposed to hazards of vehicle traffic shall develop and
implement a written traffic control protection program for their workers on a given project. All workers
should be made aware of the types of vehicles on site and the traffic routes to be used. Speed limits
and traffic direction flows should be strictly adhered to at all times. Vehicle traffic on site is to move in
a forward direction at all times unless it is not possible. The Constructor will have a traffic control and
protection plan for the site and this should be reviewed with all workers on site. A traffic control person
must be a “competent worker” and must not be involved in any other work while directing traffic. They
shall not direct traffic for more than one lane in the same direction or direct traffic if the posted speed
limit is greater than 90 kilometres per hour. The traffic control person shall position themselves in a
manner that minimizes the risks involved. They shall also be given written and oral instructions
regarding the traffic protection plan including a description of the signals and signs to be used. This
instruction must be documented and administered in a language the traffic control person
understands. A vest or garment that covers the upper body shall be worn by the traffic control person
and include fluorescent blaze, two yellow stripes on the front and back 5 cm. wide with a total area of
500 square centimetres on the front and 570 centimetres on the back.
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The stripes shall be retro-reflective and fluorescent, be vertically centered on the front, and form an
“X” pattern on the back. It is also suggested that arm and leg reflective and fluorescent bands be
included in the abovementioned garment and be worn in addition to the vest or garment for the upper
body. If a vest is used, it should have an adjustable fit mechanism. For a list of required signs, lane
control devices, barricades etc., please refer to the Construction Regulations or Ministry of
Transportation regulatory requirements.
TEMPORARY FACILITIES
Provision of Field Office for the Engineer (Rental Basis)
The Contractor shall provide or rent a field office and living quarters with an area = 63.00 sq.m. for the
exclusive use of the NIA Engineer and his staff with the provision of toilet and bath, potable water, sewerage
and electricity connected to a local power supply.
Operation and Maintenance of Field Office for the Engineer

The Office shall be provided with minimum requirements of furniture, equipment, etc. specified below:
Description Unit Quantity
Office Table pcs. 2.00
Chairs (monoblock w/ arm rest) pcs. 5.00
Electric Stand Fan pcs. 3.00
Steel Bed w/ Polyurethrane Foam (4" x 36" x 75") pcs. 3.00
Two burner stove w/ LPG tank set 1.00
Kitchen Utensils set 1.00
Water Dispenser (hot and cold) including consummable set 1.00
Digital Camera for progress photos L.S. 1.00
Printer (energy, star including colored inks) L.S. 1.00
Ink Cartridge (Black and Colored) and Bond Paper, 80 gsm (8.27" x 11.69" ,
L.S. 1.00
8.5" x 13" , A3)
Laptop Computer (Intel Core i7-4700QM, 3.40GHz/ 1TB HDD/8GB
DDR3/Genuine Windows8.1 prof.,64bit/genuine MS Office 2013 prof./Anti- L.S. 1.00
Virus)
The contractor shall provide a Utility Man to assist in the maintenance of the Engineer’s Office and Quarters
for the duration of the Contract.
DIVERSION WORKS; CANALIZATION; CANAL STRUCTURE; ACCESS ROAD;

Hazards Involved:
The hazards and risks are usually:
1. Collapse of the sides of the excavation.
2. Materials falling onto the people working in the excavation.
3. People and vehicles falling into the excavation.
4. The undermining of nearby structures causing their collapse into the excavation.
5. Damage to underground services during excavation work causing electrocution, explosion, gas escape,
flooding etc.
6. Ingress of water causing flooding
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The works should be carefully planned and carried out. Ensure that equipment and materials needed are
available on site before work starts. Ensure that the work is directed by a competent supervisor and the works
are inspected daily by someone who understands the risks and precautions to be taken. At least once a week
the excavation should be thoroughly inspected and also after any event which may affect the temporary
support. Such inspections should be documented.
Safety Precautions:
The precautions to be taken are:
1. Trench collapse should be avoided by battering the sides to a safe angle or by supporting them with
sheeting or proprietary support systems. Support should be installed without delay as the work
progresses. Ensure the workers are competent and experienced as far as possible and that they have clear
instructions.
2. Excavated spoil, plant or materials should not be stored close to the sides of excavations as loose material
can fall in. The extra loading can make the sides of the excavation more likely to collapse.
3. Prevent people from falling into excavations by substantial barriers around the edges. This must be done if
the depth exceeds 2 metres but is recommended for excavations of lesser depths.
4. Prevent vehicles from falling into excavations or surcharging and causing the collapse of the sides of the
excavation by keeping them out of the area. Baulks and barriers can be provided for this purpose and
should be painted to be easily visible. If vehicles have to tip materials into excavations then they should be
prevented from over-running into the excavation by using stop blocks.
5. Provide safe access in and out of the excavation.
6. Hazardous fumes should be considered. Diesel and petrol engined equipment should not be allowed into
excavations without arranging for exhausts to be ducted away or forced ventilation to be used.
7. Cable and/or pipe plans and service plans should be used to locate underground services which should be
marked on the ground and where practicable digging should take place as far as possible from them. Use
cable and pipe locators during the course of the excavation work. Great care should be taken to ensure
that mechanical means of digging are not used within 0.5 metres of underground services and spades and
shovels should be used instead of picks and forks which are more likely to pierce cables. Once services are
located and exposed they should be supported. Both new and existing services should be permanently
marked by the use of appropriate tapes over the service and by placing permanent markers above ground
indicating the service type, depth, route etc.
8. Precautions should be taken against flooding by installing efficient means of pumping out the excavations
ensuring that the outflow from the pump does not cause flooding problems elsewhere.
CONCRETE WORKS/REINFORCING STEEL

Hazards Involved:
REINFORCED CONCRETE
Construction Hazards:
• Cuts
• Electrocution
• Falls, Common situations include making connections, walking on beams or near openings such as floors or
windows. Fall protection is required at height of 6 feet above a surface. Common causes: slippery surfaces,
unexpected vibrations, misalignment, and unexpected loads.
• Falling objects
• Heat/cold stress
• Musculoskeletal disease
• Tripping
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REINFORCING STEEL
Workers who cut or bend rebar may face hazards from lifting and carrying (manual materials handling). Lifting
heavy materials during the cutting or bending of rebar can cause injury to muscles, nerves, discs and ligaments
of the low back. Non-specific low back pain is not the result of a fall or some other acute traumatic injury, so it
can be difficult to identify a specific event that led to the injury. Repetitive lifting can lead to low back muscle
strain, ligament sprain, a bulging or herniated disc, or other back problems.
Safety Precautions:
Construction safety on concreting works
• Do not place construction loads on a concrete structure or portion of a concrete structure unless a
person qualified in structural design has determined that it is capable of supporting the loads.
• Remove or guard from impalement, protruding reinforcing steel, concrete form pins, and similar
objects where there is a possibility workers could fall onto or into them from any level.
NOTE: To protect from impalement, guards, caps, or covers must be manufactured for that purpose or
otherwise withstand a drop test of 250 pounds from a 10-foot elevation.
• Do not ride on or work under concrete buckets.
• Use hand protection when applying and finishing cement, sand, and water mixtures; contact Safety
and Health for assistance.
• Equip manually guided, powered, and rotating concrete troweling machines with a control switch
(deadman switch) that automatically shuts off the power whenever the operators remove their hands
from the equipment handles.
• Ensure that concrete buggy handles do not extend beyond the wheels on either side of the buggy.
• Ensure that concrete buckets equipped with hydraulic or pneumatic gates have positive safety latches
or equivalent safety devices to prevent premature or accidental dumping.
• Test for carbon monoxide when using fuel-powered machines inside enclosed spaces or buildings.
• Do not remove forms and shores (except those used for slab-on-grade and slip forms) until it is
determined that the concrete has gained sufficient strength to support its weight and superimposed
loads. Base determination on compliance with one of the following:
a. The plans and specifications stipulate conditions for removal of forms and shores, and these
conditions have been followed.
b. The concrete has been properly tested with an appropriate for Material Testing and Quality
Control (MTQC) standard test method designed to indicate the concrete compressive strength,
and the test results indicate that the concrete has gained sufficient strength to support its weight
and superimposed loads.
• Erected shoring equipment is inspected during and immediately before and after the placement of
concrete.
• Concrete forms and shoring are not removed until the concrete gains sufficient strength to support its
weight and superimposed loads.
• Employees removing formwork or shoring at elevations in excess of 6 feet wear and use fall
protection equipment.
• When climbing formwork, forms are designed and adequately braced to prevent excessive distortion.
Personal Protective Equipment (PPE)
• Last line of defense against injury
Examples: – Hard hats – Steel-toed boots – Safety glasses – Gloves – Harnesses
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CONCRETE & REBAR SAFETY
Anyone working around or with concrete should be aware of the hazards and safety precautions related to this
operation. Employees working more than 6 feet above any adjacent working surface, placing and securing
reinforcing steel in walls, piers, columns, etc., should use a safety belt, full body harness or other equivalent
form of fall arrest or restraint protection. Employees should not be permitted to work above vertically
protruding REBAR unless it has been protected to eliminate the hazard of impalement. The top of the rebar
must be covered with a rebar cap, wood board or similar device. Handles on bull floats should be of non-
conductive materials or insulated with a non-conductive sheath when used around energized electrical
conductors to prevent electrical shock. When using a powered or rotating type trowel machine, the control
switch should automatically shut off the power when the operator removes his hands from the handle - Do not
use tie-downs or anything else to by-pass the shut-off control. Employees should never ride concrete buckets.
Vibrator crews should never work under concrete buckets being suspended from cranes. When discharging
concrete on a slope, make sure the ready-mix truck wheels are blocked and the brakes set to prevent
movement. Gloves, eye protection and personal protective equipment should be used at all times when
working with concrete. All equipment, hand and power, should be checked and in safe working condition
before use. Replace or repair all defective equipment. If concrete splatters on the skin, wash off as soon as
possible. If you follow these rules on a regular basis, the chances of you being injured while working with rebar
and concrete are reduced significantly.
Standard Operating Procedure for Fall Arrest System

Personal Fall Arrest Systems –is a system used to safely stop (arrest) a worker who is falling from a working
level. It consists of an anchorage, connectors, and a body harness. It also may include a lanyard, deceleration
device, lifeline, or suitable combinations of these.
* When employers choose to use a personal fall arrest system as a means of worker fall protection they must:
■ Limit the maximum arresting force on a worker to 1,800 pounds when used with a body harness.
■ Be rigged so that a worker can neither free fall more than 6 feet nor contact any lower level.
■ Bring a worker to a complete stop and limit the maximum deceleration distance a worker travels to 3.5 feet.
■ Have sufficient strength to withstand twice the potential impact energy of a worker free falling a distance of
6 feet or the free fall distance permitted by the system, whichever is less.
■ Be inspected prior to each use for wear, damage, and other deterioration. Defective components must be
removed from service.
General Guidelines for Fall Protection Systems

• Companies must distinguish between what system is needed for their application; either a fall arrest system
or a travel restraint system. One typically uses a body harness; the other can use a safety belt. Never mix
components from the two different systems.
• Proper training for workers is essential for any system in place.
• Ensure that the program includes individual fit testing of equipment.
• Workers who use a fall arrest or travel restraint system must perform a preuse inspection of the system
about to be used.
• Workers using fall arrest systems should not work alone.
• Daily pre-use inspections should be done by the worker and semi-annual inspections performed by a
competent person in these types of systems.
• Information for every piece of equipment in a fall protection program should be documented; type of use,
nature of environment, etc. All pieces of equipment, no matter how small are vital to the overall
performance of the system.
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• Inspections should be done routinely to ensure integrity of the fall protection system. Dates should be
recorded.
• Rescue plan needs to be in place in case of an emergency.
• Free fall distance must always be kept to a minimum.
• Re-evaluate your fall protection program on an ongoing basis.
• Store equipment in a clean, dry, free place away from direct sunlight. Full-Body Harness/Safety Belt
• Clearly distinguish which is to be used in your program, train workers to the difference and when each one is
used, common practice now is to eliminate safety belts altogether, and only use full-body harness.
• If a harness fails the formal inspection process, it must be marked UNUSABLE and removed from service.
• Look for cuts, abrasion or open stitching, chemical or heat damage.
• Inspect the D-ring for distortion, cracks, or other damage.
• Adjustment plate holding the D-ring should be free from distortion, cracks or other damage.
• Check for kinks and twists once harness put on.
• Clean harness when task is completed. Usually cleaned in mild detergents, not solvents.
• Manufacturer’s instructions should be followed regarding the service life of belts and harnesses. Slips, fall
from Height Standard Operating Procedures Preventing Falls in Industrial Workplaces 15 Lanyards
• Lanyards should be of the appropriate type, either fall arrest or travel restraint type lanyards.
• Never tie knots in lanyards to shorten them.
• Lanyards must be retired immediately under the following conditions: − after a fall; − when a integral shock
absorber has been totally or even partially deployed; and − if the lanyard has been used for any purpose
other than fall protection.
• A retired lanyard should be cut in two to ensure it is never used again.
• Most lanyards have a service life of 5 years, check for manufacturing date.
• Inspect the lanyard for cracks or other distortion or damage. Shock Absorber
• Check the outer jacket for signs of damage.
• Check the end loops for damage, cracks, etc.
• Remove a shock absorber if found to be damaged. Snap Hooks
• Snap hooks must be connected to compatible hardware and must never be attached to another snap hook.
• Check the snap hook for damage, pitting, and distortion.
• Ensure that the spring has enough tension to close the keeper.
• Ensure that the keeper and locking mechanism work properly without binding, and without excessive lateral
play. Rope/Lifelines
• Ropes should be kept clean.
• Do not use knots in ropes since this reduces their strength by up to 50%.
• Rope must always be protected over sharp edges.
• All rope material should be stored away from heat and direct UV light.
• Always look for areas where the rope material is separating and out of shape. Check for broken fibres and
severely worn areas of the protective sheath.
• Do not allow rope to come into contact with acids, oils, or other chemicals.
• Ropes of natural fibres must never be used for vertical lifelines.
• All falls must be reported to the person inspecting the fall arrest equipment.
• Vertical lifelines should be at least 16mm diameter polypropylene or other material of equal strength. •
Check the eyes of the rope for deformities or cracks. Slips, Falls From Height Standard Operating Procedures
16 Preventing Falls in Industrial Workplaces
• Many different types of ropes exist; kernmantle, braided, twisted, manila, hemp, jute, nylon, polyester,
polypropylene, polysteel, kevlar, spectra, etc.. One should know the type to use for the application.
• Safe use of ropes requires skill, training and practice; please ensure that the user is qualified to use these
ropes and is aware of their limitations.
• Ensure that it is mounted right side up, look for the directional arrow.
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• Check for corrosion, distortion, and secure mounting. Anchor Points
• All components of an anchor system must be inspected. Always consult the manufacturer’s
recommendations for use, inspection, care and maintenance.
• Do not use one anchor for multiple lifelines, if possible.
• Anchors should be able to withstand a minimum of 10 times the weight of the person using the fall arrest
system. Typically vertical fall arrest anchor points require withstanding 22 kiloNewtons, horizontal fall arrest
anchorage requires to withstand a 71 kiloNewton force, and a fall restraint anchor point requires to
withstand 4 kiloNewtons force.
• Do not confuse fall arrest anchor points with fall restraint anchor points; clearly marks if both are used in
your facility.
• Routinely inspect all webbing for tears, fraying, or other damage.
• Ensure grommets are not loose, broken.
• Inspect tongue area of belt or harness for normal wear. Retractable Lifelines
• All three components must always be inspected prior to each use and according to the manufacturers
recommended frequency, the self-retracting lifeline, the locking mechanism, and the braking mechanism.
• Usually needs to be certified on a yearly basis (or sooner based on the working environment) by the
manufacturer or an approved agent.
• Due to the nature and complexity of the retracting mechanism, overhaul, inspection and maintenance
should be left to the competent and knowledgeable person.
a. Site clearing
- Prior to mobilization, project site shall be checked for any hazardous materials or situations that
will harm the workers or the public
- Site shall be cleared from any hazardous substances, materials or any situations before allowing
entry
- All unnecessary items shall be remove and dispose appropriately
- Appropriate project information and warning signs shall be installed along the perimeter of the
project
- Enclosures and/or barricades shall be installed to prevent the access of unauthorized person in
the project site
b. Excavations
Excavation shall be done in accordance with Rule 1413 of the OSH Standards.
- Ladder shall be place as access and shall extend at least 3 feet from the edge/landing for
excavation deeper than 1 meter
- All excavated materials shall be place at least 1 meter from the edge of excavation
- All materials and equipment shall also be place at least 1 meter away from excavation sites
- If water is present, an appropriate dewatering equipment shall be used and shall be operated by
a competent worker
- If danger of cave-in is noted, appropriate shoring shall be done before allowing the workers to go
inside excavation areas
- Excavation sites shall be inspected by a competent individual every after a heavy rain
- If excavation cannot be backfilled immediately, adequate barrier shall be place around the area
and/or the hole shall be adequately and fully covered.
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c. Erection and dismantling of scaffolds and other temporary working platforms
We comply with erection and dismantling of scaffolds shall be done in accordance to Department
Order No. 128-13, series of 2013, amending Rule 1414 on Scaffoldings of the 1989 Occupational
Health and Safety Standards as amended and under the presence of a competent person by Scaffold
Erector NC II/COSH training and qualified person by Project Engineer/Inspector of the DPWH.
d. Temporary electrical connections/installations

The Philippine Electrical Code is hereby adopted and the standards contained therein shall be considered
safety standards to the extent that they safeguard any person employed in any workplace and control the
practice of electrical engineering. Before any construction is commenced, and during the construction, steps
shall be taken to prevent danger to the workers or operating equipment from any live electric cable or
equipment either by rendering the cable or apparatus electrically dead or by providing barriers to prevent
contact.
- All temporary electrical connection must conform with the prevailing standards and requirements of the
Electrical Code of the Philippines
- Installation, modification and maintenance of electrical systems shall be done only by a competent
individual
- No octopus connection shall be allowed in the project site
- A separate breaker shall be installed for each welding equipment
- A temporary/construction connection shall be applied with the electric utility company to serve the
electrical requirement of the project site
e. Use of scaffolds and other temporary working platforms

When working on elevated platform or on heights, workers are required to do the following:
- Check structure stability if capable of carrying 4 times its intended load
- Check if access to elevated work area is adequate and safe
- Check if elevated working platform has fall protection such as guard rails, mid rails and toe
boards, if none, inform supervisor to install fall protection system, if not possible PFAS is required
for all workers
- Only workers who are trained to work at heights are allowed
- All equipment that will be used should be properly checked
- Use of personal fall arrest system (PFAS) is required at heights above 1.8 meters
- All works on heights must be supervised by a competent person at all times
f. Working at unprotected elevated working platforms of surfaces

Elevating work platforms:
- Need to be used on a solid level surface; the surface area needs to be checked to make sure that
there are no penetrations or obstructions that could cause uncontrolled movement or
overturning of the platform
- May be used on other surfaces (when designed as ‘rough terrain’ units in accordance with the
manufacturer’s directions; the surface area needs to be checked for unacceptable penetrations
or obstructions
- Need to be clearly marked with the safe working load limit.
- Operators working in travel towers or boom type elevating work platforms must wear an
anchored safety harness. The harness system used must be able to arrest a fall before the user
hits the ground.
- People operating boom-type elevating work platforms with boom lengths exceeding 11 metres
must have an appropriate license.
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g. Use of power tools and equipment
- Only appropriate power tools shall be used for the job or task
- Workers shall be trained in the use and maintenance of power tools
- Power tools shall be carefully checked prior to use, any defective tools shall be remove from site
to avoid accident use
- All tools and equipment shall be kept and stored properly after use
h. Gas and electric welding and cutting operations

All hot works activities shall be done in accordance with Rule 1100 of the OSH Standards
- All hot works activity shall be done away from debris, garbage or any combustible and flammable
materials
- Only experience and authorize workers shall be allowed to do hot works
- All equipment use for hot works shall be carefully checked and must be free from defects
- Fire extinguisher must be in place within 10 feet of any hot work activity
- Appropriate PPE shall be used by workers doing hot works
- All hot works shall be supervise by competent individual at all times
i. Working in confined spaces

Confined Space means: a fully or partially enclosed space,
(a) that is not designed and constructed for continuous human occupancy, and
(b) in which atmospheric hazards may occur because of its construction, location or contents or
because of work that is done in it;
- Identification of locations or situations where confined space entry may be required.
- Use a system to ensure that all potential hazards have been identified and addressed and only
authorized, trained persons enter a confined space.
j. Use of internal combustion engines

- No use of internal combustion engines for this project.
k. Handling hazardous and/or toxic chemical substances

Refer also to Environmental control
It recommends that exposure be prevented by:
• altering work methods so that the task that causes exposure is no longer carried out
• modifying the process to remove Hazardous Substances including by-products or waste
• substituting the hazardous substance with a less hazardous type or form of the substance, e.g. using
granules instead of powder to reduce dust levels or a less volatile solvent in a process.
If exposure cannot be prevented, it must be adequately controlled. The hierarchy of control measures can be
summarised as follows.
Eliminate Don’t use the hazardous substance or avoid the procedure which causes exposure.
Substitute Change the material or working practice to one less hazardous.
Enclose Enclose the hazardous substances or process in a closed system.
Control Control exposure to the hazardous substance by using one of the following methods:
• Engineering Controls: Control the exposure at source with local exhaust ventilation or increased dilution
ventilation to lower concentrations in the atmosphere.
• Procedural Controls: Reduce the numbers exposed or the time spent on the procedure, carry it out in
specified areas and carry out routine monitoring and health and medical surveillance if needed.
• Personal Protective Equipment: Provide gloves, impervious aprons or overalls and/or respiratory
protection to minimise the effects of exposure to hazardous substances.
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l. Use of hand tools
HAND TOOLS & EQUIPMENT
- All tools and equipment (both, company and employee-owned) used by employees are at their
workplace in good condition.
- Hand tools such as chisels, punches, which develop mushroomed heads during use, are reconditioned
or replaced as necessary.
- Broken or fractured handles on hammers, axes and similar equipment are replaced promptly.
- Worn or bent wrenches are replaced regularly.
- Appropriate handles are used on files and similar tools.
- Employees made are aware of the hazards caused by faulty or improperly used hand tools.
- Appropriate safety glasses, face shields, and similar equipment are used while using hand tools or
equipment that might produce flying materials or be subject to breakage.
- Jacks are checked periodically to assure they are in good operating condition.
- Tool handles are wedged tightly in the head of all tools.
- Tool cutting edges are kept sharp so the tool will move smoothly without binding or skipping.
- Tools are stored in dry, secure location where they won't be tampered with.
- Eye and face protection is used when driving hardened or tempered spuds or nails.
m. Use of mechanized lifting appliances for movement of materials

In case of lifting activities, the following shall be observed:
- Use of pulleys or chain blocks will be done in lifting heavy materials to a higher elevation or level
- All lifting activities will be supervised by a competent person at all times
- No workers shall be allowed under any load being lifted
- All loads shall not exceed the rated capacity of pulleys and chain blocks
n. Use of construction heavy equipment
- All equipment (both, company and employee-owned) used by employees are at their workplace in
good condition.
- Appropriate safety glasses, face shields, and similar equipment are used while using hand tools or
equipment that might produce flying materials or be subject to breakage.
- Heavy equipments are checked periodically to assure they are in good operating condition.
o. Demolition
The removal wholly or in part, and satisfactory disposal of all buildings, fences, structures, old pavements,
abandoned pipe lines, and other obstruction which are not designated or permitted to remain, except for
the obstructions to be removed and disposed off under items of the contract. It shall also include the
salvaging of designated materials and backfilling the resulting trenches, holes, and pits.
- Prior to mobilization, project site shall be checked for any hazardous materials or situations that will
harm the workers or the public
- Site shall be cleared from any hazardous substances, materials or any situations before allowing entry
- All unnecessary items shall be remove and dispose appropriately
- Appropriate project information and warning signs shall be installed along the perimeter of the
project
- Enclosures and/or barricades shall be installed to prevent the access of unauthorized person in the
project site
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p. Installation, use and dismantling of hoist and elevators
a. Provisions to ensure safe installation, use and dismantling of hoist and elevator;
b. Periodic inspection of hoists and elevators.
The hazard analysis shall contain the following:

a. Identification of possible hazards for a particular activity.
b. Identification of any company permits or clearances needed prior to the performance of the activity
together with the name of person/s who is authorized to issue such permit or clearance.
c. Identification of the proposed improvement in work standard procedures that shall be followed during
implementation of a particular activity.
d. Company inspection procedures to ensure safety during the execution of a particular activity.
e. Identification of emergency procedures in case of accidents or any untoward incident while performing
a particular activity.
Hazards Identified
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:
Physical Hazards
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 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)
Chemical Hazards
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 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)
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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:
□ poor lighting □ frequent lifting
□ poor posture □ repetitive motion
□ exertion of force □ awkward movement
C.24 Penalties/Sanctions for Violation of the Provision/s of the SH Program

The appropriate penalties or sanctions for violation of company rules and regulations or those stipulated in the
CHSP and the observance of due process.
The following shall serve as a general guide in giving penalties and sanctions for every safety violation by the
worker.
• The unsafe acts/conditions that merit penalties and sanctions.

- Working without authority on the job
- Failure to warn or to secure members out of danger
- Working at improper speeds, exceeding the prescribed speed limits, or unsafe speed actions
- Improper lifting, handling, or moving of objects
- Improper placing and stacking of objects and materials in dangerous locations
- Incorrect use of tools and equipment, hand tools, power tools, and machinery
- Using defective equipment and tools to work
- Annoyance and horseplay in the workplace
- Ignoring to wear personal protective equipment (PPE)
- Removing safety guards from the workplace or equipment
- Smoking creating naked flame or sparks in areas where flammable materials are stored
- Leaving nails or other sharp objects protruding from timber
- Throwing or accidentally dropping objects from high levels
- Working under the effects of alcohol and other drugs
- Improper positioning of tasks
- Improper posture for tasks
- Servicing equipment which is in operation
- Working with lack of concentration
- Working in poor physical conditions
UNSAFE ACTS not resulting to harm, damage property and/or loss to production shall be considered minor
violations.
1st Offense - verbal warning
2nd Offense - written warning
3rd Offense - final written warning
4th Offense - 3 days suspension
5th Offense - dismissal
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UNSAFE ACTS those results to harm to other workers, damage to property and/or loss to production shall be
considered a serious misconduct and shall be meted with the following sanctions:
1st Offense -1 day suspension and/or payment of the cost of damage/losses
2nd Offense -3 days’ suspension and/or payment of the cost of damage/losses
3rd Offense -6 days’ suspension and/or payment of the cost of damage/losses
4th Offense -Dismissal
D) SAMPLE PICTURES OF SAFETY SIGNAGE AS PER SECTION 9 OF D.O. 13
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REPUBLIC OF THE PHILIPPINES
Regional Office No. _____
Workplace COVID-19 Prevention and Control Compliance Report

To be submitted every 30th of the month
(Mark with an X the appropriate box)
Period
Covered by (Month /
Report Year)
Does the company have a policy on workplace COVID-19 prevention and Ye
control? s No
Is the policy communicated to all workers and N

clients? Yes o
Section I. Company Profile to be filled in by Employer or Representative (as indicated in the business
permit)
Establishment Name:
Address of
Establishment:
Name of Business employing the
worker:
Nature of Business
Business: Representative:
Tota
Number of Workers: Male Female l
Section II. Details of COVID-19 Prevention and

Control
Worker Referr
Details: Screened: Denied Entry: ed:
Guest / Client Referr

Details: Screened: Denied Entry: ed:
B
H
E
R Health Facility
Where were workers referred? T (specify)
Others
(specify)
Did the establishment perform an optional diagnostic test prior to return to work
of workers?
Y
e
s No. Please proceed to signature
Page 53 of 63
R
D
T
If yes, How many tests were
what? RT-PCR j k Both l done?
Details of Workers with positive Total cost for the reported

results month:
Test Birth
Done Name of worker Date Sex Occupation Home Address City Province
jkl
jkl
jkl
jkl
Attach additional pages as needed
We hereby certify that the information above is accurate to the best of our knowledge. We
understand that data contained herein is compliant to RA 11469 Bayanihan to Heal as One Act and
protected by RA 10173 Data Privacy Act of 2012.
OH Personnel / Safety
Officer Employer / Representative
Signature beside Signature beside printed
printed name name
Page 54 of 63
DOLE/BWC/OHSD/IP-6
Republic of the Philippines

Region No. CARAGA REGION
EMPLOYER’S WORK ACCIDENT/ILLNESS REPORT

(This report shall be submitted by the employer for every accident or illness to the Regional Office
having jurisdiction on or before the 20th day of the month following the date of occurrence.)
1. Establishment: ______________________________________________________
2. Address: ___________________________________________________________
3. Nature of Business:___________________________________________________
EMPLOYER 4. Name of Employer: _____________________ Nationality: ____________________
5. No. of Employees: Male: ___________ Female: ___________Total: ___________
6. Name : ________________________ Age: ____Sex: ____ Civil Status:_________

INJURED OR 7. Address: ___________________________________________________________
ILL PERSON 8. Average Weekly Wage: P_______________ No. of Dependents: _______________
9. Length of service prior to accident or illness: _______________________________
Occupational 10. Occupation: __________________ Experience at Occupation: ________________
History 11. Work Shift: ____1st ____2nd ____3rd Hours of work/day: _____ Day/Week:_______
12. Date of accident/illness: _______________________ Time: __________________

13. The accident involved: ______________ Personal Injury: ____________________
Property Damage: ____________________
ACCIDENT 14. Description of accident/illness (Give full details on how accident or illness
occurred): _________________________________________________________
OR _________________________________________________________________
ILLNESS 15. Was injured doing regular part of job at the time of accident or illness:
If not, why? ________________________________________________________
16. Extent of Disability: ____ Fatal ____________ Permanent Total _______________

NATURE & Permanent Partial: _______Temporary Total _______ Medical Treatment ______
EXTENT OF 17. Nature of Injury or Illness: _____________ Parts of body affected: _____________
INJURY OR 18. Date Disability Begun: _______________ Date Returned to Work: _____________
ILLNESS 19. Days Lost: ____________________ or Days Charged: _____________________
20. The Agency Involved: ________________________________________________

21. The Agency Part Involved: ____________________________________________
CAUSE OF 22. Accident Type: _____________________________________________________
ACCIDENT 23. Unsafe Mechanical or Physical Condition: ________________________________
OR ILLNESS 24. The Unsafe Act: ____________________________________________________
25. Contributing Factor: _________________________________________________
26. Preventive Measures (taken or recommended): ____________________________
27. Mechanical guards, personal protective equipment and other safeguards
PREVENTIVE
provided: __________________________________________________________
MEASURES
28. Were all safeguards in used? ________ If not, why? ________________________
__________________________________________________________________
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29. Compensation: __________ P _________________________________________
30. Medical & Hospitalization: _____________________________________________
31. Burial: ____________________________________________________________
32. Time lost on day of injury: __________ Hrs. ___________ Mins. ______________
MANPOWER 33. Time lost on subsequent days: ______ Hrs. ___________ Mins. ______________
(Treatment or other reasons)
34. Time on light work or reduced output: ___________ Day: ___________________
Percent Output: _________________________
35. Damage to Machinery and Tools (Describe): ______________________________
MACHINERY 36. Cost of repair or replacement: _________________________________________
AND TOOLS 37. Lost Production Time: ________________________ Cost: __________________
38. Damage to Materials (Describe): _______________________________________
MATERIALS 39. Cost of repair or replacement: __________________________________________
40. Lost Production Time: ________________________ Cost: ___________________
41. Damage to Equipment (Describe): ______________________________________
EQUIPMENT 42. Cost of repair or replacement: __________________________________________
43. Lost production time: _________________________________________________
I HEREBY CERTIFY on my honor to the accuracy of the foregoing information:
___________________________
Date
____________________________ ______________________
Investigating Officer and Position Employer
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DOLE/BWC/HSD/OH-47-A
Republic of the Philippines
DEPARTMENT OFLABOR AND EMPLOYMENT

Region No. CARAGA REGION
ANNUAL MEDICAL REPORT FORM
For Period January 1, 20___ to December 31, 20___
1. Name of Establishment:
_____________________________________________________________
2. Address:
_________________________________________________________________________
3. Name of Owner/Manager:
____________________________________________________________
4. Nature of Business and Production/Service (Ex. Manufacturing Textile): _________________
5. Total Number of Employees: __________________ Number of Shifts: ____________________
6. Number Distribution of Employees as to nature/workplace, sex and workshift:
Office Production/Shop
1st Shift 2nd Shift 3rd Shift
Male : __________ __________ __________ __________

Female: __________ __________ __________ __________
Total : __________ __________ __________ __________
7. Preventive Occupational Health Services: (Check or Cross)

a. Occupational health services is organized/provided by:
( ) the establishment/undertaking
( ) government authority/institution
( ) other bodies/groups/institution (specify)
_____________________________________
_____________________________________
b. Occupational health services as described under number 7a above, is organized/provided as a

Service:
( ) solely for the workers of the establishment/undertaking
( ) common to a number of establishments/undertakings
_____________________________________
_____________________________________
c. The employer engages the services of:

( ) Occupational Health Practitioner
Name : _____________________________________________________
Address : ______________________________________________________
( ) Occupational health physician
Name : ______________________________________________________
Address : ______________________________________________________
( ) Occupational health dentist
Name : ______________________________________________________
Address : ______________________________________________________
( ) Occupational health nurse
Name : ______________________________________________________
Address : ______________________________________________________
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d. The occupational health physician/practitioner/nurse/personnel conducts an inspection of the
workplace:
( ) once every month ( ) once every three (3) months
( ) once every two (2) months ( ) once every six (6) months
( ) other details
____________________________________________________________
8. Emergency Occupational Health Services:

a. The employer provides a treatment room/medical clinic in the workplace with medicines and
facilities:
( ) yes ( ) no
( ) others, please specify _____________________________________
_____________________________________
b. Schedule of attendance in the workplace:
Work shift
Occupational health physician : ________________ hrs./day _____________

Occupational health dentist : ________________ hrs./day _____________
Occupational health practitioner : ________________ hrs./day _____________
Occupational health nurse : ________________ hrs./day _____________
c. Schedule of attendance of full time first aider:

( ) 1st work shift
( ) 2nd work shift
( ) 3rd work shift
d. The following occupational health personnel of the establishment have undergone training in
occupational health and safety/first aid:
( ) occupational health physician
( ) occupational health dentist
( ) occupational health nurse
( ) first aider
( ) others, please specify
_____________________________________________________
_______________________________________________________________________
9. Occupational Health Services:

a. The occupational health personnel of this establishment conducts regular appraisal of the
sanitation system in the workplace::
( ) yes ( ) no
b. Number of workers who underwent the following medical examination:
Physical Exam X-Rays Urinalysis

1. Pre-placement ______________ _____________ ________________
2. Periodic ______________ _____________ ________________
3. Return-to-work ______________ _____________ ________________
4. Transfer ______________ _____________ ________________
5. Special ______________ _____________ ________________
6 Separation ______________ _____________ ________________
Stool Exam Blood Test ECG Others

1. Pre-placement __________ __________ ________ _________
2. Periodic __________ __________ ________ _________
3. Return-to-work __________ __________ ________ _________
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4. Transfer __________ __________ ________ _________
5. Special __________ __________ ________ _________
6. Separation __________ __________ ________ _________
10. Report of Diseases:

a. Number of consultations/treatments for the following diseases:
Male Female Total
Number
of Cases
Skin:
( ) allergy _______ _______ _________
( ) dermatoses _______ _______ _________
( ) infection as folliculitis
abscess/paro nychia _______ _______ _________
( ) Others _______ _______ _________
Head:
( ) tension headache _______ _______ _________
( ) Others _______ _______ _________
Eyes:
( ) error of refraction _______ _______ _________
( ) bacterial/viral
conjunctivities _______ _______ _________
( ) cataract _______ _______ _________
( ) Others _______ _______ _________
Mouth & ENT:
( ) Gingivitis _______ _______ _________
( ) Herpes labiales/nasalis _______ _______ _________
( ) Otitis Media/Externa _______ _______ _________
( ) Deafness _______ _______ _________
( ) Menlere’s Syndrome/Vertigo _______ _______ _________
( ) Rhinitis/Colds _______ _______ _________
( ) Nasal Polyps _______ _______ _________
( ) Sinusitis _______ _______ _________
( ) Tonsillopharyngitis _______ _______ _________
( ) Laryngitis _______ _______ _________
( ) Others _______ _______ _________
Respiratory:
( ) Bronchitis _______ _______ _________
( ) Bronchial asthma _______ _______ _________
( ) Pneumonia _______ _______ _________
( ) Tuberculosis _______ _______ _________
( ) Pneumoconiosis _______ _______ _________
( ) Others _______ _______ _________
Heart and Blood Vessel:
( ) Hypertension _______ _______ _________
( ) Hypotension _______ _______ _________
( ) Angina Pectoria _______ _______ _________
( ) Myocardial Infraction _______ _______ _________
( ) Vascular disturbances in
extremeties due to
continuous vibration _______ _______ _________
( ) Others _______ _______ _________
Gastrointestinal:
( ) gastroenteritis/darrhea _______ _______ _________
( ) amoebiasis _______ _______ _________

( ) gastritis/hyperacidity _______ _______ _________
( ) appendicitis _______ _______ _________
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( ) infectious hepatitis _______ _______ _________
( ) liver cirrhosis _______ _______ _________
( ) hepatic abscess _______ _______ _________
( ) cancer (hepatic/gastric) _______ _______ _________
( ) ulcer _______ _______ _________
( ) Others _______ _______ _________
Male Female Total

Number of Cases
Genito Urinary:
( ) Urinary tract infection _______ _______ _________
( ) Stones _______ _______ _________
( ) Cancer _______ _______ _________
( ) Others _______ _______ _________
Reproductive:
( ) Dysmenorrhea _______ _______ _________
( ) Infection (Cervicitis) _______ _______ _________
(vaginitis) _______ _______ _________
( ) Abortion (Spontaneous) _______ _______ _________
(Threatened) _______ _______ _________
( ) Hyperemesis Gravidarium _______ _______ _________
( ) Uterine Tumors _______ _______ _________
( ) Cervical Polyp/Cancer _______ _______ _________
( ) Ovarian Cyst/Tumors _______ _______ _________
( ) Sexually-Transmitted
diseases _______ _______ _________
( ) Hernia (Inguinal) _______ _______ _________
(Femoral) _______ _______ _________
( ) Others _______ _______ _________
Neuromuscular/Skeletal/Joints:
( ) Peripheral Neuritis _______ _______ _________
( ) Torticollis _______ _______ _________
( ) Arthritis _______ _______ _________
( ) Others _______ _______ _________
Lymphatics and Circulatory:

( ) Anemia _______ _______ _________
( ) Leukemia _______ _______ _________
( ) Cerebrovascular Accidents _______ _______ _________
( ) Lymphadenitis _______ _______ _________
( ) Lymphoma _______ _______ _________
Infectious Diseases:
( ) Influenza _______ _______ _________
( ) Typhoid/paratyphoid fever _______ _______ _________
( ) Cholera _______ _______ _________
( ) Measles _______ _______ _________
( ) tetanus _______ _______ _________
( ) Malaria _______ _______ _________
( ) Schistosomiasis _______ _______ _________
( ) Herpes Zoster _______ _______ _________
( ) Chicken Pox _______ _______ _________
( ) German Measles _______ _______ _________
( ) Rabies _______ _______ _________
( ) Others _______ _______ _________
Diseases due to Physical Environment:

a) Diseases due to Noise and vibration
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( ) Deafness (noise induced) _______ _______ _________
( ) White fingers disease _______ _______ _________
( ) Musculo-skeletal
disturbances _______ _______ _________
( ) Fatigue _______ _______ _________
b) Diseases due to Temperature

And Humidity abnormalities:
Hot Temperature:
( ) heat strokes _______ _______ _________
( ) heat cramps _______ _______ _________
( ) dehydration _______ _______ _________
( ) heat exhaustion _______ _______ _________
( ) others _______ _______ _________
Cold Temperature:
( ) Chilblain _______ _______ _________
( ) frost bite _______ _______ _________
( ) immersion foot _______ _______ _________
( ) general hypothemia _______ _______ _________
( ) others _______ _______ _________
c) Diseases due to Pressure

Abnormalities:
( ) Decompression Sickness:
( ) air emboism _______ _______ _________
( ) bends disease _______ _______ _________
( ) barotrauma _______ _______ _________
( ) hypoxia _______ _______ _________
( ) altitude sickness _______ _______ _________
Male Female Total

Number of Cases
d) Diseases due to radiation:
( ) cataracts _______ _______ _________
( ) keratitis _______ _______ _________
( ) burns _______ _______ _________
( ) radiation-related cancers _______ _______ _________
TOTAL NUMBER _______ _______ _________
11. Report of Occupational Accidents/Injuries:

Nature Male Female Number of
Cases
Contusion, bruises, hematoma _______ _______ _________
Abrasions _______ _______ _________
A cut, lacerations, punctures _______ _______ _________
Concussion _______ _______ _________
Avulsion _______ _______ _________
Amputation, loss of body parts _______ _______ _________
Crushing Injuries _______ _______ _________
Spinal injuries _______ _______ _________
Cranial Injuries _______ _______ _________
Sprains _______ _______ _________
Dislocation/Fractures _______ _______ _________
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Burns _______ _______ _________
12. Immunization Program

(Indicate number immunized) Male Female Total
Tetanus Toxoid Injection _______ _______ _________

Tetanus Antitoxin Injection _______ _______ _________
Tetanus Globulin Injection _______ _______ _________
Hepatitis B Vaccine _______ _______ _________
Rabies Vaccine _______ _______ _________
Others (Please specify) _______ _______ _________
13. Keeping of Medical records of Workers (Please check)

( ) done ( ) not done
14. Health Education and Counseling by Health and Safety Personnel: (Please check one or
more)
( ) done individually as each worker comes to the clinic for consultation.

( ) done in organized group discussions/seminars.
( ) done with the use of visual displays and/or promotional materials, leaflets, etc.
15. Other Health Programs: (Please check)
Kinds of Program Seminar Use of Visual

Counseling Aid/Materials
Nutrition Program
Maternal and Child Care Program
Family Planning Program
Mental Health Activities

Personal Health Maintenance
Physical fitness Program: (Please check)
Sports Activities ( ) Yes ( ) No

Others (Please specify) ( ) Yes ( ) No
16. Hazards in the workplace: (Please check and give details of the substance)
Substances and/or Number of workers

Sources exposed
a) Chemical Hazards:
( ) dust (Ex. Silica dust) ________________ ________________
( ) liquids (Ex. Mercury) ________________ ________________
( ) mist/fumes/vapors (Ex. Mist
from paint spraying) ________________ ________________
( ) gas (Ex. CO, H2S) ________________ ________________
( ) others (please specify)
(Ex. Solvents) ________________ ________________
b) Physical Hazards:
( ) noise ________________ ________________
( ) temperature/humidity ________________ ________________
( ) pressure ________________ ________________
( ) illumination ________________ ________________
Page 62 of 63
( ) radiation/ultraviolet/
microwave ________________ ________________
( ) vibration ________________ ________________
( ) Others (Please specify) ________________ ________________
c) Biological Hazards:
( ) Viral ________________ ________________
( ) Bacterial ________________ ________________
( ) Fungal ________________ ________________
( ) Parasitic ________________ ________________
( ) Others ________________ ________________
d) Ergonomic Stress:
( ) Exhausting physical work ________________ ________________
( ) Prolonged standing ________________ ________________
( ) Excessive mental effort ________________ ________________
( ) Unfavorable work posture ________________ ________________
( ) Static/monotonous work ________________ ________________
( ) Others, specify ________________ ________________
Submitted by:
_______________________________ ___________________
Medical Personnel/Title Date
Noted by:
_____________________________
Employer
Page 63 of 63

Construction Safety and Health Program

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Construction Safety and Health Program

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CONSTRUCTION SAFETY

AND HEALTH PROGRAM

Revised Form: CSHP-DO13-98:

REVISED APPLICATION FORM for

Note: A CHECKLIST OF REQUIREMENTS shall be used in receiving the application.

A. Company Profile/License/Registration of Main/General Contractor

Fax No. (082) 299-1260

Name of Project Manager/Contact Person: Email:

a. per Rule 1020, OSHS (one time registration) January 7, 2013 XI

LMC-2019-SRIS-RESTORE-009-IMO-ADS, RESTORATION OF IRRIGATION FACILITIES AT SIMULAO RIS,

Complete Project Address/Location

SIMULAO RIS, TRENTO, AGUSAN DEL SUR

Name of Project Owner

Fax No: none

Project Classification: Irrigation Date of Estimated Start/Execution of

300 Calendar Days

OTHER GENERAL REQUIREMENTS; EARTHWORKS; PLAIN AND REINFORCED CONCRETE WORKS;

Revised Form: CSHP-DO 13-98

ALMHER V. REMOLLO ARLENE M. BAGUIO

(If Heavy Equipment will be used in the Project)

UNDER LEASE CONTRACT AGREEMENT Not applicable

Work Experience in OSH:

I HEREBY CERTIFY ON MY HONOR TO THE TRUTHFULLNESS OF THE ABOVEMENTIONED

Signature Over Printed Name MARGARITA V. REMOLLO

a. Two (2) copies of letter of intent.

b. Name of authorized contact person with telephone number/s.

June 29, 2020

DEPARTMENT OF LABOR AND EMPLOYMENT

Thru: AGUSAN DEL SUR PROVINCIAL OFFICE

In compliance to the awarded project: LMC-2019-SRIS-RESTORE-009-IMO-ADS, RESTORATION OF

We hope for your kind consideration and approval on this request.

Thank you very much.

Very truly yours,

Name of Appointed Safety Officer/s: ALMHER V. REMOLLO

Date of his/her BOSH training: NOVEMBER 25-29, 2019

B.2 Project Description

b. Location of the Project: SIMULAO RIS, TRENTO, AGUSAN DEL SUR

c. Project Classification: IRRIGATION FACILITIES; SMALL B

d. Project Owner: NATIONAL IRRIGATION ADMINISTRATION - IMO AGUSAN DEL SUR

e. Name of Main Contractor: ATR CONSTRUCTION

f. Estimated Number of Workers to be deployed: 20 WORKERS

g. Estimated Start of Execution of Project: UNTIL NOTICE TO PROCEED/ JULY 4, 2020

h. Estimated Duration: 300 CALENDAR DAYS

i. Scope of Work to be undertaken: OCCUPATIONAL SAFETY AND HEALTH PROGRAM; TEMPORARY

j. Total Project Cost: PHP. 18,311,532.55

k. Total Cost on OSH (breakdown):

Prepared by: Submitted by:

NAPOLEON P. TORRES ALMHER

CONRADO M. VILLAFAÑE, JR. ARLENE M. BAGUIO

Supporting Working Force

B.5 Names of Site Safety and Health Personnel

a. Chairman Safety – MARGARITA V. REMOLLO- Project Manager

The Safety Officer maintains awareness of active and developing situations.

Conduct of Toolbox Meeting

SIGNS, SIGNALS, AND BARRICADES

C.8 Accident and Incident Investigation and Reporting

Visitor's Code of Conduct:

Inspection and Maintenance of Safety Signages

C.10 Environmental Control

The main ways to control a hazard include:

Noise and vibration

Harmful Dust, Gases, Fumes:

C.11 Guarding of Hazardous Machinery

6. Name : ________________ Age: Sex: Civil Status:_

12. Date of accident/illness: _____ Time:

16. Extent of Disability: Fatal Permanent Total _______

For Period January 1, 20_ to December 31, 20_

Male :

Occupational health physician : ____ hrs./day _

( ) amoebiasis ___ _ _______

TOTAL NUMBER ___ _ _______