Professional Documents
Culture Documents
Template (Comprehensive)
____________________________ ___________________________
Name o Projec Owner Name o Conracor
Signaure over Prined Name Signaure over Prined Name
2. Company Safety and Health Policy Gen. Building Consrucon
Gen. Engineering Consrucon
I is he general policy o (Name of Contractor/company) o perorm work Specialy Trade Consrucon
in he saes manner possible consisen wih good consrucon pracces. To ul- Ohers, speciy:
ll he requiremens o his policy, an organized and eecve Consrucon Sae- __________________
y and Healh Program as described in his program and in consonance wih
DOLE D.O. No. 13 and he OSH Sandards mus be carried ou on every projec.
1.
2.
ix. Esmaed maximum number o x. Work Hours (including shif) (Use addional shee i necessary)
workers
1s shif: rom ________ o_________
2nd shif: rom ________ o_________ 4. Consrucon Saey & Healh Commitee
3rd shif: rom ________ o_________
Ohers: __________________________ Secon 11 o D.O. No. 13 requires ha rules o Consrucon Saey and
Healh Program mus be observed and enorced a he projec sie, each sie
shall, a he sar o he consrucon have a consrucon saey and healh
commiee. Wih respec o his projec, he commiee will be organized in
xi.Esmaednumberoheavyequipmen: xii. Projeced daes o commencemen
accordance wih he requiremens o Rule 1040 o he Occupaonal Saey and
and compleon
Healh (OSH) Sandards o he Deparmen o Labor and Employmen (DOLE).
Backhoe: _____ Dozer: _____ Sar Dae: _______________________
Loader: _____ Dumpruck: _____ End Dae: ________________________ 4.1 Composion o Consrucon Saey and Healh Commiee (CSHC)
Crane: _____ Grader: ______ Es. Days o Complee: ______________ Our CSHC a he (Name o Projec) is composed o:
ohers, speciy: __________________
4.1.1. Projec Manager or his represenave as he chairperson ex-ocio
xiii. Name and address o Emergency Healh Provider (any person or organiza- Name: ______________________________________________
on who is cered or recognized by he Deparmen o Healh and who can pro- 4.1.2 General Consrucon Saey and Healh Ocer/s (overall in charge
vide he same or equivalen emergency healh services as an emergency hospial, in he implemenaon o he OSH program o his projec hired by he
including emergency reamen or workers on sie, emergency ranspor and care General Consrucor. Please aach cercae o raining/s prescribed by
during ranspor o injured workers o he neares hospial, wih adequae personnel, DOLE. Numbers will be dependen on he numbers o workers and heavy
supplies and acilies or he complee immediae reamen o injuries or illnesses) equipmen)
Name: ________________________________________________
Name: ________________________________________________
Name: ________________________________________________
4.1.3. Consrucon Saey and Healh Ocer/s rom Subconracors
any employee/worker rained and, in addion o heir regular dues and
responsibilies asked by his employer o implemen occupaonal saey
and healh program in accordance wih he provisions o he OSH Sandard.
Please aach cercae o raining/s prescribed by DOLE).
Name:_____________________________________________
Company: __________________________________________
Name:_____________________________________________ 4.2.7.1 Summary o all saey and healh commiee meeng agreemens;
Company: __________________________________________ 4.2.7.2 Summary o all acciden invesgaon repors using he
Name: _____________________________________________ DOLE/BWC/ OHSD/IP-6 orm;
Company: __________________________________________ 4.2.7.3 Periodic hazards assessmen wih he corresponding remedial
Name: _____________________________________________ measures/acons or each hazard;
Company: __________________________________________ 4.2.7.4 Annual Medical Repor using he orm DOLE/BWC/HSD/OH-47-A
4.1.4. Occupaonal Healh Personnel (qualied rs-aider, nurse, dens, (i he duraon o he projec is more han one year);
or physician, engaged by he employer o provide occupaonal healh services 4.2.7.5 Iniaes and supervises saey and healh raining or employees.
in he esablishmen/underaking. Please aach cercae o raining/s (Check on he boxes or lis down he raining o be provided or
prescribed by DOLE): workers and employees).
Name: ______________________________________________ □ 40-Hour Consrucon Occupaonal Saey and Healh Course
Designaon: _________________________________________ □ 1-Day Workers Saey & Healh Orienaon
Name: ______________________________________________ ohers, speciy:
Designaon: _________________________________________ ______________________________________________
Name: ______________________________________________ ______________________________________________
Designaon: _________________________________________
4.1.5 Workers’ represenaves (minimum o 3 union members i organized, 4.3 Dues o he Saey Man/Ocer
no necessarily rom one employer) The principal uncon o he Saey Man assigned o his projec is o ac as he
Name: ______________________________________________ employer’s (needs idencaon) principal assisan and consulan in he
Designaon: _________________________________________ applicaon o programs o remove he hazard rom he workplace and o correc
Name: ______________________________________________ unsae work pracces. For his purpose, he Saey Man has he ollowing dues:
Designaon: _________________________________________ 4.3.1 Serves as Secreary o he SHC, as such will perorm he ollowing:
Name: ______________________________________________ 4.3.1.1 prepare minues o meengs;
Designaon: _________________________________________ 4.3.1.2 repor saus o recommendaons made;
4.3.1.3 noy members o he meengs; and
4.2 Dues o he CSH Commiee shall include bu are no limied o he ollowing: 4.3.1.4 submi (needs idencaon) o he employer a repor o he
4.2.1 Plans, develops and oversees he acciden prevenon programs or he acvies o he commiee, including recommendaons made.
consrucon projec; 4.3.2 Acs as an advisory capaciy on all maers peraining o healh and
4.2.2 Direcs he acciden prevenon eors o he esablishmen in accordance saey or guidance o he employer and he workers.
wih he saey programs and perormance and governmen regulaons in 4.3.3 Conducs invesgaon o acciden as member o he Healh and
order o preven accidens rom occurring in he worksie; Saey Commiee and submis his separae repor and analysis o acciden
4.2.3 Conducs saey meengs a leas once a monh. The commiee will o he employer (needs idencaon).
hold a saey meeng every _____________ o he monh; 4.3.4 Coordinaes all healh and saey raining programs or he wokers/
4.2.4 Submis repors o he projec manager on is meengs and acvies employees and employer (needs idencaon).
one day afer he meeng: 4.3.5 Conduc healh and saey inspecon as member commiee.
4.2.5 Reviews repors o inspecon, acciden invesgaon and implemenaon 4.3.6 Mainains or helps in he mainenance o an ecien acciden record
o program; sysem and coordinaes acons aken by supervisors o eliminae acciden
4.2.6 Provides necessary assisance o governmen inspecng auhories causes.
in he proper conduc o heir acvies specically on he enorcemen 4.3.7 Provide assisance o governmen agencies in he conduc o saey
o he provision o DOLE’s OSHS; and healh inspecon, acciden invesgaon or any oher relaed program.
4.2.7 Submis he monhly he ollowing saey and healh repors o he 4.3.8 For he purpose o eecveness in he projec sie, he Saey Man
DOLE Regional Oce having jurisdicon over he projec: is o repor direcly o he employer (needs idencaon).
4.4 Dangerous Occurrence or Major Acciden insrucon and raining regarding he general saey and healh measures we
In case o any dangerous occurrence or major acciden resulng o deah or plan o implemen or his projec, specically:
permanen oal disabiliy, we will noy he DOLE Regional Oce wihin 24 6.1.1 basic righs and dues o workers a he jobsie;
hours rom occurrence. Afer he conduc o invesgaon by our concerned 6.1.2 means o access and egress boh during normal work and in emergency
saey and healh ocer, we will repor all permanen oal disabilies o he siuaons;
DOLE Regional Oce on or beore he 20h o he monh ollowing he dae 6.1.3 measures or good housekeeping;
o occurrence o acciden using he DOLE/BWC/HSD-IP-6 orm. 6.1.4 locaon and proper use o welare amenies and rs–aid acilies;
6.1.5 proper care o PPEs and oher proecve clohing;
5.0 Emergency Occupaonal Healh Personnel and Facilies 6.1.6 general measures or personal hygiene and healh proecon;
6.1.7 re precauons o be aken;
Secon 8 o D.O. No. 13 saes ha he consrucon projec owner or his rep- 6.1.8 acon o be aken in case o any emergencies;
resenave shall provide compeen emergency healh personnel wihin he acilies 6.1.9 requiremens o relevan healh and saey rules and regulaons.
based on he oal number o workers in he sie.
Below are he lis o workers who have undergone he DOLE prescribed saey
5.1 Emergency Healh Personnel and Facilies and healh rainings and orienaon:
Consrucon Number of Healh Personnel & Facilies Name Title of training Remarks
Stages workers during atended
this stage Health Personnel Facilies
(Use addional shee i necessary and aach all required raining cercaes in his secon.)
(Use addional shee i necessary)
12.0 Consrucon Workers Skills Cercaon Physical hazards are he mos common in mos workplaces. The physical
hazards ha we idened or his projec include bu are no limied o
The company will ensure ha all workers assigned in he crical occupaons he ollowing: (please check on he box all ha applies)
as dened in Secon 15 o D.O. No. 13 and hose who will be assigned in he operaon
o consrucon heavy equipmen (CHE) will undergo mandaory skills esng or cercaon
by TESDA (Aach TESDA cercaes o hose workers cered by TESDA.) Machineries Power and Hand Tools
Elecrical Ladders and Scaolds
13.0 Tesng & Inspecon o Consrucon Heavy Equipmen Noise Venlaon
Exposure o Hea Tripping
All consrucon heavy equipmen will be esed and inspeced in accordance Fall Hazards Collapse
wih he requiremens o Secon 10 o D.O. No. 13. The company will ensure ha all Ohers (please speciy)___________________________________
heavy equipmen will be operaed by qualied and cered operaors. (Aach Cercae _____________________________________________________
o Tesng and Inspecon o CHE used issued by DOLE Accredied Tesng Organizaons _____________________________________________________
or CHE and TESDA cercae o CHE operaor/s).
14.2.2 Chemical Hazards
14.0 Conrol Measures on Consrucon Acvies
Chemical hazards are presen workers handle chemical preparaons in
To ensure sae and healhy working condions hroughou he duraon o any orm (solid, liquid or gas). Some are saer han ohers, however, some
he projec he ollowing conrol measure acvies will be enorced and disseminaed workers are more sensive o chemicals, even he common soluons
o all he workers in he sie: causing illness, skin irriaon or breahing problems.
14.1 Major Acvies The chemical hazards ha we idened or his projec include bu are
Major acvies or his projec includes bu no limied o he ollowing: no limied o he ollowing: (please check on he box all ha applies)
(please mark all ha applies)
solvens pain producs
Demolion Excavaon acids cleaning producs
Earhmoving Piling aceylene propane
Scaold Formwork gasoline explosive chemical
Srucural Seel Crane Operaon welding umes ohers (please speciy)
Concreng Rebarworks _______________________________________________________
Welding Elecrical _______________________________________________________
HVAC Plumbing _______________________________________________________
Painng Inerior Decoraon
Ohers (please speciy)__________________________________ 14.2.3 Biological Hazards
_____________________________________________________
_____________________________________________________ Biological hazards come rom working wih inecous people, plans, and
oher living maerials. The biological hazards ha we have idened or order each step in a process.
his projec includes bu no limied o he ollowing: (please check on he
box all ha applies) (Enumerae he sae work pracces ha you inend o perorm relave o he hazards you have
idened above.)
blood or oher body uids ungi ______________________________________________________________
baceria and viruses plans ______________________________________________________________
insec bies animal and bird droppings
ohers (please speciy)___________________________________ 15.0 Firs-Aid, Healh Care Medicines and Equipmen Facilies
_____________________________________________________
_____________________________________________________ The company will provide rs-aid ki and healh care medicines and acilies
or workers in he sie in accordance wih he requiremens o Rule 1960 o he OSHS.
14.2.4 Ergonomic Hazards
16.0 Workers Welare Facilies
Ergonomic hazards occur when he ype o work, body posion and working The ollowing welare acilies will be provided in he sie o ensure human
condions pu srain on he body. They are he hardes o spo since one working condions:
does no immediaely noce he srain on your body or he harm hese
hazards pose. Shor-erm exposure may resul in “sore muscles” on he 16.1 Adequae supply o sae drinking waer
days ollowing exposure, bu long erm exposure can resul in serious
16.2 Adequae saniary, washing and sleeping acilies separae or men and
musculoskeleal injuries. women workers
The ergonomic hazards ha we idened or his projec includes bu 16.3 Adequae acilies or changing and or he sorage and drying o work
no limied o he ollowing: (please check on he box all ha applies) clohes.
16.4 Adequae accommodaon or aking meals.
poor lighng requen lifing
poor posure repeve moon To assure ha he company provides adequae welare acilies or he workers in
exeron o orce awkward movemen he sie he company will implemen he provision o oiles and oher acilies in
ohers (please speciy)_________________________________ accordance wih he requiremens o he Saniaon Code
_____________________________________________________
_____________________________________________________ 17.0 Medical Surveillance
(Enumerae conrol measures o address idened hazards, use addional shee i necessary)
The company will require all employees o undergo a baseline or inial medical
14.3 Sae Work Pracces healh examinaon prior o assigning o a poenally hazardous acviy. The examinaon
will include bu no limied o he ollowing:
Sae work pracces are procedures adoped or carrying ou specic asks ha
ensure ha worker exposure o hazardous siuaons, subsances, and physical 17.1 Complee medical and work hisory;
agens is conrolled. Sae work pracces are generally wrien mehods oulining 17.2 Physical examinaon (Pre-employmen, During employmen and Separaon);
how o perorm a ask wih minimum risk o people, equipmen, maerials, 17.3 Oher special examinaon (Pulmonary uncon es, blood panel, ECG >40
environmen, and processes. I should be developed as a resul o compleng years o age, audiogram);
a hazard assessmen and should closely reec he acvies in his projec. 17.4 Random drug esng.
All sae work pracces should be kep in a locaon cenral o he work being
perormed and readily available o he workorce. Some sae work pracces
will require specic job procedures, which clearly se ou in a chronological
18.0 Working Hour & Break Time policy on penales, i here are any).
The work schedule will be on ( please check on he boxes ha apply):
Monday Tuesday Wednesday Thursday Friday Saurday Sunday Saey Violaon 1s oense 2nd oense 3rd oense
1. No helme, no saey shoes, no saey warning 3-day 5-day
Check on he shif and indicae he work hours or he shif ha applies. bel/harness suspension suspension
1s Shif rom ________(am/pm) o __________ (am/pm) 2. No ID, Uniorm, working atre, goggles, warning 3-day 5-day
gloves & apron suspension suspension
2nd Shif rom ________(am/pm) o __________ (am/pm)
3rd Shif rom ________(am/pm) o __________ (am/pm)
3. Eang a prohibied area warning 3-day 5-day
suspension suspension
Check on he shif and indicae he break or he shif ha applies.
4. Liering and loiering warning 3-day 5-day
1s Shif rom ________(am/pm) o __________ (am/pm) suspension suspension
2nd Shif rom ________(am/pm) o __________ (am/pm)
3rd Shif rom ________(am/pm) o __________ (am/pm) 5. Smoking a prohibied area warning 3-day 5-day
suspension suspension
19.0 Consrucon Wase Disposal
6. Urinang a prohibied area warning 3-day 5-day
The company including subconracors will be responsible or minimizing wase generaed suspension suspension
during he implemenaon o he projec. The ollowing procedures or disposal o wases 7. Illegal dismanling o saey signages warning 3-day 5-day
will be implemened in he sie: and paraphernalia suspension suspension
19.1 Ensure ha he consrucon wases are segregaed rom ha o domesc 8. Illegal gambling 3-day 5-day Dismissal
waste. suspension suspension
19.2 All domesc wases are o be colleced on a daily basis. 9. Overnigh say w/o permission 3-day 5-day
19.3 Consrucon debris (broken hollow blocks, spoiled concree, loose concree, suspension suspension
ec) should be aken ou on he saging area.
19.4 Oil spills and spoiled greases should be wrapping in he black garbage bag and 10. Fighng & provoking ohers 5-day Dismissal
suspension
will be properly disposed.
19.5 Applicaon o good housekeeping. 11. Working under he inuence o Dismissal
drugs and liquor
20.0 Emergency Preparedness
12. Possession o illegal drugs, deadly Dismissal
weapon & gambling paraphernalia
The objecves o his are o ensure ha he company has developed and
communicaed plans ha will allow or he eecve managemen o emergencies.
Aach copy o company emergency preparedness plan. 13. Pilerage and robbery Dismissal
For every oenses and violaon o any saey rules, regulaons and general 15. Reusal o surrender ID & giving alse Dismissal
represenaon
pracces promulgaed by he projec and/or he company, he company recommended
he ollowing penales and sancons or violaon o CSH program: (Please aach company
22.0 Atachmens