9

TLE-AFA
(Agricultural Crops Production NC I)
Activity Sheet Quarter 1 - C1.5-6
Providing Work Support

RE

REGION VI – WESTERN VISAYAS

TLE 9 - AFA (Crop Production)
Activity Sheet No. 5
First Edition, 2020

Published in the Philippines

By the Department of Education
Region 6 – Western Visayas

Republic Act 8293, section 176 states that: No copyright shall

subsist in any work of the Government of the Philippines. However, prior
approval of the government agency or office wherein the work is created
shall be necessary for exploitation of such work for profit. Such agency or
office may, among other things, impose as a condition the payment of
royalties.

This TLE 9 – AFA (Agricultural Crop Production) Learning Activity

Sheet is developed by DepEd Region 6 – Western Visayas.

ALL RIGHTS RESERVED. No part of this learning resource may be

reproduced or transmitted in any form or by any means electronic or
mechanical without written permission from the DepEd Regional Office 6 –
Western Visayas.

Development Team of TLE 9 – AFA (Crop Production) Activity Sheet

Writer: Aida L. Talorong

Editor: Reynaldo P. Evangelio
Layout Artist: Jarrett Irvin C. Gayosa
Schools Division Quality Assurance Team:
Mylene D. Lopez
Reynaldo P. Evangelio
Jarrett Irvin C. Gayosa
Helen Grace S. Poderoso
Division of Himamaylan City Division Management Team:
Reynaldo G. Gico
Michell L. Acoyong
Grace T. Nicavera
Reynaldo P. Evangelio
Mylene D. Lopez
Regional Management Team
Ramir B. Uytico
Pedro T. Escobarte, Jr.
Elena P. Gonzaga
Introductory Donald Message T. Genine
April C. Velez
Roland B. Jamora
 Welcome to TLE 9 – AFA (Agricultural Crop Production NC I)!

The TLE 9 – AFA (Agricultural Crop Production NC I) Learning Activity

Sheet is a product of the collaborative efforts of the Schools Division of
Himamaylan City and DepEd Regional Office VI - Western Visayas through the
Curriculum and Learning Management Division (CLMD). This is developed to guide
the learning facilitators (teachers, parents, and responsible adults) in helping the
learners meet the standards set by the K to 12 Basic Education Curriculum.

The TLE 9 – AFA (Agricultural Crop Production NC I) Learning Activity

Sheet is self-directed instructional materials aimed to guide the learners in
accomplishing activities at their own pace and time using the contextualized
resources in the community. This will also assist the learners in acquiring the
lifelong learning skills, knowledge and attitudes for productivity and employment.

For learning facilitator:

The TLE 9 – AFA (Agricultural Crop Production NC I) Activity

Sheet will help you facilitate the teaching-learning activities specified in
each Most Essential Learning Competency (MELC) with minimal or no face-
to-face encounter between you and learner. This will be made available to
the learners with the references/links to ease the independent learning.

For the learner:

The TLE 9 – AFA (Agricultural Crop Production NC I) Activity

Sheet is developed to help you continue learning even if you are not in
school. This learning material provides you with meaningful and engaging
activities for independent learning. Being an active learner, carefully read
and understand the instructions then perform the activities and answer the
assessments. This will be returned to your facilitator on the agreed
schedule.

Quarter 1, Week 5
 Learning Activity Sheets (LAS) No. 5

Name of Learner: ___________________________________________________________

Grade and Section: ______________________________ Date: ____________________

TLE 9 – AFA (AGRICULTURAL CROPs PRODUCTION NC I) ACTIVITY SHEET

Providing Work Support

I. Learning Competency

LO 1. Prepare materials, tools, and equipment for horticultural

production work (TLE_AFAC9-12HC-Ia-e-1)
1.5. Provide the work support in accordance with OHS requirements
and workplace information
1.6. Identify OHS hazards and file a report based on OHS
requirements and company reporting procedures

II. Background Information for Learners

Workplace health and safety of farm workers should be one among the
priorities of farm owner. The Occupational Health and Safety (OHS) procedures
must be strictly observed by all farm workers to avoid any untoward incidents
that more likely to happen if not followed. The newly hired farm workers must
undergo proper training and orientation about the farm safety, and safety
reminders or signage must be posted in a conspicuous area where farm workers
will be reminded always. This will promote a productive and better working
environment and experience for everyone including prospective customers.

In this lesson, the students should be able to learn about the importance of
observing OHS procedures while working in the farm to keep them safe while
doing or accomplishing their farm tasks. This module also provides a better
insight for the students in identifying OHS hazards and on how to make a written
report after assessing farm hazards and recurring accidents from the same
hazards can be avoided.

What is OHS?
Occupational health and safety (OHS) relates to health, safety, and welfare
issues in the workplace. OHS includes the laws, standards, and programs that are
aimed at making the workplace better for workers, along with co-workers, family
members, customers, and another stakeholder.

Safety and health at work in the Philippines

 Occupational accidents and diseases cause human suffering and loss. Their
economic cost is high, with some 2 million workers dying each year from work-
related accidents and diseases, and the figure is on the increase despite efforts to
make inroads.

The Philippine Government estimates that 2.2 million Filipino workers in

medium and large enterprises enjoy effective occupational safety and health (OSH)
protection and services. In other words, 17 of 18 persons in the nation’s workforce
of 38.8 million do not benefit from acceptable working conditions. Studies
substantiate that OSH conditions in micro-firms and the informal sector pose risks
and hazards.

The ILO (International Labour Organization) Country Office for the

Philippines (CO-Manila) supports programs to promote a culture of safety and
health that bring OSH services to those that need them the most. A range of
government and non-government agencies are partners, with beneficiaries that
include agrarian reform farmers, informal workers and trade unions and their
members. The office works with constituents – governments, workers and
employers organizations to promote ratification of the Promotional Framework for
Occupational Safety and Health Convention, 2006 (No.187) .
 
A national occupational safety and health culture is one in which the right to
a safe and healthy working environment is respected at all levels, where
governments, employers and workers actively participate in securing a safe and
healthy working environment through a system of defined rights, responsibilities,
and duties, and where the highest priority is accorded to the principle of
prevention.

The New OSHS Law in the Philippines

In a bid to improve the workplace environment for workers, the Philippines

has implemented a new Occupational Safety and Health Standards (OSHS) law to
replace the previous 1989 OHSS, PD442 laws. Under the new OSHS act, also
known as RA 11058, employers are now required to comply with occupational
safety and health standards, including updated training requirements, mandated
on-site clinic facilities, audit and tracking of compliance, informing workers on all
types of hazards in the workplace and giving workers the right to refuse unsafe
work, as well as providing safe facilities and personal protective equipment, among
others.
 
As the new law protects workers nationwide, HR professionals need to be
aware of how the changes affect their companies. One of the key areas affected by
the new legislation is regarding the set up and provision of on-site clinic
requirements for employees in the Philippines. Most employers are currently in
breach of these regulations and could face heavy fines for non-compliance.
 
According to the World Health Organization, there were over 125,000 cases
of occupational diseases in workplaces in 2015 in Philippines. Out of that number,
back pain was the most common type of occupational disease, making up 32.8% of
the reported cases. This was followed by essential hypertension (11.5%) and neck
and shoulder pain (11.4%). The riskiest industry for workers in 2015 was
administrative and support service activities (34.3%) followed by the manufacturing
industry (31.1%). These statistics show that something needed to be done to
improve the welfare of workers in the Philippines.
  The new RA 11058 law amends the 41-year-old Labor Code of the
Philippines and covers all establishments, projects, sites, including Philippine
economic zones and all other places of work except the public sector.
  
The new law also requires employers to create an Occupational Safety and
Health (OSH) committee, which will ensure the enforcement of the safety and
health program at the workplace.
 
Perhaps most importantly, employers who violate the law face a penalty of
P100,000 per day until the violation has been corrected.

The new Occupational Safety and Health Standards (OSHS) Law also known as
RA 11058
Excerpt from the RA 11058 relative to the OHS requirements and workplace
standards. To fully understand the RA 11058, visit the link provided below.
https://www.lawphil.net/statutes/repacts/ra2018/ra_11058_2018.html.

REPUBLIC ACT No. 11058, (An Act Strengthening Compliance with Occupational
Safety and Health Standards and Providing Penalties for Violations Thereof)

CHAPTER III: DUTIES AND RIGHTS OF EMPLOYERS, WORKERS AND OTHER

PERSONS

Section 4. Duties of Employers Workers and Other Persons

a) Every employer, contractor, or subcontractor, if any, and any person who

manages, controls, or supervises the work being undertaken shall:
1) Furnish the workers a place of employment free from hazardous
conditions that are causing or are likely to cause death, illness, or
physical harm to the workers;
2) Give complete job safety instructions or orientation to all the workers
especially to those entering the job for the first time, including those
relating to familiarization with their work environment;
3) Inform the workers of the hazards associated with their work health
risks involved to which they are exposed to, preventive measures to
eliminate or minimize the risks, and steps to be taken in cases of
emergency;
4) Use only approved devices and equipment for the workplace;
5) Comply with OSH standards including training medical examination
and where necessary, provision of protective and safety devices such
as personal protective equipment (PPE) and machine guards;
6) Allow workers and their safety and health representatives to
participate actively in the process of organizing, planning,
implementing, and evaluating the safety and health program to
improve safety and health in the workplace; and
 7) Provide, where necessary, for measures to deal with emergencies and
accidents including first-aid arrangements.
b) Every worker shall participate in ensuring compliance with OSH standards
in the workplace. The worker shall make proper use of all safeguards and
safety devices furnished for the worker's protection and that of others and
shall observe instructions to prevent accidents or imminent danger situation
in workplace. The worker shall observe the prescribed steps to be taken in
cases of emergency.

The worker shall report to the supervisor any work hazard that may be
discovered in the workplace.

c) It shall be the duty of any person, including the builder or contractor who
visits, builds, renovates, or installs devices or conducts business in any
establishment or workplace, to comply with the provisions of this Act and all
other regulations issued by the Secretary of Labor and Employment.

d) Whenever two (2) or more undertakings are engaged in activities

simultaneously in one (1) workplace, it shall be the duty of all engaged to
collaborate in the application of OSH standards and regulations.

Section 5. Workers' Right to Know. - The right to safety and health at work shall
be guaranteed. All workers shall be appropriately informed by the employer about
all types of hazards in the workplace, provided access to training and education on
chemical safety, electrical safety mechanical safety, and ergonomic safety.

Section 6. Workers' Right to Refuse Unsafe Work. The worker has the right of
refusal to work without threat or reprisal from the employer if, as determined by
the DOLE, an imminent danger situation exists in the workplace that may result in
illness, injury or death, and corrective actions to eliminate the danger have not
been undertaken by the employer.

Section 7. Workers' Right to Report Accidents. Workers and their

representatives shall have the right to report accidents, dangerous occurrences,
and hazards to the employer, to the DOLE and other concerned government
agencies exercising jurisdiction as the competent authority in the specific industry
or economic activity.

Section 8. Workers' Right to Personal Protective Equipment (PPE). - Every

employer, contractor or subcontractor, if any, shall provide his workers, free of
charge, protective equipment for their eyes, face, hands and feet, and free, and
lifeline, safety belt or harness, gas or dust respirators or masks, protective shields
whenever necessary by reason of the hazardous work process or environment,
chemical, radiological, mechanical and other irritants or hazards capable of
causing injury or impairment in the function of any part of the body through
absorption, inhalation or physical contact. The cost of the PPE shall be part of the
safety and health program which is a separate pay item pursuant to Section 20 of
this Act.

All PPE shall be of the appropriate type as tested and approved by the DOLE based
on its standards. The usage of PPE in all establishments, projects, sites and all
other places where work is being undertaken shall be based on the evaluation and
recommendation of the safety officer.

Section 9. Safety Signage and Devices. - All establishments, projects, sites and
all other places where work is being undertaken shall have safety signage and
devices to warn the workers and the public of the hazards in the workplace. Safety
signage and devices shall be posted in prominent positions and strategic locations
in a language understandable to all, and in accordance with the standard set by
the DOLE.

Section 10. Safety in the Use of Equipment. In relation to the use of equipment,
the employer, contractor or subcontractor, if any, must comply with the DOLE
requirements in the different phases of the company or project operation including
the transport to and from the establishment, project, site or place where work is
being undertaken.

Section 11. Occupational Safety and Health Information. - Workers in all

establishments, projects, sites and all other places where work is being undertaken
shall be provided adequate and suitable information by the employer, contractor or
subcontractor, if any, on safety and health hazards, and the appropriate measures,
including the probable location of workers, for the prevention, control and
protection against those hazards.

CHAPTER IV: COVERED WORKPLACES

Section 12. Occupational Safety Health (OSH) Program. - Covered workplaces

shall have a safety and health program including the following policies, guidelines,
or information:

(a) Statement of commitment to comply with OSH requirements;

(b) General safety and health, including a drug-free workplace;
(c) Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency
Syndrome (AIDS)/tuberculosis/hepatitis prevention control;
(d) Company or project details;
(e) Composition and duties of the safety and health committee;
(f) Occupational Safety and health personnel and facilities;
(g) Safety and health promotion, training and education;
(h) Conduct of toolbox meetings;
(i) Accident/incident/illness investigation, recording and reporting;
(j) Provision and use of PPE;
(k) Provision of safety signage;
(l) Dust control and management, and regulations on activities such as
building of temporary structures, and lifting and operation of electrical,
mechanical, communications systems and other equipment;
(m) Provision of workers' welfare facilities;
(n) Emergency preparedness and response plan;
(o) Waste management system; and
(p) Prohibited acts and penalties for violations.
The safety and health program shall be prepared and executed by the employer,
contractor or subcontractor, if any, in consultation with the workers and their
representatives and shall be submitted to the DOLE which shall approved
disapproved

or modify the same according to existing laws rules and regulations, and other
issuances.

The approved safety and health program shall be communicated and be made
readily available to all persons in the workplace.

Section 14. Safety Officer. - To ensure that a safety and health program is duly
followed and enforced, covered workplaces shall have safety officers who shall:

(a) Oversee the overall management of the safety and health program;
(b) Frequently monitor and inspect any health or safety aspect of the operation
being undertaken;
(c) Assist government inspectors in the conduct of safety and health inspection
at any time whenever work is being performed or during the conduct of an
accident investigation; and
(d) Issue work stoppage orders when necessary.

The number and qualification of the safety officers shall be proportionate to the
total number of wrokers and equipment, the size of the work area and such other
criteria as may be prescribed by the DOLE.

In the case of a contractor or subcontractor, a safety officer must be deployed at

each specific area of operations to oversee the management of the safety and health
programs of its own workforce.

Section 16. Safety and Health Training. -

(a) All safety and health personnel shall undergo the mandatory training on
basic occupational safety and health for safety officers as prescribed by
DOLE.
(b) All workers shall undergo the mandatory eight (8) hours safety and health
seminar as required by the DOLE which shall include a portion on joint
employer-employee orientation.
(c) All personnel engaged in the operation, erection and dismantling of
equipment and scaffolds, structural erections, excavations, blasting
operations, demolition, confined spaces hazardous chemicals, welding, and
flame cutting shall undergo specialized instruction and training on the said
activities.

Section 17. Occupational Safety and Health Reports. - All employers,

contractors, or subcontractors, if any, shall submit all safety health reports, and
notifications prescribed by the DOLE.

What is Hazard?
Hazard is the potential for harm, or adverse effect on an employee ‘s health.
Anything which may cause injury or ill health to anyone at or near a workplace is a
hazard.

Classes of Hazard
Hazards are classified into five different types. They are:
1. Physical - includes floors, stairs, work platforms, steps, ladders, fire, falling
objects, slippery surfaces, manual handling (lifting, pushing, pulling),
excessively loud and prolonged noise, vibration, heat and cold, radiation,
poor lighting, ventilation, air quality
2. Mechanical and/or electrical - includes electricity, machinery, equipment,
pressure vessels, dangerous goods, forklifts, cranes, hoists.
3. Chemical - includes chemical substances such as acids or poisons and
those that could lead to fire or explosion, like pesticides, herbicides, cleaning
agents, dusts, and fumes from various processes such as welding.
4. Biological - includes bacteria, viruses, mold, mildew, insects, vermin,
animals.
5. Psychosocial environment - includes workplace stressors arising from a
variety of sources.

Some of the most common hazards in farm:

 Crushing injuries—this is the most common cause of agricultural fatalities.
This often occurs when a tractor becomes unbalanced and tips.
 Farm equipment accidents—Farmworkers can be seriously maimed,
disfigured, or killed when they become entangled in farming machinery such
as augers, threshers, and other equipment with power take-off (PTO) drives.
 Head, neck, and spinal injuries—A good portion of a farm worker’s day is
spent above the ground due to working on tall machinery and equipment.
Falls on backs, necks, or heads from about five feet can cause serious
damage.
 Livestock Injuries—A few serious injuries and deaths occur every year as a
result of animal-related accidents.
 Chemical handling— Improperly storing pesticides and other chemicals can
lead to waste and damage to the surrounding environment. Pesticide
exposure can also lead to skin disorders and respiratory problems.
 Manual handling- lifting farm inputs and products, moving machineries
 Dust inhalation-grain dust and yard dust
 Noise- grinding machineries
 Sun and heat- sunburn and heatstroke
 Sharp edges- broken wires, rails, sharp edges of farm tools and equipment
 Machineries and moving parts

Hazard Identification and Assessment

One of the "root causes" of workplace injuries, illnesses, and incidents is the
failure to identify or recognize hazards that are present, or that could have been
anticipated. A critical element of any effective safety and health program is a
proactive, ongoing process to identify and assess such hazards.
To identify and assess hazards, employers, and workers:
  Collect and review information about the hazards present or likely to be
present in the workplace.
 Conduct initial and periodic workplace inspections of the workplace to
identify new or recurring hazards.
 Investigate injuries, illnesses, incidents, and close calls/near misses to
determine the underlying hazards, their causes, and safety and health
program shortcomings.
 Group similar incidents and identify trends in injuries, illnesses, and
hazards reported.
 Consider hazards associated with emergency or nonroutine situations.
 Determine the severity and likelihood of incidents that could result for each
hazard identified and use this information to prioritize corrective actions.
Some hazards, such as housekeeping and tripping hazards, can and should be
fixed as they are found. Fixing hazards on the spot emphasizes the importance of
safety and health.
Reporting hazards

Where workplace hazards are identified they must be immediately reported

to the appropriate person such as a supervisor. A verbal report is usually the best
option as it is quick and allows the other person to ask questions to clarify and
better understand the issue. A written form such as a “Hazard Notification” or
“Hazard Report” may also be required.

During hazard reporting the following points should be emphasized:

 What is an unsafe condition that should be reported? This is any
circumstance found in the workplace that could allow an incident to occur
that might harm people, equipment or property. Give examples specific to
your workplace such as rusted or broken tools, inadequate PPE provided,
containers that are not labeled, insufficient stairway lighting, and
broken machine guards.
 What is an unsafe act that should be reported? This is any behavior that
could lead to an incident that might harm people, equipment or property.
Unsafe acts might not be intentional. Examples of unsafe acts might include
using equipment in a careless manner or not using PPE as required.
 What should be done if an unsafe condition or act is witnessed in the
workplace? This depends on the hazard reporting procedure in your
workplace so be specific. Let employees know exactly what steps they should
take which could be filling out a form or verbally telling a supervisor.
 When should a hazard be reported? Any unsafe condition or act should be
reported immediately, or at the next available safe opportunity that the
employee must do so.
 What should employees expect after a hazard is reported? Let employees
know what the expected time frame is for corrective and preventative
measures that are expected and how employees can follow-up on the
corrections progress, if needed.
 Where can employees find a copy of the Hazard Reporting
Procedure? Are hard copies of procedures kept at headquarters, or is the
Safety Manual found online on the company’s intranet? It is important that
employees know how they can access all company policies and procedures
on their own.
Three steps in dealing farm hazards are:
1. Recognize the hazard
 2. Report the hazard
3. Remove or resolve the hazard

HAZARD REPORT FORM (Sample)

Employee Name: Farm Manager:

Area: Farm Owner:
Describe FULLY the safety concern or hazard:

What can be done to make the Situation SAFE?

YES NO Has the farm manager or owner in that area been

notified of the safety concern or hazard?
YES NO Has the maintenance team in that area been
notified of the safety concern or hazard?
Employee Signature: Date Report:

III. Accompanying DepEd Textbook and Educational Sites

Baes, Joseph D. (2020). Module 6: Identifying OHS Hazards and File Reports
for Horticultural Production Work, (p. 4-13). Department of
Education: Pagadian City.

Graham, Katryn. “Safety on the Farm”. SlideShare. April 28, 2018. Retrieved
on July 3, 2021. https://www.slideshare.net/kathryngraham/safety-
on-the-farm

“How new OSHS law impacts businesses in the Philippines”. Mercer

ASEAN. Retrieved on July 1, 2021. https://www.asean.mercer.com/our-
thinking/health/how-new-oshs-law-impacts-businesses-in-philippines.html

“Lesson 4: Occupational Safety and Health”. TLE Weebly. Retrieved on

July 2, 2021. https://gltnhs-tle.weebly.com/lesson-46.html

“Safety health at work in the Philippines”. International Labor

Organization. Retrieved on July 1, 2021.
 https://www.ilo.org/manila/areasofwork/safety-and-health-at-work/lang--
en/index.htm

“Safety Management: Hazard Identification and Assessment”.

Occupational Safety and Health Administration. Retrieved on July 2, 2021.
https://www.osha.gov/safety-management/hazard-identification

Republic Act. No. 11058 An Act Strengthening Compliance with

Occupational Safety and Health Standards and Providing Penalties for
Violations Thereof. Law Phil. Retrieved on July 2, 2021.

https://www.lawphil.net/statutes/repacts/ra2018/
ra_11058_2018.html

“Workplace Hazard Reporting Procedures Are Proven Effective”. Work

Safety. Retrieved on July 3, 2021.
https://weeklysafety.com/blog/workplace-hazard-reporting

IV. Activity Proper

1. Directions / Instructions
Read and understand the provided Information Sheet and try to recall your
lesson in first quarter on different farm tools and equipment.

2. Exercises / Activities

A. Activity 1. Read, Understand and Make Me Feel Alright

Directions: Fill in the blank. Write the correct word or group of words to
make the statement complete. Write your answers in your activity notebook.

__________ 1. relates to health, safety, and welfare issues in the workplace. 

__________ 2. estimated number of farm workers died every year due to farm
work-related accidents and diseases.
__________ 3. workers of 18 workers in the nation’s workforce of 38.8 million
do not benefit from acceptable working conditions.
__________ 4. known as Occupational Safety and Health Standards (OSHS)
law of 1989.
__________ 5. known as the new OSHS law.

B. Activity 2. Awareness Makes You Safe

Direction: Give the answers to the following questions:

2.1 What are the five (5) classification of workplace hazards?
___________________ _____________________
___________________ _____________________
___________________

2.2 What are the most common farm hazards?

 __________________ ____________________
__________________ ____________________
__________________ ____________________
__________________ ____________________
__________________ ____________________

C. Activity 3. Do I know my rights and duties as farm worker?

Directions: Read and understand fully the RA11058 to answer the questions
below.
1. What are the duties of employers in accordance to OSHS law under
the RA 11058?
2. What are the duties of workers in ensuring compliance with OSH
standards in the workplace?
3. List down and briefly discuss the rights of a worker as stated in the
new OSHS law, RA 11058.

3. Guide Questions
Answer the following questions briefly and concisely.
1. As a farm owner or employer, how do you implement OSH programs?
_______________________________________________________________________
_
_______________________________________________________________________
_______________________________________________________________________
__

2. How do you promote worker involvement in health and safety programs?

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___

3. Why does newly hired farm worker must undergo the OSHS training?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___

V. Reflection
Fill out the Hazard Report Form. Just read the selection below and supply the
needed data.

Mang Pedro owned 20 hectares of sugarcane plantation in a quite secluded

and hilly area of Himamaylan City. For him to cultivate the extensive area, he
needs to hire workers to work on his farm. He has a 4- wheeled tractor for easy and
fast cultivation of sugarcane field. One day, one of his workers voluntarily asked
Mang Pedro to drive the four-wheeled tractor because according to that worker
once he was a tractor driver. Without hesitation, Mang Pedro gave permission to
that worker to drive the tractor, since the area is quite hilly, the driver was out of
control and nervous at the same time. Unexpected accident occurred at that very
moment.

Mang Pedro was so upset and remorse at the same time because he believed
immediately without proving the capacity of that worker in handling hazardous
farm tasks. Worker’s medication and tractor repair were added on to his expenses.

Hazard Report Form

Employee Name: Farm Manager:

Area: Farm Owner:
Describe FULLY the safety concern or hazard:

What can be done to make the Situation SAFE?

YES NO Has the farm manager or owner in that area

been notified of the safety concern or hazard?
YES NO Has the maintenance team in that area been
notified of the safety concern or hazard?
Employee Signature: Date Report:

VI. Answer Key

 B. Activity 2.1
B. Activity 2.2
1. Physical
1. Crushing injuries
2. Chemical
2. Farm equipment accidents
3. Biological
3. Head, neck, and spinal injuries
4. Psychosocial
4. Animal injuries
5. Mechanical/Electrical
5. Chemical handling
6. Manual handling
7. Noise
8. Sun and heat
9. Sharp edges
10.Machineries moving parts
A. Activity 1
1. OHS
2. 2 million
3. 17
4. PD442 law
5. RA11058