I Engr. Rolando C. Bugay by Accomplishing This Construction Safety and Health Program Do
I Engr. Rolando C. Bugay by Accomplishing This Construction Safety and Health Program Do
I Engr. Rolando C. Bugay by Accomplishing This Construction Safety and Health Program Do
I Engr. Rolando C. Bugay 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).
We (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.
We 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.
_____________________________
Engr. Rolando C. Bugay
Signature over Printed Name
It is the general policy of Joland’s Trading to perform work in the safest manner possible
consistent with good construction practices. To fulfill the requirements of this policy, an
organized and effective Construction Safety and Health Program as described in this program
and in consonance with DOLE D.O. No. 13 and the OSH Standards must be carried out on
every project.
2.1 Identifying potential hazards that may arise from the programmed work activities;
2.2 Organizing the work activities so as to minimize the risk arising from them;
2.3 Developing and implementing project specific safety and health program;
2.4 Establishing and enforcing all necessary safe work procedures, rules & regulations;
2.5 Ensuring that all workers are given orientation/briefing or induction prior to deployment to the
site;
2.6 Establishing a site safety and health committee to act as policy making body of the project on
all issues pertaining to safety and health;
2.8 Establishing a system of follow-up of actions and periodic assessment to check program
effectiveness.
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i. Specific name of project and Name of Owner: ii. Location of the project:
iii. Classification of the project: iv. Name of General Constructor (constructor who has general
supervision over other constructors in the execution of this
Construction project and who directly receives instructions from the owner or
construction project manager, if any)
□ others, specify:
v. Name of Construction Project Manager /Consultant, if any (a vi. Name of Project Manager/Contact Number (the overall
person or entity who is hired by the project owner, to act in the technical personnel of the general constructor and or the
owner’s behalf concerning supervision and monitoring of all subcontractor in charge of the actual execution of this project)
matters related to the overall execution of this project. It shall be a
separate entity from the general constructor or any subcontractor
of the construction project
vii. Name of Resident Engineer, if any (a duly licensed engineer viii. Name and Classification of Constructors (synonymous to
who shall be tasked to be present at the construction site at all builders who undertakes or offers to undertake or purports to
times, whenever work is being undertaken, and shall have the have the capacity to undertake or submits a bid to, or does
responsibility of assuring the technical conformance of all designs, himself or by or through others, construct, alter, repair, add to,
materials, processes, work procedures rendered for the execution subtract from, improve, move, wreck or demolish any building,
of this project, including safety and health of all persons within the highway, road, railroad, excavation or other structure, project,
construction site) development or improvement, or to do any part thereof,
including the erection of scaffolding or other structures or works
in connection with this project. The term constructor includes
subcontractor and specialty contractor.)
Name Classification
2.
3.
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xi. Estimated number of heavy equipment: xii. Projected dates of commencement and completion
Start Date:
xiii. Name and Address of Emergency Health Provider (any person or organization who is certified or recognized by the Department
of Health and who can provide the same or equivalent emergency health services as an emergency hospital, including emergency
treatment or workers on site, emergency transport and care during transport of injured workers to the nearest hospital, with adequate
personnel, supplies and facilities for the complete immediate treatment of injuries or illnesses)
Section 11 of D.O. No. 13 requires that rules of Construction Safety and Health Program must be
observed and enforced at the project site, each site shall; at the start of the construction have a
construction safety and health committee. With respect to this project, the committee will be
organized in accordance with the requirements of Rule 1040 of the Occupational Safety and
Health (OSH) Standards of the Department of Labor and Employment (DOLE).
4.1.2 General Construction Safety and Health Officer/s (overall in charge in the implementation
of the OSH program of this project hired by the General Constructor. Please attach certificate
of training/s prescribed by DOLE. Numbers will be dependent on the numbers of workers and
heavy equipment)
4.1.3 Construction Safety and Health Officer/s from Subcontractors (any employee/worker
trained and, in addition to their regular duties and responsibilities tasked by his employer to
implement occupational safety and health program in accordance with the provisions of the
OSH Standard. Please attach certificate of training/s prescribed by DOLE).
N/A
4.1.4 Occupational Health Personnel (qualified first-aider, nurse, dentist, or physician, engaged
by the employer to provide occupational health services in the establishment/undertaking.
Please attach certificate of training/s prescribed by DOLE):
4.2 Duties of the CSH Committee shall include but are not limited to the following:
4.2.1 Plans, develops and oversees the accident prevention programs for the construction
project;
4.2.2 Directs the accident prevention efforts of the establishment in accordance with the safety
programs and performance and government regulations in order to prevent accidents from
occurring in the worksite;
4.2.3 Conducts safety meetings at least once a month. The committee will hold a safety
meeting every 30th of the month;
4.2.4 Submits reports to the project manager of the owner on its meetings and activities one
day after the meeting;
4.2.7 Submits the monthly the following safety and health reports to the DOLE Regional Office
having jurisdiction over the project:
4.2.7.2 Summary of all accident investigation reports using DOLE/BWC/ OHSD/IP-6 form;
4.2.7.3 Periodic hazards assessment with the corresponding remedial measures/actions for
each hazard;
4.2.7.4 Annual Medical Report using the form DOLE/BWC/HSD/OH-47-A (if the duration of the
project is more than one (1) year);
4.2.7.5 Initiates and supervises safety and health training for employees. (Check on the boxes
or list down the training to be provided for workers and employees).
The principal function of the Safety Man assigned to this project is to act as the employer’s
principal assistant and consultant in the application of programs to remove the hazard from the
workplace and to correct unsafe work practices. For this purpose, the Safety Man has the
following duties:
4.3.1 Serves as Secretary to the SHC, as such will perform the following:
4.3.1.4 submit to the employer a report of the activities of the committee, including
recommendations made.
4.3.2 Acts as an advisory capacity on all matters pertaining to health and safety for guidance of
the employer and the workers.
4.3.3 Conducts investigation of accident as member of the Health and Safety Committee and
submits his separate report and analysis of accident to the employer .
4.3.4 Coordinates all health and safety training programs for the workers/employees and
employer .
4.3.6 Maintains or helps in the maintenance of an efficient accident record system and
coordinates actions taken by supervisors to eliminate accident causes.
4.3.7 Provide assistance to government agencies in the conduct of safety and health
inspection, accident investigation or any other related program.
4.3.8 For the purpose of effectiveness in the project site, the Safety Man is to report directly to
the employer .
In case of any dangerous occurrence or major accident resulting to death or permanent total
disability, we will notify the DOLE Regional Office within twenty four (24) hours from occurrence.
After the conduct of investigation by our concerned safety and health officer, we will report all
permanent total disabilities to the DOLE Regional Office on or before the 20 th of the month
following the date of occurrence of accident using the DOLE/BWC/HSD-IP-6 form.
Section 8 of D.O. No. 13 states that the construction project owner or his representative shall
provide competent emergency health personnel within the worksite duly complemented by
adequate medical supplies, equipment and facilities based on the total number of workers in the
site.
The Joland’s Trading is committed at ensuring that all workers or employees are given
orientation/briefing or induction prior to deployment to the site. It is our continuing effort to
promote safety and health consciousness to all people involved in this project by providing them
with the necessary safety and health training and education to enhance their knowledge and
skills to enable us to attain a safe and healthful project site.
We require new workers to attend our Safety & Health Orientation before they are deployed to
this project site in consonance to Section 12 of the D.O. 13. The assigned Safety Officer,
Engr. Rolando C. Bugay will coordinate the conduct of this orientation.
We ensure that they receive instruction and training regarding the general safety and health
measures we plan to implement for this project, specifically:
6.1.2 means of access and egress both during normal work and in emergency situation;
6.1.4 location and proper use of welfare amenities and first –aid facilities;
Below are the list of workers who have undergone the DOLE prescribed safety and health
trainings and orientation
D.O. No. 13 define toolbox meeting or gang meeting as a daily meeting among workers and their
respective supervisors for the purpose of instruction, discussion and proper briefing on the
planned work, the assessment of past work, the possibility or actual occurrence of accidents at
the site, tips and suggestions on how to prevent possible accidents and other related matters.
The following supervisor or any designated person (e.g. foreman, leadman, gangboss, etc.) is
required to conduct daily toolbox or similar meetings prior to starting the tasks for the day to
discuss with the workers and anticipate safety and health problems related to every task and the
potential solutions to those problems. The supervisor will remind the workers on the necessary
safety precautions that need to be undertaken.
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Mr. Conrado Manuel Jr. 1st Shift 8:00 a.m. Toolbox attendance
In this project the following person/s will be assigned to conduct accident/incident investigation:
In conducting the accident/illness investigation, we gather facts, analyze them and make the
necessary recommendation. (Please attach sample forms that will be used to document your investigation)
We will submit the following reports to the DOLE Regional Office concerned:
8.3.2 Summary of Work Accident/Illness Exposure Data Report will be submitted on or before
the 20th of the month following the date of occurrence of accident (for those projects with
short duration or less than one year duration).
8.3.3 Annual Work Accident/Illness Report using the form DOLE/BWC/OHSD/IP – 6B for
those construction projects with more than one year duration.
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Section 6 of D.O. No. 13 requires that every employer shall, at his own expense, furnish his
workers with protective equipment for eyes, face, hands, feet, lifeline, safety belt/harness,
protective shields and barriers whenever necessary by reason of the hazardous work process or
environment, chemical or radiological or other mechanical irritants or hazards capable of causing
injury or impairment in the function or any part of the body through absorption, inhalation or
physical agent.
Provision of PPE shall be in accordance with Rule 1080 of the OSHS (must include Rule 1070 for
noise). The equivalent cost for the provision of PPE (life span, depreciation, replacement, etc.) shall
be an integral part of the project cost.
1 Safety Helmet 8
2 Safety Goggles 8
3 Safety Shoes 8
4 Cotton Gloves 8
5 Gas Respirator 8
6 Dust Respirator 8
8 Earplugs
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
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We comply with Rule 1412.09 of the DOLE OSH standard in providing a safe covered walkway over
the sidewalk for use by pedestrians in a building construction work less than 2.3 meter (7ft.) from a side
walk or public road.
We comply with Rule 1412.10 of the OSH Standard, Protection from Falling Materials. We observe the
following:
10.1 We will take the steps to protect worker from falling materials, such as the provisions of safety
helmets and safety shoes.
10.2 We will ensure that tools, objects and materials including waste materials) will not be thrown or
tipped from a height, but will be properly lowered by crane, hoist or chutes. If such is not
practicable, the area where the material is thrown will be fenced and no person will be allowed in
the fenced area.
Our Safety Signage’s 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.
11.1 The specific safety signages we intend to set-up for this project include but not limited to:
11.1.1 Mandatory requirement on the usage of PPE prior to entry to the project site (attach sample
picture of this signage that you plan to use for this project);
11.1.2 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);
11.1.3 Areas where there are potential risks of falling (if applicable, attach sample picture of this
signage that you plan to use for this project);
11.1.4 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);
11.1.5 Areas where there are tripping or slipping hazards (if applicable, attach sample picture of this
signage that you plan to use for this project);
11.1.6 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);
11.1.7 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);
11.1.8 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);
11.1.9 Location of the fire alarms and fire-fighting equipment (attach sample picture of this signage
that you plan to use for this project);
11.1.10 Instructions on the usage of specific construction equipment ( if applicable, attach sample
picture of this signage that you plan to use for this project);
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We will regularly inspect and maintain in good condition all safety signage’s that we will be
providing for this project. The person in charge in inspecting is Engr. Rolando C. Bugay he is
our safety officer. Inspection will be carried out on a weekly basis
Our safety officer will remove and replaced any signage’s that are damaged, illegible, or no
longer apply with the current hazard.
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 (Attach TESDA
certificates of those workers certified by TESDA.)
To ensure safe and healthy working conditions throughout the duration of the project the following
control measure activities will be enforced and disseminated to all the workers in the site:
Major activities for this project includes but not limited to the following: (please check on the box all
that applies)
□ Demolition □ Excavation
□ Earthmoving □ Piling
□ Scaffold □ Formwork
□ Structural Steel □ Crane Operation
□ Concreting □ Rebarworks
□ Welding □ Electrical
□ HVAC □ Plumbing
□ Painting □ interior Decoration
Others (please specify)
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 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)
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)
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)
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: (please check on the box all that applies)
(Enumerate control measures to address those hazards identified, Use additional sheet if necessary)
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.
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(Enumerate below the safe work practices that you intend to perform relative to the hazards you
previously identified above.)
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.
The following welfare facilities will be provided in the site to ensure human working conditions:
To assure that the company provides adequate welfare facilities for the workers in the site the
company will implement the provision of toilets and other facilities in accordance with the
requirements of the Sanitation Code.
The work schedule will be on ( please check on the boxes that apply):
Mon. Tue. Wed. Thur. Fri. Sat. Sun
Check on the shift and indicate the work hours for the shift that applies.
1st Shift from 7:00 am to 4:00 pm
□ 2nd Shift from ________(am/pm) to __________ (am/pm)
□ 3rd Shift from ________(am/pm) to __________ (am/pm)
Check on the shift and indicate the break for the shift that applies.
1st Shift from 12:00 (pm) to 1:00 (pm)
□ 2nd Shift from ________(am/pm) to __________ (am/pm)
□ 3rd Shift from ________(am/pm) to __________ (am/pm)
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:
19.1 Ensure that the construction wastes are segregated from that of domestic waste.
19.3 Construction debris (broken hollow blocks, spoiled concrete, loose concrete, etc) should be
taken out on the staging area.
19.4 Oil spills and spoiled greases should be wrapping in the black garbage bag and will be
properly disposed.
19.0 Penalties/Sanctions
For every offenses and violation of any safety rules, regulations and general practices
promulgated by the project and/or the company, the company recommended the following
penalties and sanctions for violation of CSH program: (Please attach company policy on penalties, if
there are any).
- All hand tools must be kept in a good repair and shall be used only for the purpose for which
designed.
- Tools having defects that will impair their strength or ender unsafe for use shall be removed
from service.
- Only designated personnel shall operate power tools.
- Proper guard or shield shall be installed on all power.
- When work being performed overhead, tools not in use shall be secured in place in holders.
- Hand tools with mushroomed heads, defective handles shall be removed from the job site.
- Power saw shall be left running unattended. Provide when not in use.
- Only non-sparking tools shall be used in location where source of ignition
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To ensure that all workers shall be free from any accident and injuries, proper handling and
care of materials shall be observed by the company. The company shall monitor the behavior of all
the personnel involved in materials handling process to prevent unsafe actions through the safety
officer. All construction materials at the job site shall be stored properly that they will not cause any
unsafe conditions.
The following requirements shall apply to storage areas for flammable and combustible Liquids:
- Storage areas shall be kept free of weeds and extraneous combustible material.
- Containers: Metal containers for Class I or II liquids shall be of an approved design. Discharge
devices shall not cause an internal pressure on the container. Individual containers shall not be
interconnected and shall be kept closed when not in use.
- Secondary Containment: Secondary containment or a means of spill control, drainage control, and
dikingshall be required for containers and tanks as approved by the fire department and, if applicable,
local hazardous materials program agency.
- Marking: Tanks and containers shall be marked with the name of the product and “FLAMMABLE —
KEEP FIRE AND FLAME AWAY.” Tanks (i.e., containers in excess of 60 gallons) shall also be
labeled “KEEP 50 FEET FROM BUILDINGS.”
- Tank Installation Plans/Permit: Plans for the installation/use of any aboveground storage tank (i.e.,
container greater than 60 gallons) shall be submitted to the fire department and, if applicable, local
hazardous materials program agency for review and permit prior to the proposed tank arriving at the
site.
The safety officer together with the safety and health committee of the project shall establish an
emergency plan. This will enable all workers to aware of the responsibilities of occurrence and the
procedures to be done for their safety.
Made an update list of address, contact persons and number of the nearest hospitals and
clinics, fire stations and nearby communities. Copier of such information shall be posted at6
strategic locations throughout the project site.
Available transportation facilities shall be used in case of emergency to transport readily all
the victims of accidents, injuries and illness.
JOLANDS’S TRADING shall develop preparedness plan to ensure the safe evacuation of all
personnel in case of any emergency situations. Complement to the emergency procedures, the
following are necessary to considered:
1. Plan and designate appropriate evacuation routes and safe areas from the construction site to
ensure quick and safe evacuation of all personnel.
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2. Maintain an updated list of addresses, contact persons and number of nearest hospitals
clinics, fire stations and neighboring communities copies such emergency list be posted at
strategic locations throughout the site facilities.
3. Organize and provide for emergency response team cope with fire, rescue and medical
emergency.
Water Supply: Where connection from water supply system is not available an adequate
water reservoir capable of supplying all firefighting system for eight hours shall be provided or
as required in the contract.
Fire Extinguisher: Portable Fire Extinguisher shall be provided and distinctly marked readily
accessible and maintained in fully charge and operable conditions. Equipment shall be
equipped with one dry chemical or carbon dioxide fire extinguisher.
Fire Watcher: Shall be maintained during hot work, open flame and any other hot work
operation, shall remain at the location at least one hour after exposure has ended.
Fire Drums: It shall be filled with water at all times at least two buckets shall be provided. It
shall be painted with remarks “FOR FIRE USE ONLY” barrels of drums shall be covered with
plywood or metal sheets.