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    Dole/Bwc/Ohsd/Ip-5: ST ST ST

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    Cedrick Contado Susi Boco
    The document reports on the health and safety organization of an establishment including its policy, safety committee composition, and technical information. It provides the establishment name and address, nature of business, number of employees, and details of the safety committee chairman, members, and secretary.

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    Dole/Bwc/Ohsd/Ip-5: ST ST ST

    Uploaded by

    Cedrick Contado Susi Boco
    8 views1 page
    The document reports on the health and safety organization of an establishment including its policy, safety committee composition, and technical information. It provides the establishment name and address, nature of business, number of employees, and details of the safety committee chairman, members, and secretary.

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    The document reports on the health and safety organization of an establishment including its policy, safety committee composition, and technical information. It provides the establishment name and address, nature of business, number of employees, and details of the safety committee chairman, members, and secretary.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views1 page

    Dole/Bwc/Ohsd/Ip-5: ST ST ST

    Uploaded by

    Cedrick Contado Susi Boco
    The document reports on the health and safety organization of an establishment including its policy, safety committee composition, and technical information. It provides the establishment name and address, nature of business, number of employees, and details of the safety committee chairman, members, and secretary.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    DOLE/BWC/OHSD/IP-5

    Republic of the Philippines


    Department of Labor and Employment
    BUREAU OF WORKING CONDITIONS
    Manila

    REPORT ON HEALTH AND SAFETY ORGANIZATION

    Date______________
    Regional Labor Office No. ____
    File Number _______________

    Name of Establishment: _____________________________________________________________________


    Address: _________________________________________________________________________________
    Nature of Business: ________________________________________________________________________
    Number of Persons Employed (Including Management) _______________________

    1st Shift: Male: _______________ Female: _______________


    2st Shift: Male: _______________ Female: _______________
    3st Shift: Male: _______________ Female: _______________
    TOTAL: Male: _______________ Female: _______________

    A. POLICY AND PROGRAM ON SAFETY AND HEALTH:

    B. COMPOSITION OF SAFETY AND HEALTH COMMITTEE: TYPE: ________________


    CENTRAL SAFETY COMMITTEE

    NAME POSITION IN ESTABLISHMENT

    Chairman: ______________________________ _________________________

    Members: ______________________________ _________________________

    ______________________________ _________________________

    ______________________________ _________________________

    Secretary: ______________________________ _________________________

    B. TECHNICAL INFORMATION:

    A. Brief description of process operation and number and kind of equipment.

    Submitted by:

    ______________________________
    General Manager

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