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    Cansan 2

    Uploaded by

    nicky balabbo
    This checklist is used to evaluate the Construction Safety and Health Program (CSHP) of HALERY CONSTRUTION INC. for their project to widen a bridge in Cabagan, Isabela. The checklist ensures the CSHP contains 26 required elements, including: 1) contact information, 2) a project description, 3) a safety policy, 4) a safety committee, 5) safety personnel, 6) safety duties, and 7) standard operating procedures for hazardous work. The CSHP and required documents like training certificates are reviewed for completeness before recommendation for approval to the Department of Labor and Employment Regional Office 02.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Cansan 2

    Uploaded by

    nicky balabbo
    36 views2 pages
    This checklist is used to evaluate the Construction Safety and Health Program (CSHP) of HALERY CONSTRUTION INC. for their project to widen a bridge in Cabagan, Isabela. The checklist ensures the CSHP contains 26 required elements, including: 1) contact information, 2) a project description, 3) a safety policy, 4) a safety committee, 5) safety personnel, 6) safety duties, and 7) standard operating procedures for hazardous work. The CSHP and required documents like training certificates are reviewed for completeness before recommendation for approval to the Department of Labor and Employment Regional Office 02.

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    CANSAN 2

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    This checklist is used to evaluate the Construction Safety and Health Program (CSHP) of HALERY CONSTRUTION INC. for their project to widen a bridge in Cabagan, Isabela. The checklist ensures the CSHP contains 26 required elements, including: 1) contact information, 2) a project description, 3) a safety policy, 4) a safety committee, 5) safety personnel, 6) safety duties, and 7) standard operating procedures for hazardous work. The CSHP and required documents like training certificates are reviewed for completeness before recommendation for approval to the Department of Labor and Employment Regional Office 02.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    36 views2 pages

    Cansan 2

    Uploaded by

    nicky balabbo
    This checklist is used to evaluate the Construction Safety and Health Program (CSHP) of HALERY CONSTRUTION INC. for their project to widen a bridge in Cabagan, Isabela. The checklist ensures the CSHP contains 26 required elements, including: 1) contact information, 2) a project description, 3) a safety policy, 4) a safety committee, 5) safety personnel, 6) safety duties, and 7) standard operating procedures for hazardous work. The CSHP and required documents like training certificates are reviewed for completeness before recommendation for approval to the Department of Labor and Employment Regional Office 02.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    CHECKLIST FOR EVALUATION OF CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP)

    per requirements of DOLE Department Order No. 13 Series of 1998


    "Guidelines Governing Occupational Safety and Health in the Construction Industry"
    NAME OF THE COMPANY/MAIN GENERAL CONTRACTOR:
    HALERY CONSTRUTION INC.
    NAME OF THE PROJECT:
    Widening of Cansan Br. 2 (BO1136LZ) Along Daang Maharlika (LZ), Cabagan, Isabela

    PROJECT LOCATION/ADDRESS:
    CABAGAN, ISABELA
    Put a on the appropriate column and N/A for those not applicable to the project. Yes No Remarks
    Fill out the remarks column for your notation/s.
    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 DOLE - OSH Practitioner
    2. Project Description:
    a. Specific name of project
    b. Location of the project
    c. Project classification (Gen. Building/Gen. Engineering/Specialty Trade)
    d. Project owner
    e. Name of main contractor
    f. Estimated number of workers to be deployed including those of subcontractors
    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 over 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. Name/s of Site Safety and Health Personnel (depending in the number
    of workers to be deployed on the construction site)
    6. Specific duties and responsibilities of the Safety Officer
    Must specify the duties and responsibilities of the Safety Officer
    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 the general public within the vicinity of the construction site
    10. Safety Signages
    11. Environmental Control
    12. Guarding of hazardous machinery
    13. Personal Protective Equipment
    14. Handling of Hazardous substances
    15. General materials handling and storage procedures
    16. Workers' skills and certification (for critical occupations)
    17. Provision of transportation facilities for workers in case of emergency
    18. Temporary Fire Protection Facilities and equipment
    19. First aid and health care medicines, equipment and facilities
    20. Workers Welfare Facilities
    21. Proposed Hours of Work and Rest Breaks
    22. Construction Waste Disposal
    23. Testing and inspection of construction heavy equipment
    (for construction heavy equipment utilized in the project per
    requirements of Sec. 10, D.O. No. 13)
    24. Disaster and Emergency Preparedness contingency plan
    Put a on the appropriate column and N/A for those not applicable to the project. Yes No Remarks
    Fill out the remarks column for your notation/s.
    25. Standard 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 or 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 hoists and elevators
    26. Penalties/Sanctions for violation of the provision/s of the CSHP
    C. ATTACHMENTS
    1. Photocopy of Registration Forms received and approved by the
    concerned DOLE Regional Office:
    - per Rule 1020 of the OSHS (one time Registration)
    2. Photocopy of valid registration/license with DTI-PCAB
    3. Photocopy of Notice of Award/Notice to Proceed
    4. Photocopy of Certificate of Completion on required Training of all
    designated OSH Personnel
    - Safety Officer - Basic Occupational Safety and Health Training (BOSH)
    for Construction Site Safety Officer/Construction Safety Training (CST)
    Construction Occupational safety and Health (COSH) Training
    - First Aider - Standard First Aid Training and valid ID
    - OH Nurse - Basic Occupational Safety and Health Training for
    Occupational Health Nurse (if applicable)
    - OH Dentist - Basic Course on Occupational Dental Health. (if applicable)
    - OH Physician - Basic Course on Occupational Medicine. (if applicable)
    5. Certificate of Inspection and Testing of Construction Heavy Equipment
    (CHE) conducted by a DOLE-Accredited Testing Organization (if any)
    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)
    PRE-EVALUATION SHEET
    (To be filled-up by the dpwh - Frontliner/Pre-evaluator)
    Received CSHP Application with complete documentary requirements
    Returned CSHP Application and documents submitted specifying the reasons for returning the same
    Incomplete documentary requirements, namely:

    Invalid documents, namely:

    Others (project almost completed/completed/bidding purposes, etc.

    Briefly explain to client the reason/s for returning/not accepting the CSHP Application

    COMMENTS/REMARKS:

    Evaluated by: Reviewed by:


    TERESA B. TELAN DEOFERIO P. VEHEMENTE, JR.
    Engineer II Chief, Construction Section

    Recommended for Approval and Endorsement to DOLE-RO No. 02:

    EVELYN C. COSTALES, Ph.D.


    District Engineer
    Date:

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