Application For Construction Safety and Health Program (CSHP)
Application For Construction Safety and Health Program (CSHP)
Application For Construction Safety and Health Program (CSHP)
R01
Regional Office: DOLE-NCR
Application No: ________
Application for
CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP)
(Intended only for residential project/s (2 storey and below) or minor repair works with 15 workers or less or with
project cost of less than Php3,000,000.00.)
Project Duration: 90 CALENDAR DAYS Project Start: JANUARY 16, 2023 Completion Date: APRIL 16,2023
(No. of Calendar days) (Date of estimated start) (Date of project completion)
Estimated Project Cost: 2,200,000.00 Number of Workers: 9
Name of Contractor (if any):BASELINE CONSTRUCTION CORPORATION
Contractor’s Address: UNIT 305 TOYAMA BUILDING TIMOG AVE. QUEZON CITY
Fax No.:412-17-96
PCAB License No 35431 Date of Validity: MAY 18, 2023 Email address:bcc.safety.alvingatus@gmail.com
do hereby commit and bind ourself to comply with the applicable provisions of the
Occupational Safety and Health Standards (OSHS) and Department Order No.13 series
of 1998 – Guidelines Governing Occupational Safety and Health in the Construction
Industry. I/We hereby commit to implement a suitable Construction Safety and Health
Program designed for the abovementioned project. I/We also acknowledge my/our
responsibilities to provide the appropriate Personal Protective Equipment (PPE) and job
safety and health instructions and training to all our workers during the duration of the
project.