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    Safety Practitioner Accreditation Checklist

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    rasales
    This document provides a checklist of documentary requirements for accreditation of an occupational safety and health (OSH) practitioner. The summary is: 1) It lists the documents required for both new applicants and those renewing their accreditation, including application forms, identification photos, certificates of employment, training certificates, and proofs of OSH-related work and compliance. 2) The receiving personnel are to check off or mark whether the application is complete or incomplete, and may return incomplete applications or schedule an interview. 3) Originals of certain documents are required either during initial application or renewal, while photocopies can otherwise be provided.

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    Safety Practitioner Accreditation Checklist

    Uploaded by

    rasales
    3K views2 pages
    This document provides a checklist of documentary requirements for accreditation of an occupational safety and health (OSH) practitioner. The summary is: 1) It lists the documents required for both new applicants and those renewing their accreditation, including application forms, identification photos, certificates of employment, training certificates, and proofs of OSH-related work and compliance. 2) The receiving personnel are to check off or mark whether the application is complete or incomplete, and may return incomplete applications or schedule an interview. 3) Originals of certain documents are required either during initial application or renewal, while photocopies can otherwise be provided.

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    Safety Practitioner

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    This document provides a checklist of documentary requirements for accreditation of an occupational safety and health (OSH) practitioner. The summary is: 1) It lists the documents required for both new applicants and those renewing their accreditation, including application forms, identification photos, certificates of employment, training certificates, and proofs of OSH-related work and compliance. 2) The receiving personnel are to check off or mark whether the application is complete or incomplete, and may return incomplete applications or schedule an interview. 3) Originals of certain documents are required either during initial application or renewal, while photocopies can otherwise be provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3K views2 pages

    Safety Practitioner Accreditation Checklist

    Uploaded by

    rasales
    This document provides a checklist of documentary requirements for accreditation of an occupational safety and health (OSH) practitioner. The summary is: 1) It lists the documents required for both new applicants and those renewing their accreditation, including application forms, identification photos, certificates of employment, training certificates, and proofs of OSH-related work and compliance. 2) The receiving personnel are to check off or mark whether the application is complete or incomplete, and may return incomplete applications or schedule an interview. 3) Originals of certain documents are required either during initial application or renewal, while photocopies can otherwise be provided.

    Copyright:

    © All Rights Reserved
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    of 2

    CHECKLIST OF DOCUMENTARY

    REQUIREMENTS ON ACCREDITAION
    OF OSH PRACTITIONER

    DEPARTMENT OF LABOR AND EMPLOYMENT


    DOLE Regional Office No. ____

    DOLE-BWC-AF-CHK-PC
    Revision Code: 1108-2
    Page 1 of 1

    Approved by:
    Prepared by: OHSD-SPIS

    Effectivity Date: November 2008

    Director BRENDA L. VILLAFUERTE

    INSTRUCTION: To the applicant - Please fasten all attachments/documents neatly in a long plain folder and
    arranged according to the following order enumerated below. Submit to concerned R.O. Documents submitted must
    be signed in all pages.
    To DOLE receiving personnel - Please () or (X) mark in the appropriate column below when receiving application.
    Application with incomplete documents shall be returned to the applicant together with this checklist indicating
    requirements for compliance.
    Name of Applicant:
    as :
    OSH Practitioner
    DOCUMENTARY REQUIREMENTS CHECKLIST
    New applicants

    Renewal

    Application Form (DOLE-BWC-AF-PCN-A1)


    - must be duly signed
    Two (2) copies, most recent 1 x 1 ID picture
    - signed at the back.
    - red background
    Original Certificate of Employment
    - Indicate name, position and date of
    appointment at present position using the
    official letterhead of the company.
    Original of actual Duties and Responsibilities at
    present position
    - Signed by Personnel Manager or authorized
    official of the company, using letterhead of
    the company.
    Photocopy of certificate of employment from
    previous employer/s (if any)
    - Indicate position(s)and date(s) of appointment
    Photocopy of certificate of completion of the
    Bureau Prescribed Course (40-hr or 80-hr) on
    Occupational Safety and Health issued by
    accredited STO.
    Photocopy of certificate of attendance/participation
    on other OSH related trainings/seminars/activities.
    Photocopy of College Diploma, Transcript of
    Records and PRC License or Board Exam Certificate
    (if any).
    Proof/s of accomplishment or participation in OSH
    ___work accident reports ____ safety inspection/
    audit reports
    ____ HSC committee report
    ____ OSH program prepared/ implemented
    Proof/s of companys compliance with report
    requirements of the OSHS (submission of WAIR,
    AEDR, RSO, Minutes of the meeting of the HSC)
    Other reports prepared by the applicant,
    please specify _____________________

    Two (2) copies of Application Form (DOLE-BWCAF-PCN-A2) duly accomplished


    Two (2) copies most recent 1 x 1 ID picture
    - signed at the back.
    - red background
    Summary of Applicants Accomplishments related
    to OSH
    - signed by the employer and supervisor using
    official letterhead of the company.
    Photocopy of Certificate of Accreditation (last
    issued).
    Photocopy of other OSH related trainings/seminars
    attended after last renewal
    - at least 16 hours per year or 48 hours of
    trainings for 3 years, earned from DOLE
    recognized/ accredited STO/institutions
    authorized by law.
    Proof/s of accomplishment or participation in OSH
    ____ work accident reports ____ safety
    inspection reports ____ safety audit reports
    ____ HSC committee report ____ OSH
    program prepared/ implemented
    ____ Other reports prepared by the applicant,
    please specify ___________________
    Proof/s of compliance with report requirements of
    the OSHS.
    When There is a Change of Employer/position
    Original Certificate of Employment
    - indicating name , position and date of
    appointment at present position, using official
    letterhead of the company.
    Original of actual Duties and Responsibilities at
    present position,
    - use official letterhead of the company, signed
    by immediate supervisor and Personnel
    Manager or authorized official of the company.

    Note: Originals will be required for presentation during interview if new applicant; during filing of application if renewal.

    INITIAL EVALUATION / REMARKS:


    ____ Complete documents submitted, signed in all pages.
    ____ With incomplete documents, for compliance of the above stated
    deficiencies with mark x.
    ____ For interview on ___________ at _________, please call ____________________
    ____ Others, specify ________________________________________________________________
    Checked / Received by: ______________________

    Date/Time: _________________________

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