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DOLE

The document is a checklist for evaluating a construction safety and health program. It contains 26 items that a program must contain, including: contact information, project details, safety policies, committee structure, personnel roles, hazard-specific provisions, standard operating procedures, and penalties for violations. It also lists 6 required attachments like registration forms, training certificates, and contracts with medical facilities. The checklist ensures all necessary elements are included to protect worker health and safety on construction projects.

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King Thiodore Asilo
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29 views2 pages

DOLE

The document is a checklist for evaluating a construction safety and health program. It contains 26 items that a program must contain, including: contact information, project details, safety policies, committee structure, personnel roles, hazard-specific provisions, standard operating procedures, and penalties for violations. It also lists 6 required attachments like registration forms, training certificates, and contracts with medical facilities. The checklist ensures all necessary elements are included to protect worker health and safety on construction projects.

Uploaded by

King Thiodore Asilo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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CHECKLIST FOR EVALUATION OF CONSTRUCTION SAFETY AND HEALTH PROGRAM (CS HP) 
 per requirements of D.O. No. 13 series of 1998 

Yes No Remarks  
 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 by DOLE as OSH Practitioner)
2. Project Description:
a. Specific name of project
b. Location of the project
c. Project classification
d. Project owner
e. Name of main contractor
f. Estimated number of workers to be deployed
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 of 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. Names of Site Safety and Health personnel (depending on the
number of workers to be deployed on the construction site)
6. Specific 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
vicinity of the construction site
10 Environmental Control
11. Guarding of hazardous machinery
12. Personal Protective Equipment
13. Handling of Hazardous substances
14. General materials handling and storage procedures
15. Workers skills and certification (for critical occupation)
16. Provisions for transportation facilities for workers in case of 
emergency
17. Temporary Fire Protection Facilities and equipment
18. First aid and health care medicines, equipment and facilities
19. Workers Welfare Facilities
20. Proposed Hours of Work and Rest Breaks
 

Yes No Remarks  
21. Construction waste disposal
22. Testing and inspection of construction heavy equipment. (if 
construction heavy equipment will be utilized in the project per
requirements of Sec. 10, D.O. No. 13)
23. Disaster and Emergency Preparedness contingency plan
24. Standards 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 hoist and elevators
25. Penalties/Sanctions for violation of the provision/s of the SH
Program

C. ATTACHMENTS
1. Photocopy of Registration Forms received and approved by the
concerned DOLE Regional Office:
- per DO 18-02 (require yearly renewal)
- per Rule 1020 of the OSHS (one time Registration)
2. Photocopy of Invitation to Bid/Project Contract
3. Photocopy of Certificate of Completion on required Training of all
designated OSH Personnel
- Safety Officer - Basic Occupational Safety and Health Training
for Construction Site Safety Officer
- OH Nurse - Basic Occupational Safety and Health Training for
OH Nurse (if any)
- First Aider - Standard First Aid Training and valid PNRC ID as
First Aider.
- OH Physician - Basic C ourse on Occupational Medicine. (if any)
4. Certificate of Inspection and Testing of Construction Heavy
organization.
organization accredited by DOLE; (if any)
5. Skills Certificate of Construction Heavy Equipment operators
issued by TESDA (if any)
6. Contract with nearby hospital/clinic in lieu of the required infirmary
hospital. (if any)

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