CONSTRUCTION
SAFETY AND
HEALTH PROGRAM
Copy 1
CONSTRUCTION SAFETY AND HEALTH
PROGRAM (CSHP)
Statement of Commitment to Comply with OSH Requirements
I, by accomplishing this Construction Safety and Health Program do hereby commit and bind
ourselves to strictly comply with the requirements of the Department Order No. 13, series of 1998 –
Guidelines Governing Occupational Safety and Health in the Construction Industry and the applicable
provisions of the Occupational Safety and Health Standards (OSHS).
I (also) acknowledge our obligation and responsibilities to provide throughout the course of the
project the appropriate and humane working conditions and provision of Personal Protective Equipment
(PPE) as added protection for our workers and employees.
I also (hereby) commit to implement the necessary job safety and health instructions and
training to all our workers for the entire duration of the project, as well as ensure the safety of the
general public.
Authorized Managing Officer
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that ________________is appointed as ________________________until the
completion of the project: _____________________________________________
This certification is issued for whatever legal purposes.
Done this 18th day of September 2020.
_______________________
Authorized Managing Officer
CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that ________________ is appointed
_____________________________until
the
completion
___________________________________________.
as
of
First Aider of
the
project:
This certification is issued for whatever legal purposes.
Done this 18th day of September 2020.
________________________
Authorized Managing Officer
COMPANY SAFETY AND
HEALTH POLICY
Company Safety and Health Policy
It is the general policy of TWO ACES CONST. AND SUPPLY to perform work in the safest manner
possible consistent with good construction practices. To fulfill the requirements of this policy, an
organized and effective Construction Safety and Health Program as described in this program and in
consonance with DOLE D.O. No. 13 and the OSH Standards must be carried out on this project.
To achieve these objectives, we are committed to perform the following:
 Identifying potential hazards that may arise from the programmed work activities;
 Organizing the work activities so as to minimize the risk arising from them;
 Developing and implementing project specific safety and health program;
 Establishing and enforcing all necessary safe work procedures, rules & regulations;
 Ensuring that all workers are given orientation/briefing or induction prior to deployment to the
site;
 Establishing a safety and health committee to act as policy making body of the project on all
issues pertaining to safety and health;
 Ensuring the conduct of daily toolbox meetings and document each proceeding.
 Establishing a system of follow-up of actions and periodic assessment to check program
effectiveness;
 Proper documentation and reporting on all issues and concerns on safety and health to
authorized entities.
PROJECT DETAILS
Project Details
I. Name of Project and Owner:
II. Location of the Project
III. Classification of the Project:
IV. Project owner:
V. Name of Contractor and Subcontractors (if VI. Project Manager
any):
VII. Name of Resident Engineer:
VIII.
Name
Constructor/s:
and
Classification
of
IX. Estimated and Maximum number of X. Work hours (including shift)
Workers:
XI. Estimated Number of Heavy Equipment
XII. Projected dates of Commencement and
Bulldozer – 1
Completion
Backhoe with Pavement Breaker- 1
Start date:
Payloader – 1
End Date:
Road Grader -1
Est. days to complete:
Road Roller, Vibratory- 1
Transit Mixer Dumptruck -
XIII. Name/s and designation of Safety and Health Personnel

Safety Health Officer

First Aid Officer
XIV. Total Project Cost:
X. Estimated total cost on CHSP (breakdown)- ____________
Item/ PPEs
Safety helmets
Dusk masks
Safety shoes
Safety gloves
Vest
Eye goggles
Rain Coats
Cost
Quantity
Total
Construction Health
and
Safety Committee
COMPOSITION OF CONSTRUCTION SAFETY AND HEALTH
COMMITTEE (CSHC)
I,
______________,
Authorized
Managing
Officer/Project
Manager,
__________________ is committed to organize a CSH Committee at the project site to act as a
policy making body of the project on all issues pertaining to safety and health.
COMPOSITION OF CONSTRUCTION SAFETY AND HEALTH COMMITTEE (CSHC)
Our
CSHC
for
the
project:
___________________________________________________________________
consist of:
PRESIDENT
:
_____________________
Authorized Managing Officer/Project Engineer
____________________
Vice President for Finance
SECRETARY
:
_____________________
Designated Safety Officer
MEMBERS
:
_____________________
Project Engineer
_____________________
Materials Engineer
_____________________
Safety Engineer
_____________________
Geodetic Engineer
_____________________
First Aider
_____________________
Foreman
 Occupational Health Personnel (qualified first-aider, nurse, dentist, or physician, engaged by
the employer to provide occupational health services in the establishment/undertaking.
Name
: _______________________
Designation : First Aider

Duties and Responsibilities of CSHC Committee shall include but are not limited to the
following:
 Plans, develops and oversee the accident prevention programs for the construction
project:
 Directs the accident prevention efforts of the establishment in accordance with the safety
programs and performance and government regulations in order to prevent accidents
form occurring in the worksite:
 Conducts safety meetings at least once a month. The committee will hold a safety
meeting every last Saturday of the month;
 Submits reports to the project manager on its meetings and activities one day after the
meeting;
 Reviews reports of inspection, accident investigation and implementation of program;
 Provides necessary assistance to government inspecting authorities in the proper conduct
of their activities specifically on the enforcement of the provisions of DOLE’s OSHS;
 Submit the monthly the following safety and health reports to the DOLE Regional Office
having jurisdiction over the project;
 Summary of all safety and health committee meetings agreements;
 Summary of all accident investigation reports using DOLE/BWC/OHSD/IP-6
form;
 Periodic hazards assessment with the corresponding remedial measures/actions for
each hazard;
 Initiates and Supervises safety and health training for employees on a 1 day
workers Safety & Health Orientation.

Duties of the Safety Man/Officer
The principal function of the Safety Man assigned to this project is to act as the employer’s (Two
Aces Construction and Supply Safety and Health) principal assistant and consultant in the
application of the programs to remove the hazard from the workplace and to correct unsafe work
practices. For this purposes, the Safety Man has the following duties:
 Serves as Secretary to the SHC, as such will perform the following;

Prepare minutes of meetings;

Report minutes of meetings

Notify members of the meetings; and

Submit (___________________________) to the employer a report of the
activities of the committee, including recommendations made.

Acts as an advisory capacity on all matters pertaining to health and safety for
guidance of the employer and the workers.

Conducts investigation of accident as member of the Health and Safety
Committee and submits his separate report and analysis of accident to the
employer (___________________________)

coordinates all health and safety training programs for the workers/employees and
employer (___________________________)

Conduct health and safety inspection as member committee.

Maintains or helps in the maintenance of an efficient accident records system and
coordinates actions taken by supervisors to eliminate accident causes.

Provide assistance to government agencies in the conduct of safety and health
inspection, accident investigation or any other related program.

For the purpose of effectiveness in the project site, the Safety Man is to report
directly to the employer (___________________________)

Dangerous Occurrence or Major Accident
In case of any dangerous occurrence or major accident resulting to death or permanent total
disability, we will notify the DOLE Regional Office within twenty four (24) hours from
occurrence. After the conduct of investigation by our concerned safety and health officer, we will
report all permanent total disabilities to the DOLE regional Office on or before the 20 th day of
the month following the date of occurrence of accident using the DOLE/BWC/HSD-IP-6 form.
The injured worker must be accompanied by the First Aider to the Nearest Hospital at Province
of _________, for medication.
Emergency Occupational Health Personnel and Facilities
Section 8 of D.O. No. 13 states that ________________________________ shall provide
competent emergency health personnel within the worksite duly complemented by adequate
medical supplies, equipment and facilities based on the total number of workers in the site.
Emergency Health Personnel and Facilities
CONSTRUCTION
NO.OF
Health
STAGES
WORKERS
personnel
Provision of Combined Field Office and
6
Health Facilities
Living Quarters Building for the
Engineer
Construction Survey and Staking
10
Treatment area with first-aid kit, means of
Project Billboard/ Signboard
5
transportation to nearby health facilities
Occupational Safety & Health Program
4
Traffic Management
3
Mobilization /Demobilization
5
Clearing and Grubbing
Removal of Actual
Surplus Common Excavation
6
Structure Excavation
5
Embankment from Borrow
7
Subgrade Preparation
5
Aggregate Sub-Base Course
5
Aggregate Base Course 200mm. thk.
5
Portland Cement Concrete
6
Pavement(Unreinforced) 0.230m.thk.
3,500 psi
8
(RCPC) Class IV : 910 mm. dia. (36’’)
Grouted Riprap : Class “A” (Slope
6
Protection /Guard Blocks)
Stone Masonry : Class “A”
(CB/HWA/LINED -DITCH
1.
Pain reliver- Biogesic, Alaxan
2.
For fever- Paracetamol
3.
Anti- diarrhea- Loperamide
4.
Colds suppressant- Neozep,
5
Structures/Obstructions 0.05 m.thk
Reinforced Concrete Pipe Culverts
List of Available Medicines:
5
Symdex
5.
Antibiotic- Amoxicillin
6.
Antiseptics- Betadine and Alcohol
Apparatus Available:
1.
Thermometer
2.
Ice pack & hot water bag
3.
Bandages
4.
Cotton balls
Safety and Health Promotion and Education
Two Aces Construction and Supply is committed at ensuring that all workers or employees are
given awareness or introduction prior to deployment to the site. It is our continuing effort to
promote safety and health consciousness to all people involved in this project by providing them
with the necessary safety and health training and education to enhance their knowledge and skills
to enable us to attain a safe and healthful project site.

Workers Safety and Health Orientation/Trainings
We require new workers to attend our Safety & Health Orientation before they are deployed to
this project site in consonance to Section 12 of the D.O. 13. The assigned Safety Officer,
_______________________ will coordinate the conduct of this orientation.
We ensure that they receive instruction and training regarding the general safety and health
measures we plan to implement for this project, specifically:
 Basic rights and duties of workers at the jobsite;
 Means of access and egress both during normal work and in emergency situation;
 Measures of good housekeeping;
 Location and proper use of welfare amenities and first-aid facilities;
 Proper care of PPEs and other protective clothing;
 General measures for personal hygiene and health protection;
 fire precautions to be taken;
 Action to be taken in case of any emergencies;
 Requirements of relevant health safety rules and regulations.
Below are the list of workers who have undergone the DOLE prescribed safety and health
trainings and orientation
Name
Title of Training Attended
Remarks
Construction Safety & Health Completed
Course for site safety Officers
Basic Occupational Safety and Completed
Health Training
Toolbox Meeting
D.O. No. 13 define toolbox meeting or gang meeting as a daily meeting among workers and their
respective supervisors for the purpose of instruction, discussion and proper briefing on the
planned work, the assessment of past work, the possibility or actual occurrence of accidents at
the site, tips and suggestions on how to prevent possible accidents and other related matters.
 Responsible for the Toolbox Meeting
Our Project Supervisor is required to conduct daily toolbox or similar meeting prior to starting
the tasks for the day to discuss with the workers and anticipate safety health problems related to
every task and the potential solutions to those problems. The supervisor will remind the workers
on the necessary safety precautions that need to be undertaken.
Name of Supervisor
Project
Engineer,
_____________, will
conduct the toolbox
meeting every Monday
before the start of the
project.
Time Of
Meeting
Toolbox Project
Location
7:30-7:55 A.M
Site Means
Documentation
of
To be recorded in the
Minutes of Meeting/Tool
Box
Meeting
and
Attendance Sheet
Accident/Incident/Illness Investigation & Reporting
We consider accident/incident/illness investigation and reporting as our responsibility.
Absenteeism can greatly affect our schedule. Looking for replacement can be costly for the
company, the hiring effort, training of new workers, the loss of job momentum affect our
productivity. We involved our supervisors in this program because they are more familiar with
the people involved, they have better understanding of the operation, and they have personal
interest in the investigation since it’s their people who are involved. For this reason, Two Aces
Construction And Supply is committed to include this responsibility to all supervisors and made
them aware about it.

Persons responsible for conducting investigation
In this project the following persons will be assigned to conduct accident/incident
Investigation:
All Accidents

All Incidents/Near Miss
Illnesses
Conducting and documenting the accident/illness investigation
In conducting the accident/illness investigation, we gather facts, analyze them and make the
necessary recommendation.
Compliance to Government Requirement
We will submit the following reports to the DOLE Regional Office concerned:

In case of any dangerous occurrence or major accidents resulting to death or
permanent total disability using the form (DOLE/BWC/OHSD/IP-6).Notification of
major accidents to DOLE Regional Office concerned within 24 hours.

Annual Work Accident/Illness Report using the form DOLE/BWC/OHSD/IP-6B
Personal Protective Equipment
Section 6 of D.O. No.13 requires that _______________________________________________
shall, at his own expenses, furnish his workers with protective equipment for eyes, face, hands,
feet, lifeline, safety belt/harness, protective shields and barriers whenever necessary by reason of
the hazardous work process or environment, chemical or radiological or other mechanical
irritants or hazards capable of causing injury or impairment in the function or any part of the
body through absorption, inhalation or physical agent.
Provisions of PPE shall be in accordance with Rule 1080 of the OSHS (must include Rule 1070
for noise). The equivalent cost for the provision of PPE (life span, depreciation, replacement,
etc.) shall be an integral part of the project cost.
Item/ PPEs
Safety helmets
Dusk masks
Safety shoes
Vest
Eye goggles
Safety gloves
Rain Coats
Cost
Quantity
Total
Cleaning and Proper Maintenance of PPE’s
It is important that all PPE be kept clean properly maintained. Cleaning is particularly important
for eye and face protection where dirty or fogged lenses could impair vision. Our workers or
employees inspect, clean and maintain their PPE according to the manufactures’ instructions
before and after each use. Our supervisors are responsible for ensuring that users properly
maintain their PPEs in good condition.
We enforce our rule that PPE’s must not be shared between workers or employees until has been
properly cleaned and sanitized. PPE are disturbed for individual use whenever possible.
If workers or employees provide their own PPE’s, we make that it is adequate for the work place
hazards, and it is maintained in a clean and stored in a conducive condition.
We never allow the use of defective or damaged PPE’s. We immediately discard and replace
them to avoid any unintentional use.
We also consider the importance of ensuring that any contaminated PPE which cannot be
decontaminated is disposed of in manner that protects workers or employees from exposure to
hazard.
Protection of the General Public
We comply with Rule 1412.09 of the DOLE OSH standard in providing a safe covered walkway
over the sidewalk for use pedestrian in a building construction work less than 2.3 meter (7 ft.)
from a side walk or public road.
We comply with Rule 1412.10 of the OSH Standard, Protection from falling Materials. We
observe the following:

We will take the steps to protect worker from falling materials, such as the provisions of
safety helmets and safety shoes.

We will ensure that tools, objects and materials including waste materials will not be
thrown or tipped from a height, but will be properly lowered by hoist or cultures. If such
is not practicable, the area where the material is thrown will be fenced and no person will
be allowed in the fenced area.
_______________________
Designated Safety Officer
Provision of Safety Signages
Our Safety Signages provides warning to workers and employees and the public about the
hazards existing in project site. These will be posted in prominent positions at strategic locations
and visible as far as possible in a language understandable to most of the workers and employees
as well as the public.
The signages include but are not limited to:


Mandatory requirement on the usage of PPE prior to entry to the project site, or type of
PPE to be used when entering a specific site;

Areas where there are potential risks of falling objects;

Areas where there are potential risks of falling;

Areas where there are tripping or slipping hazards;

All places where contact with or proximity to electrical/facility equipment can cause
danger;

All places where workers may come in contact with dangerous moving parts of the
machineries or equipment;

Areas where there are restrictions especially for community men;

Walkways specifically made for the pedestrians.
Inspection and Maintenance of Safety Signages
Weekly inspection of such signages to keep it maintained at good and useful condition will be
rendered. Removal and replacement of warning signs will be done as necessary. It will be
headed by ____________________ who is the Safety Officer of the company.
Control Measures on Construction Activities
To ensure safe and healthy working conditions throughout the duration of the project the
following control measures activities will be enforced and disseminated to all workers in the site.
 Major Activities
Major



activities for this
Excavation
Masonry Works
Formwork
project
includes
but
not
limited
to
the
following:
 Hazards Identified
Potential hazards that may possibly be encountered in the course of project implementation:

Physical Hazards
 power and hand tools






Chemical Hazards
solvents
welding fumes
cement particles
cleaning materials
soil minerals
 Biological Hazards
 fungi
 bacteria and viruses

Ergonomic Hazards





poor posture
exertion of force
frequent lifting
repetitive motion
awkward movement
 plants
 insect bites
(

Safe Work Practices
Safe work practices are procedures adopted for carrying out specific tasks that ensures workers' exposure to
hazardous situations, substances, and physical agents is controlled in a safe manner. Safe work practices are
generally written methods outlining how to perform a task with minimum risk to people, equipment,
materials, environment, and processes.
We adhere to the standards of locating safe work practices where it is readily available to the worker. Some
work methods for safe practice include but is not limited to the following:







Lifting of weights- a male worker shall not be made to lift, carry or move any load over 50kg and
shall be handled by more than one worker or by mechanical means.
Excavation- the walls of every excavation over 1m deep shall be supported by adequate shoring or
timbering to prevent collapse. No excavation in an adjacent building shall be undertaken unless steps
are taken to prevent danger to workers.
Scaffoldings- every scaffolding should be ensured of good construction or of good quality of
material. All scaffolds shall be properly maintained and be regularly inspected for safety. The
construction of scaffold shall be based on what type of scaffold is to be used and ledgers, putlogs,
and standards shall be securely fastened bolts, dogs, or ropes.
Welding and steel fabrications- shall be done by skilled and qualified workers with the use of
appropriate PPEs.
Installation of roofing- shall be done only by skilled workers with the use of safety head gears and
harness.
Installation of CHB for walling- bridging and support shall be well established before engaging to
the installation of walls
Demolition- demolition of scaffoldings shall be under supervision of competent person. No person
except workers who are directly engaged in the demolition shall enter the area within a distance
equal to 1 ½ times the height of the structure being demolished. Danger signs shall be posted around
the structure and demolition shall proceed in a systematic manner
First-Aid, Health Care Medicines and Equipment Facilities
The company will provide first-aid kit and health care medicines and facilities for workers in the site in
accordance with the requirement of Rule 1960 of the OSHS.
Workers welfare Facilities
The following welfare facilities will be provided in the site to ensure humane working conditions:
 Adequate supply of safe drinking water by means of budgeting a necessary amount from the project
cost for the provision of potable water to workers especially in the field area.
 Adequate sanitary, washing and sleeping facilities separate for men and women workers by means of
designing a bunkhouse that is fit for the needs of the workers. This bunk house will provide for a
comfortable area for rest, a separate area for sanitary purposes in accordance with the Sanitation
Code and make sure the location of the house will be away from any identified hazard.
 Adequate facilities for changing and for the storage and drying of work clothes by means of
provision of proper storage area of PPEs, work clothes and other construction tools. This area will be
maintained through proper housekeeping.
 Adequate accommodation for taking meals and rest by means of assigning a designated area that
may offer the comfort of rest, a location that is not only nearby but is safe from hazardous materials.
Medical Surveillance
The company will require all employees to undergo a baseline or initial health examination prior to
assigning to a potentially hazardous activity. The examination will include but not limited to the following:

Complete medical and work history;

Physical;

Other special examination;

Random drug testing.
Working Hour and Break Time
Working hour and break time as agreed by the management and employees is scheduled as follows:
Working hour: AM- 8:00am – 12:00pm
Morning Break: 10:00am- 10:15am
Lunch break: 12:00pm- 1:00pm
Working hour: PM- 1:00pm- 5:00pm
Afternoon break: 3:00pm- 3:15pm
End of work: 5:00 p.m.
Construction Waste Disposal System
The company will be responsible for minimizing waste generated during the implementation of the project.
The following procedures for disposal of wastes will be implemented in the site:
 Ensure that the construction wastes are segregated from that of domestic waste. Our means of
segregating construction waste will be assigning waste bins for the different waste materials
and taking special care on wastes that can still be recycled.
 After proper segregation, the wastes will be collected by local garbage officials conforming
on the collection time and place of the local garbage authority.
 Construction debris (broken hollow blocks, spoiled concrete, loose concrete, etc) will be
taken out on the staging area and stock-piled at a designated area that will be decided upon by
not only the management but also of the community that is nearby the project site.
 Emphasize the importance of good housekeeping by constantly reminding them on
housekeeping rules. Funds from selling waste materials will be collected for use of the
workers for their leisure purposes.
 Assignment of “housekeeping group” per day to manage and make sure that housekeeping
practices is done every day. They are tasked to ensure that all materials are stored and or
properly disposed before getting back to their quarters
Awards, Sanctions and Penalties
For every offenses and violation of any safety rules, regulations and general practices promulgated by the
project and/or the company, the company recommended the following penalties and sanctions for violation
of CSH program:
PATAKARAN (Rules)
Refusal to wear the company
uniform, Safety First rules
within the company premises
or failure to wear it properly
Assaulting a supervisor, coemployee or any company
premises directly or indirectly
attributed to work related
causes.
Smoking inside company
premises or during working
hour
Drunkenness/Intoxication or
intake of alcoholic drinks
working hours or arriving in
the company premises under
the influence of liquor or
prohibited
1st
Offense
2nd
3rd
4rth
No work & No Salary
Suspension for 1
working day
Suspension for
3 working
days
Dismissal
Suspension for 1
working day
Suspension for
3 working
days
Dismissal
Suspension for 1
working day
Suspension for
3 working
days
Dismissal
Attachments
Attached are the following:

Certificate of DOLE Company Registration under Rule 1020

DTI-PCAB License

Certificates of trainings completed of appointed safety and health personnel

Certificate of First Aider

Invitation to bid & NOA, NTP

Safety Signages

PRC of P.E. & M.E.