CSHP TEMPLATE (Simplified) DOCUMENTARY REQUIREMENTS AND FORMAT IN THE PREPARATION OF CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP)

For Two Storey Below (Construction of Residential Building) or minor repair works with less than 10 workers

Page One TABLE OF CONTENTS Show information as to the content of the documents submitted. Page Two PROJECT DESCRIPTION a. Title of the Project b. Location of the Project c. Project Classification (Residential/Renovation/New construction/Additional Floors/Rooms) d. Project Owner/Contact No. e. Name of the Project In charge (Engineer/Architect-contact no.) g. Estimated No. Of Workers to be deployed h. Estimated duration of the project (days/months) I. Specific Scope of Works to be undertaken Page Three SIMPLE CSHP TO CONTAIN THE FOLLOWING BASED ON THE PROGRAM/ SCOPE OF WORK TO BE UNDERTAKEN a. Introduction To reflect the management commitments to implement the Workplace Safety and Health Policy and to explain to its workers b. Occupational Safety & Health (OSH) Policy/ Program to be implemented must be signed and approved by the owner and must also be signed by the one who prepared the said policy/program. c. Construction Safety & Health Committee Organization Chaired by the Owner with emphasis on the Duties and Responsibilities of the members. d. To Provide Workers Welfare Facilities (e.g. comfort room, emergency medicines and treatment room, drinking facilities and other OSH related facilities) e. Personal Protective Equipments (PPEs) provision of PPEs shall be in accordance with Rule 1080 of the OSHS. PPEs should be shouldered by the Owner whenever necessary in case of hazardous work areas. f. Construction Safety Procedures based on the scope of works to be undertaken ATTACHMENTS:

1. Copy of the certificate of Training of the designated Safety Officers (BOSH/CST), and a license certificate of an engineer in charge, if any. 2. Copy of the certificate of Training and ID of First Aider or Nurse based on the Number of workers deployed (Refer to Rule 1960 of OSH handbook) 3. Photocopy of valid PCAB License of contractor (for projects with contactor) 4. Proof of Purchase/Existence/Availability of Emergency Medicines/Fist Aid Kit to be used in the construction site. (attached pictures or receipts)

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Sample Safety and Health Program for Small Business

Introduction This sample program follows the Occupational Safety and Health Administrations (OSHA) "Safety and Health Program Management Guidelines", published on January 26, 1989 in the Federal Register. These guidelines were drawn from the experience obtained enforcing the OSHA Act, from the Voluntary Protection Programs (VPP), OSHA programs to recognize excellence in worksite safety and health, from OSHAs Consultation Program, and from public commentary. This sample program is especially written for the small, independent business owner, but the outline can be applied to any size business. This management system contains four basic program elements: Management Leadership and Employee Involvement; Worksite Analysis; Hazard Prevention and Control; training.

Under each element are numerous sub-elements. This program contains descriptions of how the program elements and sub-elements are designed and implemented. Specific documents resulting from program implementation will need to be kept in an organized fashion. WORKSITE GOODFELLOWS SAFETY AND HEALTH PROGRAM Management Leadership and Employee Involvement Management commits the necessary resources of staff, money, and time to ensure that all persons on the worksite are protected from injury and illness hazards. In addition, management visibly leads in the design, implementation, and continuous improvement of the sites safety and health activities. Specifically, the highest level management establishes and reviews annually the sites safety and health policy and ensures that all employees know, understand, and support that policy. All management levels, with input from hourly employees, develop an annual safety and health goal with objectives and action plans to reach that goal. At the end of each year all management levels, with input from hourly employees, evaluate progress in accomplishing the action plans, achieving all objectives, and meeting the annual goal. This evaluation, which also includes an evaluation of the overall safety and health program, results in a written report that includes the next years goal, objectives, and action plans, including any remaining action needed to accomplish the current years goal. Management ensures that all employees, including themselves, have clearly written safety and health responsibilities included within their job description, with appropriate authority to carry out those responsibilities. Also, management ensures that all employees, including all levels of management, receive performance evaluations that include a written evaluation of the accomplishment of assigned safety and health responsibilities. Management ensures that all visitors to the site, including contract and temporary labor, co-op students, interns, vendors, and sales people, have knowledge of site hazards applicable to them and how to protect themselves against those hazards, including emergency alarms and procedures. Management also ensures that these visitors do not introduce to the site hazards that can be prevented or that are not properly controlled. Management ensures that at least several avenues exist for employee involvement in safety and health decision making and problem solving.