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

Storey and up-(Commercial, Industrial and Government Bid Projects ) I. Page One TABLE OF CONTENTS Information as to the contents of the documents submitted. II. Page Two PROJECT DESCRIPTION ( See attached Documentary Requirements - II. B ) III. Page Three and subsequent pages CONSTRUCTION SAFETY AND HEALTH PROGRAM a. Introduction /Background : Cite the Constructor s /Owner s commitments to comply with the Provision of Construction Safety and Health Program (CSHP) and the Management Po licy on Occupational Safety and Health (OSH) to include the accident prevention and reporting requirements for the duration of the project. b. Policy and Composition of Safety and Health Committee Organization : Every Construction Activity, the owner/contractor shall initiate the creation of the Safety and Health Committee, giving emphasis on the duties and responsibili ties of every member of the Committee. The OSH Committee membership shall be sel ected from among the company s personnel stating their position in the organization. Company s OSH Policies shall be duly signed and approved by the highest company off icial who has the over-all control of the project and must be duly explained to the workers. (Please refer to sec. 5 of D.O. 13). c. Other necessary requirements to be included in the CSHP based on the p roject s program of works. Provisions not related to the program shall be eliminated . d. The Program shall be prepared and signed by the duly trained Safety O fficer and approved by the owner/contractor. ATTACHMENTS: Please refer to the Item II of the attached Checklist for Evaluation of Construc tion Safety and Health Program (CSHP) per requirements of D.O.13 series of 199 8. Note: This template also applies to one storey bldg. other than the residential building. TEMPLATE DOCUMENTARY REQUIREMENTS AND FORMAT IN THE PREPARATION OF CONSTRUCTION SAFETY AND HEALTH PROGRAM (CSHP) FOR Two Storey Below (Construction of Residential Building) I. Page One TABLE OF CONTENTS Show information as to the contents of the documents submitted. II. Page Two PROJECT DESCRIPTION a. Title of the Project b. Location of the Project c. Project classification (Vertical-Residential) d. Project owner/contact no. e. Name of the Project-in-charge (Engineer/Architect-contact no.) f. Estimated no. of workers to be deployed g. Estimated duration of the project (days/months)

h. Specific/Scope of works to be undertaken III. Page Three SIMPLE CSHP TO CONTAIN THE FOLLOWING BASED ON THE PROGRAM/SCOPE OF WORK UNDERTAK EN : a. Introduction-To reflect the Management commitments to implement the Work place Safety and Health Policy and to explain it to the workers. b. 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. The Construction Safety and Health Committee Organization. Chaired by the owner with emphasis on the duties and responsibilities of the mem bers. d. To provide Welfare Facilities (e.g. comfort room, emergency medicines an d treatment room, drinking facilities and other OSH related facilities). e. PPE s shouldered by the owner whenever necessary in case of hazardous work areas. ATTACHMENTS: 1. Copy of the Certificate of training of the designated Safety Officer(BOS H/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 base d on the no. of workers deployed (Refer to Rule 1960 of OSHS handbook. Note: This template is applicable only to two (2) storey and below residential b uilding.