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CSHP TEMPLATE FOR SMALL CONSTRUCTION PROJECTS

RESIDENTIAL PROJECT/S (2 STOREY AND BELOW) OR MINOR REPAIR WORKS

1.0 Company Safety and Health Policy

It is the general policy of Rhoymon Nicol Pacardo____ to perform work in
the safest manner possible consistent with good construction practices.

To achieve these objectives, we are committed to the following:

• Identification of potential hazards that may arise from the

programmed/scheduled work activities;
• Organizing the work activities so as to minimize the risk arising from them;
• Ensuring that all workers are given orientation/briefing or induction prior to
deployment to the site;
• Establishing a site safety committee to act as policy making body of the project
on all issues pertaining to safety and health;
• Ensure the conduct of daily toolbox meetings;

2.0 Project Details

Project description:

a. Specific name of project: __Mr. Song Hairsalon / Construction of Salon__

b. Address/location: Unit G-101 Antel Corporate Center, 121 Valero St. Salcedo
Village Barangay Bel Air Makati City

c. Classification of the project: (2 storey residential or minor repair works 15 workers

and less) Construction of Salon (Repainting, new Design and installation of
new furniture and appliances used in Salon

d. Project owner: __Rhoymon Nicol Pacardo__

e. Name of main contractor and list of sub-contractors (if any) and PCAB License,

____________N/A_______________________________________________

f. Estimated number of workers in the site: __10 workers ________________

g. Estimated start date of (execution of the project) construction__April 01, 2023__

h. Duration of the project (no. of calendar days) and; __45 days_______________

i. Specific scope of work to be undertaken: ___Construction of Salon______

________________________________________________________________
________________________________________________________________
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3.0 Composition of Construction Safety and Health Committee (CSHC).

I/We _Rhoymon Nicol Pacardo am/are 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.

3.1 Composition of Construction Safety and Health Committee (SHC)

Our CSHC at the Mr. Song Hairsalon consist of:

o Chairman – _Rhoymon Nicol Pacardo_____________________________

• Members : __Cesar Duka_______________

__Joshua Almando___________
__________________________
__________________________

• Secretary – __Edward D. Aganad_____________________________________

3.2 Functions of CSH Committee shall include but are not limited to the following:

• Plans, develops and oversees the accident prevention programs for the
construction project;

• Gather feedback, discuss, review safety policies, procedures and recommend

improvements;

• Conducts safety/toolbox meetings.

• Communicate safety and health concerns and information to management

and staff personnel;

• Reviews reports of accident investigation and implementation of program;

• Solicit, evaluate and confirm implementation of safety and health suggestions

from employees.

4.0 Composition of Health & Safety Personnel (if there is any)

• 5.1 Complete Name of Safety Officer/s: __Edward D. Aganad_______________

(please attached the certificate of COSH training)

• 5.2 Complete Name of First-Aider/s: _Jasmin P. Merez_________________

(please attached the certificate of First-Aid training)
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5.0 Duties and Responsibilities

a. Owner
• Responsible in operation, safety and health of the entire project.
• Delegate personnel for the implementation of safety
• Chairman of the safety and health committee. Arranges schedule and place of
meeting and notifies members.

b. Project Coordinator
• Ensures that all workers under his supervision understand safety responsibility.
• Ensures that proper use of PPE
• Acts without delay in addressing all hazards and unsafe conditions or actions within
the scope of their area of responsibility.
• Holds toolbox safety meeting with the workers.

c. Worker
• Consistently observes work conditions, operation, equipment and tools for the
purpose of accident prevention.
• Complies with all the regulations as well as safe work practices and safety rules.
• Uses all necessary personal protective safety equipment and other safe working
practices.
• Corrects any unsafe practices within the scope of work operations and reports any
unsafe conditions.
• Attend all committee/toolbox meetings.

6.0 Conduct of Toolbox Meeting

To hold a daily safety toolbox meeting every morning before the start of work to attain the
following objectives:
• To discuss matters pertaining to the job;
• To provide briefing on the planned work;
• To predict potential hazards or actual occurrence of accidents at the site;
• To provide tips and suggestions on how to prevent possible accidents, and;
• To discuss other pertinent matters (e.g. accident prevention)

7.0 Personal Protective Equipment

The company will provide the following basic PPEs and enforce the use of the
adequate and approved type of personal protective clothing and equipment suited to the risk
inherent in the work and operations performed:

• Safety shoes - will be used for general works and to be worn at all times on the
site.
• Safety helmet – all workers must wear an approved safety helmet while on the
construction site.
• Safety gloves - to be worn wherever possible for hand protection
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• Safety goggles/Face shield – protection against flying objects from doing work
such as chipping, grinding, cutting, drilling works and alike.
• Safety belt/harness – to be used whenever working at height.
• Others (specify depending on the nature of work and hazard identified)
_____________________________________________________________
_____________________________________________________________

8.0 First-Aid, Health Care Medicines and Equipment Facilities

The owner/employer will provide the following basic first-aid kit and health care
medicines and facilities for workers in the site:
______________________________________________________
plasters in a variety of different sizes and shapes,small, medium and large sterile gauze dressings,triangular bandages
crêpe rolled bandages,safety pins,disposable sterile gloves,tweezers,scissors,alcohol-free cleansing wipes,sticky tape
______________________________________________________
thermometer (preferably digital),skin rash cream, such as hydrocortisone or calendula,cream or spray to relieve
______________________________________________________
insect,bites and stings,antiseptic cream,painkillers, aspirin, or ibuprofen,antihistamine cream or tablets,distilled water
eye wash and eye bath,
9.0 Workers Welfare Facilities
The following welfare facilities will be provided in the site to ensure humane working
conditions:
a. Adequate supply of safe drinking water
b. Adequate sanitary, washing and sleeping facilities separate for men and women
workers
c. Adequate facilities for changing and for the storage and drying of work clothes.
d. Adequate accommodation for taking meals.

10.0 Working Hour & Break Time (Indicate the maximum number of work hours per day).

9 hours with one hour break_______________________________________________________

_______________________________________________________________________________
_______________________________________________________________________________

11.0 Construction Waste Disposal

The main constructor including subcontractors 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:

1. Ensure that the construction wastes are segregated from that of domestic
waste.
2. All domestic wastes are to be collected on a daily basis.
3. Construction debris (broken hollow blocks, spoiled concrete, loose concrete,
etc) should be taken out on the staging area.
4. Oil spills and spoiled greases should be wrapping in the black garbage bag
and will be properly disposed.
5. Application of good housekeeping.

12.0 Safety Work Practices - (indicate safety work practices based on the scope of work to be undertaken.
Use additional sheet if necessary)
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12.1 Welding and Cutting

12.2 Hand and Power Tools

12.3 Safe Handling of Materials –
12.4 Electrical Works and Installation

13.0 Enumerate/describe other safety procedures in accomplishing the project.

________________________________________________________________________
STAY ALERT, WEAR THE RIGHT CLOTHES, USE THE RIGHT TOOLS, LEARN HOW TO
LIFT
________________________________________________________________________
DON'T BE A PRANKSTER , BE TIDY, REPORTING IS IMPORTANT, GET FIRST AID
IMMEDIATELY
________________________________________________________________________
BACK YOUR SAFETY PROGRAM, NEVER TAKE A CHANCE
________________________________________________________________________

14.0 Penalties/Sanctions – as a matter of policy and to ensure that the safety and health rules
specified herein are complied with, the owner recommended the following sanctions/penalties for any
violations of CSH program(Please attach company policy on penalties, if there are any). :
• First offense – ______warning – (written)______
• Second offense -- penalty – (one (1) day salary deduction)
• Third offense – penalty – (three (3) days salary deduction)
• Fourth offense – dismissal

___Rhoymon Nicol Pacardo_______ ___April 03.2023__

Name of Project Owner Date
Signature over Printed Name

Edward D. Aganad ____April 05,2023____

Name of Person who will supervise the project Date
Signature over Printed Name