Occupational Safety and Health (OSH) Program
Establishment’s Profile
Business Name (as
it appears in your business Marmeelec Construction Phils. Inc. (MCPI)
permit)
Date Established 1993
Complete Business Address Building, unit or house #/ Street/ Subdivision
Zone 4 Philipine Sinter Corporation
Barangay City/ Municipality
Katipunan Villanueva
Province Region
Misamis Orietal 10
Official Contact Details Mobile number/s: Landline or Fax Number:
09173088347 (032)272-0005:
Area code: Number:
9003
Web address/ URL: Company email address:
Marmmelec_mcpi@[Link]
.ph
Authorized Representative
(Owner/Manager/President) Engr. Ferdinand A. Bernasor
Total Number of Employees Total: Male: Female:
67 5
72
Business Classification Establishment's Philippine Standard Industrial
*For clarification, kindly refer Classification*
to PSIC
Risk Classification *Based
on HIRAC þ Low Medium High
Product Description (ex.
Garments, Shoes, Electronics, n/a
N/A)
Description of Services
Manpower Servicws
1. Company Commitment to Comply with OSH Policy
___________________________ do hereby commit to comply with the requirements
of R.A. 11058 and its Implementing Rules and Regulations and the applicable
provisions of the Occupational Safety and Health Standards (OSHS).
(We/I) acknowledge the company’s obligation and responsibility to provide
appropriate funds for implementing this OSH program, including orienting and
training its employees on OSH, providing and disseminating IEC materials on
safety and health, providing PPE when necessary, and other OSH-related
requirements and activities. This program ensures the protection of our
workers and employees against injuries, illnesses, and death through safe and
healthy working conditions and environments.
We commit to conducting a risk assessment as required to prevent workplace
accidents and comply with other provisions of this OSH program. We are also
fully aware of the penalties and sanctions for OSH violations as provided for
in R.A. 11058 and its Implementing Rules and Regulations.
ENGR. FERDINAND A. BERNASOR
Manager
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2. General Safety and Health Programs
a. Conduct of Risk Assessment
(Please use additional pages if needed. The Company’s Risk Assessment Matrix
may also be attached as a substitute.)
Risk Assessment Matrix
Task Hazard Risk Priority: Control
(Likelihood of
injury and
illness to
occur: Low,
Medium, High)
(Please see attached file)
Example of Simple Risk Assessment
Task Hazard Risk Priorit Control
y
Drivers Occasional Fatigue and short Medium Policy on a
deliver work long rest time between work break
products to hours shifts
customers Traffic Increased chance of Low Road safety
congestion collision program
Longer working Fatigue Medium Work breaks
hours
Lifting of Back injury from High Conduct proper
heavy lifting, reaching, orientation on
carrying, etc. lifting
b. Medical Surveillance
The company will require all employees to undergo a baseline or initial
medical health examination prior to being assigned to a potentially hazardous
activity. The examination will include but not be limited to the following:
i. Routine: þCBC þUrinalysis þStool Exam þChest X-Ray
ii. Special: þBlood Chemistry þECG Others (Please
Specify):____________
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iii. Schedule of Annual Medical Examination: Q1 Q2 Q3
þQ4
iv. Is random drug testing conducted? þYes When: Quarterly No
c. First Aid, Health Care Medicines, and Equipment Facilities
What health care facilities are provided? (e.g. treatment room, clinic,
bed)
___________________________________________________
3. and 4. Health Programs for the Promotion, Prevention, and Control
(Please indicate promotion health programs such as Drug-free Workplace in
compliance with Republic Act No. 9165 and Mental Health in compliance with
Republic Act No. 11036, and prevention and control health programs on
HIV/AIDS in compliance with Republic Act No. 8504 and Republic Act No. 11166,
Tuberculosis in compliance with Executive Order No. 187, Series of 2003,
Hepatitis B in compliance with DOLE Advisory No. 05 Series of 2010)
______________________________________________________________________________
_______________________________(Please see attached
file)___________________________________
5. Composition and Duties of Occupational Safety and Health Committee
The OSH Committee of the company is responsible for planning,
developing, and implementing OSH policies and programs, monitoring and
evaluating OSH programs, and investigating all aspects of the work pertaining
to the safety and health of all workers. The employer shall establish an OSH
committee composed of the following:
Chairperson: ENGR. FERDINAND A. BERNASOR
Name of Employer or Representative
Secretary: PERCIVAL B. LAYLO
Safety Officer of the workplace
Members: LUDY MAE [Link]/ LUCIANO A. GALEOS
Name of OH personnel (if applicable), contractor’s safety
officers (if applicable), and at least two employees/workers'
representatives
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All members of the OSH Committee shall perform their duties and
responsibilities according to the OSH law and its implementing guidelines
including the submission of reports as required in the OSHS.
6. OSH Personnel and Facilities
(Please attach certificate of training/s prescribed by DOLE and use
additional sheets as necessary)
a. Safety Officer/s
Name of Safety Officer(s): Training and Number of Training Hours
[Link] B. Laylo [Link] 40 Hrs.
[Link] & HIRAC 48Hrs.
[Link] Training 8 Hrs.
b. Emergency Occupational Health Personnel and Facilities
List of competent emergency health personnel within the worksite duly
complemented by adequate medical supplies, equipment, and facilities based on
the total number of workers. Please attach certificate of training/s
prescribed by DOLE and use additional sheets as necessary.
Shift/Area/Unit/ Total Number Health Personnel & Facilities
Department of Workers
per Area Health Personnel Facilities
First Aider,
(Please See Attached)
7. Safety and Health Promotion, Education, and Training for Workers
(Please attach additional sheets as necessary)
a. Mandatory Safety Orientation of All Workers
Topics/Matters of Number of Employees/Workers in Attendance Date
Orientation
(Please See attached)
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b. Conduct of Risk Assessment, Evaluation, and Control
Personnel Responsible for the Conduct of Risk Assessment (may include Date
WEM)
c. Continuing Training on OSH for OSH Personnel
OSH Personnel for Training Date
-(Please see attached)-
d. Work Permit System (if applicable)
Discussion on the process of the work permit system being implemented or
to be implemented by the management of critical activities. The job hazard
analysis where said permit system is required.
Name of Person/s performing the job:
Location of work:
Work Start Date: Work End Date:
Scope of Work:
Type of permit *(hot works, confined space,
Description of work to be undertaken (Workers’
details, responsible OSH personnel,
certifications needed, etc.):
Hazard identification and control measures:
PPE required:
Emergency Preparedness:
8. Conduct of Tool Box Meetings/ Safety Meetings
Personnel Who Conduct Safety/ Tool Box Meetings Schedule
-(Please see attached)-
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9. Accident/Incident/Injury Investigation Recording and Reporting
Any dangerous occurrence or major accident resulting in death or
permanent total disability shall be reported by the employer or the authorized
representative to the DOLE Regional Office within 24 hours from occurrence
using the prescribed form (Work Accident/Incident Notification).
After the investigation, the employer or the authorized representative
shall prepare and submit its work accident report using the prescribed form
(WAIR). Moreover, other work accidents resulting in disabling injuries, such
as Permanent Partial Disability and Temporary Total Disability, shall be
reported to the DOLE Regional Office within 30 days after the date of
occurrence using the DOLE prescribed form (WAIR).
All near-misses shall be recorded and reported. The OSH Committee shall
develop and review a system for notifying and reporting work accidents,
including near misses within the company, as necessary.
Kindly refer to below list of reports to be submitted to DOLE related
accident/Incident/Injury investigation recording and reporting:
Kind of Report Date of Submission
Accident Notification Within 24 hours from the time of occurrence
(Fatal/Serious Injury)
Work Accident/Injury Report Every 30th day of the month, regardless of
(WAIR) whether there were any accidents or work-
related illnesses in the workplace
Annual Exposure Data Report January 30 following the covered year
(AEDR)
Annual Medical Report (AMR) March 31 following the covered year
10. Provision and Use of PPE
(Please use additional sheets as necessary)
The issuance of PPE shall be supplemented by training on its application, use,
handling, cleaning, and maintenance.
11. Safety Signage
The safety signages shall include warnings to workers, employees, and the
public about the hazards within the workplace.
(Please attach a picture of the safety signage provided.)
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12. Dust Control and Management and Regulation on Activities
Such as building of temporary structures and lifting and operation of
electrical, mechanical, communications systems and other requirements (if
applicable).
(Kindly attach dust control procedures, plans for temporary structures,
permits applicable to the operation of electrical, mechanical, and
communications systems, and other requirements.)
13. Workers’ Facilities Provided
Facilities Provided? Remarks
Yes No
a. Adequate supply of drinking water
b. Adequate sanitary and washing facilities
c. Suitable living accommodation (if applicable)
d. Separate sanitary, washing, and sleeping
facilities (if applicable)
e. Lactation station (Department Order No. 143,
Series of 2015)
f. Ramps, railings, and the like
g. Other workers’ welfare facilities as prescribed
by OSHS and other related issuances
14. Emergency and Disaster Preparedness
14.1 Written Emergency and Disaster Program: Yes ☐☒
No ☐
14.2 Drills Conducted:
Type of Drills Date Responsible Person and
(fire, earthquake, etc.) Position/Designation
(Please see attached document)
15. Solid Waste Management System
Written Pollution Control Program: Yes ☒ No ☐
Name of Pollution Control Officer: Ms. Edili Joy O. Camaganacan
16. Compliance with Reportorial Government Requirements
(Please refer to item 9.0)
17. Control and Management of Hazards
Based on accomplished HIRAC.
18. Prohibited Acts and Penalties/Sanctions for Violations of OSH
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(Applicable for medium to high-risk establishments with 10 to 50 workers and low to
high-risk establishments with 51 workers and above)
Please attach existing company sanctions for violations of OSH.
19. Cost of Implementing Company OSH Program
The total amount of __________________ (PhP ________) is the estimated annual
amount for OSH program implementation for the orientation/training of workers,
safety officer, and OH personnel, provision and maintenance of PPE, first aid
medicine, other medical supplies, safety signages and devices, fire safety
equipment/tools, and the safety of equipment (e.g., machine guards), etc.
OSH Item Estimated Cost/Year
PPEs 544,030
OSH Training 12,000
Safety Signages 12,000
Medical Examinations 108,000
Medical Supplies/Medicines 7,000
TOTAL PHP 683,030
ANNEX B.1: Workplace Policy and Program on Promoting Workers’ Health and
Ensuring Prevention and Control of Health-Related Issues and Illness
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__________________________ company is committed to promoting and ensuring a
healthy and safe working environment through its various health programs for
its employees. We shall comply with all regulations and laws that guarantee
The company shall ensure that workers’ health is maintained through the
following company programs and activities:
a) Orientation and education of employees
b) Access to reliable information on illness and hazards at work
c) Referral to medical experts for diagnosis and management of illness
or health-related concerns
d) Provide health-related programs such as proper nutrition and exercise
activities that are made available to the workers
The programs mentioned above shall comply with the Government’s
issuances on promoting a healthy lifestyle, addressing mental health in the
workplace, and preventing and controlling substance abuse.
In addition, company policies to protect workers’ rights arising from illness
shall be guaranteed. The company shall promote the following workers’ rights:
a) Confidentiality of information
b) Non-discrimination including non-termination
c) Work accommodation following a course of illness
d) Assistance to compensation
This policy is formulated for everybody’s information. The company is
committed to ensuring workers’ health and providing a healthy and safe
workplace.
Signed:
_________________________ __________________________
Owner/Manager Employees’ Representative
Date: __________________________
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