Occupational Safety and Health (OSH) Program
of Paul and Nicole’s Animal Bite Center (For activity purposes only)
I. Complete Company Profile / Project Details
Company Name: PAUL AND NICOLE’S ANIMAL BITE CENTER
MARCH 7, 2025
Date Established:
BARANGAY POBLACION, ALAMINOS CITY,
PANGASINAN
Complete Address:
+63 977 825 1574
Phone/Fax Numbers:
Website URL/ E-mail Address: paulsabc@[Link] (For activity purposes only)
Name of Company Owner/Manager/President: PAUL ANDREW INACAY & NICOLE TANAWIT
Total Number of 8 Male: 4 Female: 4
Employees:
Description of the Business
Kindly check which industry applies:
(Please specify the type on the blank provided)
□ Manufacturing:
☑ Service: ANIMAL BITE TREATMENT
□ Agri/Fishing:
□ Wholesale/Retail:
□ Utilities:
□ Banks and Financial Institution:
□ Security Agency:
□ Maintenance:
□ Construction:
Page 1 of 19
□ Others (Please specify):
Product Descriptions: (ex. Garments, Shoes, Electronics ) VACCINES AND MEDICINES
PROVISION OF FIRST AID, ANTIRABIES VACCINE SHOTS, ANTI TETANUS SHOTS TO PATIENTS
BITTEN BY ANIMALS, FOLLOW-UP CHECK-UPS AND REFERRAL TO HIGHER CENTER.
Description of Services:
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II. Basic Components of Company OSH Program and Policy
(DO 198-18, Chapter IV, Section 12)
1.0 Company Commitment to Comply with OSH Requirements
2.0 General Safety and Health Programs
● Safety and health Hazard Identification, Risk Assessment and Control
(HIRAC)
● Medical Surveillance for early detection and management of occupational
and work related diseases
● First-aid and emergency medical services
3.0 Promotion of Drug Free workplace, Mental health Services in the Workplace,
Healthy lifestyle
4.0 Prevention and Control of HIV-AIDS, Tuberculosis, Hepatitis B
5.0 Composition and Duties of health and safety Committee
6.0 OSH Personnel and Facilities
7.0 Safety and Health Promotion, Training and Education
● Orientation of all workers on OSH
● Conduct of Risk Assessment, evaluation and Control
● *Continuing training on OSH for OSH Personnel
● *Work permit System
8.0 Toolbox/Safety Meetings, job safety analysis
9.0 Accident/Incident/illness Investigation, Recording and Reporting
10.0 Personal Protective Equipment (PPE)
11.0 Safety signages
12.0 *Dust control and management and regulation on activities such as building of
temporary structures and lifting and operation of electrical, mechanical,
communications system and other requirements
13.0 Welfare Facilities
14.0 Emergency and disaster preparedness and response plan to include the
organization and creation of disaster control groups, business continuity plan, and
updating the hazard, risk and vulnerability assessment (as required)
15.0 Solid waste management system
16.0 Compliance with Reportorial Government Requirement (refer to Item 9.0)
17.0 Control and Management of Hazards (refer to Item 2-HIRAC)
18.0 *Prohibited Acts and Penalties for Violations
19.0 *Cost of Implementing Company OSH program
*(Applicable for medium to high risk establishments with 10 to 50 workers and low to high
risk establishments with 51 workers and above)
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1.0 Company Commitment to Comply with OSH Policy
PAUL AND NICOLE’S ANIMAL BITE CENTER do hereby commit
(Name of the Company)
to comply with the requirements of RA 11058 and DOLE Department Order 198-18 (its
Implementing Rules and Regulations) and the applicable provisions of the Occupational
Safety and Health Standards (OSHS).
We acknowledge the company’s obligation and responsibilities to provide appropriate funds
for implementing this OSH program including orientation and training of its employees on
OSH, provision and dissemination of IEC materials on safety and health, provision of
Personal Protective Equipment (PPE) when necessary and other OSH related requirements
and activities, to ensure the protection for our workers and employees against injuries,
illnesses and death through safe and healthy working conditions and environment.
We commit to conduct risk assessment as required to prevent workplace accidents as well
as comply with other provisions of this OSH program. That we are also fully aware of the
penalties and sanctions for OSH violations as provided for in RA 11058 and its Implementing
Rules and Regulations.
[Signature]
PAUL ANDREW A. INACAY
[President] / [Chief Executive Officer] /
[Owner]
MARCH 7, 2025
[Date]
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2.0 General Safety and Health Programs
2.1 Conduct of Risk Assessment
Kindly accomplish. Please use additional pages if needed. You may also attach your
Company’s Risk Assessment Matrix as substitute
Risk Assessment Matrix
Priority:
likelihood of
Contr
Task Hazard Risk Description injury and
ol
Identified illness to occur
Measur
(low, medium,
es
high)
Use of puncture
proof and
Use of syringes in Puncture injury through needle prick properly labeled
Vaccination Medium
vaccination may occur container and
needle hub
cutters
Exposure to biohazards such as blood Use of lab gown,
Exposure blood splatters and other body fluids that may cause Medium gloves, medical
serious illness facemask
Wound care
Exposure to biohazards such as blood Use of lab gown,
Blood soiled linens and other body fluids that may cause Medium gloves, medical
serious illness facemask
Use of lab gown,
gloves, medical
Exposure to biohazards such as blood facemask and
Waste disposal Used gauze and cotton balls and other body fluids that may cause Medium proper
serious illness segregation,
labeling of trash
bins
Example of Simple Risk Assessment
Task Hazard Ri Priori Control
sk ty
Deliveri Drivers May be unable to Need for
High
ng work call for help if helper
product alone needed
to
Drivers have to Fatigue, short rest
custom Policy on
occasionally time between shifts Mediu
ers work
work long m
break
hours
Drivers are Increased chance of Road
often in very collision Low safety
congested progr
traffic am
Longer working hours Wor
Mediu
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k
m
brea
ks
Drivers have to Injury to back from Given
lift boxes when lifting, reaching, proper
High
delivering carrying, etc. orientatio
product n on
lifting
Page 6 of 19
2.2 Medical Surveillance
The company will require all employees to undergo a baseline or initial medical
health examination prior to assigning to a potentially hazardous activity. The
examination will include but not limited to the following:
a. Routine : (✔) CBC (✔) Chest X-ray (✔) Urinalysis ( ) stool exam
b. Special: (✔) Blood Chemistry ( ) ECG ( ) Others, please specify
HbsAg, Anti HCV
c. Schedule of Annual medical examination: ( ) Q1 ( ) Q2 ( ) Q3 ( ✔) Q4
d. Is random drug testing conducted? Yes ✔ when Q4) No.
2.3 First-Aid, Health Care Medicines and Equipment Facilities
● How many treatment rooms/first aid rooms are existing in your company? 2
● How many Clinics in the workplace? 1
● What hospital (s) are you affiliated with? ABCD HOSPITAL INCORPORATED
3.0 Promotion of Drug Free workplace, Mental Health Services in the
Workplace, Healthy lifestyle
This refers to the compliance to: DOLE Department Order No. 53-03 Guidelines for
the Implementation of a Drug-Free Workplace Policies and Programs; and RA 11036
on Mental Health.
4.0 Prevention and Control of HIV-AIDS, Tuberculosis, Hepatitis B
This refers to the compliance to: Department Order No. 102-10 Guidelines for the
Implementation of Human Immunodeficiency Syndrome (HIV) and AIDS Prevention
and Control in the Workplace Program; Department Order No. 73-05 Guidelines for
the Implementation of Policy and Program on Tuberculosis Prevention and Control in
the Workplace; and DOLE Advisory Np. 05, Series of 2010 Guidelines for the
Implementation of a Workplace Policy and Program on Hepatitis B.
3.0 And 4.0 - Health Programs for the promotion, prevention and control
**Prolonged Sitting and Standing
This refers to the compliance to: Department Order No. 178-17 Safety and health
Measures for Workers Who by the Nature of Their Work Have to Stand at Work; and
Department Order No. 184-17 Safety and Health Measures for Workers Who, By the
Nature of Their Work, Have to Spend Long Hours Sitting.
Kindly accomplish the policy template in Annex A.
(Attach individual policy statements)
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5.0 Composition and Duties of Safety and Health Committee
The SHC of the company is responsible to plan, develop and implement OSH policies and
programs, monitor and evaluate OSH programs and investigate all aspect of the work
pertaining to the safety and health of all the workers. SHC shall be composed of the
following in compliance with the law:
(a) For establishments with less than ten workers and low risk establishments with ten (10)
to fifty (50) workers. – A SO1 shall establish an OSH committee composed of the
following:
Chairperso : PAUL ANDREW INACAY
n
Name of Company Owner or Manager
Secretary : NICOLE TANAWIT
Name of Safety Officer of the Workplace
Member : MR. XYZ
Name of at least one (1) worker,
preferably a union member, if organized
(b) For medium to high risk establishments with ten (10) to fifty (50) workers and low to high
risk establishments with fifty-one (51) workers and above. – The OSH committee of the
covered workplace shall be composed of the following:
Ex-officio :
Chairperso Name of Employer or his/her representative
n
Secretary :
Name of Safety Officer of the workplace
Ex-officio :
Members Name of Certified First-Aider/s
Name of OH nurse
Name of OH dentist, and OH physician, as applicable
Members:
Name/s of Safety Officer/s representing the contractor or
subcontractor, as the case may be,
Name/s of workers’ representative/s who shall come from
the union, if the workers are organized,
or elected workers through a simple vote of majority, if they
are unorganized.
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(c) Joint Coordinating Committee: For two (2) or more establishments housed under one
building or complex including malls.
Chairperso :
n
Name of Building owner or his/her representative such as
the building administrator
Secretary :
Name of Safety Officer appointed by the Chairperson
Members: :
Name of two (2) Safety Officers from the building selected to
the Joint OSH Committee
Name of two (2) workers’ representatives one from which
must be from a union if organized from any establishments
under the
building
(All members of the HSC shall perform their duties and responsibilities by the OSH law and
its implementing guidelines.)
Safety and Health Committee Minutes/Reports submitted to DOLE (please attach latest OSH
committee minutes/report)
Yes No
6.0 OSH Personnel and Facilities
6.1 Safety Officer
Safety Officer(s): (attach certificate of training/s prescribed by DOLE)(please use
additional sheets as necessary)
Training(s) (kindly include number
Name of Safety Officer(s):
of hours)
Paul Andrew Inacay BOSH SO2 (WEBINAR) – 40 HOURS
Nicole Tanawit BOSH SO2 (WEBINAR) – 40 HOURS
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6.2 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. (Use additional sheet if necessary and attach all required
training certificates in this section.)
Emergency Health Personnel and Facilities
Health Personnel & Facilities
Total number
Shift/Area/ Health Facilities
of
unit/ Personnel (First- (Treatment
workers/are
Departmen aider, Nurse, Room/ Clinic/
a
t Physician, Hospital)
Dentist)
8:00AM-5:00PM 10 WORKERS 1 PHYSICIAN 1 TREAMENT
ROOM
1 NURSE
7.0 Safety and Health Promotion, training and education provided to
workers
7.1 Orientation of all workers on OSH
7.2 Conduct of Risk Assessment, evaluation and Control
7.3 *Continuing training on OSH for OSH Personnel
7.4 *Work permit System
*(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 additional sheets as necessary)
Name of OSH No. of Employees in Date
Training/Orientation Attendance
BOSH SO2 – 40 HOURS 2 MARCH 4-7, 2025
Conduct of Risk Assessment (may include Date
WEM)
Puncture injury through needle prick MARCH 4, 2025
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8.0 Conduct of Tool Box Meetings/ Safety Meetings if applicable
Conduct of Safety Meetings/Tool Box Date
Meetings
REVIEW OF NEEDLE/SHARPS DISPOSAL MARCH 7,
2025
9.0 Accident/Incident/Injury investigation recording and reporting
Any dangerous occurrence, major accident resulting to death or permanent total disability,
shall be reported by the company to the DOLE Regional Office within twenty four (24) hours
from occurrence using the prescribed form (Work Accident / Incident Notification).
After the conduct of investigation, the company shall prepare and submit work accident
report using the prescribed form (WAIR). Moreover, other work accidents resulting to
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 of
accident using the DOLE prescribed form (WAIR).
All near misses shall be recorded and reported. A system for notification and reporting of
work accidents including near misses within the company shall be developed and reviewed
by the OSH Committee as necessary.
(Kindly submit reports on the following: Work Accident /Injury Report (WAIR), Annual
Exposure Data Report (AEDR), Annual Medical Report (AMR)
Report Submitted Date
NONE MARCH 7,
2025
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10.0 Provision and use of Personal Protective Equipment (PPE)
Issuance of PPE shall be supplemented by training on the application, use, handling,
cleaning and maintenance.
PPE Provided Number of Workers Given
FACE MASK 10
MEDICAL GLOVES 10
LAB GOWN 10
11.0 Safety Signage
The safety signages include warning to workers and employees and the public
about the hazards within the workplace.
Type of Safety Signage : (
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.)
12.0 *Dust control and management and regulation on activities such as
building of temporary structures and lifting and operation of
electrical, mechanical, communications system and other
requirements
*(Applicable for medium to high risk establishments with 10 to 50 workers and low to
high risk establishments with 51 workers and above)
Kindly attach dust control procedures, plans on temporary structures, permits
app;icable for the operation of electrical, mechanical, communications systems and
other requirements
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13.0 Workers Facilities Provided:
PROVIDED REMARKS
FACILITI
?
ES
YE NO
S
a. Adequate supply of drinking water ✔
b. Adequate sanitary and washing facilities ✔
c. Suitable living accommodation N/A
(if
applicable)
d. Separate sanitary, washing and ✔
sleeping facilities (if applicable)
e. Lactation station (in consonance with ✔
DOLE D.O. 143-15)
f. Ramps, railings, and the like ✔
g. Other workers’ welfare facilities as ✔
prescribed by OSHS and other related
issuances
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14.0 Emergency and Disaster Preparedness
14.1 Written Emergency and Disaster Program Yes ✔ No
14.2 Types and number of Drills conducted
Type of Drills (e.g. Fire, Date Responsible
Earthquake) person/position
EARTHQUAKE AND FIRE DRILL MARCH 6, BFP
2025
15.0 Solid Waste Management System
15.1 Written Pollution Control Program: Yes: ✔ No:
15.2 Name of Pollution Control Officer: MR. ABC DEF
16.0 Compliance with Reportorial Government Requirements (refer to
item 9.0)
17.0 Control and management of hazards.
Refer to accomplished HIRAC
18.0 *Prohibited Acts and Penalties/Sanctions for violations on OSH
*(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 on OSH)
Example of Company violation policies
Safety Violation 1st offense 2nd offense 3rd offense
1. Not using issued PPE Warning 3 Day 5 day
suspension suspension
2. Littering and loitering Warning 3 Day 5 day
suspension suspension
3. Smoking at prohibited Warning 3 Day 5 day
area suspension suspension
4. Illegal dismantling of
Warning 3 Day 5 day
safety signage and
suspension suspension
paraphernalia
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5. Not following safety rules 3 Day 5 Day Dismissal
suspension suspension
Page 17 of 19
19.0 *Cost of implementing company OSH program
*(Applicable for medium to high risk establishments with 10 to 50 workers and low to high
risk establishments with 51 workers and above)
Php 100, 000 ; Annual estimated amount for OSH program implementation to include but not
limited to the following: orientation/training of workers, safety officer, OH personnel,
purchase and maintenance of PPE, first aid medicine and other medical supplies, safety
signages and devices, fire safety equipment/tools, safety of equipment ( i.e machine
guards,) etc.
OSH Estimated Cost/Year
Item
10,000
PPEs
10,000
OSH Trainings
5,000
Safety Signages
N/A
Machine Guards and related
equipment
10,000
Medical examinations
50,000
Medical supplies/medicines
Others: Specify
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ANNEX A:
WORKPLACE POLICY AND PROGRAM ON PROMOTING WORKERS HEALTH
AND ENSURING PREVENTION AND CONTROL OF HEALTH-RELATED ISSUES
AND ILLNESS
PAUL AND NICOLE’S ANIMAL BITE CENTER company is committed to
promote and ensure a healthy and safe working environment through its various health
programs for its employees. We shall conform to the all issuances and laws that guarantee
workers health and safety at all times.
The company shall ensure that worker’s 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 proper nutrition and exercise activities are
made available to the workers
The above-mentioned programs shall comply with the Government’s issuances on
promoting 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.
PAUL ANDREW INACAY NICOLE TANAWIT
Owner /Manager Employees’ Representative
DATE: MARCH 7, 2025
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