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
Policy 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 responsibilities of
every member of the Committee. The OSH Committee membership shall be
selected 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 official 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 project’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 Officer and
approved by the owner/contractor.

ATTACHMENTS:
Please refer to the Item II of the attached Checklist for Evaluation of Construction Safety and Health
Program (CSHP) per requirements of D.O.13 series of 1998.

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 UNDERTAKEN :
a. Introduction-To reflect the Management commitments to implement the Workplace 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 members.
d. To provide Welfare Facilities (e.g. comfort room, emergency medicines and 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(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 no. of workers
deployed (Refer to Rule 1960 of OSHS handbook.

Note: This template is applicable only to two (2) storey and below residential building.