Simplified CHSP Template

Construction Safety Health Program
Interior Fit-Out Of ATC- REMI CAFE
1.0 Company Safety and Health Policy

It is the general policy of ZFZS CONSTRUCTION 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: Proposed Interior Fit- Out For ATC REMI CAFE
b. Address/ location:_Unit 2 Medical City Stall The Medical City Clark Global City Clarkfield
Pampanga.
c. classification of the project: Interior Fit – Out Of ATC REMI CAFÉ
d. project owner: ATC – REMITTANCE

e. name of main contractor and list of sub-contractors (if any) and PCAB License,
ZFZS Construction / PCAB No. 42374
f. estimated number of workers in the site: 15 Workers
g. estimated start date of (execution of the project) construction: Dec. 15, 2019
h. duration of the project (no. of calendar days) and; 150 Days
i. specific scope of work to be undertaken: Interior Fit Out Work

3.0 Composition of Construction Safety and Health Committee (CSHC).
I/We ZFZS CONSTRUCTION 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 ATC – REMI CAFÉ consist of:
o Chairman – Mr. Rodulfo Daryl Machica Salamida
 Members : Fatima De Leon Medrano

Romeo Garcia
Joey Edjan
 Secretary : Reynaldo Marinas
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 staf
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: Reynaldo Marinas

(please attached the certificate of COSH training)
 5.2 Complete Name of First-Aider/s: Joey Edjan
(please attached the certificate of First-Aid training)
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
 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: Safetyman/safety officer is mandated to carry the kit at all times while
within the perimeters of the jobsite.
The kit or boxes will contain at least compress and triangular bandages, sterile gauge,
antiseptic, adhesive and forceps, a tourniquets, blunt-end scissors and splint.
The doctor or nurse assigned at the emergency site clinic shall be responsible to fully orient the
safety staf and concerned security guards on the proper usage of the contents of the kit.
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).
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 :
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.

I- Emergency / Fire Safety
a) Written Emergency Procedures
b) Access, Escape Routes, Evacuation Procedures and Assembly Point
II - Temporary Facilities for Safety
a) Barricades
b) Platforms
c) Guardrails
d) Safety signages
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.
__________________________ ___________________
Name of Project Owner Date
Signature over Printed Name
________________________
Name of Person who will supervise the project Date
Signature over Printed Name

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Construction Safety Health Program

Interior Fit-Out Of ATC- REMI CAFE

1.0 Company Safety and Health Policy

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

 Identification of potential hazards that may arise from the programmed/scheduled

2.0 Project Details

c. classification of the project: Interior Fit – Out Of ATC REMI CAFÉ

d. project owner: ATC – REMITTANCE

ZFZS Construction / PCAB No. 42374

f. estimated number of workers in the site: 15 Workers

h. duration of the project (no. of calendar days) and; 150 Days

i. specific scope of work to be undertaken: Interior Fit Out Work

3.1 Composition of Construction Safety and Health Committee (SHC)

 Members : Fatima De Leon Medrano

 Secretary : Reynaldo Marinas

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

 Conducts safety/toolbox meetings.

 Reviews reports of accident investigation and implementation of program;

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

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

 5.1 Complete Name of Safety Officer/s: Reynaldo Marinas

5.0 Duties and Responsibilities

6.0 Conduct of Toolbox Meeting

7.0 Personal Protective Equipment

8.0 First-Aid, Health Care Medicines and Equipment Facilities

9.0 Workers Welfare Facilities

11.0 Construction Waste Disposal

12.0 Safety Work Practices :

12.1 Welding and Cutting

12.4 Electrical Works and Installation

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

b) Access, Escape Routes, Evacuation Procedures and Assembly Point

II - Temporary Facilities for Safety

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