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    General OSH Checklist FINAL

    Uploaded by

    EMELYN HIWATIG
    This document is a general occupational safety and health checklist from the Public Health and Safety Department for a company. It collects information about the company and assesses compliance with various occupational safety and health regulations across two parts. Part 1 covers general OSH programs, training, reporting, facilities and equipment. Part 2 examines specific work environment factors and requirements for hazardous work and industries. Upon completion, the form would be validated by an OSH specialist and signed off by a company representative.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    General OSH Checklist FINAL

    Uploaded by

    EMELYN HIWATIG
    430 views3 pages
    This document is a general occupational safety and health checklist from the Public Health and Safety Department for a company. It collects information about the company and assesses compliance with various occupational safety and health regulations across two parts. Part 1 covers general OSH programs, training, reporting, facilities and equipment. Part 2 examines specific work environment factors and requirements for hazardous work and industries. Upon completion, the form would be validated by an OSH specialist and signed off by a company representative.

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    This document is a general occupational safety and health checklist from the Public Health and Safety Department for a company. It collects information about the company and assesses compliance with various occupational safety and health regulations across two parts. Part 1 covers general OSH programs, training, reporting, facilities and equipment. Part 2 examines specific work environment factors and requirements for hazardous work and industries. Upon completion, the form would be validated by an OSH specialist and signed off by a company representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    430 views3 pages

    General OSH Checklist FINAL

    Uploaded by

    EMELYN HIWATIG
    This document is a general occupational safety and health checklist from the Public Health and Safety Department for a company. It collects information about the company and assesses compliance with various occupational safety and health regulations across two parts. Part 1 covers general OSH programs, training, reporting, facilities and equipment. Part 2 examines specific work environment factors and requirements for hazardous work and industries. Upon completion, the form would be validated by an OSH specialist and signed off by a company representative.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    PUBLIC HEALTH AND SAFETY DEPARTMENT

    Occupational Health and Safety Division


    Bldg. 280-Dewey Avenue, SBFZ
    Tel. No. (047) 252-4502
    ________________________________________________________________________________

    GENERAL OCCUPATIONAL SAFETY AND HEALTH CHECKLIST

    GENERAL INFORMATION
    Name of Establishment:
    Address:
    Owner/President/Manager:
    Contact No./s:
    Email Address:
    Total Number of Personnel: No. of Shifts:
    Hours of Work:
    Nature of Business:
    SBMA Business and Investment Group Account Officer:
    If required to secure Sanitary Clearance: YES [ ] NO [ ]
    With Updated Sanitary Clearance : YES [ ] NO [ ]
    Expiry Date: ___________________
    Remarks: __________________________________________________________________

    OSH Indicators Complied Remarks


    YES NO N/A
    Part I
    1. SBFZ Certificate of Registration/Permit To
    Operate
    2. Occupational Safety and Health Program
    3. Medical Surveillance:
    A. Annual/Pre-employment medical examination
    B. Random Drug-testing for establishments with
    >10 workers
    4. Organized Safety and Health Committee
    5. Policy and Program on Promotion on Drug Free
    Workplace Policies and Programs
    6. Policy and Program on Prevention and Control of
    HIV/AIDS, Tuberculosis and Hepatitis B
    7. OSH Personnel and Facilities:
    - Safety Officer/s
    - Occupational Health Personnel
    a. First aider
    b. Nurse
    c. Physician
    d. Dentist
    - Health Facilities
    a. First Aid Kit
    b. Treatment Room
    c. Clinic
    d. Hospital (or with MOA)
    e. Dental Clinic (or with MOA)
    8. Safety and Health Promotion:
    - Orientation of all workers on OSH (8hours)

    Subic Bay Metropolitan Authority


    PUBLIC HEALTH AND SAFETY DEPARTMENT- Occupational Health & Safety Division
    Building 280, Dewey Avenue, Subic Bay Freeport Zone, 2222 Philippines
     Tel: +6347 252.4502  Fax: +6347 252.4502
    - Continuous Training of OSH Personnel
    9. Conducted Safety Orientation/Toolbox meeting
    10. OSH Reports:
    - Work Accident/Occupational Injury or Illness
    Report for Fatal, Permanent Total, Permanent
    Partial, Temporary Total Disabilities
    - Work Accident/Occupational Injury or Illness
    Report for Medical Treatment Injuries
    - Employer’s Annual Report on Safety and
    Occupational Health Personnel and Services
    - Employer’s Annual Report of Work
    Accident/Illness Exposure
    - Annual Medical Report (AMR)
    11. Provision of Appropriate PPE
    - No cost to employee
    - Tested and approved
    12. Provision of Safety signages
    - Visible safety signage
    - Understandable safety signage
    13. Workers Welfare Facilities:
    - Adequate supply of safe drinking water
    - Adequate sanitary and washing facilities
    - Separate sanitary/toilet, washing, sleeping
    facility for all gender, if applicable as may be.
    - Lactation Station
    - Ramps, railing and the like
    14. Emergency Drills
    - Fire Drill
    - Earthquake Drill
    Part 2
    1. No Imminent Danger Situation (condition that
    could cause death or serious physical harm) –
    Rule 1012. 02, OSHS
    2. Adequate aisles/Passageways (sufficient width
    and height and with signs and markings) Rule
    1060, OSHS
    3. Proper Office spacing (between workers and
    machines) Rule 1060, OSHS
    4. Work Environment Measurement Conducted –
    Rule 1070, OSHS
    5. Adequate Lighting (in work Areas, in aisles and
    passageways – Rule 1070, OSHS
    6. Noise exposure control – Rule 1070, OSHS
    7. Radiation exposure control – Rule 1070, OSHS
    8. Proper ventilation – Rule 1070, OSHS
    9. Airborne contaminants control – Rule 1070,
    OSHS
    10. Defined Procedures in Performing Hazardous
    Work – Rule 1120, OSHS
    11. Provision safety measures when Hazardous
    Materials are used – Rule 1090, OSHS
    12. For Contractors/Subcontractors in the
    Construction Industry:
    - Construction Safety and Health Program
    - Registration with Philippine Contractors
    Accreditation Board (PCAB)
    - Construction safety signage
    - Construction Heavy Equipment Testing

    Subic Bay Metropolitan Authority


    PUBLIC HEALTH AND SAFETY DEPARTMENT- Occupational Health & Safety Division
    Building 280, Dewey Avenue, Subic Bay Freeport Zone, 2222 Philippines
     Tel: +6347 252.4502  Fax: +6347 252.4502
    OSH Indicators Complied Remarks
    YES NO N/A
    - Construction Heavy Equipment Operator
    TESDA Certified
    - Construction Workers Skills Certificate for
    Critical Operations
    - Defined Safety Program When in Use of
    Scaffoldings
    FOR THOSE INDUSTRIES SUBJECTED TO TECHNICAL SAFETY COMPLIANCE
    1. Boiler – Permit To Operate
    2. Pressure Vessel – Permit To Operate
    3. Elevators and Other Related Equipment –
    Permit To Operate
    4. Crane and Hoist Equipment – Permit To Operate
    5. Other similar/applicable Facility and Equipment

    Comments/Recommendation/s:
    __________________________________________________________________________________
    ____________________________________________________________________________________

    Reminder: The following facilities are required to secure PHSD Sanitary Clearance:
    - Restaurant, Canteen, Catering Service, Food Stall/Kiosk, Spa and Massage Parlor, Bathing
    facilities (Beach, swimming pool), Water refilling station, Ice Plant, Laundry, Bakeshop/Coffee Shop

    Note: Properly filled up General OSH checklist and proof of compliance to all applicable OSH
    (documentary) requirements may be forwarded thru E-mail or Drop Box located at Bldg. 280
    Dewey Avenue, SBFZ.
    E-mail Address: _____________________________

    Validated by:(OSH Division Specialist) Conforme: (Company Representative)

    ________________________________ _______________________________
    Name/Signature Name/Signature

    ________________________________ _______________________________
    Designation Designation

    Date Validated: _______________ Date Accomplished: ________________

    Subic Bay Metropolitan Authority


    PUBLIC HEALTH AND SAFETY DEPARTMENT- Occupational Health & Safety Division
    Building 280, Dewey Avenue, Subic Bay Freeport Zone, 2222 Philippines
     Tel: +6347 252.4502  Fax: +6347 252.4502

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