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    Form2a 1

    Uploaded by

    ghi Yo
    This document outlines the Construction Safety and Health Program (CSHP) form for private residential or small commercial construction projects directly administered by the owner. It requires the owner's contact information, project details including location, description, estimated start/completion dates and workforce details. The owner certifies the truthfulness of the information and commits to strictly implementing the attached CSHP, taking responsibility for any incidents and complying with occupational safety and health standards. No fees are required to file and evaluate the CSHP.

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    © All Rights Reserved
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    Form2a 1

    Uploaded by

    ghi Yo
    1K views2 pages
    This document outlines the Construction Safety and Health Program (CSHP) form for private residential or small commercial construction projects directly administered by the owner. It requires the owner's contact information, project details including location, description, estimated start/completion dates and workforce details. The owner certifies the truthfulness of the information and commits to strictly implementing the attached CSHP, taking responsibility for any incidents and complying with occupational safety and health standards. No fees are required to file and evaluate the CSHP.

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    FORM2A_1

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    This document outlines the Construction Safety and Health Program (CSHP) form for private residential or small commercial construction projects directly administered by the owner. It requires the owner's contact information, project details including location, description, estimated start/completion dates and workforce details. The owner certifies the truthfulness of the information and commits to strictly implementing the attached CSHP, taking responsibility for any incidents and complying with occupational safety and health standards. No fees are required to file and evaluate the CSHP.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Form2a 1

    Uploaded by

    ghi Yo
    This document outlines the Construction Safety and Health Program (CSHP) form for private residential or small commercial construction projects directly administered by the owner. It requires the owner's contact information, project details including location, description, estimated start/completion dates and workforce details. The owner certifies the truthfulness of the information and commits to strictly implementing the attached CSHP, taking responsibility for any incidents and complying with occupational safety and health standards. No fees are required to file and evaluate the CSHP.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    NO FEES REQUIRED FOR THE FILING AND EVALUATION OF CSHP

    Revised Form: CSHP Form 2A- 2023


    Date of revision: April 30, 2023
    CONSTRUCTION SAFETY & HEALTH
    PROGRAM (CSHP) FOR THE
    CONSTRUCTION OF PRIVATE RESIDENCES
    Department of Labor and Employment
    REGIONAL OFFICE NO. ____ OR SMALL COMMERCIAL CONSTRUCTION
    PROJECTS DIRECTLY ADMINISTERED BY
    THE OWNER
    Owner of Residential/small commercial building:

    Address: Contact No:/Email address:

    PROJECT DETAILS
    Specific name of the project:

    Address/location of the project:

    Brief description of the residential/small commercial building (number of storeys, type of building,
    purpose of the structure):

    Number of workers on site: Estimated start date of construction:


    ________________
    Male: _________________ Female:
    ________
    Estimated duration of the construction: (calendar days):
    Specific construction activities to be undertaken:
    1. __________________________________________________________________________
    __
    2. __________________________________________________________________________
    __
    3. __________________________________________________________________________
    _
    4. __________________________________________________________________________
    __
    5. __________________________________________________________________________
    __
    I/WE HEREBY CERTIFY ON MY HONOR TO THE TRUTHFULNESS OF THE ABOVEMENTIONED
    INFORMATION. I/WE, HEREBY COMMIT TO STRICTLY IMPLEMENT HEREIN ATTACHED
    CONSTRUCTION SAFETY AND HEALTH PROGRAM DESIGNED FOR THIS SPECIFIC PROJECT.

    I/WE SHALL BE HELD RESPONSIBLE FOR ANY INCIDENT/ACCIDENT THAT WILL HAPPEN
    DURING THE CONSTRUCTION, ESPECIALLY FOR THE WELFARE OF THE WORKERS WHO ARE
    EMPLOYED TO PERFORM THE CONSTRUCTION ACTIVITIES.

    I/WE SHALL COMPLY WITH THE OCCUPATIONAL SAFETY AND HEALTH STANDARDS.

    1 | Page
    NO FEES REQUIRED FOR THE FILING AND EVALUATION OF CSHP
    Revised Form: CSHP Form 2A- 2023
    Date of revision: April 30, 2023

    Signature Over Printed Name Position Date

    2 | Page

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