Simplified CHSP Template
Simplified CHSP Template
It is the general policy of ALAN C. GOZON to perform work in the safest manner possible consistent with
good construction practices.
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;
Project description:
I, Alan C. Gozon, am 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.
3.2 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;
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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.
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.
Face Mask
10.0 Working Hour & Break Time (Indicate the maximum number of work hours per day).
Maximum number of work hours per day - 150 days (including overtime
8:00am – Start of work; 5:00pm – end of work (2 hrs of overtime allowed if necessary)
Break time: 10:00am to 10:15am; 12:00pm to 1:00pm and 3:00pm to 3:15pm
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.
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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 - (indicate safety work practices based on the scope of work to be undertaken. Use
additional sheet if necessary)
Always look out for hazards
Always use PPEs
No-Smoking
Keep work area clean and tidy at all times
No-entry/work under the influence of drugs or alcohol
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(Please
attach company policy on penalties, if there are any). :
First offense warning – (written)______
Second offense penalty – (one (1) day salary deduction)
Third offense penalty – (three (3) days salary deduction)
Fourth offense dismissal