STATEMENT OF COMMITMENT TO COMPLY WITH OSH REQUIREMENTS

The Management and the employee of DMAN CONSTRUCTION AND SUPPLY are committed to provide
the quality to satisfy clients/ partner’s requirements, in order to achieve this policy, the company shall:

 Have an effective and efficient engineering and construction management team in place;
 Comply and implement with high standards all occupational safety and health (OSH) laws and
regulation in all aspects and activities of its projects;
 Safeguard and improve public health of its workers, as an important business element;
 Apply latest information technology in implementing its project and related safety and health
programs; and
 Provide trainings and seminars to develop the capacity of its human resources;

Every staff shall be responsible to adhere to the company’s safety and health policy and implement the
provisions of its Safety and Health Program in accordance with the duties and responsibilities assigned to
each one; and in conformance to the policies and programs of the Project Owner. It is everyone’s
responsibility to contribute to the continuing efforts to promote safety and health and prevent the occurrence
the accidents.

CERTIFICATE OF APPOINTMENT

The management hereby designate ROMALITO N. CORTES as FIRST AIDER and SAFETY
OFFICER, respectively, and the latter had undergone CONSTUCTION SAFETY TRAINING conducted
by the Department of Labor and Employment (DOLE), Occupational Safety and Health Center (OSHC).

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer

I – USAGE OF SAFETY PARAPHERNALIAS MUST BE OBSERVED PROPERLY:

a. Workers assigned in the Road Construction must wear their Reflectorized Shirts at all time
b. Workers assigned in the actual pouring of concrete must wear their construction boots at all time.
c. Workers assigned in the construction site must wear the proper protection, hard hat and safety shoes at all time.
d. Workers assigned in the exterior works or above 3.00 m high must wear proper protection, hard hat, safety shoes and
safety belt.
e. Children are not allowed to enter or play, near the construction area.

II – CONSTRUCTION SAFETY:

a. All Dump trucks drivers must fasten their seatbelts while driving their respective units.
b. Operators / Drivers must take signal from any one person in an emergency however a stop signed can be given by
anyone.
c. Wear gloves when handling/placing of boulders and during caging/fabrication of gabions, objects or substance, which
could cut, tear or burn hands.
d. Be sure that the hauled boulders are away from the working area to avoid sliding/rolling that may hit the workers.
e. Workers must use safety shoes during manual hauling of boulders.
f. Established approximate limit for machine operation and complete the excavation by digging.
g. Before any attempt made to excavate be sure that the equipment is place in the hard soil.
h. Provide extra oxygen for excavation over 1.5m, to ensure safety when sufficient occurred.

III – EQUIPMENT SAFETY:

a. All equipment’s must be inspected and required quality check before it is used.
b. Routine maintenance fueling and repair must not be performed while the equipment’s are in the use or power on.
c. All equipment’s must park properly to the designated parking area or parking lot.

IV – HOUSEKEEPING:

a. Waste materials shall be removed from the site/areas to avoid accident

b. Cleaning of Obstructions at the passageways.

V – SAFETY MEETING:

a. Safety meeting must be conducted before and after the work.

b. Strict compliance for the workers to use their PPE.
c. Remind the workers to be aware of the hazards.
d. Proper orientation for the use of PPE.

VI – FIRST AID AND MEDICAL SERVICES

First Aid Facilities:

a. Project shall be required to provide a first aid kit and should have been with minimum medical requirements.
b. Every project should have a clinic or first aid station.
c. Project should be provided with emergency vehicles to handle the transportation of ill and injured workers to the hospital.
d. For every project the company must have a certified first aider.
e. Every construction project the company must establish at least five (5) members of safety and health committee.

Prepared by:

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer
1. Company Safety and Health Policy

It is the general policy of DMAN CONSTRUCTION AND SUPPLY to perform work in the
safe manner possible consistent with good construction practices. To fill the requirements of this
policy, an organized and effective Construction Safety Health Program as prescribe in this
program and in consonance with DOLE D.O.NO. 13 and the OSH Standards must be carried out
on every project

to achieve these objective, we are committed to perform the project.

1. Identifying potential hazards that may arise from the program work activities.
2. Organizing the work activities so as to minimize the risk arising from them.
3. Developing and implementing project specific Safety Health Program
4. Establishing and enforcing all necessary safe work procedure, rules and regulations.
5. Ensuring that all workers are given orientation briefing or induction prior to development to
the site.
6. Establishing a Safety Health Program Committee to act as policy making body of the
project on all issues pertaining to safety and health.
7. Ensuring the conduct of daily toolbox meeting and documents each proceeding.
8. Establishing a system of follow-up of actions and periodic assessment to check program
effectiveness.

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer

 Contract Name: CONSTRUCTION OF PHASE 4 of TWO (2) STOREY, FOUR CLASSROOM SCHOOL
BUILDING
Location : Brgy. Cagdianao, Claver, Surigao del Norte
Contractor : DMAN CONSTRUCTION AND SUPPLY
Project Classification: Vertical Construction
Estimated No. of Workers: 10 workers
Estimated No. of Heavy Equipment: 3Units
Scope of Work/brief description on the project:

2.. Project Description

1. MOVE IN
2. SYE CLEARING
3. STRUCTURAL EXCAVATION AND BACKFILLING
4. BACKFILLING AND GRAVEL BEDDING
5. REINFORCING STEEL BARS
6. CONCRETE WORKS
7. FORMWORKS AND SCAFFOLDING
8. MASONRY WORKS
9. CYCLONE WIRE WITH G.I. PIPE FRAME
10. METAL GATE
11. CONSTRUCTION AND HEALTH PROGRAM
12. MOVE OUT

Duration of the project : 90 Days

Date Started :
Estimated Date Completion :
Contract Project Cost : PHP2 ,998,000.00
Total Cost on OSH : 5,000.00
20-Safety Hemet (hard Hatt) : P 2,000.00
20-Safety Gloves : P 750.00
20-Safety Boots : P 2,750.00
20-Safety Goggles : P 1,500.00
20-Rain Coat : P 5, 000.00
Safety Officer (part Time) : 3,000.00

Prepared by:

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer
 CONSTRUCTION SAFETY AND HEALTH COMMITTEE

Name of Establishment :DMAN CONSTRUCTION AND SUPPLY

Address :00396 Burgos ST. Purok Marigold, Brgy. Washington, Surigao City
Nature of Business : Construction and supply

Person Employed, Including

2nd Shift Male_______Female______

3rd Shift Male_______Female______

A. Composition of Safety and Health

B. Central Safety Committee

Name POSITION IN ESTABLISHMENT

Chairman: MICHAEL C. ABARCA Manager
Members: ARNOLD MICHAEL T. ABARCA Project In- Charged
Office Clerk: ROMALITO N. CORTES First Aider/ Safety Officer

C. Duties of the Construction Safety and Health Committee:

1. Plans and develops accident prevention program in the workplace
2. Inspect workplace to detect unsafe conditions.
3. Conduct safety meeting at least once a month
4. Reviews reports of inspection, accident investigation, and implementation of program
5. Submits report to the manager on its meeting and activities
6. Provides necessary assistance to government inspecting authorities in the proper conduct
of their activities such as the enforcement of the provisions of this Standard.
7. Train Workers in safe works habits and procedures.
8. Develops and maintains a disaster contingency plan and organizes such emergency
services units as may be necessary to handle disaster situations
9. Initiates and supervises safety training for employees

D. Duties of Safety Man/Officer:

1. Serve as Secretary
2. Conduct Investigation of accident
3. Conduct Health and Safety inspection.
4. Reports to the enforcing authority the policies adopted and the safety organization
established.
5. Submits report to the enforcing authority on in every three months one the safety
performance, safety committee meetings and its recommendations and measure taken to
implement the reconditions.

E. Dangerous Occurrence on Major Accident:

1. Medical Treatment Injury
2. Disabling Injury
3. Death
4. Total Disability
5. Total Day Lost

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer
 DESIGNATION OF MEMBERS AND THE HEALTH AAND SAFETY COMMITTEE

Chairman - MICHAEL C. ABARCA

Safety Officer - ROMALITO N. CORTES
Project In- Charged - ARNOLD MICHAEL T. ABARCA
Project Foreman - RAFAEL Q. NARAGA
First Aider/Nurse - ROMALITO N. CORTES

f. EMERGENCY OCCUPATIONAL HEALTH PERSONNEL AND FACILITIES

To ensure that the Construction Safety and Health Program is duly followed and
enforced at the Construction Project site, the Contractor should have a minimum required Safety
Personnel to Monitor and inspect the health and safety related aspects of the construction work being
undertaken, the contractor shall provide competent emergency health personnel with the worksite
duly completed by adequate medical supplies, equipment and facilities, based on the total number of
workers, if the contractor only provide a first aid. Clinic or a treatment room he shall provide the
workers in case of emergency, access to the nearest medical or dental clinic. Such access shall the
necessary transportation facilities. In addition, the contractor shall always have in the construction
site required minimum inventory of medicines supplies and equipment in case of emergency.
For long range project, the health and hygiene also imposed by the Safety Personnel this
includes the following:

a. Medical examination for all workers at least one a year

b. Persons with high blood pressure should measure their blood pressure from time to
time
c. Advice the workers regarding the cure on normal sickness like diarrhea cold of flu.
d. Orient the workers about food poisoning

g. SAFETY HEALTH PROMOTION AND EDUCATION

Objectives

Safety knowledge, skill and habits and habits at all levels of the project workplace shall be
promoted maintain and enhanced by regular and continuing safety training and education.

Safety Orientation

New workers will be required to attend a Safety Orientation course before deployment for work.
Upon completion of the orientation, a new worker will be issued with a site ID card gate pass and
Safety Stacker for his hard hat. He will then be required to sign a safety orientation form.

Induction seminar of workers will also include the company safety and health policy, project
clinic procedures, and the company code of employee discipline. The seminar will be participated by
the project nurse or first-aider and the project administrative officer on this representative.

ENGR. MICHAEL C. ABARCA

Authorized Managing Officer
Safety Promotions Communication

Pertinent Information shall be communicated to all employees at the work site by

practical means, to make employees well informed about matters important to safety
and well-being.
1. Safety shall be including in all job instructions.
2. Safety Bulletin Boards.
a. The project shall have an adequate number of bulletin boards
b. Bulletin boards shall be positioned so that employees can view them while
lighted for good viewing during all shifts.
c. They shall be well lighted for good viewing during all shifts.
d. Items to be placed in bulletin boards shall be regulated to prevent
undesirable aid disapproved materials from getting displaced.
e. Bulletin Boards shall have excellent conditions at any given time.
f. Poster subject shall be planned in advance.
Induction seminars of workers will also include the company safety and health policy,
project clinic procedures, and the company code of employee discipline. The seminar
will be participated by the project nurse or first aider and the project administrative
officer of this representative.

Safety Promotions Communication

Pertinent Information shall be communicated to all employees at the work site

by practical means, to make employees well informed about matters important
to safety and well-being.
1. Safety shall be including in all job instructions.
2. Safety Bulletin Boards.
a. The project shall have an adequate number of bulletin boards.
b. Bulletin boards shall be positioned so that employees can view them while
lighted for good viewing during all shifts.
c. They shall be well lighted for good viewing during all shifts.
d. Items to be placed in bulletin boards shall be regulated to prevent
undesirable aid disapproved materials from getting displaced.
e. Bulletin Boards shall have excellent conditions at any given time.
f. Poster subject shall be planned in advance
Health Trainings and Orientation
a. Project supervisors shall include the safety and health trainings to
their workers.
 For the month of May 1- 31 2025
MINUTES OF HEALTH AND SAFETY COMMITTEE MEETING

Date of Meeting : April 30 , 2025

Time of Meeting : 9:00 A.M. to 11:30 A.M.
Place of meeting: Project site
Attendance : 20 workers
Presiding Officer: ROMALITO N. CORTES , JR.

Name SUGGESTED AGENDA

1. MICHAEL C. ABARCA-AMO/Project Engineer 1. Housekeeping
/Waste Disposal
2. ROMALITO N. CORTES-Safety Officer/First Aider 2. Provision of
workers Safety Harness
3. RAFAEL Q. NARAGA-CONST. Foreman 3. Fire Hazards
Exit
4. ARNOLD MICHAEL T. ABARCA-Project In-charge 4. Provision on
Personal protective
5. Provision on
Emergency Medicines
6. Other related
matters

PROCEDURING:

i. Agenda No.4 – The meeting was regarding the Provision on Personal

Protective.
ii. The committee explained the importance of PPE.
iii. Protective equipment in the workplace to avoid accident.
iv. The committee also reminds the workers to be aware of the hazards
and must use the right PPE fit to the work/job they are going to
execute.
v. Orientation on how to use safety harness when overhead work.
vi. There will be a monthly meeting every first Sunday of the month.

There being no matters be discussed, the meeting was adjourned at 11:30 in the
morning.

I hereby certify to the correctness of the foregoing minutes.

 THE HAZARD AND TYPES OF PPE

I. PERSONAL PROTECTIVE EQUIPMENT

Person Protective Equipment is Any Physical Materials or equipment That is Placed between the Employee
and Workplace Hazards to Reduce, The injury Potential of the hazards.

PPE is to Be selected and provide to Employees Assigned Duties where hazards cannot be sufficient abated
process should be on-going
1. Asses the workplace for hazard that cannot be sufficient minimize or deleted
2. Managers, Supervisors, and Employees, should be involved in this process
3. Identification process should be Ongoing
Responsibility
1. Management Shall:
a. Provide PPE and Training for personnel
b. Post areas requiring PPE with signs.
c. Ensure full compliance or responsibility of employees, set forth in safety program and/or policies
2. Supervisions:
a. Ensure that appropriate is available to employees
b. Ensure PPE is properly used.
3. Employees Shall:
a. Use PPE in accordance with instruction and training receive.
b. Guard against damage to PPE.
4. Employees Shall:
a. Care for their PPE Properly
b. Reports PPE malfunction problems to supervisory personnel
c. Follow safe work practice while working with hazards materials and waste.
5. Health Safety Committee:
a. Conduct workplace hazards assessment to determine the presence of hazard which necessitate
the use of PPE.
b. Conduct Periodic workplace reassessment as requested by supervisors.
c. Maintaining records on hazards assessment.
d. Provides training and technical assistance to supervisors on.
e. Proper use, care and cleaning of approved PPE.
f. Provides guidance to the supervisors for the selection and purchase of approved PPE.
g. Periodically reevaluating the suitability of previous selected PPE.
h. Reviewing updating, and overall effective of the PPE program.
Types of PPE
Safety Glasses Mats and Blanket Gogles Face shield
Helmets HOODs Sleeves Shoes and Boots
Mat and Blankets Respirators Gloves Coverails

J. PPROTECTION OF THE GENERAL PUBLIC

Workers are entitled to working conditions that do not pose a risk serious harm. To help assurance a
safe and healthful workplace also provides the right to:

 Installation of advance warning devices

 Caution
 Bridge Work A head/Road Work A head
 Reduce Speed
 Installation of Barricade
k. SAFETY SIGNAGES AND BARRICADES AT SITE

UNDER
CONSTRUCTION

END
ROADWORK

ROADWORK
AHEAD
 ACTION PLAN

Name of the Contractor: DMAN CONSTRUCTION AND

SUPPLY
Name of the Representative: MICHAEL C. ABARCA
Main Address: 00396 Burgos St. Purok Mari-
Gold, Brgy
Washington, Surigao City
Project Title or Name/s: Contract ID: CONSTRUCTION OF PHASE 4 of
TWO (2) STOREY, FOUR
CLASSROOM SCHOOL BUILDING

Provided below are Actions to be taken: Period to Correct

the noted deficiencies

Heavy Equipment (H.E) Submit H.E Letter -request Within the duration of
Testing certificates to Dole Accredited Testing the said project or on
Organization (3 at Least) or before renewal of a
Submit letter- PCAB License for the
response/quotation from current year.
DOLE Accredited Testing
Organization & submit the
same to Submit to DPWH
D.E.O the Testing
Certificate conducted by
the DOLE Accredited H.E
Testing Submit DPWH
Inspection Results/Status
and Suspension orders to
the aforesaid DPWH
 This form shall be accomplished and the employer/management
representative is required to submit a status report on its
compliance on the Construction Safety and Health Program
(CSHP) with the Regional Office. This Action Plan shall be
implemented with the recommendation/duration period of the
aforesaid project. Failure of the employer/management
representative to submit a status report/compliance or to fully
implement the Action Plan shall Couse the issuance of a Notice
of
n. Control Measures on Constructions Activities

BUILDING AND PERIMETER FENCE CONSTRUCTION MAINTAINANCE RISK/HAZARD

ASSESSMENT SAFETY PROGRAMME
Activities to be undertaken
Activity Assessed Hazard identified Control Measures
Splash from concrete pouring Foreman to ensure that concrete shoot pipe is kept under
Being struck by con. Pipe shoot control only competent person shall operate concrete
Concrete shoot pipe swing pumps Only authorized pouring crew shall stand near the
pouring area Personnel gets concrete gets concrete on skin
Concrete Pouring and cloths flush it with water Use personal protective
clothing (rubber boots, hand boots, hand Glove, etc)

Hot work must be check by safety officer prior to start

working Combustible item must be remove, control
Welding Works Splash from Concrete Pouring measuring put in place Suitable Standby fire extinguisher
Being stuck by con. Pipe shoot nearby the working area Oxy/acetylene cutting gear shall
concrete affect clothing be fitted with flash back arrestor Gas cylinders must be
concrete other nearby object. stored and transported in a safe manner Cylinders must be
chained firmly on upright position to prevent fail.

Unauthorized Operator/Driver Only competent operator is allowed on equipment cabin

Hitting other seat Flagman shall be present to signal on moving vehicles
machine/equipment Struck by park only on designated area, with working parts lowered
other nearby object Operator shall check the equipment daily, defects must be
reported (defects records are given in the following pages)

Mechanic to provide drums or trays during oil change

refueling of diesel on equipment must be in controlled
manner (Only an authorize and inducted person can do
refueling. Spillage of diesel is possible at the end of
refueling in that case, this person collects all contaminated
soil in the small container in his vehicle, later, he
discharges the content of his container in a bigger one in
our Plant)
Oils spills, oil leaks, diesel
spills, Fire during maintenance No hot work in place and removal all combustible items.
Excessive smoke machine
(Repairman shall have minimum 3 years’ expensive in the
field) Ensure each equipment has standby fire exiting
 extinguisher Spills to be cleared up and reported to safety
Officer
Passenger fall from height Ensure that vehicles door is. Close properly passenger
must seat properly, no horse playing allowed
Unauthorized Driving Driver should check the vehicle before starting the journey
only licensed drivers and operators allowed to use vehicles

Heavy Equipment & Light

Equipment

Sharp edges causing

personally injury lacerated etc.) Steel fixers shall use correct and well maintained PPE
Preparation and fixing of Being struck by moving Loads Ensure that working area is free from debris. Only
Reinforcement Defective lifting gear & authorized person shall operate binding & bar cutting
equipment’ Defective steel Machine workers shall have kept sufficient gap from the
binding and bar cutting steel reinforcement being shifted. Authorized electrician
machine poor housekeeping shall check all wiring each day before (electrician should
causing personal injury have a certified or minimum 3 years’ site experience)
Collapse of stacked/stored
Commercial works started. Damage must be charge
reinforcement steel Faulty
immediately. All reinforcement steel shall be supported
wiring
adequate medicine available site

Electric Shock Vibration Oil Spills to be cleared up and reported to safety officer Tools
Leaks, Diesel Soils noise shall be use only on concrete power supply Ensure
Electrical power tools pollution dust and flying Electrical card protective run over by equipment Ensure
pneumatic power tools particles breaker & grounding system are not by passed use Face
Extension cords Protection, safety gaggles running machine parts shall be
guarded

Use rubbish bin and tipper trucks to remove rubbish from

site provided Standby appropriate type of fire extinguisher
Site offices Build waste and combustible
materials
Alcohol and Emergency Use of drugs causing personal Anyone found positive or under the influence of liquor and
injury working under the nonprescription drugs will be terminated from site. This is a
influence of liquor and drugs gross violation from company regulation, immediate
dismissal that culprit.

Medical Emergency Lack of first aid boxes loss of Right type of first aid box and ad equated medicine
personnel during evacuation available list of first aid provider posted for personnel
Unclear who’s trained information Evocation and emergency procedure in placed.
To inform all personnel their assembly area

Standby vehicles at site in case of emergency

Insufficient toilets and Comply the requirements of toilet and washing facilities
wash9ing facilities sanitize provide and apply daily with disinfectant on all temporary
toilets causing the spread of facilities ensure oil sanitary iin.es and rifting are maintained
gem In good and acceptable conditions
Toilets
Resting Area Working in a hot and humid Use of rubbish bin and tipper trucks to remove rubbish from
environment Build-up waste site provided adequate shaded rest and eating areas
and combustible materials drinking water in conditions exceeds 40 deg. Celsius and or
80% humidity

Toolbox talks on heat stress and re-hydration

Water Supply Contaminated drinking water Ensure water coolers are proper grounded check and
insufficient drinking water maintain water filters once a week, Portable water
container will be provided or site check the water delivery
Electrical shock by supplier
p. Safe Work Practice
Codes of practice give detailed practical guidance on how to comply with
requirements and obligation under works health and safety laws. They are
used there is another solution which achieves the same or a better standard
of health and safety in your workplace.

The Following Codes of Practice

 Abrasive Blasting
 Confined Space Demolition Works
 Excavation Work
 First Aid in the Workplace
 Hazardous Manual Tasks
 How to Manage Work Health and Safety Risk
 How to manage and Control Asbestos in the Workplace
 Labeling of Workplace Hazardous Chemicals
 Managing Noise and Preventing Hearing Lost at Work, Managing the
risk of plant in the workplace
 Managing Risk of Hazardous Chemical in the workplace
 Managing Electrical Risk in the Workplace
 Managing the Risk of Falls at Workplace
 Managing the Work Environment and Facilities
 Preparation of Safe Data Sheets for Hazards Chemicals
 Spray Painting and Power Coating
 Welding Process
 Work Health and Safety Consultation Cooperation and Coordination
q. First-Aid Health Care Medicine and Equipment Facilities
1. First Aid Kit
2. Rubbing Alcohol
3. Bandage and Plaster
4. Neozep
5. Diatabs/Loperamide
6. Spirit of Ammonia
7. Medicol
8. Batadine
9. Efficascent
The occurrence of minor injuries at the constructions site is extremely high.
For minor injuries, an adequate first aid kit will allow the injured person or co-workers
to administer first aid and get employee back to work. For major injuries, the contents
of a contractions first aid can be used to provide first aid care to the injured person,
before an EMT or ambulance arrives. It could mean a matter of life and death. The
emergency kits is placed in a cool and dry place along with a fire extinguisher. A
construction site safety survey is always conducted to ensure that the proper first aid
supplies are available for the types of injuries that may occur at the time jobsite.
r. Workers Welfare Facilities
Health issues
To have a health working environment:
 Good ventilation- supply of fresh, clean air drawn from outside or a ventilation system
 A reasonable working temperature (usually at least 16 C. or 13 C for strenuous work, unless
other laws required lower temperature
 Lighting suitable for the work being carried out.
 Enough room space and suitable workstations and sealing.
 A clean workplace with appropriate waste containers

Safety issues
Must keep the workplace safe:
 Properly maintain your premises and work equipment
 Keep floors and traffic routes free from obstacles
 Have windows that can be opened and also cleaned safety:
 Make sure that any transparent (glass) doors or walls are protective or made of safety materials

s. working Hour and Break time

the management and committee on Safety are committed to complete the work as schedule In
the contract without accidents. The propose hours of is 8 hours (from 8:00 am to 5:00 pm) a day as
overtime to cover per labor laws in every worker in the project. But the management is obliging to
render overtime to cover up the delays occur during the construction of the project and the break time
every 15 minutes in the morning and afternoon.

t. Construction Waste Disposal

the management and the safety of committee are designating areas for waste disposal that is
safe to the worker and in the environment in the project site. Disposal of waste during housekeeping is
to be determined its proper location so that the workers in the area will be safe and to avoid untoward
incidents.

u. EMERGENCY PREPAREDNESS

Steps to Preparedness:
1. Get a Kit
2. Make a Plan
3. Be Informed
The emergency preparedness must provide the over-ail information site, the following
a. Contact person and number
b. Directory
c. Facility
d. Police Assistance

v. PENALTIES AND SANCTIONS

Penalties to be punished to those who violate the company safety and health policy and its
rules and regulations are the following to wit:
FIRST OFFENCE - Three (3) days Suspension
SECOND OFFENCE - Thirty (30) days Suspension without salary
THIRD OFFENCE - Termination

MICHAEL C. ABARCA
Proprietor
 PORTING INVESTIGATION AND RECORDINGKEEPING REQUIREMENTS

An INCEDENT REPORT is not part of the patients Chart, buy it may be used later in litigation. A report
has two functions:

1. It forms the administration of the incident so management can prevent similar incidents in the future.
2. It alerts administration and the facility insurance company to a potential claim and the need for
investigation

ACCIDENT INVESTIGATION- there are many legal and economic reason for investigation
accident. The result of any investigation should however be used to help prevent a recurrence by
indicating modifications to procedures, premises, training or supervision. All accident should be
investigating, study of incident producing minor injuries or near misses can often reveal.

THE INVESTIGATION-The Officer should look at (a) action taken to prevent a recurrence (b) the
cause of injuries (c) the chain of events leading to the accident, thus allowing the main contributory
factor to be identified (d) whether there was a breach of any statutory requirements under the
health and safety at work.

ACCIDENT RECORDING- a record of an accident must be made in the accident book, B1510
Persons who are covered by the Social Security Act may use the B1510 to give notice to their
employer of an accident resulting in injury. Persons who are not covered by the act have similar
rights under procedures in being able to enter the details of injuries.

RECORDING ACCIDENTS TO STAFF- the injured employee or someone acting on their behalf,
must complete an accident record as soon as they can. Completed accident records should be
detached from this book, and passed to the health and safety adviser. As soon as an entry is made
in accident book it should it should be taken to the office of manager who will make agreements.

RECORDING KEEPING- A record must be made and kept of ail reportable injuries and dangerous
occurrence. The record must contain in each case (a) the date and time of the accident causing the
injury of the dangerous occurrence (b) the following particulars about the person affective. Full
name. occupation nature of injury or conditions