DPWHROXIII QAHD | DIGITAL CONTRACT MANAGEMENT SYSTEM

Construction Safety and Health Program (CSHP)

Submit, create, or upload your CSHP for review and approval

Digital CSHP

Digitized CSHP

Ensure all required safety documents and attachments are complete before submission.

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Online Application for Construction Safety and Health Program (CSHP)

Department of Public Works and Highways

Compliance Checker

Project Details

Contract ID

no entry

Project Name

no entry

Location

optional

Classification

no entry

Project Cost

no entry

Company Details

Name

no entry

Identification

no entry

Address

optional

Tel. No.

optional

Fax No.

optional

Contact Person

Name

no entry

Tel. No.

optional

Mobile No.

optional

Licenses

PCAB No.

no entry

Classification

no entry

Validity Date

optional

Subcontractor

if applicable

Activities

Description

no entry

Estimated Workers

no entry

No. of Workers

Male

no entry

Female

no entry

Total Workers

no entry

Personnel

Safety Officer

no entry

First Aider

no entry

nurse

if applicable

Physician

if applicable

Dentist

if applicable

Heavy Equipment

if applicable

Author

Name

no entry

Education

optional

Work Experience

optional

Qualifications

optional

eSignature

if applicable

Submitter

Name

no entry

Position

optional

Signature

optional

Project Information

Contract ID:

Classification:

Project Name:
(Please attach copy of Notice of Award or Notice to Proceed or other documents indicating name and details of the project)

Location:

Project Cost:

Duration: (Calendar Days)

Company Details

Company Contractor/Project Owner:

Contructor Identification:

Company Address:

Tel. No.:

Fax No.:

Contact Person

Name of Project Manager:

Tel. No.:

Mobile. NO.:

Email:

Licenses

PCAB/JV License No:

PCAB Classification:

Date of Validity:

Engaged Subcontractors’ Profile

Name of Sub-contractors (if any)	Scope of Work	No. of Workers	PCAB License	Date of Validity	Date of DOLE Registration

Brief Description of Activities/Work Flow

Estimated number of workers to be deployed:

Phase/Stage	Construction Activity	Estimated No. of Workers	Action

Number of Workers:

Male:

Female:

Total Employment:

Safety Officers: (1 SO2: 1 - 9 workers; 2 SO2: 10 - 99 workers; 3 SO2 / 2 SO3: 100 - 199 workers;)

Name	Designation	Date of Training

First Aider: (1 FA: 1 - 9 workers; 2 FA: 10 - 99 workers; 3FA: 100 - 199 workers;)

Name	Date of Training	ID Validity

Personnel assigned to the project (2 PT NURSE: 51 - 99 workers; 1 FT NURSE: 100 - 199 workers;)

	Name	Date of Training
OH Nurse

OH Physician
Dentist

Heavy Equipment

Heavy equipment to be used	Heavy equipment Operator	Action

CSHP Author

Name

Educational Background

Work Experience in OSH

Other Qualifications

eSignature: (if applicable)

Submitted By

Name:

Position:

eSignature: (if applicable)

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Construction Safety and Health Program (CSHP)

Create Digital CSHP

Department of Public Works and Highways

Compliance Checker

Statement of Commitment

Authorzed Official

no entry

eSignature

if applicable

Project Details

Project Name

no entry

Location

if applicable

Contractor

no entry

Project Owner

no entry

Classification

no entry

Project Manager

Name

no entry

Contact Information

no entry

Resident Engineer

optional

Workforce

(Sub)Contractor

optional

Shifts

Working Hours

no entry

No. of Workers

no entry

Project Timeline

Start

no entry

End

no entry

Duration

no entry

Equipment Qty.

Backhoe

no entry

Dozer

no entry

Loader

no entry

Dump Truck

no entry

Crane

no entry

Grader

no entry

Other

if applicable

Project & OSH Cost

Project Cost

no entry

Itemized Cost

no entry

Health Provider

no entry

CSHC

Commitee Chair

no entry

Safety Officer

no entry

Sub Safety Officer

no entry

First Aider

no entry

Nurse

no entry

Physician

no entry

Dentist

no entry

Representatives

no entry

Day of Meeting

no entry

Training / Orientation

no entry

Health Personnel and Facilities

Construction Stages

no entry

Safety and Health Orientation/Trainings

Safety Officer

no entry

Worker Name(s)

no entry

Specialized Instruction and Trainings

List of Workers

no entry

Toolbox Meeting

Supervisor(s)

no entry

Investigation

Accidents

no entry

Incidents

no entry

Illness

no entry

PPE

Item(s)

no entry

Major Activities

Suggested

no entry

Others

no entry

Physical Hazards

Suggested

no entry

Others

no entry

Chemical Hazards

Suggested

no entry

Others

no entry

Biological Hazards

Suggested

no entry

Others

no entry

Ergonomic Hazards

Suggested

no entry

Others

no entry

Protection of the General Public

Person responsible

no entry

Designation

no entry

eSignature

if applicable

Safety Signages Inspection

Person in charge

no entry

Designation

no entry

Frequency

no entry

Safe Work Practices

no entry

Working Hours & Break Time

Schedule

no entry

Working Hours

1st work shift

no entry

2nd work shift

no entry

3rd work shift

no entry

Break Hours

1st Break shift

no entry

2nd Break shift

no entry

3rd Break shift

no entry

Penalties / Sanctions

Violations

no entry

Statement of Commitment to Comply with OSH Requirements

Contractor's Authorized Official:

eSignature: (if applicable)

Project Information

Project Name:

Location:

Name of the general contractor:

Project Owner:

Project Classification:

General Building Construction

General Engineering Construction

Specialty Trade Construction

Others(Please Specify):

Project Manager:

Contact Number / Email:

(Optional) Resident Engineer:

Name and Classification of Constructors:

Contractor/Subcontractor	Classification	Action

Working Hours:

Shift	From	to
1st Shift
2nd Shift
3rd Shift

Number of Workers:

Shift	Male	Female
1st Shift
2nd Shift
3rd Shift

Number of Heavy Equipment(s):

Backhoe

Dozer

Loader

Dump Truck

Crane

Grader

Others(Please Specify):

Project Timeline:

Start Date:

End Date:

Days to Complete:

Emergency Health Provider:

Provider Name and Address:

Project & OSH Cost


Total Project Cost:

Itemized Cost on OSH
Item	Amount	Action

Total:

Occupational Health Personnel

	Name	Company
First Aider

OH Nurse
OH Physician
Dentist

Construction Safety and Health Committee (CSHC)

Commitee Chair:

General Safety Officers

	Name
Safety Officer 1
Safety Officer 2
Safety Officer 3

Subcontractor Safety Officers

	Name	Company
Safety Officer 1
Safety Officer 2
Safety Officer 3

Workers’ representative

Name	Designation	Company

Construction Safety and Health Committee (CSHC)

Safety meeting shall be conducted every

Training or Orientation Type	Supervisor	Number of Attendees		Action
Training or Orientation Type	Supervisor	Male	Female	Action

Workers Safety and Health Orientation/Trainings

The assigned Safety Officer:

List the workers who have undergone the DOLE-prescribed safety and health training and orientation below

Name	Title of training attended	Remarks	Action
			Action

Emergency Occupational Health Personnel and Facilities

Construction Stages	Number of Workers	Health Personnel & Facilities		Action
Construction Stages	Number of Workers	Health Personnel	Facilities	Action

Specialized Instruction and Trainings

List below the inventory lists of workers who hold critical occupations and attended the specialized training

Name	Title of training attended	Remarks	Action
			Action

Responsible for the Toolbox Meeting

Supervisor	Time of Toolbox Meeting	Documentation	Action
			Action

Responsible for conducting the Investigation

All accidents	All incidents or near miss	Illnesses	Action
			Action

Personal Protective Equipment (PPE)

Item No.	Type of PPE	Quantity needed	Unit Price	Total Cost	Action
					Action

Major Activities

Demolition

Excavation

Earthmoving

Piling

Scaffold

Formwork

Structural Steel

Crane Operations

Concreting

Rebar Works

Welding

Electrical

HVAC

Plumbing

Painting

Interior Decorations

Others(Please Specify):


	Action

Hazards Identified

Physical Hazards

Machineries

Power and hand tools

Electrical

Ladders and scaffolds

Noise

Ventilation

Exposure to heat

Tripping

Fall Hazards

Collapse

Others(Please Specify):


	Action

Chemical Hazards

Solvents

Paint products

Acids

Cleaning products

Acetylene

Propane

Gasoline

Explosive chemical

Welding fumes

Others(Please Specify):


	Action

Biological Hazards

Body Fluids / Blood

Fungi

Bacteria & viruses

Plants

Insects bites

Animal droppings

Others(Please Specify):


	Action

Ergonomic Hazards

Poor lighting

Frequent lighting

Poor posture

Repetitive Motion

Excersion of force

Awkward Movement

Others(Please Specify):


	Action

Protection of the General Public

Person responsible for this program

Designation:

eSignature: (if applicable)

Safety Signages Inspection

The person in charge in inspecting:

Designation/Role:

Inspection Frequency:

Safe Work Practices

Enumerate below the safe work practices that you intend to perform relative to the hazards you previously identified

Penalties / Sanctions

Safety Violations	1st Offense	2nd Offense	3rd Offense	Action
				Action

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Construction Safety and Health Program (CSHP)

Attachments

Department of Public Works and Highways

Upload Documents

Upload all required documents. Only PDF/PNG/JPG files up to 10MB are accepted

Document	Upload	Status	View	Remove
Letter of Intent		Not Uploaded
CSHP		Not Uploaded
OSHS RULE 1020		Not Uploaded
PCAB License		Not Uploaded
NOA		Not Uploaded
Certificate of Training & Designation Order		optional
Certificate of Inspection (Construction Heavy Equipment)		Not Uploaded
Valid NC		Not Uploaded
MOA (if applicable)		optional

Construction Safety and Health Program (CSHP)

Submit, create, or upload your CSHP for review and approval

Digital CSHP

Digitized CSHP

Ensure all required safety documents and attachments are complete before submission.

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Online Application for Construction Safety and Health Program (CSHP)

Department of Public Works and Highways

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Construction Safety and Health Program (CSHP)

Create Digital CSHP

Department of Public Works and Highways

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Construction Safety and Health Program (CSHP)

Attachments

Department of Public Works and Highways

Transparency . Safety . Public Service | DPWH RO13 | Occupational Safety & Health

Draw Signature

Upload Files