I. SAFETY FORMS II.

HEALTH FORMS
1 Confined Space Permit 26
2 Demolition Permit 27
3 EHS Bulletin 28
4 EHS Scorecard 28.a
5 Emergency Drill Evaluation Form 29
6 Equipment Safety Inspection Checklist 30
7 Excavation Inspection Checklist 31
8 Fire Extinguisher Inspection Report
8.a Fire Extinguisher Inspection Tag III. OTHERS
8.b Fire Extinguisher Inspection Record 32
9 Gondola Checklist 33
10 Hot Works Permit 34
11 Incident/Accident Report 35
12 Ladder Checklist / Permit 36
13 Lifting Permit 37
14 Minutes of Meeting 38
15 Notive of Violation (Citation) 39
16 Power Tools / Electrical Tools 40
17 Safety Acknowledgment 41
18 Safety Corrective Action Report 42
19 Safety Observation Report
20 Scaffold Checklist
21 Self Monitoring Report
22 Work Permit
23 Sunday/Holiday Work Overtime Permit
24 Work Resumption Form
25 Work Stoppage Form
II. HEALTH FORMS
Canteen Checklist
Induction Clearance
Personal Information Sheet
Personal Accident Medical Report
Project Manpower Database
Work Accident Form
Work Illness Form

III. OTHERS
Annual Medical Report
Attendance Sheet
Basic Safety Requirements
Annual Work Accident / Illness Exposure Data (AEDR)
Equipment Monitoring
IP 6
Report on Health and Safety Organization
Safety Manhour/Manpower
Table of Organization
Temporary Pass
Visitor's Waiver
 Report No:

CONFINED SPACE INSPECTION CHECKLIST

Name of Company Location

Validity On-going Activity

DESCRIPTION YES NO REMARKS

1 Approved Methodology of the activity
2 MSDS of the materials/chemicals to be used in the
area
3 Appropriate PPEs were issued to the workers working
inside the confined space such as but not limited; ear
plug/muff, eye/face protection, respirator, body
harness and other PPEs as per requirement of MSDS

4 Confined Space Entry Orientation/Training

5 Trained and authorized Entrant and Attendant (Please
see list below)
6 Inspection of the confined space was conducted by
Supervior or Safety Officer.
7 Preliminary gas testing (Entry Prohibited)

8 Vital signs of all authorized entrant should be taken

prior to entry
9 Proper ventilation/blowerand exhaust fan are
provided outside and inside the confined space.
Thirty (30) minutes purging of air inside conducted.

10 Final gas testing before work commencement

11 The area is free from any potential hazards such as

but not limited to; explosive gases, fumes, vapors, oil
spills, protruding rebar, cables and wires, safe from
falling and tripping hazards.

12 Appropriate illumination has been provided outside

and inside the confined space.
13 Adequate and safe ingress and egress has been
provided (ladder/scaffold).
14 Lifeline has been provided/attached to the workers
body harness inside the confined space.
15 Emergency preparedness and response equipment
(tripod, 5-lbs oxygen tank with air line).
16 Appropriate barriers with warning sign boards are
provided outside the opening of confined space.
17 Hotworks permit is secured prior to operation. (if any)

18 Proper housekeeping and arrangement is observed

before, during and after operation.
Entrant/s: Attendant/s:

Note:
1. Permit is only valid for one day. After 8 hours of worked, there will be reinspection and extension of permit shall be signed

2. Gas testing should be done every hour or as frequent as necessary. (Please fill-up log sheet at the back)
Prepared by: Date Acknowledged by Date

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by Date

MDC - EHS Personnel

 CONFINED SPACE INSPECTION CHECKLIST
GAS MONITORING REPORT
PROJECT: DATE:

OXYGEN COMBUSTIBLE GAS HYDROGEN SULFIDE CARBON MONOXIDE

LOCATION TIME LEL (%) (CO %) Remarks
(O2 %) (H2S ppm)

GAS CHECKING GUIDELINES SAFE CONDITION UNSAFE CONDITION HAZARD

OXYGEN (O2) 19.5% à 22.5% outside safe % limit Less than 19.5%-Health Problem / More the
22.5 % Explosion/Fire
COMBUSTIBLE GAS (LEL) greater than Explosion / Fire
HYDROGEN SULFIDE (H2S) 0 ppm à 50 ppm greater than 50 ppm Health Problem
CARBON MONOXIDE (CO) 0 ppm à 34 ppm greater than 34 ppm Health Problem

Note:

1. All necessary permits/checklist required are approved and attached (ex. Confined Space Entry Permit, Hot works permit, handtool permit, ladder checklist, scaffold checklist, etc.)
2. Gas testing should be done every hour or as frequent as necessary.
Prepared by: Date: Acknowledged by: Date:

Subcon EHS Personnel MDC Operations / Subcon Operations

Noted: Date:

MDC EHS Personnel

 Report No:

DEMOLITION INSPECTION CHECKLIST

Name of Company Date

Area Validity

DESCRIPTION YES NO REMARKS

1 Key plan/as-built plan of the structure to be demolished
2 Approved Work Methodology of the activity
3 Approved Waste Management Plan
4 Approved Dust Control Procedure in place
5 Approved Traffic Management Plan
6 Approved Noise Control Plan
###7 All Heavy Equipment have Third-Party Certificates
###8 All Heavy Equipment Operators are certified

Pre-activity session of all personnel involved about work activity,

###9 hazards and accident prevention.

All demolition operations of building or other structure high shall be

###10 under supervision of a competent person (MDC and Subcon)
No person except the workers who are directly engaged in the
demolition shall enter a demolition area to within a distance equal
to 1.5 times the height of the structure being demolished, where this
###11 distance is not possible the structure shall be fenced around and no
unauthorized person shall be allowed within the fenced area.

Danger signs shall be posted around the structure and all doors and
###12 opening giving access to the structure shall be kept barricaded or
guarded.
Identify the type and location of site utilities such as gas, electric,
###13 water service lateral, public sewer lateral, on-lot well or on-lot sewer
system on the site plan.
All existing gas, electrical and other services likely to endanger a
###14 worker shall have been shut off or disconnected.
Asbestos are identified and removed in accordance with DENR-EMB
###15 regulations.
Glass are removed, transferred to another or protected so that
###16 there is no possibility of breakage at any stage of the demolition.
Shoring or other necessary measures shall be taken to prevent the
accidental collapse of any part of the building or structure being
###17 demolished or any adjacent building or structure endangering the
workers.

Demolition shall proceed systematically, storey by storey, in a

descending order and the work on the upper floors shall be
###18 completely over before removing any of the supporting members of
the structure on the lower floor.

No building or any part of the structure shall be overloaded with

debris or materials to render it unsafe and hazardous to persons
###19 working.

No workers shall stand on top of wall, pier or chimney more than six
(6) meters (18 ft.) high unless safe flooring or adequate scaffolding or
###20 staging is provided on all sides of the wall, three (3) meters (9 ft.)
away from where he is working.

A truss, girder, or other structural member shall not be disconnected

###21 until it has been: (a) relieved of all loads other than its own weight,
and (b) provided with temporary supports.
Stairs and stair railings, passageways and ladders shall be demolished
###22 last.
When demolition is suspended or discontinued all access to the
###23 remaining part of the building shall be fenced or barricaded.

Workers have complete personal protective equipment, such as:

###24 hard hat, safety shoes, gloves, safety vest, mask, and goggles.
(earplug or earmuffs if necessary)

Note:
1. All necessary permits/checklist required are approved and attached (ex. Hot works permit, handtool permit, ladder checklist, scaffold checklist, etc.)

2. Permit is only valid for one day. After 8 hours of worked, there will be reinspection and extension of permit shall be signed.
Prepared by: Date Acknowledged by: Date

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by: `

MDC - EHS Personnel

 MAKATI DEVELOPMENT COR

Name of Project: ________

for the Month of ___________

Item No. CLASS SITE SITUATION

Aluma Bars placed near ledges, risk

1 P2
for falling
 2 P1 Broken ALIMAK GATE

P1 - Potential death, permanent disability or major stuctural damage or potential incident resulting in permanent or significant det

P2 - Potential temporary disability or minor structural damage or potential incident impaired to environmental elements (natural o

P3- Incident/s which may cause minor damage to the environment or injury to persons that would require medical treatment/first

Prepared: Noted: Acknowledged:

Paul Andrew M. Lalunio Joven Pamfilo C. Salazar Romer M. Hernandez/ Ariel P. Lucanas

Safety Associate EHS Supervisor Project In-Charge / Area Manager

AKATI DEVELOPMENT CORPORATON

Name of Project: ________Lerato_______________

for the Month of ________________January 22, 2015__

RESPONSIBLE ACTION TAKEN STATUS

Day Group (MDC) Removed from ledge OK

 Replaced with temporary
Maintainance OK
Barricade

n permanent or significant detrimental impact on environmental elements (natural or built). Work will be stopped and the deficiency must

onmental elements (natural or built) that can be and resolved to acceptable conditions with no long-term adverse effect. Any irregularity to

equire medical treatment/first aid. Work will be stopped and the deficiency must be corrected immediately amd /or within 7 days.
REFERENCE
ments (natural or built). Work will be stopped and the deficiency must be corrected

ceptable conditions with no long-term adverse effect. Any irregularity to statutory

iciency must be corrected immediately amd /or within 7 days.

 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
1 On-Site EHS Personnel (as per OSHS Requirement)
- MDC Safety Officers (workers 50 and below; plus 1 for every 200 personnel)

- MDC Safety Supervisor (workers more than 50 together with Safety Officer)

- MDC Safety Officers (for every 10 operational heavy equipment)

- Subcon Safety Officers(workers 50 and below;plus 1 for every 200 personnel)

2 Project EHS Committee

- Conduct Regular Monthly Meeting

- PIC / Superintendent presiding EHS Committee Meetings

3 Medical Team
- MDC Certified First Aider on-site

- Subcon Certified First Aider on-site

- Occupational Health Nurse ( for 51 workers and above)

- Part time Occupational Health Doctor (for 201 to 300 workers)

- Full time Occupational Health Doctor and Part time Dentist (for 301 workers and above)
4 EHS Bulletin Board

- Properly secured, illuminated and located to a conspicuous location for public viewing
- Updated appropriate EHS information and announcement are posted
5 Medical Supplies and Equipment (Minimum Requirement)
- MDC supply of medicine and equipment

- Subcon supply of medicine

6 Pest Control
- Properly coordinated with other trade contractors for their information.

- Report has been submitted for record and file.

7 Standard Corporate signages (installed and maintained)
- Fence

- Gates

- Equipment
8 Temporary Facilities
- Perimeter Fence

- Gate (Vehicles/Pedestrian)
 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
- Sidewalk Protection

- Overhead Street Protection (OSP)

- Guard House

- Offices (MDC/Subcon)

-Barracks / Personnel's Quarters

- Visitors waiting Area

- Orientation Area

- Locker room/Changing Area

- Clinic/Treatment Room

- Drinking Station (Construction Site)

- Hand Wash Area (Canteen/Toilet Area)

- Mess Hall / Facility

- Toilet Facilities (1st 100 workers=4 unit water closet, additional 1 for every 40 workers)

a. Septic waste disposal and management plan was submitted, reviewed and approved.

b. Regular disposal of septic waste

c. Maintained and cleaned in an orderly manner

- Rest Area/Shelter

- Toolbox Meeting Area

- Evacuation Assembly Area

- Vehicle and Equipment Wash Bay

- Vehicle Parking Area

- Equipment Parking Area

- Warehouses

- Material Staging Area

- Flammable and combustible storage area

 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
- Fabrication Shops/Motorpool

- Material Recovery Facility

- Garbage/Debris Yard

- Smoking Area

9 MATERIAL STORAGE & HANDLING

- MSDS (hazardous solvents, materials) are posted conspicuously and discussed to all concerned.
- Proper labelling of materials
- Proper Segregation of Materials / Tools / Equipments

- Materials are securely stored (stacked, blocked, interlocked, limited height)

- Materials are stored away from walkways and roadways

- Proper handling of materials using tools and/or equipments

10 WARNING SIGNS
- Elevated and secure to all structure at a standard height.

- Directional and warning signs are in place and in proper location.

- Readable, visible and in good condition

11 RAILINGS
- Consistently inplaced at standard height (Top & Mid) to strategic locations.

- Properly secured and installed horizontally straight.

- Maintained close from column to column.

- Sturdy and firm enough to sustain / protect a person from falling or slipping.

- Installed safety nets on all applicable areas.

12 FALL PROTECTION
- Full-body harness are attached to an independent life line above the working area.

- Safety catch / Safety net are provided.

- Overhead Protections has been provided with warning signs (pls refer to National Building Code)
- Railings/barriers with warning signs are inplaced to strategic locations.
- All tools and construction materials are properly secured.

- Equipments, tools and materials were secured and stocked one to two meters away from slab edges and slab openings.
Railings were provided.
 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
- Slab openings with more than a foot size is covered or enclosed.

13 STANDARD LADDERS
- Permits are secured and all requirements stated therein are strictly observed.

- Secured on top and at the base. Steps were made up of rough material to avoid slips.
- Landings are provided with standard handrails.
- Access way is free from any obstructions. (electrical wires, pressured pipes etc.,)
- Provide adequately and consistently to strategic locations.
14 SCAFFOLD / WORKING PLATFORMS
- Approved permits are secured and All requirements stated therein are strictly observed.
- Are in accordance and in conformance with the approved design.
15 FIRE PROTECTION AND CONTROL
- Fire extinguishers and its accessories are in good working conditions.

- Fire exit routes are properly identified and posted to strategic locations.

- Emergency numbers are available and posted on the Safety bulletin board.

- Regular inspection checklist is observed and submitted for record and file.
16 ELECTRICAL FACILITIES
- Proper labelling of safety switch box are observed.

- All extension cords for power tools are rated and royal cord.

### - All extension wires and cables are elevated overhead and located in a safe location.

- All extension wires and cables are equiped with rated circuit breaker, fuse links and or GFCI.
- All tapping points are enclosed with barriers / railings and with warning sign boards.
- All equipments are turned off / shut off when not in use.

- All equipments are enclosed and properly protected.

- Circuit Breakers are in good condition /weatherproof on exposed area

- Electrical panels/enclosure are in-good condition equipped with locking mechanism

- Extension cord must be double insulated (royal cord).

- Convenience outlet are of the approved standard (maximum of 2 gangs)

- All convenience outlets are enclosed in a wooden box/approved enclosure

- Lighting fixtures must be provided with protection and shield

 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
- Heavy duty male plug must be used in all powered tools, extension wires and cables

- All electrical works are performed by Certified and authorized Electrician.

-All activities near high tension wires/cables must be protected in accordance with the recommendation of the utility
provider.
17 HOT WORKS
- Approved Permits are secured and All requirements stated therein are strictly observed.
- Permits are posted and located conspicuously near the working area

18 COMPRESSED GAS CYLINDERS (OXY-ACE)

- Approved Permits are secured and All requirements stated therein are strictly observed.
- Permits are posted and located conspicuously near the working area
19 MECHANICAL CONCERNS
- All equipments (not requiring Third Party Certification) operating inside the project has been certified by the authorized
personnel/organization.
- All operators are competent and certified by the authorized personnel/organization.
- Standard machine guards, protection are available and fitted correctly to the moving and / or operating equipment.
- Authorized personnel are allowed to operate the equipment.
- Equipment has warning signs, enclosed with barriers, railings before, during and after operation.
-Regular inspection report / maintenance report has been submitted for file.
- All equipments are properly secured and properly protected.

20 CONSTRUCTION HEAVY EQUIPMENT

- Approved Critical Lifting Permits are secured and All requirements stated therein are strictly observed.
- All equipments operating inside the project has been certified by a DOLE-accredited testing organization and local
government unit (LGU) permit requirements.
- All equipment operators/riggers are competent and certified by TESDA or any accredited certifying body.
- Only authorized personnel are allowed to operate the equipment.

- Equipment has warning signs, enclosed with barriers, railings before, during and after operation.
-Regular inspection report / maintenance report has been submitted for file.
- Separate logbook for data on maintenance, repair, test and inspection

- All accessories must be provided and operational. (Lightning arrestor, anenometer, back up alarm, signal lights, horns,
blinker/beacon light, etc.)
- All equipments are properly secured and properly protected.

- Operator's/rigger's standard working hours are strictly observed (maximum 12 hours).

21 FUEL / DEPOT
- Required permits are secured from government entities (DENR, BFP, etc.)
- Proper fire extinguisher has been provided.
- Secured with padlock.
- Spill protections are provided ( Secondary containment pan, saw dust, Spill kit,etc.)
 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
22 PERSONAL PROTECTIVE EQUIPMENT (PPEs)
- All workers are issued with standard and in good working condition.

- Workers are educated on proper handling and maintenance of PPE's.

- All workers are properly and consistently wearing issued PPE's .

24 CANTEEN
- Permits are secured and All requirements stated therein are strictly observed.
- Inspected and in-compliance with Canteen Safety checklist

- All permits has been secured, submitted and posted at conspicuous area.
- Warning signs for potable and non-potable water is inplaced.
25 FABRICATION AREA
- All equipments are properly guarded with their standard machine guards or protections.

- Working area is barricaded and/or enclosed with railings.

- Properly illuminated and well ventilated.

26 General Site Housekeeping and arrangement

- Temporary Facilities

- Warehouses

- Laydown Area

- Fabrication Area / Workshops

- Floor Level / working area

27 New Personnel and Workers

- Endorsement letter from Subcontractor HR/representative and noted by MDC PM/PIC

- Submitted complete medical requirement and valid NBI certificate

- New staff and workers are oriented prior to start of work

- Required PPE issued prior to start of work

28 Emergency Preparedness and Response Plan

- Approved and Updated Table of Organization and posted at EHS Bulletin Board

- Approved duties and responsibilties of the ERT members

- Emergency Contact numbers of ERT Team posted at EHS Bulletin Board

 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION

- Emergency alarm Signal Coding is posted at designated location.

- Emergengy Alarm Horn or Buzzer is available at any time. (must be able to cover the entire area)

- Cell Phones (optional) for all ERT members are available and provided

- Standby emergency vehicle

- Emergency evacuation area is well define and designated

- Safety Drills Master Schedule publish and conducted. ( at least, 2 every quarter)
- Record of drills conducted (specify, as scheduled)

- Emergecy routes / directional signages provided at designated location

- Assessment details

- Pre-activity training is conducted (at least once every week )

29 - Daily toolbox meeting is conducted and attended by all Site Personnel (PM, PIC, Safety Supervisor,Foreman, staff, workers,etc)
30 On-site updated MOA for Health Personnel Provider/Hospital/Occupational Dentist
31 On-site personal medical records of workers who visited the clinic (PIS)
32 Issuance of Health Bulletins/Lecture at least twice a month
33 Regular potability water test
34 Issuance of list of basic EHS Requirements prior to mobilization of new contractors
35 Discussion of EHS Requirements on Pre-Bid, Kick-off Meetings and Project Execution Plan (PEP)
36 Updated & complete Aspects and Hazards Registry provided by process owner
37 Approved Construction Safety & Health Program is available on-site
38 Construction Worker's Skills Certificates from TESDA or approved Agencies

Electrician

Welder

Carpenters
Plumbers

Scaffolder

Materials / Passenger Hoist Operator

Mason
Painter
39 Incident investigation, reporting and documentation are conducted
Incident reporting (within 1 hour after occurrence of incident) to EHS COG head thru text messages.
Written Incident reporting (within 24 hours after occurrence of incident) to EHS Department.
Details of the Incident
Corrective actions taken
Recommended action to prevent recurrence
Close-out report after all corrective actions are done.
40 Compliance to RA 8749 - Clean Air Act
 F-EHS-0001
Rev 1, 02152013

EHS DEPARTMENT
EHS INSPECTION CHECKLIST
PROJECT: OPCEN: DATE:

No. DESCRIPTION
41 Compliance to RA 9275 - Clean Water Act (applicable to special projects and batching plants)
42 Compliance to RA 9003 - Ecological Solid Waste Management Act
43 Compliance to RA 6969 - Toxic Substances and Hazardous and Nuclear Wastes Control Act
44 Monitoring for Energy Conservation Programs implemented (Water, Electricity and Fuel)
Water
Electricity
Fuel and Oil

DEDUCTIBLE ITEMS DEDUCTION REMA

A. TRIR
1. Major (0.25% per incident) 0.00%
2. Minor (0.15% per incident) 0.00%
B. SOR (0.1% per day) 0.00%
C. GLS / EXTERNAL AFFAIR (0.5% per NOV) 0.00%
TOTAL DEDUCTION: 0.00%
.
SCORE FOR THE DAY:
PM/PIC Comments:

Inspection conducted by: Noted by:

SAFETY OFFICER/SUPERVISOR PIC/PM

Time Start of Inspection: Time End of Inspecti

Area Inspected:

Attendees:

Manpower on Site:
MDC
Subcontractor
Others
Total
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
3.00% 1.00
1
a r
1
a
1
a
1
a
1.00% 1.00
a 1
1
a
1.00% 0.80
a 1
1
a
1
a
1
a
0
r
1.00% 1.00
1
a
n/a
2.00% 1.00
1
a
1
a
1.00% n/a

n/a
n/a
1.00% 1.00
1.00
a
1.00
a
n/a
3.00% 1.00
1
a
1
a
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
1
a
n/a
1
a
1
a
1
a
1
a
1
a
1
a
1
a
a 1
1
a
1
a
1
a
a 1
1
a
1
a
1
a
1
a
1
a
n/a
1
a
1
a
1
a
1
a
1
a
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
1
a
1
a
1
a
1
a
1.00% 0.83
a 1

r 0

a 1

a 1

a 1

a 1
1.00% 1.00
1
a
1
a
1
a
5.00% 1.00
1
a
1
a
n/a due to installation of colum gangforms

1
a
1
a
5.00% 1.00
a 1

a 1

n/a
a 1

a 1
a 1
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
a 1
3.00% 0.00

0
r
n/a
n/a
n/a
n/a
5.00% n/a
n/a
n/a
3.00% 1.00
1
a
1
a
1
a
1
3.00% 0.87

a 1

a 1

a 1

a 1
a 1
.
a 1

a 1

a 1
For improvement,enclosed but no locking mechanism
a 1

a 1

r 0

a 1

a 1
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score

a 1

r 0

n/a
4.00% 1.00

a 1
1
a
2.00% n/a
n/a
n/a
5.00% 0.67

a 1

r 0

a 1

a 1
r 0
n/a

a 1
8.00% 1.00
a 1

a 1

a 1

a 1

a 1
a 1

a 1

a 1

a 1

a 1
1.00% n/a
n/a
n/a
n/a
n/a
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
4.00% 1.00

a 1

a 1

a 1
2.00% 1.00
n/a

a 1
n/a
n/a
2.00% 1.00
1
a
1
a
1
a
8.00% 1.00
1
a
1
a
1
a
1
a
a 4.00%
1
1.00
1
a
1
a
1
a
1
a
2.00% 1.00
1
a
1
a
1
a
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
1
a
1
a
1
a
1
a
1
a
n/a
n/a
1
a
1
a
1
a
a 1.50% 1
a 1.00% 1
a 0.50% 1
a 1.00% 1
a 0.50%
1.00%
1
n/a
2.00% n/a
1.00% n/a

a 4.00%
2.00%
1
0.33
0
r
1
a
n/a
n/a
0
r
n/a
n/a
n/a
2.00% n/a
n/a
n/a
n/a
n/a
n/a
n/a
0.50% n/a
 F-EHS-0001
Rev 1, 02152013

S DEPARTMENT
SPECTION CHECKLIST
SCORE FOR THE DAY: 93.23%
COMPLIANCE
REMARKS
YES NO Weight Score
0.50% n/a
0.50% n/a
0.50% n/a
0.50% 1.00
1
1
1
Gross Score: 93.23%

REMARKS

93.23%

Time End of Inspection:

 F-EHS-05-02.1
Rev 1, 061111

Report No:

Drill Evaluation Form

Name of Project Address Date

Time Started Time Ended Total Time

OBJECTIVES

1. All workers must be in the Assembly Area within 15 minutes. Number of Participants:
2. Respond to injured person/s and render first aid treatment.
3. Locate and extinguish fire.

DRILL EVALUATION
OBSERVATIONS YES NO REMARKS
1 Was the fire alarm audible in the area?
2 Was the drill conducted orderly?
3 Was the drill conducted promptly?
4 Local Police was notified by project team?
5 Were all egress rotes free of obstruction, such as exit doors
and corridors?

6 Were all areas of the building checked?

7 Were all designated evacuation routes clearly marked?
8 Were designated evacuation routes taken?
9 Did excessive noise accompany evacuation?
10 Participants evacuated to a safe distance?
11 Assigned duties carried out effectively?
12 Participants met at a pre-designated location?
13 All personnel accounted for outside?
14 Did all equipment function properly?

ADDITIONAL OBSERVATIONS

RECOMMENDATIONS

Name of Evaluator Date Noted by Date

Name, Signature, Position Name, Signature, Position

 F-EHS-05-02.1 Rev 1, 061111

EHS - MD6 F-GRPP1-EHS-2.8

MAKATI DEVELOPMENT CORPORATION Revision Code: 1 Page 1 of 1

Section: EHS Manual

Subject: Equipment Safety Inspection Checklist
EQUIPMENT SAFETY INSPECTION CHECKLIST
Project:
Type of Equipment:

--- Crane --- Boom Truck

--- Dump Truck --- Service Vehicle

--- Bulldozer --- Compressor

--- Backhoe --- Others: Specify

--- Water Truck

Equipment Identification:

G A P REMARKS
A. Fuel System
1. No leaks
2. Cover on fuel tank
B. Cooling System
1. No leaks
2. Cover on fuel tank
3. Engine not overheating
C. Hydraulic System
1. Hose
2. Controls
3. Tanks
D. Outrigger
1. Installation
2. Condition
E. Horn
1. Audible
2. Not expose
3. Installation
F. Lights
1. Headlight
2. Signal light
3. Foglight
G. Brakes
1. Pedals
2. Hand brake
3. Emergency brake
H. Boom / Jib
1. Lower boom
2. Upper boom section
I. Hooks / Blocks
1. Main hook
2. Auxiliary hook
3. Hook roller
4. Hook assembly
J. Others
1. Ladder
2. Catwalk, bridge
3. Controls
4. Fire extinguisher
5. Counterweight
6. Motors
 F-EHS-05-02.1 Rev 1, 061111

7. Power transmission devices

8. Ropes
9. Hoist assembly / accessories
10. Truck & trolley
11. Winch
12. Sprockets
13. Bloom guy line
14. Speader
15. Ganty assembly
16. Track shoe
17. Blades
Note: Always Practice Preventive Maintenance
Legend: G - Good (No remedial work required) A - Acceptable (Meets requirements) P - Poor (Immediate repair required)
Recommendation / Course of action:

Inspected by: Reviewed by: Noted by:

(Sgnature Over Printed Name) (Sgnature Over Printed Name) (Sgnature Over Printed Name)
Subcon Representative/HE Operator Subcon PIC / Supervisor MDC Safety Supervisor / Officer
 F-EHS-05-02.1 Rev 1, 061111

AFETY INSPECTION CHECKLIST

REMARKS
 F-EHS-05-02.1 Rev 1, 061111

P - Poor (Immediate repair required)

(Sgnature Over Printed Name)

MDC Safety Supervisor / Officer
 F-EHS-05-02.1
Rev 1, 061111

Date

EXCAVATION INSPECTION CHECKLIST

Name of Project Name of Company

Scope of Work Validity

CHECKLIST
PARTICULARS YES NO REMARKS
1 Approved Work Methodology
2 Key Plan of the area to be excavated

3 Pre-activity session of all personnel involved about work

activity, hazards and accident prevention.
4 Excavations and Protective Systems inspected by
Competent Person daily, before start of work.
5 Competent Person has authority to remove workers from
excavation immediately.
6 Surface encumbrances supported or removed.
7 Employees protected from loose rock or soil.
8 Spoils, materials, and equipment set back a minimum of 1
meter from edge of excavation.
9 Barriers provided at all remote excavations, wells, pits,
shafts, etc.
10 Safe access/egress maximum of 25 ft. away from workers

11 Employees prohibited from working or walking under

suspended loads.
12 Warning system established and used when mobile
equipment is operating near edge of excavation.
UTILITIES
13 Utility companies contacted and/or utilities located.
14 Exact location of utilities marked when near excavation.
15 Underground installations protected, supported, or
removed when excavation is open.
WET CONDITION
16 Precautions taken to protect employees from
accumulation of water.
17 Accumulated water must be removed
18 Surface water controlled or diverted.
19 Inspection made after each rainstorm.
ADDITIONAL COMMENTS

Prepared by: Date Acknowledged by

 F-EHS-05-02.1
Rev 1, 061111

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by

MDC - EHS Personnel

 F-EHS-05-02.1
Rev 1, 061111

TION INSPECTION CHECKLIST

CHECKLIST
REMARKS

ADDITIONAL COMMENTS

Date
 F-EHS-05-02.1
Rev 1, 061111

Date
 F-EHS-05-02.1
Rev 1, 061111

FEI Report No

FIRE EXTINGUISHER INSPECTION REPORT

Date Validity Period

LOCATION CLASS TYPE CAPACITY STATUS REMARKS

 F-EHS-05-02.1
Rev 1, 061111

Inspected by Noted by

Safety Officer / Date EHS Officer / Date

 Fire Extinguisher Fire Extinguisher
Inspection Tag Inspection Tag

FX TYPE________________________________ FX TYPE________________________________

CAPACITY______________________________ CAPACITY______________________________

DATE PURCHASE_______________________ DATE PURCHASE_______________________

EXPIRATION DATE______________________ EXPIRATION DATE______________________

DATE REFILLED_________________________ DATE REFILLED_________________________

SUPPLIER______________________________ SUPPLIER______________________________

SUPPLIER CODE________________________ SUPPLIER CODE________________________

FX LOCATION___________ CODE__________ FX LOCATION___________ CODE__________

"BACK TO LIST"
 INSPECTION RECORD INSPECTION RECORD
INSPECTION DATE INSPECTED BY REMARKS INSPECTION DATE INSPECTED BY

Frequency of inspection: once a month Frequency of inspection: once a month

INSPECTION RECORD INSPECTION RECORD

INSPECTION DATE INSPECTED BY REMARKS INSPECTION DATE INSPECTED BY
Frequency of inspection: once a month Frequency of inspection: once a month
ECORD
REMARKS
"BACK TO LIST"

ECORD
REMARKS
 Report No:

Gondola Permit

Name of Project/Company Date

Type of Work Validity

list of Personel/Designation Location / Grid Line

1
2
3
Requirements YES NO REMARKS
1 Methodology of installation and dismantling /Specification of
gondola
2 Permit to Operate / Third Party Certificate
3 Emergency Plan
4 Certificate of Gondola Operator
SUSPENSION BEAM YES NO REMARKS
1 Safe distance of suspension boom is equal to the distance
between the stirrups motor
2 Installation / relocation are under the supervision of
competent personel and specified on specification
3 Tie Back installed from suspension beam
4 No deformation
Motor YES NO REMARKS
1
Motors are in good condition. Emergency stop is operational

2 Assure all bolt, Cable Clamps and braces are properly

connected
3 Sizes of cable wire use are in accordance with specified stirrup
motor
4 Secondary safety motor are functioning properly
5 Do not alternate stirrips motor unless it is same brand and load
capacity
6 Over heat and leaks shall be reported immediately to
supervisor.
7 Provide protective cover when not in use
Wire rope /Electrical Cable YES NO REMARKS

1 Take precaution when using welding works/ corrosive chemicals

2 Royal cord and connector are in good condition with provided

GFCI
Replace the ropes immediately if found damage such as
3 exposure to heat/welding torches/contact with electrical
sourse/abrasion and bird caging.
At least Minimum of (3 )three steel cable clamps are provided
4
5 Properly secure during high wind/ storms
6 Cable clamps,timble,and Turn buckle are propely installed
7 Protection for lifeline and steel cable
 Installation of electrical wire and steel cable are conducted by a
8 competent person.
Platform YES NO REMARKS
1 Tie or secure the gondola to prevent it from swaying when
sudden gust wind strikes.
2 Secure and properly parked at lower area with sign/barricades

3 Posting of load capacity and number of person allow to use

4 Guardrails, railings have been installed on all open sides of the

platform
5 Gondola platform are provided with rubber wheel for the
protection of glass, wall and others.
6
Loose materials, debris, and/or tools shall not be accumulated
to cause a hazard.
7 Proper housekeeping is observed.
Counter Weight YES NO REMARKS
1 All counter weights must be secure and adequately restrained
to prevent tampering
2 Installed / relocation are under the supervision of competent
personel and specified on specification
3 Total load capacity was in accordance with specification
PPE/PERSONEL
1 Safety orientation
2 Independent lifeline,rope grab,and body harness
3 lifeline,wire rope and Electrical riser are protected
others YES NO REMARKS
1 With 2- way Radio / Whistle
2 Stop operation during high wind/ storms
3 Adequate shoring provided below the floor area of installed
components of suspension beam / counter weight .
4 Suspension mechanism are provided with enclosure/barricades
and signages
Notes:
1. Holder of this permit is liable to whatever damages incurred related to his work.
2. Holder of this permit is authorized to question and report to MDC Safety Officer any worker without approved
permit on his area.

Prepared and Inspected by Date Approved by

(Contractor PIC/Safety Officer) (MDC Safety Officer)

RKS

RKS

RKS

RKS
RKS

RKS

RKS

Date
 F-EHS-05-02.1
Rev 1, 061111

Request No

HOT WORKS PERMIT

Name of Project Date Requested Permit Validity Period

Building / Area Gridline / Axis Location / Level

(Attached Key Plan if necessary)

Type of Hot Work Name of Workers

Arc Welding

Oxygen - Acytelene

Others please specify:

YES CHECKLIST HAZARDS

No flammable/combustible materials near or within the work area YES NO Particulars
Work area with proper ventillation Fire
With appropriate fire extinguisher (one each hotwork activity) Arc Flash
All workers involved understand the hazards of the activity. Electrocution
Proper housekeeping is done during and after the activity. Welding fumes
Welding machine and accessories are in good condition. Fall
Proper tapping of welding/electrical machines Eye Irritation
Welder and fire watcher are complete with the required PPE Burn
Warning signs and barriers are in placed Others, please specify:
With flash protection
With fire blanket/catch
With flashback arrestor (for oxy-acy)
With proper platform( when activity is in critical area or elevated area)
Oxy-Acytelene / pressurized tank is properly secured in a rack.
Certified welder (by TESDA or any recognized Agency)
Others, please specify:

Requested by

Name & Signature Designation & Name of Company Project Contract No.

IMPORTANT

1 Holder of this permit is liable to whatever damages incurred related to this work.
2 Holder of this permit is authorized to question and report to MDC EHS Officer any worker working without
approved permit on this area.
3 Permit is only valid for one day. After 8 hours of worked, there will be reinspection and extension of permit shall
be signed.

Prepared by: Date Acknowledged by Date

 F-EHS-05-02.1
Rev 1, 061111

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by Date

MDC - EHS Personnel

 F-EHS-05-02.1
Rev 1, 061111

Report No:

ACCIDENT/INCIDENT INVESTIGATION and RISK ASSESSMENT REPORT

Name of Injury Date/Time of Incident

Project / Department / Company Date Prepared

Name of Injured Personnel Designation/Position

Location of Incident Hrs. worked before accident

Fatal Disabling Non-disabling Property Damage

BRIEF DESCRIPTION AND RELATED FACTS

ASSESSMENT/ACTION TAKEN BY EHS COMMITTEE

EVALUATION

Loss Severity Potential: Root Causes

Major Serious Minor
Probable Recurrence:
Frequent Occasional Rare
Review EHS Registry of Aspects and Hazards for possible updating

PREVENTIVE MEASURES
Action/s that will be taken to prevent recurrence.

Regulatory
Provision Current Risk Level Additional Residual Risk Level
(Refer to EHS
Hazards Sources Risk Measures
Files of Needed
Regulatory
Provisions) P D S R S/NS P D S R S/NS

Date of implementation Person responsible for Implementation Remarks

 F-EHS-05-02.1
Rev 1, 061111

Prepared by Date Approved by Date

EHS Officer Project Manager

 F-EHS-05-02.1
Rev 1, 061111

Request No:

LADDER CHECKLIST / PERMIT

Name of Project Date

Name of Company Validity

Name & Signature Ladder No.

SAFETY INSPECTION (Please check)

GENERAL CONDITIONED NEEDS REPAIR

1 Loose steps or rungs (consider loose if hey can be moved)

2 Loose nails, screws,bolts or other metal parts

3 Cracked, split or broken uprights, braces, steps or rungs
4 Slivers on uprights, rungs or steps
5 Damaged or worn non slip bases
STEPLADDERS CONDITIONED NEEDS REPAIR
1 Unstable (from side strain)
2 Loose or bent hinge spreaders
3 Broken stop on hinge spreaders
4 Loose hinge
TRESTLE LADDERS CONDITIONED NEEDS REPAIR
1 Loose hinge
2 Unstable
3 Loose or bent hinge spreaders
4 Broken stop on hinge spreaders
5 Defective locks for extension
6 Center section guide for extension out of alignment

SAFETY INSPECTION SUMMARY

Remarks Safety Recommendations
 F-EHS-05-02.1
Rev 1, 061111
Prepared by: Date Acknowledged by Date

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by Date

MDC - EHS Personnel

 F-EHS-05-02.1
Rev 1, 061111

Report No:

LIFTING PERMIT

Name of Company Date

Name of Project Validity

Location Rigger/s

EQUIPMENT / PERSONNEL YES NO REMARKS

1 Updated 3rd Party Permit/Certification
2 Crane in good working condition (including devices)
3 Load chart in place
4 Outrigger full extended
5 Authorized/Certified Operator
6 Authorized/Certified Rigger on both location (Lift-off/Drop-
Off)
7 Authorized/Certified Flagman
ACCESSORIES YES NO REMARKS
1 Slings in good condition
2 Shackles in good condition
3 Tagline used
4 Lights, if necessary
5 Warning signs in placed
GROUND CONDITION YES NO REMARKS
1 Ground can withstand the load
2 Swing room (Clear from Proximity Hazards)
a. Overhead power lines
b. Other overhead obstruction
c. Underground services
d. Excavation
e. Hazardous material
f. Restricted access (width/height)
g. Other vehicles
OTHERS YES NO REMARKS
1 Good weather condition
2 Material/s to be lifted is within specified limit
3 Sufficient number of radio communication equipment
4 Others,
Note:
Leave blank the items not answerable by YES or NO and fill-in the REMARKS.

Other Recommendations:

Operator: Date Rigger/s: Date

 F-EHS-05-02.1
Rev 1, 061111

Printed Name / Signature Printed Name / Signature

Inspected and approved by: Date Noted by: Date

Supervisor in Charge (MDC Safety Officer)

 Makati Development Corporation

EHS MINUTES OF THE MEETING

(Meeting Minutes No. ______)

Title of Meeting
Office / Project
Meeting Venue
Date of Meeting Time Started
Attendees:
PRESENT
NO. NAME COMPANY/POSITION

Item COMMITMENT
MATTERS DISCUSSED ACTION BY
No. DATE
 3.2 Meeting was adjourn at around 5:30PM.
Prepared By: Reviewed by; Approved by:

MDC Safety Officer/Supervisor OpCen EHS Head MDC Project In-Chagre

S OF THE MEETING
inutes No. ______)

Meeting Adjourned

CONTACT SIGNATURE

STATUS/REMARKS
MDC Project In-Chagre/Project Manager
 PROJECT FORM NO.
MAKATI DEVELOPMENT CORPORATION F-GB5-06-01.1
Revision 0

DATE NOTICE NO.

EHS VIOLATION CITATION
CONTRACTOR (Prime or Subcontractor) NAME OF SUPERINTENDENT OR FOREMAN

CONTRACT NO. SPEC. PARA. AND/OR DWG NO. WBS NO. ACTIVITY

DETAILS OF EHS VIOLATION (Please note only ONE citation per form) REQ'D REPLY DATE

CORRECTIVE WORK REQUIRED REQ'D COMPLIANCE DATE

Correction Performed

This notice does NOT authorize any work not included in the CONFORMED
contract and shall not constitute a basis for additional payment
or time. If you are in disagreement with this Notice, contact the
Project Manager immediately.
SUBCONTRACTOR'S SAFETY OFFICER DATE
RECEIVED BY

DATE
Safety Supervisor
NOTED: CORRECTION NOTED BY

Project Manager EHS Officer DATE

DISTRIBUTION  Subcon  Production  CQC  Project Documentation
(To the Contractor. Please tear along the dotted line and return the bottom part of the form to the CQC Engr. After corrective measure have been made.)

PROJECT FORM NO.

MAKATI DEVELOPMENT CORPORATION F-GB5-06-01.1
Revision 0

DATE NOTICE NO.

EHS VIOLATION CITATION
CORRECTIVE ACTIONS TAKEN DATE ACCOMPLISHED

For not enforcing good housekeeping, this violation falls under the MDC Project House Rules and
Regulations No. ____. Therefore, a citation to deduct will be issued.

I hereby certify that the above-stated corrective actions have

been applied to the deficiencies noted.

EHS Officer DATE

SUB-CONTRACTOR'S SAFETY OFF. DATE NOTED BY
 MDC Safety Supervisor DATE PROJECT MANAGER DATE
REINSPECTION CHECKLIST NO(s).

DISTRIBUTION  Subcon  Production  CQC  Project Documentation

 F-EHS-05-02.1
Rev 1, 061111

Report No:

ELECTRICAL TOOLS CHECKLIST

Name of Company Date

Name of Project Validity

Type of Electrical Tool (Specify) Tag No. / Serial No.

CABLE YES NO REMARKS

1 Has no signs of mechanical damaged, overheating or
corrosion
2 Has no signs of hardening of outer insulator
3 No kinking of cable
4 No coiling of long lengths of cable
5 Cable properly elevated when in use
6 Cable used is royal cord
PLUG YES NO REMARKS
1 Clamp holding cable securely
2 Wires properly connected to its terminals
3 Un-insulated ends of wires completely covered by the
screws
4 Securing screws suitably tight
5 Fuse of correct rating is fitted (if applicable)
EQUIPMENT YES NO REMARKS
1 Has no signs of metal casing damaged
2 No damaged or defective/substandard switches
3 Has no damaged to plastic casing of double insulated
equipment
4 Machine guarding is in placed
PPE YES NO REMARKS
1 Eye protection
2 Ear plugs/Ear muff
3 Gloves (appropriate to work being conducted)
4 Dust mask
5 Face shield (if necessary)
EXTENSION WIRE YES NO REMARKS
1 Has no signs of hardening of outer insulator
2 No kinking of cable
3 No coiling of long lengths of cable
4 Cable properly elevated when in use
5 Cable used is royal cord
6 Female socket has no sign of damaged
7 Female socket is enclosed in a box using a 1/2" board as
protection
Notes:
1. Holder of this permit is liable to whatever damages incurred related to his work.
2. Holder of this permit is authorized to question and report to MDC Safety Officer any worker without approved
permit on his area.
 F-EHS-05-02.1
Rev 1, 061111

Prepared by: Date Acknowledged by Date

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

Noted by Date

MDC - EHS Personnel

 WALL VISION CORPORATION
COMPANY / SAFETY POLICY ACKNOWLEDGMENT
PROYEKTO:
PANGALAN:
KONTRAKTOR:
PETSA NG KAPANGANAKAN:
LUGAR NG KAPANGANAKAN:
PIRMING TIRAHAN:
POSISYON:
NUMERO NG SSS:

TAONG PAGPAALAMANAN SA PANAHON NG SAKUNA

PANGALAN:
NUMERO NA MAARING TAWAGAN:

Lubos kong nauunawaan ang aking pang araw-araw na trabaho at mga posibleng panganib na ka
ng kugar na aking pinagtratrabahuhan.

Lubos kong nauunawaan at aking susundin ang mga batas na ipinapatupad ng WALL VISION COR
sa kaligtasan sa loob ng proyekto.

Aking isususot ang ID ng kompanya, uniporme at paggamit g tamanag kagamitang pangkaligtasa

ng oras habang nasa loob ng pinagtratrabahuan. Ako ay responsible sa paggamit ng tamang kaga
kaligtasan (PPE’s) kaugnay sa maaring maging disgasya o kapahamakan. Bahaging ipinapahayag n
sisiguraduhin kong na ang mga sumusunod:

a) Lugar na pinagtratrabahuhan
b) Trabahong kailangan gawin
c) Apakan sa pinagtratrabahuhan

Ay laging ligtas at mapayapa at hindi magdadala ng kapahamakan sa aking sarili at mga kasama s

PETSA:
LAGDA:
RATION
WLEDGMENT

posibleng panganib na kaakibat nito sa loob

pad ng WALL VISION CORPORATION hinggil

agamitang pangkaligtasan (PPE’s) sa lahat

paggamit ng tamang kagamitan pang
Bahaging ipinapahayag na nasa itaas

ing sarili at mga kasama sa trabaho.

 (Name of Project)

SAFETY CORRECTIVE ACTION REPORT

Contractor : Date :
Work Item : Time :
Location : SCAR No.:

SAFETY CONCERN/ISSUE
Unsafe Condition
Unsafe Act/Unsafe Practices

Non Compliance / Non Conformance

Others (Specify): ____________________________
Item No. Particulars Comments

References/Attachment:

CORRESPONDING CORRECTIVE ACTION

Item No. Action Taken

References/Attachment:

Action Taken by: Verified by:

Date: Date:
Inspected by: Approved by:

Date: Date:
Noted by: Accepted by:

Date: Date:
 (Name of Project)

SAFETY OBSERVATION REPORT

Contractor : Date :
Work Item : Time :
Location : SOR No. :

Unsafe Condition
Unsafe Act/Unsafe Practices

Non Compliance
Others (Specify): ____________________________

Item No. Particulars Comments

References/Attachment:

Inspected by : Received by:

Safety Officer Structural Superintendent

Date : Date:

Reviewed by :
EHS Officer MEFPS Head
Date : Date:

Noted by :
Project Manager Project In-charge
Date : Date:

Action Taken :

Satisfactory Not Satisfactory

Re-inspected by: ______________ Date: ____________

 F-EHS-05-02.1
Rev 1, 061111

Report No:

SCAFFOLD CHECKLIST

Name of Company Date

Name of Project Validity

Location No. Of workers who will use scaffold

SCAFFOLD HAZARD YES NO REMARKS

1 Sufficient and secured guardrails
2 Workers w/ fall protection devices
3 Sufficient planks with gaps set to 1" max.
4 Planks properly secured
5 Planks properly overlapped
6 With safe means of access and egress
6 Toe boards set on working platform
6 Fall protection structure are secured on areas with fall
hazards
Structural Flaws YES NO REMARKS
1 Set on properly compacted ground or flooring
2 Mudsill properly set & adequate
3 Base plates properly installed
4 Leveling screw properly set to maximum height
5 Frames are plumb
6 Frame coupling (pins) are secured
7 Cross-braces are secured
8 Anchored and tied to rigid structure
Other Considerations YES NO REMARKS
1 Scaffold system inspected prior to use
2 Erection under supervision by competent person
3 Scaffold erectors with adequate training
4 Warning signs installed
5 Set within 1 meter away from an insulated electrical line
6 Electric tools protected with ground fault circuit
7 interrupter
Set at no more than 14” away from building structure
worked on
8 Wind condition is observed
Note:
Leave blank the items not answerable by YES or NO. If scaffolds are relocated, reinspection shall be done.

Other Recommendations:

Prepared by: Date Acknowledged by Date

Subcon-EHS Personnel MDC Operations and Subcontractor Operations

 F-EHS-05-02.1
Rev 1, 061111
Noted by Date

MDC - EHS Personnel

 ENVIRONMENT, HEALTH AND SAFETY SELF MONITORING REPORT

NAME OF PROJECT:
LOCATION:
DATE STARTED:
DATE OF COMPLETION:
EXPECTED TOTAL MANHOUR:
EXPECTED TOTAL MANPOWER:

SAFETY HEALTH ENVIRONMENT OTHERS

TOTAL MANPOWER (for the

ACCIDENTS WORK RELATED ILLNESS / ACCIDENTS WATER FUEL TOTAL WASTE TOTAL WASTE
month) TOTAL MANHOURS ACCUMULATE ELECTRICITY
MONTH (for the month) D MANHOURS
MEETINGS CONDUCTED CONSUMPTIO
CONSUMED
CONSUMPTIO GENERATED RECYCLED
# New
Contractor Contractor
AVERAGE AVERAGE N N Work Monthly
Workers
(male) (female) Activity EHS
MDC SubCon NLTI Work Accidents Work Illness Inducted
Training Training
LTI
total since
Male Female Indirect Direct Male Female TOTAL Indirect Direct Subcon TOTAL FA MT Monthly Weekly ToolBox FA MT FA MT in m3 in kwH in Li in m3 in m3
start

JANUARY

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER

OCTOBER

NOVEMBER

DECEMBER

TOTAL: #DIV/0! #DIV/0! 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 0.00 0 0 0

#DIV/0!
MONTHS (2013)
WASTES Jan Feb Mar Apr May June Jul Aug Sep Oct Nov Dec
Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Generated Recycled Prepared by:
1. Soil (m3)
2. Wood (m3)

3. Plastic (m3)

4. Metal (m3) Safety Officer/Supervisor

5. Tiles / Ceramic (m3)
6. Masonry
a. Acotec Panel (m3)
b. Concrete Debris(m3) Noted by:
c. Paver Blocks (m3)
7. Papers (m ) 3

8. Garbage (m3) Project In-Charge / Project Manager

TOTAL: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 WORK PERMIT

Applied for by: Ref No.

Location:
Date of Application

Contractor / Company
Type of Work Electrical Mechanical Civil Facility
( check appropriate box )

Nature of Work
New Work Additional Repair Others ( specify )
Permit Validity Others:
From (Mo/Day/Yr) - Work Extension - Overtime
To (Mo/Day/Yr)
Gantt Chart of Activity Time Frame
No Description of Activity Specific Location 07H 09H 12H 15H 16H 17H 18H 19H 20H 22H 00H 03H 04H 05H 06H

1
2
3
4
5
6
7
8
9
10
11
Note: Accomplish Hot Work Permit seperately for cutting,welding, blowlamps or other heat producing equipment
Equipment/Machines to be used ( use separate sheet if needed) PPE Requirement (check appropriate box) {to be filled by Safety Officer of Nanox}
gloves face shield eye goggles
dust mask respirator safety shoes

full body harness hard hat

State Additional precautions required:

Working Group Duration ENVIRONMENT: Aspects and Impacts Identification(to be filled-up by EHS Group)
(Indicate the time of work)
Leader : (Ö) Check appropiate box of aspects applicable and corresponding impacts. Write special instruction/s on the space
provided

Members: ASPECTS IMPACTS SPECIAL INSTRUCTION/S

- PRODUCTION OF WASTES - POLLUTION
hazardous wastewater land

recyclable air emission water

garbage air

- USE OF ENERGY

compressed air water resource deple-

electricy fuel tion

- USE OF CHEMICALS - POLLUTION

organic chemicals land

(paints, acetone, alcohol etc.) water

inorganic chemicals air

(acid, base, mixtures, etc) - SAFETY RISK

Prepared By: Noted By:

Signature Over Printed Name Project Engineer EHS Officer
 PROJECT FORM NO.
MAKATI DEVELOPMENT CORPORATION BPO
Revision 0
DOCUMENT NO.
SUNDAY AND HOLIDAY WORK DUTY/ DATE
OVER TIME WORK 2/25/2017
SUBCONTRACTOR LOCATION OF WORK

8TH FLOOR-14TH FLOOR

SCOPE OF WORK DATE OF WORK TIME IN TIME OUT

Cleaning/installation of mirror 2/25/2017 7:00 AM 4:00 PM

NO. NAME POSITION SIGNATURE

1 LOUIS CANILLO SE
2 ANGELYN ORIA SO
3 ERIC ANGGOT LEADMAN
4 NELSON CABRERA WHMAN
5 RHYAN SAN DIEGO INSTALLER
6 REGIN SAN DIEGO INSTALLER
7 EMJAY JUMAGBAS INSTALLER
8 JERWIN PLAZA S.APPLICATOR
9 LAURENCE BALUYOT HELPER
10 RICHARD QUIMSON HELPER
11 JUNIE ROBLES HELPER
12 JERRUEL VIGO HELPER
13 BENILDO BOQUIRON HELPER
14
15
16
17
18
19
20
21
22
23
24
25
26
28
29
Approved By:
ANGELYN ORIA LOUIS CANILLO
SAFETY ENGINEER PROJECT ENGINEER
Noted By MDC:
C.EATA/G.DE LUNA/K.JORIZA
CT.SANGOAN/MDPENA/N.GREBIALDE
MDC EHS OFFICER MDC PROJECT ENGINEER
DISTRIBUTIO  Subcon  Production  CQC  Project Documentation
 WS - EHS - OPCEN - (REFERENCE NO.)
MAKATI DEVELOPMENT CORPORATION
EHS DEPARTMENT
Revision Code : 1 Page 1 of 1

PROJECT: EFFECTIVITY DATE: _______________

LOCATION:

WORK STOPPAGE

FOR CRAWLER MOUNTED CRANES LINKBELT LS-118 AND

SUMITOMO LS-120RH (AVIDA TOWER INTIMA)

This is to inform you that we are issuing a TEMPORARY WORK STOPPAGE ORDER for the
operations of Crawler Mounted Crane Linkbelt LS-118 and Crawler Mounted Crane Sumitomo LS-
120RH due to major remarks on the Inspection Report attached to the Certification issued by First
Philippines Skills and Equipment Testing Corp. namely Inspection Report No: F-13-10382 (dated
February 26, 2013) for Sumitomo Crawler Crane LS-120RH and Inspection Report No: F-13-10606
(dated March 27, 2013) for Linkbelt Crawler Crane LS-118 and proof of rectification for the said
remarks have not been submitted to the EHS Department. (please see attached Inspection Report
and Certification from First Philippines Skills and Equipment Testing Corp.)

The said major remarks and its rectification are vital to the safe operation of the said Crawler
Mounted Cranes and should be complied with. Only then this Temporary Work Stoppage will be
lifted.

Prepared by: Reviewed by: Noted by:

Safety Supervisor OpCen EHS Head COG HEAD / EHS Manager

"BACK TO LIST"
 WS - EHS - OPCEN - (REFERENCE NO.)
MAKATI DEVELOPMENT CORPORATION
EHS DEPARTMENT
Revision Code : 1 Page 1 of 1

PROJECT: EFFECTIVITY DATE: _______________

LOCATION:

WORK RESUMPTION

FOR CRAWLER MOUNTED CRANES LINKBELT LS-118 AND

SUMITOMO LS-120RH (AVIDA TOWER INTIMA)

This is to inform you that the WORK STOPPAGE ORDER issued by the EHS Department last July 11,
2013 for the operations of Crawler Mounted Crane Linkbelt LS-118 and Crawler Mounted Crane
Sumitomo LS-120RH is HEREBY LIFTED EFFECTIVE IMMEDIATELY.

Prepared by: Reviewed by: Noted by:

Safety Supervisor OpCen EHS Head COG HEAD / EHS Manager
"BACK TO LIST"
 Report no.:
CANTEEN INSPECTION CHECKLIST
NAME OF PROJECT: DATE:
COMPLIED
DESCRIPTION REMARKS RECOMMENDATIONS
YES NO
A General

1 Have any hazards such as sharps, glare,

noise, fumes or pest identified?

2 Are hand-washing facilities available?

3 Are all gas and water pipes clearly

labelled?

4 Do all hot liquid containers have lids to

prevent scalds?
B Management Procedures

1 Permits have been secured and

submitted for record and file?

2 Operational and standard fire

extinguishers has been provided?

3 Warning signs for potable and non-

potable water is in place?

4 Pest control is observed in a weekly basi

5 Regular collection of garbage observed?

6 Garbage can are provided and disposed

off site regularly?

7 Electrical wiring is in conformance and

in accordance with the PEC Standards?

8 Circuit breaker links are in good

working conditions?
Is required personal protective
9 equipment available and in good
working condition?
C Buildings
1 Is the area clean and tidy?

Are floor surfaces maintained in a safe

2 condition and suitable for the type of
activities conducted?

3 Are walls, ceilings and roofs safe and in

good condition?

4 Is there adequate ventilation?

5 Are fly screens fitted to windows and

doors?

6 Are the sinks and drains clear?

7 Is the lighting adequate to work safely?

D Storage

1 Is flammable material stored and

handled in a safe manner?

2 Are required resources and equipments

stored safely?

3 Are free standing shelves/cupboards

secured to ensure stability?
 4 Are storage areas labeled
appropriately?

5 Are waste containers readily available

and labeled appropriately?

Inspected by Date Noted by Date

Project Nurse / Project Physician Safety Supervisor / OpCen EHS Head

 A WORLD CLASS…ON HEALTHY LIFESTYLE
Go For One MDC Policy
EHS INDUCTION CLEARANCE
KEEP YOUR MEDICAL RECORDS AT ALL TIME FOR REFERENCE
Date Validated:
Checklist:

Not fit to work Remarks:

Fit to work

_A_B_C_D_E
Checked and Signed by: (Name of Project Physician)
PRC# __________________
Project Physician
Yes No (Name of Project)
NBI Clearance
With Safety shoes, hard hat & uniform
With orientation form
With Endorsement Letter

This is to certify that Mr./Ms. __________________________ of _________________________ has complied all the MDC-EHS requirements. H
allowed to undergo the induction required by the DOLE-BWC Department Order No. 13 that will be conducted by the project EHS personnel

Annual medical exam will be on or before ________________________

For Periodic Evaluation on: ____________________________________
Approved by: Age:
BP: BMI:
MDC EHS Officer I.D Marked: (Initials of Physician

A WORLD CLASS…ON HEALTHY LIFESTYLE

Go For One MDC Policy
EHS INDUCTION CLEARANCE
KEEP YOUR MEDICAL RECORDS AT ALL TIME FOR REFERENCE
Date Validated:
Checklist:

Not fit to work Remarks:

Fit to work

_A_B_C_D_E
Checked and Signed by: (Name of Project Physician)
PRC# __________________
Project Physician
Yes No (Name of Project)
NBI Clearance
 With Safety shoes, hard hat & uniform
With orientation form
With Endorsement Letter

This is to certify that Mr./Ms. __________________________ of _________________________ has complied all the MDC-EHS requirements. H
allowed to undergo the induction required by the DOLE-BWC Department Order No. 13 that will be conducted by the project EHS personnel

Annual medical exam will be on or before ________________________

For Periodic Evaluation on: ____________________________________
Approved by: Age:
BP: BMI:
MDC EHS Officer I.D Marked: (Initials of Physician
Name of Project Physician)
PRC# __________________________
Project Physician
Name of Project)

MDC-EHS requirements. He/She is now

the project EHS personnel.

__________________________
__________________________

(Initials of Physician/Nurse)

Name of Project Physician)

PRC# __________________________
Project Physician
Name of Project)
MDC-EHS requirements. He/She is now
the project EHS personnel.

__________________________
__________________________

(Initials of Physician/Nurse)

Name:
Surname
Present Address:
Provincial Address:
Company/Subcontractor:
I.D. Number: Age:
Status: Single Married
Contact No:
In case of emergency please notify:
Emergency Contact No:
1. Nose or throat trouble
2. Ear trouble or disease
3. Trachema or other eye trouble
4. Asthma
5. Tuberculosis
6. Other lung disease
7. Chronic cough
8. High Blood Pressure
9. Heart Trouble
10. Rheumatic Fever
11. Diabetes Mellitus
12. Endocrine Disorders
13. Cancer or tumor
14. Mental Disorder
15. Head or Neck Injury
EMERGEN
Medical
Clinic
CY PIS NO.: ____
____
PERSONAL INFORMATION SHEET __
First Name Middle Name
Position/Designation:
Company Entering Date:__ __ / __ __ / __ __
Birth Date: __ __ / __ __ / __ __
Sex: M / F Religion:
_______ Nationality:
Blood Type: A B AB O
YES NO YES NO
16. Hernia (Ruptured)
17. Rheumatism, Joints or back trouble
18. Typhoid or Paratyphoid Fever
19. Stomach pain or ulcer
20. Malaria. If yes, please specify
21. Operations. If yes, please specify
22. Tropical Disease
23. Kidney or Bladder trouble
24. Fainting Spells, Seizure
25. Frequent Headaches
26. Sexually Transmitted Disease
27. Other Abdominal Trouble
28. Genetic or Familial disorder
29. Liver Disease
30. Others

Medical History
Chief Complaint Signature

History of PTB: YES _______ NO_____ Vital Signs: TEMP______ PR_____ RR_____ BP_____
If YES: TREATED___ NOT TREATED_____ HEIGHT_____ WEIGHT_____ BMI_____

Hx of Present Illness:
PHYSICAL EXAMINATION NORMAL ABNORMAL REMARKS
HEENT:
NECK:
CHEST/LUNGS:
HEART:
ABDOMEN:
GUT:
PELVIC:
Male (Inguinal for HERNIA, HYDROCELE)
Female
SKIN:
EXTREMITIES:
DIAGNOSIS:
STATUS:
_____WORK-RELATED _____NOT WORK-RELATED _____DISABLING _____NON-DISABLING

TREATMENT:

MEDICAL HISTORY
NO. IN OUT DATE CHIEF COMPLAINT / DIAGNOSIS REMARK
"BACK TO LIST"
 ACCIDENT MEDICAL REPORT
PERSONAL INFORMATION REVIEWED
Name: I.D. No.:

Company /
Subcontractor:

Entering Date: ______________ <1M >1M-1Y >1Y-2Y >2Y Others: __________________ Nurse / Medical Officer
ACCIDENT INFORMATION
Date of Accident: _______ / _______ / __________ Day: M T W Th F S Su

Place of Accident: Time: __________ AM PM NS OT BT B/AW

Accident Type: Injury
Type:

Details of Accident:

Patient / Witness:________________________________ MDC Safety:________________________________________

ANATOMICAL
Attending Physician:____________________________________
"BACK TO LIST"
PROJECT MANPOWER DATABASE

NO. NAME SUBCONTRACTOR PROJECT ASSIGNMENT

5549 Jade Granado V-ROQUE THE LERATO PROJECT

5550 Gilbert Garrigues VFWATER PFOOFING THE LERATO PROJECT
5551 Cesar Damian MACRO THE LERATO PROJECT
5552 Philip Sermonia VFWATER PFOOFING THE LERATO PROJECT
5553 Mark Gravillo MRS THE LERATO PROJECT
5554 Rolando Torron SYSTECH THE LERATO PROJECT
5555 Logan Baltazar EMSI THE LERATO PROJECT
5556 Milito Sumalinog EMSI THE LERATO PROJECT
5557 Elmer Pugoy EMSI THE LERATO PROJECT
5558 Joel Banara EMSI THE LERATO PROJECT
5559 Edwin Lequin MRS THE LERATO PROJECT
5560 Aristotle Lacaba NEWGEN THE LERATO PROJECT
5561 Belen Rofel NEWGEN THE LERATO PROJECT
5562 Romero Sioting NEWGEN THE LERATO PROJECT
5563 Welfred Beldad NEWGEN THE LERATO PROJECT
5564 Bernaed Del Rosario MRS THE LERATO PROJECT
5565 Edison Abena NEWGEN THE LERATO PROJECT
5566 Fe S. Juit V-ROQUE THE LERATO PROJECT
5567 Arnel Delmo EMSI THE LERATO PROJECT
5568 Noel Melgar EMSI THE LERATO PROJECT
5569 Saint Been Malinao PZL THE LERATO PROJECT
5570 Danylito Lojera PZL THE LERATO PROJECT
5571 Emmanuel Lojera PZL THE LERATO PROJECT
5572 Joebel Minas OAM THE LERATO PROJECT
5573 Jogiel Gonazales OAM THE LERATO PROJECT
5574 Rolan Atup SYSTECH THE LERATO PROJECT
5575 Angelo Dicolen V-ROQUE THE LERATO PROJECT
5576 Rodel Bacay EMSI THE LERATO PROJECT
5577 Jadewin Dimpal FML THE LERATO PROJECT
5578 Jonel Aspan FML THE LERATO PROJECT
5579 Lebert Licaros FML THE LERATO PROJECT
5580 Joseph Badilla FML THE LERATO PROJECT
5581 Jonathan Carpio FML THE LERATO PROJECT
5582 John Villanueva MY MOTHER'S GARDEN THE LERATO PROJECT
5583 Oniver Pacultad FML THE LERATO PROJECT
5584 Joemar Arevalo FML THE LERATO PROJECT
5585 Begie Cortez FML THE LERATO PROJECT
5586 Leonor Quijano FML THE LERATO PROJECT
5587 Jay Tapnio FML THE LERATO PROJECT
5588 Robert Orlanda FML THE LERATO PROJECT
5589 Ernesto Pagsisihan PZL THE LERATO PROJECT
5590 Gastillo Santos SYSTECH THE LERATO PROJECT
5591 Richard Pakinggan SYSTECH THE LERATO PROJECT
5592 Melbert Baloloy NEWGEN THE LERATO PROJECT
5593 Arnel Leween Villalon NEWGEN THE LERATO PROJECT
5594 Joed Villalon NEWGEN THE LERATO PROJECT
5595 Antonio Nario NEWGEN THE LERATO PROJECT
5596 Gerry Nudo PZL THE LERATO PROJECT
5597 Larry Licaros FML THE LERATO PROJECT
5598 Jojo Zaballas MDC THE LERATO PROJECT
5599 Russel Borja FML THE LERATO PROJECT
5600 Merciano de Asis NEWTOUCHSTONE THE LERATO PROJECT
5601 Ryan Pilota NEWTOUCHSTONE THE LERATO PROJECT
5602 Jason Atsoy NEWTOUCHSTONE THE LERATO PROJECT
5603 Francisco Albino Jr. MRS THE LERATO PROJECT
5604 Vincent Diaz MRS THE LERATO PROJECT
5605 Christopher Bebas MRS THE LERATO PROJECT
5606 Romnick Austria MRS THE LERATO PROJECT
5607 Rommel Tamidles MRS THE LERATO PROJECT
5608 Franklin Cabanig EMSI THE LERATO PROJECT
5609 Adrian Maano EMSI THE LERATO PROJECT
5610 Rhenoval Jahque EMSI THE LERATO PROJECT
5611 Joel Dellosa FML THE LERATO PROJECT
5612 Christoper Balleno SYSTECH THE LERATO PROJECT
5613 Randy Gonzales NEWTOUCHSTONE THE LERATO PROJECT
5614 Ronald Tomas Dadovo NEWTOUCHSTONE THE LERATO PROJECT
5615 Amario Canas SYSTECH THE LERATO PROJECT
5616 Omar Gonzales MDC THE LERATO PROJECT
5617 Ding Mactam MDC THE LERATO PROJECT
5618 Andie Gemino FML THE LERATO PROJECT
5619 Reynaldo Montana MRS THE LERATO PROJECT
5620 Almair Salomabao EMSI THE LERATO PROJECT
5621 Justine Paul Sorre MAYON THE LERATO PROJECT
5622 Jermelyn Belaras EMSI THE LERATO PROJECT
5623 Arnel Villalon NEWGEN THE LERATO PROJECT
5624 Carlito Magbanua Jr. MDC THE LERATO PROJECT
5625 Goenie Gemino FML THE LERATO PROJECT
5626 Elizaldy Mostoles EMSI THE LERATO PROJECT
5627 Marlon Cordereo MIC THE LERATO PROJECT
5628 Marlon Lingahan PREMIER THE LERATO PROJECT
5629 Melvin Patricio PREMIER THE LERATO PROJECT
5630 Wilma Abulaup NEWGEN THE LERATO PROJECT
5631 Robert Aquino FML THE LERATO PROJECT
5632 Peter Amistoso Gonjuran EMSI THE LERATO PROJECT
5633 Chvrlk Borela EMSI THE LERATO PROJECT
5634 Jeffrey Brillo EMSI THE LERATO PROJECT
5635 Mark Anthony Oray EMSI THE LERATO PROJECT
5636 Roderick Pascual EMSI THE LERATO PROJECT
5637 Bernie Ibarra MDC THE LERATO PROJECT
5638 Ericson Perez MDC THE LERATO PROJECT
5639 Nicko Lalog MDC THE LERATO PROJECT
5640 Jeromamine Janaban MDC THE LERATO PROJECT
5641 Alex Tapiru MDC THE LERATO PROJECT
5642 Gilbert Alforque MDC THE LERATO PROJECT
5643 Mark Peter Cabanayan MDC THE LERATO PROJECT
5644 Reggie Hernandez MDC THE LERATO PROJECT
5645 Jefte Zonio SYSTECH THE LERATO PROJECT
5646 Jonathan Padual EMSI THE LERATO PROJECT
5647 Abelio Sapico EMSI THE LERATO PROJECT
5648 Albert Andrade EMSI THE LERATO PROJECT
5649 Aries Ladoc EMSI THE LERATO PROJECT
5650 Bryan Cobitan EMSI THE LERATO PROJECT
5651 Wilfredo llamasares EMSI THE LERATO PROJECT
5652 Jovencia Miaga MDC THE LERATO PROJECT
5653 Neobel Corveza MDC THE LERATO PROJECT
5654 Tiel Rosal MDC THE LERATO PROJECT
5655 Martin Ajon NEWGEN THE LERATO PROJECT
5656 Jeffrey Tiongco EMSI THE LERATO PROJECT
5657 R-Jay Cabana MADRAL THE LERATO PROJECT
5658 Elmer Gagbo SYSTECH THE LERATO PROJECT
5659 Rhandy Ocenada JOM THE LERATO PROJECT
5660 Carlo Gonzago MRS THE LERATO PROJECT
5661 Kempee Dotollo MRS THE LERATO PROJECT
5662 Rosita Memoracion V-ROQUE THE LERATO PROJECT
5663 Teodora Tania V-ROQUE THE LERATO PROJECT
5664 Ma. Lean Belgera STONEWORKS THE LERATO PROJECT
5665 Dongbert Losera PZL THE LERATO PROJECT
5666 Elesio Telen STONEWORKS THE LERATO PROJECT
5667 Rolly Decorina MDC THE LERATO PROJECT
5668 Job Regondola MDC THE LERATO PROJECT
5669 Jonathan Arellano MDC THE LERATO PROJECT
5670 Danilo Zapanta MDC THE LERATO PROJECT
5671 Nelson Banayat MDC THE LERATO PROJECT
5672 Christopher Arado MDC THE LERATO PROJECT
5673 Jonathan Cane MDC THE LERATO PROJECT
5674 Nancy Bual MDC THE LERATO PROJECT
5675 Sabao Noli MULTI-RICH THE LERATO PROJECT
5676 Tipan Jefferson MULTI-RICH THE LERATO PROJECT
5677 Nichaelus Lorenzo FML THE LERATO PROJECT
5678 Alfredo Jose JOM THE LERATO PROJECT
5679 Tayo Peddie NEWGEN THE LERATO PROJECT
5680 Arminion Diolito FML THE LERATO PROJECT
5681 Aguildo John FML THE LERATO PROJECT
5682 Tuazon Michael FML THE LERATO PROJECT
5683 Adriano Jun FML THE LERATO PROJECT
5684 Meriam Lingat MDC THE LERATO PROJECT
5685 Mary Ann Bejer MDC THE LERATO PROJECT
5686 Joan Bejer MDC THE LERATO PROJECT
5687 Florencio Bejer MDC THE LERATO PROJECT
5688 Marlon Calderon MDC THE LERATO PROJECT
5689 Elmer Mayo MDC THE LERATO PROJECT
5690 Rolando Trinidad MDC THE LERATO PROJECT
5691 Gabriel Pastorite MDC THE LERATO PROJECT
5692 Jeffrey Bohol MDC THE LERATO PROJECT
5693 Gunong Benjamin NEWTOUCHSTONE THE LERATO PROJECT
5694 Jemuel Cabalde MDC GREEN THE LERATO PROJECT
5695 Fernando Abalos MDC GREEN THE LERATO PROJECT
5696 Rene Moncano MDC GREEN THE LERATO PROJECT
5697 Richard De Guzman NEWTOUCHSTONE THE LERATO PROJECT
5698 Rucem Balunan NEWTOUCHSTONE THE LERATO PROJECT
5699 Evelyn Salma V-ROQUE THE LERATO PROJECT
5700 Noel Dumlao SSI METAL THE LERATO PROJECT
5701 Regie Omagtang NEWGEN THE LERATO PROJECT
5702 John Dela Vega PZL THE LERATO PROJECT
5703 John Paul Tungul EMSI THE LERATO PROJECT
5704 Arnel Gamusa EMSI THE LERATO PROJECT
5705 Jay-r Rosco EMSI THE LERATO PROJECT
5706 Mariel Bombase EMSI THE LERATO PROJECT
5707 Jomar Uyanon EMSI THE LERATO PROJECT
5708 Benjie Lansangan EMSI THE LERATO PROJECT
5709 Richard Racines EMSI THE LERATO PROJECT
5710 Jomarie Geronda V-ROQUE THE LERATO PROJECT
5711 Isidro Mariano MRS THE LERATO PROJECT
5712 Bobby Mortos MDC THE LERATO PROJECT
5713 Anastacio Taneo Jr. MDC THE LERATO PROJECT
5714 Edgardo Real MDC THE LERATO PROJECT
5715 Ramil Esguerra MDC THE LERATO PROJECT
5716 Rowel Garson MDC THE LERATO PROJECT
5717 Camillo Belmar MDC THE LERATO PROJECT
5718 Monte Vernald MDC THE LERATO PROJECT
5719 Ben Tabacquing Jr. MDC THE LERATO PROJECT
5720 Anthony Mortos MDC THE LERATO PROJECT
5721 Val Balbar MDC THE LERATO PROJECT
5722 Joerald Balbar MDC THE LERATO PROJECT
5723 John Francis Rugas MDC THE LERATO PROJECT
5724 Cyril de Juan MDC THE LERATO PROJECT
5725 Frederick Jovero MDC THE LERATO PROJECT
5726 Albert Monte MDC THE LERATO PROJECT
5727 Rey Mortos MDC THE LERATO PROJECT
5728 Poll Magracia MDC THE LERATO PROJECT
5729 Jonathan Bitaug IEEI THE LERATO PROJECT
5730 Rizalino Doguiles IEEI THE LERATO PROJECT
5731 Oliver Ifurung IEEI THE LERATO PROJECT
5732 Arnel Felongco IEEI THE LERATO PROJECT
5733 Elmer Lacangan IEEI THE LERATO PROJECT
5734 Arnel Felicio EMSI THE LERATO PROJECT
5735 Richard Tumangday NEWGEN THE LERATO PROJECT
5736 Henry Ocaya PZL THE LERATO PROJECT
5737 Jeffrey Santiago IEEI THE LERATO PROJECT
5738 Jerome Nolido SYSTECH THE LERATO PROJECT
5739 Francisco De Luna Jr. V-ROQUE THE LERATO PROJECT
5740 Jeffrey Papernilla STONEWORKS THE LERATO PROJECT
5741 Adryan Arvin Abulog MAYON THE LERATO PROJECT
5742 Oliver Matthew Morquianos MAYON THE LERATO PROJECT
5743 Fernando dela Cruz IEEI THE LERATO PROJECT
5744 Jonora Asunio MDC THE LERATO PROJECT
5745 Ronualdo Pajo MDC THE LERATO PROJECT
5746 Marlon Simacon V-ROQUE THE LERATO PROJECT
5747 Jun Fardaran V-ROQUE THE LERATO PROJECT
5748 Willy Tamba EMSI THE LERATO PROJECT
5749 Dave Widner Dizon EMSI THE LERATO PROJECT
5750 Bryner Juanite EMSI THE LERATO PROJECT
5751 Ricky Ramilo EMSI THE LERATO PROJECT
5752 Norwin Bual MDC THE LERATO PROJECT
5753 Jade Francisco MDC THE LERATO PROJECT
5754 Ferdinand Fulay MDC THE LERATO PROJECT
5755 Edie Dabandan V-ROQUE THE LERATO PROJECT
5756 John Phillip Agquiz MADRAL THE LERATO PROJECT
5757 Joan Arce EMSI THE LERATO PROJECT
5758 Reagan Adoptatnte EMSI THE LERATO PROJECT
5759 Benito Fortunato EMSI THE LERATO PROJECT
5760 Lorieniel Salazar EMSI THE LERATO PROJECT
5761 Albert Andrade EMSI THE LERATO PROJECT
5762 Rusel Ilagan MDC THE LERATO PROJECT
5763 Romel Sarucam MDC THE LERATO PROJECT
5764 Eric Valientes MDC THE LERATO PROJECT
5765 Jerafil Jabagat MDC THE LERATO PROJECT
5766 John Carlo Monares EMSI THE LERATO PROJECT
5767 Alain Anthony Guerrero IEEI THE LERATO PROJECT
5768 Princess Soriano MDC THE LERATO PROJECT
5769 Christian Paul Mapait MDC THE LERATO PROJECT
5770 Joel Cabias MCD THE LERATO PROJECT
5771 Armand Anthony Llido MDC THE LERATO PROJECT
5772 Eve Aclo MDC THE LERATO PROJECT
5773 Avelino Cariso MDC THE LERATO PROJECT
5774 Daniel Renan MDC THE LERATO PROJECT
5775 Junrel Aclo MDC THE LERATO PROJECT
5776 Danilo Lorico MDC THE LERATO PROJECT
5777 Jeromi Aclo MDC THE LERATO PROJECT
5778 Vilma Delector MDC THE LERATO PROJECT
5779 Mely Oposa MDC THE LERATO PROJECT
5780 Joel Embodo MDC THE LERATO PROJECT
5781 Jimmy Ignacio MDC THE LERATO PROJECT
5782 Janice Canelas MDC THE LERATO PROJECT
5783 Rowena Villones MDC THE LERATO PROJECT
5784 Virgel Mabute MDC THE LERATO PROJECT
5785 Alberto Inso Jr. MDC THE LERATO PROJECT
5786 Rico Lorico MDC THE LERATO PROJECT
5787 Josue Roblo MDC THE LERATO PROJECT
5788 Michael Algobido MDC THE LERATO PROJECT
5789 Jennifer De Gracia MDC THE LERATO PROJECT
5790 Gina Vilde MDC THE LERATO PROJECT
5791 Welmar Mangkit MDC THE LERATO PROJECT
5792 William Mangkit MDC THE LERATO PROJECT
5793 Ronel Divido MDC THE LERATO PROJECT
5794 Manuel Camacho MACRO THE LERATO PROJECT
5795 Raiel Bongalon MACRO THE LERATO PROJECT
5796 Rey Castro MACRO THE LERATO PROJECT
5797 Ferdinand Estrada MDC THE LERATO PROJECT
5798 Virgilio Vilar MDC THE LERATO PROJECT
5799 Tibigar Magma MDC THE LERATO PROJECT
5800 Allan [Pangindian MDC THE LERATO PROJECT
5801 Marlisa Sabordo MDC THE LERATO PROJECT
5802 Perlita Tangui-on MDC THE LERATO PROJECT
5803 Edmund Monte MDC THE LERATO PROJECT
5804 Denrheb Olaybar MDC THE LERATO PROJECT
5805 Rolando Julian NEWGEN THE LERATO PROJECT
5806 James Akmad MAYON THE LERATO PROJECT
5807 Joel Morquianos MAYON THE LERATO PROJECT
5808 Misauri Mantawil MAYON THE LERATO PROJECT
5809 Victor Cordero MADRAL THE LERATO PROJECT
5810 Jimboy Mingoa MDC THE LERATO PROJECT
5811 Jerry Lahara MAYON THE LERATO PROJECT
5812 Junlebert Malipot MDC THE LERATO PROJECT
5813 Eduardo Corpuz MDC THE LERATO PROJECT
5814 Michael Ymas MDC THE LERATO PROJECT
5815 Mairon Ibad MDC THE LERATO PROJECT
5816 Christian Zaider Jay Baoig MDC THE LERATO PROJECT
5817 Ernesto Lagmay MDC THE LERATO PROJECT
5818 Edwin Canciller MDC THE LERATO PROJECT
5819 Reymund Merano MDC THE LERATO PROJECT
5820 Rufino Daga-ang MAYON THE LERATO PROJECT
5821 George Val Warner V-ROQUE THE LERATO PROJECT
5822 Michael Lacida MDC THE LERATO PROJECT
5823 Roberto Banel MDC THE LERATO PROJECT
5824 Ryan Clavines MDC THE LERATO PROJECT
5825 Philip Lagartera MDC THE LERATO PROJECT
5826 Erik Oville EMSI THE LERATO PROJECT
5827 Markie Lauma EMSI THE LERATO PROJECT
5828 Jonar Ganaganag NEWGEN THE LERATO PROJECT
5829 Erick Gilbuena NEWGEN THE LERATO PROJECT
5830 Mario Vic Del Rosario MDC THE LERATO PROJECT
5831 Jade Cabriana MDC THE LERATO PROJECT
5832 Arnel Francisco MDC THE LERATO PROJECT
5833 Rafael Beltran Jr. MDC THE LERATO PROJECT
5834 Angelo Macina MDC THE LERATO PROJECT
5835 Rowell Tongga PZL THE LERATO PROJECT
5836 Nicolas Delos Reyes MDC THE LERATO PROJECT
5837 Ronel Sumaya MY MOTHER'S GARDEN THE LERATO PROJECT
5838 Alpy Madali MY MOTHER'S GARDEN THE LERATO PROJECT
5839 Mark Anthony raygon MY MOTHER'S GARDEN THE LERATO PROJECT
5840 Garais Oliver MY MOTHER'S GARDEN THE LERATO PROJECT
5841 Alburo Richard MY MOTHER'S GARDEN THE LERATO PROJECT
5842 Brusas Emmanuel SYSTECH THE LERATO PROJECT
5843 Garsain Mark Gel ALPA THE LERATO PROJECT
5844 Treyes Winnie MY MOTHER'S GARDEN THE LERATO PROJECT
5845 Luzerriaga Richmond NEWTOUCHSTONE THE LERATO PROJECT
5846 Baccay Gerby NEWTOUCHSTONE THE LERATO PROJECT
5847 Cuento Jophel ALPA THE LERATO PROJECT
5848 Delgado Alfredo ALPA THE LERATO PROJECT
5849 Mejillano Mark Anthony SYSTECH THE LERATO PROJECT
5850 De Guzman Ryan NEWTOUCHSTONE THE LERATO PROJECT
5851 Espiritu Rey NEWTOUCHSTONE THE LERATO PROJECT
5852 Tirol Jerico PZL THE LERATO PROJECT
5853 Lumba Jenepher Lestino MDC THE LERATO PROJECT
5854 Umpad Romulo MDC THE LERATO PROJECT
5855 Laguidao Nelson MDC THE LERATO PROJECT
5856 Villapaña Mario MDC THE LERATO PROJECT
5857 Custodio Dario MDC THE LERATO PROJECT
5858 Diaz Cony MDC THE LERATO PROJECT
5859 Gianan Ferdinand MDC THE LERATO PROJECT
5860 Caaya Jimmy MDC THE LERATO PROJECT
5861 Labiana Joecel MDC THE LERATO PROJECT
5862 Pantosa Allan MDC THE LERATO PROJECT
5863 Picaña Capones Edwin MDC THE LERATO PROJECT
5864 Bagongon Francis MDC THE LERATO PROJECT
5865 Andarin Jeremy MDC THE LERATO PROJECT
5866 Borabien Alfredo MDC THE LERATO PROJECT
5867 Baliwan Kali MDC THE LERATO PROJECT
5868 Mamaril Renato MDC THE LERATO PROJECT
5869 Jalando-on Christopher MDC THE LERATO PROJECT
5870 Blasé Almar MDC THE LERATO PROJECT
5871 Blasé Ryan MDC THE LERATO PROJECT
5872 Amoranto Karla MDC THE LERATO PROJECT
5873 Cifriano Arca III MDC THE LERATO PROJECT
5874 Delos Reyes Arnold MDC THE LERATO PROJECT
5875 Boyles Jonel MDC THE LERATO PROJECT
5876 Baleña Severo MDC THE LERATO PROJECT
5877 Agnir Arjay MDC THE LERATO PROJECT
5878 Villalba Reneboy MDC THE LERATO PROJECT
5879 Tongco Lebert MDC THE LERATO PROJECT
5880 Angana Danillo MDC THE LERATO PROJECT
5881 Javier John Patrick MDC THE LERATO PROJECT
5882 Lorico Jorge MDC THE LERATO PROJECT
5883 Rizaldo Wanillo MDC THE LERATO PROJECT
5884 Pascual Roser Jr. EMSI THE LERATO PROJECT
5885 Raygon Jason MY MOTHER'S GARDEN THE LERATO PROJECT
5886 De Guzman Roger MY MOTHER'S GARDEN THE LERATO PROJECT
5887 Vegas Arjay PZL THE LERATO PROJECT
5888 Perez Ruel VF WATERPROOFING THE LERATO PROJECT
5889 Payoran Ricky VF WATERPROOFING THE LERATO PROJECT
5890 Elcano Ruel VF WATERPROOFING THE LERATO PROJECT
5891 Degala Melanio NEWTOUCHSTONE THE LERATO PROJECT
5892 Franky Tomas NEWTOUCHSTONE THE LERATO PROJECT
5893 Nelson Condolon MDC THE LERATO PROJECT
5894 Montefalcon Sem MDC THE LERATO PROJECT
5895 Bellosillo Edilberto MDC THE LERATO PROJECT
5896 Joel Jazmin NEWGEN THE LERATO PROJECT
5897 Moreno Wilbert NEWGEN THE LERATO PROJECT
5898 Camasao Severino Jr. NEWGEN THE LERATO PROJECT
5899 Delgado Antonio STONEWORKS THE LERATO PROJECT
5900 Poliquit Richard JME SUPREME THE LERATO PROJECT
5901 Sibug Eric JME SUPREME THE LERATO PROJECT
5902 Sombilon Ancilmo Jr. NEWTOUCHSTONE THE LERATO PROJECT
5903 Espliguera Carlito NEWTOUCHSTONE THE LERATO PROJECT
5904 Charlie Licot NEWTOUCHSTONE THE LERATO PROJECT
5905 Nadong Francis NEWTOUCHSTONE THE LERATO PROJECT
5906 Campado Roland SSI THE LERATO PROJECT
5907 Cruz Ramil SSI THE LERATO PROJECT
5908 Baoc Sammy SSI THE LERATO PROJECT
5909 Baoc Alvin SSI THE LERATO PROJECT
5910 Casaes Roberto MDC THE LERATO PROJECT
5911 Aumbra Aileen MDC THE LERATO PROJECT
5912 Dilangalen Noraissa MDC THE LERATO PROJECT
5913 Victorino Dean NEWTOUCHSTONE THE LERATO PROJECT
5914 Adonay Gabriel EMSI THE LERATO PROJECT
5915 Drui Miguel MDC THE LERATO PROJECT
5916 Remolano Jonathan MDC THE LERATO PROJECT
5917 Arnaiz Vidal II MDC THE LERATO PROJECT
5918 Awatin Rachelle MDC THE LERATO PROJECT
5919 Iglesia Noel MDC THE LERATO PROJECT
5920 Balute Ariel MDC THE LERATO PROJECT
5921 Tayoan Randy MDC THE LERATO PROJECT
5922 Rejoso Roberto Jr. MDC THE LERATO PROJECT
5923 Pagulayan Rodel MDC THE LERATO PROJECT
5924 Tagacay Jeffrey NEWTOUCHSTONE THE LERATO PROJECT
5925 Marfel Tabanganay NEWGEN THE LERATO PROJECT
5926 Orcullo Guelbert MRS THE LERATO PROJECT
5927 Alameda Jhoury MRS THE LERATO PROJECT
5928 Tiburcio Malullin MDC THE LERATO PROJECT
5929 Magracia Allan MDC THE LERATO PROJECT
5930 Luces Jerick MDC THE LERATO PROJECT
5931 Lorenzo Rolly Rolando STONEWORKS THE LERATO PROJECT
5932 Malaque Elmer MAYON THE LERATO PROJECT
5933 Ligan Dexter MAYON THE LERATO PROJECT
5934 Occidental Pio MRS THE LERATO PROJECT
5935 Carandang Brian MRS THE LERATO PROJECT
5936 Ricaplaza Dennis MRS THE LERATO PROJECT
5937 Amado Bau NEWTOUCHSTONE THE LERATO PROJECT
5938 Garcia Richard MDC THE LERATO PROJECT
5939 De Luna Jerome MDC THE LERATO PROJECT
5940 Bandiala Reneboy MDC THE LERATO PROJECT
5941 Reposo Ranel MDC THE LERATO PROJECT
5942 Tabamo Claudio MDC THE LERATO PROJECT
5943 Tiwanag Dioven MDC THE LERATO PROJECT
5944 Concepcion Ruben MDC THE LERATO PROJECT
5945 Bagasala Rico V-ROQUE THE LERATO PROJECT
5946 Tongga Matt PZL THE LERATO PROJECT
5947 Ordones Matt MDC THE LERATO PROJECT
5948 Membrano Reynaldo MDC THE LERATO PROJECT
5949 Baranggan Adonis MDC THE LERATO PROJECT
5950 Concepcion Ramon MDC THE LERATO PROJECT
5951 Balidoy Reynaldo MDC THE LERATO PROJECT
5952 Amper Bombet MDC THE LERATO PROJECT
5953 Galeza Rey Joy ALPA THE LERATO PROJECT
5954 Apolinar Leo MY MOTHER'S GARDEN THE LERATO PROJECT
5955 Ramos Ferdinand KENT THE LERATO PROJECT
5956 IñIGO Jomar KENT THE LERATO PROJECT
5957 Javier Ferdinand KENT THE LERATO PROJECT
5958 Atoy Patricio ASIAPRO THE LERATO PROJECT
5959 Ocaya Herbein PZL THE LERATO PROJECT
5960 Joson Virgilio NEWTOUCHSTONE THE LERATO PROJECT
5961 Estepa Rodel SSI THE LERATO PROJECT
5962 Trumata Elvin John MDC THE LERATO PROJECT
5963 Quesada Rey-An MDC THE LERATO PROJECT
5964 Mago Jayson MDC THE LERATO PROJECT
5965 Bautista Dario MDC THE LERATO PROJECT
5966 Galope Myrnalie MDC THE LERATO PROJECT
5967 Gabion Sherwin MDC THE LERATO PROJECT
5968 Tamidles Romel MDC THE LERATO PROJECT
5969 Nerviol Lilio MDC THE LERATO PROJECT
5970 Garcia Ariston MRS THE LERATO PROJECT
5971 Suazo Fidel NEWTOUCHSTONE THE LERATO PROJECT
5972 Alferez Ronel EMSI THE LERATO PROJECT
5973 Escol Elmer EMSI THE LERATO PROJECT
5974 Raneses Joven EMSI THE LERATO PROJECT
5975 Martin Larry EMSI THE LERATO PROJECT
5976 Plaza Jonathan EMSI THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
THE LERATO PROJECT
 NBI

DESIGNATION / 0 - YES / 0 - YES /

ENTRANCE DATE AGE ISSUED DATE TAKEN
POSITION X - NO X - NO
INSTALLER 1/5/2015 25 0 6/18/2014 0 9/11/2014
APPLICATOR 1/5/2015 36 0 10/13/2014 0 10/13/2014
HELPER 1/5/2015 33 0 3/20/2014 0 10/2/2014
APPLICATOR 1/5/2015 38 0 10/17/2014 0 10/31/2014
PAINTER 1/6/2015 31 0 5/13/2014 0 12/9/2014
FOREMAN 1/7/2015 46 0 11/28/2014 0 12/29/2014
HELPER 1/7/2015 30 0 10/10/2014 0 10/14/2014
HELPER 1/7/2015 20 0 7/23/2014 0 10/14/2014
HELPER 1/7/2015 22 0 10/14/2014 0 10/14/2014
HELPER 1/7/2015 40 0 7/28/2014 0 8/12/2014
PAINTER 1/7/2015 36 0 2/26/2014 0 12/28/2014
HELPER 1/7/2015 27 0 1/6/2014 0 11/18/2014
CARPENTER 1/7/2015 39 0 8/7/2014 0 12/22/2014
FOREMAN 1/7/2015 30 0 5/6/2014 0 1/21/2014
HELPER 1/7/2015 37 0 11/26/2014 0 11/24/2014
PAINTER 1/8/2015 38 0 12/29/2014 0 1/7/2015
SAFETY OFFICER 1/8/2015 55 0 1/28/2014 0 1/7/2015
PATCHLISTER 1/8/2015 47 0 2/7/2014 0 1/7/2015
TILE SETTER 1/8/2015 29 0 11/10/2014 0 1/7/2015
TILE SETTER 1/8/2015 30 0 11/10/2014 0 1/7/2015
PAINTER 1/9/2015 19 0 7/4/2014 0 12/3/2014
PAINTER 1/9/2015 26 0 1/8/2015 0 1/7/2015
PAINTER 1/9/2015 23 0 1/8/2015 0 1/7/2015
LABORER 1/9/2015 20 0 1/7/2015 0 1/8/2015
LABORER 1/9/2015 20 0 1/7/2015 0 1/8/2015
INSTALLER 1/12/2015 26 0 10/13/2014 0 11/26/2014
INSTALLER 1/12/2015 28 0 1/12/2015 0 1/8/2015
PAINTER 1/12/2015 33 0 1/8/2015 0 1/9/2015
MASON 1/12/2015 23 0 3/12/2014 0 11/7/2014
MASON 1/12/2015 28 0 7/17/2014 0 10/27/2014
MASON 1/12/2015 30 0 4/7/2014 0 10/27/2014
MASON 1/12/2015 23 0 3/12/2015 0 1/20/2015
MASON 1/13/2015 24 0 3/12/2014 0 11/9/2013
HELPER 1/13/2015 24 0 3/19/2014 0 12/1/2014
MASON 1/13/2015 30 0 3/26/2014 0 10/27/2014
MASON 1/13/2015 21 0 11/7/2014 0 11/3/2014
MASON 1/13/2015 25 0 1/12/2015 0 11/10/2014
MASON 1/13/2015 33 0 1/13/2015 0 10/21/2014
MASON 1/13/2015 34 0 1/12/2015 0 1/13/2015
MASON 1/13/2015 32 0 4/12/2014 0 11/4/2014
PAINTER 1/14/2015 34 0 1/5/2015 0 1/13/2015
QC/QA ENGINEER 1/14/2015 29 0 1/7/2015 0 1/7/2015
INSTALLER 1/14/2015 24 0 8/18/2014 0 1/6/2015
MASON 1/14/2015 25 0 3/11/2014 0 1/12/2015
LABORER 1/14/2015 20 0 5/6/2014 0 11/18/2014
MASON 1/14/2015 25 0 3/11/2015 0 1/13/2015
MASON 1/14/2015 39 0 12/15/2014 0 1/10/2015
SAFETY OFFICER 1/15/2015 31 0 11/13/2014 0 12/3/2014
 PAINTER 1/15/2015 73 0 3/13/2014 0 1/14/2015
SPOT CHECKER 1/20/2015 30 0 1/12/2015 0 1/13/2015
PAINTER 1/20/2015 30 15 1/12/2015 0 1/13/2015
LABORER 1/20/2015 21 0 1/13/2015 0 1/13/2015
LABORER 1/20/2015 19 0 7/16/2014 0 1/15/2015
LABORER 1/20/2015 22 0 11/21/2014 0 1/15/2015
LABORER 1/20/2015 22 0 1/12/2015 0 1/15/2015
HELPER 1/20/2015 22 0 7/10/2014 0 1/12/2015
PAINTER 1/20/2015 19 0 12/1/2914 0 1/12/2015
PAINTER 1/20/2015 25 0 1/7/2015 0 1/12/2015
PAINTER 1/20/2015 18 0 1/12/2015 0 1/16/2015
PAINTER 1/21/2015 29 0 12/12/2014 0 1/14/2015
PAINTER 1/21/2015 36 0 1/13/2015 0 1/14/2015
MASON 1/21/2015 29 0 7/22/2014 0 1/13/2015
MASON 1/21/2015 39 0 10/3/2014 0 11/10/2014
INSTALLER 1/21/2015 32 0 3/17/2015 0 1/14/2015
HELPER 1/21/2015 20 0 1/14/2015 0 1/14/2015
INSTALLER 1/21/2015 33 0 1/23/2015 0 1/14/2015
HELPER 1/21/2015 34 0 1/9/2015 0 1/12/2015
HELPER 1/21/2015 20 0 1/30/2015 0 11/17/2014
MASON 1/21/2015 31 0 1/30/2015 0 11/17/2014
MASON 1/22/2015 42 0 8/26/2015 0 10/20/2014
PAINTER 1/22/2015 45 0 1/5/2015 0 1/14/2015
MASON 1/22/2015 26 0 1/7/2015 0 1/9/2015
PAINTER 1/24/2015 23 0 1/14/2015 0 1/21/2015
QUALITY CONTROLLER 1/24/2015 22 0 4/28/2015 0 1/15/2015
FOREMAN 1/24/2015 34 0 5/5/2015 0 1/18/2015
CARPENTER 1/24/2015 34 0 11/17/2014 0 1/7/2015
MASON 1/26/2015 34 0 11/17/2014 0 1/7/2015
PAINTER 1/26/2015 42 0 12/22/2014 0 1/22/2015
HELPER ELECTRICIAN 1/26/2015 37 0 3/27/2014 0 1/23/2015
HELPER 1/26/2015 27 0 1/5/2015 0 1/13/2015
HELPER 1/26/2015 18 0 1/14/2015 0 1/13/2015
SAFETY OFFICER 1/27/2015 31 X 0 1/26/2015
MASON 1/27/2015 40 0 5/14/2014 0 1/20/2015
INSTALLER 1/27/2015 29 0 10/10/2014 0 1/23/2015
PAINTER 1/27/2015 24 0 1/30/2015 0 1/23/2015
PAINTER 1/27/2015 31 X 0 1/23/2015
MASON 1/27/2015 24 0 1/8/2015 0 1/21/2015
HELPER 1/27/2015 22 0 5/14/2015 0 1/23/2015
SURVEYOR 1/27/2015 0 1/14/2015 0
SURVEYOR 1/27/2015 0 0
PAINTER 1/27/2015 0 0
MASON 1/27/2015 18 0 1/14/2015 0 1/21/2015
MASON 1/27/2015 31 0 1/14/2015 0 1/21/2015
MASON 1/27/2015 38 0 1/30/2015 0 1/2/2015
MASON 1/27/2015 0 0
HELPER 1/27/2015 0 0
WELDER 1/28/2015 24 0 3/14/2014 0 1/26/2015
HELPER 1/28/2015 19 0 1/23/2015 0 1/26/2015
HEL[PER 1/28/2015 21 0 9/5/2014 0 1/24/2015
HELPER 1/28/2015 27 X 0 1/24/2015
HELPER 1/28/2015 17 0 1/26/2015 0 1/24/2015
HELPER 1/28/2015 24 0 1/23/2015 0 1/24/2015
 INSTALLER 1/28/2015 32 0 1/5/2015 0 1/23/2015
MASON 1/28/2015 25 0 3/21/2015 0 1/21/2015
MASON 1/28/2015 21 0 2/11/2015 0 1/21/2015
CARPENTER 1/28/2015 46 0 2/19/2015 0 1/28/2015
MASON 1/29/2015 35 0 1/26/2015 0 1/26/2015
MASON 1/29/2015 37 0 10/13/2014 0 12/1/2014
HELPER 1/29/2015 19 0 1/28/2015 0 1/29/2015
HELPER 1/29/2015 34 0 1/9/2015 0 1/126/15
TORCHER 1/29/2015 28 0 10/20/2014 0 1/28/2015
HELPER 1/29/2015 20 0 9/1/2014 0 1/26/2015
PAINTER 1/29/2015 23 0 1/13/2015 0 9/10/2014
PUNCHLISTER 1/29/2015 43 0 8/18/2014 0 1/22/2015
SEALANT APPLICATOR 1/29/2015 39 0 11/28/2014 0 1/28/2015
PIC 1/30/2015 36 0 9/29/2015 0 2/3/2015
PAINTER 1/30/2015 30 0 9/29/2014 0 1/29/2015
LAMINATOR 1/30/2015 28 0 1/6/2015 0 1/5/2015
PLUMBER 1/30/2015 36 0 1/27/2015 0 1/26/2015
PLUMBER 1/30/2015 0 1/27/2015 0
PLUMBER 1/30/2015 x 0
PLUMBER 1/30/2015 29 0 1/29/2015 0 1/29/2015
PLUMBER 1/30/2015 37 0 1/26/2015 0 1/26/2015
ELECTRICIAN 1/30/2015 0 1/23/2015 0
PLUMBER 1/30/2015 36 0 1/23/2015 0 1/26/2015
SEALANT APPLICATOR 1/30/2015 42 0 1/26/2015 0 1/27/2015
FINISHER 2/2/2015 23 0 2/19/2014 0 8/14/2014
FINISHER 2/2/2015 28 0 8/22/2014 0 8/26/2014
PIC 2/2/2015 52 0 1/23/2015 0 1/21/2015
INSTALLER 2/2/2015 26 0 3/10/2014 0 1/28/2015
MASON 2/2/2015 30 0 1/27/2015 0 1/29/2015
MASON 2/2/2015 52 0 2/2/2015 0 11/17/2014
LEADMAN 2/2/2015 59 0 8/5/2014 0 10/23/2014
MASON 2/2/2015 33 0 1/15/2015 0 1/27/2015
MASON 2/2/2015 24 0 12/1/2014 0 10/27/2014
Housekeeper 2/2/2015 0 0
UTILITY 2/2/2015 0 0
UTILITY 2/2/2015 0 0
UTILITY 2/2/2015 0 0
MASON 2/2/2015 0 0
MASON 2/2/2015 0 0
CARPENTER 2/2/2015 0 0
SURVEYOR 2/2/2015 0 0
SEALANT APPLICATOR 2/2/2015 29 0 1/26/2015 0 1/28/2015
HELPER 2/2/2015 44 0 1/12/2015 0 1/3/2015
GARDENER 2/2/2015 21 0 7/4/2014 0 1/17/2015
LANDSCAPPER 2/2/2015 19 0 1/4/2015 0 4/11/2014
LANDSCAPPER 2/2/2015 24 0 7/30/2014 0 7/31/2014
INSTALLER 2/4/2015 25 0 10/24/2015 0 10/27/2014
INSTALLER 2/4/2015 31 0 2/3/2015 0 2/2/2015
SEALANT APPLICATOR 2/4/2015 48 0 5/9/2014 0 2/3/2015
PIC 2/4/2015 23 0 1/8/2015 0 1/27/2015
STEELMAN 2/4/2015 25 0 1/26/2015 0 2/2/2015
PAINTER 2/4/2015 22 0 1/27/2015 0 2/3/2015
LABORER 2/4/2015 21 0 7/10/2015 0 1/29/2015
PAINTER 2/4/2015 28 0 1/29/2015 0 2/2/2015
 HELPER 2/4/2015 28 0 1/26/2015 0 2/21/2015
MASON 2/4/2015 18 0 7/23/2014 0 1/30/2015
HELPER 2/4/2015 21 0 7/16/2014 0 1/28/2015
HELPER 2/4/2015 23 0 9/1/2014 0 1/29/2015
LEADMAN 2/4/2015 25 0 5/28/2014 0 12/3/2014
SEALANT APPLICATOR 2/4/2015 24 0 9/8/2014 0 2/3/2015
CARPENTER 2/4/2015 37 0 9/24/2014 0 1/31/2015
MASON 2/4/2015 32 0 11/28/2014 0 1/30/2015
WELDER 2/4/2015 24 0 1/29/2015 0 1/30/2015
SAFETY CREW 2/4/2015 33 0 7/3/2015 0 1/26/2015
PAINTER 2/4/2015 29 X 0 1/26/2015
PLUMMER 2/4/2015 0 0
PAINTER 2/4/2015 36 0 2/2/2015 0 1/21/2015
HELPER 2/4/2015 26 0 3/31/2014 0 1/30/2015
HELPER 2/4/2015 24 X 0 1/30/2015
HELPER 2/4/2015 X 0 0 1/30/2015
PAINTER 2/4/2015 28 0 1/23/2015 0 1/29/2015
PAINTER 2/4/2015 28 X 1/23/2015 0 1/23/2015
HELPER 2/4/2015 19 0 1/29/2015 0 1/30/2015
HELPER 2/4/2015 21 X NBI RECEIPT 0 1/30/2015
INSTALLER 2/4/2015 26 0 1/26/2015 0 1/30/2015
HELPER 2/4/2015 24 0 7/14/2014 0 1/30/2015
INSTALLER 2/4/2015 24 0 1/26/2015 0 1/30/2015
HELPER 2/4/2015 20 X 0 1/30/2015
LEADMAN 2/5/2015 43 0 8/14/2014 0 1/27/2015
WELDER 2/5/2015 29 0 10/17/2014 0 1/27/2015
HELPER 2/5/2015 27 0 1/7/2015 0 1/27/2015
HELPER 2/5/2015 18 0 1/28/2015 0 1/27/2015
WELDER 2/5/2015 37 0 2/2/2015 0 2/3/2015
TILE SETTER 2/5/2015 20 0 9/22/2014 0 1/29/2015
STEELMAN 2/5/2015 28 0 10/14/2014 0 12/2/2014
PAINTER 2/5/2015 38 0 1/23/2015 0 1/31/2015
WELDER 2/5/2015 0 0
PIC 2/6/2015 52 0 7/23/2014 0 1/27/2015
INSTALLER 2/6/2015 49 0 1/30/2015 0 1/29/2015
LAMINATOR 2/6/2015 22 0 2/4/2015 0 12/19/2014
PAINTER 2/7/2015 23 0 2/6/2015 0 2/5/2015
PAINTER 2/7/2015 18 0 2/6/2015 0 2/5/2015
WELDER 2/9/2015 25 0 2/2/2015 0 2/3/2015
SEALANT APPLICATOR 2/9/2015 25 0 1/26/2015 0 1/29/2015
LABORER 2/9/2015 20 0 3/31/2015 0 1/30//15
HELPER 2/9/2015 34 0 2/5/2015 0 2/3/2015
INSTALLER 2/9/2015 23 0 1/29/2015 0 1/30/2015
PAINTER 2/9/2015 38 0 8/19/2014 0 2/3/2015
HELPER 2/9/2015 26 0 1/22/2015 0 2/4/2015
HELPER 2/9/2015 20 0 1/22/2015 0 2/4/2015
HELPER 2/9/2015 25 0 1/23/2015 0 2/14/2014
LABORER 2/9/2015 0 0
LABORER 2/9/2015 21 0 1/29/2015 0 1/30/2015
MASON 2/9/2015 25 0 1/22/2015 0 1/30/2015
INSTALLER 2/9/2015 32 0 2/3/2015 0 2/3/2015
HELPER 2/10/2015 34 0 3/3/2015 0 2/10/2015
MASON 2/10/2015 29 0 4/1/2014 0 11/28/2014
MASON 2/10/2015 25 0 7/21/2014 0 12/3/2014
 SUPERVSOR 2/10/2015 24 0 12/19/2014 0 12/23/2014
INSTALLER 2/10/2015 26 0 1/27/2014 0 1/28/2015
HELPER 2/10/2015 27 0 1/26/2015 0 1/24/2015
SEALANT APPLICATOR 2/10/2015 32 0 2/4/2015 0 2/4/2014
WELDER 2/10/2015 28 0 2/5/2015 0 2/3/2015
DOORMAN 2/10/2015 30 0 7/3/2014 0 2/3/2015
WELDER 2/10/2015 20 0 2/4/2015 0 2/3/2015
HELPER 2/11/2015 20 0 8/6/2014 0 8/13/2014
SAFETY OFFICER 2/11/2015 36 0 7/4/2014 0 2/6/2015
SEALANT APPLICATOR 2/11/2015 19 0 12/4/2014 0 2/6/2015
MASON 2/11/2015 21 0 7/17/2014 0 2/7/2015
PAINTER 2/11/2015 32 0 1/27/2015 0 2/7/2015
HELPER 2/11/2015 23 0 1/23/2015 0 1/26/2014
SEALANT APPLICATOR 2/11/2015 36 0 1/13/2015 0 2/7/2015
SEALANT APPLICATOR 2/11/2015 25 0 1/27/2015 0 2/5/2015
WELDER 2/11/2015 25 X NBI RECEIPT 0 2/3/2015
INSTALLER 2/11/2015 24 0 11/24/2015 0 2/4/2015
INSTALLER 2/11/2015 34 0 12/4/2014 0 2/6/2015
INSTALLER 2/11/2015 27 0 12/2/2014 0 2/4/2015
SEALANT APPLICATOR 2/11/2015 27 0 10/17/2014 0 2/7/2015
SEALANT APPLICATOR 2/11/2015 41 0 1/12/2015 0 2/7/2015
INSTALLER 2/11/2015 30 0 1/26/2015 0 2/7/2015
SAFETY CREW 2/11/2015 22 0 1/12/2015 0 2/7/2015
SEALANT APPLICATOR 2/11/2015 30 0 8/18/2014 0 2/7/2015
SEALANT APPLICATOR 2/11/2015 31 X NBI RECEIPT 0 2/4/2014
INSTALLER 2/11/2015 29 0 1/26/2015 0 2/6/2015
MASON 2/11/2015 25 0 1/26/2015 0 2/7/2015
INSTALLER 2/11/2015 32 X NBI RECEIPT 0 2/6/2015
PAINTER 2/11/2015 35 0 3/26/2014 0 2/7/2015
GRINDMAN 2/12/2015 25 0 4/22/2014 0 2/9/2015
SEALANT APPLICATOR 2/12/2015 39 0 1/30/2015 0 2/7/2015
SEALANT APPLICATOR 2/12/2015 34 0 2/6/2015 0 2/6/2015
LABORER 2/12/2015 24 0 1/14/2015 0 2/9/2015
LABORER 2/12/2015 22 0 1/14/2015 0 2/9/2015
TOWER CRANE OPERATOR 2/12/2015 26 0 1/29/2015 0 2/5/2015
LABORER 2/13/2015 42 0 2/2/2015 0 2/12/2015
LABORER 2/13/2015 25 0 2/2/2015 0 2/2/2015
LABORER 2/13/2015 31 0 2/2/2015 0 2/12/2015
PAINTER 2/13/2015 46 0 2/26/2015 0 2/7/2015
PAINTER 2/13/2015 48 0 1/22/2015 0 2/6/2015
MASON 2/13/2015 20 0 5/9/2014 0 2/7/2015
PAINTER 2/13/2015 44 0 3/6/2014 0 2/7/2015
SEALANT APPLICATOR 2/13/2015 26 0 8/7/2017 0 2/9/2015
SEALANT APPLICATOR 2/13/2015 26 X NBI RECEIPT 0 2/9/2015
LABORER 2/13/2015 22 0 8/6/2014 0 2/7/2015
SEALANT APPLICATOR 2/13/2015 27 0 5/5/2014 0 2/9/2015
HELPER 2/14/2015 19 0 1//28/15 0 2/10/2015
PAINTER 2/14/2015 28 0 1/29/2015 0 2/10/2015
PAINTER 2/14/2015 36 0 2/12/2015 0 2/9/2015
PAINTER 2/14/2015 27 0 12/11/2014 0 1/23/2015
WELDER 2/14/2015 28 0 2/13/2015 0 2/12/2015
QUALITY CONTROLLER 2/16/2015 28 0 4/24/2014 0 2/6/2015
PAINTER 2/16/2015 34 0 7/1/2214 0 2/13/2015
PAINTER 2/16/2015 23 0 12/10/2014 0 12/9/2014
 PAINTER 2/16/2015 41 0 10/16/2014 0 2/13/2015
MASON 2/16/2015 39 0 9/13/2014 0 2/9/2015
PAINTER 2/16/2015 30 0 2/3/2015 0 2/11/2015
PLUMMER 2/16/2015 23 0 2/4/2015 0 2/12/2015
INSTALLER 2/17/2015 42 0 2/9/2015 0 2/7/2015
PAINTER 2/17/2015 38 0 1/20/2015 0 2/10/2015
INSTALLER 2/17/2015 41 0 9/22/2014 0 2/14/2015
CARPENTER 2/17/2015 24 0 2/12/2015 0 2/12/2015
PAINTER 2/17/2015 23 0 2/12/2015 0 1/23/2015
HELPER 2/18/2015 30 0 11/12/2014 0 1/23/2015
DOORMAN 2/18/2015 42 0 11/26/2014 0 2/7/2015
LABORER 2/18/2015 24 0 1/6/2015 0 2//9/15
PAINTER 2/18/2015 26 0 1/30/2015 0 2/11/2015
MASON 2/18/2015 30 0 2/11/2015 0 2/25/2015
LABORER 2/19/2015 24 0 9/29/2014 0 10/7/2014
PAINTER 2/19/2015 28 0 2/3/2015 0 2/12/2015
LABORER 2/19/2015 21 0 2/11/2015 0 2/12/2015
PAINTER 2/19/2015 27 0 2/11/2015 0 2/12/2015
INSTALLER 2/19/2015 24 0 2/10/2015 0 2/18/2015
PAINTER 2/19/2015 32 0 1/6/2015 0 2/6/2015
JOINTER 2/19/2015 22 0 2/11/2015 0 2/18/2015
PLUMMER 2/20/2015 32 0 1/27/2015 0 2/18/2015
PAINTER 2/20/2015 25 0 NBI RECEIPT 0 2/19/2015
INSTALLER 2/20/2015 31 0 1/23/2015 0 1/30/2015
MASON 2/23/2015 34 0 3/31/2014 0 1/21/2015
TILE SETTER 2/23/2015 33 0 5/14/2015 0 2/17/2015
HELPER 2/23/2015 21 0 9/2/2014 0 9/3/2014
MASON 2/23/2015 41 0 9/9/2014 0 10/24/2014
LABORER 2/23/2015 21 0 11/4/2014 0 2/17/2015
Q.A/Q.C ENGINEER 2/23/2015 22 0 2/13/2015 0 2/18/2015
MASON 2/23/2015 23 0 6/3/2014 0 9/22/2014
MASON 2/23/2015 46 0 8/8/2014 0 10/31/2014
PIC 2/24/2015 32 0 6/16/2014 0 12/9/2014
INSTALLER 2/24/2015 25 0 2/3/2015 0 2/16/2015
MASON 2/25/2015 27 0 2/17/2015 0 2/23/2015
MASON 2/25/2015 22 0 12/1/2014 0 10/27/2014
INSTALLER 2/26/2015 22 0 5/23/2014 0 2/16/2015
INSTALLER 2/26/2015 29 0 8/28/2014 0 2/24/2015
APPLICATOR 2/26/2015 29 0 10/28/2014 0 2/25/2015
PAINTER 2/26/2015 28 0 2/24/2015 0 2/25/2015
SEALANT APPLICATOR 2/26/2015 30 0 2/16/2015 0 2/18/2015
PAINTER 2/26/2015 41 0 7/30/2014 0 2/20/2015
PAINTER 2/26/2015 39 0 7/16/2014 0 2/7/2015
MASON 2/26/2015 46 0 2/9/2015 0 2/6/2015
PAINTER 2/26/2015 32 0 2/11/2015 0 2/12/2015
SEALANT APPLICATOR 2/26/2015 40 0 5/27/2014 0 2/5/2015
MACHINE OPERATOR 2/26/2015 35 0 2/13/2015 0 2/17/2015
INSTALLER 2/26/2015 32 0 2/12/2015 0 2/16/2015
INSTALLER 2/26/2015 31 0 1/28/2015 0 2/21/2015
INSTALLER 2/26/2015 28 0 2/4/2015 0 2/13/2015
PAINTER 2/26/2015 26 0 2/17/2015 0 2/10/2015
INSTALLER 2/27/2015 26 0 2/11/2015 0 2/17/2015
PAINTER 2/27/2015 34 0 2/17/2015 0 2/17/2015
JOINTER 2/27/2015 45 0 1/20/2015 0 2/18/2015
 INSTALLER 2/27/2015 37 0 12/15/2014 0 1/19/2015
PAINTER 2/27/2015 55 0 2/18/2015 0 2/19/2015
PAINTER 2/27/2015 36 0 5/9/2014 0 2/24/2015
INSTALLER 2/27/2015 29 0 1/21/2015 0 2/18/2015
INSTALLER 2/27/2015 26 0 2/2/2015 0 2/18/2015
SEALANT APPLICATOR 2/27/2015 19 0 11/27/2014 0 2/7/2015
INSTALLER 2/27/2015 30 0 11/10/2014 0 2/24/2015
INSTALLER 2/27/2015 35 0 1/5/2015 0 2/17/2015
DOORMAN 2/27/2015 31 0 2/11/2015 0 2/13/2015
PIPE PITTER 2/27/2015 38 0 1/22/2015 0 2/13/2015
PAINTER 2/27/2015 19 0 11/3/2014 0 2/21/2015
INSTALLER 2/27/2015 39 0 1/21/2015 0 2/18/2015
PAINTER 2/27/2015 25 0 12/9/2014 0 2/16/2015
PAINTER 2/27/2015 21 0 2/10/2015 0 2/16/2015
PAINTER 2/27/2015 22 0 10/17/2014 0 2/18/2015
INSTALLER 2/27/2015 26 0 2/20/2015 0 2/18/2015
INSTALLER 2/27/2015 44 0 5/5/2014 0 2/18/2015
INSTALLER 2/27/2015 29 0 1/26/2015 0 2/24/2015
FOREMAN 2/27/2015 29 0 5/19/2014 0 2/26/2015
SAFETY OFFICER 2/27/2015 31 0 4/19/2014 0 11/26/2014
INSTALLER 2/27/2015 31 0 8/12/2014 0 2/26/2015
APPLICATOR 2/27/2015 34 0 11/11/2014 0 11/13/2014
APPLICATOR 2/27/2015 45 0 12/15/2014 0 1/15/2015
APPLICATOR 2/27/2015 27 0 10/8/2014 0 11/24/2014
INSTALLER 2/27/2015 27 0 9/1/2014 0 2/26/2015
INSTALLER 2/27/2015 30 X NBI RECEIPT 0 2/26/2015
INSTALLER 2/27/2015 27 0 2/16/2015 0 2/18/2015
MASON 3/2/2015 34 0 5/5/2014 0 2/21/2015
PIPE PITTER 3/2/2015 50 0 2/4/2015 0 2/28/2015
MASON 3/2/2015 30 0 11/13/2014 0 2/25/2015
MASON 3/2/2015 33 0 2/24/2015 0 2/24/2015
MASON 3/3/2015 36 0 1/26/2015 0 2/13/2015
LAMINATOR 3/3/2015 41 0 5/1/2014 0 2/13/2015
FOREMAN 3/3/2015 32 0 2/9/2015 0 2/12/2015
3/3/2015 31 0 12/22/2014 0 1/18/2015
INSTALLER 3/3/2015 34 0 8/26/2014 0 2/27/2015
FABRICATOR 3/3/2015 22 0 2/25/2015 0 2/24/2014
HELPER 3/3/2015 20 0 1/14/2015 0 2/24/2015
HELPER 3/3/2015 20 0 1/13/2015 0 2/24/2015
PIPE PITTER 3/3/2015 36 0 2/12/2015 0 2/13/2015
WELDER 3/3/2015 39 0 2/12/2015 0 2/23/2015
WELDER 3/3/2015 34 0 9/8/2014 0 2/23/2015
WELDER 3/3/2015 40 0 1/29/2015 0 2/23/2015
PAINTER 3/3/2015 41 0 9/30/2015 0 2/24/2015
SEALANT APPLICATOR 3/3/2015 40 0 1/21/2015 0 2/7/2015
SEALANT APPLICATOR 3/3/2015 25 0 1/28/2015 0 1/30/2015
SAFETY OFFICER 3/4/2015 36 0 2/12/2015 0 3/3/2015
PAINTER 3/4/2015 31 0 10/2/2014 0 3/2/2015
LABORER 3/4/2015 23 0 1/29/2015 0 2/17/2015
CARPENTER 3/4/2015 34 0 2/16/2015 0 2/27/2015
CARPENTER 3/4/2015 27 0 2/10/2015 0 2/27/2015
DOORWOMAN 3/4/2015 20 0 1/26/2015 0 2/4/2015
PAINTER 3/4/2015 44 0 2/20/2015 0 2/20/2015
INSTALLER 3/4/2015 35 0 4/21/2014 0 2/18/2015
 MASON 3/4/2015 34 0 2/20/2015 0 2/25/2015
MASON 3/4/2015 27 0 2/10/2015 0 2/11/2015
MASON 3/4/2015 33 0 1/5/2015 0 2/20/2015
HELPER 3/5/2015 23 0 2/27/2015 0 2/25/2015
LABORER 3/5/2015 28 0 2/10/2015 0 2/27/2015
HELPER 3/5/2015 30 0 1/23/2015 0 3/14/2015
HELPER 3/5/2015 22 0 3/4/2015 0 3/4/2015
PAINTER 3/5/2015 30 0 5/26/2014 0 2/20/2015
HELPER 3/5/2015 21 0 3/31/2014 0 3/2/2015
SKIM COATER 3/5/2015 22 0 12/11/2014 0 2/7/2015
FOREMAN 3/6/2015 49 0 1/21/2015 0 1/5/2015
PAINTER 3/6/2015 21 0 0 3/2/2015
PAINTER 3/6/2015 23 0 1/7/2014 0 3/4/2015
PAINTER 3/6/2015 28 0 3/5/2015 0 3/3/2015
PAINTER 3/6/2015 26 0 7/16/2014 0 3/5/2015
PAINTER 3/6/2015 40 0 8/18/2014 0 3/4/2015
HELPER 3/6/2015 48 0 2/16/2015 0 3/3/2015
PUMP CREW 3/6/2015 27 0 3/3/2015 0 2/24/2015
DOORMAN 3/6/2015 22 0 2/26/2015 0 2/26/2015
MASON 3/6/2015 21 0 3/3/2015 0 2/26/2015
PAINTER 3/6/2015 27 0 11/17/2014 0 3/2/2015
CARPENTER 3/6/2015 54 0 2/17/2015 0 2/20/2015
MASON 3/6/2015 23 0 1/12/2015 0 2/26/2015
MASON 3/6/2015 50 0 1/5/2015 0 1/9/2015
WAREHOUSEMAN 3/9/2015 30 0 1/5/2015 0 2/12/2015
PAINTER 3/9/2015 21 0 3/2/2015 0 3/6/2015
PAINTER 3/9/2015 26 0 2/9/2015 0 2/26/2015
CARPENTER 3/9/2015 50 0 1/26/2015 0 2/28/2015
INSTALLER 3/9/2015 31 0 3/9/2015 0 3/3/2015
MASON 3/9/2015 41 0 2/20/2015 0 2/16/2015
CARPENTER 3/9/2015 49 0 2/5/2015 0 2/17/2015
PAINTER 3/9/2015 39 0 5/21/2014 0 2/20/2015
MASON 3/10/2015 23 0 10/13/2014 0 3/2/2015
SAFETY OFFICER 3/10/2015 0 7/814 0
SAFETY OFFICER 3/10/2015 29 0 6/9/2014 0 11/13/2015
INSTALLER 3/10/2015 28 0 11/14/2014 0 11/13/2014
INSTALLER 3/10/2015 49 0 2/9/2015 0 2/27/2015
SANTE OPERATOR 3/10/2015 23 0 1/12/2015 0 1/27/2015
PAINTER 3/10/2015 31 0 3/3/2015 0 3/10/2015
PIC 3/10/2015 28 0 NBI RECEIPT 0 3/19/2015
INSTALLER 3/10/2015 27 0 NBI RECEIPT 0 2/27/2015
PAINTER 3/10/2015 25 0 3/2/2015 0 3/2/2015
CARPENTER 3/10/2015 30 0 2/26/2015 0 3/3/2015
SCAFFOLDER 3/10/2015 19 0 6/27/2014 0 3/3/2015
PAINTER 3/10/2015 47 0 10/22/2014 0 2/18/2015
DOORMAN 3/11/2015 37 0 1/2/2015 0 2/9/2015
PAINTER 3/11/2015 27 0 7/7/2014 0 2/27/2015
PAINTER 3/11/2015 32 0 2/6/2015 0 2/18/2015
PAINTER 3/11/2015 31 0 9/23/2014 0 3/2/2015
VARNISHER 3/11/2015 43 0 6/6/2014 0 2/25/2015
SEALANT APPLICATOR 3/11/2015 29 0 2/24/2015 0 2/16/2015
PAINTER 3/11/2015 43 0 NBI RECEIPT 0 3/4/2015
PAINTER 3/11/2015 35 0 10/1/2014 0 3/4/2015
PAINTER 3/11/2015 32 0 3/6/2015 0 3/9/2015
PAINTER 3/11/2015 37 0 2/13/2015 0 2/16/2015
PAINTER 3/11/2015 42 0 NBI RECEIPT 0 2/6/2015
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

MEDICAL
HOSPITAL / CLINIC
LAKAMBINI DIAGNOSTIC CENTER
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
TIMOGAN MEDICAL &DIAGNOSTIC CENTER
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
ST.IGNATIUS de LOYOLA HEALTH CARE CENTER
ACCUCELL DIAGNOSTIC CENTER
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
MAYON CLINIC LAB&MEDICAL SERVICES
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
LAA MADRID POLYCLINIC &DIAGNOSTIC INC
HOLY NAME OF JESUS
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
ST. MICHAEL MULTI DIAGNOSTIC MULTI SPECIALTY CLINIC
PMP DIAGNOSTIC CENTER INC
MAYON CLINIC LAB&MEDICAL SERVICES
HOLY NAME OF JESUS
ST. MICHAEL MULTI DIAGNOSTIC MULTI SPECIALTY CLINIC
GLOBAL HEALTH DIAGNOSTIC
ST. MICHAEL MULTI DIAGNOSTIC MULTI SPECIALTY CLINIC
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
NPRE DIAGNOSTIC AND MEDICAL CARE
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
MAGNAHEALTH ULTRASOUND & DIAGNOSTIC CLINIC
CHRISTIAN JO MEDICAL SERVICES
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
ACCUMAX MEDICAL DIAGNOSTIC CENTER
HOLY NAME OF JESUS
"BACK TO LIST"
REMARKS (CLASS)
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
CLASS b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class C-
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
ALABANG ULTRASOUND DIAGNOSTIC CENTER
PMP DIAGNOSTIC CENTER INC
PMP DIAGNOSTIC CENTER INC
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
MAYON CLINIC LAB&MEDICAL SERVICES
MAYON CLINIC LAB&MEDICAL SERVICES
MAYON CLINIC LAB&MEDICAL SERVICES
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
VERACRUZ MEDICAL CLINIC AND LABORATORY
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
QUALIMED
QUALIMED
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
HOLY NAME OF JESUS
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
HOLY NAME OF JESUS
JOSE REYES MEMORIAL MEDICAL CENTER
PMP DIAGNOSTIC CENTER INC
PMP DIAGNOSTIC CENTER INC
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
PMP DIAGNOSTIC CENTER INC
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
HOLY NAME OF JESUS
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
QUALIMED
QUALIMED
QUALIMED
QUALIMED
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS B- Fit to work
CLASS B- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
QUALIMED
QUALIMED
QUALIMED
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
HOLY NAME OF JESUS
JOSE REYES MEMORIAL MEDICAL CENTER
MULTILAB DIAGNOSTIC &HEALTH SERVICES
HOLY NAME OF JESUS
MAYON CLINIC LAB&MEDICAL SERVICES
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
HOLY NAME OF JESUS
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
PMP DIAGNOSTIC CENTER INC
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
QUALIMED
HOLY NAME OF JESUS
CORPMED CLINIC
FRIENDLY CARE CLINIC
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
CORPMED CLINIC
CORPMED CLINIC
HOLY NAME OF JESUS
HOLY NAME OF JESUS
MONTE ZION DIAGNOSTIC&MEDICAL CENTER
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class C
Class b- Fit to work
Class b- Fit to work
CLASS B- Fit to work
Class b- Fit to work
Class b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS B- Fit to work
CLASS b- Fit to work
X
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
 HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
EVERGREEN MEDICAL AND DIAGNOSTIC CENTER
EVERGREEN MEDICAL AND DIAGNOSTIC CENTER
EVERGREEN MEDICAL AND DIAGNOSTIC CENTER
EVERGREEN MEDICAL AND DIAGNOSTIC CENTER
CLINICAL LABORATORY AND DIAGNOSTIC
HOLY NAME OF JESUS
EMMANUEL MEDICAL &DIAGNOSTIC CENTER
MAYON CLINIC LAB&MEDICAL SERVICES
PMP DIAGNOSTIC CENTER INC
AVENUE DIAGNOSTIC CENTER
HOLY NAME OF JESUS
PMP DIAGNOSTIC CENTER INC
PMP DIAGNOSTIC CENTER INC
CLINICAL LABORATORY AND DIAGNOSTIC
QUALIMED
QUALIMED
HOLY NAME OF JESUS
PHOENICIAN DIAGNOSTIC MEDICAL CLINIC
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
QUALIMED
QUALIMED
PHOENICIAN DIAGNOSTIC MEDICAL CLINIC
JOSE REYES MEMORIAL MEDICAL CENTER
HOLY NAME OF JESUS
HOLY NAME OF JESUS
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
CLASS B- Fit to work
Class b- Fit to work
Class b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
Class b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER Class b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER Class b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
HOLY NAME OF JESUS Class b- Fit to work
FRIENDLY CARE CLINIC Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER Class b- Fit to work
PMP DIAGNOSTIC CENTER INC Class b- Fit to work
PMP DIAGNOSTIC CENTER INC Class b- Fit to work
ESTRELLA LABORATORY MEDICAL CLINIC Class b- Fit to work
JOSE REYES MEMORIAL MEDICAL CENTER Class b- Fit to work
QUALIMED Class b- Fit to work
HOLY NAME OF JESUS Class b- Fit to work
STO.ROSARIO POLYCLINIC Class b- Fit to work
 QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
QUALIMED Class b- Fit to work
LAKAMBINI DIAGNOSTIC CENTER Class b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
MAYON CLINIC LAB&MEDICAL SERVICES CLASS b- Fit to work
STATELAB CLINICS AND DIAGNOSTIC CENTER CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
BIO ASSAY DIAGNOSTIC CENTER CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
EVERGREEN MEDICAL AND DIAGNOSTIC CENTER CLASS b- Fit to work
VILLTECH MEDICAL SERVICES CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
CENTRAL MEDICAL LABORATORY CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
BAYANAN MEDICAL CLINIC CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
 JOSE REYES MEMORIAL MEDICAL CENTER CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
ONE HEALTH MEDICAL LABORATORY INC CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
VIRGEN DE MANAOAG MEDICAL CLINIC CLASS b- Fit to work
VIRGEN DE MANAOAG MEDICAL CLINIC CLASS b- Fit to work
VIRGEN DE MANAOAG MEDICAL CLINIC CLASS b- Fit to work
VIRGEN DE MANAOAG MEDICAL CLINIC CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
 QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
EMMANUEL MEDICAL &DIAGNOSTIC CENTER CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
INTER-INDUSTRIAL PHYSICIAN MEDICAL SERVICES CLASS b- Fit to work
PMP DIAGNOSTIC CENTER INC CLASS b- Fit to work
PMP DIAGNOSTIC CENTER INC CLASS b- Fit to work
MAYON CLINIC LAB&MEDICAL SERVICES CLASS b- Fit to work
MAYON CLINIC LAB&MEDICAL SERVICES CLASS b- Fit to work
MAYON CLINIC LAB&MEDICAL SERVICES CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
METRO MEDICAL SYSTEM CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
HOLY NAME OF JESUS CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
QUALIMED CLASS b- Fit to work
CENTRAL MEDICAL LABORATORY CLASS b- Fit to work

DR. DANILLO V. MALLARI MEDICAL CLINIC CLASS b- Fit to work

DR. DANILLO V. MALLARI MEDICAL CLINIC
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
HOLY NAME OF JESUS
CYPRENE MEDICAL
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
QUALIMED
MEGASON DIAGNOSTIC CLINIC
HOLY NAME OF JESUS
JED'S CLINIC LABORATORY
JED'S CLINIC LABORATORY
ST.IGNATIUS de LOYOLA HEALTH CARE CENTER
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
CLASS b- Fit to work
MONTE ZION DIAGNOSTIC&MEDICAL CENTER CLASS b- Fit to work
JED'S CLINIC LABORATORY CLASS b- Fit to work
 REASON

REFER TO CARDIOLOGIST(OK)
NO ECG

BP MONITORING
FOR IM CONSULT
DIET MODIFICATION

DIET MODIFICATION

DIET MODIFICATION

DIET MODIFICATION
BP MONITORING
DENTAL CONSULT
DENTAL CONSULT

BP MONITORING

FOR FECALYSIS
BP MONITORING

DENTAL CARRIES

BP MONITORING
BP MONITORING
REPEAT CCBC

FOR ECG
OPTHA CLEARANCE
BP MONITORING

REPEAT URINALYSIS

FOR EOR
FOR EOR

BP MONITORING

BP MONITORING

DIET MODIFICATION

BP MONITORING

REPEAT URINALYSIS
APRIL 15 (FOLLOW UP)
BP MONITORING
 WORK ACCIDENT REPORT
YR_______

(Name of Project)
(Month/Year)
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
TYPE OF INJURY FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT FA MT
Superficial injuries and open wounds
Fractures
Dislocations, sprains and strains
Traumatic amputations
Contussions and internal injuries
Burns, corrosions , scalds and frostbites
Acute poisonings and infections
Foreign body in the eye
Others
PART OF BODY INJURED
Head
> forehead
> eye
> ears
> face
Neck
Back
Trunk or Internal Organs
Upper Extremities
> fingers
> hand
> elbow
> forearm
> upper arm
Lower Extremities
> toes
> foot
> ankle
> leg
> thigh
Whole Body or Multiple Sites Equally Injured
CAUSE OF INJURY
Falls of persons
Struck by falling objects
Stepping on, striking against or struck by objects,
excluding falling objects
Caught in or between objects
Over-exertion or strenuous movement
Exposure to or contact with extreme temperature
Exposure to or contact with electric current
Exposure to or contact with harmful substances or
radiation
Others
AGENT OF INJURY
Buildings, structures
Prime movers
Distribution systems
Hand tools
Machines, equipment
Conveying/transport/packaging equipment or vehicles
Materials, objects
Chemical substances
Humans, animals, plants, etc.
Others
Total
TRIR
NOTE:

Legend:
Prepared by: Reviewed by: Noted by: Total FA: 0
FA- First Aid Treatmnent
Project Nurse Safety Supervisor Project In-Charge Total MT: 0 MT- Medical Treatment

EHS-MR-004.R0
 WORK ILLNESS REPORT
YR _______

(Name of Project)

Occupational Diseases JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL
Occupational Dermatitis (including skin conditions due to chemical agents which
1
are skin irritants and santizisers)

2 Bronchial Asthma (due to allergies in the working environment)

3 Acute Poisoning (due to exposure to chemical toxic substances)

4 Heat stroke, Cramps, Exhaustion (due to exposure to excessive heat)

5 Chilblain, frostbite, Freezing (due to exposure to excessive cold )

6 Deafness (loss of or decreased of hearing due to excessive exposure to excessive

noise)
Infections (due to exposure to biologic hazards/agents. Ex: anthrax, rabies,
7
hepatitis A, B, C, D, PTB, pneumonia)

8 Cataracts (due to exposure to glare of or rays from mollon glass or red hot metal)

Cardiovascular diseases (cardiac injury or acute attack precipitated by unusual

9 strains of work)

Essential Hypertension (primary hypertension that cause impairment of function

10
of kidneys, ears, eyes, & brain resulting in permanent disability)

11 Peptic Ulcer/Hyperacidity (due to prolonged emotional or physical stress at work)

Work related musculoskeletal diseases (caused or made worst by work due to

12 force of exertion, highly repetitive motions, awkward body posture, vibrations, etc.)

13 Others. Headache (due to stressful work condition)

TOTAL

Prepared by: Noted by: Approved by:

Project Nurse/Project Physician Safety Supervisor / EHS OpCen Head PM/PIC

EHS-MR-005.R0
DOLE/BWC/HSD/OH-47-A
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Bureau of Working Conditions
ANNUAL MEDICAL REPORT FORM
For Period January 01,_______ to December 31,_______
1 Name of Establishment: _____________________________________________
2 Address:_________________________________________________________
3 Name of Owner/Manager: ___________________________________________
4 Nature of Business and Products/Services (Ex. Manufacturing, Textile

5 Total Numbers of Employees:____________ Number of Shifts:______________

6 Number Distribution of Employees as to nature/workplace, sex and work shift:

Office Production/Shop
Ist Shift 2nd Shift 3rd Shift
Male: ____________________ ________ ________ ________
Female: ___________________ ________ ________ ________
Total: ____________________ ________ ________ ________

7 Preventive Occupational Health Services: (Check or Cross)

a. Occupational Health Services is organized/provided by:
( ) The establishment /undertaking
( ) Government authority institution
( ) Other bodies/groups/institution (specify) ________________________

b. Occupational health services as described under number 7a above is organizes/provided as a

services:
( ) Solely for the workers of the establishment/undertaking
( ) Common to any number of establishment/undertakings _____________

c. The employer engages the service of:

( ) Occupational health practitioner
Name & Address: _____________________________________________
( ) Occupational Health physician
Name & Address: _____________________________________________
( ) Occupational Health dentist
Name & Address: _____________________________________________
( ) Occupational health nurse
Name & Address: _____________________________________________

d. The occupational health physician/practitioner/nurse/personnel conduct an inspection of the

workplace:
( ) Once every month ( ) Once every three (3) months
( ) Once every two (2) months ( ) Once every six (6) months
( ) Other details ______________________________________________
8 Emergency Occupational Health Services:
a. The employer provides a treatment room/medial clinic in the workplace with medicines and
facilities:
( ) yes___________ ( ) No
( ) others, please specify _______________________________________

b. Schedule of attendance in the workplace:

Workshift
Occupational Health Physician: ______________hrs./day _____________
Occupational Health Dentist: ______________hrs./day _____________
Occupational Health Practitioner: ____________hrs./day _____________
Occupational Health Nurse: ________________ hrs./day _____________

c. Schedule of attendance of full time first aider

( ) 1st workshift
( ) 2nd workshift
( ) 3rd workshift

d. The following occupational health personnel of this establishment have undergone training in
occupational health and safety/first aid:
( ) occupational health physician
( ) occupational health dentist
( ) occupational health nurse
( ) first-aider
( ) others, please specify: ______________________________________

9. Occupational Health Services:

a. The occupational health personnel of this establishment conducts regular appraisal of the sanitation
system in the workplace:
( ) yes ( ) no

b. Number of workers who underwent the following medical examinations:

Physical Exams X-rays Urinalysis
1. Pre-placement
2. Periodic
3. Return-to-work
4. Transfer
5. Special
6. Separation
Stool Exam Blood Test ECG Others
1. Pre-placement
2. Periodic
3. Return-to-work
4. Transfer
5. Special
6. Separation
10. Report of Diseases
a. Number of consultations/treatments for the following diseases
Male Female Total No. Of Cases
Skin:
( ) allergy
( ) dermatomes
( ) infections as folliculities
abscess/paro nychia
( ) Others
Head:
( ) tension headache
( ) others
Eyes:
( ) error of refraction
( ) bacteria/Viral
conjunctivitis
( ) cataract
( ) others
Mouth & ENT:
( ) Gingivitis
( ) Herpes liables/nasal’s
( ) Otitis/Media External
( ) Deafness
( ) Meniere’s syndrome
Vertigo
( ) Rhinitis/Cold
( ) Nasal Polyps
( ) Sinusitis
( ) Tonsillopharynngitis
( ) Laryngitis
( ) Others
Respiratory:
( ) Bronchitis
( ) Pneumonia
( ) Tuberculosis
( ) Pneumoconiosis
( ) Others
Hearth & Blood Vessels:
( ) Hypertension
( ) Hypertension
( ) Angina Pectoris
( ) Myocardial Infarction
( ) Vascular Disturbance in
extremities due to
continuous vibration
( ) Others
Gastrointestinal:
( ) Gastroenteritis
( ) Amoebiasis
( ) Gastritis/Hyperacidity
( ) Appendicitis
( ) Infectious/Hepatitis
( ) Liver Cirrhosis
( ) Hepatic Abscess
( ) Cancer (Hepatic/Gastric)
( ) Ulcer
( ) Others
Genito Urinary:
( ) Urinary Tract Infection
( ) Stones
( ) Cancer
( ) Others
Reproductive
( ) Dysmenorrhea
( ) Infection (Cervicitis)
(Vaginitis)
( ) Abortion (Spontaneous)
(Threathened)
( ) Hyperemises Gravidarum
( ) Uterine Tumors
( ) Cervical Polyp/Cancer
( ) Ovarian Cyst/Tumors
( ) Sexually-Transmitte Diseases
( ) Hernia (Inguinal)
(Femoral)
( ) Others
Neuromuscular/Skeleal/Joints:
( ) Peripheral Neuritis
( ) Torticollis
( ) Arthritis
( ) Others
Lymphatic and Circulatory
( ) Anemia
( ) Leukemia
( ) Cerebrovascular
( ) Lymphadenitis
( ) Lymphoma
Infectious Diseases:
( ) Influenza
( ) Typhoid/Paratyphoid Fever
( ) Cholera
( ) Measles
( ) Mumps
( ) Tetanus
( ) Malaria
( ) Schitosomiasis
( ) Herpes Zoster
 ( ) Chicken Pox
( ) German Measles
( ) Rabies
( ) Others
Diseases Due to Physical Environment:
a. Diseases Due to Noise and Vibration
( ) Deafness (noise induced)
( ) White fingers disease
( ) Musculo-skeletal disturbances
( ) Fatigue
b. Diseases Due to Temperature and
Humidity Abnormalities:
Hot temperature
( ) Heat strokes
( ) Heat cramps
( ) dehydration
( ) neat exhaustion
( ) others
Cold Temperature
( ) Childblain
( ) Frost bite
( ) Immersion foot
( ) General Hypothermia
( ) Others
c. Diseases due to Pressure Abnormalities:
( ) Decompression Sickness
( ) air embolism
( ) Bends Disease
( ) Barotraumas
( ) Hypoxia
( ) Altitude sickness
d. Diseases due to Radiation:
( ) cataracts
( ) keratitis
( ) burns
( ) radiation-related cancer
TOTAL NUMBER
11. Report of Occupational Accidents/injuries
Nature Male Female Number of Case
Confusion, bruises,
Hematoma
Abrasions
Cuts, lacerations,
Punctures
Concussion
Avulsion
Amputation, loss of
Body parts
Crushing
Injuries Spinal
Injuries Cranial
Injuries Sprains
Dislocation/fractures
Burns
12. Immunization Program (indicate number immunized)
Tetanus Toxiod Injection
Tetanus Antitoxin Injection
Tetanus Globulin Injection
Hepatitis B Vaccine
Rabies Vaccine
Others (please specify)

13. Keeping of Medical Records of Workers (Please Check)

( ) done ( ) not done
14. Health Education and counseling by health and Safety Personnel:
(Please check done or more)
( ) done individual as each worker comes to the clinic for consultation.
( ) done in organized group discussions/seminars. Health Center
( ) done with the use of visual display and/or promotional material, leaflets, etc.
15. Other Health Programs (Please Check)
Kinds of Program Seminar Use of Visual Counseling
Aid/Material
Nutrition Program
Maternal and Child
Care Program
Family Planning Program
Mental Health Activities
Personal Health Maintenance
Physical Fitness Program: (Please Check)
Sports Activities ( ) Yes ( ) No
Others (Please specify) ( ) Yes ( ) No

16. Hazards in the workplace: (Please check give details of the substance)
Number of
Substance and/or
Workers
a. Chemical Hazards:
( ) dust (Ex. Silica dust)
( ) liquids (Ex. Mercury)
( ) mist/fumes/vapors
(Ex. Mist from pint spraying)
( ) gas (Ex. CO, H2S)
( ) others (Please Specify)
(Ex. Solvent)

b. Physical Hazards
 ( ) Noise
( ) temperature/humidity
( ) pressure
( ) illuminations
( ) radiations/ultraviolet
microwave
( ) vibrations
( ) others (Please specify)

c. Biological Hazards:
( ) Viral
( ) Bacterial
( ) Fungal
( ) Parasitic
( ) Others (please specify)

d. Ergonomic Stress:
( ) Exhausting Physical
( ) Prolong Standing
( ) Excessive Mental Effort
( ) Unfavorable Work Posture
( ) Static/monotonous work
( ) Others, specify

Submitted by:

Medical/Personnel/Title Date

Noted by:

Employer

Fn:\AMR-FORM.DOC
CHE 012904
ing in

e sanitation
 F-EHS-05-02.1
Rev 1, 061111

Date:

EHS ATTENDANCE SHEET

Check where applicable
Daily Toolbox Meeting
Orientation / Induction Meeting

Weekly Coordination Meeting

Others, Please specify:

AGENDA / TOPICS

SN NAME DESIGNATION/COMPANY SIGNATURE

10

11

12

13

14

15

16

17

18

19

20
 List of Basic EHS Requirements
Project: _____________________________

1 Safety Manual
* Scope of work
* Registry of identified aspects and hazards and their operational controls
* Working Methodology
* Work Sequence
* Schedule
* Manpower and Equipment Loading
* Hazardous activities (hotworks, electrical works, confined space works, working on heights,
and scaffoldings/platform requirements, excavation, demolition, mechanical hoisting, etc.)
* Emergency Response Team / Emergency Response Plan
* Emergency Purpose Kit
* Flash Lights
* Nylon Rope
* Whistle
* Megaphone
* Radio w/ battery
* Table of Organization with contact numbers (cellphone)
* Specimen of signature of authorized person for incoming and outgoing materials
* Construction Heavy Equipment and Vehicle - refers to any machine with engine or
electric motor as prime mover used either for lifting, excavating, leveling, drilling,
compacting, transporting and breaking works in the construction site, such as but not
limited to crane, bulldozer, backhoe, grader, road compactor, prime mover and trailer,
with minimum operating weight and horsepower rating of 1,000 KG and 10 HP,
respectively, that are subject to test based on the requirements of D.O. No. 13.
a. Third Party Certification for Heavy Equipment (Based on DOLE Requirements)
b. Preventive Maintenance schedule / service record
NOTE: All equipment / vehicle to be used for the project must be in safe and good operating
condition
* List of certified operators / skilled workers
a. Certification for Operators shall be in accordance with the requirements of TESDA (Technical
Education Skills Development Authority) on worker competency

* For Equipment and Vehicle (not requiring Third Party Certification)

* All equipment / vehicle (not requiring DOLE-Accredited Third Party Inspection to be used
in the project must be in safe and good operating condition (certification from
the Subcon that the equipment / vehicle is safe to use).
* List of authorized equipment operators with certification from the company that
they have been thoroughly trained to use the said equipment
* List of power tool/s to be used
a. Standard Operating Procedures
b. Proper handling and maintenance
Electrical tools/ extension wires (royal cord-double insulated/ enclosed with wooden
c.
box (c.o.) subject for MDC electrical inspection
d. Color code to be embossed to all tools and equipment
Note: Quarterly inspection must be conducted
e. Protective guard or safety mechanism.
f. List of incoming sub-contractors property must have inward pass acknowledge and
signed by the Security Agency and MDC Warehouse for proper documentation and
future reference.
Page 146 of 178
 * Waste Management Program
a. Housekeeping and arrangement
* Provide Cleaning materials such as Push Brooms, Dust Pan, Powdered Soap, Garbage sacks
Muriatic Acid
* To provide two(2) housekeeping crew which will be designated to EHS Dept. from 7AM to 4PM
b. Frequency and proper disposal
* Frequency of disposal – Haul down construction debris on the identified location everyday as
scheduled. (11:45 a.m. and 3:45 p.m.)
* Material Management Program
a. Delivery schedule
b. Material Handling
c. Storage and Arrangement
d. MSDS for chemicals
* Required PPE
a. Noise - ear plug/ muff / Noise Barriers
b. Dust - Dust mask/ respirator/ fan, vacuum cleaner and ventilation (smoke from welding)
c. Heat - Long sleeves shirt
- Arc of electric welding
- Permits (Hot works)
d. Hazardous chemicals (MSDS)
- Proper labels/ markings
- Provide Enclosures/ barriers
- Warning signs
- Permits
- Use appropriate PPE as required
e. Compressed cylinders and Welding Activities
- Flash back arresters
- Trolley, Cylinder station/cylinder cage (made of steel), cylinder caps
- Enclosure for welding machine and electric meter
- Fire Blankets
- Signages
- Welding Mask and Gloves
- Fire extinguishers
* Proposed working platforms to be used on site
a. Coconut lumber not allowed
b. Minimum standard dimension (1.20m x 0.60m x 0.90m) - For internal
c. Railings (Top & Midrail)
d. Mud sills
e. Gondola - External
Motorized type - Specifications, Standard Operating Procedure, Installation and anchoring
- methodology, Certificate of Good operating condition from Third Party authorized by
DOLE

2 Personal Protective Equipement (provide sample prior use)

* Head Protection (Safety Helmet / Hard Hat)
•ANSI-rated Orange Hard Hat for workers
•ANSI-rated White Hard Hat for Staff
• Safety Helmet shall be provided for all employees. Helmet shall be impact resistant. For the
purpose of proper selection, design, construction, testing and use of head protectors the American
Standards Safety requirement for industrial head protection (ANS1z59-1-1969) will be adopted.
* Foot and Leg Protection
• Safety shoes must be worn by all workers on site. For work carried out in wet or muddy
conditions or below ground level, rubber boots fitted with steel toecap and reinforced sole are
recommended. But where the work involves climbing and working in structural steel, the more
flexible rubber boots without steel toecaps and soles may be preferred to provide a better foothold.
* High Visibility Reflectorized Vest
• All workers are required to wear High Visibility Reflectorized Vest with fluorescent reflector
band should be yellow-green in color and at least 5 centimeters wide with orange background
Page 147 of 178
 material ( for workers) and preferrably blue background material (for staff).
* Face and Eye Protection
• Eye protection is required when there is a possibility of injury from chemicals or flying particles.
Eye protectors (goggles, visor, spectacles or face screen) and shields complying to American
Standards Safety for eye protection equipment (ANS1z87-1-1968). Workers must take care of their
eye protectors and use them properly. If protective equipment is found to be defective, immediately
report this to the foreman for replacement.
Examples of operation requiring the use of eye protection include, but are not limited to:
 Chipping, grinding, and impact drilling
 Breaking concrete, brick and plaster
 Tinning or soldering lugs or burning metals
 Handling chemical, acids or caustics
* Hand Protection
• Multi-use gloves shall be worn to protect the hands from injuries caused by handling sharp or
jagged objects, wood or similar hazard-producing materials. These gloves are usually made of
cloth materials with chrome leather palms and fingers or synthetic coating. All-leather gloves are
also acceptable.
• Material / chemical handling, welding, and electrical works
* Hearing Protection
• Appropriate hearing protection shall be used where employees are in designated hazardous
noise areas
* Foot and Leg Protection
• Safety shoes must be worn by all workers on site. For work carried out in wet or muddy
conditions or below ground level, rubber boots fitted with steel toecap and reinforced sole are
recommended. But where the work involves climbing and working in structural steel, the more
flexible rubber boots without steel toecaps and soles may be preferred to provide a better foothold.
* Respiratory Protection
• Face masks usually consisting of a filter pad held in place by a light aluminum frame and elastic
head band can be used to provide some protection from nuisance of dust or non-toxic sprays.
• Where the area is dusty, dust masks are the last report of a defense system.
* Fall Protection
• Safety Harness (Personal Fall Arrest System)
• Life Line
• Chin Strap
* Rain Coat (must be readily available for use when raining)
NOTE: Defective PPE's must not be worn and immediately replaced

3
List of requirements for clearance purposes to gain entry into jobsite for company
and safety orientation purposes.
Endorsement letter for all incoming workers intended for the project. Endorsed P.I.C. and/or Safety
* Officer shall be full time for coordination purposes. Safety Officer to submit Resume with certificate
of safety seminars and trainings attended

4 Requirements for MDC-EHS Orientation

* NBI Clearance
* Endorsement Letter
* PPE such as Hard hat, Safety Shoes, Uniform and Company ID & lace
* Medical Certificate (Fit to Work)
a Complete Blood Count (CBC)
b Urinalysis
c Chest X-ray
d Physical Exam
e Drug Test w/ Picture
f ECG (for 35 yrs old and above)
(Project Site) Temporary Facilities - Submit request letter for evaluation and
5
approval of the Project Team with following attachments.
Page 148 of 178
 Proposed location with key plan (to be reviewed and approved by MEP, TSD, ARCHITECTURAL,
*
OPERATION, PM/PIC)
* Electrical lay-out plan (to be reviewed and approved by MEP)
* Schedule of loads (to be reviewed and approved by MEP)
* Individual meter base with enclosures and warning signs (Assigned color codes be embossed,
marked on the safety cover).
* Lockers and Dressing Area for workers/staff
* Trash Bins (Nabubulok, Di-Nabubulok, Nakakalason)
* Ventilation and Illumination
* Fire Extinguishers
* EHS Bulletin Board
* Other requirements as needed
Visitors/bidders – cameras are restricted with in the job site. Cellular phone
6
w/camera is restricted(picture taking is not allowed) unless approved by the PM.
* Letter of intent a week, three days before the scheduled visit must be submitted.
* Fill-up waiver forms before allowed to enter the job site.
* PPE’s – Helmet, safety shoes, eye goggles, ear plug/muff, dust mask shall be borne by the
visitor/bidders upon gaining entry to the site (when site inspection is advised).
* Observe company and safety policy for your safety.

7 Other Requirements
* First Aid Kit
* Alaxan/Mefenamic Acid (tablets) * Betadine (Antiseptic) (Bottles)
* Amoxicillin 500mg (Capsule) * Band-Aid Standards (packs)
* Biogesic (Tablets) * Mediplast Gauze bandage (Rolls)
* Kremil-S (Tablets) * Micropore Tape (Rolls)
* Buscopan (Tablets) * Cotton Balls (Packs)
* Diatabs (Tablets) * Cotton Buds (Packs)
* Decolgen (Tablets) * Teramycin (Skin) (Bottles)
* Medicol (Tablets) * Omega Pain Killer (Bottles)
* Visine Eye Drops (Bottles) * Agua Oxigenada (Bottles)
* Alcohol 70% (Bottles) * Spine Board

PIC and/or Safety Officer Duties and Responsibilities

1 Prepare your work force prior to the start of daily toolbox meeting and exercise .
2 Check all safety requirements (permits, etc.) and PPE's required for the activity.
Operational controls on the identified registry of aspects and hazards (scope of work) to be
3
discussed.
4 Follow-up and closely supervise the work force during operation.
Submit Safety Observation Reports (SOR) and monthly safety report accident, incident report
5
or as required.
6 Attend weekly safety coordination meeting (to be announced).
7 Apprehend safety violators and turn-over to EHS Department for evaluation and action.
* PPE's required (Skull Guard, Uniform, Safety Shoes, High Visibility Reflectorized Vest, Company I.D.)
* Proper haircut must be observed (long hair with earrings not allowed)
* Safety Orientations/Inductions are to be conducted everyday at 1:00 P.M. only)
NOTE: MDC reserves its right to demand additional safety requirements as may be needed to
comply with contract requirements during the course of project execution

Prepared by: Approved by:

________________________ ________________________
Safety Supervisor Project Manager

Received by:
Page 149 of 178
_________________________________
Subcontractor Principal/PM/PIC

Page 150 of 178

DOLE/BWC/OSHD/IP-6b

Republic of the Philippines

DEPARTMENT OF LABOR AND EMPLOYMENT
NATIONAL CAPITAL REGION
Manila

ANNUAL WORK ACCIDENT / ILLNESS EXPOSURE DATA REPORT

Name of Establishment: __________________________________________________________

Nature of Business: _____________________________________________________________
Address: ______________________________________________________________________

Exposure Data: _____________________________January to December 20 ________________

Number of Employees: ____________________________________________________
Total Hours Worked by All: ________________________________________________
Injury Summary: _______________________________________________________________
Total – All Disabling Injuries/ Illness: _________________________________________
Total – Non Disabling: _____________________________________________________
Frequency Rate: __________________________________________________________
Severity Rate: ____________________________________________________________

General Manager

1. This report shall be accomplished whether or not there were accident illness occurrences during the
period, covered and submitted to the Regional Office of local government having jurisdiction not later
than 30th day of the month following the end of each calendar year.

2. Frequency Rate is the total number of disabling injuries per million employee hours of exposure.

Frequency Rate = Number of Disabling Injuries x 1,000,000

----------------------------------------------------
Employee – Hours of Exposure

3. Severity Rate is he total number of days lost or changed per million employee hours of exposure.

Severity Rate = Number of Days Lost or Changed x 1,000,000

----------------------------------------------------------
Employee – Hours of Exposure

4. Exposure is the total number of hours worked by all employees in each establishment including
employees or operating production, maintenance, transportation, clerical, administrative, sales and
other departments.
5. Disabling Injuries – work injuries which result in death permanent total disability, permanent
partial disability or temporary total disability.

6. Non – Disabling Injuries (Medical Treatment) – Injuries which do not result into disabling injuries
but require first- aid or medical attention of any kind.
 MAKATI DEVELOPMENT CORPORATION
(Name of Project)
as of ____________

ITEM WITH MECHANICAL PERMIT THIRD PARTYBY

INSPECTION ACCREDITED
EQUIPMENT PERMIT TO OPERATE BRAND MODEL STATUS OWNER
NO. DOLE-BWC
Certified by :
DATE ISSUED: PERMIT No.
Certification No. :
1
EXPIRES ON: ISSUED ON:
Date Issued :
EXPIRES ON :

10
10

11
 "BACK TO LIST"
OWNER
DOLE/BWC/OHSD/IP-6
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
BUREAU OF WORKING CONDITIONS
Manila

EMPLOYER’S WORK ACCIDENT/ILLNESS REPORT

(This report shall be submitted by the employer for every accident or illness to the Regional Office having jurisdiction on or before the 20 th day of the m
date of occurrence.)

1. ESTABLISHMENT
2. ADDRESS
EMPLOYER
3. NAME OF EMPLOYER NATURE OF BUSINESS
4. NUMBER OF EMPLOYEES: MALE FEMALE TOTAL
5. NAME AGE SEX CIVIL STATUS
6. ADDRESS
INJURED OR 7. AVERAGE WEEKLY WAGE
ILL PERSON 8. LENGTH OF SERVICE PRIOR TO ACCIDENT OR ILLNESS

9. OCCUPATION EXPERIENCE AT OCCUPATION

10. WORK SHIFT 1ST 2ND 3RD HOURS OF WORK/DAY
11. DATE OF ACCIDENT/ILLNESS
12. THE ACCIDENT INVOLVED PERSONAL INJURY PROPERTY DAMAGE
ACCIDENT OR 13. DESCRIPTION OF ACCIDENT OR/ILLNESS (GIVE FULL DETAILS ON HOW ACCIDENT ILLNESS OCC
ILLNESS

14. WAS INJURED DOING REGULAR PART OF JOB AT THE TIME OF ACCIDENT OR ILLNESS? IF NOT W

15. EXTENT OF DISABILITY FATAL PERMANENT TOTAL PERMANENT PAR

NATURE & TEMPORARY TOTAL MEDICAL TREATMENT
EXTENT OF
16. NATURE OF INJURY OR ILLNESS PART OF THE BODY AFFECTED
INJURY OR
ILLNES 17. DATE DISABILITY BEGAN DATE RETURNED TO WORK
18. DAYS LOST OR DAYS CHARGE
19. THE AGENCY INVOLVED
20. THE AGENCY PART INVOLVED
CAUSE OF 21. ACCIDENT TYPE
ACCIDENT OR
ILLNESS 22. UNSAFE MECHANICAL OR PHYSICAL CONDITION
23. UNSAFE ACT
24. CONTRIBUTING FACTOR
25. PREVENTIVE MEASURES (TAKEN OR RECOMMENDED)

PREVENTIVE 26. MECHANICAL PERSONAL PROTECTIVE EQUIPMENT AND OTHER SAFEGUARD

MEASURES 27. WERE ALL SAFE GUARD IN USE? IF NOT WHY?
28. COMPENSATION
 29 & 30. MEDICAL & HOSPITALIZATION.. BURIAL
31. TIME LOST ON DAY OF INJURY…HOURS MINUTES
MANPOWER 32. TIME LOST ON SUBSEQUENT DAYS, HOURS MINUTES
(LOST TREATMENT OR OTHER REASON)
33. TIME ON LIGHT WORK OR REDUCED OUTPUT-DAY PERCENT OUTPUT
34. DAMAGE OF MACHINERY AND TOOLS (DESCRIBED)
MACHINERY
35. COST OF REPAIR OR REPLACEMENT…………….. P
AND TOOLS
36. LOST OF PRODUCTION TIME COST P
37. DAMAGE TO MATERIALS (DESCRIBED)
38. COST OF REPAIR OR REPLACEMENT…………….. P
MATERIALS
39. LOST OF PRODUCTION TIME COST P
40. DAMAGE TO EQUIPMENT (DESCRIBED)
41. COST OF REPAIR OR REPLACEMENT…………….. P
EQUIPMENT
42. LOST OF PRODUCTION TIME COST P

I HEREBY CERTIFY on my honor to the accuracy of the foregoing information:

Date

Investigating Officer & Position EMPLOYER

T

ORT
n on or before the 20 th day of the month following the

TOTAL
CIVIL STATUS

WEEK

RTY DAMAGE
W ACCIDENT ILLNESS OCCURRED)

NT OR ILLNESS? IF NOT WHY?

PERMANENT PARTIAL

E BODY AFFECTED
RNED TO WORK
NT OUTPUT

PLOYER
DOLE/BWC/OHSD/IP-5

Republic of the Philippines

Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Manila
REPORT ON HEALTH AND SAFETY ORGANIZATION

Date:
Regional Labor Office No.
File Number

Name of Establishment:
Address:
Nature of Business:
Number of Persons Employed (Including Management)

1st Shift: Male: Female:

2nd Shift: Male: Female:
3rd Shift: Male: Female:
TOTAL: Male: Female:

A. POLICY AND PROGRAM ON SAFETY AND HEALTH:

B. COMPOSITION OF SAFETY AND HEALTH COMMITTEE: TYPE:

CENTRAL SAFETY COMMITTEE

NAME POSITION IN ESTABLISHMENT

Chairman:
Members:

Secretary

C. TECHNICAL INFORMATION
A. Brief description of process operation and number and kind of equipment.

Submitted by:

Project Manager
 Safe Man Hour and Manpower Monitoring Log

Project :
Company:
Month of:

Number of Staff/Worker Safe Manhour Sta

Total Number of
Date Direct Manpower Staff/Worker For the
Staff Day
Male Female Staff
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total Number of Total Safe
Staff Male & Manpower for the
Female Week
nitoring Log
"BACK TO LIST"

Year:

Safe Manhour Staff/Worker

Total Safe Manhour of

Direct Manpower Staff/Worker For the
Day
Staff

Total Safe Manpower

for the Week
 ARIES A. JANABAN
EHS MANAGER
0917-529-7676

RODIELYN B. AGUILAR
COG1 EHS HEAD
0917-304-4815
JOEY C. TAROC
OPCEN EHS HEAD (MAKATI 2)
0917-821-1731

TBN VIRGIL FELARCA MARLON PHILIP B.

SAFETY SUPERVISOR SAFETY SUPERVISOR DESPUES
LERATO SAFETY SUPERVISOR, P
PARK TERRACES TOWER 2
0917-353-0722 0917-545-9876

AMANDO GONGON KNOWMHAR S. DE LEON MERPHY E. MERELO

SAFETY OFFICER SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 1 PARK TERRACES TOWER 2 PARK TERRACES TOWE
0905-512-0106 0915-899-5551 0905-519-2800

GEORGE DIMLA KEN CHRISTOPHER TBA

SAFETY OFFICER HERNANDEZ SAFETY OFFICER
PARK TERRACES TOWER 1 SAFETY OFFICER, PT2 PARK TERRACES TOWE
0906-527-1395 0923-100-5491

ERWIN VENDERO ALFREDO CUADRA

SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 1 PARK TERRACES TOWER 2
0936-456-3392 0916-651-2372

TBA GABRIEL ROMANO

SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 1 PARK TERRACES TOWER 2
0917-454-4800
TBA GABRIEL ROMANO
SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 2
PARK TERRACES TOWER 1
0917-454-4800

PREPARED BY: RECOMMENDING APPROVAL APPROVED BY:

RODIELYN B. AGUILAR ARIES A. JANABAN RICHARD T. YAP

COG1 EHS HEAD EHS MANAGER DIVISION HEAD, ZPHD
BAN

GUILAR

MAKATI 2 OPERAT
ENVIRONMENT
ATI 2)
TABLE OF ORG
Updated: 5 March 2014 Rev.:

MARLON PHILIP B. JAEL JHEROME S. ANGEL S. PLANTADO

DESPUES SIMBULAN SAFETY SUPERVISOR
SAFETY SUPERVISOR, PT3 SAFETY SUPERVISOR, LOT H BUILDING 6 - BPO
0917-545-9876 0915-807-6952 0908-424-7649

MERPHY E. MERELOS RUBEN LOGRONIO MARCIANO H. LUNAG

SAFETY OFFICER SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 3 LOT H STEEL CARPARK BUILDING 6 - BPO
0905-519-2800 0915-513-7954 0906-361-3111

TBA ELMER PADIN TBA

SAFETY OFFICER SAFETY OFFICER SAFETY OFFICER
PARK TERRACES TOWER 3 LOT H STEEL CARPARK BUILDING 6 - BPO
0927-711-7461
AKATI 2 OPERATIONS CENTER
NVIRONMENT, HEALTH & SAFETY
ABLE OF ORGANIZATION CHART
ated: 5 March 2014 Rev.:0

EL S. PLANTADO TBA
TY SUPERVISOR SAFETY SUPERVISOR
DING 6 - BPO GARDEN TOWERS
8-424-7649

CIANO H. LUNAG EMERSON PELAYO

TY OFFICER SAFETY OFFICER
DING 6 - BPO GARDEN TOWERS
6-361-3111 0929-630-8999

TBA
TY OFFICER SAFETY OFFICER
GARDEN TOWERS
DING 6 - BPO
 "BACK TO LIST"

VINCENT MUJAL
OPCEN DEPUTY EHS HEAD
(MAKATI 1)
0917-545-9876

STA MESA
CEDLADON
AVENIDA
INTIMA
MAKATI DEVELOPMENT CORPORATION MAKATI DEVELOPMENT CORPORATION
NAME OF PROJECT NAME OF PROJECT
TEMPORARY PASS TEMPORARY PASS

https: https:

NAME NAME

COMPANY COMPANY

VALIDITY VALIDITY
___________ to ___________ ___________ to ___________

__________________________ __________________________
Project In Charge Project In Charge

MAKATI DEVELOPMENT CORPORATION MAKATI DEVELOPMENT CORPORATION

NAME OF PROJECT NAME OF PROJECT
TEMPORARY PASS TEMPORARY PASS

https: https:

NAME NAME

COMPANY COMPANY

VALIDITY VALIDITY
___________ to ___________ ___________ to ___________

__________________________ __________________________
Project In Charge Project In Charge

MAKATI DEVELOPMENT CORPORATION MAKATI DEVELOPMENT CORPORATION

NAME OF PROJECT NAME OF PROJECT
TEMPORARY PASS TEMPORARY PASS

https: https:

NAME NAME
 NAME NAME

COMPANY COMPANY

VALIDITY VALIDITY
___________ to ___________ ___________ to ___________

__________________________ __________________________
Project In Charge Project In Charge
"BACK TO LIST"
 WAIVER
I,
AGREEMENT
, Filipino / Others
address at , and an employee ( state if otherwise
) in consideration of the permission granted toVINCI WALL construction
me byZHENG VISION CORPORATION
( Sub - Contractor ) to job the construction site for a particular activity ( state activity )
, for a duration of until finish proje inside the Newport pp3 project located at
Newport PP3 Andrews avenue , Newport city cybertourism Zone pasay city

a.) The Project Owner and the Sub - Contractor, their officers, employees, staff, agents
representatives and / or subcontractors shall be not free from any or liabilities of whatever nature t
may arise as a result of accident and / or incident that may occur to your self or property during my
Job or stay at the site,

b.) I shall not follow the rules and regulation imposed by the owner and the General Contractor in so
as ingress to and egress from the site,

c.) officers, staff, agents, representatives and / or sub- contractors from any or all causes of action ,
or suits in law and equity, wether contractual or statutory, directly or indirectly arising
from presence at the site"

Signature above Printed Name

Date and Time

Name of Company
 of legal age, with known
and an employee ( state if otherwise
INCI ZHENG construction
y ( state activity )
inside the Newport pp3 project located at the

ers, employees, staff, agents

e from any or liabilities of whatever nature that
may occur to your self or property during my

he owner and the General Contractor in so far

ontractors from any or all causes of action , is not liability insurance to take this
directly or indirectly arising