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: METRO SOUTH MEDICAL CENTER

Address: National Road, Molino 4, Bacoor City, Cavite
Nature of Business: Healthcare

Number of Persons Employed (Including Management)

1st Shift: Male: Female:

2st Shift: Male: Female:
3st Shift: Male: Female:
TOTAL: Male: Female:

A. POLICY AND PROGRAM ON SAFETY AND HEALTH:

See attached file

B. COMPOSITION OF SAFETY AND HEALTH COMMITTEE: TYPE: C

CENTRAL SAFETY COMMITTEE

NAME POSITION IN ESTABLISHMENT

Chairman: Melda S. Suaverdez, MD, FPOG Head – Information/Admitting & ER, Safety Officer 2

Members: Grover Cleveland R. Salamanca, MD, FPOGS, MMHA Chairman of the Board, Occupational Physician

Lea T. Obejera, DMD Personnel & TQM Director, Occupational Dentist

Edna R. Molon, RN MAN Nursing Consultant, Occupational Health Nurse

Karl M. Roble, RN MANc Quality Assurance Officer, Nurse Supervisor, Clinic Nurse

Raffy Bistoyong Safety Officer 1 PTM Services (Outsource)

Katrina V. Nilo, RN Safety Officer 1 TMS (Outsource)

Angelo M. Narca Safety Officer 1 Approve Services (Outsource)

Jeanne R. Cantor, RN Infection Control Nurse, Pollution Control Officer

Alexandrie Tristan R. Daloso HRD Supervisor

Marlon C. Pura Maintenance Supervisor

Secretary: Ronald C. Suaverdez, MD, DPBA, FPSA, MMHA Medical Director, Safety Officer 3
B. TECHNICAL INFORMATION:

Metro South Medical Center (MSMC), is a fifty bed Level Two Hospital located along National Road, Molino IV in
the City of Bacoor, Cavite. Our hospital offers a multi specialty Out-Patient Department and In-Patient services,
complete with laboratory and diagnostic procedures, x-ray, ultrasonography, CT scan and other diagnsotic
services. We have more than 150 consultants decked on their different areas of specialization.

Prepared by:

Karl M. Roble, RN MANc

Quality Assurance Officer, Nurse Supervisor, Clinic Nurse

Submitted by:

Ricardo B. Delos Trinos, MD, FPOA

President