COMPLIANCE CHECKLIST
Project Project Name
Location Project Location
Subject EHS COMPLIANCE CHECKLIST
Date 11-Oct-16
ITEM REFERENCE
DOLE DEPARTMENT ORDER
NO. 13
1 DOLE Dept. Order No. 13 -
Section 5 Construction Safety
and Health Program
2 DOLE Dept. Order No. 13 -
Section 6 Personal Protective
Equipment
3 Main or general contractor shall have overall management and
DOLE Dept. Order No. 13 -
Section 7 Safety Personnel
DOLE Dept. Order No. 13 -
4 Section 8 Emergency
Occupational Health Personnel EMERGENCY OCCUPATIONAL HEALTH PERSONNEL AND Mandatory
and Facilities
DESCRIPTION RSF COMMENTS PDI ACTION ACTION BY REMARKS
Before start of the actual construction, Construction Project Prepare an EHS
Manager shall prepare and submit a comprehensive
Construction Safety and Health Program (for approval by
Program complying with
the mandatory
Bureau of Working Conditions) which shall include but not Mandatory requirements of DO No.
limited to the following: Requirements 13. QEHS Dept.
All employers must provide PPE for all employees needing
such equipment. The cost of PPE shall be an integral part of Mandatory Provide PPEs to all
the project cost. Requirements workers. PDI
If PDI is main or general
contractor, PDI shall lead
EHS. If PDI is
coordination of all safety and health personnel. All full time Mandatory subcontractor, PDI shall
safety and health personnel must be accredited by DOLE. Requirements follow. PDI
Art. 7.1 Contractor must provide a full time EHS Officer
Art. 7.2 Contractor must provide additional EHS Officers
depending on the total number of personnel
Art. 7.3 Contractor must provide one EHS for every 10 units of
heavy equipment
All safety personnel who will be employed full time should be
accredited by BWC DOLE.
Provide required
FACILITIES Requirements personnel and facilities. PDI
Mandatory Provide required
First Aider - 50 workers or less Requirements personnel and facilities. PDI
Mandatory Provide required
Full Time Regitered Nurse for more than 50 up to 200 workers. Requirements personnel and facilities. PDI
Full Time Registered Nurse, Part Time Physician and Dentist Mandatory Provide required
with an Emegency Clinic for more than 200 up to 300 workers. Requirements personnel and facilities. PDI
 COMPLIANCE CHECKLIST

Project Project Name

Location Project Location
Subject EHS COMPLIANCE CHECKLIST
Date 11-Oct-16

ITEM REFERENCE DESCRIPTION RSF COMMENTS PDI ACTION ACTION BY REMARKS

DOLE DEPARTMENT ORDER
NO. 13

5 The requirements for an emergency hospital and dental clinic

shall not be applicable when there is a nearby hospital and Mandatory Provide required
clinic and the Employer makes arrangement for reservation … Requirements personnel and facilities. PDI

The requirements for an emergency hospital and dental clinic

shall not be applicable when there is a nearby hospital and
clinic and the Employer makes arrangement for reservation.
Tht medical / dental clinic shall be located within 5 km radius
from the workplace and can be reached in 25 minutes travel.
Such access shall include necessary transportation facilities.
In such situation, there shall be a written contract with the Mandatory Provide required
medical / dental clinic. Requirements personnel and facilities. PDI

6 The Contractor shall always have at the construction site the

required minimum inventory of medicines, supplies and Mandatory Provide required
equipment as indicated in Table 47 of the OSHS. Requirements personnel and facilities. PDI
DOLE Dept. Order No. 13 -
7 Section 9 Construction Safety
Signages Mandatory provision of Construction Safety Signages
Mandatory
Requirements
Provide mandatory
safety signages. QEHS Dept.
Required in all
Usage of PPE projects.
Falling / Falling objects As needed.
Explosives and flammable substances As needed.
Tripping or slipping hazards As needed.
Toxic or irritant airborne contaminanats / substances As needed.
Electrical facility As needed.
Dangerous moving parts of machines As needed.

8 Fire alarm / Fire fighting equipment

Required in all
projects.

9 Instructional signs / update of manhours lost

Required in all
projects.
 COMPLIANCE CHECKLIST

Project Project Name

Location Project Location
Subject EHS COMPLIANCE CHECKLIST
Date 11-Oct-16

ITEM REFERENCE DESCRIPTION RSF COMMENTS PDI ACTION ACTION BY REMARKS

DOLE DEPARTMENT ORDER
NO. 13

10 DOLE Dept. Order No. 13 -

Section 10 Safety on All heavy equipment operators must be tested and certfied by Mandatory Provide required
Plant and Equipment Dept
or Subcontractor or
Construction Heavy Equipment TESDA. Requirements certification. Equipment Lessor
Plant and Equipment Dept
11 All heavy equipment must be tested by DOLE recognized
association / organization.
Mandatory
Requirements
Provide required
certification.
or Subcontractor or
Equipment Lessor
Plant and Equipment Dept
12 Daily routine inspection of heavy equipment by duly certified
mechanics / operators.
Mandatory
Requirements
Provide requred
inspection report.
or Subcontractor or
Equipment Lessor
Plant and Equipment Dept
13 Maintenance records for each heavy equipment.
Mandatory
Requirements
or Subcontractor or
Provide required record. Equipment Lessor

14 DOLE Dept. Order No. 13 -

Section 11 Construction Safety
and Health Committee
Mandatory
Form and make active
the Construction Safety Construction Manager and
Chairman of the Committee - Construction Manager Requirements and Health Committee EHS Officer
Secretary - ESH Officer
Members - Other ESH Officers including those from
Subcontractors, three (3) workers
1. Plan, develop and oversee the implementation of accident
prevention programs (HIRAC).
2. Direct accident prevention efforts (HIRAC).
3. Conduct tool box meeting everyday.
4. Prepare and submit to DOLE minutes of committee
meetings.
5. Assist government inspectors.

6. Initiate / supervise safety and health training for employees.

15 DOLE Dept. Order No. 13 -
Section 12 Safety and Health
Information
7. Develop and maintain a disaster contingency plan
(EMERGENCY RESPONSE PLAN).
This include orientations, instructions and training to all Conduct EHS
workers; means of conveying safety related information to all
workers and specialized instructions and training for specialty Mandatory
orientations, instructions
and training to all
workers and operators. Requirements workers. QEHS Dept.
 COMPLIANCE CHECKLIST

Project Project Name

Location Project Location
Subject EHS COMPLIANCE CHECKLIST
Date 11-Oct-16

ITEM REFERENCE DESCRIPTION RSF COMMENTS PDI ACTION ACTION BY REMARKS

DOLE DEPARTMENT ORDER
NO. 13
16 DOLE Dept. Order No. 13 -
Section 13 Construction Safety required to undergo basic construction safety training
and Health Training
General Safety and Health Measures
Basic rights and duties of workers.
Emergency procedures
Good housekeeping
Welfare and first aid facilities
Care and use of PPEs
Personal hygiene and health protection
Safety and health rules and regulations
Daily tool box meetings
Hire EHS Officers with
basic construction safety
All safety personnel assigned within the construction site are
Mandatory
training. Preferred are
those with DOLE
prescribed by the Bureau of Working Conditions. Requirements certification. HRA Dept.

If PDI is main or general

17
DOLE Dept. Order No. 13 -
Section 14 Construction Safety
and Health Reports
18 DOLE Dept. Order No. 13 -
Section 15 Construction
Worker's Skills
contractor, PDI to
provide monthly reports
to DOLE. If PDI is
subcontractor, PDI to
provide monthly reports
Mandatory to main or general
The monthly reports to DOLE includes the following: Requirements contractor. QEHS Dept.
1. Minutes of the committee meetings
2. Accident investigation reports
3. Hazard assessments with corresponding remedial actions /
measures required (HIRAC)
Plant and Equipment Dept
A skills certificate shall be required for "Critical Occupations"
as classified by TESDA. An occupation shall be considered as Mandatory
At the moment, provide
certifications of heavy
or Construction Dept or
Subcontractor or
critical: Requirements equipment operators. Equipment Lessor
When it may affect and endanger people's lives and limbs
When it involves the handling of hazardous tools, equipment
and supplies
 COMPLIANCE CHECKLIST

Project Project Name

Location Project Location
Subject EHS COMPLIANCE CHECKLIST
Date 11-Oct-16

ITEM REFERENCE DESCRIPTION RSF COMMENTS PDI ACTION ACTION BY REMARKS

DOLE DEPARTMENT ORDER
NO. 13

When it requires relatively long period of education and training

When the performance of the job may compromise safety,
health and environmental concerns within the immediate
vicinity of the construction site

The Employer shall

19 DOLE Dept. Order No. 13 -
provide adequate supply
of safe drinking water,
Section 16 Worker's Welfare The Employer shall provide adequate supply of safe drinking Mandatory adequate sanitary and
Facilities water, adequate sanitary and washing facilities. Requirements washing facilities. Construction Dept
DOLE Dept. Order No. 13 -
20 Section 17 Cost of The total cost of the Construction Safety and Health Program
Construction Safety and Health shall be a mandatory integral part of the construction project. Mandatory Include cost of EHS as a
Program It shall be treated as a separate pay item. Requirements separate pay item. Engineering Dept.

Prepared by: Reviewed by: Approved by:

EHS OFFICER PROJECT MANAGER PROJECT MANAGER