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Bosh Training Manual
Bosh Training Manual
2/1/6/2020
BASIC OCCUPATIONAL SAFETY AND HEALTH (BOSH)
TABLE OF CONTENTS
INTRODUCTION: BOSH FRAMEWORK 5
MODULE 1 - WHY THE NEED FOR OSH? 9
OSH SITUATIONER 10
KEY PROVISIONS OF THE OSH STANDARDS AND OTHER DOLE ISSUANCES 241
APPENDICES: 292
REFERENCES: 292
INTRODUCTION: BOSH
FRAMEWORK
This training manual aims to provide you technical information that will help
you to better your understanding of the different processes, rules, and
regulations in respect to Occupational Safety and Health (OSH). This will also
prepare you to engage on technical discussions that will follow on the next
modules. We will explain to you how you will engage in the discussions by
providing you directions on where we will be heading.
BOSH BACKGROUND:
This forty (40)-hour Basic Occupational Safety and Health Training for Safety
Officers is a MANDATORY TRAINING COURSE in pursuance with Republic Act
No. 11058 and DOLE Department Order 198 s. 2018.
TNT designed this Training Module to impart knowledge and skills on basic
concepts and principles of occupational safety and health. This will enable
safety officers to gain directions on how they will implement their respective
company’s safety and health program.
• Define OSH and its three major fields – Occupational Safety, Occupational
Health, and Industrial Hygiene.
• Develop basic knowledge & skills on OSH, such as safe work practices, that
will enable them to plan/develop their own company’s Safety and Health
program.
• Identify the risk assessment process and define the unsafe act and unsafe
condition.
• Describe the different workplace safety and health hazards, evaluate the
Risk, and determine appropriate control to prevent/minimized the hazards
and risk at the workplace.
• Simulate Safety and health walkthrough audit and create specific HIRAC
after the audit.
• Understand the Different National and Local OSH Rules and Regulations,
OSH reportorial requirements and areas for compliance to the OSH
Standards.
Occupational safety and health are a discipline with a broad scope involving
three major fields – Occupational Safety, Occupational Health, and Industrial
Hygiene.
• the adaptation of work to humans (and NOT the other way around).
Occupational health issues are often given less attention than occupational
safety issues because the former are generally more difficult to confront.
However, when health is addressed, so is safety - a healthy workplace is also a
safe workplace. The reverse, though, may not be true - a so-called safe
workplace is not necessarily also a healthy workplace. The important point is
that both health and safety issues must be addressed in every workplace.”
Remember:
The main purpose why you attend this course is to learn the basic in
Occupational Safety and Health, so we are expecting more participation and
interactions with you while you are having fun in learning the basic.
Do not hesitate in taking notes on your manual especially those that interest
you and you want to remember… believe me you will thank yourself for making
those notes.
SOURCE:
Your health and safety at work: INTRODUCTION TO OCCUPATIONAL HEALTH AND SAFETY, International Labor
Organization, accessed 25 April 2005-http://www.itcilo.it/actrav/actrav-english/telearn/osh/intro/introduc.htm
OSH SITUATIONER
• The incidence rate in 2017 was posted at 4.27 percent which indicates that
there were around 4 cases of occupational injuries with workdays lost per
1,000 workers.
• The severity rate was recorded at 9.68. This means that about 10 workdays
were lost in cases of occupational injuries resulting to temporary incapacity
per 1,000,000 employee-hours of exposure.
TYPE OF INJURY
Superficial injuries and open wounds were the most common type of
occupational injuries with more than half or 50.8 percent of the total cases
reported. This was followed by dislocations, sprains and strains with 12.0
percent and fractures with 10.7 percent.
Wrist and hand were collectively recorded as the most injured part of body
accounting for 35.9 percent. Lower extremities and arm and shoulder came
next with 18.7 percent and 17.6 percent, respectively.
CAUSE IF INJURY
AGENT OF INJURY
The top three (3) agents of injuries in 2017 were machines and equipment
(26.2%); materials and objects (24.4%); and hand tools (18.3%).
OCCUPATIONAL DISEASES
Occurrences of occupational diseases in establishments employing 20 or more
workers accounted to 101,851 cases in 2017. This was a decrease of 19.1
percent from 125,973 reported cases in 2015. (Figure 3)
Topmost work-related diseases suffered by workers was back pains with 31.3
percent. Other most prevalent occupational diseases experienced were
essential hypertension (15.5%) and neck-shoulder pains (11.4%).
• Fire prevention and control program was the topmost OSH policies and
programs conducted in 82.6 percent of the total 32,288 establishments.
• Across industries, wholesale and retail trade industry had the highest share
of establishments with designated health and safety personnel in 2017 with
20.3 percent; followed by manufacturing at 16.1 percent and
accommodation and food service activities at 11.4 percent.
• Trained first aider were the most designated health and safety personnel
among establishments with 81.3 percent. This was followed by safety
officers with 46.2 percent and occupational health nurses with 25.0
percent. (Figure 2)
DEFINITION OF TERMS
Occupational accident - an unexpected and unplanned occurrence,
including acts of violence arising out of or in connection with work which results
in one or more workers incurring a personal injury, disease, or death. It can
occur outside the usual workplace/premises of the establishment while the
worker is on business on behalf of his/her employer, i.e., in another
establishment or while on travel, transport or in road traffic.
Permanent incapacity - case where an injured person was absent from work
for at least one day, excluding the day of the accident, and 1) was never able
to perform again the normal duties of the job or position occupied at the time
of the occupational accident, or 2) will be able to perform the same job but
his/her total absence from work is expected to exceed a year starting the day
after the accident.
Temporary incapacity - case where an injured person was absent from work
for at least one day, excluding the day of the accident, and 1) was able to
perform again the normal duties of the job or position occupied at the time of
the occupational accident or 2) will be able to perform the same job but
his/her total absence from work is expected not to exceed a year starting the
day after the accident, or 3) did not return to the same job but the reason for
changing the job is not related to his/her inability to perform the job at the time
of the occupational accident.
Cases without workdays lost – where the injured person required only first aid
or medical treatment on the day of the accident and was able to perform
again on the day after the accident, the normal duties of the job or position
occupied at the time of the occupational accident.
Source:
Safety Officer/s of all workplace must possess the necessary training and
experience requirements according to its category as contained herein. The
respective qualifications of safety officers are as follows:
MINIMUM OSH
CATEGEORY PRESCRIBED TRAINING ON OSH
EXPERIENCE
Safety officers engaged in micro and small establishments, low to medium risk,
shall be engaged in safety programs including other tasks designated to
him/her by his/her employer.
Minimum classification and number of safety officer for all covered workplaces
shall be as follows:
Source:
Republic Act 11058 “An Act Strengthening Compliance with Occupational Safety and Health Standards and Providing
Penalties for Violations Thereof
• Moral -Protect and preserve life. Increase morale, stop workplace injury
and illnesses
LEGISLATION REQUIREMENTS
• UNDER RA 11058 Series of 2018 – Duties of Employers, Workers and Other
Person - “Inform the workers of the hazards associated with their work,
health risks involved or to which they are exposed to, preventive measures
to eliminate or minimize the risks, and steps to be taken in case of
emergency”
• UNDER DO 198 Series of 2018 - Worker’s right to Know - “All workers shall be
informed by the employer about all types of hazards in the workplace, and
provided access to training and education on chemical safety and to
orientation on data sheet of chemical safety, electrical safety, mechanical
safety, ergonomics, and other hazards and risks. “
DEFINITION
• Hazard - A source or a situation with a potential for harm to humans,
property and damage of environment or a combination of these.
• Group similar incidents and identify trends in injuries, illnesses, and hazards
reported.
• Determine the severity and likelihood of incidents that could result for each
hazard identified and use this information to prioritize corrective actions.
Some hazards, such as housekeeping and tripping hazards, can and should be
fixed as they are found. Fixing hazards on the spot emphasizes the importance
of safety and health and takes advantage of a safety leadership opportunity.
Source:
Republic Act 11058 “An Act Strengthening Compliance with Occupational Safety and Health Standards and Providing
Penalties for Violations Thereof
https://www.hse.gov.uk/risk/identify-the-hazards.htm
Facilitator will give you Ten (10) minutes to work on your own on this
workshop.
Mechanical
Physical
Electrical
Biological
Chemical
Ergonomics
Psychological
Environmental
To understand the difference between the two types of hazards, we first need
to understand the difference between health and safety:
HEALTH
Is described as the level of efficiency of the functioning of an individual’s body.
A good state of health implies lack of illness, pain, or injury.
SAFETY
Is a state of being safe, that is, a condition whereby one is protected against
physical, social, emotional etc. consequences of failure or any undesirable
events.
SAFETY HAZARDS
Something that has potential for injury (i.e., Physical, Mechanical, Electrical). It
increases the risk level to which a person is exposed and can bring about
immediate affects if not dealt with properly.
Example can be of a construction worker falling from the ladder and injuring
his skull since he did not use the advised safety helmet.
HEALTH HAZARDS
Something that has potential to cause illness (i.e., Biological, Chemical,
Ergonomics, Psychological, Environmental) and it usually affect a person’s
health and bring about delayed results.
SOURCE:
http://www.differencebetween.net/science/health/differences-between-health-hazards-and-safety-hazards/
WHAT IS AN ACCIDENT?
An accident is an unexpected, unforeseen, unplanned, and unwanted
occurrence or event that causes damage or loss of materials or properties,
injury, or death.
Examples of accidents:
• Electrocution
• Fire
Examples of near misses: a spillage on a tile floor which has not been cleaned
up causing a person to slip but not injured themselves or break any equipment
which they may have been holding or carrying.
COST OF AN ACCIDENT
Human costs: The effect of accident to a worker entails a lot of losses in terms
of:
• Loss of income.
• Death.
Economical: Any accident or ill-health will cost both direct and indirect loss.
Many employers believe most accident costs are covered by insurance. The
opposite is usually true.
• Direct Costs:
▪ Medical costs
▪ Insurance premium
▪ Employee compensation
▪ Regulatory penalties
• Indirect Costs:
▪ Disruption in production
▪ Ecological remediation
ANSI (American National Standards Institute) defines this as “any human action
that violates a commonly accepted safe work procedure or standard
operating.” These often happen when a worker has improper attitudes,
physical limitations or lack of knowledge or skills.
• Horseplay
UNSAFE CONDITION
• Slippery floor
• Faulty equipment
• Inadequate lighting
SOURCE:
www.hse.gov.uk
GENERAL OBJECTIVES:
At the end of this Module 2 participants will be able to:
• Identify the different type of Safety Hazards found at the workplace and
develop specific controls measures suitable for different type of safety
hazards.
• Identify the different type of Health Hazards found at the workplace and
develop an Occupational Health (OH) program that are compliant to OH
Package of the Department of Labor and Employment.
• Classify the risk of the health hazards based on Medical Surveillance before
implementing appropriate control measures to address the risk.
• Identify the different methods of control and their importance in the control
of health and safety hazards.
Workplace safety hazards play a vital role in the increase in the statistics and
in 2017 alone about 46,283 cases of occupational injuries were recorded by
the Philippines Statistics Authority.
Some of the workplace hazards that are common cause of accident at the
workplace are but not limited to:
• Electrical hazards like frayed cords, missing ground pins, improper wiring
HOUSEKEEPING
Housekeeping is not just cleanliness. It includes keeping work areas neat and
orderly; maintaining halls and floors free of slip and trip hazards; and removing
of waste materials (e.g., paper, cardboard) and other fire hazards from work
areas. It also requires paying attention to important details such as the layout
of the whole workplace, aisle marking, the adequacy of storage facilities, and
maintenance. Good housekeeping is also a basic part of accident and fire
prevention.
A cluttered workplace:
• reduces the workspace for each worker and will thereby reduce
productivity.
• reduces the free flow of air (and therefore raises the temperature) in the
workplace.
• For example, we often see boxes or racks of finished goods or stock being
piled high. They often block windows, air bricks, fire exits, etc., thus creating
other hazard situations.
• Fire as a result of oil contaminated materials left in an area where hot work
is performed, or due to the accumulation of combustible dust
• cutting, puncturing, or tearing the skin of hands or other parts of the body
on projecting nails, wire, or steel strapping
• An eye injury from falling grit left in the overhead of a work site.
▪ Employee Facilities
▪ Smoking, eating, or drinking in the work area where toxic materials are
handled is not prohibited.
▪ Surfaces
▪ Boxes and other files stored along the passageways, aisles, and door
exits obstructing the full use of the latter.
• Spill Control
• Maintenance
• Waste Disposal
• Storage
▪ The location of the stockpiles interferes with work, and not readily
available when required.
Sources:
CCOHS- Canadian Centre for Occupational Safety and Health OHS Answers Fact sheets: Workplace housekeeping -
Basic Guide
http://www.ccohs.ca/oshanswers/hsprograms/house.html
5S: good housekeeping techniques for enhancing productivity, quality, and safety at the workplace. Export Quality
Bulletin No 89/2012
http://www.intracen.org/uploadedFiles/intracenorg/Content/Exporters/Exporting_Better/Quality_Management
Fire safety is the set of practices intended to reduce the destruction caused
by fire. Fire safety measures include those that are intended to prevent
ignition of an uncontrolled fire, and those that are used to limit the
development and effects of a fire after it starts.
Fire safety measures include those that are planned during the construction
of a building or implemented in structures that are already standing, and those
that are taught to occupants of the building.
Threats to fire safety are commonly referred to as fire hazards. A fire hazard
may include a situation that increases the likelihood of a fire or may impede
escape in the event a fire occurs.
• An ignition source to initiate and sometimes sustain the fire until it can
sustain itself by further release of heat energy, and
For many years, the three-sided figure of the fire triangle has adequately been
used to explain and describe the combustion and extinguishing theory. If
anyone of the three elements is removed, a fire cannot exist.
FIRE CLASSIFICATIONS
Class of
Characteristics Fire extinguishers
fire
Fires involving ordinary Foam, loaded stream,
A combustible materials, such as multipurpose dry chemical,
wood, cloth, paper, rubber, and water types
and many plastics.
• Controls and safety interlocks on fuel fired boilers and hot water heaters,
which can present a risk if inadequate or poorly maintained.
There may be fire hazards associated with exposures that are unique to your
operation. For example, in the metals industry, the following hazards may
exist:
• Water-reactive metals.
• Heat-treating operations.
These are just a few of the hazards that may exist in your facilities.
SOURCE:
RA 9514 The Fire Code of the Philippines Revised Implementing Rules and Regulations – revised 2019
http://bfp.gov.ph/wp-content/uploads/2019/10/RA9514-RIRR-rev-2019.pdf
http://www.nfpa.org/~/media/FD0144A044C84FC5BAF90C05C04890B7.ashx
ELECTRICAL HAZARDS
On the job site, working around electricity can be very safe when workers
properly identify and control hazards. But, inadequate training, lack of
experience and failure to recognize potential hazards could result in electric
shock or death.
• Resistance (R): The property of material which opposes the flow of electric
current (measured in ohms).
The voltage (V), the current (I) and the resistance (R) are related by the
following formula, known as Ohm’s law: V = I x R (Volts)
• Insulators: have extremely high resistance to the flow of electricity, they are
used to provide barrier around a conductor to prevent accidental
contact.
Common electrical hazards in the workplace and tips on what you can do to
mitigate these risks:
▪ Backhoes
▪ Concrete pumpers
▪ Cranes
▪ Metal ladders
▪ Scaffolds
Using wires with inappropriate size for the current can cause overheating
and fires to occur.
• Improper Grounding
• Damaged Insulation
• Wet Conditions
If electrical equipment is used in ways for which it is not designed, you can
no longer depend on safety features built in by the manufacturer. This may
damage your equipment and cause employee injuries.
▪ Using equipment outdoors that is labeled for use only in dry, indoor
locations.
▪ Using circuit breakers or fuses with the wrong rating for over-current
protection, e.g. using a 30-amp breaker in a system with 15- or 20-amp
receptacles. Protection is lost because it will not trip when the system's
load has been exceeded.
▪ Using modified cords or tools, e.g., removing ground prongs, face plates,
insulation, etc.
• Always turn off main power supply source first before extending further help
to the victim
• Never attempt to touch the victim with bare hands if not sure that the
power source is off.
https://www.osha.gov/Publications/3120.html
Occupational Safety and Health Administration (OSHA) Control of Hazardous Energy Lockout/Tagout OSHA 3120 (2002
Revised)
MACHINE HAZARDS
• Power tools: handheld tools which are powered: portable drills, portable
grinder
• Other moving parts: all parts of the machine which moves while the
machine is working. These can include reciprocating, rotating, and
transverse moving parts,
NON-MECHANICAL HAZARDS
• Not grounded properly (electrical)
• The safeguards themselves, how they provide protection, and the hazards
for which they are intended.
All information must also be included in your orientation and machine safety
training.
SOURCES:
https://www.osha.gov/Publications/Mach_SafeGuard/chapt1.html
Occupational Safety and Health Administration (OSHA) Machine Safeguarding
• Strains and sprains from lifting loads improperly or from carrying loads that
are either too large or too heavy,
• Cuts and bruises caused by falling materials that have been improperly
stored or by incorrectly cutting ties or other securing devices.
continuous lifting / handling activities, e.g. low back pain. It can also cause
acute trauma such as cuts or fractures due to accidents.
Work-related low back pain and injuries are the most common
musculoskeletal disorders caused by manual handling. About a 30.3% of work-
related injuries were workers suffer from back pain, which tops the list of all
reported work-related disorders.
Factors that increase the risk of injury include the load being too heavy, large,
difficult to grasp or unstable, the task being too strenuous or involving awkward
postures or movements, and the working environment lacking sufficient space,
having slippery, uneven or unstable floors, having extreme temperatures or
poor lighting.
There are several factors that make manual handling hazardous and increase
the risk of injury. These are called risk factors. The risk factors, particularly for
back injury, are related to 4 aspects of manual handling: the load, the task,
the environment, and the individual.
The Load
The risk of back injury increases during lifting, carrying, pushing, and pulling of
loads, if the load is:
• Too heavy
• Too large
One basic rule for lifting and carrying is to keep the load as close to the
body as possible. In order to get a broad load close to the body, the worker
has to open the arms to reach and hold the load. The arm muscles cannot
produce force when reaching as effectively as with the arms held in close.
Thus, the muscles will get tired more rapidly when handling a large bulky
load.
• Difficult to grasp
Loads that are difficult to grasp can result in the object slipping, causing
sudden movement of the load. Gloves usually make grasping more difficult
than with bare hands. Providing the objects with handles or using aids for
gripping (e.g. when carrying plate material) reduces the load on the
worker. Loads with sharp edges or of dangerous materials (solids or liquids)
can injure workers, especially in the event of a collision.
• Difficult to reach
The individual
There are also some individual factors that can influence the risk of back
injury:
• Experience, training, and familiarity with the job (for example, new
episodes of low back pain are common in the first year of employment)
• Age (the risk of low back disorders increases with the number of years at
work: the first episode of low back pain occurs in most people by the age
of 30)
• Personal lifestyle (smoking may, for example, increase the risk of low back
disorders)
The Task
• Is too strenuous
Tasks may be very demanding if they have to be carried out too frequently
or for too long with insufficient rest or recovery time (e.g. continuous lifting
or carrying for long distances, or activities where the working speed is
imposed by a process which cannot be altered by the worker).
Working with a bent and/or twisted trunk, raised arms, bent wrists, a bent
neck and turned head increases the risk of back injury and should be
avoided, as should twisting, turning and bending movements of the trunk,
overreaching, sudden movements and repetitive handling.
The Environment
The following characteristics of the work environment may increase the risk of
back injury:
• Space available
• Floor
• Climate
• Lighting
Insufficient lighting may increase the risk of accidents when handling loads.
It may also make you work in awkward positions to see clearly what you
are doing.
Crane
Working with cranes poses many hazards, and unsafe working practices can
result in injuries, fatalities and costly damage to buildings and materials.
Therefore, it is important you’re aware of the main hazards and how you can
avoid them.
• Falling Loads
When working with overhead cranes, falling loads are one of the most
common, and most dangerous, hazards. A falling load can result in several
injuries, fatalities and significant structural damage to buildings and
property. Additionally, it will also lead to significant time and money costs.
• Electrical Hazards
• Crane Overload
The majority of crane structural failures and upsets are the result of
somebody overloading a crane. If you exceed a crane’s operational
capacity, you are likely to subject it to structural stresses and cause
irreversible damage.
▪ Drag loads.
▪ Side-load a boom.
Forklift Trucks
Many work-related factors can cause incidents. Grouping them into specific
categories may help to analyze incidents and, eventually, to prevent them.
• Work Organization
▪ Age of forklifts.
• Operator
• Workplace Design
▪ Narrow aisles.
▪ Shelving that has components that could hit or intrude into the operator
area.
▪ Pedestrians who are walking and working in the general area of forklift
operations.
• Load
▪ Goods are poorly stacked or piled on the pallet in a way that result in an
unstable load.
• Machine Condition
▪ Malfunction of brakes.
▪ Malfunction of steering.
Conveyors
• A cleaning cloth or clothing gets caught in the conveyor and pull fingers
or hand into the conveyors.
• Belt Conveyors
▪ where the belt or chain enters or exits the in-going nip point
▪ snub rollers where the belt changes direction, such as take ups
• Screw Conveyor
Screw conveyors are troughs with a revolving shaft with a spiral or twisted
plate. Ingoing nip points for the entire length of the screw conveyor exist
between the revolving shaft and trough. Because the trough may not be
covered and the conveyor may be located or near floor level, screw
conveyors can be particularly dangerous.
• Chain Conveyor
Nip points occur when a chain contacts a sprocket. Nip points also occur
at drives, terminals, take-ups, (automatic take-ups may also have shear
points), and idler. Clothing, jewelry, long hair may also get entangled and
caught in moving chain conveyor.
• Roller Conveyors
Roller conveyors are used to move material on a series of parallel roler that
are either powered or gravity fed. Powered roller conveyors can snag and
pull hands, hair, and clothing into the area between the rollers and the
stationary components of the conveyor. Ingoing nip points may exist
between the drive chain and sprockets; between belt and carrier rollers;
and at terminals.
SOURCE:
http://www.osha.mddsz.gov.si/resources/files/pdf/E-fact_14_--
Hazards_and_risks_associated_with_manual_handling_in_the_workplace.pdf
https://www.ccohs.ca/oshanswers/safety_haz/forklift/accident.html
Safeguarding Equipment and Protecting Employees from Amputation (OSHA 3170-02R, 2007)
INDUSTRIAL HYGIENE
Industrial hygiene is the science and art dedicated to the anticipation,
recognition, evaluation, and control of workplace hazards that may cause
worker injuries or illnesses.
Before ever arriving at a job site or facility, a preliminary research can be done
to determine the type of work and the potential exposures that may be
present. This can be performed by asking and answering the following
questions:
RECOGNITION OF HAZARDS
EVALUATION OF HAZARD
The evaluation process may require the use of specialized sampling equipment
to actually quantify the workers’ exposure to the specific hazards. Depending
on the type of hazard, representative samples will be collected using various
methodologies. Once samples have been analyzed by an accredited
laboratory, then plan can be formulated to control the hazards.
CONTROL OF HAZARDS
• Acute effect: short duration, appear rapidly after short term exposure &
usually reversible e.g. nausea & vomiting
• Chronic effect: long duration, develop over a long period of time which
may take many years, produced by prolonged exposure to hazard
resulting in gradual, usually irreversible illness e.g. cancer.
Chemical agents may be in the form of dust, fumes, vapor, mist and gases.
The degree of risk of handling a given substance depends on the
magnitude and duration of exposure.
▪ Dust is made of fine particles of solid matter float in air (particle size of
about 1 to 150 um). Examples are silica, metal dusts and asbestos.
▪ Fumes are heated solid particles suspended floating in the air (particles
size of about 0.1 to 1 um). Examples are oxides generated from molten
metal such as cadmium oxide, beryllium oxide, etc.
▪ Vapor diffused matter suspended floating in the air and impairing its
transparency. Examples are the components of organic solvents such
as benzene, toluene, acetone, and xylene.
▪ Mist is a tiny droplet of water hanging in the air (particle size of 5 to 100
um approximately. Examples: nitric acid and sulfuric acid.
▪ Gases is a state of mater that has no fixed shape and no fixed volume.
Examples are chlorine, hydrogen sulfide, ammonia, carbon monoxide,
sulfur dioxide, phosgene, and formaldehyde.
▪ PHYSICAL HAZARDS
o Prickly heat: can occur where due to the sweat glands are blocked
and consequently accumulated sweat.
o Heat Cramps: usually occurs in the arms, legs and abdomen. Usually,
it happens after intense sweating and not drinking enough water.
o Heat Stroke: The body loses its ability to cool itself. As a result,
increased body temperature, quick pulse, lost orientation, confusion,
decreased blood pressure, unconsciousness, and coma. This issue
requires urgent medical treatment because it can cause death.
o Physical activity
o Excessive clothing
o Dehydration
o Cardiovascular disease
o Skin disorder
o Obesity
Temperatures that are too low can increase the risk of accidents due
to health problems arising from the cold. Those who work in low
temperatures such as cold storage, freezing and ice factories often
vulnerable to this problem.
o Frostbite: The ice crystals formed in the cells and tissues resulting in
impaired blood flow.
HAV can affect workers who use power tools and cutting equipment
such as:
➢ Grinders
Ø Polishers
Ø Strimmer
➢ Chainsaws
➢ power drills
➢ road breakers.
The vibration transmitted from the tools or materials to the hands and
arms could damage sensory nerves, muscles and joints which is
called hand arm vibration syndrome (HAVS).
➢ Tingling
➢ Numbness
After the attack, the fingers affected may become painful, red and
throbbing as the circulation returns.
➢ Headaches
➢ motion sickness
➢ stomach problems
Using vehicles off road increases the risk of jolts and jarring. For this
reason, employees that drive or operate heavy plant and vehicles
such as construction plant, agricultural machines and quarry
vehicles are especially at risk.
Radiation dose
o Laser Radiation
o Microwave Radiation
Sources of light
Types of Lighting
o Local lighting directing light on an object that you are working with.
o Nature of work - more light will be required if one is working with small
objects.
▪ Noise
Types of noise
These include:
• ERGONOMICS HAZARDS
Ergonomic hazards are factors in your environment that can harm the
musculoskeletal system. There are Injuries that are caused by strain placed
on the body from ergonomic hazards and are not always immediately
obvious, making these hazards difficult to detect.
▪ Frequent lifting
▪ Poor posture
▪ Vibration
▪ Manual handling,
▪ Heavy lifting,
▪ Twisting movements,
Proper Posture
▪ Elbows near the side, bent at a 90° angle to reach the work.
• BIOLOGICAL HAZARDS
The "biohazard” symbol is a familiar sight in hospitals, and any object that
carries it should be treated with extreme caution. Biological hazards vary in
their degree of severity and the precautions employed when handling,
storing, or disposing of them are determined accordingly.
Chemical and biological hazards differ in that the latter may have the
potential to pass from person to person. This makes it particularly important
that all precautions are strictly observed by those working with, or
encountering, biologically hazardous materials. In a worst-case scenario,
inadequate precautions, or a failure to observe them, could lead to a
major outbreak of a fatal disease. This is extremely unlikely, however, as
establishments that carry out research into disease causing infectious
agents are carefully designed to prevent accidental release and have
strict biosafety rules.
▪ Tuberculosis (TB)
Transmission
TB bacteria are spread through the air from one person to another. The
TB bacteria are put into the air when a person with TB disease of the lungs
or throat coughs, speaks, or sings. People nearby may breathe in these
bacteria and become infected.
o sharing toothbrushes
o kissing
Symptoms:
o People who have latent TB infection do not feel sick, do not have
any symptoms, and cannot spread TB to others
Prevention:
Once inside the body, the virus attacked the body`s immune system,
specifically the CD4 cells (T cells), which help the immune system fight
off infections. AIDS is the most advanced stage of infection with HIV.
Transmission:
➢ Sexual contact
o HIV does not survive long outside the human body (such as on
surfaces), and it cannot reproduce outside a human host. HIV is NOT
transmitted by:
➢ Saliva, tears, or sweat that is not mixed with the blood of an HIV-
positive person.
Prevention
To prevent the spread of the virus among the working population, and
in recognition that HIV/AIDS has far reaching consequences beyond the
health sector, the government passed the Republic Act 8504 otherwise
known as The Philippine AIDS Prevention and Control Act of 1998. The
DOLE DO NO. 102-10: Guidelines for the implementation of the HIV and
AIDS prevention and Control in the Workplace Program was issued to
provide directions for employers, employees, and program
implementers in the workplace.
▪ Hepatitis B
Transmission
Symptoms
Treatment
▪ Tetanus
Smoking leads to disease and disability and harms nearly every organ of
the body. Smoking causes cancer, heart disease, stroke, lung diseases,
diabetes, and chronic obstructive pulmonary disease (COPD), which
includes emphysema and chronic bronchitis. Smoking also increases risk
for tuberculosis, certain eye diseases, and problems of the immune
system, including rheumatoid arthritis.
o Drug Testing Program for Officers and Employees: random drug test
(screening and confirmatory test should the screening turn positive)
for officials and employees.
• Group similar incidents and identify trends in injuries, illnesses, and hazards
reported.
• Determine the severity and likelihood of incidents that could result for each
hazard identified and use this information to prioritize corrective actions.
Some hazards, such as housekeeping and tripping hazards, can and should be
fixed as they are found. Fixing hazards on the spot emphasizes the importance
of safety and health and takes advantage of a safety leadership opportunity.
How to accomplish it
• Records of previous injuries and illnesses, such as WAIR and ECP logs and
reports of incident investigations.
• Input from workers, including surveys or minutes from safety and health
committee meetings.
Information about hazards may be available from outside sources, such as:
• OSHC, DOLE, OSHA, National Institute for Occupational Safety and Health
(NIOSH), and Centers for Disease Control and Prevention (CDC) websites,
publications, and alerts.
• Trade associations.
• Labor unions,
How to accomplish it
• Include all areas and activities in these inspections, such as storage and
warehousing, facility, and equipment maintenance, purchasing and office
functions, and the activities of on-site contractors, subcontractors, and
temporary employees.
• Use checklists that highlight things to look for. Typical hazards fall into
several major categories, such as those listed below; each workplace will
have its own list:
▪ General housekeeping
▪ Electrical hazards
▪ Equipment operation
▪ Equipment maintenance
▪ Fire protection
▪ Work practices
▪ Workplace violence
▪ Ergonomic problems
invisible, often have no odor, and may not have an immediately noticeable
harmful health effect. Health hazards include chemical hazards (solvents,
adhesives, paints, toxic dusts, etc.), physical hazards (noise, radiation, heat,
etc.), biological hazards (infectious diseases), and ergonomic risk factors
(heavy lifting, repetitive motions, vibration). Reviewing workers' medical
records (appropriately redacted to ensure patient/worker privacy) can be
useful in identifying health hazards associated with workplace exposures.
How to accomplish it
• Identify ergonomic risk factors –examine work activities that require heavy
lifting, work above shoulder height, repetitive motions, or tasks with
significant vibration.
to identify the root causes (and there is often more than one) of the incident
or concern, in order to prevent future occurrences.
How to accomplish it
▪ Lines of communication
Note: DOLE AND OSHC has special reporting requirements for work-related
incidents that lead to serious injury or a fatality (RULE 1050). DOLE
Representative must be notified within 8 hours of a work-related fatality, and
within 24 hours of an amputation, loss of an eye, or inpatient hospitalization.
How to accomplish it
▪ Chemical releases
▪ Structural collapse
▪ Disease outbreaks
▪ Medical emergencies
▪ Workplace violence
How to accomplish it
• Prioritize the hazards so that those presenting the greatest risk are
addressed first. Note, however, that employers have an ongoing obligation
to control all serious recognized hazards and to protect workers.
Note: "Risk" is the product of hazard and exposure. Thus, risk can be reduced
by controlling or eliminating the hazard or by reducing workers' exposure to
hazards. An assessment of risk helps employers understand hazards in the
context of their own workplace and prioritize hazards for permanent control.
How to Accomplish
SOURCE:
https://www.osha.gov/shpguidelines/hazard-Identification.html
Occupational Safety and Health Center OSH Manual
• Ensure that all chemicals are properly labeled, and Safety Data Sheets are
provided in accordance with GHS.
• Ensure that the Safety Officer is in charge of the overall responsibility for
chemical safety in the establishment.
Employees shall:
Hazard Classification Criteria has three major hazard groups namely physical,
heath, and environmental hazards. Based on the three classifications of
hazards, the following compose the GHS criteria:
Hazard communication composed of Safety Data Sheet (SDS) and Labels. GHS
labels must include specific:
• symbols/ pictograms.
▪ Has the right of refusal to work if an imminent danger situation exists until
the corrective action to eliminate the danger is achieved.
• Chemicals procured shall have GHS label and safety data sheet;
SOURCE:
http://www.oshc.dole.gov.ph/images/Files/Reports%20and%20Proceedings/6a_Department_Order_no_136_14_Guid
elines_for_the_Implementation_of_GHS.pdf
RED - The color red is used on any safety signs, labels, or other objects to signify
danger or to alert people that they need to stop.
ORANGE - The color orange is used to alert people to the fact that there are
dangerous parts of a machine or equipment. The danger could be from
crushing, cutting, shocking or otherwise harming people or the facility. This is
most commonly used on labels that are applied to machinery but could also
be used on signs and other objects.
YELLOW - Anywhere that caution needs to be used, the color yellow should be
primary on the signs or labels alerting people to this fact. Similar to OSHA, this
includes risks of tripping, falling, getting burned, being caught in a pinch point,
experiencing hearing damage, and almost any other common hazard that
may be present.
BLUE - Blue is used on signs and labels that provide information about a
particular item or area. This information does not necessarily have to be safety
related.
BLACK AND WHITE - Black & white signs or labels are used for guiding traffic or
telling people which direction to go. These colors can also be for housekeeping
information in the facility. While not specifically safety related, having this type
of signage can directly improve the safety of the facility.
PURPLE - Purple was being reserved by ANSI for future use, but it has become a
de facto standard for radiation hazards through popular use.
Safety data sheets have sixteen sections. The early sections, one through
eight, focus on quick access to essential information that might be required
by chemical handlers for safe handling practices or by emergency response
personnel. Sections nine through eleven contain technical and scientific
data, e.g., stability, reactivity, physical & chemical properties. Sections twelve
through fifteen are not mandatory; however, they are required to be fully GHS
compliant. The last section, section sixteen, contains information about the
SDS itself, e.g., the revision date and changes since the last version.
Employers must ensure that employees have access to safety data sheets for
all the hazardous chemicals they handle. Employers may fulfill this
requirement in a variety of ways. For example, SDS binders are quite common
as are computer based SDS databases. What is important is that employees
have access to the safety data sheets for all the chemicals that they are
using. If the employer does not have an SDS for one of these chemicals, they
should contact the manufacturer to obtain the current version of the SDS for
that chemical. In this sense, the online SDS databases have a clear
advantage over binder-based systems since the database vendor usually
takes care of indexing and updating the safety data sheets.
SOURCES
Based on what you have learned so far pertaining to the different type of
Hazards, can you identify safety and health hazards on the provided photos.
Please expect that there will be a presentation of findings later so you may
need to familiarize yourself with your work.
You may request the facilitator to provide you an extra time should necessary.
Facilitator will guide you should you have any clarifications pertaining to the
activity.
Remember: This exercise aims to help you get familiarized with the hazard, so
any questions regarding the topic is always welcome.
• WHEN to sample- Samples should be collected during each shift, pre- and
post-shift. Frequency can be single or repeated.
▪ process variations
Physical Agents Threshold Limit Values for Noise – the TLV refer to the sound
pressure that represents conditions under which is believed that nearly all
workers may be repeatedly exposed without adverse effect on their ability to
hear and understand normal speech.
• The values specified in Table 8b apply to total time of exposure per working
day regardless whether this is one continuous exposure or a number of STE
but does not apply to impact or impulsive type of noise
• If variation in noise level involves maximum interval of one (1) second or less
it is considered as continuous, if more than 1 second it becomes impulse or
impact noise
• Exposure to impulse or impact noise shall not exceed 140 dBa peak sound
pressure level (ceiling value)
Illumination – all places where person work or pass may have to work or pass
in emergencies, shall be provided during time of use with adequate natural
lighting or artificial lightings or both, suitable for the operation and special type
of work performed.
• Natural Lighting
• Artificial Lighting
• Intensity
- In location where dirt collects rapidly, the initial level should be at least
50% above the recommended standards.
• Emergency Lightings
- Where large number of persons are employed in building more than one
story in height, emergency lightings shall be provided in all important
stairways, exits, workplaces, and passages.
General Ventilation
• Atmospheric Conditions
• Air Supply
• Cleanliness
• Air Movement
- Air velocity shall not exceed 15 meters (50 ft) per minute during rainy
season and 45 meters (150 ft) during summer season.
The employer shall exert effort to maintain and control the working
environment in comfortable and healthy condition for the purpose of
promoting and maintain the health of his workers.
“WEM shall mean sampling and analysis carried out in respect of the
atmospheric working environment and other fundamental elements of
working environment for the purpose of determining actual condition therein”
• Requirements
To ensure the integrity of the testing the Department of Labor and Employment
issued a Department Order DO 160-16 Guidelines on the accreditation of
Consulting Organizations to provide WEM Services. This DO provide a policy
guideline and use to evaluate the competence and integrity of the testing
organization.
▪ Psychrometer – humidity
ANALYTICAL SAMPLE
All the laboratory analysis results are compared with the Threshold Limit Values
(TLVs). TLVs are exposure guidelines that have been established for airborne
concentration of many chemical compounds. Concentrations of hazards that
exceed the TLVs can cause adverse effects to humans.
Where:
15 6 hours
10 2 hours
18 8 hours
[(15ppm)(6hrs) + (10ppm)(2hrs) +
(18ppm)(8hours)]
TWA Concentrate =
[6hrs + 2hrs + 8hrs)]
• TLV for Airborne contaminants are specified under the Table 8, 8a and 8d.
• TLVs for other environmental hazards and stresses may be found in the
Philippine Occupational Safety and Health Standards (OSHS) and in the
ACGIH, OSHA, and NIOSH web sites
• Intensity of exposure
• Duration of exposure
• Individual susceptibility
• how much of the material in contact with the body cells is required to
produce an injury
The TLV conversion equations for parts per million (ppm) to milligram per cubic
meter (mg/m3 ) at standard temperature and pressure are:
24.45
SOURCE:
United States. American Conference of Governmental Industrial Hygienists (ACGIH®). (2010). TLVs® and BEIs® Based
on the documentation of the threshold limit values for chemical substances and physical agents & biological exposure
indices. Cincinnati, OH: ACGIH.
Philippines. Department of Labor and Employment – Occupational Safety and Health Center. (2010, September).
Occupational Safety and Health Standards as amended. Intramuros, Manila: DOLE-OSHC.
www.ccohs.ca
www.osha.gov
http://www.cdc.gov/niosh/topics
DTI and DOLE Interim Guidelines on Workplace Prevention and Control of COVID-19
Screening has a clinical focus, and its fundamental purpose is early diagnosis
and treatment of the person. In some settings, medical screening also affords
an opportunity to identify new instances of occupational injury or illness, assess
fitness for duty and evaluate the efficacy of personal protective measures.
Exposure records
• Provide a medical monitoring program that complies with all the pertinent
Legislations and other rules and regulations.
Among those cases that requires Medical Surveillance are but not limited to:
• Acrylonitrile • Lead
You may refer to Rule 1070 in regard to the TLV exposure limit, ECC List of
Occupational Diseases for the Medical Surveillance requirements and OSHA
Medical Surveillance Guidelines for detailed information.
The OH Personnel should observe the work processes in their entirety, evaluate
job tasks, review material safety data sheets of relevant chemicals, discuss
personal protective measures, conduct a medical literature review as needed
and investigate all other relevant information necessary to achieve a full
understanding of the hazards and exposures that are present. Published
hazard exposure limits are available in Table 8a-8d of Rule 1070 in OSHS.
When OSHS has set no standards for a specific substance, the principal
employees to include in screening and surveillance programs are those at risk
for adverse health effects because of definite or anticipated exposure to the
substance. The employer, along with the family physician, must assess all
employees when deciding which ones should be assigned to the high-risk
group. Employees assigned to a high-risk group because of their a priori risk of
disease or dysfunction should be enrolled in proactive screening on a periodic
and continuing basis.
• Type(s) of exposures
• Duration of Exposure
• Multiplicity of exposure
• Likelihood of Exposure
• Consequences of Exposure
SCREENING ACTIVITIES
In the context of work-site safety and health programs, the employer may ask
the family physician to perform nonclinical tasks, such as helping to design
appropriate screening content or an overall surveillance strategy. In designing
screening content, the physician should refer to standard clinical preventive
screening resources and, when necessary, occupational screening guidelines.
Screening Intervals
• Periodic/Annual Examination - All personnel who have taken the initial pre-
placement examination and have reviewed clearance by the examining
physician shall be re-examined periodically in accordance with hazard-
specific regulations. The date of each periodic examination should fall on
or as closely as possible to, the anniversary of the previous examination.
Non-work-related health issues may arise during the course of the medical
evaluation. The examining physician may recommend that employees see
their family doctor or a specialist. Any additional tests required to
investigate non-work-related health issues will be the employee’s
responsibility.
BIOLOGIC MONITORING
Rule 1967.01 of OSHS and Rule III, Section 2 (b) of Implementing Rules of PD 626
as amended requires that employees with potential exposures to certain
harmful agents shall receive medical monitoring examinations. These
examinations serve the purpose of detecting adverse health effects which
COMMUNICATING RESULTS
Feedback of individual and group results completes the surveillance cycle. The
OH personnel who is involved in a work-site medical surveillance program must
communicate results to several stakeholder groups. In doing so, confidentiality
must be ensured.
The OH Personnel should prepare a written individual summary report for each
employee who participates in the medical surveillance program. A copy of
this report, which might be entitled “Disposition Statement,” “Physician's Written
Opinion” or something similar, should be given to the employee and explained
in detail. The employer should be given a similar report but with confidential
clinical information “blinded.” The following information should be covered in
the employer's written report on an employee: the employee's fitness for duty;
the employee's medical capability to wear personal protective equipment;
recommended medical removal protection, if appropriate; comparisons with
previous medical screening and surveillance data; clinical follow-up
recommendations; and recommended accommodations relating to the
workers with disability.
OSH Committee meetings should be held to discuss group findings and their
relevance to work-site hazards. These meetings should include relevant
employer representatives, such as personnel involved in industrial hygiene,
safety, environmental issues, on-site medical provision, and management. It is
imperative that the coordinating OH Personnel participate in these meetings.
These forums provide the greatest opportunity for a meaningful exchange of
information between the OH Personnel and the work site, as well as the
integration of surveillance program parts into the whole.
The goal of the feedback process is to ensure that the activities of the OH
Personnel performing screening tasks are linked to the rest of the surveillance
effort. The feedback process facilitates and encourages continuous review of
work-site exposures and the health outcomes of such exposures, and it also
provides a mechanism for continuously improving health and safety
performance. As appropriate, action-planning steps should be established to
remedy matters of concern.
PROGRAM QUALITY
Assuring quality in a medical surveillance program is essential to its success.
Quality assurance begins with the employer identifying an appropriately
trained and experienced OH Personnel to engage in the program. Desired
physician credentials include evidence of specific training and experience in
occupational health. Nonphysician occupational health professionals should
be similarly trained and experienced.
that analyze biologic samples should have certification from the Department
of Health (DOH) or any governing bodies in the Philippines.
The OH Personnel who is overseeing the surveillance effort must take the lead
in ensuring that quality issues relating to medical screening and surveillance
are adequately addressed. This step is important because when otherwise
healthy persons are screened, end points of significance are usually more
subtle than they are in overtly symptomatic persons. Adhering to available
guidelines also facilitates epidemiologic review because of the quality and
integrity of the data obtained.
SOURCE:
JAMES C. WESDOCK, M.D., M.P.H., and ROSEMARY K. SOKAS, M.D., M.O.H., Occupational Safety and Health
Administration, Washington, D.C.
American Conference of Governmental Industrial Hygienists. Threshold limit values for chemical substances and
physical agents in the work environment. Cincinnati: ACGIH Worldwide, 1998.
Screening and surveillance: a guide to OSHA standards. Washington, D.C.: U.S. Department of Labor and
Occupational Safety and Health Administration, 1999; publication no. OSHA-3162
Occupational Safety and Health Administration. Proposed regulation on safety and health programs for general
industry. Retrieved March 10, 2000, from the Worldwide
http://www.osha-slc.gov/STLC/safetyhealth/nshp.html
This is known as risk assessment and it is something you are required by law to
carry out. A risk assessment is the process of evaluating the risk to safety &
health from hazards at work.
Think about how accidents and ill health could happen and concentrate on
real risks – those that are most likely, and which will cause the most harm.
For some risks, other regulations require particular control measures. Your
assessment can help you identify where you need to look at certain risks and
these particular control measures in more detail. These control measures do
not have to be assessed separately but can be considered as part of, or an
extension of, your overall risk assessment.
The Risk Assessment process will vary between organisations, but it should start
with identification of hazards, analysis of who and what might be harmed,
evaluation of the risk, documentation of the risks, take an action and review.
A good starting point is to walk around your workplace and think about
any hazards. In other words, what is it about the activities, processes or
substances used that could injure your employees or harm their health?
When you work in a place every day it is easy to overlook some hazards, so
here are some tips to help you identify the ones that matter:
▪ Look back at your accident and ill-health records – these often help to
identify the less obvious hazards.
Then think how employees (or others who may be present, such as
contractors or visitors) might be harmed. Ask your employees what they
think the hazards are, as they may notice things that are not obvious to you
and may have some good ideas on how to control the risks.
For each hazard you need to be clear about who might be harmed – it will
help you identify the best way of controlling the risk. That does not mean
listing everyone by name, but rather identifying groups of people (e.g.,
people working in the storeroom or passers-by). Remember:
▪ Some workers may have particular requirements, e.g., new, and young
workers, migrant workers, new or expectant mothers, people with
disabilities, temporary workers, contractors, homeworkers, and lone
workers
▪ Think about people who might not be in the workplace all the time, such
as visitors, contractors, and maintenance workers.
▪ If you share a workplace with another business, consider how your work
affects others and how their work affects you and your workers. Talk to
each other and make sure controls are in place.
Having identified the hazards, you then have to decide how likely it is that
harm will occur, i.e., the level of risk and what to do about it. Risk is a part
of everyday life and you are not expected to eliminate all risks. What you
must do is make sure you know about the main risks and the things you
need to do to manage them responsibly.
Your risk assessment should only include what you could reasonably be
expected to know – you are not expected to anticipate unforeseeable
risks.
Look at what you are already doing, and the control measures you already
have in place. Ask yourself:
Improving health and safety need not cost a lot. For instance, placing a
mirror on a blind corner to help prevent vehicle accidents is a low-cost
precaution, considering the risks. Failure to take simple precautions can
cost you a lot more if an accident does happen.
Involve your workers, so you can be sure that what you propose to do will
work in practice and will not introduce any new hazards.
▪ adapt the model to the detail of your own work situations, including
any extension necessary to cover hazards and risks not referred to in
the model.
RISK MATRIX
▪ Qualitative Risk Assessment
Make a record of your significant findings – the hazards, how people might
be harmed by them and what you have in place to control the risks. Any
record produced should be simple and focused on controls.
If you have fewer than five employees, you do not have to write anything
down. But it is useful to do this so you can review it at a later date, for
example if something changes. If you have five or more employees, you
are required by law to write it down.
When writing down your results keep it simple, for example ‘fume from
welding – local exhaust ventilation used and regularly checked’.
▪ you dealt with all the obvious significant hazards, considering the
number of people who could be involved.
Where the nature of your work changes fairly frequently or the workplace
changes and develops (e.g. a construction site), or where your workers
move from site to site, your risk assessment may have to concentrate more
on a broad range of risks that can be anticipated.
If your risk assessment identifies a number of hazards, you need to put them
in order of importance and address the most serious risks first.
Identify long-term solutions for the risks with the biggest consequences, as
well as those risks most likely to cause accidents or ill health. You should also
establish whether there are improvements that can be implemented
quickly, even temporarily, until more reliable controls can be put in place.
Remember, the greater the hazard the more robust and reliable the
measures to control the risk of an injury occurring will need to be.
Few workplaces stay the same. Sooner or later, you will bring in new
equipment, substances and procedures that could lead to new hazards.
So, it makes sense to review what you are doing on an ongoing basis, look
at your risk assessment again and ask yourself:
Low level of danger or exposure to safety and health hazards and not likely or
with low probability to result in accident, harm, or illness.
Presence of hazard or potential hazard within the company may affect the
safety and/or health of workers.
SOURCE:
DO 198 Series of 2018 Implementing Rules and Regulations of RA 11058 entitled “An Act Strengthening Compliance
with Occupational Safety and Health Standards and Providing Penalties for Violation Thereof.
https://www.hse.gov.uk/pubns/indg163.pdf
Based on what you have learned in Risk Assessment, using the Risk Matrix
provided please complete the second part of your risk assessment form.
Please expect that there will be a presentation of findings later so you may
need to familiarize yourself with your work.
You may request the facilitator to provide you an extra time should necessary.
Facilitator will guide you should you have any clarifications pertaining to the
activity.
Risk Matrix is provided and can be found at the Appendix Section after Hazard
Identification Template.
Remember: This exercise aims to help you get familiarized with the proper
assessment and evaluation of the hazard, so any questions regarding the topic
is always welcome.
• Involve workers, who often have the best understanding of the conditions
that create hazards and insights into how they can be controlled.
• Identify and evaluate options for controlling hazards, using a "hierarchy of
controls."
• Use a hazard control plan to guide the selection and implementation of
controls and implement controls according to the plan.
• Develop plans with measures to protect workers during emergencies and
nonroutine activities.
• Evaluate the effectiveness of existing controls to determine whether they
continue to provide protection, or whether different controls may be more
effective. Review new technologies for their potential to be more
protective, more reliable, or less costly.
For example, in the case of a noise hazard, temporary measures might require
workers to use hearing protection. Long term, permanent controls might use
engineering methods to remove or isolate the noise source.
How to accomplish it
• Get input from workers who may be able to suggest and evaluate solutions
based on their knowledge of the facility, equipment, and work processes.
SELECT CONTROLS
Employers should select the controls that are the most feasible, effective, and
permanent.
How to accomplish it
• Eliminate or control all serious hazards (hazards that are causing or are likely
to cause death or serious physical harm) immediately.
• Use interim controls while you develop and implement longer-term solutions.
• Review and discuss control options with workers to ensure that controls are
feasible and effective.
Note: Whenever possible, select equipment, machinery, and materials that are
inherently safer based on the application of "Prevention through Design" (PtD)
principles. Apply PtD when making your own facility, equipment, or product
design decisions.
Hierarchy of Controls
Remember, however, that you need to make sure the substitute chemical
or substance is not causing any harmful effects, and to control and monitor
exposures to make sure that the replacement chemical or substance is
below occupational exposure limits.
Another type of substitution includes using the same chemical but to use it
in a different form. For example, a dry, dusty powder may be a significant
inhalation hazard but if this material can be purchased and used as pellets
or crystals, there may be less dust in the air and therefore less exposure.
Remember!
When substituting, be careful that one hazard is not being traded for
another. Before deciding to replace a chemical/substance with another,
consider all the implications and potential risks of the new material.
Substitution may also include using a machine that requires less energy or
lifting items with less weight.
• Engineering Controls are methods that are built into the design of a plant,
equipment, or process to minimize the hazard. Engineering controls are
reliable way to control worker exposures if the controls are designed, used
and maintained properly. The basic types of engineering controls are:
▪ Process control.
▪ Ventilation.
Process Control
Process control involves changing the way a job activity or process is done
to reduce the risk. Monitoring should be done before and as well as after
the change is implemented to make sure the changes did, in fact, control
the hazard.
▪ Use wet methods rather than dry when drilling or grinding. "Wet
method" means that water is sprayed over a dusty surface to keep dust
levels down or material is mixed with water to prevent dust from being
created.
▪ Use electric motors rather than diesel ones to eliminate diesel exhaust
emissions.
▪ Use automation - the less workers have to handle or use the materials,
the less potential there is for exposure.
These methods aim to keep the chemical "in" and the worker "out" (or vice
versa).
Ventilation
There are two main types of industrial ventilation systems, and they include
dilution and local exhaust ventilation.
Dilution ventilation can include a few methods, from allowing in fresh air by
opening doors and windows to using large fans. The point of such industrial
ventilation systems is to direct the air away from the employees, so they do
not have to breathe contaminated air whiling working. Some of the
benefits of this type include easy installation in most cases, typically little
maintenance, and efficiency in controlling small sources of contaminants.
Drawbacks of this kind of industrial ventilation are mainly related to the fact
that it cannot typically handle large amounts of toxic chemicals or vapours
that may pollute the air. A common example of dilution ventilation includes
large commercial fans.
▪ A hood that captures the contaminants generated in the air (at the
source).
▪ A fan which draws the air from the hood into the ducts and removes the
air from the workspace. The fan must overcome all the losses due to
friction, hood entry, and fittings in the system while producing the
intended flow rate.
The design of a ventilation system is important and must match the process
and chemical or contaminant in use. Expert guidance should be sought. It
is a highly effective control measure but only if it is designed, tested, and
maintained properly.
Work Practices
Good Housekeeping
Emergency Preparedness
Being prepare for emergencies means making sure that the necessary
equipment and supplies are readily available and that employees know
what to do when something unplanned happens such as a release, spill,
fire, or injury. These procedures should be written, and employees should
have the opportunity to practice their emergency response skills regularly.
It is the final item on the list for a particularly good reason. Personal
protective equipment should never be the only method used to reduce
exposure except under specific circumstances because PPE may "fail"
(stop protecting the worker) with little or no warning. For example:
"breakthrough" can occur with gloves, clothing, and respirator cartridges.
How to accomplish it
• Plan how you will verify the effectiveness of controls after they are installed
or implemented.
The hazard control plan should include provisions to protect workers during
nonroutine operations and foreseeable emergencies. Depending on your
workplace, these could include fires and explosions; chemical releases;
hazardous material spills; unplanned equipment shutdowns; infrequent
maintenance activities; natural and weather disasters; workplace violence;
terrorist or criminal attacks; disease outbreaks (e.g., pandemic influenza); or
medical emergencies. Nonroutine tasks, or tasks workers do not normally do,
should be approached with particular caution. Prior to initiating such work,
review job hazard analyses and job safety analyses with any workers involved
and notify others about the nature of the work, work schedule, and any
necessary precautions.
How to accomplish it
Once hazard prevention and control measures have been identified, they
should be implemented according to the hazard control plan.
How to accomplish it
To ensure that control measures are and remain effective, employers should
track progress in implementing controls, inspect and evaluate controls once
they are installed, and follow routine preventive maintenance practices.
How to accomplish it
not effective, identify, select, and implement further control measures that
will provide adequate protection.
• toxic chemicals
• carcinogens.
• flammable liquids
• compressed gasses
• explosives.
• Obtain the current SDS from the manufacturer, importer, or supplier of the
chemical.
• Ensure the stability and support of containers for bulk hazardous chemicals,
including pipework and attachments.
• Identify reasonably foreseeable hazards that could give rise to the risk.
• Review and if necessary, revise all risk control measure at least every five
years maintain, so far as is reasonably practicable, a work environment that
is without risks to health and safety.
• The nature of the work to be carried out with the hazardous chemical.
• Any structure, plant or system of work that is needed in the use, handling,
generation, or storage of the hazardous chemical or could interact with
the hazardous chemical at the workplace.
In order to effectively implement the provision of Rule 1083, the employer shall
institute a respiratory protective program which shall include the following:
• Sufficient instruction and training in the proper use and the limitations
of respirators.
Selecting of Respirators
Use of Respirators
For the safe use of any respirator, the user shall be properly instructed in its
selection, use and maintenance.
A “fit test” tests the seal between the respirator's facepiece and your face. It
takes about fifteen to twenty minutes to complete and is performed at least
annually. After passing a fit test with a respirator, you must use the exact same
make, model, style, and size respirator on the job.
A fit test should not be confused with a user seal check. A user seal check is a
quick check performed by the wearer each time the respirator is put on. It
determines if the respirator is properly seated to the face or needs to be
readjusted.
There are two types of fit tests: qualitative and quantitative.
Qualitative fit testing is a pass/fail test method that uses your sense of taste or
smell, or your reaction to an irritant in order to detect leakage into the respirator
facepiece. Qualitative fit testing does not measure the actual amount of
leakage. Whether the respirator passes or fails the test is based simply on you
detecting leakage of the test substance into your facepiece.
There are four qualitative fit test methods accepted by OSHA:
• Isoamyl acetate, which smells like bananas.
• Saccharin, which leaves a sweet taste in your mouth.
• Bitrex, which leaves a bitter taste in your mouth; and
• Irritant smoke, which can cause coughing.
Qualitative fit testing is normally used for half-mask respirators - those that just
cover your mouth and nose. Half-mask respirators can be filtering facepiece
respirators - often called "N95s" - as well as elastomeric respirators.
Quantitative fit testing uses a machine to measure the actual amount of
leakage into the facepiece and does not rely upon your sense of taste, smell,
or irritation in order to detect leakage. The respirators used during this type of
fit testing will have a probe attached to the facepiece that will be connected
to the machine by a hose.
There are three quantitative fit test methods accepted by OSHA:
• Generated aerosol;
• Ambient aerosol; and
• Controlled Negative Pressure.
Quantitative fit testing can be used for any type of tight-fitting respirator.
Many workers need to wear prescription glasses or personal protective
equipment, such as safety goggles or earmuffs, while performing a job. If you
fall into this category, then you must wear these items during the fit test to be
sure they do not interfere with the respirator's fit.
You must be fit tested before you use a respirator in the workplace, and you
must be retested at least every 12 months to make sure that the respirator you
use still fits you. You must be fit tested with the specific make, model, style, and
size of respirator that you will be using.
Not everyone can get a good fit with one specific respirator. If the respirator
fails the fit test, then another make, model, style, or size must be tried until one
is found that fits you properly. Therefore, your employer needs to provide you
with a reasonable selection of sizes and models to choose from. When you've
completed the fit testing process, it's very important that you know which
make, model, style, and size respirator fits your face properly, and when and
where you'll need to wear it for protection.
Also, the fit of your respirator must be retested whenever you have a change
in your physical condition that could affect the fit of your respirator. Such
changes could include:
• large weight gain or loss;
• major dental work (such as new dentures);
• facial surgery that may have changed the shape of your face; or
• significant scarring in the area of the seal.
Any of these changes could affect the ability of your respirator to properly seal
to your face, which could allow contaminated air to leak into your respirator
facepiece.
If you find that the fit of your respirator becomes unacceptable, you must be
allowed to select a different type of respirator and be retested. The selection
may include a new make, model, style, or size of respirator.
Facial hair, like a beard or mustache, can affect your respirator's ability to
protect you. Anything that comes between your face and the respirator's seal
or gets into the respirator's valves can allow contaminated air to leak into the
respirator facepiece and you will not be protected. For example, if you have
long hair, make sure it does not get between the respirator seal and your face
because this can allow contaminated air to leak into the respirator.
While recent fit testing can follow you from job to job, it is still your current
employer's responsibility to ensure that the fit testing and recordkeeping
requirements of OSHA's respiratory protection standard have been met before
you use a respirator for protection against hazardous exposures at work.
Sometimes workers own their own respirators and bring them to a job where
respiratory protection is required. If your employer allows you to use your own
personal respirator for protection, then your employer still has to comply with
all of the requirements of the OSHA standard. For example, your employer must
still ensure that:
• your respirator is appropriate for the hazards you face;
• your respirator is properly cleaned, maintained, and stored; and
• the proper schedule for replacing cartridges and filters is followed.
Keep in mind, however, that while your employer may allow you to use your
own respirator, your employer cannot require you to use your own respirator.
Remember, if you don't know if a respirator is needed for the task you will be
doing, or if you are unsure about how to properly use a respirator or which filter
or cartridge to use, talk to your supervisor before entering the hazardous area.
Noise Reduction Ratings are a set of “rules” that are set in place to serve as
an absolute point of reference for those who are serious about protecting
worker hearing. The NRR essentially functions as a “ruler” that measures how
well a particular piece of hearing protection or equipment may work in real
time and space. Those who are serious about hearing protection may need
to consider the fact that NRR is an estimate based on what will be achieved
by 98% of the population if the hearing protection is properly fit (note that fit
and individuality may skew the numbers drastically – in some cases by as
much as 50%).
Noise Reduction Ratings are important because they indicate the functionality
of a device, and the ability for that device to protect hearing in noisy
environments.
• Subtract the result from the original noise exposure level in decibels.
If it is not possible to eliminate the hazard, below are 6 steps to determine the
most effective measures to control workplace hazards and to minimize risk.
• Wear PPE
To prevent injury from oversize loads, workers should seek help in the following:
• Check the load, make sure to clear the route you intend to take, well lit &
safe, ask for help if the load is too heavy or hard to grasp.
• Position both feet on both sides of the load, with one foot ahead of the
other to maintain balance and line of strength,
• Look forward & keep your back straight in line with your head & neck.
• Keep the load at waist level & as close to your trunk you can.
• Move your feet & do not twist, use side stepping if possible.
• Put down the load in the same method you lifted it up.
In case of team lifting, a plan should be set on how to lift, move & put down
What is LOTO?
Hazardous energy
Steps of LOTO
Removing lock
Before removing lockout or tagout devices, the employees must take the
following steps in accordance with the specific provisions of the employer's
energy-control procedure:
• Prevent contact: The safeguard must prevent hands, arms, and any other
part of workers body from making contact to dangerous moving parts.
• Secure: Workers should not be able to easily remove or tamper with the
safeguard, because a safeguard that can easily be made ineffective is no
safeguard at all.
• Protect from falling objects: The safeguard should ensure that no objects
can fall into moving parts. A small tool which is dropped into a cycling
machine could easily become a projectile that could strike and injure
someone.
• Fixed: Permanent part of the machine, not dependent upon moving parts
to perform its intended function. It may be constructed of sheet metal,
screen, bar or any other material strong enough to withstand whatever
impact it may receive and to endure prolonged use.
• Presence Sensing: uses a system of light sources and controls which can
interrupt the machine's operating cycle. If the light field is broken, the
machine stops.
• Restraint: uses cables or straps that are attached to the operator's hands
at a fixed point.
• Safety tripwire cable: cables are located around the perimeter of or near
the danger area. The operator must be able to reach the cable with either
hand to stop the machine
Safeguarding by Location/Distance
Example:
• having dangerous parts located high enough to be out of the normal reach
of any worker
Other Protections
▪ Use of vacuum cleaners for removing light dust and dirt. Industrial models
have special fittings for cleaning walls, ceilings, ledges, machinery, and
other hard-to-reach places where dust and dirt may accumulate.
▪ Manual cleaning may be required for dust and grime that collect in
places like shelves, piping, conduits, light fixtures, reflectors, windows,
cupboards, and lockers
▪ Compressed air should not be used for removing dust, dirt or chips from
equipment or work surfaces.
Employee Facilities
▪ Some facilities may require two locker rooms with showers between.
Using such double locker rooms allows workers to shower off workplace
contaminants and prevents them from contaminating their "street
clothes" by keeping their work clothes separated from the clothing that
they wear home.
Surfaces
▪ Trap chips, shavings, and dust before they reach the floor or clean them
up regularly to prevent their accumulation\
▪ Dirty light fixtures reduce essential light levels. Clean light fixtures can
improve lighting efficiency significantly.
▪ Keeping aisles and stairways clear is important. They should not be used
for temporary "overflow" or "bottleneck" storage.
Spill Control
o Use drip pans and guards where possible spills might occur.
▪ Absorbent materials are useful for wiping up greasy, oily, or other liquid
spills. Used absorbents must be disposed of properly and safely.
• Workers should regularly inspect, clean, and repair all tools and take any
damaged or worn tools out of service.
Maintenance
Waste Disposal
▪ Do not allow material to build up on the floor. It wastes time and energy
since additional time is required for cleaning it up.
▪ Clearly label all waste receptacles (e.g., recyclable glass, plastic, scrap
metal, etc.).
Storage
▪ The location of the stockpiles should not interfere with work, but they
should still be readily available when required.
▪ Stacking cartons and drums on a firm foundation and cross tying them,
where necessary, reduces the chance of their movement.
▪ Stored materials should not obstruct aisles, stairs, exits, fire equipment,
emergency eyewash fountains, emergency showers, or first aid stations.
The use of this tool was started in 1972 by Henry Ford in the United States as
the CANDO programmed: Cleaning up, Arranging, Neatness, Discipline
and Ongoing improvement. The technique was popularized as ‘Japanese
5S’ in 1980 by Hiroyuki Hirano.
5S is the acronym for five Japanese words: Seiri, Seiton, Seiso, Seiketsu and
Shitsuke and they represent the five steps for a systematic technique for
good housekeeping as indicated below:
3. SHINE (Seiso)
4. STANDARDIZE (Sieketsu)
5. SUSTAIN ( Shitsuke)
Supervisor`s role
Worker`s role
5S evaluation checklist
• Attach loads to the load hook by slings, fixtures, and other devices that
have the capacity to support the load on the hook.
• Drive in reverse if the load blocks your vision except on grades and Slow
down for turns and on wet or slippery floor surfaces.
▪ Carry load so high that it can cause the forklift to tip over
▪ Travel with forks raised when unloaded and Don’t over speed
▪ Restrictions on smoking
▪ Good housekeeping
▪ Cooling: reducing the ignition temperature by taking the heat out of the
fire – using water to limit or reduce the temperature
How to Do it?
a. Life Risk Area – areas in which all occupants are ambulant able to
move unaided away from the fire. (i.e., service area, office)
b. High Fire Risk Area – areas which due to their function are more
usually susceptible to an outbreak of fire or to a rapid spread of fire
or smoke (i.e., Kitchen, boiler room)
d. High Life Risk Area – areas in which persons may reside and are able
to move unaided away from a fire. (i.e., intensive care unit,
operating department)
• Fire Detection
o Visual Fire Detection – provide peepholes on doors for fire prone areas
a. Fire alarm
b. Smoke Detection
c. Heat Detection
d. Flame Detector
a. Fire Extinguisher
b. Water Supply
c. Fire Blanket
d. Bucket of Sand
a. Sprinklers
b. O2 suppression
o The use of fire rated walls and slabs to contain fire in rooms, sub
compartment so as to segregate area where fire may occur.
o Bollards and fences use for traffic control must allow for sufficient open
road width for fire truck
o Utility poles, kiosk, sculpture, fountain, plant box can impede fire
rescue operations
o Corridor system
b. simple layout,
o Fire Escape
o Escape Route
b. Must lead to a place of safety and once inside the occupants are
safe from immediate danger from fire and smoke.
d. Use compartmentation
o Should be selected for the specific classes of fire and should be properly
marked to indicate the suitability of the extinguishers for class of fires, and
its proper use.
o Should have a durable tag attached to show the maintenance and re-
charge records.
Fire Hose – is a flexible material use to convey water under pressure from
the source of water to the scene of fire.
Means of escape:
o Provided with self-closing fire doors, and easily opened towards the line
of travel.
Alarm system
o Fire alarm stations should be visible, readily accessible and in the natural
path of escape from fire
Fire Drills
o Fire drills test that fire evacuation procedure work effectively and that
people know what to do in the event of a fire.
• Selection of PPE
• Storage
• The hazards
• Duration of exposure
• Quality of PPE
Limitations of PPE:
• PPE does not remove the hazard, only minimize the impact on the
individual
Head protection
hazards.
• Should have a brim all around to provide protection for the head, face and
back of the neck
• Class A hard hats provide impact and penetration resistance along with
limited voltage protection (up to 2,200 volts).
• Class B hard hats provide the highest level of protection against electrical
hazards, with high-voltage shock and burn protection (up to 20,000 volts).
They also provide protection from impact and penetration hazards by
flying/falling objects.
• Class C hard hats provide lightweight comfort and impact protection but
offer no protection from electrical hazards.
Hair protection
All persons with long hair employed around machinery should completely
cover their hair with well-fitting caps. Caps should be made of materials not
easily flammable and sufficiently durable to withstand regular laundering,
disinfecting, and cleaning.
• Dust, dirt, metal or wood chips entering the eye from activities such as
chipping, grinding, sawing, hammering, the use of power tools or even
strong wind forces.
• Objects swinging into the eye or face, such as tree limbs, chains, tools or
ropes.
• Radiant energy from welding, harmful rays from the use of lasers or other
radiant light (as well as heat, glare, sparks, splash and flying particles).
• Provide adequate protection against the particular hazard for which they
are designed or intended
• Fit snugly and not interfere with the movements of the user
• Goggles: tight-fitting eye protection that completely cover the eyes, eye
sockets and the facial area immediately surrounding the eyes and provide
protection from impact, dust and splashes. Some goggles will fit over
corrective lenses.
Hearing Protection
Hearing protectors reduce only the amount of noise that gets through to the
ears. The amount of this reduction is referred to as attenuation, which differs
according to the type of hearing protection used and how well it fits.
• Earmuffs require a perfect seal around the ear. Glasses, facial hair, long hair
or facial movements such as chewing may reduce the protective value of
earmuffs.
• Instruction and training in the proper use and the limitations of respirators
• Half mask respirator made of rubber or plastic, it covers the nose and
mouth. Air is drawn through a replaceable filter cartridge. Used for vapor,
gases or dusts.
• Full face mask respirator: similar to half mask but covers the eyes.
• Fresh air hose apparatus: fresh air is delivered through a hose to a sealed
facemask from an uncontaminated source. Air is delivered by wearer, by
natural breathing or mechanically by fan.
Foot Protection:
• When heavy objects such as barrels or tools might roll onto or fall on the
employee’s feet;
• Working with sharp objects such as nails or spikes that could pierce the soles
or uppers of ordinary shoes;
• The metal insoles of some safety shoes protect against puncture wounds.
• Duration of contact.
• Thermal protection.
• Abrasion/resistance requirements.
Type of gloves:
• Fabric and coated fabric gloves: protect against dirt, slivers, chafing and
abrasions
Sources:
• CCOHS- Canadian Centre for Occupational Safety and Health OHS Answers Fact sheets: Workplace
housekeeping - Basic Guide
• http://www.ccohs.ca/oshanswers/hsprograms/house.html
• 5S: good housekeeping techniques for enhancing productivity, quality, and safety at the workplace. Export
Quality Bulletin No 89/2012
• http://www.intracen.org/uploadedFiles/intracenorg/Content/Exporters/Exporting_Better/Quality_Manage
ment
• RA 9514 The Fire Code of the Philippines Revised Implementing Rules and Regulations – revised 2019
• http://bfp.gov.ph/wp-content/uploads/2019/10/RA9514-RIRR-rev-2019.pdf
• Rule 1080 Personal Protective Equipment and Devices, OSH Standards
• https://www.osha.gov/Publications/osha3151.pdf
• Occupational Safety and Health Administration (OSHA) Personal Protective Equipment OSHA 3151
• https://www.osha.gov/Publications/3120.html
• Occupational Safety and Health Administration (OSHA) Control of Hazardous Energy Lockout/Tagout OSHA
3120 (2002 Revised)
• https://www.osha.gov/Publications/OSHA2236/osha2236.html
Occupational Safety and Health Administration (OSHA) Materials Handling and Storage
DEFINITION.
Hazard: is anything that has the potential to cause harm, such as fire,
electricity, and noise.
Job Hazards Analysis (JHA): a technique that focuses on job tasks as a way to
identify hazards before they occur. It focuses on the relationship between the
worker, the task, the tools, and the work environment.
IMPORTANCE OF JHA:
The finding of the JHA can help eliminate and prevent hazards in the
workplace. This will likely result in:
The analysis also can be a valuable tool for training new employees in the steps
required to perform their jobs safely.
Job hazard analysis should be conducted for all activities in the workplace.
Priority should be given to the following types of activities
• Activities in which one simple human error could lead to a severe accident
or injury.
JHA TEAM
• Supervisor
• Safety Officer
Nearly every job can be broken down into job tasks or steps.
• get input from other workers who have performed the same job.
• Later, review the job steps with the employee to make sure you have not
omitted something.
• Taking pictures and video , can help sometimes when doing a more
detailed analysis of the work
Identify all of the existing or potential actions or conditions that could lead to
an injury or illness, or harm to the environment. To identify hazards, ask the
following question:
The system used in safety to control hazard is called the Hierarchy of controls
• Elimination: the best way to control the hazard is to eliminate it and remove
the danger.
E.g.: having workers perform tasks at ground level rather than working at
heights
E.g.: workers could be rotated in and out of a hot area rather than having
to spend eight hours per day in the heat
E.g.: respirators, gloves, protective clothing, hard hats, goggles, and ear
plugs.
Review of JHA
Reviewing job hazards analysis ensures that it remains current and continues to
help reduce workplace accidents and injuries.
SOURCE:
https://www.osha.gov/Publications/osha3071.pdf
Occupational Safety and Health Administration (OSHA) Job Hazard Analysis OSHA 3017 (2002 Revised)
Based on what you have learned in Module 2.6 and 2.7 for Control Measures
of Health and Safety Hazards, please complete the third part of your risk
assessment form.
This workshop is intended only for the last part of the Risk Assessment which is
the Control Measures so please focus on completing the 3. RISK CONTROL
section of your template.
Please expect that there will be a presentation of findings later so you may
need to familiarize yourself with your work.
You may request the facilitator to provide you an extra time should necessary.
Facilitator will guide you should you have any clarifications pertaining to the
activity.
You may refer to Module 2.6 and 2.7 Hierarchy of Control to help you in
completing this activity .
Remember: This exercise aims to help you get familiarized with the different
control measures to prevent or minimized the hazards found at your
workplace, so any questions regarding the topic is always welcome.
MODULE 3: ACCIDENT
CAUSATION: RISKY WORKPLACE
AND RISKY WORKERS – ACCIDENT
INVESTIGATION
GENERAL OBJECTIVES:
At the end of this Module 2 participants will be able to:
ACCIDENT INVESTIGATION
Thousands of accidents occur almost every day. The failure of people,
equipment, supplies, or surroundings to behave or react as expected causes
most of the accidents. Accident investigations determine how and why these
failures occur. By using the information gained through an investigation, a
similar or perhaps more disastrous accident may be prevented. Conduct
accident investigations with accident prevention in mind. Investigations are
NOT to place blame.
Accidents are part of a broad group of events that adversely affect the
completion of a task. These events are incidents. For simplicity, the procedures
discussed in later sections refer only to accidents. They are, however, also
applicable to incidents.
ACCIDENT PREVENTION
Accidents are usually complex. An accident may have 10 or more events that
can be causes. A detailed analysis of an accident will normally reveal three
cause levels: basic, indirect, and direct. At the lowest level, an accident results
only when a person or object receives an amount of energy or hazardous
material that cannot be absorbed safely. This energy or hazardous material is
the DIRECT CAUSE of the accident. The direct cause is usually the result of one
or more unsafe acts or unsafe conditions, or both. Unsafe acts and conditions
are the INDIRECT CAUSES or symptoms. In turn, indirect causes are usually
traceable to poor management policies and decisions, or to personal or
environmental factors. These are the BASIC CAUSES.
investigation can help determine how and why the failure occurred. What is
learned from an accident investigation can help prevent future or even worse
scenarios. Training employees how to help with accident investigation will help
the overall safety of an operation.
• safety officer
• "outside" experts
• Provide first aid and medical care to injured person(s) and prevent further
injuries or damage.
• Secure the scene; make sure it is safe for investigators to do their job.
• Witness accounts: witnesses are those who were present during the event,
those who heard what happened or saw the area prior to the event, or
others with info about involved individuals, equipment, or circumstances.
Interviewing witnesses:
• Task,
• Environment,
• People, and
• Management
Environment: Personnel:
▪ Housekeeping ▪ Training
▪ Lighting ▪ Stress
Management:
▪ Communication
▪ Supervision
▪ Equipment Maintenance
program
Recommendation:
Recommendations should:
• be specific
• be constructive
INVESTIGATION REPORT
The frequency rate shall be rounded to the nearest two decimal places.
• Disabling Injury / Illness Severity Rate – The disabling injury / illness severity
rate is based on the total of all scheduled charges for all deaths,
permanent total and permanent partial disabilities, plus the total actual
days of the disabilities of all temporary total disabilities which occur during
the period covered by the rate. The rate relates these days to the total
employee-hours worked during the period and expresses the loss in terms
of million man-hour unit by the use of the formula.
• Average Days Charged per Disabling Injury – The average days charged
per disabling injury/illness expresses the relationship between the total days
charged and the number of disabling injuries/Illness.
or
• The charge for any permanent partial disability other than those identified
in the schedule of time charges shall be a percentage of 6,000 days as
determined by the physician authorized by the employer to treat the injury
or illness.
• The charge for a temporary total disability shall be the total number of
calendar days of disability resulting from the injury or fitness
Source:
http://www.bwc.dole.gov.ph/images/Downloads/OSH-Standards-Amended-1989.pdf
https://www.osha.gov/laws-regs/regulations/standardnumber/1960/1960.29
https://www.ccohs.ca/oshanswers/hsprograms/investig.html
Canadian Centre for Occupational Safety and Health (CCOSH) Incident Investigation
At 12 in the afternoon on 5th day of December 2019 Nurse Maria Smith received
a phone call from the ABC Construction Site requesting an ambulance back-
up. Over the phone the Supervisor reported that a newly hired timekeeper fell
from 10m height scaffold.
Nurse Maria Smith and other ERT member rushed at the worksite and seen John
Doe unconsciously lying with his back on top of scaffold materials with his
hardhat next to him and without a safety harness.
John Doe, 21 years old, Filipino and an expectant father, from Longfield
Batangas City was hired as a timekeeper by ABC a month before his accident.
He was declared dead on arrival by Holy Hospital. As per Holy Hospital the
cause of John Doe death is due to severe trauma of internal organ and
excessive bleeding suffers from a multiple injury at the back and head.
During Nurse Smith investigation of the incident, she found out that John Doe
has not undergone any Safety Orientation yet as the previous Safety Officer
resigned from the job. Peter Nohaw who is the Site Engineer of the company
was recently appointed as Safety Officer has not gone to any Safety Training
for Safety Officer. He was informed that John Doe started his work last month
and HR is asking him to schedule a Safety Orientation for him. Peter Nohaw
instructed HR to send John Doe to meet him at site for his orientation.
Under ABC policy, all activity prior to proceed must have a Risk Assessment,
Scaffold must be inspected and tagged prior to use and a safety harness must
be worn prior to working at height which John Doe are not familiar with.
During working at scaffold John Doe noticed an opening at the scaffold. Since
he was in a hurry to finish the work at lunch time, he ignored the opening. John
Doe was focused in doing his work with his back on the opening. As he stepped
back his foot that taken a back, stepped on the opening causing him to lose
his balance and fell through the scaffold, landed himself with his back on the
pile of scaffold fitting on the ground.
A worker passing by witnessed his fall and immediately went to John’s rescue.
The witness immediately called his Supervisor and reported the accident.
As per Safety record the company has a total of 150 employees working on 2
shifts with 10 hours a day and 6 days a week working schedule. For the past
months ABC able to maintain their safe hours without any recordable or lost
time accident.
On the first part of the Workshop, we will be using the Appendices – Workers
Accident/ Illness Report (IP-6) on this activity.
Using the above case study, fill in the required information in Appendices –
Workers Accident/ Illness Report (IP-6).
Facilitator will give you Ten (5) minutes to go over with the case study and 20
minutes to work on your own in filling the form.
Once the investigation is completed, the group will have 10 minutes discussions
of the form then proceed to the second part of the Workshop which is the FR
and SR computation.
Using the given formula under Module 3, please provide your computation of
SR and FR. You may want to check with your notes as to how the computation
will be completed.
Though we encourage you to do the activity on your own without the aid of
the facilitator, the latter is open to any queries you may have while working on
this activity.
Another 10 minutes will be given for the discussions of SR and FR to verify your
understanding of this matter. Once all satisfied, we will proceed for the 3rd part
of the activity which is getting the Root Cause and Contributing Factor.
On this part, you will be working with the facilitator in using the SCAT chart.
The last part of the workshop will continue on our next Module where we will
be incorporating the use of Risk Assessment in verifying the risk priority on this
case study.
MODULE 4: INTEGRATING
ACTIVITY – SAFETY INSPECTION
GENERAL OBJECTIVES:
At the end of this Module 4 participants will be able to:
Using what we learn so far in the first 3 Modules, facilitator will be either showing
you some video of a real accident happen at site or work through a case
study.
Based on the video/case study, please identify safety and health hazards
you’d noted on the video.
Facilitator will be playing the video twice or will be providing you the copy of
the case study so you get a good grasp of the event and help you in
identifying properly the safety and health hazards..
Facilitator will guide you should you have any clarifications pertaining to the
activity.
Remember: This exercise aims to help you get familiarized with the HIRAC
Template likewise to establish your judgement pertaining to the worksite
hazards. Do not worry about the result of your assessment as there is no wrong
assessment, though we want you to be more keen in judging the situations.
MODULE 5 – COMMUNICATING
OSH
To increase an early awareness of OSH it has been suggested that OSH issues
should be integrated into education and communicated to the organizations.
GENERAL OBJECTIVES:
At the end of this Module 2 participants will be able to:
• Have a better understanding of the toolbox talk and learn good tips in
respect to its delivery.
TRAINING OF TRAINERS
The Safety Officer Qualification was discussed in Module 1 under Roles of
Safety Officers. For detailed information please refer to DO 198-18, Section 14
– Safety Officers.
Counselor Strategist
Instructor Theoretician
Marketer
• Trainer criteria shall include subject matter expertise and training delivery
skills:
• The trainer shall apply adult learning principles appropriate to the target
audience and the learning objectives.
Worksheets Allow people to think for Can be used only for Knowledge
and themselves without short period of time. Attitudes/
questionnair being influenced by Handout requires emotions
es others in discussion. preparation time.
Individual thoughts can Requires literacy.
then be shared in small
or large groups.
Case studies Develops analytic and People may not see Social
as triggers problem-solving skills. relevance to own action
Allows for exploration of situation. Attitudes/
solutions. Cases and tasks for emotions
Allows students to apply small groups must be Skills
new knowledge and clearly defined to be
skills. effective.
• Pace – enough for participants to absorb what you are trying to say
• Asking questions
• Listening to Questions
• Answering Questions
▪ If appropriate, ask, "Did I answer the question for you?" or "Does that
help?“
• Hostility
▪ Identify possible strategies you or other trainers have used before in the
a similar situation.
▪ Select the strategy that best satisfies the criteria for the situation.
• Documenting Training
SOURCE:
TOOLBOX MEETING
Toolbox meetings are generally conducted at the job site prior to the
commencement of a job or work shift. A toolbox talk covers special topics on
safety aspects related to the specific job. Meetings are normally short in
duration and cover topics such as workplace hazards and safe work practices.
Toolbox talks are generally considered a very effective method for refreshing
workers' knowledge in between training sessions, cover last-minute safety
checks, and exchange information with the experienced workers.
• Worker participation
• Can be customized to deal specifically with the hazards the workers will be
facing during their shift
REPORTORIAL REQUIREMENTS
To give you time to prepare the topic will be given to you 3 days before the
date of the presentation.
The actual TBT delivery will be included on the Final computation of your
markings in passing this course so you may want to give your best on the day
of your presentation.
Emergencies can create a variety of hazards for workers in the impacted area.
Preparing before an emergency incident plays a vital role in ensuring that
employers and workers have the necessary equipment, know where to go,
and know how to keep themselves safe when an emergency occurs.
• Chemical leak/Spill
• Structure Collapse
• Industrial/Community fire
• Construction Cave-In
Natural emergencies
• Drought
• Flood
• Volcanic Eruption
• Earthquake
• Thunderstorm
• Tornadoes
• Hurricanes
Procedure:
▪ Fire Prevention
▪ Inspection
• Emergency Preparedness
Procedure:
▪ Personnel Training
▪ Mutual Aid
• Emergency Response
Follows preparedness and involves life saving and protection activities that
are implemented during an emergency.
Procedure:
▪ Communications
▪ Facility Evacuation
▪ Security Consideration
• Emergency Recovery
Procedure:
▪ Incident Investigation
▪ Damage Assessment
▪ Business Interruption
▪ Claims Procedure
• Review Hazards
▪ Probability of Hazards
• Evaluate Resources
▪ Facilities
▪ Equipment
▪ Supplies
▪ Staff Expertise
▪ Staff Training
• Conduct Training
▪ Evacuation procedure
▪ Preventive maintenance
▪ Spill Response
▪ First Aid
▪ Public Pressure
▪ Insurance
▪ Government Regulations
▪ Liability
▪ Media
Communication
• External
▪ Paging System
• Internal
▪ Intercom
▪ Personal Contact
General Emergencies
▪ Communication Manager
▪ Office Warden
• Shelter
General Emergencies
o Opportune
o Inopportune
• Special Duties
▪ Check restroom, vacant room to ensure everyone obeys and are aware
of the warning
▪ Maintenance personnel to shut off the energy sources and report for
further assignment
• Employees
▪ Do not take time to get coats or other belongings when alarm sounded
▪ Employees will proceed to nearest exits and evacuate the building ion
orderly manner to muster point
Things to consider:
o Where do we meet?
▪ Walk to the emergency muster point by the safest route, do not run
▪ Be accounted
▪ Remain at the muster point until all clear signal given by the chief
warden or incident controller
Plans should also consider and address the other steps that employers can
take to reduce the risk of worker exposure to SARS-CoV-2 in their workplace.
• COMPOSITION
The organization of company fire brigades shall consist of the Fire Brigade
Chief, which shall be designated by the head of the company, and shall
be assisted by selected personnel. In companies where more persons are
available, they must be organized into teams to function as a fire brigade
established according to its needs. The organization shall be such that a
fire brigade is on duty or on call at all times
▪ He/She shall ensure that the brigades are suitably staffed, conduct
periodic review of the fire brigade roster and prepare
▪ He/She shall prepare training programs for the members of the fire
brigade and supervise its implementation; and
▪ In his/her absence, the Deputy Fire Brigade Chief shall assume and
perform the duties and responsibilities of the Fire Brigade Chief.
Members of the fire brigade shall consist of persons who have met
qualifications appropriate for the fire brigade work. For establishments,
members must be taken from the roster of its own workforce. The head of
the company shall identify the persons who are fit to perform fire operation
activities and further assign them to specific fire suppression positions.
• AVAILABILITY OF PERSONNEL
SOURCES:
http://www.hse.gov.uk/toolbox/managing/emergency.htm
Health and Safety Executive (HSE) Emergency Procedure
www.OSHA.Gov
COVERAGE
• Private sector workers who are compulsory members of the Social Security
System (SSS) and sea-based Overseas Filipino Workers (OFWs).
COMPENSABLE DISEASES
For an occupational disease and the resulting disability or death to be
compensable, all of the following conditions must be satisfied:
• the employee’s work and/or the working conditions must involve risk/s that
caused the development of the illness;
• the disease was contracted within a period of exposure and under such
factors necessary to contract it; and
• there was no deliberate act on the part of the employee to disregard the
safety measures or ignore established warning or precaution.
COMPENSABILITY OF INJURIES
For the injury and the resulting disability or death to be compensable, the injury
must be the result of an accident arising out of and in the course of
employment.
EXCEPTING CIRCUMSTANCES
ECP BENEFITS
The benefits are the following:
• Loss-of-income benefits;
• Carers’ allowance;
• Rehabilitation services;
• Death benefits;
• Funeral benefits
• Medical/hospital records
• Incident/accident report
• EC logbook
SOURCES:
• http://ecc.gov.ph/wp-content/uploads/2016/11/Employers_Guide_on_ECP.pdf
Employers’ guide on Employees’ Compensation Program
• http://ecc.gov.ph/frequently-asked-questions/
DOLE Employees’ Compensation Comission, Frequently Asked Questions
The OHS standard was formulated in 1978 under Article 168 of the Labor Code
of the Philippines. The objective is to protect every working man against the
dangers of injury, sickness or death through safe and healthful working
conditions. The Standards applies to all place of employment except the
Mining industry which is covered under other Standards. Establishment
engaged in land, sea and air transportation are not covered except their
garages, dry docks, port hangars, maintenance and repair shops.
ENFORCING AUTHORITY:
development of OSH in the Bureau of Labor was created. Bureau of Labor was named Commonwealth Act No. 696
Philippines Department of Labor on Dec. was approved to include
8, 1933. safety in the installation and
operation of boilers and
pressure vessels.
passed
Act)
ion
BWC dy
proposed OSHS
training.
of OSHS
The DOLE is the lead agency of the government in charge in the administration
and enforcement of laws, policies, and programs on occupational safety and
health.
Legal basis: Presidential Decree No. 442, Art. 165 LABOR CODE OF THE PHILIPPINES
• DOLE shall be solely responsible for the administration and enforcement of OSH
laws, regulations and standards in all establishments and workplaces wherever they
may be located.
The Secretary may authorize local government units to assume responsibility for
technical safety inspection within their respective jurisdiction where they have
adequate facilities and personnel and subject to national standardsprescribed
by this Department.
Labor Code
Safety and health should be primary concerns in any workplace. The viability
of an economy rests on the productivity of its workers. Productivity entails an
environment that nurtures workers and ensures their safety. Poor conditions can
result to illness, injury, and death.
Book IV of the Labor Code of the Philippines outlines the rules governing health,
safety and social welfare benefits. It also sets guidelines on fines and penalties.
Chapters I and II of Title I specifically addresses medical and dental services,
as well as occupational safety and health (OSH). Most of the responsibility of
setting standards is in the hands of the Secretary of Labor and Employment.
The Labor Code has a provision on research and training to promote OSH. In
this regard, Executive Order No. 37 was issued in 1987, creating the
Occupational Safety and Health Center as a research and training unit to
develop OSH policies that are effective, responsive, and sustainable.
The OSH provisions of the Labor Code can be seen as tilted in favor of defining
the different work-related injuries or casualties and assigning corresponding
benefits for workers and responsibilities for employers. The institutionalization of
an OSH program appears to be in need of details. Thus, to effectively promote
the welfare of workers, a comprehensive OSH policy is needed. This would
minimize work-related casualties and develop a safety- and health-oriented
workplace for the benefit of both employers and workers.
• Referred to as “Standards”
• A set of mandatory OSH standards which codifies all safety orders being enforced
prior to its promulgation.
• Enforce mandatory OSH Standards in all workplace, institute new, and update
existing programs to ensure safe and healthful working conditions in all places of
employment
• Solely responsible for the administration and enforcement of OSH laws, regulations
and standards in all establishments and workplaces wherever they may be located
• Protect every workingman against the dangers of injury, sickness or death through
safe and healthful working conditions
• Apply to all places of employment except shall apply to all places of employment
except land, sea and air transportation and safety in Mines
• Every employer shall give to the Secretary or his duly authorized representative
access to its premises and records
Duties of Employers
Duties of Workers
▪ Other Persons
• Comply with the provisions of this Standards and all regulations of the employer
• 1020 Registration
• 1140 Explosives
• 1160 Boiler
• 1420 Logging
• 1960 OH Services
• 1970 Fees
• 1980 Authority of LG
• Coverage
Employer’s Duties:
Workers’ Rights:
Low Risk
Workplace refers to those with less exposure to safety and health hazards,
having low level of danger, with no or less probability to cause an accident,
harm, injury or illness.
Medium Risk
High Risk
• OSH Program
The HSC shall review and evaluate the OSH Program at least once a year
or as necessary. A revised copy of the program shall be submitted to DOLE.
▪ First Aider
▪ Safety Officer
▪ Nurses
▪ Dentist
▪ Physician
All OSH personnel shall undergo the prescribed mandatory trainings from
DOLE-accredited Safety Training Organizations or its recognized training
institutions.
All workers shall have FREE access and use of the following welfare facilities:
▪ Separate sanitary, washing and sleeping quarters for all genders, as may
be applicable
▪ Lactation Station
• Incentives
DOLE to collaboratively work with DENR, DOE, DoTR, DA, DPWH, DTI, DILG-
LGUs, DOH, DICT, PEZA and other government agencies.
When the violation exposes the worker to death, serious injury or serious
illness, the imposable penalty shall be P100,000
D.O. 183-17 shall govern the procedure in the implementation of DOLE D.O.
198-18
SOURCE:
http://bwc.dole.gov.ph/images/Downloads/LaborCodeofthePhilippines2017.pdf
Labor Code of the Philippines, pages 57-58
http://www.oshc.dole.gov.ph/images/Files/OSH%20Standards%202017.pdf
Occupational Ssfety and Health Standards of the Philippines
• Formulate and implement a suitable OSH program based on its policy and
in accordance with the OSH Standards and other related OSH issuances.
The workers are enjoined to take an active role in education and training, in
developing and implementing joint continuing programs and information
campaigns on safety and health.
• Advise and assist the employer in complying with the provisions of the
Standards, especially in the submission of the reporting requirements.
-The company
physician or
company nurse
100 to 200 The manager or - 1 foreman The safety
his authorized -3 workers (must officer
C representative be union
members if
organized)
- The nurse
Less than 100 Manager - 1 foreman The part-time
D -3 workers (must safety officer
be union
members if
organized)
- The nurse / first
aider
Joint The chairman of - 2 supervisors Appointed by
committee: 2 the from the Chairman
or more establishments 2 different (in high rise, the
E establishment committee establishment Secretary shall
in one - 2 workers from be the building
building 2 administrator)
different
establishment
(must be union
members if
organized)
Duties of the Health and Safety Committee
The principal function of the Safety Officer is to act as the employer`s principal
assistant and consultant in the application of programs to remove the hazards
from the workplace and to correct unsafe work practices. For this purpose, the
Safety Man has the following duties:
• Coordinates all health and safety training programs for the employees and
the employer
In the Re-entry plan can you provide a basic plan as to what controls you will
be using or needing to work with your OSH Program and ensure compliance
to the requirements of the OSH Act.
We will need your OSH policy to complete this activity. From your OSH Policy
can you verify which part of the program you may want to focus your priorities.
For those who do not have a Safety Policy, can you identify the key areas
where you want your OSH policy to focus.
We just want a bulleted form like description of your plans, full details of your
OSH plans will be your main focus after this training to ensure full compliance
with the law.
Lastly, to end our engagement, we will work through with you in filling in the
reportorial requirements forms, so you may get familiarized on the information
you required to comply with the submission of those documents.
You may use the Appendices – Annual Medical Report and Annual Exposure
Data Report on this last workshop.
APPENDICES:
• CAN YOU FIND THE HAZARD PHOTO – MANUFACTURING AREA
▪ HIRAC FORM
▪ RISK MATRIX
2.
3.
4.
HEALTH HAZARDS
BOSH 2020_REV. 2/1/6/2020
1.
2.
3.
4.
BASIC OCCUPATIONAL SAFETY ANDF HEALTH (BOSH)
2.
3.
4.
HEALTH HAZARDS
BOSH 2020_REV. 2/1/6/2020
1.
2.
3.
4.
271 BOSH 2020_REV. 2/1/6/2020
272
2.
3.
4.
HEALTH HAZARDS
BOSH 2020_REV. 2/1/6/2020
1.
2.
3.
4.
BASIC OCCUPATIONAL SAFETY ANDF HEALTH (BOSH)
RE-ENTRY FORM
Name Re-Entry Program / ESH Program Location Date
Administrative Control
Classify:
BOSH 2020_REV. 2/1/6/2020
Physical
Chemical
Personal Protective Equipment
Biological
Ergonomic
Mechanical
Electrical
BASIC OCCUPATIONAL SAFETY ANDF HEALTH (BOSH)
COVID 19 PREVENTIVE
MEASURES
DOLE Interim Guidelines on Workplace Prevention and Control of COVID-
19 and its Supplemental Guidelines)
SARS-CoV was transmitted from civet cats to humans in China in 2002 and MERS-CoV
from dromedary camels to human in Saudi Arabia
Several known coronaviruses are circulating in animals that have not yet infected humans
A spillover event is when a virus that are circulating in an animal species is found to have
been transmitted to human(s)
This novel Coronavirus or CoViD-19 was first discovered in China in late 2019 and was
known to spread all over the world. The origin on this virus is yet unknown.
Family members or healthcare workers who are caring for a person infected by a new
coronavirus
According to the CDC, symptoms of COVID-19 may appear in as few as 2 days or as long as 14
days after exposure.
MODE OF TRANSMISSION
Although the first human cases of COVID-19 likely resulted from exposure to infected animals,
infected people can spread SARS-CoV-2 to other people. The virus is thought to spread mainly
from person to-person, including:
Between people who are in close contact with one another (within about 6 feet) for
prolonged period of time such as when caring for, living with, visiting, or sharing a health
care waiting area or room with a person with the new corona virus
Through respiratory droplets produced when an infected person coughs or sneezes. These
droplets can land in the mouths or noses of people who are nearby or possibly be inhaled
into the lungs.
It may be possible that a person can get COVID-19 by touching a surface or object that has
SARS-CoV-2 on it and then touching their own mouth, nose, or possibly their eyes, but this
is not thought to be the primary way the virus spreads.
People are thought to be most contagious when they are most symptomatic (i.e., experiencing
fever, cough, and/or shortness of breath). Some spread might be possible before people show
symptoms; there have been reports of this type of asymptomatic transmission with this new
coronavirus, but this is also not thought to be the main way the virus spreads.
VULNERABLE GROUP
AS per CDC, COVID-19 is a new disease and there is limited information regarding risk factors
for severe disease. Based on currently available information and clinical expertise, older adults
and people of any age who have serious underlying medical conditions might be at higher
risk for severe illness from COVID-19.
Based on what we know now, those at high-risk for severe illness from COVID-19 are:
People of all ages with underlying medical conditions, particularly if not well controlled,
including:
AIDS, and prolonged use of corticosteroids and other immune weakening medications
DEFINITION
Pursuant to DOH AO 2020-0013: 1. Shift from classifying individuals as Patients Under
Investigation (PUI) and Persons Under Monitoring (PUM) to using case definitions to
classify cases into Suspect, Probable, and Confirmed COVID-19 cases. 2. Establish a
standard for and system of case detection, investigation, laboratory confirmation, and
notification.
On January 28, the Philippines started classifying coronavirus disease 2019 (COVID-19) cases
as either Patients under Investigation (PUIs) or Persons under Monitoring (PUMs). However, due
to apparent local or community transmission of the virus and the surge in cases, the Department
of Health (DOH) has decided to shift from classifying individuals as PUIs or PUMs to using case
definitions following guidelines from the World Health Organization (WHO).
PUM
Person who may have been exposed to the virus but shows no symptoms — is no longer included
in the new classification, as residents are assumed to have been exposed due to local transmission.
SUSPECT CASE
A. Individuals with influenza-like illness (ILI). Symptoms include fever of at least 38°C and
cough or sore throat, AND either of the following: (i) a history of travel to or residence in an area
that reported local transmission of COVID-19 during the 14 days prior to symptom onset, OR (ii)
with contact to a confirmed or probable case of COVID-19 during the 14 days prior to symptom
onset.
B. Individuals with sudden respiratory infection and severe symptoms such as shortness of breath,
difficulty of breathing or severe pneumonia with unknown cause, and requires hospitalization
C. Individuals with fever or cough or shortness of breath or other respiratory signs or symptoms
and under any of the following conditions: (i) aged 60 years and above, (ii) with a comorbidity,
(iii) assessed as having high-risk pregnancy, or (iv) a health worker.
PROBABLE CASE
A. Suspect case whom testing for COVID-19 is inconclusive
B. Suspect case who tested positive for COVID-19 but whose test was not conducted in a
national or subnational reference laboratory, or an officially accredited laboratory
CONFIRMED CASE
Any individual who was laboratory-confirmed for COVID-19 through RT-PCR in a national or
subnational reference laboratory, or a DOH-certified laboratory testing facility
CONTACT TRACING
Criteria for Close Contact Tracing
CONTACT TRACING
Rapid Antibody Test (RATs) i
• not endorsed on any medical or government guidelines
• not endorsed by any medical society and DOH expects it would no longer be used after Mecq
• there is a unified approach among medical groups recommending complete eradication of
rapid antibody test in th Philippines
CLEARANCE
Pursuant to DOH AO 2020-0220
Clearance from COVID 19 does not require a repeat swab test. Final clearance can be provided
and it is certified by a licensed medical doctor and it is not depended on COVID 19 test.
A license medical doctor’s clinical assessment and judgement supersedes any test.
DISINFECTION
• If the area where the suspect case is working is enclosed, only that are would be disinfected.
• If the area where the suspect case is open, extend the are of disinfection up to two meters from
his working position using 1:100 sodium hypochlorite solution, wall to wall surface
disinfection, workers assigned to disinfect that area would wear full prescribed PPE. After 24
hours from disinfection, that area can be used again for work.
• Misting and foot disinfection was never endorsed
• Periodic disinfection of surfaces every 2 hours
• Artificial UV light still has pending studies
• Sunlight UV light kills SarsCov2 virus in seconds
EXPERIMENTAL TREATMENT
Medications and supplemenets with presumptive positive evidence/promising positive results
against Covid 19:
• Azithromycin
• Melatonin
• Virgin Coconut Oil
• Vitamin C
• Vitamin D
• Vitamin E
• Prednisone/Dexamethasone
VACCINE
Major countries are on the race to develop a Covid 19 vaccine, there are companies now on Stage
3.
1. Employers shall provide their employees with psychosocial support, especially those
presenting mental health concerns.
2. Employers shall likewise promote work-life balance, especially in these trying times
through proper scheduling of activities and workforce rotation.
3. Company policies on prevention and control of COVID-19 should be aligned with the
existing minimum public health standards and guidelines issued by the DOH and other
regulatory agencies.
The following are the minimum public health standards to be complied with in all workplaces:
a) Masks
i. Face masks must be worn at all times.
ii. Medical grade masks are highly encouraged and should be properly disposed of after
use.
iii. Masks with vents should not be used.
iv. Cloth masks, with additional filter such as tissue paper or similar material, may be
used as long as they are clean and washed daily. The filter should be changed daily
or after every sneezing or coughing episode, and should be properly disposed of after
use. Hands should be washed/disinfected before replacing the filters.
v. Frequent mask handling and manipulation should be avoided.
b) Face shields
i. Face shields shall cover the entire face (completely cover the sides and length of the
face). If possible, face shields should extend to the ears and below the chin.
ii. Visor-type and masks should always be worn together when interacting with
colleagues, clients and/or visitors.
iii. Face shileds may be removed according to the demands of the work or when the
occupational safety and health of the employees so requires.
c) Physical Distancing
i. Physical distancing of at least one (1) meter or two (2) meters when possible, shall
be observed at all times. This must be practiced in combinations with the wearing of
masks and face shields.
d) Frequent Disinfection
SHUTTLE SERVICES
• Should be consistend with IATF Resolution 69:
• Large private establishments with total assets above P 100,000,000 located inside special
economic zones or other areas under Investment are REQUIRED to provide shuttle services
to their employees. In case, they cannot financially sustain this provision, they can adopt
alternative work arrangements, vouchers for TNVS, cost sharing or other alternative
arrangements
• Employers may contract the services of public utility vehicles to subsidize public transport
operations.
REDUCE CONTACT
1. Most-at-risk population (MARP) for COVID-19 in the workplace (e.g. senior citizens,
pregnant women, individuals with underlying health conditions) and those below 21 years old,
shall continue to observe work-from-home arrangements. When needed to occasionally report to
work, they may be allowed to, provided a certificate of fit to work is secured from the OSH
personnel and must stay in the workplace only for a specified number of hours. They shall limit
physical contact inside the premises.
2. Restriction of mass gatherings:
a. Depending on the risk classification of the workplace locality, as defined by IATF’s
risk severity grading, Employers shall follow the restriction on mass gatherings, (i.e only
10% of seating capacity for meeting rooms in high/moderate-risk areas (e.g. confined
288 BOSH 2020_REV. 2/1/6/2020
BASIC OCCUPATIONAL SAFETY ANDF HEALTH (BOSH)
spaces) and a maximum of 50% seating capacity for low-risk areas (e.g. open areas)).
b. Videoconferencing shall always be used for meetings needing large attendance of
employees and/or for meetings lasting longer than 15 minutes.
c. The safety officer, which refers to any employee or officer of the company trained by
the DOLE and tasked by the employer to implement an occupational safety and health
program, and ensure that it is in accordance with the provisions of OSH standards, will
determine the maximum number of employees allowed to stay at any given time in areas
where they usually converge during breaks, or before/after work shifts (e.g. canteens,
locker rooms, changing rooms, lounges, rest rooms or comfort rooms). The safety officer
shall ensure that minimum public health standards are followed at all times.
3. Employers shall adopt staggered meal schedules to further restrict contact among its
employees. Eating alone in the workstation is highly encouraged. Dining in canteens may be
allowed provided that employees shall strictly comply with the physical distancing of at least one
(1) meter and shall be prohibited from talking with each other. Employers are required to provide
signages, physical barriers, and such other means to ensure compliance with these protocols.
To ensure compliance with the physical distancing requirements, employers may set up makeshift
dining areas to complement canteens in the workplace.
a. Masks should be immediately worn after eating.
b. Use of communal items such as, but not limited to, dipping sauces and condiments,
utensil dispensers, and straw dispensers shall be prohibited.
c. Serving of buffet meals and other similar set-ups shall be prohibited.
4. Employers shall, as much as practicable, minimize the duration of customer transactions to
less than 15 minutes.
2. Employers shall direct symptomatic individuals through appropriate health system entry points
such as the primary care facility (e.g. Barangay Health Center, Infirmaries, Private Clinics /
hospitals) or telehealth consultation. Referral networks shall be established.
3. Employers may contact the DOH through its hotline 1555 for guidance on the handling and
referring symptomatic employees.
HEALTH CHECKLIST
REFERENCES:
1. Dole Occupational Health and Safety Standard (As Amended, 1989)
2. www.DOLE.gov.ph
3. RA 9514 Fire Code of the Philippines Revised Edition 2019
4. https://www.osha.gov/Publications/osha3071.pdf
Occupational Safety and Health Administration (OSHA) Job Hazard Analysis
OSHA 3017 (2002 Revised)
5. http://www.hse.gov.uk/toolbox/managing/emergency.htm
Health and Safety Executive (HSE) Emergency Procedure
6. https://www.osha.gov/SLTC/noisehearingconservation/evaluation.html
Occupational Safety and Health Administration (OSHA) Occupational Noise
Exposure
7. https://www.osha.gov/Publications/3120.html
Occupational Safety and Health Administration (OSHA) Control of Hazardous
Energy Lockout/Tagout OSHA 3120 (2002 Revised)
8. https://www.osha.gov/Publications/osha3151.pdf
Occupational Safety and Health Administration (OSHA) Personal Protective
Equipment OSHA 3151
9. https://www.osha.gov/Publications/Mach_SafeGuard/chapt1.html
Occupational Safety and Health Administration (OSHA) Machine Safeguarding
10. http://www.hse.gov.uk/humanfactors/introduction.htm
Health and Safety Executive (HSE) Introduction to Human factors
11. http://www.hse.gov.uk/humanfactors/topics/08communications.pdf
Health and Safety Executive (HSE) Human Factors Briefing Note No. 8 Safety-
Critical Communications
12. http://www.hse.gov.uk/construction/lwit/assets/downloads/communications-
toolbox-talks.pdf
Health and Safety Executive (HSE) Leadership and worker involvement toolkit.
Communication skills for safety briefings and toolbox talks.
13. http://www.hse.gov.uk/pubns/indg345.pdf
Health and Safety Executive (HSE) Health and safety training A brief guide
INDG345 (rev1)
14. https://www.osha.gov/Publications/OSHA2236/osha2236.html
Occupational Safety and Health Administration (OSHA) Materials Handling and
Storage
15. http://www.ccohs.ca/oshanswers/prevention/effectiv.html
Canadian Centre for Occupational Safety and Health (CCOSH) Effective
Workplace Inspections
16. https://www.ccohs.ca/oshanswers/hsprograms/investig.html
Canadian Centre for Occupational Safety and Health (CCOSH) Incident
Investigation
IMPORTANT NOTES:
0 BOSH 2020/REV.2/1/6/2020