Occupational Safety and Health (OSH) Program of

PRIMEPACK TECHNOLOGIES INC.

I. Complete Company Profile/ Project details

 Company Name: PRIMEPACK TECHNOLOGIES INC.

 Date Established: JULY 1, 2001
 Complete Address: LOT 13 A-2 CIPII CARMELRAY INDUSTRIAL PARK II
BRGY. MILAGROSA CALAMBA CITY LAGUNA
 Phone and fax numbers : (049) 530-75554
 Website URL/Email address
 Name of Company Owner/Manager/President: LEO TANLIMCO
 Total Number of Employees; 113 Male 69 Female 44
 Description of the business Pls specify
o Kindly check:
o Manufacturing:
______________________________
o Service:
______________________________
o Agri/fishing:
______________________________
o Wholesale/retail
______________________________
o Utilities ______________________________
o Banks and financial institution
_______________________
o Security Agency
o Maintenance
o Construction
o Others (Please specify)

 Product descriptions: (ex. Garments, shoes, electronics ) Manufacture of Plastic

various plastic articles and mould

Basic Components of Company OSH Program and Policy

(DO 198-18, Chapter IV, Section 12)

1.0 Company Commitment to Comply with OSH Requirements

2.0 General Safety and Health Programs
-Safety and health Hazard Identification, Risk Assessment and Control (HIRAC)

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 -Medical Surveillance for early detection and management of occupational and
work related diseases
-First-aid and emergency medical services
3.0 Promotion of Drug Free workplace, Mental health Services in the Workplace,
Healthy lifestyle
4.0 Prevention and Control of HIV-AIDS, Tuberculosis, Hepatitis B
5.0 Composition and Duties of health and safety Committee
6.0 OSH Personnel and Facilities
7.0 Safety and Health Promotion, Training and Education
-Orientation of all workers on OSH
-Conduct of Risk Assessment, evaluation and Control
-*Continuing training on OSH for OSH Personnel
-*Work permit System
8.0 Toolbox/Safety Meetings, job safety analysis
9.0 Accident/Incident/illness Investigation, Recording and Reporting
10.0 Personal Protective Equipment (PPE)
11.0 Safety signages
12.0 *Dust control and management and regulation on activities such as building of
temporary structures and lifting and operation of electrical, mechanical,
communications system and other requirements
13.0 Welfare Facilities
14.0 Emergency and disaster preparedness and response plan to include the
organization and creation of disaster control groups, business continuity plan, and
updating the hazard, risk and vulnerability assessment (as required)
15.0 Solid waste management system
16.0 Compliance with Reportorial Government Requirement (refer to Item 9.0)
17.0 Control and Management of Hazards (refer to Item 2-HIRAC)
18.0 *Prohibited Acts and Penalties for Violations
19.0 *Cost of Implementing Company OSH program

*(Applicable for medium to high risk establishments with 10 to 50 workers and low to high
risk establishments with 51 workers and above)

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1.0 Company Commitment to Comply with OSH Policy

PRIMEPACK TECHNOLOGIES INC. do hereby commit

Name of the Company)

to comply with the requirements of RA 11058 and DOLE Department Order 198-18 (its

Implementing Rules and Regulations) and the applicable provisions of the Occupational

Safety and Health Standards (OSHS).

We acknowledge the company’s obligation and responsibilities to provide appropriate funds

for implementing this OSH program including orientation and training of its employees on

OSH, provision and dissemination of IEC materials on safety and health, provision of

Personal Protective Equipment (PPE) when necessary and other OSH related requirements

and activities, to ensure the protection for our workers and employees against injuries,

illnesses and death through safe and healthy working conditions and environment.

We commit to conduct risk assessment as required to prevent workplace accidents as well

as comply with other provisions of this OSH program. That we are also fully aware of the

penalties and sanctions for OSH violations as provided for in RA 11058 and its

Implementing Rules and Regulations.

[Signature] ______________________________

[Name] Leo L. Tanlimco

[President] / [Chief Executive Officer] / [Owner]
[Date] ; August 23, 2021

2.0 General Safety and Health Programs

21. Conduct of Risk Assessment
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 Kindly accomplish. Pls use additional pages if needed. You may also wish to attach your
Company’s Risk Assessment Matrix as substitute

Risk Assessment Matrix

Priority: likelihood of
injury and illness to
Risk occur Control
Task Hazard Identified
Description (low, medium, Measures
high)

Refer to attached file

Example of Simple Risk Assessment

Task Hazard Risk Priority Control

Delivering Drivers work alone May be unable to

 Need for
product to call for help if  high
helper
customers needed

Drivers have to Fatigue, short rest

 Policy on
occasionally work long time between  medium
work break
hours shifts

Drivers are often in very Increased chance  Road safety

low
congested traffic of collision program

Longer working  Work

 medium
hours breaks

Drivers have to lift boxes Injury to back from  Given

when delivering product lifting, reaching, proper
 high
carrying, etc. orientation
on lifting

2.2 Medical Surveillance

The company will require all employees to undergo a baseline or initial medical
health examination prior to assigning to a potentially hazardous activity. The
examination will include but not limited to the following:

a. Routine : ( ) CBC ( ) Chest X-ray ( ) Urinalysis ( ) stool exam

b. Special: ( ) Blood Chemistry ( ) ECG ( ) others, please specify
c. Schedule of Annual medical examination: ( ) Q1 ( )Q2 ( )Q3 ( )Q4

d. Is random drug testing conducted? Yes when No _____

2.3 First-Aid, Health Care Medicines and Equipment Facilities

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  How may treatment rooms/first aid rooms are existing in your company?
 How many Clinics in the workplace?
 What hospital (s) are you affiliated with?

3.0 And 4.0 - Health Programs for the promotion, prevention and control

This refers to : Drug-free Workplace in compliance to RA 9165, Human Immunodeficiency

Syndrome (HIV/AIDS) in compliance to (RA 8504) RA 11166, Tuberculosis in compliance to
EO 187-03, Hepatitis B in compliance to DOLE Advisory No. 05 Series of 2010, Mental
Health in compliance to RA 11036.

Kindly accomplish the policy template in Annex A.

(*you may attach individual policy statements)

5.0 Composition and Duties of Safety and Health Committee

The SHC of the company is responsible to plan, develop and implement OSH policies
and programs , monitor and evaluate OSH programs and investigate all aspect of the work
pertaining to the safety and health of all the workers. SHC shall be composed of the
following in compliance with the law:

(a) For medium to high risk establishments with ten (10) to fifty (50) workers and low
to high risk establishments with fifty-one (51) workers and above. – The OSH committee of
the covered workplace shall be composed of the following:

Ex-officio : Ferdinand Bonifacio_______________

chairperson Name of Employer or his/her representative

Secretary : Rodeth L Marquez_____________________

Name of Safety officer of the workplace
Ex-officio :
members Rigor Casabuena______________
Name of Certified first-aider/s
Katherine Buño______________
Name of OH nurse
_Michael Nueros____________
Name of OH dentist, and OH physician, as applicable

Ruel Elento, Ronnie Quiogue, Erwin Cornejo, Joycee Anne

Antipasado
Members : Name of Safety officers representing the contractor or
subcontractor, as the case may be,

___________________________________________________
Name of workers’ representatives who shall come from the
union, if the workers are organized, or elected workers through
a simple vote of majority, if they an unorganized.

(All members of the HSC shall perform their duties and responsibilities by the OSH law
and its implementing guidelines.)

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Safety and Health Committee Minutes/Reports submitted to DOLE (pls attach latest OSH
committee minutes/report)

Yes √ No ______

6.0 OSH Personnel and Facilities

6.1 Safety Officer

Safety Officer(s): (attach certificate of training/s prescribed by DOLE)(please use

additional sheets as necessary)

Name of Safety Officer(s): Training(s) (kindly include number of hours)

Rodeth Marquez 40 hrs Basic Occupational Safety and Health

6.2 Emergency Occupational Health Personnel and Facilities

List of competent emergency health personnel within the worksite duly complemented by
adequate medical supplies, equipment and facilities based on the total number of workers.
(Use additional sheet if necessary and attach all required training certificates in this section.)
Emergency Health Personnel and Facilities

Total number of Health Personnel & Facilities

Shift/Area/unit/ workers/area Health Personnel (First- Facilities
Department aider, Nurse, Physician, (Treatment Room/
Dentist) Clinic/ Hospital)

7.0 Safety and Health Promotion, training and education provided to workers

--Orientation of all workers on OSH

-Conduct of Risk Assessment, evaluation and Control

-*Continuing training on OSH for OSH Personnel

-*Work permit System
*(Applicable for medium to high risk establishments with 10 to 50
workers and low to high risk establishments with 51 workers and
above)

(please attach additional sheets as necessary)

Name of OSH Number of Employees in Date

Training/Orientation attendance

Training Orientation for New 15 -

Workers
Mandatory 8hrs Safety and 75 May, 2021
Health Seminar for Worker
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First Aid Training 4 June 28~29, 2021

Conduct of Risk Assessment (may include Date: March 23, 2021

WEM)

8.0 Conduct of Tool Box Meetings/ Safety Meetings if applicable

Conduct of Safety Meetings/Tool Box Meetings Date

Refer to attached file

9.0 Accident/Incident/Injury investigation recording and reporting

Any dangerous occurrence, major accident resulting to death or permanent total disability,
shall be reported by the company to the DOLE Regional Office within twenty four (24) hours
from occurrence using the prescribed form (Work Accident / Incident Notification).

After the conduct of investigation, the company shall prepare and submit work accident
report using the prescribed form (WAIR). Moreover, other work accidents resulting to
disabling injuries such as Permanent Partial Disability and Temporary Total Disability shall
be reported to the DOLE Regional Office within 30 days after the date of occurrence of
accident using the DOLE prescribed form (WAIR).

All near misses shall be recorded and reported. A system for notification and reporting of
work accidents including near misses within the company shall be developed and reviewed
by the OSH Committee as necessary.

(Kindly submit reports on the following: Work Accident /Injury Report (WAIR), Annual
Exposure Data Report (AEDR), Annual Medical Report (AMR)
Report Submitted Date
COVID -19 WAIR Every 30th of the month
AEDR January 20, 2021
Annual Medical Report February 2021

10.0 Provision and use of PPE

Issuance of PPE shall be supplemented by training on the application, use, handling,

cleaning and maintenance.

PPE provided Number of Workers given

Refer to attached PPE Issuance 113

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11.0 Safety Signage
The safety signages include warning to workers and employees and the public about the
hazards within the workplace.

Type of Safety Signage : Kindly attach picture.

12.0*Dust control and management and regulation on activities such as building of

temporary structures and lifting and operation of electrical, mechanical,
communications system and other requirements *(Applicable for medium to high risk
establishments with 10 to 50 workers and low to high risk establishments with 51 workers
and above)

Kindly attach dust control procedures, plans on temporary structures, permits app;icable
for the operation of electrical, mechanical, communications systems and other
requirements

13.0 Workers Facilities Provided:

FACILITIES PROVIDED? REMARKS

YES NO
a. Adequate supply of drinking water √
b. Adequate sanitary and washing √
facilities
c. Suitable living accommodation (if √
applicable)
d. Separate sanitary, washing and √
sleeping facilities (if applicable)
e. Lactation station (in consonance √
with DOLE D.O. 143-15)
f. Ramps, railings, and the like √
g. Other workers’ welfare facilities as √
prescribed by OSHS and other
related issuances

14.0 Emergency and Disaster Preparedness:

14.1 Written Emergency and Disaster Program Yes√ No_____

14.2 Types and number of Drills conducted

Type of Drills (fire, Date Responsible

earthquake) person/position

Fire Drill April 23, 2021 R.Marquez

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 15.0 Solid Waste Management System

Written Pollution Control Program: Yes:√ No: _____

Name of Pollution Control Officer: Rodeth L Marquez

16.0Compliance with Reportorial Government Requirements (refer to item 9.0)

17.0 Control and management of hazards.

Refer to accomplished HIRAC

18.0 *Prohibited Acts and Penalties/sanctions for violations on OSH

*(Applicable for medium to high risk establishments with 10 to 50 workers and low to high
risk establishments with 51 workers and above)

(Pls attach existing company sanctions for violations on OSH)

(Example of Company violation policies)

Safety Violation 1st offense 2nd offense 3rd offense
1. Not using issued PPE warning 3 day suspension 5 day
suspension
2. littering and loitering warning 3 day suspension 5 day
suspension
3. smoking at prohibited area warning 3 day suspension 5 day
suspension
4. illegal dismantling of safety warning 3 day suspension 5 day
signages and paraphernalia suspension
5. Not following safety rules 3 day 5 day suspension Dismissal
suspension

19.0 * Cost of implementing company OSH program

*(Applicable for medium to high risk establishments with 10 to 50 workers and low to high
risk establishments with 51 workers and above)

; Annual estimated amount for OSH program implementation to include but not limited to the
following: orientation/training of workers, safety officer, OH personnel, purchase and
maintenance of PPE, first aid medicine and other medical supplies, safety signages and
devices, fire safety equipment/tools, safety of equipment ( i.e machine guards,) etc.

OSH Item Estimated Cost/year

PPEs

OSH trainings

Safety Signages

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 Machine Guards and related
equipment

Medical examinations

Medical supplies/medicines

Others: Specify:

ANNEX A:

WORKPLACE POLICY AND PROGRAM ON PROMOTING WORKERS HEALTH AND

ENSURING PREVENTION AND CONTROL OF HEALTH-RELATED ISSUES AND
ILLNESS

PRIMEPACK TECHNOLOGIES INC company is committed to promote and ensure a

healthy and safe working environment through its various health programs for its
employees. We shall conform to the all issuances and laws that guarantee workers health
and safety at all times.

The company shall ensure that worker’s health is maintained through the following
company programs and activities:
a) Orientation and education of employees
b) Access to reliable information on illness and hazards at work
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 c) Referral to medical experts for diagnosis and management of illness or health-
related concerns
d) Provide health-related programs such proper nutrition and exercise activities are
made available to the workers

The above-mentioned programs shall comply with the Government’s issuances on

promoting healthy lifestyle, addressing mental health in the workplace and preventing
and controlling substance abuse.

In addition, company policies to protect workers’ rights arising from illness shall be
guaranteed. The company shall promote the following workers’ rights:
a) Confidentiality of information
b) Non-discrimination including non-termination
c) Work accommodation following a course of illness
d) Assistance to compensation

This policy is formulated for everybody’s information. The company is committed to

ensuring workers’ health and providing a healthy and safe workplace.

Leo L Tanlimco Rodeth L Marquez

Owner /Manager Safety Officer

DATE: August 23, 2021

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