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Legal Basis: REVISED APPLICATION FORM for EVALUATION APPROVAL OF CONSTRUCTION SAFETY HEALTH PROGRAM (CSHP) Section 5 of Department Order No.
![]() Application found with incomplete requirements will be given 15 calendar days to comply. Failure to comply within the prescribed period, the application will be deemed disapproved. A. Company ProfileLicenseRegistration of MainGeneral Contractor Complete Address: Complete Name of the Company Main General Contractor Tel. No: Name of Project ManagerContact Person: Main Contractor PCAB License No. Fax No. Email: Main Contractor Total employment Male Female Date of Validity: DOLE Registration of Main Contractor ( Pls. REVISED APPLICATION FORM for EVALUATION APPROVAL OF CONSTRUCTION SAFETY HEALTH PROGRAM (CSHP) B. Project ProfileDescription Name of the Project: (Please attach copy of Invitation to Bidother documents indicating name and details of the project) Complete Project AddressLocation Name of Project Owner Tel. APPLICATION FORM for APPROVAL OF CONSTRUCTION SAFETY AND HEALTH PROGRAM OSH Personnel assigned to the project Name of Appointed Safety Officers: Name of Appointed First-Aiders: Date of hisher BOSH training: Date of First Aid Training: (Pls. THE COMPANY HEREBY COMMIT TO STRICTLY IMPLEMENT THE ATTACHED CONSTRUCTION SAFETY and HEALTH PROGRAM DESIGNED FOR THE ABOVEMENTIONED PROJECT. Submitted By: Signature Over Printed Name Position: Date: Revised Form.: CSHP-DO 13-98 Date of Revision: June1, 2011 Page 3 of 3.
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