23/01/2024, 21:30 CSHP ONLINE APPLICATION
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office IV-A
Simplified Online Application
ALL CSHP PROCESSING AND APPLICATIONS ARE FREE OF
CHARGE
Project Profile OSH and CSHP Review
Review Details
Owner Details
Name of Owner:
NOEMY ALCANTARA ACDAL
Region:
Region IV-A (CALABARZON)
Province:
Rizal
City/Municipality:
ANTIPOLO
Barangay:
CUPANG
Address:
240 PUROK I, ZONE 8
Contact No.:
09959438099
Email Address:
[email protected]
Project Details
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23/01/2024, 21:30 CSHP ONLINE APPLICATION
Name of the Project:
PROPOSED TWO (2) STOREY RESIDENCE
Region:
Region IV-A (CALABARZON)
Province:
Rizal
City/Municipality:
City of Antipolo (Capital)
Barangay:
San Luis
Address:
LOT 4, BLK 24 MARYHILLS SUBDIVISION, SITIO
BANABA
Description of the residential/small commercial building
Number of storeys:
2
Type of Building:
Residential
Female Workers:
0
Male Workers:
12
Total no. of workers:
12
Project Date Start:
2024-05-02
Completion Date:
2024-07-01
Project Duration:
60
Letter of Intent:
LETTER OF INTENT.pdf
Accomplished CSHP Template:
CHSP TEMPLATE.pdf
O.R. No.(First Aid Kit):
810-0011821
O.R. First Aid Kit file:
OR.jpg
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23/01/2024, 21:30 CSHP ONLINE APPLICATION
I HEREBY: 1)Certify the truthfulness of the above-
mentioned information based on my own personal
knowledge and authentic records; 2)Commit to strictly
implement the herein attached construction safety
and health program designed for this specific project
and comply with occupational and health standard
required by law; and 3)Be responsible for any accident
that will happen during the construction, especially for
the welfare of the workers who are employed to
perform the construction activities;
CONSENT NOTICE: The Department of Labor and
Employment Regional Office No. IV-A values and is
committed to comply with Republic Act No. 10173
otherwise known as the Philippine Data Privacy Act of
2012 (“Data Privacy Act”) to protect and safeguard
your privacy. By accomplishing this form, you signify
your acceptance to provide pertinent and personal
information about you or data establishment. All
information that will be collected through this form
will be used for the sole purpose of monitoring and
fulfilling the functions of this Office. We may only keep
your information until such time that we have attained
the purpose by which we collect them and when the
information is no longer required the DOLE RO IVA
procedure will be followed to dispose of said data.
Under the foregoing circumstances and to the extent
permissible by applicable law. You agree not to take
action against DOLE RO IVA for the disclosure and
retention of your information.
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