Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office IV-A

Comprehensive Online Application
ALL CSHP APPLICATIONS ARE FREE OF CHARGE

Company Profile/License/Registration of Main/General Contractor

Project Manager

Please click the 'Add Sub-contractor' button if you have one or more subcontractors; otherwise, you can skip this step.

Project Profile Description

First Aider assigned to the project

No Name of Personnel Occupation Date of Training Validity Date Upload Copy of ID or Certificate Action

Safety Officer assigned to the project

No Name of Personnel Occupation Date of Training Upload Copy of ID or Certificate Action

Other OHS Personnel

If Heavy Equipment will be used in the Project

Profile of the person who prepared the CSH Program for the abovementioned Project

You can download Comprehensive CSHP Template here

Review Details

Company Profile/License/Registration of Main/General Contractor
Types of Construction Project:
Name of Company/Main/General Contractor:
Address (Company):
Region (Company):
Province (Company):
City/Municipality (Company):
Barangay (Company):
Contact No.:
Email Address:
For DPWH Project
Transmittal letter from DPWH:
Certificate of Approval from DPWH:
Evaluation Checklist by DPWH:
Project Manager
Name of Project Manager:
Contact No.:
Email Address:
RULE 1020 Certificate Number:
Date of Registration of Rule 1020:
Copy of Rule 1020 Registration:
PCAB Classification:
Contractor's PCAB License Number:
Copy of PCAB Certificate:
PCAB Validity Date From:
PCAB Validity Date To:

No. Name of Subcontractor Street Address Region Province City/Municipality Barangay Contact Number Email Address Scope of Work Rule 1020 Reg. Date Rule 1020 File PCAB License Number PCAB Validity Date From PCAB Validity Date To PCAB License or DO174 Registration

Project Profile Description
Name of the Project:
Upload Notice of Award:
Owner Address (Owner):
Region (Owner):
Province (Owner):
City/Municipality (Owner):
Barangay (Owner):
Name of the Project Owner::
Contact No::
Email Address::
Female Workers:
Male Workers:
Number of Workers on site:
Project Classification:
Total Project Cost:
Project Date Start (Estimated date of project start):
Completion Date (Date of project completion):
Project Duration (in calendar days):
Brief Description of Activities/Work Flow:

OHS Personnel
No Name of Personnel Occupation Date of Training Validity Date ID / Certificate
If more than 100 workers
Name of Hospital:
Approved MOA (Memorandum of Agreement):
Heavy Equipment
No Name of Heavy Equipment Certificate of Inspection and Testing of Construction Heavy Equipment (CHE) Date of Expiration Name of Operator Skills Certificate of Construction Heavy Equipment (CHE) operators Validity Date
Profile of the person who prepared the CSH Program for the abovementioned Project
Enter full name:
Educational Background:
Work Experience in OSH:
Other Qualifications:
Upload Letter of Intent:
Upload Construction Safety Health Program: