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SAFETY PROMOTION
No. DESCRIPTION Yes No COMMENTS
Workers, Leadmen and Supervisors are aptly
1 recognized by management for their individual
proactive safety efforts?
Safety slogans, banners prominently displayed at
2
work areas
Company Safety Policy is posted at main office
3
entrance?
4 JSA performed for all tasks?
Near-miss / first aid cases reported and
5 investigated? (Incident discussed with
the crew during Safety Talks)
Safety Training conducted for new-hire workers
6 and employees transferred to other
disciplines?
7 General Assembly conducted by management?
Safe Hours worked highlighted and
8
communicated?
“SAFE WORKER OF THE MONTH”
Identify your “Safe Worker of the Month” on the basis of safe work attitudes and awareness to influence and serve as role model for other
workers to follow. (Certificate signed by Project Management shall be awarded)

Explain what other measures were initiated to promote safety at the workplace. Name areas of concern that needs attention. As
Supervisor, list down the support you need from management in order to increase the level of safety awareness in your area.

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