JOB SAFETY & ENVIRONMENTAL ANALYSIS

Date: Job Description: Location: Developed by

(Contractor/ Team Name):

Prepared by:

Noted by:

SO/ PCO/ Team Leader

SHE Officer

TASKS (Detalyadong pagkakasunod-sunod ng trabaho. Isulat pati ang mga gagamiting tools.)

SAFETY HAZARDS (Posibleng panganib, injury o pagkakasakit habang ginagawa and naturang task)

SAFE PRACTICES (Mga aksyon na gagawin upang hindi mangyari ang mga natukoy na panganib. Isulat din ang mga gagamiting PPE)

ENVIRONMENTAL IMPACT (Posibleng panganib ng sa kapaligiran ng mga gagawing trabaho)

ENVIRONMENTAL OPERATIONAL CONTROL (Mga aksyon na gagawin upang maiwasan ang pagkasira nga kapaligiran)

Control No.:

SHE4-041

Rev. No.:

00

Effective: Page No.:

01-Nov-12 ___ of __

Retention Period: Two Years

JOB SAFETY & ENVIRONMENTAL ANALYSIS AGREEMENT (K2C PROJECT)

NO.

NAME
JAISON TUGAY ROMULO MANUEL

POSITION
PLUMBER PLUMBER

DATE
3/7/2014 3/7/2014

SIGNATURE

Control No.: K2C - 0041 Retention Period: Two Years

Rev. No.:

01

Effective: Page No.:

01-Apr-13 ___of ___

FORM REVISION HISTORY

Cavite PC

Department/ Section Document Controller Form Control Number Revision Number 00

SHE DEPARTMENT LEI BERTIS SHE4-027 Implementation Date 01-Oct-12

AJV PILLO

Description of Change - Enactment due to change of company name from Metrolab Industries, Inc. to Unilever Philippines, Inc. - Superseded form no. RT-SHE-04-01.

Approved by

01

- Added column for "Responsible"

17-Dec-12
AJV PILLO

Control No.: Retention Period:

SHE4-002 3 years from the last entry

Rev. No.:

00

Effective: Page No.:

01-Sep-12 1 of 1