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CENTER FOR HEALTH SERVICES INC. HSE & COVID-19 ORIENTATION Prepared by: Fernan O. Tabones Safety Officer/PCO

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1.0 Company Profile 	 The  Center for Health Services, Inc. (CHSI)   is a duly organized and  registered corporation formed by a group of health care practitioners  with several years of combined experience in the field of occupational health care. These experts in health services have earned for themselves an excellent reputation in delivering occupational and specialty care through an integrated delivery system that is technology and quality-driven.    The company offers competent services and cost-effective health programs delivered by highly experienced doctors – from  occupational medicine to specialists in medicine and surgery.   These health care professionals are in synergy with in-house  laboratory and diagnostic facilities , and in tandem with equally competent and experienced  dental, pharmacy and nurse practitioners , as well as  technologists and technicians  whose quest for accuracy and reliability remain at par with the best in the industry.  The health care managers and administrative staff carry with them long years of experience and expertise in the management and administration of health systems delivery ensuring for its corporate clients a high level of service and care.

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CHSI provides  clinic management services  to more than 80 plant clinics of various clients nationwide as well as  management and administration of hospital and out-patient medical benefits . CHSI continues to  provide manpower ,  diagnostic ,  mobile Physical Exams (PE), hospital coordination, medical information system, medical, dental, pharmaceutical supplies and services  in line with corporate clients’ needs and requirements.  It employs in its payroll more than 400 medical personnel and administration staff nationwide.    To date, CHSI has not only strengthened its value as partner for its corporate clients for the delivery of focused, flexible and technically competent health services but has diversified its Mobile PE services by deploying its  Mobile Clinic  to on-site home care projects, cost-effective vaccinations to schools and community. It has also expanded its clinic to include a specialty and  diagnostic center  based in  Ortigas  Center, Pasig  City,  Briones St., Cebu City  and  Trece   Marteres , Cavite City.   CHSI is also a most sought after partner of the major health maintenance organizations or HMO’s in the country today.

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2.0     Occupational Safety and Health (OSH) Program of Center                                    for Health Services Inc.

Company Name: Center for Health Services Incorporated     Established: 01 January 2006     Address:	 Medical Plaza Ortigas Bldg. #25 San Miguel Ave., Ortigas Center, Pasig City     Phone / Fax numbers: Landline: +632 8637 0562 to 63   Fax: +632 8637 3940 Website /URL / Email add.: www.chsi.com     President / Chief Executive Officer: Reynaldo R Mariano, M.D., MHSA     Total Number of Employees: Male:       149   Female:   275   Total:       424     Type of Business: Clinic Management Service Provider     Description of Services: The Company provides: Manpower, Diagnostic Services, Mobile Annual Physical Exam (APE), Hospital Coordination, Medical Information System, Pharmacy and Ancillary Medical Supplies Services in line with clients requirements.

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3.0     Company Commitment to Comply with Occupational Safety and Health - OSH Policy   Center for Health Services Incorporated  do hereby commit to comply with the requirements of Republic  Act (R.A. 11058)  and Department of Labor and Employment (DOLE) Department Order ( DO198-18)  Implementing Rules and Regulations (IRR) and the applicable provisions of the Occupational Safety and Health Standards (OSHS).   We acknowledge the  company’s obligation and responsibilities  to provide appropriate  funds for implementing the OSH program  including orientation and training of its employees on OSH, provision and dissemination of Information Education and Communication  (IEC)  materials on safety and health, provision of Personal Protective Equipment  (PPE)  when necessary and other OSH related requirements and activities, to  ensure the protection for our workers and employees against injuries, illnesses  and death through safe and healthy working conditions and environment.   We commit to conduct  risk assessment as required to prevent workplace accidents  as well as comply with other provisions of this OSH program. That we are also fully aware of the  penalties and sanctions  for OSH violations as provided for in R.A. 11058 and its Implementing Rules and Regulations.      Reynaldo R. Mariano, M.D, MHSA President and Chief Executive Officer   Date:

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4.0 Center  for Health Services Inc. Health and Safety  Policy Center for Health Services Inc. believes that the Health, Safety and Welfare of its employees and others affected by its operations should have equal importance to quality, cost, production and morale . In accepting this responsibility Center for Health Services Inc. its managers, supervisors and employees aims, so far as is reasonably practicable, to provide a working environment that is safe and without risk to health by paying particular attention to:   The  provision and maintenance of equipment and systems of work  that are safe and without risk to any person .   b)  Sufficient  information, instruction, training and supervision  to enable all employees to avoid hazards and contribute positively to their Health and Safety at work . c)  Adequate  communication of information, instruction and supervision  will also be provided to avoid injury to any other persons likely to be affected.

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d) The  provision and maintenance of a working environment  that is, so far as is reasonably practicable, adequate with regard facilities and arrangements for employee’s welfare at work.   This  policy can only be successful with the  active co-operation of all management and employees,  who have a duty to offer all necessary assistance to ensure the Health and Safety of themselves and others.   Center for Health Services Inc. also believes that it is the  responsibility of all employees to perform their assigned duties safely  by following  established safe working procedures , the correct use of personnel protective equipment ( PPE )  or control measures and by reporting or, where able to do so safely, correcting unsafe acts or conditions.   The inception of this policy will develop a health and safety culture if not for the efforts and contributions of the managerial staff, supervisors, team leads and employees who helped in formulating this policy.

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Step l:
I&nttfy the
Step 5:
Motutor
Renew
Step 4:
Inplenrnt
auruonal
controls
Step 2:
Asess the
Step 3:
Evahnte
extstttng
c«itrols

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5 .1 	Hazard Identification and Risk Control (HIRAC )/Job Safety Analysis/RA

HSE Risk Assessment Form Doc ref. No.   Revision No.   RAF No   Project: SMC Date Prepared by Checked by Approved by Company: CHSI Facility/Site SMC Clinic Date you accomplish Your name & signature Name of your supervisor Name of your manager Specific Work Locartion Admin Clinic     Work Description Clinic Operation                                       No Activity Identified Hazard Consequences Control Measures Action to be taken by Status 1                 No facemask/shield/gloves Contact to SARS-2 & other viruses Wear complte prescribed PPE & provide barriers   Clinic    Blood Extraction Fear of injection Improper blood extraction Console the patient, inform him that the process   personnel Ongoing     May resullt to skin redness is quick & almost painless   & patient                 2                             Specimen  TRY HERE!           collection                           3                             X-ray exposure TRY HERE!

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5 .2 	Hazard Identification and Risk Control (HIRAC )/Job Safety Analysis/RA

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6 .0 	Medical Surveillance   Medical screening is a valuable tool for secondary prevention in the workplace. Screening can detect disease or dysfunction before medical care would ordinarily be sought. Screening has a clinical focus, and its fundamental purpose is early diagnosis and treatment of the person. It also affords the opportunity to identify new instances of occupational injury or illness, assess fitness for duty and evaluate the efficacy of personal protective measures.   Pre-employment and Annual Physical Assessment of employees and personnel include the following:   Routine: CBC, Chest X-ray, Urinalysis, Stool exam;   b)  Special : ECG, Blood Chemistry, others;   c)   Annual  Random Drug Testing

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6.2  Mental  Health Promotion in the Workplace

6.5 	Tuberculosis (TB) Prevention and Control Workplace Policy

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7.1 Orientation  and education of employees ;

7.2 Orientation on Mandatory OSH seminar;

7.0	Workplace Policy and Program on Promoting Workers Health and Ensuring Prevention and Control of Health Issues and Illness

7.3 Prevention & Control of Covid-19 Program Orientation

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8.0	Composition and Duties of Health and Safety Committee

NAME
Chairman: Raphael c. Sanchez M.D
Merntvs: Neriscx4 Cueto. RN
Arlene limene7
Deborah MO RN
Kaye Narvato. RN
Hahn Acuna. RN
o Cuervo
T San Miquel
Marcel Arnurao
Flizabeth s.
Gerald Azarcon
Secretary: o Tabooes
POSITION FSTABI 'SHMFNT
CHS'-Vice president
General Man"er-JCMSG
HR0D
Group Mar-JCMSG
Executive Asst/ In-house. Clinic Services Mgr.
Health Officer
Accu Coordinator
Assistant Manager
Accu Coordinator
Account Coordinator
Account Coordinator
Safew Officer
CHSI
Type of committee. 8
of
Note: Chuirrnan, Ccy-npæ-'y physician/nurse & secretary shal perrnanent rnerrå»rs ot the

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9 .0 	Emergency and Disaster Preparedness

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Class
Type of Fire
of Fire
Type of
Water, DW
Powder, Hal on
Carbon Dioxide,
DIY Powder,
Halon
Carbon Dioxide,
DIY Powder,
Halon
Identification
Symbol
A
B
C
combustibles:
wæ.d, paper,
rubber, fabrics
and many plastics
Flammable
Liquids and
Gases: gasoline,
oils, paint,
lacquer, and tar
Fires involving
Live Elatrical
Equipment

Combustible
Metals or
Combustible
Metal Alloys
Fires in Cooking
Appliances that
involve
Combustible
Cooking Media:
Vegetable or
Animal Oils and
Fats
Special Agents

Fire  is a chemical reaction between a flammable or combustible material, heat and oxygen. This process converts the flammable or combustible materials and oxygen into energy.      Elements of fire are heat, fuel, oxygen & chemical reaction

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Fire Triangle
Oxygen
02
leat
ction
Fuel

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11.0   5  S of  Housekeeping Sorting/ suriin ( seiri )-   this means sorting  out  of unnecessary  items  and discarding  them from your workplace. Because this will:   -Make the work easy by eliminating obstacles, -Eliminate the need to take care of unnecessary items, -Provide no chance of being disturbed with unnecessary items, -Prevent faulty operation caused by unnecessary items.

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2. Systematize/ sinupin  ( Seiton )-  this means  the need to  organize our workplace such as:   -Follow the  First In First out (FIFO)  for storing items -Assign each item a dedicated location -Provide systematic labelling -Place items so that they are visible to  minimize, to  reached or handled easily -Separate exclusive tools from common ones -Place frequently used tools to near user

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3.  Sweep/ Seiso / Simutin -this mean to  sanitize  or  clean our  workplace. How? - Keep  environment condition as clean necessary for the products. - Prevent  deterioration of machinery & equipment &  make checking of abnormalities easy. -Keep workplace safe & work easy   4. Standardize/ Siguruhin ( Seiketsu ) - Means that we  have to   standardize  what we are doing. 5.  Self-discipline/ Sariling  kusa ( Shitsuke )- This means that we  have to do this process without prodding/urging.

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12. Things to consider in Material  handling &  storage: Fewer strain injuries if the amount of handling is reduced, The location of the stockpiles should not interfere with work but they should still be readily available when required.  Stored materials should allow at least one  meter or  about three  feet  of clear space Stacking  of cartons  and drums on a firm foundation and cross tying them, where necessary, Stored materials should not obstruct aisles, stairs, exits, fire equipment, emergency eyewash fountains, emergency showers, or first aid stations.  All storage areas should be clearly marked

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13. What  is electrical safety?    Electrical safety  is closely related to  fire safety . Fires are often caused by electrical trouble. Although we know that electrical trouble can also mean other things like  electrocution  and other such accidents.

Shock
Fire
Explosions
Arc Flash
Arc Blast
most common, can cause electrocution or muscle contraction
leadin to secon
in• which includes falls
enough heat or sparks can ignite combustible materials
electrical spark can ignite vapors m the air
can cause burns
a pressure wave caused by expansion of copper in shott ctrcuit

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Hazards
1. Inadequate wiring
2. Exposed electrical pans
3. Wires with bad insulation
4. Ungrounded electrical systems
and tools
6. Damaged power tools and
equipment
7. Using the wrong PPE and tools
8. Overhead power lines
9. All hazards are made worse in
wet conditions
10. Damaged extension cords
11. Unqualified workers doing
electrical work
Control Measures
Proper grounding
Use GFCI
Use fuses and circuit breakers
Guard live parts
Proper use of flexible cords
Close electrical panels by Competent
Person
Employee traming
Ensure Competent Person on site
Use proper approved electrical equipment
Qualified persons install electrical devices

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14.0 What  is chemical safety?     Chemical safety   is the practice of handling (storage, use and disposal) chemicals in a safe manner, minimizing the hazard to public and personal health.    The various environmental hazards, otherwise known as  occupational health hazards  can be classified as  chemical , physical, biological, or ergonomic. (MODULE 4 BOSH)

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Globally Harmonized System (GHS)  is a comprehensive classification and labeling of chemicals and an international standard for:

1
Components Of A GHS-Compliant Label
AMMONIA
DANGER
TOXIC IF INGESTED
6
4
5

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IS THE PRODUCT
A FIRE HAZARD OR
HEALTH HAZARD?
Material Safety Data Sheet
MSDS
• WHAT CHEMICALS ARE
IN THE PRODUCT?
2:
HOW DOES IT ENTER
YOUR BODY?
FIRST AID
MEASURES
HOW CAN IT AFFECT
YOUR HEALTH IN
THE SHORT TERM
AND LONG TERM?
Aid

CHSI Orientation.pptx

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