0 Composition and Duties of health and safety Committee

2.2 Medical Surveillance

The company will require all employees to undergo a baseline or initial medical health examination prior to assigning to a potentially hazardous activity. The examination will include but not limited to the following:

a. Routine : ( ) CBC ( ) Chest X-ray ( ) Urinalysis ( ) stool exam

b. Special: ( ) Blood Chemistry ( ) ECG ( ) Others, please specify

c. Schedule of Annual medical examination: ( ) Q1 ( ) Q2 ( ) Q3 ( ) Q4

d. Is random drug testing conducted? Yes_____ when_______) No. ______

2.3 First-Aid, Health Care Medicines and Equipment Facilities

 How many treatment rooms/first aid rooms are existing in your company? ______  How many Clinics in the workplace? __________________________________  What hospital (s) are you affiliated with? ________________________________

3.0 Promotion of Drug Free workplace, Mental Health Services in the Workplace, Healthy lifestyle

This refers to the compliance to: DOLE Department Order No. 53-03 Guidelines for the Implementation of a Drug-Free Workplace Policies and Programs; and RA 11036 on Mental Health.

4.0 Prevention and Control of HIV-AIDS, Tuberculosis, Hepatitis B

This refers to the compliance to: Department Order No. 102-10 Guidelines for the Implementation of Human Immunodeficiency Syndrome (HIV) and AIDS Prevention and Control in the Workplace Program; Department Order No. 73-05 Guidelines for the Implementation of Policy and Program on Tuberculosis Prevention and Control in the Workplace; and DOLE Advisory Np. 05, Series of 2010 Guidelines for the Implementation of a Workplace Policy and Program on Hepatitis B.

3.0 And 4.0 - Health Programs for the promotion, prevention and control

**Prolonged Sitting and Standing

This refers to the compliance to: Department Order No. 178-17 Safety and health Measures for Workers Who by the Nature of Their Work Have to Stand at Work; and Department Order No. 184-17 Safety and Health Measures for Workers Who, By the Nature of Their Work, Have to Spend Long Hours Sitting.

Kindly accomplish the policy template in Annex A.

(Attach individual policy statements)