OSH REPORT FORMS
& REQUIREMENTS
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Objectives
At the end of this session, the participants will be able to
o Recognize the different OSH report forms being submitted to DOLE
o Demonstrate the proper way of filling out the OSH report forms
o Interpret data generated from the OSH report forms in preparation for the
development of appropriate OSH policies, programs, & control measures
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSH Report Forms
• Fatal/Major Accident Report • WAIR
o Employer’s Work Accident/Illness Report
• OSH Program Form DOLE/BWC/OHSD/IP-6 (WAIR-A)
• RSO o Work Accident/Injury Report Patients’
Data Page
o Report on Health & Safety Form DOLE-BQF-WAIR (WAIR-B)
Organization • AEDR
Form DOLE/BWC/HSD/IP-5
o Annual Work Accident/Illness Exposure
• AMR Data Report
Form DOLE/BWC/OHSD/IP-6b
o Annual Medical Report Form
Form FOLE/BWC/HSD/OH-47-A • Registry of Establishment
o Form DOLE-BWC-IP-3
• Minutes of the Monthly SHC Meetings
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Schedule of Submission
Legal Basis OSH Report Form When to File Where to File
OSHS Rule 1020 Registry of 30 days before the 3 copies to DOLE
Establishment operation RO/FO (including
workplace layout plan
in 1:100-meter scale)
OSHS Rule 1040 RSO Within 1 month after 2 copies to DOLE
the organization RO/FO, cc: BWC
Sec. 12, Chap. IV, DOLE OSH Program 1 copy to DOLE RO/FO
DO 198-18
OSHS Rule 1040 Minutes of Monthly Quarterly 2 copies to DOLE
SHC Meetings RO/FO, cc: BWC
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Schedule of Submission
Legal Basis OSH Report Form When to File Where to File
OSHS Rule 1050, as WAIR Every 30th of the month, DOLE ERS,
amended by DOLE LA with or without any https://reports.dole.go
07-22 accidents or work-related v.ph
illnesses, including CoViD-
19 cases
OSHS Rule 1050 Fatal/Major Within 24 hours after the 2 copies to DOLE
Accident Report accident RO/FO, cc: BWC
OSHS Rule 1050 AEDR On or before 30 January of 2 copies to DOLE
the following year RO/FO, cc: BWC
OSHS Rule 1960 AMR On or before 31 March of 2 copies to DOLE
the following year RO/FO, cc: BWC
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Reasons for Submission of Forms
• Produce OSH statistics such as counts of occupational injuries &
illnesses with the potential of producing trends across several tracking
periods
• Provide information on OSH hazards present in the company & OSH
programs being implemented
• Provide inputs to studies on the industry OSH situation
• Serve as the basis for the development of appropriate OSH policies &
programs to improve working conditions at the enterprise level
• Serve as the basis for the development of policies on improving
working conditions & OSH administration in the country
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Registration of
Establishments
(Form DOLE-BWC-IP-3)
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• EIN – Employer Identification Number to be
provided by DOLE RO/FO
1. Name of Establishment – Business name of
the reporting unit
2. Address – Exact physical address of the
reporting unit
3. TIN – Tax Identification Number of the
reporting unit provided by BIR
4. Telephone No., Fax No., and Email Address
– Contact details of the office of the
reporting unit
5. Name of Manager/Owner – Full name of
the highest official of the reporting unit
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
6. Nature of Business & Product
Manufactured, Service rendered or
Merchandise sold – Nature of the principal
activity or business of the reporting unit
using PSIC,
https://psa.gov.ph/sites/default/files/2019
%20Updates%20to%20the%202009%20PSI
C-Apr082022.pdf
)
7. Number of Employees – Total number of
employed workers of the reporting unit,
disaggregated to male & female sexes,
citizenship, & age excluding domestic help,
& under contract or hire
8. Name & Address of Labor Union, if any –
Full name & exact physical address of the
labor union, including the BLR Registration
No.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
9. Technical Information – Ticking on the
available machinery, equipment & other
devices in use, available materials handling
equipment, & chemicals or substances used
or handled
10. If Branch unit, name of parent
establishment & Location – Full name &
address of the parent company if the
reporting unit is a branch
11. Current Capitalization – Capitalization
declared by the reporting unit as shown in
DTI, SEC, etc. documents
12. Photocopy of DTI Certificate of
Registration/Business Permit – Attachment
of a photocopies of the documents
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
FOR RE-REGISTRATION ACCOMPLISH ALSO
13. Past Application Number & Date of
Application – Old application number or EIN
& filing date of the previously registered
reporting unit
14. If Changing Name of Establishment, State
Former Name – Full name of the old
business name of the reporting unit
15. If Changing Location, Give Past Address –
Exact old physical address of the reporting
unit
• To be signed by the Owner/President of the
reporting unit
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Report on Health & Safety
Organization
(Form DOLE/BWC/HSD/IP-
5)
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• Date Filed
To be filled out by
• Regional Labor Office No.
DOLE RO/FO
• File Number
• Name of Establishment – Business name of
the reporting unit
• Address – Exact physical address of the
reporting unit
• Nature of Business – Nature of the principal
activity or business of the reporting unit using
PSIC,
https://psa.gov.ph/sites/default/files/2019%2
0Updates%20to%20the%202009%20PSIC-Apr
082022.pdf
)
• Persons Employed, Including Management –
Total number of employed workers,
disaggregated to male & female sexes & by
shifts, of the reporting unit excluding
domestic help, & under contract or hire
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
A. Policy & Program on Safety & Health – List
of OSH policies & programs, & may be
referred to the submitted OSH Program
B. Composition of Safety & Health Committee
– Names & job titles of the officers &
members of the SHC
C. Technical Information – Brief description of
process operation & number & kind of
equipment
• To be signed by the General Manager of the
reporting unit
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Occupational Safety &
Health Program
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
COMPLETE COMPANY PROFILE/PROJECT DETAILS
• Company Name – Business name of the reporting unit
• Date Established – Date when the business was registered
with SEC, CDA, DTI, etc.
• Complete Address – Exact physical address of the
reporting unit
• Phone and fax numbers, & Website URL/Email address –
Contact information of the reporting unit
• Name of Company Owner/Manager/President – Full
name of the highest official of the reporting unit
• Total Number of Employees – Total number of employed
workers, disaggregated to Male & Female sexes, of the
reporting unit excluding domestic help, & under contract
or hire
• Description of the business – Nature of the principal
activity or business of the reporting unit
• Product descriptions, & Description of services – General
description of the products being produced &/or sold, or
the services being offered to its clients
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
BASIC COMPONENTS OF COMPANY OSH
PROGRAM & POLICY
• Contains the summary or contents of the OSH
Program
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
COMPANY COMMITMENT TO COMPLY WITH
OSH POLICY
• Contains the commitment or contract of the
employer to implement its developed OSH
policies & programs
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
GENERAL SAFETY & HEALTH PROGRAMS
1. Conduct of Risk Assessment – Identification
of the risk classification of the reporting unit
depending on the tasks involved & hazards
identified
2. Medical Surveillance – Identification of the
medical health examinations required from
the workers
3. First-Aid, Health Care Medicines &
Equipment Facilities – Availability of
treatment rooms/first aid rooms, clinics, &
hospital affiliation
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
HEALTH PROGRAMS FOR THE PROMOTION,
PREVENTION & CONTROL
• Attachment of different company policies on
the following:
1. Drug-free workplace in compliance with RA
9165
2. Prevention & control of HIV & AIDS in the
workplace in compliance with RA 11166
3. Prevention & control of TB in the workplace
in compliance with EO 187, s. 2003
4. Prevention & control of hepatitis B in the
workplace in compliance with DOLE DA 05-
10
5. Promotion of mental health in the
workplace in compliance with RA 11036
• Attachment of signed individual policy
statements (Annex A)
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
HEALTH PROGRAMS FOR THE PROMOTION,
PREVENTION & CONTROL
• Annex A – sample Workplace Policy &
Program on Promoting Workers Health &
Ensuring Prevention & Control of Health-
Related Issues & Illnesses to be signed by
both the employer & the workers’
representative
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
COMPOSITION & DUTIES OF SAFETY & HEALTH
COMMITTEE
• List of the members of the SHC depending on
the number of workers employed by the
company & its risk classification
• Copy of the minutes of the last SHC meeting
prior to the approval of this OSH Program &
submission to DOLE RO/FO has to be attached
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSH PERSONNEL & FACILITIES
• List of company-designated Safety Officers
with the appropriate training programs
participated, and Emergency Occupational
Health Personnel and Facilities
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
SAFETY & HEALTH PROMOTION, TRAINING &
EDUCATION PROVIDED TO WORKERS
• List of OSH training/orientation given to
workers, & the conduct of risk assessment
activities
CONDUCT OF TOOL BOX MEETINGS/SAFETY
MEETINGS IF APPLICABLE
• List of meetings conducted
ACCIDENT/INCIDENT/INJURY INVESTIGATION
RECORDING & REPORTING
• List of reports submitted to DOLE RO/FO
relative to compliance with OSHS Rules 1050
& 1960 on submission of OSH reports
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
PROVISION & USE OF PPE
• List & type of PPE provided to the workers
SAFETY SIGNAGE
• Attachment of photos of the different safety
signage provided by the employer
DUST CONTROL & MANAGEMENT ON ACTIVITIES
SUCH AS BUILDING OF TEMPORARY STRUCTURES &
LIFTING & OPERATION OF ELECTRICAL,
MECHANICAL, COMMUNICATIONS SYSTEM & OTHER
REQUIREMENTS
• Attachment of the dust control procedures &
procedures on the management on activities such
as building of temporary structures & lifting &
operation of electrical, mechanical,
communications system & other requirements
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
WORKERS FACILITIES PROVIDED
• Availability of adequate supply of drinking water;
adequate sanitary & washing facilities; suitable
living accommodation; separate sanitary, washing,
and sleeping facilities; lactation station; ramps,
railings, & the like; & other workers’ welfare
facilities as prescribed by OSHS & other related
issuances
EMERGENCY & DISASTER PREPAREDNESS
• Availability of written emergency & disaster
program, & the types & number of drills conducted
SOLID WASTE MANAGEMENT SYSTEM
• Availability of written pollution control program, &
name of PCO
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
COMPLIANCE WITH REPORTORIAL GOVERNMENT
REQUIREMENTS
• Similar to Item No. 9.0
CONTROL & MANAGEMENT OF HAZARDS
• Similar to Item No. 2.1
PROHIBITED ACTS & PENALTIES/SANCTIONS FOR
VIOLATION ON OSH
• Attachment of company sanctions for violations on
OSH
COST OF IMPLEMENTING COMPANY OSH PROGRAM
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Minutes of the Monthly
SHC Meetings
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1045(3)
The employer, through the SHC, reports to DOLE having jurisdiction at
least once in every 3 months, counting from January, the OSH programs
of the organization outlining the activities undertaken including its
safety performance, SHC meetings & its recommendations & measures
taken to implement such recommendations.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Employer’s Work
Accident/Illness Report
(Form DOLE/BWC/OHSD/IP-
6)
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Reporting an Accident
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
hours
hours
hours
Reporting an Illness
Reporting an Illness
Reporting an Illness and an accident
Fatal/Major Accident
Report
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1053.01(2)
Where accident or fitness results in death or PTD, the employer, in
addition to the written report required under OSHS Rule 1053.01(1),
shall initially notify the DOLE RO or duly authorized representative
within 24 hours after occurrence using the fastest available means of
communication.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Annual Work
Accident/Illness Exposure
Data Report
(Form DOLE/BWC/OHSD/IP-
6b)
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• Date – The date when the form was
completed & signed by the employer or the
authorized representative (not the SO)
• AEDR must be submitted to DOLE RO/FO on
or before January 30 of the following year
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• Name of Establishment – Business name of
the reporting unit
• Nature of Business – Nature of the principal
activity or business of the reporting unit using
PSIC,
https://psa.gov.ph/sites/default/files/2019%2
0Updates%20to%20the%202009%20PSIC-Apr
082022.pdf
)
• Address – Exact physical address of the
reporting unit
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
EXPOSURE DATA
• Period Covered – Reporting period, usually
the preceding year
• Number of Employees – Total number of
employed workers of the reporting unit
excluding domestic help, & under contract or
hire
• Total Hours Worked by All Employees During
the Year – The total number of hours worked
by all employees of the reporting unit
including employees of operating production,
maintenance, transportation, electrical,
administrative, sales, & other departments
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1056.02
• Actual Employee Hours – Employee hours of exposure shall be, if possible,
taken from the payroll or time clock records & shall include only the actual
time hours worked & actual overtime hours worked.
• Estimated Exposure Hours – When actual employee hours of exposure are not
available estimated hours may be used. Such estimated hours should be
obtained by multiplying the total employee days worked for the period by the
average number of hours worked per day. Estimates for overtime hours shall
be included. Indicate the basis on which estimates are made.
• Employee Living in Company Property – In calculating hours of exposure for
employees living on company property, only those hours during which
employees were actually on duty shall be counted.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1056.02
• Employees with Undefined Hours of Work – Travelling salesmen,
executives, & others whose working hours are undefined, an average
of eight hours a day shall be assumed in computing exposure hours.
• All standby – Hours of employees, including seamen aboard vessels,
who are restricted to the confines of the employer’s premises, shall
be counted as well as all work injuries occurring during such hours.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
INJURY SUMMARY
• Total – All Disabling Injuries/Illnesses – The
total number of cases of work injuries that
resulted in death, PTD, PPD, or TTD
• Total – Non-Disabling Injuries – The total
number of work injury cases that did not
result in disabling injuries but required first
aid or medical attention
• Frequency Rate (FR) – The total number of
disabling injury cases (including death) per
million-employee hours of exposure
• Severity Rate (SR) – The total number of days
lost &/or charged per million-employee hours
of exposure
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1055.01
• Death resulting from an accident shall be assigned a time charge of 6,000 days.
• PTD resulting from a work accident shall be assigned a time charge of 6,000 days.
• PPD, either traumatic or surgical, resulting from a work accident shall be assigned
the time charge as provided in Table 6 on Time Charges. These charges shall be used
whether the actual number of days lost is greater or less than the scheduled charges
or even if no actual days are lost at all.
• Charges due to permanent impairment of functions shall be a percentage of the
scheduled charges corresponding to the percentage of permanent reduction of
functions of the member or part involved as determined by the physician authorized
by the employer to treat the injury or illness.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OSHS Rule 1055.01
• For permanent impairment affecting more than one part of the body,
the total charge shall be the sum of the scheduled charges for the
individual body parts. If the total exceeds 6,000 days, the charge shall
be 6,000 days.
• The charge for any PPD other than those identified in the schedule of
time charges shall be a percentage of 6,000 days as determined by
the physician authorized by the employer to treat the injury or illness.
• The charge for a TTD shall be the total number of calendar days of
disability resulting from the injury or fitness.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Annual Medical Report
(Form
DOLE/BWC/OHSD/OH-47A)
OSH Report Forms & Requirements
Basic Course in Occupational Medicine
Philippine College of Occupational Medicine, Inc.
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• OSHS Rule 1965.01(4): [It shall be the duty of
every employer to] maintain a health record
of his programs & activities and submit an
annual medical report, using form
DOLE/BWC/HSD/OH-47, to the Regional
Labor Office concerned, copy furnished the
Bureau of Working Conditions on or before
the last day of March of the year following
the covered period.
• https://bwc.dole.gov.ph/images/Downloads/
SafetyAndHealth/AMR.pdf
• Divided into 4 parts:
• Company Profile (Item Nos. 1 – 6)
• OH Personnel, Services, & Programs
(Item Nos. 7 – 9 & 12 – 15)
• Diseases & Injuries (Item Nos. 10 & 11)
• Hazards in the Workplace (Item No. 16)
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Cultivating Cooperation Beyond Compliance: An
Analysis of the 2020 Annual Medical Reports
Submitted During Pandemic
• 10,572 AMRs received by DOLE ROs
• 8,185 AMRs were valid & analyzed
• 2,387 AMRs were invalid
• 1,667 AMRs were submitted via DOLE NCR e-services
• Corrupted file
• Blank form
• Unreadable form
• Form of other company
• Incomplete pages
• Incorrect format
• Longer/incorrect/without coverage period
• Shorter coverage period*
• Other DOLE report forms or other company documents submitted
• 720 AMRs were physically submitted to DOLE ROs
• Duplicate submissions
• Incorrect coverage period
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• Coverage Period – Reporting period (year)
COMPANY PROFILE
1. Name of Establishment – Business name of the
reporting unit (as reflected in the registration of
business, Rule 1020)
2. Address – Complete address of the place of business of
the reporting unit (as reflected in the registration of
business, Rule 1020)
3. Name of Manager/Owner – Full name of the highest
official of the reporting unit
4. Nature of Business and Product/Service – Nature of
the principal activity or business of the reporting unit
using PSIC
https://psa.gov.ph/sites/default/files/2019%20Updates
%20to%20the%202009%20PSIC-Apr082022.pdf
5. Total Number of Employees – Total number of
employees working in the company excluding domestic
help, under contract, or hired with a different
reporting unit
6. Number Distribution of Employees as to
nature/workplace, sex & workshift – Frequencies of
workers depending on disaggregation
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OH PERSONNEL
7. Preventive Occupational Health Services
a. Provided by the establishment or external parties
b. Provided for the workers of the company or as a
shared service with other companies
c. Employer engages the services of certain OH
personnel
d. Frequency of walkthrough survey by the OH
personnel
8. Emergency Occupational Health Services
a. Availability of medicines, supplies, & facility
b. Schedule of OH personnel
c. Schedule of FAs
d. Training of OH personnel
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OH PERSONNEL
7. Preventive Occupational Health Services
a. Provided by the establishment or external parties
b. Provided for the workers of the company or as a
shared service with other companies
c. Employer engages the services of certain OH
personnel
d. Frequency of walkthrough survey by the OH
personnel
8. Emergency Occupational Health Services
a. Availability of medicines, supplies, & facility
b. Schedule of OH personnel
c. Schedule of FAs
d. Training of OH personnel
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
OH SERVICES & PROGRAMS
9. Occupational Health Services
a. Conduct of regular appraisal of sanitation
services
b. Conduct of medical examinations for workers
12. Immunization Program – Identification of
vaccination activities
13. Keeping of Medical Records of Workers –
Determination whether company is keeping
medical records of its workers
14. Health Education & Counselling by Health
and Safety Personnel – Determination of
how health education & counseling is done
15. Other Health Programs – Identification &
determination of how other health
programs are delivered
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
DISEASES & INJURIES
10. Report of Diseases
a. Number of clinical consultations of the affected
workers involving the skin, head, eyes, mouth &
ENT, respiratory, heart & blood vessel,
gastrointestinal, genitourinary, reproductive,
neuromuscular/skeletal/joints, lymphatics &
circulatory, & infectious diseases
b. Number of clinical consultations on diseases from
exposure to physical agents, such as from noise &
vibration, temperature & humidity, pressure, &
radiation
11. Report of Occupational Accidents/Injuries –
Frequencies of reported or assessed
occupational accidents or injuries in the
workplace
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
HAZARDS IN THE WORKPLACE
16. Hazards in the Workplace – Identification of
the different chemical, physical, biological,
& ergonomic hazards the workers are
exposed to
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
• Submitted by – Signature over printed name
of the OH MD, OH DMD, OHN, or assigned HR
personnel
• Noted by – Signature over printed name of
the employer or the authorized
representative
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Observations Noted on the Accomplishment of
Signature Part Based on the 2021 OSHC Study
• There were AMR forms that bear no name, signature, &/or job title of
the one who submitted the document
• There were AMR forms that bear no name &/or signature of the
employer on the “Noted by” portion
• There were AMR forms wherein the date of submission was not
indicated
• There were AMR forms that bear additional items, e.g.,
“Reviewed/Checked by,” “Prepared by,” &/or “Approved by”
• Almost 500 AMRs were filled out by non-OH personnel
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Only 54% of the 8,185 checked & encoded AMRs
were filed out correctly & completely
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Why is it important to properly fill out
& submit the AMR to DOLE?
Hence, it is recommended that
Because the data may be used to…
establishments should…
• Produce OSH statistics such as counts of • Fill out the AMR form correctly &
occupational illnesses with the potential of
producing trends across several tracking periods
completely before submitting it to
• Provide information on OSH hazards present in
DOLE ROs & BWC
the company & OH programs being • Submit the AMR form before the set
implemented deadline to the appropriate DOLE
• Provide inputs to studies on the industry OH office
situation
• Serve as the basis for the development of • Establish a system for cross-validation
appropriate OSH policies & programs to improve of AEDR, WAIR, & AMR data on
working conditions at the enterprise level reported accidents & injuries (data
• Serve as a basis for the development of policies must match)
on improving working conditions & OSH
administration in the country
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
Department of Labor and Employment
OCCUPATIONAL SAFETY AND HEALTH CENTER
