01

Worksite / Establishment / Project Site Information

Identify the reported site, activity, project, or work area.

PSIC is required for business establishments and optional for other worksites.
Responsible person, owner, contractor, or agency

Government Project Details

Residential Construction Details

Other Worksite / Activity Area

02

Barangay and Reporter

Use PSGC location data, then add the reporting person.

Full reporting area address will appear here.
Optional reporter and Punong Barangay details
03

Observed Concerns

Tick all visible concerns that apply to the observation.

For construction or project sites, please focus on visible unsafe conditions such as lack of PPE, unsafe scaffolding, exposed wiring, open excavation, lack of barricades, falling object hazards, and unsafe work near public pathways.

04

Evidence

Attach photos and documents here. For videos, use Google Drive to conserve system storage.

Take or Upload Photos

Use this for visible hazards, unsafe conditions, missing signage, blocked exits, exposed wiring, or poor housekeeping.

Take or select one or more photos, then tap the field again to add more. Limit: 10 photos, 10 MB each.

Video Evidence

For video files, upload the video to Google Drive and share the link with DOLE-CAR TSSD.

Email video links to: [email protected] Include the report tracking number after submission so the video can be matched to the report.

Upload Documents

Use this for written statements, notices, or other related documents.

Limit: 5 documents, 25 MB each.
05

Review and Submit

Confirm the certification, then submit once.

The Barangay OSH Patrol respectfully endorses this report to the Department of Labor and Employment (DOLE) for appropriate assessment, verification, and action pursuant to applicable occupational safety and health laws, rules, and regulations.

Uploads may take time on slow mobile connections.