Ministry of Public Service, Administrative and Institutional Reforms
Enhancement of Work Environment Programme (EWEP)
Project Proposal Form – Financial Year 2024/2025
1. Applicant Organisation
Ministry/Department : ___________________________________________________
___________________________________________________
Address : ___________________________________________________
___________________________________________________
Building owned by : Government Private
2. Project Description
(a) Project Title : ____________________________________________________________
(b) Indicate the exact location where the project will be implemented.
________________________________________________________________________
________________________________________________________________________
(c) Safety and Health problem identified :
________________________________________________________________________
________________________________________________________________________
(d) Number of employees affected : ____________________
(e) Date of Risk Assessment : _________________________
Risk Rating : H M L
(f) Brief description of how the project will be implemented.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Occupational Safety and Health Division Tel: (230) 405-4100
Ministry of Public Service, Administrative and Institutional Reforms Fax: 208-8642
rd
3 Floor, Wing B, SICOM Building 2, Cnr Chevreau & Reverend Lebrun St, Port Louis E-mail :
[email protected] Page 1 of 3
3. Project Management
(a) Project Duration : ___________________ months
(b) Materials and equipment will be required and the estimated costs:
Items Costs (Rs)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
TOTAL
*If more than 15 items, please fill in attached proforma
(c) Is your organisation prepared to meet part of the costs? Yes / No If
yes, please specify the quantum : Rs ____________________
(d) Reasons for which your Ministry/Department cannot fund the whole project under
its own budget.
________________________________________________________________________
________________________________________________________________________
(e) State whether the project requires the involvement of other
authorities/stakeholders to be consulted in the conceptualization of the project.
Please name the concerned authorities.
________________________________________________________________________
Occupational Safety and Health Division Tel: (230) 405-4100
Ministry of Public Service, Administrative and Institutional Reforms Fax: 208-8642
3rd Floor, Wing B, SICOM Building 2, Cnr Chevreau & Reverend Lebrun St, Port Louis E-mail:
[email protected] Page 2 of 3
4. Endorsement
Chairperson of SEC
Name : ______________________________________
Designation : ______________________________________
Signature : ______________________________________
Safety and Health Officer
Name : ______________________________________
Designation : ______________________________________
Signature : ______________________________________
Name and Designation of Supervising Officer : Seal of
Ministry/
Signature of Supervising Officer :
Department
Date :
Office Use Only
Checklist
Category Funding
Risk Assessment Duration
Cost Estimate Authorities
Endorsement
Name of PSHO : ___________________________________________________
Date : ___________________________________________________
Signature of PSHO : ___________________________________________________
Occupational Safety and Health Division Tel: (230) 405-4100
Ministry of Public Service, Administrative and Institutional Reforms Fax: 208-8642
3rd Floor, Wing B, SICOM Building 2, Cnr Chevreau & Reverend Lebrun St, Port Louis E-mail:
[email protected] Page 3 of 3
Proforma – Estimated Costs
Items Costs (Rs)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
TOTAL
Occupational Safety and Health Division Tel: (230) 405-4100
Ministry of Public Service, Administrative and Institutional Reforms Fax: 208-8642
rd
3 Floor, Wing B, SICOM Building 2, Cnr Chevreau & Reverend Lebrun St, Port Louis E-mail:
[email protected]
