Transcript
  • Programme on Safety and Health at Work and the Environment (SafeWork)International Labour OrganizationRoute des Morillons 4CH -1211 Geneva 22Switzerland

    TeL. + 41 22 7996715Fax + 41 22 7996878

    e-mail : safework @ ilo.org www.ilo.org / safework

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    Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems ( ILO-OSH 2001)

    InternationalLabourOffice

    Geneva

    ISBN 978-92-2127059-1

    9 789221 270591

  • Programme on Safety and Health at Work and the Environment (SafeWork)

    Audit Matrixfor the ILO Guidelines on Occupational Safety and Health Management Systems (ILO-OSH 2001)

    International Labour Office, Geneva

  • Copyright International Labour Organization 2013First published 2013

    Publications of the International Labour Office enjoy copyright under Protocol 2 of the Universal Copyright Convention. Never-theless, short excerpts from them may be reproduced without authorization, on condition that the source is indicated. For rights of reproduction or translation, application should be made to ILO Publications (Rights and Permissions), International Labour Office, CH-1211 Geneva 22, Switzerland, or by email: [email protected]. The International Labour Office welcomes such applications.Libraries, institutions and other users registered with reproduction rights organizations may make copies in accordance with the licences issued to them for this purpose. Visit www.ifrro.org to find the reproduction rights organization in your country.

    Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems (ILO-OSH 2001)First published 2013

    ISBN 978-92-2-127058-4 (print)ISBN 978-92-2-127059-1 (web pdf)

    This publication has been produced with the assistance of the European Union. The contents of this publication are the sole responsability of the ILO and can in no way be taken to reflect the views of the European Union.

    ILO Cataloguing in Publication Data

    The designations employed in ILO publications, which are in conformity with United Nations practice, and the presentation of material therein do not imply the expression of any opinion whatsoever on the part of the International Labour Office concerning the legal status of any country, area or territory or of its authorities, or concerning the delimitation of its frontiers.

    The responsibility for opinions expressed in signed articles, studies and other contributions rests solely with their authors, and publication does not constitute an endorsement by the International Labour Office of the opinions expressed in them.

    Reference to names of firms and commercial products and processes does not imply their endorsement by the International Labour Office, and any failure to mention a particular firm, commercial product or process is not a sign of disapproval.

    ILO publications and electronic products can be obtained through major booksellers or ILO local offices in many countries, or direct from ILO Publications, International Labour Office, CH-1211 Geneva 22, Switzerland. Catalogues or lists of new publi-cations are available free of charge from the above address, or by email: [email protected] our website: www.ilo.org/publns

    Photocomposed in Switzerland JMBPrinted by the International Labour Office, Switzerland

  • This guide was produced under the project Linking safety and health at work to sustainable economic development: From theory and platitudes to conviction and action (2009-2012), funded by the Swedish International Development Cooperation Agency (SIDA).

    The project promotes the improvement of occupational safety and health for all workers through the development of global products addressing the methodological and informational gaps in this field, and through the mobilization of national stakeholders towards the implementation of practical meas-ures at national, local and enterprise levels. The outputs of the project include training materials, practical tools and policy guidance to reinforce national and local capacities in occupational safety and health, and to help constituents design and implement occupational safety and health policies and programmes.

  • vPreface

    Preface

    Governments, employers and workers now recognize the positive impact on productivity, and on the reduction of hazards and risks, of introducing occupational safety and health (OSH) management systems at the organization level.

    In 2001 the ILO therefore developed the ILO Guidelines on Occupational Safety and Health Management Systems, ILO-OSH 2001, to help governments, employers and workers to continually improve their OSH performance.

    This user guide has been designed to help auditors in measuring the effectiveness of an organizations OSH management system, and should be used in tandem with the Implementation Guidance for the ILO Guidelines on Occupational Safety and Health Management Systems, ILO-OSH 2001. Auditing is one of the key steps in both implementing an OSH management system and evaluating its performance. This guide is a practical tool that will help in identifying the strengths and weaknesses in an organizations OSH management system, and in highlighting opportunities for improvement.

    By using the guide, auditors will be able to measure an organizations OSH performance, and compare it against the 16 items described in ILOOSH 2001, with a view to identifying weaknesses, providing solutions for improvement, and continually improving OSH performance.

    It would not have been possible to develop this audit guide without the financial contribution from the Swedish International Development Cooperation Agency (SIDA). Mr Tony Smith, Manager, Smith EHS Services, drafted the guide. Mr Pavan Baichoo and Mr Tsuyoshi Kawakami from the ILO SafeWork Programme provided technical contributions for finalizing the contents. Ms Amlie Schmitt, Chief Technical Adviser of the SIDAfunded project, coordinated the development of the guide.

    I am sure that this guide, in conjunction with ILO-OSH 2001 and the Implementation Guidance for the ILO Guidelines on Occupational Safety and Health Management Systems, ILO-OSH 2001, will provide a valuable set of tools for employers and workers organizations, as well as for those responsible for OSH within their organizations, for continually improving their OSH performance.

    Seiji Machida, Director, SafeWork.

  • viiContents

    Contents

    Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

    User guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    Policy 9

    3.1. Occupational safety and health policy . . . . . . . . . . . . . . . . . . . . . . . 11

    3.2. Worker participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

    Organizing 21

    3.3. Responsibility and accountability . . . . . . . . . . . . . . . . . . . . . . . . . 23

    3.4. Competence and training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

    3.5. Occupational safety and health management system documentation. . . . . . . . 34

    3.6. Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

    Planning and implementation 43

    3.7. Initial review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

    3.8. System planning, development and implementation . . . . . . . . . . . . . . . . 49

    3.9. Occupational safety and health objectives . . . . . . . . . . . . . . . . . . . . . 54

    3.10. Hazard prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

    3.10.1. Prevention and control measures . . . . . . . . . . . . . . . . . . . . . 58

    3.10.2. Management of change . . . . . . . . . . . . . . . . . . . . . . . . . . 61

    3.10.3. Emergency prevention, preparedness and response . . . . . . . . . . . . . . 65

    3.10.4. Procurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

    3.10.5. Contracting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

    Evaluation 75

    3.11. Performance monitoring and measurement . . . . . . . . . . . . . . . . . . . . 77

    3.12. Investigation of workrelated injuries, ill health, diseases and incidents, and their impact on safety and health performance. . . . . . . . . . . . . . . . . 82

    3.13. Audit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86

    3.14. Management review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

  • viii Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    Action for improvement 95

    3.15. Preventive and corrective action . . . . . . . . . . . . . . . . . . . . . . . . . . 97

    3.16. Continual improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

    Appendices 105

    Appendix 1 Item 3.2 Worker participation First worked example . . . . . . . . . . 107

    Appendix 2 Item 3.2 Worker participation Second worked example . . . . . . . . . 111

    Appendix 3 Sample audit summary . . . . . . . . . . . . . . . . . . . . . . . . . . 115

    Appendix 4 Preaudit planning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

  • 1User guide

    User guide

    This audit matrix has been designed to measure the effectiveness of an organizations occupational safety and health (OSH) management system and OSH performance, and to compare them against the Guidelines on Occupational Safety and Health Management Systems, ILO-OSH 2001. It is designed to identify the strengths and weaknesses that exist in an organizations OSH management system, and to highlight opportunities for improvement. The matrix incorporates the requirement to complete a SWOT analysis for each item of the ILOOSH 2001 guidelines. This will show the strengths, weaknesses, opportunities and threats that exist within the organization being audited.

    The matrix is intended to help auditors measure the 16 items recommended in the ILOOSH 2001 guidelines, and which make up the OSH management system in an organization:

    Policy

    Occupational safety and health policy

    Worker participation

    Organizing

    Responsibility and accountability

    Competence and training

    Occupational safety and health management system documentation

    Communication

    Planning and implementation

    Initial review

    System planning, development and implementation

    Occupational safety and health objectives

    Hazard prevention

    Prevention and control measures

    Management of change

    Emergency prevention, preparedness and response

    Procurement

    Contracting

    Evaluation

    Performance monitoring and measurement

    Investigation of workrelated injuries, ill health, diseases and incidents, and their impact on safety and health performance

    Audit

    Management review

  • 2 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    Action for improvement

    Preventive and corrective action

    Continual improvement

    In order to assess the OSH management system and OSH performance accurately, the audit measurements should be honest and accurate. Marks need to be allocated carefully, and should be given only when the organization closely matches one of the five statements on each horizontal line of the matrix. In total, 159 separate lines of statements are used in the matrix, which provides an overall maximum score of 795 marks.

    Although the audit matrix expresses the auditors opinions about the OSH management system and OSH performance, these opinions should, wherever possible, be supported by reliable evidence. Auditors need to start the audit with an open mind, and to not prejudge the situation. They need to maintain an investigative approach, and seek evidence and draw conclusions that are supported by facts, wherever possible.

    Evidence generally falls into four broad categories:

    Documentation. In making the assessments required by the matrix, auditors should use a wide range of evidence sources. This will include an examination of documents relating to policies, procedures, processes, organizational communications, incidents and OSH performance records.

    Inquiry. The auditors should ask questions both formally and informally. Many questions will be asked verbally, in an informal manner. These are often supported by more formal questions, which might for example be asked in the form of a written request for information, or as questionnaires and surveys. Auditors should treat evidence gained in this way as soft, because the answers they receive are the opinions of third parties, and may not be impartial, or may even be given to mislead the auditors.

    Observation. Auditors will also collect evidence through what they have heard, seen or touched during the audit. Observations and physical examinations are very reliable sources of audit evidence, and carry extra weight because the auditors have gathered the evidence themselves.

    Testing and verification. Auditors will normally perform both system tests on the OSH management system and checks on the physical work environment, equipment and tools. This involves checking that the OSH management system and the physical work environment and equipment, tools and safety systems are working as they are supposed to. Auditors will also need to check that the organization is complying with national and state laws.

    The auditors need to conduct interviews with workers, supervisors, managers, senior management, contractors, contract workers, the safety and health committee, workers representatives, and also other specialist functions such as a company nurse or doctor, or industrial hygienists. Physical inspections and walkthroughs are also essential, to ensure that the information gained from documents, records and interviews is true and accurate.

  • 3User guide

    How to use the matrix

    The basic principle is that, for each of the 159 horizontal lines of the matrix, the auditor will choose the statement that most closely fits the organizations status. The auditor will then allocate a mark that corresponds to the column to which the statement belongs. As explained above, these lines of statements are grouped in 16 tables, which correspond to the 16 thematic items recommended in ILO-OSH 2001.

    As an example, let us examine item 3.1, Occupational safety and health policy.

    NONE (1) POOr (2) FAIr (3) GOOD (4) ExCELLENT (5) rATING

    The organization does not have a written OSH policy.

    The organization has a written OSH policy, but it does not comply with national laws and regulations.

    The organization has an OSH policy that complies with national laws and regulations, but does not comply with ILO guidelines.

    The organization has an OSH policy that complies with national laws and regulations, and also with ILO guidelines.

    The organization has an OSH policy that complies with all national laws and regulations, ILO guidelines, and collective agreements.

    The written OSH policy is inadequate, although it does provide a limited description of management attitudes to OSH.

    The policy briefly outlines the management attitude to OSH and a commitment to prevention of work-related injuries and ill health.

    The policy describes the management attitude to OSH and the total commitment to protecting workers by preventing injuries, ill health, diseases and incidents.

    The policy describes the management attitude to OSH and the prevention of injury, illness, diseases and incidents, and it has been agreed in consultation with workers and their representatives.

    If the organization has no written OSH policy then the correct score would be 1 mark. If the organization has an OSH policy that meets national laws and regulations and ILO guidelines, then it would score 4 marks, unless it has also agreed the policy with workers and their representatives, in which case it would score 5 marks. We then proceed to the second line and again decide which statement most closely fits the organizations status. We proceed through each line in this way until we have completed section 3.1 of the matrix.

    In order to make these judgements, auditors need to be able to find reliable evidence that ensures they can allocate the correct scores. This will allow them to identify the strengths and weaknesses, and also to identify both opportunities for improvement and possible threats to the business that need to be brought senior managements attention. This SWOT analysis will figure in the auditors feedback at the bottom of each scored thematic item.

    Two completed samples of item 3.2, Worker participation, are provided in Appendices 1 and 2 as examples of how to use the matrix.

  • 4 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    We suggested that an audit summary be established at the end of the audit period, which takes the actual total scores of the organization for each of the 16 items audited and compares them with the maximum possible scores. A traffic light red, orange or green can then be allocated to each of the items, to highlight areas where improvement is necessary. Appendix 3 provides a completed sample of such an audit summary.

    General considerations in preparing pre-audit planning

    Auditors need to conduct considerable planning before starting the audit. They need to decide when the audit should take place, and establish a sensible schedule for the work. They will need to agree on this workplan with the senior management of the organization being audited, unless it is an unannounced audit.

    Auditors need to plan who they want to interview, what they want to see, and what documents and records they need to examine. As the audit progresses they may want to talk to people who were not on their interview list when they made the audit plan.

    Auditors should ascertain exactly what documents they will need to examine as part of their audit preparation. A sample audit preparation document is attached as Appendix 4.

    Auditors need to have obtained copies of the relevant national OSH laws (both federal and state), and have a copy of the ILO-OSH 2001 guidelines, plus documents relating to industry best practices and the standards expected by certification bodies. They need to have examined the organizations OSH policy document to determine whether it meets the requirements of national OSH laws, regulations, approved codes of practice and the ILO-OSH 2001 guidelines.

    Auditors will need to use multiple sources of evidence in order to audit and score the OSH performance of an organization accurately. Evidence will come from examining documents relating to plans, programmes, processes, policies, procedures, rules, records, statistics and data. This information should tell them what should be happening in the business, and the performance that is expected. They can measure then performance against these expectations.

    Having examined the above documentary sources of information, they then need to measure whether what was described in the documents is actually happening in reality. Interviews with senior and middle management, supervisors, workers, contractors, contract workers, and OSH and medical personnel should help check their understanding of and compliance with the OSH policy and OSH management system. Interviews should also be held with unions and workers representatives, and with safety and health committee members.

    Auditors also need to conduct comprehensive observations of the workplace, and look at housekeeping, and the condition of facilities, machinery, equipment, tools, and devices. They should examine closely all safety equipment and devices, fire and evacuation measures, personal protective equipment (PPE), and the storage and use of hazardous materials. They will use their observations to identify atrisk behaviours, and look at supervision and the organization and control of work.

    Auditors should also look at the procedures for controlling energy sources, machine guarding and materials handling, and at whether there is an appropriate system for managing change, and communicating changes to the workforce.

  • 5User guide

    Auditors should examine worker behaviours to identify atrisk behaviours. They should check compliance with standard operating procedures, and that work is being performed in the way prescribed by the job safety analysis or task analysis. They should question workers to ascertain their knowledge of OSH policy, procedures and rules. They should also ask workers and supervisors about the communication of OSH expectations and OSH results.

    Audits must focus on identifying weaknesses and looking for improvements. Where problems are identified, corrective actions need to be formulated and remedial measures put in place in a timely manner.

    Audits should lead to the correction of weaknesses in the OSH management system and its application in the workplace. Where weaknesses exist, an improvement plan needs to be formulated and put into action. Auditors should look to see whether weaknesses identified by previous audits and inspections have been corrected.

    On-site audit activities

    The OSH audit is intended to assess and verify the strengths and weaknesses of the OSH management system, and to improve both this system and OSH performance. It is vitally important that everyone understands the purpose of the audit, and that it is seen as a positive measure to improve OSH management and performance. This should ensure higher standards of OSH, and a reduction of incidents and atrisk behaviours.

    Opening interview

    It is normal audit practice to begin the audit with an opening conference with senior site management. This allows the auditors to introduce themselves and explain the audit process. They will define the scope of the audit, and explain its purpose. They will also discuss the audit schedule. The schedule of activities is agreed with senior management, and communicated to each part of the organization that will be audited.

    Auditors are briefed on any hazardous conditions that exist on the site, and on the controls that are used to protect workers. Auditors need to wear appropriate personal protective clothing and equipment for their onsite activities. Arrangements need to ensure that these are available, unless the auditors have their own that provides the same levels of protection.

    Auditors and senior management agree a timetable for the exit interview that will be used to present the preliminary findings of the audit. Site management will be given an agreed amount of time to examine the preliminary report, and to challenge any audit findings that they disagree with, or wish to challenge, or on which they need further clarification.

    Typically, at the end of the opening interview, auditors will be given an orientation tour of the site with an explanation of expected safety behaviour, emergency response and evacuation procedures. OSH control measures and required PPE are explained as well.

    Programme assessment and verification

    The OSH audit then moves on to programme assessment and verification by starting a comprehensive review of OSH programme documentation. The auditors will examine policies, programmes, procedures, risk assessments, standards and related documents.

  • 6 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    They will examine accident and incident reports, firstaid injury records, safety inspection records, citations and warnings from regulatory bodies. They will look at previous audit reports, certification assessments, industrial hygiene survey reports, task analysis, job safety analyses (JSAs), materialhandling assessments, process safety management documentation, and risk assessments. They will examine absence, illness and sickness rates. Supporting statistical data and corrective action logs should be reviewed.

    The documentation review will be followed by a wide range of interviews with plant managers, departmental managers, supervisors, team leaders, union representatives, safety and health committee members, medical personnel and a wide range of workers. They should be questioned on their awareness of the OSH programme and its implementation. Auditors should look for concerns, and for opportunities for improvement.

    The auditors should spend sufficient time on examining the workplace, and this will involve the activities of the various departments. This is when auditors should identify the degree of acceptance and the quality of implementation of OSH policies, programmes, procedures and OSH activities.

    During an audit the auditors will collect a huge amount of information and data. It will be impossible for them to remember it all unless they have taken notes as the audit progresses. So, irrespective of the experience of the auditors, it is absolutely essential that they take detailed field notes.

    Auditors should look at the housekeeping to see whether a clean, tidy, healthy and safe work environment exists. They should also observe work processes to see whether procedures are followed, and that hazards have been identified and are properly controlled. If the auditors have specific concerns, they may require specialist testing to be undertaken, and will then review the test reports.

    Auditors should also spend some time observing both task and nontaskrelated behaviours. They should compare the taskrelated behaviours with those that are described in the task analysis, job safety analysis or permit to work.

    Exit interview

    An exit interview is held with senior and site management in order to share the preliminary audit results and the observations of the audit team. Site management is given the opportunity to respond to these findings and observations, and to seek or provide clarification of issues arising from the report. A date is agreed for the receipt of any responses or challenges to the audit findings that the site management wish to make. The organization is normally thanked for its cooperation and help, and a date is agreed upon for the delivery of the final report.

    Final audit report

    The final audit report should include the date and location of the audit, and identify all the participants who took part in or contributed information for the audit. The report should identify clearly which parts or activities of the organization were audited.

    The report will include the audit findings, results and observations. It will also propose corrective actions, and set deadlines by which corrective actions or audit responses are to be completed. This would include the means of verifying corrective actions.

  • 7User guide

    Audit response

    When the audited organization has received the final audit report, it should respond by describing what corrective actions have been taken and what actions are planned. It is essential that every weakness, every opportunity for improvement, and every threat identified in the audit report is subject to corrective actions and improvements. A log should be created that lists all the items that need to be addressed. This should set the timelines for improvements and corrections of each item needing such action, with responsibility allocated to a designated person for that action.

    Audit closure

    The audit file is not normally closed until a closure statement has been prepared. This should comprise of a listing of the audit findings, together with the corrective actions relating to each one. Closure occurs only when corrective actions are complete, and have been verified.

  • Policy

  • Policy 11

    Pol

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    3.1

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    tati

    ves.

    Wor

    kers

    are

    enc

    oura

    ged

    to p

    arti

    cipa

    te a

    ctiv

    ely

    in

    all a

    spec

    ts o

    f th

    e O

    SH

    m

    anag

    emen

    t sy

    stem

    , an

    d ar

    e co

    nsul

    ted

    on a

    ll m

    atte

    rs r

    elat

    ing

    to O

    SH

    po

    licie

    s.

  • 12 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    DTh

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    The

    OS

    H p

    olic

    y

    is n

    ot a

    ppro

    pria

    te f

    or t

    he

    type

    or

    size

    of

    busi

    ness

    .

    Som

    e el

    emen

    ts o

    f th

    e O

    SH

    pol

    icy

    are

    appr

    opri

    ate

    for

    the

    type

    and

    siz

    e of

    bu

    sine

    ss.

    The

    OS

    H p

    olic

    y is

    ge

    nera

    lly a

    ppro

    pria

    te

    for

    the

    type

    and

    siz

    e

    of b

    usin

    ess.

    The

    focu

    s of

    the

    OS

    H

    polic

    y is

    to

    find

    way

    s to

    pr

    even

    t w

    orkp

    lace

    inju

    ries

    , ill

    ness

    es a

    nd d

    isea

    ses,

    an

    d to

    ens

    ure

    the

    wel

    fare

    of

    the

    wor

    kfor

    ce.

    ETh

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    The

    OS

    H p

    olic

    y

    is n

    ot w

    ritt

    en in

    a c

    onci

    se

    way

    , an

    d la

    cks

    clar

    ity.

    The

    OS

    H p

    olic

    y is

    not

    su

    ffici

    entl

    y cl

    earl

    y w

    ritt

    en,

    and

    is t

    here

    fore

    not

    al

    way

    s un

    ders

    tand

    able

    by

    ever

    yone

    .

    The

    OS

    H p

    olic

    y is

    con

    cise

    an

    d cl

    earl

    y w

    ritt

    en, an

    d is

    und

    erst

    anda

    ble

    by

    ever

    yone

    .

    The

    OS

    H p

    olic

    y m

    akes

    it

    cle

    ar t

    hat

    ever

    yone

    has

    O

    SH

    res

    pons

    ibili

    ties

    , th

    eir

    perf

    orm

    ance

    of

    thes

    e du

    ties

    is m

    onit

    ored

    , an

    d pe

    ople

    are

    hel

    d ac

    coun

    tabl

    e.

    FTh

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    The

    OS

    H p

    olic

    y is

    not

    ef

    fect

    ivel

    y co

    mm

    unic

    ated

    or

    eas

    ily a

    cces

    sibl

    e to

    ev

    eryo

    ne in

    the

    wor

    kpla

    ce.

    The

    OS

    H p

    olic

    y is

    co

    mm

    unic

    ated

    , bu

    t is

    not

    re

    adily

    acc

    essi

    ble

    by

    eve

    ryon

    e in

    the

    ir p

    lace

    of

    wor

    k.

    The

    OS

    H p

    olic

    y is

    ge

    nera

    lly e

    ffec

    tive

    ly

    com

    mun

    icat

    ed, an

    d is

    re

    adily

    acc

    essi

    ble

    to

    ever

    yone

    in t

    heir

    pla

    ce o

    f w

    ork.

    The

    OS

    H p

    olic

    y is

    ver

    y w

    ell c

    omm

    unic

    ated

    , an

    d en

    sure

    s th

    at t

    he O

    SH

    m

    anag

    emen

    t sy

    stem

    is

    com

    pati

    ble

    wit

    h or

    is

    inte

    grat

    ed in

    to t

    he o

    ther

    en

    terp

    rise

    org

    aniz

    atio

    nal

    man

    agem

    ent

    syst

    ems

    GTh

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    The

    OS

    H p

    olic

    y fa

    ils

    to c

    omm

    unic

    ate

    the

    resp

    onsi

    bilit

    ies

    and

    expe

    ctat

    ions

    of

    wor

    kers

    an

    d m

    anag

    ers.

    The

    OS

    H p

    olic

    y pr

    ovid

    es

    som

    e lim

    ited

    des

    crip

    tion

    s of

    the

    res

    pons

    ibili

    ties

    and

    ex

    pect

    atio

    ns o

    f w

    orke

    rs

    and

    man

    ager

    s.

    The

    OS

    H p

    olic

    y de

    scri

    bes

    the

    over

    all

    the

    resp

    onsi

    bilit

    ies

    and

    expe

    ctat

    ions

    of

    wor

    kers

    an

    d m

    anag

    ers.

    The

    OS

    H p

    olic

    y de

    scri

    bes

    in d

    etai

    l res

    pons

    ibili

    ties

    an

    d ex

    pect

    atio

    ns o

    f w

    orke

    rs a

    nd m

    anag

    ers,

    m

    akin

    g it

    cle

    ar t

    hat

    perf

    orm

    ance

    will

    be

    mon

    itor

    ed a

    nd p

    eopl

    e he

    ld

    acco

    unta

    ble.

  • Policy 13

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    HTh

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    Ther

    e is

    no

    exte

    rnal

    co

    mm

    unic

    atio

    n of

    OS

    H

    polic

    y, r

    espo

    nsib

    iliti

    es

    or e

    xpec

    tati

    ons.

    Very

    lim

    ited

    co

    mm

    unic

    atio

    n of

    OS

    H

    polic

    y re

    spon

    sibi

    litie

    s an

    d ex

    pect

    atio

    ns is

    pro

    vide

    d

    to e

    xter

    nal b

    odie

    s.

    The

    OS

    H p

    olic

    y is

    als

    o co

    mm

    unic

    ated

    to

    all

    cont

    ract

    ors,

    vis

    itor

    s an

    d ne

    w h

    ires

    , an

    d is

    cov

    ered

    in

    wor

    ker

    orie

    ntat

    ion.

    The

    OS

    H p

    olic

    y is

    als

    o co

    mm

    unic

    ated

    to

    ext

    erna

    l gro

    ups

    and

    th

    e co

    mm

    unit

    y so

    tha

    t th

    ey m

    ay u

    nder

    stan

    d

    the

    orga

    niza

    tion

    s a

    ttit

    ude

    to O

    SH

    .

    I*Th

    e or

    gani

    zati

    on d

    oes

    not

    have

    a w

    ritt

    en O

    SH

    pol

    icy.

    The

    OS

    H p

    olic

    y is

    dat

    ed,

    and

    has

    not

    been

    rev

    iew

    ed

    or u

    pdat

    ed f

    or s

    ever

    al

    year

    s.

    The

    OS

    H p

    olic

    y is

    upd

    ated

    on

    ly in

    freq

    uent

    ly, an

    d ha

    s no

    t be

    en r

    evie

    wed

    or

    upda

    ted

    for

    the

    past

    tw

    o ye

    ars.

    The

    OS

    H p

    olic

    y is

    re

    gula

    rly

    revi

    ewed

    , up

    date

    d, a

    nd s

    igne

    d

    by s

    enio

    r m

    anag

    emen

    t.

    The

    OS

    H p

    olic

    y is

    re

    view

    ed a

    nd u

    pdat

    ed a

    t le

    ast

    annu

    ally

    . It

    is s

    igne

    d

    by s

    enio

    r m

    anag

    emen

    t

    and

    also

    des

    crib

    es

    the

    card

    inal

    OS

    H r

    ules

    of

    the

    ent

    erpr

    ise.

    OVE

    rA

    LL S

    CO

    rE

    FO

    r I

    TEM

    3.1

    OC

    CU

    PATI

    ON

    AL

    SA

    FETY

    AN

    D H

    EA

    LTH

    PO

    LIC

    Y (m

    ax. sc

    ore

    for

    this

    item

    is 4

    5)

    Aud

    itor

    s f

    eedb

    ack

    Str

    engt

    hs

    Wea

    knes

    ses

    Opp

    ortu

    niti

    es

  • 14 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    Thre

    ats

    Gui

    danc

    e no

    tes

    OS

    H p

    olic

    y is

    the

    fou

    ndat

    ion

    of a

    n ef

    fect

    ive

    OS

    H m

    anag

    emen

    t sy

    stem

    , an

    d w

    itho

    ut s

    uch

    a po

    licy,

    saf

    ety

    and

    heal

    th is

    not

    pro

    perl

    y m

    anag

    ed o

    r as

    sure

    d.

    Idea

    lly, th

    e po

    licy

    shou

    ld b

    e no

    mor

    e th

    an o

    ne A

    4 p

    age

    long

    ; it

    sho

    uld

    be c

    onci

    se, an

    d si

    mpl

    e to

    und

    erst

    and

    by e

    very

    one

    in t

    he o

    rgan

    izat

    ion.

    The

    OS

    H p

    olic

    y sh

    ould

    pro

    vide

    ove

    rall

    dire

    ctio

    n an

    d gu

    idan

    ce r

    elat

    ing

    to o

    ccup

    atio

    nal h

    ealt

    h an

    d sa

    fety

    .

    It s

    houl

    d in

    clud

    e a

    visi

    on s

    tate

    men

    t th

    at e

    ncap

    sula

    tes

    the

    orga

    niza

    tion

    s a

    ppro

    ach

    to O

    SH

    , su

    ch a

    s

    OS

    H F

    IRS

    T o

    r

    Mai

    ntai

    ning

    an

    inju

    ry-f

    ree

    wor

    kpla

    ce.

    OS

    H p

    olic

    y sh

    ould

    be

    trea

    ted

    as a

    con

    stan

    t va

    lue

    that

    will

    nev

    er c

    hang

    e, ir

    resp

    ecti

    ve o

    f ch

    angi

    ng p

    rior

    itie

    s w

    ithi

    n th

    e bu

    sine

    ss.

    A m

    issi

    on s

    tate

    men

    t sh

    ould

    als

    o de

    scri

    be t

    he o

    rgan

    izat

    ion

    s ov

    eral

    l obj

    ecti

    ve r

    elat

    ing

    to O

    SH

    e

    .g. to

    be

    the

    safe

    st s

    teel

    com

    pany

    in t

    he U

    nite

    d S

    tate

    s.

    Man

    agem

    ent

    lead

    ersh

    ip n

    eeds

    to

    driv

    e th

    e O

    SH

    pro

    cess

    and

    add

    val

    ue b

    y el

    imin

    atin

    g or

    red

    ucin

    g in

    juri

    es a

    nd il

    lnes

    ses.

    OS

    H p

    olic

    y sh

    ould

    set

    out

    the

    pri

    ncip

    les

    and

    guid

    elin

    es f

    or O

    SH

    dec

    isio

    ns.

    The

    polic

    y sh

    ould

    sta

    te c

    lear

    ly t

    op m

    anag

    emen

    ts c

    omm

    itm

    ent

    to s

    afet

    y an

    d he

    alth

    .

    The

    polic

    y sh

    ould

    hav

    e th

    e si

    gnat

    ure

    of t

    he p

    resi

    dent

    or

    CE

    O, or

    of

    the

    mos

    t se

    nior

    man

    ager

    on

    the

    site

    .

    The

    polic

    y sh

    ould

    sta

    te t

    he o

    rgan

    izat

    ion

    s co

    mm

    itm

    ent

    to c

    ompl

    ianc

    e w

    ith

    regu

    lato

    ry r

    equi

    rem

    ents

    and

    col

    lect

    ive

    agre

    emen

    ts o

    n O

    SH

    .

    Wor

    kers

    will

    be

    cons

    ulte

    d an

    d en

    cour

    aged

    to

    part

    icip

    ate

    in a

    ll el

    emen

    ts o

    f O

    SH

    , an

    d be

    em

    pow

    ered

    to

    act

    whe

    n th

    ey id

    enti

    fy u

    nsaf

    e co

    ndit

    ions

    or

    unsa

    fe b

    ehav

    iour

    .

    OS

    H p

    olic

    y w

    ill b

    e re

    gula

    rly

    revi

    ewed

    , up

    date

    d an

    d im

    prov

    ed t

    hrou

    gh a

    con

    tinu

    ous

    impr

    ovem

    ent

    proc

    ess.

    Rev

    iew

    sho

    uld

    take

    pla

    ce a

    t le

    ast

    annu

    ally

    .

    OS

    H d

    utie

    s an

    d re

    spon

    sibi

    litie

    s w

    ill b

    e de

    scri

    bed,

    and

    eve

    ryon

    e is

    hel

    d re

    spon

    sibl

    e an

    d ac

    coun

    tabl

    e fo

    r th

    eir

    own

    and

    thei

    r co

    -wor

    kers

    saf

    ety

    and

    heal

    th.

  • Policy 15

    Pol

    icy

    Item

    3.2

    Wor

    ker

    part

    icip

    atio

    n

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    ATh

    ere

    is n

    o cl

    ear

    evid

    ence

    w

    ithi

    n th

    e or

    gani

    zati

    on o

    f m

    anag

    emen

    t en

    cour

    agin

    g or

    see

    king

    to

    invo

    lve

    or g

    et

    wor

    kers

    to

    part

    icip

    ate

    in

    OS

    H m

    atte

    rs.

    Par

    tici

    pati

    on is

    lim

    ited

    to

    fol

    low

    ing

    OS

    H

    rule

    s, p

    roce

    dure

    s, a

    nd

    inst

    ruct

    ions

    . Th

    ere

    is li

    ttle

    in

    put

    by w

    orke

    rs in

    OS

    H

    mat

    ters

    .

    Par

    tici

    pati

    on is

    en

    cour

    aged

    by

    man

    agem

    ent,

    but

    is

    limit

    ed t

    o de

    alin

    g w

    ith

    spec

    ific

    OS

    H p

    robl

    ems

    wit

    hin

    the

    orga

    niza

    tion

    . M

    anag

    emen

    t do

    es n

    ot

    get

    invo

    lved

    in p

    lann

    ing

    or h

    azar

    d re

    cogn

    itio

    n ac

    tivi

    ties

    .

    Man

    agem

    ent

    has

    cl

    earl

    y de

    fined

    the

    rol

    es

    and

    resp

    onsi

    bilit

    ies

    of

    indi

    vidu

    al w

    orke

    rs, an

    d of

    the

    saf

    ety

    and

    heal

    th

    com

    mit

    tee.

    The

    man

    agem

    ent

    polic

    y an

    d sy

    stem

    s do

    cum

    enta

    tion

    des

    crib

    es

    the

    impo

    rtan

    ce o

    f w

    orke

    r pa

    rtic

    ipat

    ion

    and

    invo

    lvem

    ent

    in c

    reat

    ing

    a sa

    fe a

    nd h

    ealt

    hy

    wor

    kpla

    ce.

    BO

    SH

    com

    mun

    icat

    ion

    wit

    h w

    orke

    rs is

    infr

    eque

    nt,

    and

    tend

    s to

    invo

    lve

    mai

    nly

    smal

    l num

    bers

    of

    wor

    kers

    and

    be

    focu

    sed

    on s

    uper

    viso

    rs.

    Man

    agem

    ent

    has

    min

    imum

    com

    mun

    icat

    ion

    wit

    h w

    orke

    rs o

    n O

    SH

    m

    atte

    rs.

    Man

    agem

    ent

    mai

    ntai

    ns

    a lim

    ited

    am

    ount

    of

    com

    mun

    icat

    ion

    wit

    h w

    orke

    rs. Th

    is

    com

    mun

    icat

    ion

    is

    gene

    rally

    a t

    op-d

    own

    proc

    ess,

    and

    litt

    le

    evid

    ence

    exi

    sts

    that

    m

    anag

    emen

    t kn

    ows

    wha

    t th

    eir

    wor

    kers

    con

    cern

    s ar

    e.

    Ther

    e is

    reg

    ular

    and

    fr

    eque

    nt d

    ialo

    gue

    wit

    h w

    orke

    rs, an

    d th

    e w

    orke

    rs

    view

    s ar

    e re

    gard

    ed a

    s be

    ing

    very

    impo

    rtan

    t.

    The

    docu

    men

    tati

    on

    desc

    ribe

    s sp

    ecifi

    c w

    orke

    r pa

    rtic

    ipat

    ion

    goal

    s, a

    nd

    the

    bene

    fits

    that

    are

    ga

    ined

    for

    the

    org

    aniz

    atio

    n an

    d it

    s w

    orke

    rs. It

    m

    akes

    saf

    ety

    and

    heal

    th

    com

    mun

    icat

    ions

    to

    be

    vita

    l to

    ensu

    re t

    hat

    ever

    y pe

    rson

    in t

    he o

    rgan

    izat

    ion

    unde

    rsta

    nds

    thei

    r ro

    les

    and

    resp

    onsi

    bilit

    ies.

  • 16 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    CW

    orke

    rs s

    afet

    y an

    d he

    alth

    re

    pres

    enta

    tive

    s ha

    ve

    been

    app

    oint

    ed b

    ut r

    arel

    y m

    eet.

    The

    ir r

    ole

    has

    not

    been

    defi

    ned,

    and

    the

    y ha

    ve li

    ttle

    invo

    lvem

    ent

    in p

    lann

    ing,

    eva

    luat

    ing

    or s

    eeki

    ng im

    prov

    emen

    t an

    d so

    luti

    ons

    to O

    SH

    pr

    oble

    ms.

    A s

    afet

    y an

    d he

    alth

    co

    mm

    itte

    e ha

    s be

    en

    form

    ed, bu

    t ha

    s no

    cle

    ar

    role

    , an

    d m

    eets

    ver

    y in

    freq

    uent

    ly. S

    afet

    y an

    d he

    alth

    rep

    rese

    ntat

    ives

    ha

    ve li

    ttle

    invo

    lvem

    ent

    in

    plan

    ning

    .

    The

    ente

    rpri

    se h

    as

    esta

    blis

    hed

    a sa

    fety

    and

    he

    alth

    com

    mit

    tee

    that

    co

    nfor

    ms

    and

    com

    plie

    s w

    ith

    the

    requ

    irem

    ents

    of

    nat

    iona

    l law

    s an

    d re

    gula

    tion

    s, a

    nd p

    ract

    ice.

    Th

    e co

    mm

    itte

    es

    role

    ha

    s be

    en d

    efine

    d,

    and

    incl

    udes

    wor

    king

    w

    ith

    man

    agem

    ent

    in

    eval

    uati

    ng, pl

    anni

    ng a

    nd

    impl

    emen

    ting

    sol

    utio

    ns

    and

    impr

    ovem

    ents

    .

    The

    ente

    rpri

    se h

    as

    esta

    blis

    hed

    a sa

    fety

    and

    he

    alth

    com

    mit

    tee

    that

    co

    nfor

    ms

    and

    com

    plie

    s w

    ith

    the

    requ

    irem

    ents

    of

    nat

    iona

    l law

    s an

    d re

    gula

    tion

    s, a

    nd

    prac

    tice

    . Th

    e ro

    le o

    f th

    e co

    mm

    itte

    e ha

    s be

    en

    defin

    ed, an

    d in

    clud

    es

    haza

    rd r

    ecog

    niti

    on a

    nd

    OS

    H c

    omm

    unic

    atio

    ns.

    The

    com

    mit

    tee

    also

    ha

    s an

    act

    ive

    role

    in

    eval

    uati

    ng O

    SH

    cha

    nges

    , an

    d in

    bui

    ldin

    g w

    orke

    r co

    mpe

    tenc

    es in

    OS

    H.

    The

    orga

    niza

    tion

    ens

    ures

    th

    at a

    ll ch

    ange

    s to

    the

    w

    ork

    envi

    ronm

    ent

    and

    proc

    edur

    es a

    re d

    iscu

    ssed

    w

    ith

    wor

    kers

    and

    the

    ir

    repr

    esen

    tati

    ves.

    The

    be

    nefit

    s ar

    e co

    mm

    unic

    ated

    so

    tha

    t w

    orke

    rs c

    an

    prop

    erly

    und

    erst

    and

    why

    ch

    ange

    s ar

    e be

    ing

    mad

    e,

    and

    how

    the

    se c

    hang

    es w

    ill

    be b

    enefi

    cial

    . Th

    e sa

    fety

    an

    d he

    alth

    com

    mit

    tee

    is

    high

    ly in

    volv

    ed in

    all

    OS

    H

    mat

    ters

    , an

    d en

    sure

    s th

    at

    wor

    kers

    con

    cern

    s ar

    e de

    alt

    wit

    h in

    a t

    imel

    y m

    anne

    r.

    DW

    orke

    rs a

    nd t

    heir

    re

    pres

    enta

    tive

    s ar

    e ra

    rely

    co

    nsul

    ted

    on c

    hang

    es t

    o pr

    oces

    ses

    and

    proc

    edur

    es.

    Ther

    e is

    onl

    y m

    inim

    al

    cons

    ulta

    tion

    wit

    h w

    orke

    rs

    rega

    rdin

    g O

    SH

    mat

    ters

    , an

    d ch

    ange

    s to

    pro

    cess

    es

    and

    proc

    edur

    es.

    Ther

    e is

    onl

    y lim

    ited

    co

    nsul

    tati

    on w

    ith

    wor

    kers

    re

    gard

    ing

    OS

    H m

    atte

    rs,

    and

    chan

    ges

    to p

    roce

    sses

    an

    d pr

    oced

    ures

    .

    Ther

    e is

    a p

    osit

    ive

    appr

    oach

    to

    invo

    lvin

    g w

    orke

    rs in

    OS

    H m

    atte

    rs,

    and

    this

    incl

    udes

    co

    nsul

    tati

    on o

    n ch

    ange

    s to

    pr

    oces

    ses

    and

    proc

    edur

    es.

    The

    ente

    rpri

    se e

    nsur

    es

    that

    wor

    kers

    and

    the

    ir

    repr

    esen

    tati

    ves

    are

    cons

    ulte

    d, in

    form

    ed a

    nd

    trai

    ned

    on a

    ll as

    pect

    s of

    O

    SH

    tha

    t im

    pact

    on

    thei

    r w

    ork

    and

    safe

    ty.

    ETh

    e or

    gani

    zati

    on m

    akes

    no

    tim

    e av

    aila

    ble

    for

    wor

    kers

    or

    the

    ir r

    epre

    sent

    ativ

    es t

    o ha

    ve m

    eeti

    ngs

    insi

    de t

    heir

    no

    rmal

    wor

    king

    hou

    rs.

    The

    orga

    niza

    tion

    mak

    es

    littl

    e ti

    me

    avai

    labl

    e fo

    r w

    orke

    rs o

    r th

    eir

    repr

    esen

    tati

    ves

    to h

    ave

    mee

    ting

    s. T

    hese

    are

    ver

    y in

    freq

    uent

    ; th

    ey f

    ocus

    m

    ainl

    y on

    issu

    es r

    aise

    d by

    man

    agem

    ent,

    and

    onl

    y ra

    rely

    on

    issu

    es r

    aise

    d by

    w

    orke

    rs.

    The

    orga

    niza

    tion

    doe

    s ha

    ve m

    eeti

    ngs

    on a

    re

    gula

    r ba

    sis,

    but

    the

    se

    tend

    to

    occu

    r on

    ly

    once

    per

    qua

    rter

    , an

    d th

    e ag

    enda

    item

    s fo

    r di

    scus

    sion

    ten

    d to

    not

    in

    clud

    e is

    sues

    rai

    sed

    by w

    orke

    rs o

    r th

    eir

    repr

    esen

    tati

    ves.

    The

    orga

    niza

    tion

    mak

    es

    tim

    e an

    d re

    sour

    ces

    avai

    labl

    e to

    allo

    w r

    egul

    ar

    mee

    ting

    s to

    dis

    cuss

    OS

    H

    issu

    es. W

    orke

    rs h

    ave

    the

    oppo

    rtun

    ity

    to p

    ut

    issu

    es o

    n th

    e ag

    enda

    for

    di

    scus

    sion

    .

    The

    orga

    niza

    tion

    mak

    es

    tim

    e an

    d re

    sour

    ces

    avai

    labl

    e to

    allo

    w w

    orke

    rs

    and

    thei

    r sa

    fety

    and

    hea

    lth

    repr

    esen

    tati

    ves

    to a

    ctiv

    ely

    part

    icip

    ate

    in e

    valu

    atin

    g,

    orga

    nizi

    ng, pl

    anni

    ng a

    nd

    impl

    emen

    tati

    on o

    f ac

    tion

    s to

    impr

    ove

    the

    OS

    H

    man

    agem

    ent

    syst

    em.

  • Policy 17

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    FTh

    e O

    SH

    cul

    ture

    wit

    hin

    the

    orga

    niza

    tion

    is t

    hat

    safe

    ty a

    nd h

    ealt

    h is

    an

    extr

    a ex

    pens

    e, a

    nd c

    ause

    s ex

    tra

    wor

    k to

    be

    done

    .

    The

    OS

    H c

    ultu

    re w

    ithi

    n th

    e or

    gani

    zati

    on f

    ails

    to

    prop

    erly

    see

    the

    val

    ue o

    f go

    od O

    SH

    pro

    cedu

    re a

    nd

    prac

    tice

    s. T

    his

    nega

    tive

    at

    titu

    de is

    tra

    nsm

    itte

    d to

    w

    orke

    rs.

    The

    OS

    H c

    ultu

    re in

    th

    e or

    gani

    zati

    on is

    in

    diff

    eren

    t to

    OS

    H, an

    d ta

    kes

    no r

    eally

    pos

    itiv

    e in

    itia

    tive

    s to

    pro

    mot

    e w

    orke

    r pa

    rtic

    ipat

    ion

    or

    invo

    lvem

    ent

    in O

    SH

    m

    atte

    rs.

    The

    OS

    H c

    ultu

    re in

    th

    e or

    gani

    zati

    on is

    po

    siti

    ve, an

    d th

    is h

    as

    enco

    urag

    ed g

    ood

    leve

    ls o

    f w

    orke

    r in

    volv

    emen

    t an

    d pa

    rtic

    ipat

    ion.

    The

    OS

    H c

    ultu

    re is

    ex

    trem

    ely

    posi

    tive

    , an

    d is

    val

    ued

    by b

    oth

    man

    agem

    ent

    and

    wor

    kers

    . W

    orke

    rs a

    re f

    ully

    eng

    aged

    an

    d pa

    rtic

    ipat

    e w

    idel

    y on

    O

    SH

    mat

    ters

    .

    GW

    orke

    rs f

    eel l

    ittl

    e re

    spon

    sibi

    lity

    for

    OS

    H

    perf

    orm

    ance

    . Th

    ey r

    egar

    d it

    as

    the

    resp

    onsi

    bilit

    y of

    th

    e m

    anag

    emen

    t or

    the

    O

    SH

    pro

    fess

    iona

    l.Jo

    b de

    scri

    ptio

    ns d

    o no

    t de

    tail

    OS

    H p

    erfo

    rman

    ce.

    Wor

    kers

    acc

    ept

    som

    e re

    spon

    sibi

    lity

    for

    OS

    H

    perf

    orm

    ance

    , bu

    t ar

    e no

    t gi

    ven

    the

    oppo

    rtun

    ity

    to

    part

    icip

    ate

    fully

    in O

    SH

    m

    atte

    rs.

    OS

    H is

    not

    det

    aile

    d in

    job

    desc

    ript

    ions

    .

    Wor

    kers

    see

    OS

    H a

    s pa

    rt o

    f th

    eir

    role

    and

    re

    spon

    sibi

    lity,

    and

    OS

    H

    is a

    n el

    emen

    t in

    the

    ir jo

    b de

    scri

    ptio

    ns.

    Wor

    kers

    do

    not

    rece

    ive

    feed

    back

    or

    reco

    gnit

    ion

    for

    OS

    H p

    erfo

    rman

    ce.

    Wor

    kers

    see

    OS

    H a

    s pa

    rt

    of t

    heir

    res

    pons

    ibili

    ties

    , w

    hich

    is s

    tate

    d in

    th

    eir

    job

    desc

    ript

    ion.

    Th

    ey a

    re e

    ncou

    rage

    d to

    mak

    e su

    gges

    tion

    s th

    at w

    ill im

    prov

    e O

    SH

    pe

    rfor

    man

    ce.

    Wor

    kers

    rec

    eive

    fee

    dbac

    k on

    OS

    H p

    erfo

    rman

    ce,

    but

    no f

    orm

    al a

    war

    d or

    re

    cogn

    itio

    n pr

    oces

    s ex

    ists

    .

    Wor

    kers

    tak

    e ow

    ners

    hip

    of O

    SH

    pro

    gram

    mes

    ; th

    ey

    appl

    y th

    em d

    ilige

    ntly

    , an

    d ta

    ke p

    ride

    in p

    rom

    otin

    g th

    em. O

    SH

    per

    form

    ance

    is

    sub

    ject

    to

    a ri

    goro

    us

    appr

    aisa

    l pro

    cess

    by

    supe

    rvis

    ors

    and

    man

    ager

    s.

    A r

    ewar

    d an

    d re

    cogn

    itio

    n pr

    oces

    s is

    in p

    lace

    .

    HW

    orke

    rs h

    ave

    rece

    ived

    ve

    ry li

    ttle

    info

    rmat

    ion

    or

    trai

    ning

    on

    OS

    H is

    sues

    .Th

    ey a

    re u

    nabl

    e to

    sta

    te

    the

    maj

    or h

    azar

    ds in

    the

    ir

    wor

    k en

    viro

    nmen

    t, o

    r th

    e m

    easu

    res

    to b

    e ta

    ken

    to

    min

    imiz

    e ri

    sks.

    Wor

    kers

    rec

    eive

    d ba

    sic

    OS

    H in

    form

    atio

    n an

    d tr

    aini

    ng a

    t th

    e ti

    me

    of

    thei

    r in

    duct

    ion.

    They

    hav

    e re

    ceiv

    ed

    no r

    efre

    sher

    or

    OS

    H

    com

    pete

    nce-

    build

    ing

    trai

    ning

    , an

    d ha

    ve li

    mit

    ed

    unde

    rsta

    ndin

    g of

    OS

    H.

    Wor

    kers

    hav

    e re

    ceiv

    ed

    basi

    c O

    SH

    tra

    inin

    g, a

    nd

    som

    e ad

    diti

    onal

    tra

    inin

    g re

    gard

    ing

    OS

    H la

    ws,

    re

    gula

    tion

    and

    rul

    es.

    They

    are

    abl

    e to

    id

    enti

    fy h

    azar

    ds in

    the

    ir

    wor

    kpla

    ce, an

    d st

    ate

    the

    risk

    s th

    at e

    xist

    and

    the

    m

    easu

    res

    to b

    e ta

    ken

    to

    min

    imiz

    e th

    ese

    risk

    s.

    Wor

    kers

    hav

    e re

    ceiv

    ed

    basi

    c O

    SH

    tra

    inin

    g an

    d re

    fres

    her

    trai

    ning

    . Th

    ey

    can

    stat

    e th

    e ha

    zard

    s in

    th

    eir

    wor

    kpla

    ce.

    They

    are

    cap

    able

    of

    unde

    rtak

    ing

    task

    ana

    lysi

    s to

    iden

    tify

    haz

    ards

    , an

    d ar

    e ab

    le t

    o ev

    alua

    te

    pote

    ntia

    l sol

    utio

    ns.

    The

    orga

    niza

    tion

    has

    de

    velo

    ped

    and

    use

    com

    pete

    nce-

    build

    ing

    tool

    s w

    hich

    ens

    ure

    that

    all

    wor

    kers

    hav

    e a

    thor

    ough

    un

    ders

    tand

    ing

    of O

    SH

    co

    ncep

    ts a

    nd t

    he s

    ite-

    spec

    ific

    risk

    s th

    at t

    hey

    may

    enc

    ount

    er.

    Wor

    kers

    are

    cap

    able

    of

    und

    erta

    king

    haz

    ard

    iden

    tific

    atio

    n an

    d ri

    sk

    asse

    ssm

    ent,

    and

    are

    ab

    le t

    o co

    nduc

    t sa

    fety

    be

    havi

    our

    obse

    rvat

    ions

    .

    OVE

    rA

    LL S

    CO

    rE

    FO

    r I

    TEM

    3.2

    WO

    rK

    Er

    PA

    rTI

    CIP

    ATIO

    N (

    max

    . sc

    ore

    for

    this

    item

    is 4

    0)

  • 18 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    Aud

    itor

    s f

    eedb

    ack

    Str

    engt

    hs

    Wea

    knes

    ses

    Opp

    ortu

    niti

    es

    Thre

    ats

    Gui

    danc

    e no

    tes

    In m

    any

    case

    s, n

    atio

    nal l

    aws

    will

    man

    date

    tha

    t th

    e or

    gani

    zati

    on m

    ust

    enco

    urag

    e an

    d nu

    rtur

    e w

    orke

    r pa

    rtic

    ipat

    ion.

    Eve

    n if

    not

    man

    date

    d by

    nat

    iona

    l law

    s, w

    orke

    r pa

    rtic

    ipat

    ion

    is a

    n es

    sent

    ial e

    lem

    ent

    of a

    n ef

    fect

    ive

    OS

    H m

    anag

    emen

    t sy

    stem

    , ir

    resp

    ecti

    ve o

    f th

    e si

    ze o

    r ty

    pe o

    f or

    gani

    zati

    on.

    Em

    ploy

    ers

    shou

    ld e

    nsur

    e th

    at w

    orke

    rs a

    nd t

    heir

    rep

    rese

    ntat

    ives

    are

    con

    sult

    ed, in

    form

    ed a

    nd t

    rain

    ed o

    n al

    l asp

    ects

    of

    OS

    H, in

    clud

    ing

    emer

    genc

    y ar

    rang

    emen

    ts,

    asso

    ciat

    ed w

    ith

    thei

    r w

    ork.

    Em

    ploy

    ers

    shou

    ld m

    ake

    arra

    ngem

    ents

    for

    wor

    kers

    and

    the

    ir r

    epre

    sent

    ativ

    es t

    o ha

    ve t

    he t

    ime

    and

    reso

    urce

    s to

    par

    tici

    pate

    act

    ivel

    y in

    the

    pro

    cess

    es o

    f or

    gani

    zing

    , pl

    anni

    ng, im

    plem

    enta

    tion

    , ev

    alua

    tion

    and

    act

    ion

    for

    impr

    ovin

    g th

    e O

    SH

    man

    agem

    ent

    syst

    em.

    The

    orga

    niza

    tion

    sho

    uld

    ensu

    re, as

    app

    ropr

    iate

    , th

    e es

    tabl

    ishm

    ent

    and

    effic

    ient

    fun

    ctio

    ning

    of

    a sa

    fety

    and

    hea

    lth

    com

    mit

    tee,

    and

    the

    rec

    ogni

    tion

    of

    wor

    kers

    saf

    ety

    and

    heal

    th r

    epre

    sent

    ativ

    es.

  • Policy 19

    Wor

    kers

    sho

    uld

    be a

    ctiv

    ely

    invo

    lved

    in e

    mer

    genc

    y pr

    epar

    edne

    ss, ta

    sk a

    naly

    sis,

    saf

    ety

    asse

    ssm

    ents

    , ev

    alua

    tion

    and

    rev

    isio

    n of

    sta

    ndar

    d op

    erat

    ing

    proc

    edur

    es, O

    SH

    tr

    aini

    ng p

    rogr

    amm

    es a

    nd e

    valu

    atio

    ns/a

    udit

    s.

    Wor

    kers

    at

    ever

    y le

    vel o

    f th

    e or

    gani

    zati

    on s

    houl

    d be

    act

    ivel

    y in

    volv

    ed in

    the

    dev

    elop

    men

    t, im

    plem

    enta

    tion

    and

    con

    tinu

    ous

    impr

    ovem

    ent

    of O

    SH

    arr

    ange

    men

    ts.

    Wor

    ker

    part

    icip

    atio

    n is

    an

    esse

    ntia

    l ele

    men

    t of

    sou

    nd O

    SH

    arr

    ange

    men

    ts, an

    d id

    eally

    wor

    kers

    sho

    uld

    be e

    ncou

    rage

    d to

    ass

    ume

    owne

    rshi

    p of

    the

    OS

    H p

    roce

    ss.

    Wor

    kers

    sho

    uld

    feel

    em

    pow

    ered

    to

    act

    imm

    edia

    tely

    if t

    hey

    see

    unsa

    fe c

    ondi

    tion

    s or

    at-

    risk

    beh

    avio

    urs

    in t

    he w

    orkp

    lace

    , an

    d sh

    ould

    hav

    e th

    e po

    wer

    to

    stop

    wor

    k w

    here

    the

    y se

    e an

    y si

    tuat

    ion

    that

    cou

    ld c

    ause

    har

    m t

    o pe

    ople

    or

    prop

    erty

    .

    Goo

    d co

    mm

    unic

    atio

    ns a

    re v

    ital

    to

    ensu

    re t

    hat

    wor

    kers

    and

    man

    agem

    ent

    are

    cons

    tant

    ly u

    pdat

    ed o

    n O

    SH

    issu

    es a

    nd m

    atte

    rs.

    The

    orga

    niza

    tion

    sho

    uld

    ensu

    re t

    hat

    wor

    kers

    hav

    e bo

    th f

    orm

    al a

    nd in

    form

    al c

    hann

    els

    to c

    omm

    unic

    ate

    thei

    r co

    ncer

    ns r

    egar

    ding

    OS

    H is

    sues

    , an

    d to

    be

    able

    to

    shar

    e th

    eir

    idea

    s to

    impr

    ove

    the

    OS

    H p

    rogr

    amm

    e.

  • Organizing

  • 23Organizing

    Org

    aniz

    ing

    Item

    3.3

    res

    pons

    ibili

    ty a

    nd a

    ccou

    ntab

    ility

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    AN

    o on

    e in

    the

    org

    aniz

    atio

    n ha

    s ta

    ken

    resp

    onsi

    bilit

    y fo

    r O

    SH

    or

    the

    prot

    ecti

    on

    of w

    orke

    rs.

    Man

    agem

    ent

    dem

    onst

    rate

    s lit

    tle

    inte

    rest

    in O

    SH

    , an

    d fa

    il to

    tak

    e ov

    eral

    l re

    spon

    sibi

    lity

    for

    OS

    H.

    The

    orga

    niza

    tion

    acc

    epts

    so

    me

    resp

    onsi

    bilit

    y fo

    r O

    SH

    , bu

    t no

    ove

    rall

    cont

    rol i

    s ex

    erci

    sed.

    The

    orga

    niza

    tion

    acc

    epts

    re

    spon

    sibi

    lity

    for

    OS

    H a

    nd

    the

    prot

    ecti

    on o

    f w

    orke

    rs.

    The

    orga

    niza

    tion

    clea

    rly d

    emon

    stra

    tes

    its

    acce

    ptan

    ce o

    f re

    spon

    sibi

    lity

    to p

    rote

    ct w

    orke

    rs a

    nd

    othe

    rs f

    rom

    haz

    ards

    .

    BR

    oles

    and

    res

    pons

    ibili

    ties

    ha

    ve n

    ot b

    een

    defin

    ed.

    Rol

    es a

    nd r

    espo

    nsib

    iliti

    es

    have

    bee

    n co

    mm

    unic

    ated

    ve

    rbal

    ly, bu

    t ha

    ve n

    ot

    been

    doc

    umen

    ted.

    Wor

    kers

    pay

    litt

    le r

    egar

    d to

    ful

    fillin

    g th

    eir

    role

    s or

    re

    spon

    sibi

    litie

    s.

    Rol

    es a

    nd r

    espo

    nsib

    iliti

    es

    have

    bee

    n co

    mm

    unic

    ated

    bo

    th v

    erba

    lly a

    nd in

    w

    riti

    ng. W

    hen

    ques

    tion

    ed,

    som

    e w

    orke

    rs w

    ere

    unab

    le

    to s

    tate

    cle

    arly

    wha

    t th

    eir

    role

    s an

    d re

    spon

    sibi

    litie

    s w

    ere.

    Rol

    es a

    nd r

    espo

    nsib

    iliti

    es

    have

    bee

    n co

    mm

    unic

    ated

    bo

    th v

    erba

    lly a

    nd in

    w

    riti

    ng t

    o m

    ost

    wor

    kers

    . W

    hen

    ques

    tion

    ed, w

    orke

    rs

    wer

    e ab

    le t

    o de

    scri

    be t

    heir

    ro

    les

    and

    resp

    onsi

    bilit

    ies.

    Rol

    es a

    nd r

    espo

    nsib

    iliti

    es

    have

    bee

    n co

    mm

    unic

    ated

    to

    eve

    ry w

    orke

    r, bo

    th

    verb

    ally

    and

    in w

    riti

    ng.

    Wor

    kers

    wer

    e ab

    le t

    o de

    scri

    be t

    heir

    rol

    es a

    nd

    resp

    onsi

    bilit

    ies

    in d

    etai

    l, an

    d w

    ere

    enth

    usia

    stic

    ab

    out

    perf

    orm

    ing

    thes

    e.

    CTh

    ere

    was

    no

    mea

    sure

    men

    t of

    pe

    rfor

    man

    ce b

    eing

    mad

    e,

    and

    wor

    kers

    wer

    e ne

    ver

    mad

    e ac

    coun

    tabl

    e fo

    r th

    eir

    perf

    orm

    ance

    .

    Ther

    e w

    as n

    o ac

    tion

    tak

    en

    by m

    anag

    emen

    t to

    mak

    e w

    orke

    rs a

    ccou

    ntab

    le f

    or

    perf

    orm

    ing

    thei

    r ro

    les

    and

    resp

    onsi

    bilit

    ies.

    Som

    e w

    orke

    rs w

    ere

    awar

    e of

    the

    ir r

    oles

    and

    re

    spon

    sibi

    litie

    s. T

    hey

    wer

    e aw

    are

    that

    the

    y w

    ould

    be

    obse

    rved

    and

    mea

    sure

    d on

    ly o

    ccas

    iona

    lly, an

    d th

    at

    this

    did

    not

    invo

    lve

    ever

    y w

    orke

    r.

    Mos

    t w

    orke

    rs w

    ere

    awar

    e of

    the

    ir r

    oles

    and

    re

    spon

    sibi

    litie

    s, a

    nd

    they

    kne

    w t

    hat

    som

    e le

    vel o

    f ob

    serv

    atio

    n an

    d m

    easu

    rem

    ent

    wou

    ld

    gene

    rally

    be

    mad

    e.

    Wor

    kers

    kne

    w t

    hat

    they

    w

    ould

    gen

    eral

    ly b

    e m

    ade

    acco

    unta

    ble

    for

    thei

    r be

    havi

    our.

    All

    wor

    kers

    kne

    w

    exac

    tly

    thei

    r ro

    les

    and

    resp

    onsi

    bilit

    ies,

    and

    w

    ere

    awar

    e th

    at t

    heir

    pe

    rfor

    man

    ce w

    as b

    eing

    m

    easu

    red.

    Wor

    kers

    kne

    w

    that

    the

    y w

    ere

    held

    ac

    coun

    tabl

    e, a

    nd t

    hat

    acti

    on w

    ould

    be

    take

    n if

    th

    ey f

    aile

    d to

    ful

    fil t

    heir

    ro

    le t

    o th

    e sa

    tisf

    acti

    on o

    f m

    anag

    emen

    t.

  • 24 Audit Matrix for the ILO Guidelines on Occupational Safety and Health Management Systems

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    DTh

    e en

    terp

    rise

    fai

    led

    to

    defin

    e an

    d co

    mm

    unic

    ate

    the

    OS

    H s

    truc

    ture

    tha

    t w

    as in

    pla

    ce t

    o m

    anag

    e sa

    fety

    and

    hea

    lth.

    No

    one

    was

    iden

    tifie

    d as

    bei

    ng r

    espo

    nsib

    le f

    or

    OS

    H.

    OS

    H w

    as n

    ot s

    een

    as

    a lin

    e m

    anag

    emen

    t fu

    ncti

    on, bu

    t w

    as p

    lace

    d in

    the

    han

    ds o

    f a

    safe

    ty

    offic

    er.

    Man

    agem

    ent

    was

    di

    seng

    aged

    fro

    m t

    he O

    SH

    pr

    oces

    s, a

    nd w

    orke

    rs h

    ad

    no c

    lear

    und

    erst

    andi

    ng

    of t

    heir

    dut

    ies

    or

    resp

    onsi

    bilit

    ies.

    OS

    H w

    as s

    een

    as a

    line

    m

    anag

    emen

    t fu

    ncti

    on,

    but,

    whe

    n qu

    esti

    oned

    , su

    perv

    isor

    s cl

    aim

    ed t

    hey

    had

    no t

    ime

    to m

    anag

    e sa

    fety

    and

    hea

    lth

    issu

    es.

    OS

    H w

    as s

    een

    as a

    line

    m

    anag

    emen

    t fu

    ncti

    on,

    and

    this

    was

    wel

    com

    ed

    by li

    ne s

    uper

    viso

    rs a

    nd

    man

    ager

    s.S

    enio

    r m

    anag

    emen

    t su

    ppor

    ted

    line

    man

    ager

    s,

    and

    ensu

    red

    that

    line

    m

    anag

    emen

    t w

    as v

    isib

    le

    and

    able

    to

    iden

    tify

    w

    here

    wor

    kers

    wer

    e no

    t fu

    lfilli

    ng t

    heir

    rol

    es o

    r re

    spon

    sibi

    litie

    s.

    OS

    H w

    as s

    een

    as a

    line

    m

    anag

    emen

    t fu

    ncti

    on,

    and

    ever

    y w

    orke

    r ha

    d a

    safe

    ty a

    nd h

    ealt

    h ro

    le a

    nd

    resp

    onsi

    bilit

    y.Th

    e or

    gani

    zati

    on o

    f he

    alth

    and

    saf

    ety

    had

    been

    com

    mun

    icat

    ed a

    nd

    unde

    rsto

    od b

    y al

    l, an

    d w

    orke

    rs c

    arri

    ed o

    ut t

    heir

    du

    ties

    and

    res

    pons

    ibili

    ties

    en

    thus

    iast

    ical

    ly.

    Wor

    kers

    und

    erst

    ood

    the

    stru

    ctur

    e of

    OS

    H

    man

    agem

    ent,

    and

    who

    he

    ld a

    utho

    rity

    for

    dif

    fere

    nt

    elem

    ents

    of

    OS

    H.

    ETh

    e su

    perv

    isor

    s in

    the

    or

    gani

    zati

    on s

    how

    ed n

    o in

    tere

    st in

    hea

    lth

    and

    safe

    ty, an

    d fo

    cuse

    d on

    ly

    on m

    axim

    izin

    g pr

    oduc

    tion

    an

    d pr

    oduc

    tivi

    ty.

    Sup

    ervi

    sors

    fel

    t lit

    tle

    resp

    onsi

    bilit

    y fo

    r he

    alth

    an

    d sa

    fety

    , an

    d di

    d no

    t se

    e O

    SH

    as

    a lin

    e re

    spon

    sibi

    lity.

    Sup

    ervi

    sors

    acc

    epte

    d th

    at

    they

    had

    res

    pons

    ibili

    ty

    for

    OS

    H, an

    d w

    ere

    will

    ing

    to p

    erfo

    rm t

    his

    duty

    , bu

    t la

    cked

    the

    tim

    e to

    giv

    e it

    th

    e ri

    ght

    leve

    l of

    atte

    ntio

    n.

    Sup

    ervi

    sors

    acc

    epte

    d th

    ey h

    ad a

    dut

    y to

    pr

    otec

    t w

    orke

    rs f

    rom

    OS

    H

    haza

    rds.

    The

    y ac

    tive

    ly

    invo

    lved

    and

    enc

    oura

    ged

    wor

    kers

    in f

    ulfil

    ling

    thei

    r O

    SH

    dut

    ies

    and

    resp

    onsi

    bilit

    ies.

    They

    sch

    edul

    ed t

    ime

    each

    w

    eek

    to o

    bser

    ve w

    orke

    rs,

    and

    to p

    rovi

    de f

    eedb

    ack

    to w

    orke

    rs o

    n th

    eir

    perf

    orm

    ance

    .

    Sup

    ervi

    sors

    acc

    epte

    d th

    ey

    had

    a m

    ajor

    res

    pons

    ibili

    ty

    to p

    rote

    ct w

    orke

    rs f

    rom

    he

    alth

    and

    saf

    ety

    haza

    rds.

    Sup

    ervi

    sors

    and

    man

    ager

    s sc

    hedu

    led

    tim

    e ea

    ch d

    ay

    to c

    ondu

    ct o

    bser

    vati

    ons,

    an

    d to

    obt

    ain

    feed

    back

    fr

    om w

    orke

    rs r

    egar

    ding

    O

    SH

    issu

    es.

  • 25Organizing

    NO

    NE

    (1

    )P

    OO

    r (

    2)

    FAIr

    (3

    )G

    OO

    D (

    4)

    ExC

    ELL

    EN

    T (5

    )r

    ATIN

    G

    FTh

    e or

    gani

    zati

    on

    has

    no s

    yste

    m t

    hat

    prom

    otes

    coo

    pera

    tion

    an

    d co


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