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8 - BCRSP Risk Management Study Guide - 2014 Edition
8 - BCRSP Risk Management Study Guide - 2014 Edition
Registered
Safety
Professional
Risk Management
Study Guide
Board of Canadian Registered Safety Professionals
6700 Century Avenue Suite 100, Mississauga, ON L5N 6A4
Table of Contents
Preface .......................................................................................................................................................... 4
1.0 Introduction........................................................................................................................................ 5
1.1 Scope ............................................................................................................................................ 5
1.2 Course Reading Materials ............................................................................................................. 6
2.0 RISK MANAGEMENT PRINCIPLES ................................................................................................ 8
2.1 Why Manage Health and Safety ................................................................................................... 8
2.2 What is Risk Management? .......................................................................................................... 9
2.3 Hazard and Risk .......................................................................................................................... 10
2.4 Core Activities in the Risk Management Process ....................................................................... 11
2.5 Why Does Risk Management Need to be a Process .................................................................. 12
2.6 Risk Management Frameworks .................................................................................................. 13
2.7 Likelihood, Consequence, and Risk ............................................................................................ 16
2.7.1 Likelihood ................................................................................................................................ 16
2.7.2 Consequence .......................................................................................................................... 17
2.8 Decision-Making in Risk Management ........................................................................................ 17
2.8.1 The Risk Measurement Matrix ................................................................................................ 18
2.8.2 Event Tree Analysis ................................................................................................................ 19
2.9 Some Guiding Principles for Decision-Making ................................................................................. 19
2.9.1 Weight-Of-Evidence ................................................................................................................ 20
2.9.2 Precautionary Principle ........................................................................................................... 20
2.9.3 Sound Science ........................................................................................................................ 20
2.9.4 The ALARA Principle .............................................................................................................. 20
2.9.5 Reasonable Relationship ........................................................................................................ 20
3.0 Occupational Health and Safety Management Systems ................................................................ 22
3.1 What is an OHS Management System? ..................................................................................... 22
3.2 A Brief Overview of Canadian Standards Development ............................................................. 24
3.3 Main Components of OHS Management Systems ..................................................................... 25
3.4 Key Features of an Effective OSHMS ......................................................................................... 26
3.4.1 Continual Improvement ........................................................................................................... 26
3.4.2 System Activities ..................................................................................................................... 27
3.4.3 Stakeholder Involvement (Internal and External) .................................................................... 27
3.4.4 Auditing/Verification ................................................................................................................ 28
4.0 Measuring Health and Safety Performance ........................................................................................ 28
4.1 Traditional Approaches to Measuring Health and Safety Performance ...................................... 28
4.2 Why Measure Performance? ...................................................................................................... 29
4.3 What to Measure? ....................................................................................................................... 30
4.4 How to Measure Performance .................................................................................................... 31
5.0 Emergency Preparedness and Response Planning ....................................................................... 32
5.1 Basic Guidelines to Preparing an Emergency Response Plan ................................................... 32
5.2 Planning For Emergencies .......................................................................................................... 33
5.3 Site Evacuation and Shelter-In-Place ......................................................................................... 34
5.4 Education and Training ............................................................................................................... 36
5.5 Equipment Requirements ............................................................................................................ 37
5.6 First Aid ....................................................................................................................................... 37
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Preface
This study guide provides an appropriate set of information sources and references to allow a candidate
to develop an understanding of the field of risk management and its importance to the set of
competencies of the OHS professional.
1) A study guide that identifies appropriate information sources for the candidate, and
2) A set of learning objectives that allow the candidate to identify the primary task towards
developing this expertise.
The study guide is appropriate for the practicing or aspiring OHS professionals in any professional
environment. However, it is particularly directed through the use of methods and case studies, towards
the workplace OHS professional acting within a medium or large organization.
Typically the primary aim of the organization is to produce some product, goods, or services—whereas
workplace safety and health is often considered as of secondary importance to the organization goals and
objectives. A conceptual approach that places greater emphasis on the integration of risk management
methods and health and safety management systems within the mainstream of the organization will be
discussed in the materials presented in this domain.
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1.0 Introduction
Today’s OHS management professional has a wide array of responsibilities and needs to be competent in
a number of specialized fields. Some of these include health, technology, legal responsibilities, and good
safety practices. An additional responsibility is a requirement to understand risk management principles
and how they can be applied to improving safety in the workplace.
Let us begin with the question “What is the role of Risk Management in the practice of safety?”.
In reviews of industrial accidents and disasters, we can see that many of these events could have been
prevented, or that the outcomes of the events could have been much less severe. It leads us to consider
that with a little more forethought, or effective decision-making the workplace can be made safer. Is there
a methodology or process that will allow poor safety practices to be highlighted and removed, or made
less consequential?
This is where Risk Management (RM) is most important. The role of RM is to provide a framework for
decision-making. This includes a method for prioritizing safety and health issues. By prioritizing the safety
issues they can be dealt with using appropriate resources and concern. Low risk events will not overtake
the resources needed for higher risk events that may need urgent attention.
It is also designed to provide a framework for resolving health and safety issues where active decision-
making is needed, but where uncertain or incomplete information may inhibit a clear and agreeable
resolution to the concern. Think about this. How often have you as an OHS professional been concerned
about some activity or technology, but did not have adequate information to gauge the hazard or potential
consequences of a safety failure. Was it a reason not to act, or did you have to respond in a limited
means to the safety threat? A Risk Management framework may not solve this lack of information or
resources problem for you, but it may provide a suitable decision-making method that the best forward
actions will be identified to solve the issue.
Finally, an understanding of risk management concepts and methods is designed to complement and
enhance your other skill sets. Your understanding of health, technology, law, and good safety practices
should be made more effective with the addition of risk management processes.
1.1 Scope
This study guide describes the learning objectives, context, and references for the student to understand
the risk management knowledge domain. The following section headings summarize the contents of the
Risk Management Domain Study Guide:
This list of topics provides an outline of the primary features of risk management in occupational health
and safety. For those that practice risk management on a regular professional basis, there will be
selected sub-topics that will need further study. This study guide is intended to produce “enlightened” and
knowledgeable OHS professionals that have an adequate understanding and intellectual comfort with the
broad concepts and practice of risk management, as well as specific applications in the field of
occupational health and safety.
A. RECOMMENDED READINGS: (abbreviations for study guide citation are shown in bold italic)
Primer Environmental health risk management: A primer for Canadians by Stephen McColl, John Hicks,
Lorraine Craig, and John Shortreed, Network For Environmental Risk Assessment and Management
(NERAM). Waterloo, Ontario, Canada, Oct 2002. PART 1: Fundamental Concepts in Risk Management.
IRGC Global Risk Governance: Concept and Practice Using the IRGC Framework O. Renn and K.
Walker (Ed.) Springer, ISBN 978-1-4020-6798-3. 2008.
IOSH Systems in focus: guidance on occupational safety and health management systems. Institute for
Occupational Safety and Health (IOSH Guidance TA/R/250203/W), United Kingdom, Feb 2003.
NIOSH System Safety and Risk Management by Pat L. Clemens and Rodney J. Simmons for U.S
Department of Health and Human Services, (www.cdc.gov/niosh/docs/96-37768/pdfs/96-37768.pdf),
1998.
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QL Workplace health and safety risk management: Advisory Standard 2000. Workplace Health & Safety,
Dept of Energy, Training, and Industrial Relations. Queensland Government, Australia. version
1/12/1999.
HSE A guide to measuring health & safety performance. Health and Safety Executive (HSE), United
Kingdom, Dec 2001.
B. OTHER READINGS:
HSE 2001. Reducing risks, protecting people: HSE's decision-making process. 2001. Health and Safety
Executive (U.K.).
IOHA 1999. IOHA Report to ILO on international occupational health and safety management systems.
International Occupational Hygiene Association (IOHA). International Occupational Safety and Health
Information Centre, International Labour Organization (ILO). Geneva, June 1999.
NOHSC 1999. Occupational health and safety management systems - Information Paper. National
Occupational Health and Safety Commission (NOHSC). Australia, Nov 1999.
NOHSC 2001. Occupational health and safety management systems: A review of their effectiveness in
securing healthy and safe workplaces. National Occupational Health and Safety Commission (NOHSC).
Australia, April 2001.
Sahdra et al. 1999. Occupational health: risk assessment and management. edited by Steven S. Sadhra,
Krishna G. Rampal ; foreword by J. Malcolm Harrington. Oxford ; Malden, Mass.: Blackwell Science, 1999
C. REFERENCE SOURCES:
AS/NZS 4360 Australian/New Zealand Standard for Risk Management. Standards Australia. 1999
AS/NZS 4801 Occupational health and safety management systems - Specification with Guidance for
Use. Standards Australia. 1997.
BS 8800. Occupational health and safety management systems. British Standards Institution (BSI). 1996.
ILO/OSH 2001. Guidelines on occupational safety and health systems. Programme on Safety and Health
at Work and the Environment (SafeWork). International Labour Organization (ILO), Geneva. Dec 2001.
ISO 9000. Quality Management (series). International Standards Organization. 1986 (rev. 2000).
ISO 14000. Environmental Management Systems (series). International Standards Organization 1996.
The use of occupational safety and health management systems in the member states of the European
Union: experiences at company level. European Agency for Safety and Health at Work. Luxembourg,
2002.
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This section presents the fundamental concepts and terminology of the Risk Management (RM) domain.
An understanding of these concepts will allow the practitioner to analyze and assess a potentially
hazardous workplace situation. Practical application of the concepts helps the practitioner to develop an
understanding of risk management processes. The qualitative and quantitative outcomes of the risk
management process allow the practitioner to apply good judgment to each new case.
Incidence Rate: There are several measures that can be used to estimate the effectiveness of health
and safety standards. One of these measures is the annual incidence rate of workplace injuries
expressed as the frequency of reported injuries (or illnesses) within a specified number of workers. The
measure may be applied for a relatively small group such as in a workplace, or be applied for a larger
occupational category, a regulatory jurisdiction, or an entire country.
Cumulative Burden: The annual 'cumulative burden' of workplace injuries and illnesses can be
expressed as the number of days lost due to accidents and sick days due to work-related illnesses. The
cumulative burden is a measure of the frequency rate, and the duration or intensity of the events. There
may be a high frequency of incidents within an employee group, but if they are of minor intensity or
duration the cumulative burden may not be large or visible to the organization. Conversely, there may be
only a few events but they may be of long duration. A feature of risk management practice is to
determine the frequency and the severity of the possible events so that they can be better managed.
These are two of the most common measures used within an organization or jurisdiction.
Over half of the injuries result in lost work time—more than 16 million days of work lost each year—the
equivalent of the average annual work of 67,000 people. Particularly at risk are young, inexperienced
workers. About 30% of all accident victims compensated for time lost are young Canadians aged 15 to
29.
In 2011, workers’ compensation boards across Canada awarded about $5.5 billion in health and safety
benefits— an average of $7,000 per compensated case. Upon inclusion of the indirect costs—such as
lost company productivity, reduced worker income, and residual health problems in returning workers—
the annual cost of occupational injuries to the Canadian economy is thought to be over $10 billion. While
human suffering cannot be accounted in dollars and cents, these figures show the adverse impact on
human resources and the enormous financial losses caused by occupational injuries. They provide a
convincing demonstration of the need to prevent workplace injuries and illnesses.
Most workplace accident and illness insurance programs (e.g. Workers’ Compensation) cover only a
limited range of costs related to workplace accidents and illnesses, which would include:
• direct costs associated with injuries and ill health of their employees (through workers'
compensation insurance coverage)
• insurance for vehicles
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Workplace compensation and insurance programs typically do not cover indirect costs, including many of
the following:
These unaccounted health and safety costs will vary in range for each industry or workplace, so it is the
responsibility of health and safety professionals to identify the specific costs and benefits within their own
organization. The cumulative impact of these costs on an organization creates a compelling argument for
the development of a comprehensive workplace risk management system by an organization. In most
production-oriented organizations, a sound cost-benefit argument for the introduction of health and safety
programs is often persuasive to higher-level management.
Learning Objectives:
• define several standard measures commonly used quantify the impact of workplace accidents
and illnesses in Canada.
• cite the approximate annual rates and cumulative annual burden of occupational injuries and
illnesses in Canada.
• provide reasonably accurate figures on the annual direct costs and estimated indirect cost of
occupational accidents and illnesses in Canada.
• identify what the workers' compensation and/or workplace liability insurance typically does and
does not cover in most organizations.
• identify the possible scope of uninsured costs in comparison to actual insured costs. The
applicant should be able to identify why this could encourage the development of an
organizational risk management system.
All organizations and individuals face risks on a regular basis. Some risks are considered significant and
warrant concern and action to minimize their likelihood and impact, while other lesser risks are generally
tolerated and accepted if their probability of occurrence is very low or their likely health and safety
consequences are thought to be small.
Risk management attempts to define the concept of 'safety' in terms of risks to human health that are
sufficiently small to be deemed 'acceptable' to the exposed individuals. Since perfect safety can never be
absolutely assured in the presence of potentially hazardous materials and processes, risk managers must
be able to identify those risks that have the highest priority for abatement or control, and then must
identify and select control measures that are both effective and cost-efficient.
Sometimes parts of the risk management process are combined within other activities that concern
occupational health and safety matters—such as quality management, environmental systems
management, process safety, or disaster planning. More recently, the term and the practice of risk
management has been used as a broader framework for information gathering, and as a decision-making
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Uncertainty and Decision-Making: Since many risks are, by their nature, uncertain or incompletely
characterized, it is also important to address the issue of timely decision-making under conditions of
considerable uncertainty and time-urgency. Other key activities of paramount importance include
adequate provision for worker participation in the risk decision-making process, and ensuring effective
means of risk communication among all potentially affected groups during and after these deliberations.
Perceptions of Risk Management: Unfortunately, the term risk management is sometimes misperceived
as a strategy that encourages managerial practices that permit substantial levels of environmental hazards
or unsafe working conditions to persist to the detriment of employees or the general public. This is a false
perception. In the recent past, the frequent use of so-called 'behaviour-based safety programs' often lead to
an excessive emphasis on 'behavioural management' to discourage unsafe employee practices in the
workplace. This has produced accusations by some critics that such programs simply seek to identify
unsafe behaviour among workers and punish those who practice it, while ignoring the unsafe workplace
itself. The contemporary practice of risk management in occupational health and safety has no meaningful
relationship to such a traditional 'behavioural management' approach, and it is important to distinguish
clearly between these similar-sounding terms. Risk management emphasizes the essential role of
managers, workers, and regulators acting in concert to ensure a safe and healthful workplace for all
workers, with emphasis on system-wide approaches to risk control, while rejecting simplistic programs
directed solely at influencing worker behaviour or blaming victims of accidents and illness.
Learning Objectives:
• relate the concept of 'safety' to the concept of 'acceptable risk' and the process of 'risk
management'.
• understand how risk management might be combined with other related workplace management
systems that are potentially relevant to occupational health and safety.
• identify some of the key issues and activities of risk management in dealing with decision-making
in the workplace.
• distinguish between the current meaning of 'risk management' approaches in the workplace and
the older concept of 'behavioural management' approaches.
Although hazard and risk are used indiscriminately in everyday situations, there is a fundamental
distinction to be made between a hazard and a risk. A hazard is defined as the inherent property of a
substance, process, or activity that predisposes it to the potential for causing harm to health, safety or
human welfare. Risk is defined as the chance that someone or something will be adversely affected in a
particular way by unintended exposure to the hazard. Risk therefore refers to the possibility of danger,
rather than actual danger. The probability of an event occurring is inherent in the concept of risk, but not
in the concept of hazard.
Since any given workplace may contain a very large number of identifiable hazards, it is important for risk
managers to concentrate on those hazards whose risks that are 'reasonably foreseeable' as having a
significant potential for harm. Future risks are often foreseeable based on past experience in workplace
settings—as demonstrated by accident reporting, illnesses monitoring statistics, or reports of similar
hazards in other domains (e.g. environmental hazards). Many other risks are only foreseeable through
basic research on the toxicological and physico-chemical properties of various substances and products.
How these concepts are brought together into practice involves the use of a risk management framework
that integrates the flow of available information and arrives at a sound decision about how to deal with a
specific risk.
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TABLE 2.1: EXAMPLES OF THE RELATIONSHIP BETWEEN WORKPLACE HAZARDS AND WORKPLACE RISKS (from
QL p.7)
Hazard Risk
Work Environment: The likelihood that a worker may suffer from carbon monoxide poisoning because
confined space they are using a petrol operated pump in a well (ie. An inadequately ventilated
space).
Energy: electricity The likelihood that a worker may be electrocuted because they are exposed to
electrical wires while using a deep fryer that has inadequate insulation on the power
cable.
Manual Handling The likelihood that a worker may suffer back strain from manually lifting 40 kg bags.
Noise The likelihood that workers and others in the area may suffer irreparable hearing
damage because they work near someone continuously using a jack hammer
which emits noise over 85 dB(A)
Noise The likelihood that office workers may suffer stress in the form of fatigue, anxiety
and or aggression because they are exposed to constant low level noise of below
75 dB(A)
Substance: The likelihood that a worker may sustain a needlestick injury and become infected
infected blood while taking a blood sample from an infected patient.
Plant: printing The likelihood that a worker’s hand may be crushed while using a printing machine
machine because unguarded rollers drew in the worker’s hand.
Learning Objectives:
In making decisions within a risk management framework, one normally undertakes a systematic process
that utilizes information to gauge the importance of the risk, and to take measures to control the risk if it is
deemed to be dangerous. Three tasks constitute the central activities in any risk management framework,
they are:
1) risk estimation,
2) risk evaluation, and
3) risk control
Risk estimation is a process that attempts to quantify the amount of risk pertaining to a given health
hazard, using scientific information on the nature of the hazard and analytical methods to calculate the
estimated degree of risk in the exposed population.
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Risk evaluation addresses less quantifiable non-scientific aspects of the risk problem—the economic,
social, and legal factors. Since economic analysis is to some extent quantifiable in terms of the expected
monetary costs and benefits of a risk control program, risk estimation and economic analysis activities are
sometimes combined under the label of 'risk analysis' or 'quantitative risk assessment'.
Risk control deals with the identification and selection of possible risk control options, and their
appropriate means of implementation. This may be a technological control method (eg. a particle filtering
system for polluted exhaust gases) or a control method that is a social, economic, or policy intervention.
In addition, the role of risk communication has become increasingly predominant, as a means of enabling
the active informed participation of all concerned parties, including stakeholder consultation within the
decision-making process. This aspect is of particular importance in occupational health and safety risk
management systems, where it may be necessary to engage representatives of management, labour,
and government in a transparent, cooperative, non-confrontational series of deliberations.
The application of risk management processes to evaluate the safety of new technologies or potential
hazards that may have global significance (e.g. climate change, nanotechnology, and trans-boundary
pollution) has resulted in a relatively new concept of risk governance. This process attempts to define
appropriate policy development and regulation for risks that extend outside of traditional governing
structures.
There has been a spectrum of views on the responsibilities of each group acting within the process. One
of the first formalized RM processes was undertaken by the US Environmental Protection Agency. In this
process, the scientists and health professionals had a large responsibility for identifying, estimating and
also controlling the risks of hazardous pollutants. This process was criticized when some risk issues
absorbed a considerable amount of management resources while other important considerations were
left under-managed.
In later versions of the process the responsibility for the estimation and of the control functions has been
separated into two separate (but communicating) management bodies. This is generally perceived to be
an improvement in the process as it incorporates a broader perspective to balance the importance of risk
issues, and to use management resources more effectively.
There is another very important reason to formalize the RM process. The issues that include an
evaluation of risk often have very significant consequences for public health, worker safety, corporate and
governmental reputations, finances, and the environment. By formalizing risk management it improves
the impartiality of the process. This should lead to more effective and equitable decision-making if the
process is not flawed. In addition, a good process should provide a standard for other decisions and
judgements to be measured against, such that a common set of equitable management responses can
be developed.
Learning Objectives:
• identify and define the three key processes that are considered most central to any risk
management framework.
• identify several others key issues and activities typically required for effective risk management.
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The activities and tasks to be undertaken in any risk management process are specified as a series of
discrete steps within a risk management framework. These steps are defined carefully within a given
framework to provide a systematic approach to risk management within an organization, or more broadly
within an industrial sector, a particular hazard domain, or a regulatory jurisdiction. Many different risk
management frameworks have been developed, usually according to national or international consensus
bodies comprised of a suitable array of government, scientific, environmental, and labour organizations.
A risk management framework is not a regulatory standard, and usually it does not attempt to set explicit
requirements for compliance with regulatory criteria—except in the United States, where most
environmental health and some occupational risk assessment frameworks (e.g. ergonomic hazards) are
considered as having the force of legal regulation.
To help assure consistent terminology and activities (or at least equivalence) across different risk
domains, risk frameworks for health have become increasingly well-defined and similar in their structure
in recent years. In Canada, two of the most influential risk frameworks have been:
Canadian Standards Association (CSA): CSA-Q850: Risk Management: a guideline for decision-
makers
Health Canada - Health Protection Branch: (HPB): Risk Determination: a model for risk assessment
and risk management
The key steps included in the CSA-Q850 and HPB framework are summarized below.
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TABLE 2.2 A COMPARISON OF MAIN STEPS IN THE CSA-Q850 AND THE HEALTH CANADA HPB RISK
M ANAGEMENT FRAMEWORKS
INITIATION
HAZARD IDENTIFICATION
DEVELOPMENT OF OPTIONS
RISK EVALUATION
OPTIONAL ANALYSIS
RISK CONTROL
DECISION / IMPLEMENTATION
ACTION / MONITORING
REVIEW
The HPB risk management framework is the older of the two and has recently been updated (not shown
here). Because of its widespread use for dealing with environmental issues such as hazardous chemicals
(under the Canadian Environmental Protection Act - CEPA) it remains an influential model framework.
The CSA risk management is more recent, and has the additional advantage of being closer in format
and terminology to various international risk frameworks in other countries in Europe and the Pacific
Region (although not the United States).
This guide does not specify one particular model over another. Regardless of which model is used, the
candidate should be familiar with the steps in the generic process format. The six key steps in the risk
management process under the CSA-Q850 definitions are operationally defined in a standardized fashion
according to the following definitions:
Step 1 Initiation: defines the overall context of the problem and the organizational structure by which a
specific risk management problem will be addressed.
Step 2 Preliminary Analysis / Risk Identification: assesses the scientific evidence that a substance or
process constitutes a potential health hazard, and the probable health consequences.
Step 3 Risk Estimation: attempts to quantify the amount of health risk incurred by various levels of
exposure (or frequency of exposure incidents). The risk estimation step includes three essential activities:
1) dose-response assessment;
3) risk characterization.
The risk characterization summarizes the estimated amount of risk as calculated according to the strength
(potency) of the harmful agent and the level (extent) of exposure to the agent. In addition to a numerical
risk estimate, a narrative describing the key sources of evidence and the remaining scientific uncertainties
are also provided.
Step 4 Risk Evaluation: performs a review of factors not readily quantifiable—such as social, political,
economic, and legal factors. Often the balance of the expected economic costs and health benefits is
projected, either informally by consensus, or formally by cost-benefit analysis and similar quantitative
methods.
Step 5 Risk Control: seeks to (1) identify control options; (2) evaluate control options; and (3) provide for
a stakeholder assessment of options. The final option selection task will necessarily involve value
judgments on such issues as the acceptability of residual small risks and the reasonableness of the
incremental costs of control.
Step 6 Implementation and Action/Monitoring: The final step comprises the implementation of
regulatory or voluntary actions, and monitoring compliance with and effectiveness of the actions.
Several additional important aspects of many modern risk management frameworks typically include:
(1) emphasis on the importance of risk communication and the use of multistakeholder consultation
throughout the process; and
(2) provision for a series of multiple decision points at various stages of the risk management process;
and
(3) allowance for re-visiting or re-evaluating evidence as more information becomes available, so that the
risk management process becomes iterative (repeated periodically) or cyclical (repeated continually).
The importance of Risk Communication warrants some discussion on one facet of the process in more
detail. In early models, the communication of the risk was a task that was left to a final reporting of the
process outcomes. This may have the effect of alienating critical stakeholders from the process. In
addition, it can create a perception of the process to one that is secretive and aloof. Consequently, many
recent models have encouraged the view that communication of the risk should be a continuous
endeavor with the stakeholders. Important considerations in the risk management issue can be identified
and information is useful to the process can be communicated. In some cases, the decision-making
points in the process (e.g. Identification of a suitable safety level, choice of control technology or
measures) may also be communicated to enhance the suitability of the process to the problem at hand.
Risk Communication has been studied in formalized university research programs. If the OHS
practitioner becomes engaged in this role, they are encouraged to investigate it further.
Learning Objectives:
• recognize some of the more important health risk management frameworks commonly used in
Canada.
• know the proper sequence of major steps and working definitions within a standard risk
management framework, such as the CSA-Q850 Risk Management framework.
• recognize analogous risk management steps (or combinations of steps) that have different
identifying labels but similar activities.
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As explained previously, risk is the likelihood of death, injury or illness that could result from exposure to a
hazard. Therefore to assess risk, one needs to consider:
1) likelihood of exposure (this may be how often the exposure occurs, and at what intensity of
exposure) to a given hazard, and
For example, a worksite may have physical hazards associated with hot surfaces. The frequency of the
contact with the surfaces is the probability of contact. The severity is a different measure and may be a
mild sensation (a low consequence) of heat, or an ability to burn and maim the employee (a severe
consequence).
2.7.1 Likelihood
This is the frequency or probability over a period of time that an event may occur. In risk analysis,
likelihood is defined differently for discrete hazards as opposed to continuous hazards
Discrete hazards are those that are either present or absent from the exposed worker—such as
electrical faults, unsafe mechanical devices, or fire hazards. We can assume that any exposure to such
hazards presents potentially serious consequences, so there cannot be any tolerable threshold of
exposure that would permit the occurrence of 'mild shocks' or 'minor burns', etc. The risks from discrete
hazards are usually defined as the probability (or likelihood) that a harmful incident might occur in the
present workplace, keeping in mind existing control measures.
TABLE 2.3 A SIMPLE SCALE FOR EXPRESSING THE LIKELIHOOD (PROBABILITY) OF A HARMFUL INCIDENT IN THE
WORKPLACE (from QL p10).
Very Likely Could happen frequently Motor oil spills in vehicle service area
Likely Could happen occasionally Fuel overspills during loading of tanker cars
Unlikely Could happen, but rarely Tanker accident occurs and spills in populated
area
Very Unlikely Could happen, but probably never Massive fuel spill enters pedestrian concourse
will
Continuous hazards are those that occur all the time at varying levels of exposure—such as hazardous
dusts, toxic chemicals, noise levels, and radiation. The risks from exposure to continuous hazards are
usually defined by the level of exposure to each individual worker over time periods that range from
minutes (peak exposure) to hours (short-term exposure) to years (time-weighted average exposure).
Thus likelihood of adverse health effects in the case of continuous hazards is considered in the context of
their dose-response (exposure-response) characteristics. If there are sufficient sources of scientific
evidence, it may be concluded that low levels of exposure fall below a toxicity threshold, such that very
low doses are essentially without significant probability of harmful health consequences. Higher
workplace exposure levels approaching the threshold of toxicity would be expected to produce a small but
significant probability of harmful health effects in the most heavily exposed and/or most susceptible
workers, and such exposures must be reduced or eliminated.
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2.7.2 Consequence
The consequences of a harmful exposure, whether discrete or continuous, are normally expressed as the
severity of adverse health effects to workers. An example of this range would be the difference between a
minor burn that did not require medical treatment, and an extreme consequence such as a worker’s
death.
Risk managers have considerable difficulty assessing the scale of severity of adverse health effects. In
contrast to incident probabilities or exposure levels, health consequences are generally unquantifiable in
any objective sense. In order to simplify this severity measurement, a simple consequence scoring
system can be developed in several different ways. It is common for a four or five stage scale to be used
to describe the increasing severity of a potential event. The characteristics of the hazard itself may
indicate the most likely consequence—for example, electrical hazard: electrocution risk or carcinogenic
hazard: cancer risk. Alternatively, consequences may be scaled more objectively according to the
observed frequency of various levels of severity in the affected industry or activity.
TABLE 2.4. A SIMPLE SCALE FOR EXPRESSING THE SEVERITY OF CONSEQUENCES OF ADVERSE HEALTH
EFFECTS IN THE WORKPLACE (from QL p11).
Minor Minor injury or illness requiring first aid only, no lost time.
The scale in Table 2.4 has been developed within the context of worker safety. The scale can also be
used in a similar manner for public health severity (e.g risk of harm to residents surrounding an industrial
facility).
There are several other “measures” that can be employed. The scale can be translated to
economic/financial impacts (e.g. the cost of an accident may be measured in costs that include insurance
premiums, facility downtime, etc.) and the cost range may run from minor (less than $1000) to severe
(several million dollars) in consequences for an event.
Similarly, the consequences on the environment can be rated using this scale. A minor consequence
may not impair a habitat at all, while a major consequence can be considered to be wide-scale, long-term
irreparable damage to an ecosystem.
The scale has also been translated to rate the negative impact on the reputation of a company or
organization in the event of a serious accident. For example, the consequences of the Exxon Valdez oil
tanker accident was considered to be “catastrophic” in terms of environmental damage, costs in
damages, and to the reputation of the corporation.
these to be a toolbox of methods that can be employed to small or large-scale hazards in the workplace.
Two methods are briefly described here; they are the (i) Risk Measurement Matrix, and (ii) Event Tree
Analysis. They are based on current best practices in risk estimation and are useful to the practicing
safety professional. In particular, they provide a logical framework for the professional to estimate risks,
and this will reduce errors in decision-making.
This relationship is often depicted as a matrix that can be used to determine a 'risk score', by plotting the
scales for likelihood and consequence as illustrated in table 2.5.
Note that such risk-ranking schemes provide no absolute quantifiable values, and therefore by
themselves do not constitute a quantitative risk assessment (risk estimation). They are valuable, however,
as tools for setting priorities for workplace hazard control programs, and assisting in the decision-making
process for risk reduction. They rely on the same basic conceptual underpinnings as more sophisticated
quantitative risk assessment methods.
Score Action
1, 2 or 3 Do something about these risks immediately
4 or 5 Do something about these risks as soon as possible
6 or 7 These risk may not need immediate attention
Although the risk matrix is a simplified form of the calculation, it can be very useful. The matrix provides
the means for estimating the risk form several different hazards. It has a simple ability to quantify the risk,
and allows the different risks to be ranked and prioritized. It is a very useful tool. In addition, the results
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of the matrix can be communicated easily. This communication is important when safety initiatives need
to be implemented within an organization and the cooperation of others is needed to be successful.
Event Tree Analysis is a technique that was developed in engineering science to estimate the outcomes
from a single event. The event may be very specific (e.g. what happens when an electrical power failure
occurs in a chemical facility), but it may generate a multitude of consequential events that may be
undesirable. The Event Tree assists with the delineation and estimation of the secondary outcome
events (NIOSH IX-3 to IX-7).
The Event Tree is based on a single primary event that generates subsequent secondary and tertiary
events. Each event generates a success and a failure branch (binary branches) and diagrammatically
this can be extended to estimate the probable endpoints of concern. The probability of each event can be
included within the event tree. Usually, these probabilities are estimated or based on historical records of
occurrence.
The Event Tree is particularly useful for understanding the outcomes of an initiating event and this
includes the usefulness of emergency response measures. The development of event trees can improve
emergency response capabilities. It is common for response efforts to focus on the main failure event
(e.g. power outage) and overlook secondary and tertiary outcomes that may require resources. An
example of this is that a power outage at a chemical production facility may be caused by a storm-related
failure. The power outage is the main event and this may be the focus of emergency responders.
However, the power failure also limits the ability of the crew to reduce flooding due to excessive rainfall
and pump systems cannot be used to limit other plant failures during the storm event. The use of the
Event Tree during emergency planning will assist in the identification of these secondary events and
provide a measure of their importance (NIOSH IX-3 to IX-7).
Learning Objectives:
Clear decision-making within a risk management process is a key aspect of the ability of risk managers
and administrators to arrive at effective risk control measures. There is considerable disagreement within
the risk management community as to the extent that decisions about environmental or occupational
health risks should be based strictly on scientific and technical criteria (i.e. 'trust the experts'), as opposed
to more subjective criteria such as transparency and openness of the process, adequate consultation,
perceived fairness, equity of treatment, stakeholders' perceptions and preferences, and social
determinants of risk tolerance (i.e. 'participatory consensus-making').
Usually both aspects of decision-making play some considerable role in risk decision-making, depending
on the context of the risk problem, and the willingness of participants to collaborate in a cooperative
fashion. Decision-making that derives its mandate from legislated government regulatory powers, for
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example occupational exposure standards for hazardous chemicals, often tends to be more adversarial
and legalistic than those risk management approaches that seek to create 'voluntary' or 'consensus-
based' guidelines (i.e. non-enforceable standards) derived by non-governmental organizations or by
industry-labour agreements at the sectoral or local level.
Regardless of how the risk management decision is finally achieved, certain critical decision-criteria will
generally need to be considered carefully in most environmental or occupational health risk decisions—
these include the following:
2.9.1 Weight-Of-Evidence
The weight-of-evidence approach seeks to ensure that the process of considering the evidence about the
existence and magnitude of a risk is scientifically defensible, such that the available evidence is of
sufficient strength, coherence, and consistency to support the conclusion that a serious hazard may exist.
In cases where the available scientific evidence is incomplete or contradictory, the precautionary principle
implies decision-makers toward timely preventive action whenever a serious or irreversible health hazard
is believed to exist as a significant possibility. This principle is especially important in situations where the
decision is time-urgent because: (1) a newly discovered risk is imminent or already present; (2) exposure
to the hazard is likely to produce harmful effects rapidly within the immediate future; (3) the potential
consequences would be serious and perhaps widespread. Not every suspected occupational hazard can
be dealt with according to the precautionary principle, as such hazards are too numerous to address
immediately, and many may be remote or inconsequential. In addition, the preliminary scientific evidence,
while incomplete, must at least provide a sufficient weight-of-evidence to support a plausible inference of
potential harm.
The principle of sound science assumes that appearances can often be deceiving if they are based on
incomplete or biased information or inadequate scientific studies. The principle tends therefore to
emphasize the need for collection of better quality and more complete scientific information before a risk
decision is made, to avoid erroneous or excessive responses to trivial or non-existent hazards. Thus the
precautionary principle and the principle of sound science are often seen to be in dynamic opposition with
each other, although a reasonable middle ground is usually achievable if different stakeholders (e.g.
management, labour) are willing to modify their respective starting positions.
The ALARA principle is an acronym for 'As Low As Reasonably Achievable'. It is a pragmatic technology-
based approach to minimizing health risk that seeks to reduce potentially harmful exposures to known
hazards to the greatest extent possible, consistent with technical feasibility and 'reasonable achievable'
costs. The difficulty here lies in defining what exactly constitutes a technically feasible and reasonably
achievable control measure.
This concept proposes that the costs of control for environmental or occupational hazards should bear a
"reasonable relationship' with respect to the corresponding reduction in health risk that are likely to be
achieved.
It must also be recognized that even the most stringent adherence to scientific objectivity in risk
assessment will inevitably be influenced to some extent by the unintended inclusion of value
assumptions, that is, subjective interpretations and judgements of evidence that are based on personal or
societal values. Many psychological factors may also intrude on the subjective perception of risk by
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various parties, depending on the inherent contextual qualities of hazards—such as voluntary versus
involuntary, commonplace versus uncommon, dreaded versus tolerated, known versus unknown,
immediate versus delayed. Such risk perception characteristics, while not directly related to the numerical
estimates of risk, nonetheless may play a major role in the subjective risk tolerance for various types of
hazards and may bias the judgment of one of the affected parties towards or away from effective risk
control actions.
Very low levels of exposure to hazards may be estimated to produce attendant risks that are so low for
any exposed individual as to be considered trivial for practical purposes—this is commonly designated by
risk managers as the de minimis (insignificant) risk level. However, the numerical definition of 'de minimis'
varies from place to place across a range of values from 10-6 (1 in million) to 10-4 (1 in 10,000) for a
working lifetime. Moreover, the argument is sometimes advanced that occupational risks should be more
tolerable to workers at a higher level of likelihood than the general public, because their exposure is
'voluntary' and brings them substantial benefits in terms of wages. Such arguments are obviously
contentious, and illustrate how value judgements and risk perception characteristics can often influence
risk decision-making.
Learning Objectives:
• define the nature and relevance to risk decision-making of the definitions for the following terms:
weight-of-evidence, precautionary principle, sound science, ALARA principle, reasonable
relationship.
• recognize the role of subjective value assumptions in risk decision-making.
• identify some of the risk perception characteristics of hazards that might influence the public’s
tolerance of different types of risks.
• provide a working definition for the concept of de minimis risk, and recognize why this definition is
variable depending on the situation.
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By intention, risk management frameworks are relatively non-specific with respect to dealing with risks in
a particular hazardous domain, such as occupational health and safety. As frameworks, they attempt to
define broad evidence-gathering and decision-making principles and lay out a consistent set of steps for
addressing hazards, without necessarily delineating the precise system to be used. Therefore in the
domain of occupational health and safety, a descriptive risk management framework usually needs to be
translated into a more prescriptive series of required (or recommended) activities that comprise an
occupational health and safety management system (OHSMS).
A system is the deliberate linking and sequencing of processes to create a repeatable and identifiable
way of managing OHS (occupational health and safety). Corrective actions and system improvements
flow from the cycle (characterized as Plan, Do, Check, Act in the quality literature) of monitoring, audit,
and review, central to a systematic approach.
A management system is the allocation of accountabilities, responsibilities, and resources from senior
management through all employees to enable decisions to be made on OHS matters. It is one aspect of
the overall management system used in the organization.
Under this type of OHSMS, the risk management aspects of occupational health and safety are
considered as part of the overall management process of the organization, rather than being treated as
separate domain unrelated to the productive activities of the industry. The approach is to merge the
processes of risk management within the occupational health and safety system of the organization. In
theory, the more they can be integrated the more effective the risk minimization practice is within the
organization.
Advocates of this approach believe that significant benefits, largely efficiency and lower costs, can be
obtained within an organization by integrating the management approach to that of health and safety,
thereby creating a 'holistic approach'.
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Historically, the International Standards Organization (ISO) has been responsible for developing and
coordinating two series of ISO management standards:
1) the ISO 9000 Quality Management series, which deals with the management of the productive
and administrative aspects of companies from the perspective of total quality management (TQM)
and continuous process improvement; and
2) the ISO 14000 Environmental Management Systems series, which addresses issues of
environmental control systems.
While not legally enforceable as regulatory standards, in most industrialized countries the ISO 9000 and
14000 series of consensus standards (actually voluntary guidelines) are considered as the benchmark by
which the performance of companies is assessed by their customers, employees, governments, and the
general public. However, from the perspective of occupational health and safety, these guidelines were
inadequate because they did not directly address workplace health and safety, and they did not have any
provision for consultation and participation of workers or labour organizations.
In the mid-1990's, the ISO began to extend their mandate to include international consensus standards
for occupational health and safety (OHS) management systems. The ISO in turn elected to try to adopt
and modify an existing OHS guideline produced in the early 1990's by the British Standards Institute (BS
8800). However, the proliferation of OHSMS models and approaches to OHS management increased in
the mid-to-late 1990's, leading to concerns internationally about a confusing situation arising.
After considerable debate between the proponents of the draft ISO standard and the International Labour
Organization (ILO), in 1997 the ISO decided not to pursue an OHS standard, instead the ILO would
develop their own international OHSMS guideline. By 2001, the ILO-OHS standard was completed and
officially sanctioned through the member countries of the ILO, which is a United Nations agency.
In Canada, the Canadian General Standards Board (CGSB) has elected to base its certification program
on BSI-OHSAS 18001, an Occupational Health and Safety Assessment Systems specification produced
jointly by the national standards authorities of thirteen countries. Derived largely on the BS 8800
guideline, this standard does not have ILO or ISO approval but serves as the OHSMS model for many
countries that prefer to adopt the ISO-style management systems approach. This is not an ISO standard
but seems like it.
The OHSAS 18000 is the BSI’s own view of a OHS system, largely based on ISO 14000, that
organizations can use if they want to have their OHS system third-party registered for certification.
OHSAS 18001 describes the requirements for an OHS management system that enables an organization
to control its OHS risks and to improve its performance. It does not specify OHS performance criteria, nor
does it give detailed requirements for the design of the management system.
Most labour organizations generally favour the ILO-OHS standard which they see as more favourably
disposed to the protection of workers by explicit requirements, while many governments and industries
prefer the OHSAS 18000 approach, which allows managers somewhat more latitude in developing their
OHS system in concert with their production activities and with their ISO 9000/14000 audit and
certification programs. Organized labour sometimes claims that OHSAS 18000 and similar systems are
primarily interested in establishing elaborate paper trails that document their health and safety
management activities in order to establish the legal defense of 'due diligence' (i.e. having adhered to
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required preventive procedures) as a protection against future liability claims for industrial accidents. In
reality, it is not yet entirely clear whether the two systems are compatible or not—or whether the ILO-OHS
or the OHSAS 18000 systems are preferable for worker protection.
Learning Objectives:
• define the basic characteristics of a modern occupational health and safety management system
(OHSMS), and how these provide for an integrative approach to OHS activities.
• recognize some of the relationships, commonalities, and differences between various OHSMS
models, including ISO 9000/14000, BS 8800, OHSAS 18000, and ILO-OHS 2001.
• understand the relevance of OHSMS to the legal/regulatory concept of ‘due diligence’.
• recognize the concerns that organized labour might have regarding certain aspects of some
OHSMS models.
The overall flow of tasks within a typical OHSMS of the ISO-type include four key activities, listed under
the acronym 'PDCA':
Plan — includes Policy, Planning, and Hazard Identification and Risk Assessment
Do — includes Implementation and Operation
Check — includes Performance Assessment (active monitoring and reactive incident reporting)
Act — includes Review and Continual Improvement
This type of PDCA model was first developed many decades ago, largely by the pioneering efforts of
Deming and his collaborators in the field of 'quality management' and 'continual improvement' for
industrial production processes. The Deming approach to quality management was adopted early by
Japanese companies, and much later by North American and European companies. By 1986, the first
ISO-9000 standard was issued, which codified best-practice in quality management.
The main components of a typical OHSMS of the ISO-type include the following essential elements:
• policy
• planning
• organization
• worker representatives
• communicating
• consulting
• implementation and operation
• measuring performance
• corrective and preventive actions
• management review
• continual improvement
Different frameworks will have different terminology, emphasis and placements for these components but
will on a generic basis show several similarities between them.
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Learning Objectives:
• provide the proper order of steps and supply a working definition of each step in the PDCA model
of quality management systems.
• recognize how OHSMS and the PDCA system are interrelated by their key elements.
• recognize the similarities and differences of risk management and OHS management systems.
Since the inception of modern OHSMS models in the 1990's, there has been ongoing debate as to
whether such systems are in fact demonstrably more effective in assuring workplace health and safety
compared to traditional OHS models that rely on compliance with government regulations and
encouragement of safer employee work practices through 'behavioural management' strategies. So far, it
appears that introduction of a modern OHSMS into an organization will not bring about improvements in
OHS outcomes, unless the system includes four essential elements:
Given that most modern organizations are in a constant state of flux, it is important that the OHSMS be
adaptive to rapid changes through continual improvement in work processes and activities. Often
expanded automation or new processes can reduce workplace risk, but unfamiliar activities may increase
risk temporarily or may present hidden risks that only become apparent after a serious accident.
Continual improvement is a relatively easy concept to understand, but more difficult to maintain in a
complex workplace. Continual improvement in an OHSMS can have four different aspects:
• improvement in OHS results year-over-year—measured by falling rates of injuries, ill health, and
damaging events
• reduced OHS resource demands due to self-improvement and better targeting of preventive
efforts
• changes in the climate and culture of an organization towards a new state of effectiveness and
efficiency concerning OHS (note that corporate climate is influenced by short-term changes that
can often be achieved quite rapidly by introducing new management systems; corporate culture
is often entrenched by historical circumstances and thus requires the longer-term evolution of
changes)
• improvements in the OHSMS itself, towards better integration, easier understanding, and greater
comprehensiveness
To accomplish these aims, it is important to assure there is a process in place to capture, evaluate,
implement, and monitor suggested improvements to work processes. Often such improvements are often
best captured from front-line workers and supervisors, rather than being imposed by management or
OHS consultants.
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The documentation supporting the establishment and operation of an OHSMS will need to include
detailed descriptions of a series of high-level objectives. In turn, these must then be broken down into a
number of detailed OHSMS activities. How this happens depends on the type of OHSMS model
employed and on several organization-specific factors:
• type of hazards to be managed by the system (e.g. few vs. many; simple vs. complex)
• type of organization (e.g. corporate structure and activities)
• range of technologies (e.g. relevant GMP, SOP, and technical standards)
• legislative and other applicable corporate standards (e.g. Responsible Care programs)
All of the key OHSMS activities need to be expressed in the form of performance benchmarks that can be
evaluated by an audit process according to predefined 'goal-setting' criteria, which include the following:
• a current health and safety policy statement signed by the responsible manager
• a register of relevant hazards to be held in each work section, including summaries of key
controls and any current improvement plans (i.e. risk assessments)
• all reported work accidents to be categorized by potential harmful outcome—whether or not
actual harm was done (e.g. reporting of all 'near-miss' events and non-injurious incidents is
strictly required)
• investigation of accidents and incidents includes root-cause analysis with priorities based on the
potential for harm—suitable recommendations are made to prevent recurrence and are tracked to
ensure compliance.
The use of goal-setting criteria describes the broad objectives to be achieved, but does not provide
detailed prescriptive procedures of what actually happens in the workplace. This approach helps minimize
the need to constantly revise operation OHSMS elements when work processes change.
The stakeholders in the OHSMS are defined as those parties that are potentially affected by its results
and are therefore interested in its content and effectiveness. Both internal stakeholders within the
organization and external stakeholders outside the organization must be involved in the ongoing OHSMS
processes.
In the near future, the role of the multilateral trade organizations such as NAFTA and WTO will become of
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increasing importance in occupational health and safety management, as the goods and services traded
across international boundaries must be created by workforces with 'equivalent' protection' against
harmful working conditions. One of the reasons for the current popularity of international OHSMS
consensus standards (such as OHSAS 18000) is that they help ensure a 'level playing field' for trading
nations, so that none can undercut the other by lowering their production costs by the exploitation of
vulnerable workforces through sub-standard OHS systems.
3.4.4 Auditing/Verification
Auditing is the assessment of an OSH process through periodic sampling of corporate documentation,
procedures and records, carried out by a competent person or organization independent of that process.
When a series of audits is verified according to a recognized external standard (e.g. ISO 14000 or
OHSAS 18000), a certificate of compliance is issued which allows for corporate certification according to
that standard. Although normally not having legal status as a OHS regulatory standard—and therefore
often not seen as legitimate by organized labour—the OHSMS certification is usually viewed as a
valuable attainment by the organization for the purposes of corporate prestige, contractual bidding
requirements, legal protection and due diligence, corporate governance, and overall corporate quality
management and risk management. Not all OHSMS are auditable or certifiable—for example, OHSAS
18000 is certifiable while ILO-OSH is not. Each organization must determine in advance the type of
OHSMS most suitable to them, and whether OHSMS audit/certification is a corporate objective.
Learning objectives:
• define and describe the four essential elements required for a successful OHSMS to operate:
continual improvement, activities, stakeholder involvement, and auditing/verification.
• define and describe the role of internal and external stakeholders in the OHSMS process.
• recognize which OHSMS are auditable or certifiable and which are not.
Traditional OHS measures of risk management often rely exclusively on statistical measures of injury and
work-related illness. Health and safety differs from many areas measured by managers because success
in OHS is seen as the absence of an outcome (injury/illness) rather than a presence. But a low rate of
injury/illness over a limited period of time does not necessarily indicate that risks are being adequately
controlled, nor does it guarantee that problems will not occur in the future. This is especially true in
organizations where there is a low probability of accidents, but where major hazards are nonetheless
present. For such low-probability / high-consequence situations, the historical record can be a deceptive
indicator of safety performance.
Some of the important problems often encountered by an exclusive reliance on traditional health and
safety statistics include:
Organizations must therefore realize that they cannot rely on a single limited number of health and safety
performance measures. What they need is a 'battery' of various reliable measures that reflect different
aspects of the OHS system performance.
Learning objectives:
The major purposes of performance measures in OHS management systems can be described as
follows:
(3) Decision-Making
• where you are relative to where you want to be
• what progress is necessary and reasonable under the circumstances
• how that progress might be achieved against particular restraints (e.g. time, budget)
• the way progress might be achieved
• priorities and effective use of resources
Learning objectives:
• understand the relationship between the PDCA quality management concept and performance
measures.
• recognize the major purposes of performance measures in OHS management systems.
This information supplies important inputs into the planning and implementation processes to ensure that
proportionate effort, prioritization, and emphasis are accorded to the risk control tasks.
Process - measuring the health and safety management system to evaluate measures of success in the
implementation of adequate risk controls—the key elements of OHS management are defined as: policy,
organizing, planning and implementation, measuring performance, and audit and review.
Output/Outcome - measures of failures (adverse outcomes in injuries, illnesses or loss) through reactive
monitoring of incidents and accidents to address the following questions:
Health and Safety Culture - an organization's health and safety culture reflects the long-term established
attitudes and beliefs of management and workers that have arisen from past historical practices and
events—to varying degrees this can be either positive or negative. The health and safety management
system can be an important positive influence of the safety culture, or it may fail to influence established
negative cultures or even be counter-productive if imposed in a top-down fashion without adequate
planning and consultation.
The related term health and safety climate is used to describe the tangible outputs of an organization's
health and safety culture as perceived by individuals and work groups at a given point in time. Thus
culture changes slowly, if at all, while climate is more amenable to short-term changes based on active
workplace interventions. Many of the activities that support the development of a positive safety culture
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• control
• communication
• cooperation
• competence
However, to the extent that many workplace interventions tend to focus extensively on 'behavioural
management' strategies to alter workers' knowledge, beliefs, attitudes and behaviours regarding
occupational hazards, these may be seen as manipulative or intrusive by workers or their unions, as part
of a 'blaming-the-victim' culture within autocratic organizations. A recent HSE approach that appears to
advocate behavioural management strategies has received considerable criticism from organized labour
for this reason.
Learning objectives:
• specify and define the four basic types of elements required to monitor OHSMS performance—
input, process, output/outcome, and health and safety culture.
• understand the relationship between an organizational culture and an organizational climate with
respect to workplace health and safety.
• recognize the potential pitfall of a ‘blame-the-victim’ approach when instituting ‘behavioural
management’ strategies for OHS.
Learning objectives:
Prevention is the best way to reduce the probability of any event occurring. Risk reduction should be a
key component of any management plan. The intent is to minimize the possibility of any risk event and
their consequences before they may occur. However if an event does occur, the consequences of the
emergency can be minimized by implementing an appropriate response. Emergency response is an
effective and strategic way to counter the effects and severity of the event. This has become even
clearer after the analysis of many historical high risk events. Reviews of nuclear accidents, wildfires,
terrorist attacks, and other major events have shown that an improved emergency response strategy and
organization would have saved lives and reduced losses after the event.
There are several public service organizations including the police, the fire department, the coast guard,
and in some cases the military, that have responsibility to protect the public. However, private
organizations and businesses have a responsibility to provide emergency response resources that will
protect their own employees, facilities, and sites and the public and natural environment that may be
impacted by an event. The event may be initiated at the business site. However, it is apparent that many
off-site events may cause on-site secondary emergencies. For example, regional flooding may cause
engineering failures on the site of the business, and this may in turn affect the public.
The federal and provincial governments have legislation in place that set out responsibilities associated
with public and private event emergencies. The section below describes the general jurisdictional
responsibilities for public emergency events within Canada.
The description provides a general reasoning for the use of public emergency response systems. A
business may not have the same entitlement to all resources and after event securities as the public. In
addition, the business may require specialized emergency response expertise, methods, and equipment
that are not available from public responders. Insurance requirements on businesses usually require a
level risk minimization and a capability to respond to risk events to maintain coverage.
A survey of literature shows that the terrorist attacks since 2001 have had a great impact on re-shaping
the traditional concepts and applications of risk reduction and emergency response. Prior to this time, the
primary emphasis of EP and RP was on natural disaster events and engineering failures. After the 9-11
terror attack in New York city, the governments of the US and several other countries have re-directed
risk management efforts to include terror-based event responses within the traditional EP and RP set of
priorities.
Many countries have legislated policies to create federal disaster management organizations. For
example, the Federal Emergency Management Agency (FEMA) in the USA, the Department of Public
Safety and Emergency Preparedness Canada have both been given new mandates to focus resources
towards emergency planning. In addition, there has been renewed effort to allow collaboration and
coordinated responses that cross jurisdictions and departmental boundaries. Considerable effort has
been applied to developing shared resources, communication and planning systems that can be effected
during an appropriate response requirement.
Workplace emergency planning usually includes a number of disaster events that may be internal or
external in origin, such as:
• flooding
• weather events
• wildland fires
• tsunamis
• earthquakes
• backcountry accidents
• wildlife encounters
• disease outbreaks
• landslides
• avalanches
• HAZMAT releases and spills
• drought
• engineering failures
• transportation emergencies
• utility power, water and waste disposal failures
• terrorist events
By the nature of emergencies, they may not be foreseeable and may strike at random times. This makes
preparing for them exceedingly difficult. However, preparations for emergency events can be made and
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prioritized according to the likelihood of occurrence and the consequences they present to the community
and workplace.
• planning,
• training requirements,
• resource and equipment needs,
• first aid requirements,
• communication systems, and
• financial resources.
An understanding of the type of events that are most important will also impact your communication and
reliance on other emergency responders (e.g. Police and Fire Departments, Coast Guard, HAZMAT
teams, local Militia, medical and hospital staff).
Industrial Fire Brigades: An industrial fire brigade is an essential part of every plant emergency plan.
The size, nature, and expectations of the industrial fire brigade will vary depending on the size, location
and value of the plant. Management must decide what type and size of fire brigade is required and must
support the brigade through the provision of resources, equipment and training. NFPA 600, Industrial Fire
Brigades, provides guidelines for organizing an industrial fire brigade. There are five basic responsibilities
that should be fulfilled by an industrial fire brigade:
• state the types of emergency that require evacuation, for example fires, chemical spills and
gaseous releases, and dangerous site conditions,
• a designation of primary and secondary evacuation routes complete with signage, appropriate
emergency-ready lighting,
• maintenance of pathways, corridors, and stairwells in a clear and accessible manner,
• designation of wardens that will manage the evacuation, attend to those that need assistance,
and assist in accounting of employees.
Communications: The Plan should also set out command and communication systems to enable a safe
evacuation when it is needed. The communication system should be defined for operations within the
workplace. Of equal importance, is the communication system to ancillary responders such as fire and
police departments, and medical support that will be required in the event of some emergencies. This
plan should state specific communication technologies (e.g. two-way radios, cellphones, etc) that will be
in operation in the event of the emergency, and the command structure for communicating with
employees and responder groups.
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Procedures, Maps, and Directions: The plan should specify documentation for evacuation processes
and have it posted in visible locations within the workplace. The intent is to inform the employees and
visitors prior to an emergency event.
Emergency Drills: Drills are used to train and reinforce the evacuation plan before an emergency
occurs. It is also a way to test the efficiency and overall practicality of the evacuation and response effort.
Drills should be conducted at least once a year or as new employees are integrated into the workplace.
Records of the drills need to be retained.
Employee Accounting and Personal Information: The Plan should include some method of
accounting for employees that are present and evacuated during the emergency. Fundamental
information about the identity of the employees, their medical considerations, contact, and next-of-kin is
important in the event of an emergency. It also must be administered with strict confidentiality to ensure
the privacy of the personal information.
Assembly Areas: Safe locations for evacuees need to be identified within the plan. The location is
important not only for the fact that it is safe from the hazard, but also because it allows employees to be
accounted for, and health and injuries to be attended to, if necessary. A suitable first aid kit should be
located in each assembly area.
Shelter-in-Place: In some emergencies, evacuation may not be the safest option. If this is the case, the
employees or public should maintain shelter where they are if it is safer than moving to an evacuation
assembly area. For example, safe shelters may be rooms or buildings that are secure from an external
toxic gas leak, extreme outdoor weather conditions, acts of violence, or a terrorist threat.
The concept of shelter-in-place has been identified as the best safety option for certain events that are
becoming more frequent, in particular certain acts of violence and terrorism. Reviews of several alarming
shooting events in schools, workplaces, and public spaces have found that shelter-in-place combined
with secure lockdown of entrances and passageways may be the best immediate response to this type of
threat. Evacuation is a secondary safety strategy but after the initial threat has been reduced.
This threat is significant enough that the U.S. Occupational Safety and Health Administration (OSHA) has
published an Evacuation Planning Matrix that can be used for workplaces to plan for a response to these
types of incidents. This planning tool identifies certain workplaces as being more likely targets of an
event on the basis of three semi-quantitative measures, they are:
1) “vulnerability”, an estimate of value of the site as a target for a terror event. For example, sites
that contain hazardous materials, provide essential services to the public, high-rise buildings that
have limited means of egress, and transportation carriers such as ships and airplanes.
2) “threat”, an estimate of the presence of an adversarial person or group with the intent to harm,
3) “significant impact” and estimate of the “perceived success” of an attack, in terms of casualties,
media attention, civil disruption, and terror.
The OSHA recommendation is for Yellow and particularly the Red Zone workplaces and facilities to have
evacuation and/or shelter-in-place management plans in place. This style of risk assessment is different
from traditional engineering forms of RA on the basis that the likelihood of an event is not based on
accidents or engineering failures. Instead, the risk measure is partially based on the willfulness of an
individual or group to do harm.
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Emergency Response Directors: Directors responsible for emergency command structures require a
specific knowledge of systems associated with command and authority, communications, finance, and
communicating with the media. During large operations these responsibilities are often delineated to
other individuals and teams, but the Directors must have a basic understanding of their roles and
capabilities.
Technical Specialists: Technical specialists must have specific training in equipment and in working in
response teams. This may be in specific ER equipment (such as self contained breathing apparatus, fire
extinguishers and strategies, etc.), or in other equipment specializations (e.g. heavy machinery
operations).
Employee Responders: In most workplaces, employees are trained to support the emergency response
plan. Specific duties and designations such as:
• evacuation wardens,
• first aid support,
• technical support for operational shutdown, and
• fire wardens
Associated with these duties and designations is a responsibility and a need for proper training in these
tasks. Some specific instruction is required to understand the emergency response plan and the
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The duties associated with these responsibilities are usually associated with the employee’s role in the
organization as a technical specialist or area leader.
Other non-responders: This group includes other employees, site guests, customers, students, and
members of the public that do not have an official role in the emergency response plan. To improve the
effectiveness of the ERP, these groups need to have visible and audible access to posted evacuation
route maps, safety areas, and announcements.
It is notable that many courses are available to emergency responders, and many courses and programs
of study include designations and certifications indicative of a maturing educational field.
• Equipment that is required on a local basis at facility. This may include fire protection and fire
fighting equipment, Hazmats suits and kits, warning and alarm systems, signage and
communication equipment needed in preparation and during an emergency, and other
specialized equipment to deal with site specific technologies (e.g. toxic gas leaks) and
transportation requirements.
• Equipment and resources that may be needed on a local basis using public response units (fire,
police, medical and other emergency depts.).
• Other resources that are available to be employed from regional and provincial response
organizations (e.g. aerial support such as water bombers, helicopters, coast guard support, and
others).
• Equipment and resources that may be required from private emergency organizations such as
CANUTEC.
A clear listing of the resources and equipment, and their locations and contact information is needed in
the event of an emergency.
It is useful to determine the level of first aid equipment and training that is needed by each location and
site. Emergency responders are often required to contact first aid and should be trained and equipped to
do so. At some locations a first aid site will be needed to respond to potential casualties. If the
emergency is large and has many casualties, local medical and ambulance staff will require service
areas.
5.7 Finance
Emergency response is not performed in the continuity of normal work and resource requirements.
Emergencies are expensive, require extended specialist support, and the immediate implementation of
equipment and resources. The financial support and documentation of emergency response activities is
important and require a unique set of guidelines to ensure funds are spent appropriately.
In Canada, they are associated with the cost of response, and with recovery. Emergency response costs
are associated with activities required to save lives, reduce suffering, protect property and measures to
reduce the immediate impact of the emergency. Typically, they do not include regular payroll, training,
and preparation costs. During recovery operations the costs of returning public services to pre-
emergency conditions are included in the finance responsibility.
Organizations will normally set out an approval criteria so that expenses in the emergency can be
approved by an officer or director of sufficient financial authority.
Learning Objectives
http://www.worksafebc.com/publications/health_and_safety/by_topic/assets/pdf/emergency_response_gu
ide.pdf
http://www.ready.gov/business/implementation/emergency
https://www.publicsafety.gc.ca/cnt/rsrcs/pblctns/mrgnc-rspns-pln/index-eng.aspx
http://www.ready.gov/sites/default/files/documents/files/EmergencyResponsePlan.pdf
Learning Objectives
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The ICS should be scalable and be able to respond to the incident as a unified centrally organized team.
By the nature of emergency incidents this often requires several organizations or different units to
function within the same structure and communicate using a common terminology.
The Incident Command System has its origin in 1970. Severe wildfires in California resulted in several
deaths and significant property damage. A review of the response to the fire event found that the
physical response and equipment supplies were not deficient, but that the management and
communication within the multi-agency response required significant improvement. ICS was developed to
improve the organization behind the response. It needed to be a proven system that could be
implemented for a wide range of emergencies. It also had to be “scalable” such that small emergencies
can be supported with a small organization, and large emergencies could be supported with larger multi-
agency management structures.
As a result of the need for more clearly defined emergency organizational structures after the terrorist
events of September 11, 2001, ICS has become a subcomponent of the US national Incident Command
System. In Canada, the ICS system has been adopted by several government organizations and private
corporations as a methodology to respond to natural disasters, railway accidents and chemical and
petroleum spills.
Significant events may cause several secondary risk events. However, oftentimes there are faint
boundaries between events. For example, an earthquake is a seismic event initially, but may result in a
tsunami and emergency flooding, that in turn results in power failures and in the case of the Fukushima
disaster, a leak of radioactive material from a power facility. The events mean that structures are
insecure, residents and workers need to be moved to safe locations and rescued from perilous
conditions. Medical assistance and response crews and equipment need to be relocated. The immediate
initial response to the event is only part of the obligation. As the event evolves other needs are met by
other responders and services involved with recovery.
ICS employs a single set of terms for emergency response events. This is designed to minimize
confusion and errors associated with different sets of meanings used by the various responding agencies.
A set glossary of terms must be understood and used by all respondents to the emergency.
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The command structure is designed to be “scalable”. A small emergency should only need a small
command structure, but if the emergency changes and becomes more significant in its potential
consequences, the command structure should change as well. Normally, the first-on-the-scene assumes
command until the event becomes larger and more resources are required for an appropriate response.
At that time the command will be passed to a more senior officer and the response roles may be re-
delegated. Under ICS, the number of supervisory responsibilities managed by one individual should be
between three and seven team members, with five being the optimum number.
6.5 Coordination
There are five components to the ICS organization and they are sectioned according to their functions.
They are:
• Command: Setting response objectives and coordinating
• Operations: Provision of tactical response actions
• Planning: Developing and assessing the technical basis of the action plans
• Logistics: The provision of equipment and services supporting the plan actions, and
• Finance: Responsible for the management of financial resources and response administration.
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Although an Incident Commander may be assigned as one of the first actions in the response, the rest of
the organization tends to build from the bottom upwards as the response team becomes larger. If the
emergency escalates and a more complex operations and management structure is required, then a
different incident commander may be designated that is more suited to the team organization.
Incident Commander: This individual is the commander and final authority for decision making for the
team. Initially, this will be the first responder on the scene, but will be re-designated as the complexity of
the structure increases, if that is necessary.
It may be necessary for more than one person to have duties associated with the Incident Commander.
This may occur when there are two or more jurisdictions, or departments involved. This is termed Unified
Command and the commanders are expected to act as one entity.
In large operations the Incident Commander may be assisted by substitute command staff. Command
staff may include a Safety Officer, a Public Information Officer, and a Liaison Officer. These staff have
specialized expertise and functions that are needed to assist with the response effort.
Operations Sections Chief: This individual directs all operations that are employed in the emergency.
Other section Chiefs may be assigned for the functions of Planning, Finance, and Logistics in support of
the operations.
Directors: Directors manage Branch staff. The Branch staff may be members of a pre-existing fire
department, rescue team or other organization.
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Supervisors: Within the Operations Section there may be further Divisions along geographic or
jurisdictional partitions, or Groups that have specific operational functions. These Divisions are led by
Supervisors.
Leaders: The separation of responders and resources into units of three to seven individuals is the
smallest grouping within the response organization. Unit Leaders provide direction and communication
lines at this level.
It is notable that the structure is hierarchal for the purpose of creating a command structure that is unified
under a single coordinated response planning directive. This is considered to be very important to having
a response that is directed towards a single set of outcomes, and that does not compromise safety.
As noted above, this usually requires the unit to be represented within ICS with a Director or Supervisor
and a communication line that does not subdivide the unit but allows it to contribute to the response
wherever and however it is required.
Learning Objectives
• describe an ICS.
• have a basic knowledge of the terms associated with ICS structures.
• define the importance of the command structure in terms of unity of command and modular
associations of units.
• understand the concepts associated with command transfer.
http://www2.gov.bc.ca/gov/topic.page?id=FCA7954D1335433686A938616F03B9CD
https://www.osha.gov/SLTC/etools/ics/index.html
http://www.businessofgovernment.org/report/forest-fires-hurricane-katrina-case-studies-incident-
command-systems
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i. A useful starting point is the Risk Assessment (RA) study that has been done for your
site. This should provide an examination of the type of hazards that exist and what
portions of the facility site are at risk. If the scope of the RA is not broad enough (e.g.
perhaps the RA evaluates chemical hazards but does not include natural disasters and/or
vandalism risks), it should be expanded. The intention is to set out all the possible
emergencies that pose a risk. Each hazard should have some estimate of its probability
of occurrence, and the consequences of it happening at the site.
ii. Develop this information for a questionnaire that can be used to inquire with other parts of
the organization about the operational and system weaknesses and strengths of the
facility. If possible, use interviews and follow-up meetings to discuss the information
provided.
iii. Organize the results, document, and prioritize the vulnerabilities of the business during
and after an event.
The plan needs to have input and agreement from all facets of the organization. Consequently, the report
document needs to be validated, approved, and communicated.
As part of the roll-out of the plan, there needs to be training and assignment of responsibilities to ensure
the plan is effected. Training modules may also be needed for consultants to the facility and the public
that are impacted by facility operations.
It is advisable to have the plan evaluated and brought up to current standards periodically. This may
done on a regular basis just as emergency response plans are periodically reviewed. It is good
management practice to assign responsibility for this and pre-set meetings and information update events
to maintain currency in the plan.
Learning Objectives
• identify the key components of an environmental scan showing the items that may limit the ability
to conduct business in the time following a risk event.
• identify methods that can mitigate and reduce business downtime following an event.
• list some of the important components of the Business Continuity Plan.
https://www.publicsafety.gc.ca/cnt/rsrcs/pblctns/bsnss-cntnt-plnnng/index-eng.aspx
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http://www.ready.gov/business
http://www.ready.gov/business/implementation/continuity
Workplace violence is defined as any act in which a person is abused, threatened, intimidated, or
assaulted in his or her employment. Workplace violence includes:
Rumours, swearing, verbal abuse, pranks, arguments, property damage, vandalism, sabotage, pushing,
theft, physical assaults, psychological trauma, anger-related incidents, rape, arson, and murder are all
examples of workplace violence. 2
Violence can happen in any workplace. However, people whose jobs involve any of the following factors
are at increased risk for workplace violence:
OHS professionals should encourage the development and implementation of workplace violence
prevention programs. In most Canadian provinces and territories, the management of workplace violence
is a legal requirement under OHS legislation or part of the employer’s responsibility to provide a safe and
healthy workplace.
1
CCOHS. (2012). OHS Answers: Violence in the workplace. Available at www.ccohs.ca
2
CCOHS. (2012). OHS Answers: Violence in the workplace. Available at www.ccohs.ca
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Learning Objectives
ACTIVITIES:
1. Suggested Reading:
Labour Canada. (2010). Guide to Prevention of Violence in the Work Place, Cat.
No. HS24-85/2010. Gatineau, PQ: Human Resources ad Skills Development
Canada. Available at www.hrsdc.gc.ca/
2. The definition of workplace violence is provided above and is also available in the CCOHS
(2012) fact sheet, and the Labour Canada document, page 3.
3. The work factors that increase the risk for workplace violence are provided above, but are
more fully explained in the CCOHS (2012) fact sheet, as well as in the CCOHS (2006) fact
sheet on Violence in the Workplace – Negative Interactions.
4. The work groups at greatest risk for workplace violence are identified in the CCOHS (2012)
fact sheet.
5. The assessment process for identifying whether or not a workplace is at risk for workplace
violence is provided in the CCOHS (2012) fact sheet. Basically it entails:
o Conduct a visual inspection of your workplace and the work being carried out.
Focus on the workplace design and layout, and your administrative and work
practices.
• Evaluate the history of violence in similar places of employment.
o Obtain information from any umbrella organizations with which you are
associated; e.g., your industry association, workers' compensation board,
occupational health and safety regulators or union office.
o Seek advice from local police security experts.
o Review relevant publications.
o Collect newspaper or magazine clippings relating to violence in your industry.
• Contact legislative authorities to determine if specific legislation regarding workplace
violence prevention applies to your workplace.
• Organize and review the information you have collected. Look for trends and identify the
occupations and locations that you believe are most at risk. Record the results of your
assessment. Use this document to develop a prevention program with specific
recommendations for reducing the risk of violence within your workplace.
6. The key features of a workplace violence prevention program are provided in the Labour
Canada document.
7. The benefits a workplace violence prevention program are identified in the CCOHS (2012)
fact sheet.
8. The CCOHS fact sheets and Labour Canada document identify the relevant pieces of
Canadian legislation. However, the OHS professional should be aware of the applicable OHS
legislation for their jurisdiction.
A review of the risk elements in the workplace can assist in developing an appropriate violence
prevention plan. A risk assessment may list and evaluate several parameters, including:
These are some of the questions that may used to develop your risk assessment. The intention of the
assessment is to further understand the potential for violence to occur in the future and how to reduce the
probability and/or severity of the events.
The prevention plan should be created to suit the workplace environment with respect to the physical
surroundings, the employee group, the nature of the work and set of transactions that occur, and the
availability of resources to minimize workplace violence.
i) A violence prevention plan should state and clearly communicate the organizational policy and
approach to preventing workplace violence. This should include the:
ii) There should be regular risk assessments conducted to identify changes in environment and workplace
features that may contribute to workplace violence incidents.
• Physical environment to reduce the risk of violence. For example, an appropriately designed
service waiting space can alleviate many tensions and stress in service areas. A spacious room,
with seating, adequate lighting and clear service directions such as “position in line numbering”
may serve to limit tension associated with long line-ups in public service locations. Protective
glass may be used at service desks as a protective transparent barrier.
• Administrative Design such as the hours of operation schedule may be optimized to provide
lower risk work times. Security attendants may shift the frequency of their patrol to minimize
risks.
• Point of Interactions may be modified to reduce violence risks. If there are points of interaction
that are tension related, or are more likely to result in an incident, can they be modified in
structure to minimize and reduce the likelihood or consequences of an event.
• Specific personnel changes may be made if there has been a history of violent or threatening
behavior from an individual or group of employees.
• Employee and supervisor training should include appropriate response procedures in the
event of an incident, and ensure the plan is understood and effected. In the event of an incident,
there is a requirement for accurate records to be created and maintained to document the
incident(s). In addition, the organization has to respond appropriately in the time after an event
occurs, including investigations and corrective actions to minimize repeat events. The employee
also has a responsibility to provide medical care and counseling to victims in a hostile event.
• A review of the Prevention Plan Review is needed on a periodic basis.
A few areas where and when violence may occur are listed below:
• Travelling to and from work, whether driving, parking, walking to and from your place of work.
• When working alone,
• When dealing with irate customers,
• During the act of crime such as robberies,
• When securing the transfer money,
• During labor disputes, and
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9.2.1 Elimination: This is the removal of the hazard from the workplace environment entirely. It is the
preferred option for safety and worker health because the hazard is not present. This option may be
difficult and/or expensive to implement, particularly in pre-existing operations. It is easier to implement in
the early design stages of an operation. An example of this may be found in the construction or
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demolition of elevated systems. Instead of having workers work at hazardous heights, the work may be
done at the ground level and then relocated to the height after it is mostly complete.
9.2.2 Substitution: The second best option is to replace a hazard with a non-hazardous substitute. If
elimination of the hazard is not possible, substitution is the next best option. An example of this may be
found in the painting and coating process. In traditional uses, the paints used thinners and solvents that
are now considered toxic and unacceptable for use in the workplace. Paints are now formulated with
solvents that are non-toxic and these have been used within many industries to remove the hazard of
older coatings.
9.2.3 Engineering Controls: The third option is to reduce the hazard by using a constructed method to
minimize worker exposure to the hazard. An example of this is the use of local ventilation systems to
reduce the exposure to vapors and particles in the air at a worksite, using a fume hood and glovebox for
dangerous material handling situations, or using noise reduction dampers in environments where hearing
loss is possible. Controls are useful for lowering the risk of the hazard exposure, and are often used in
environments where the original site design did not plan to minimize or remove the risk of the hazard.
9.2.4 Administrative Controls: Administrative controls are policies and procedures that are
implemented to reduce the exposure or the probability of a hazardous occurrence. An example is to
schedule workers in short shifts to minimize their exposure to undesirable conditions such as high heat or
poor air quality. This type of control also includes training workers about hazards in the specific
environment and providing adequate labels and signage to create an awareness of the hazards.
Although this has elements of good workplace practice, it is not as desirable an option as the complete
removal of the hazard. It also places some responsibility for hazard avoidance on the worker, when
optimum choices will be to remove the hazard from the environment.
9.2.5 Personal Protection: Personal protective equipment includes the use of gloves, respirators,
protective clothing, and ear plugs and eyewear. This option minimizes the hazard by protecting the
worker within a potentially hazardous environment.
It is usually considered to be the least desirable control option. This is because the hazard in the
environment is not removed or eliminated. In addition the equipment must be maintained and may fail
allowing exposure to the hazard. Usually the protective equipment is uncomfortable and does not provide
optimum freedom of movement or sensory perception. If the equipment causes fatigue, then this is also
an additional hazard.
Some protective equipment is considered necessary for many tasks. Protective glasses and/or ear plugs
are used in almost every environment where sensory damage may occur due to flying objects or loud
noises.
It is notable that more than one control system may be used to maximize safety. For example, a
particularly hazardous material in the workplace may be substituted with a less dangerous one, and
constructing an engineering control such as fume hoods to reduce exposures to the vapor.
9.3 Implementation
The objective of implementing one or more controls is to provide an adequate level of safety for the
workplace and by extension the environment. It may be difficult to determine an appropriate level of
safety and the magnitude of control necessary. This question ultimately comes back to risk estimation
and the calculation/estimation of risks in terms of the frequency of hazardous incidents and the magnitude
of the consequences of these events. Some controls will reduce the frequency of the event, and other
controls will reduce the consequences of events once they do occur. Some controls reduce both
frequency and consequences.
There are a few methods of approach the OHS professional can take towards establishing a baseline of
safety and the level of controls needed to attain a safe status in the workplace.
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Industry-standard Risk Estimates: Industry associations may maintain standards of accidents and
consequences that relate adequately to the workplace under review. Due to the differences in
workplaces, training, and management practices this source of records may not provide an ideal match to
the workplace, but there is an added benefit of a using a larger database of records for review and this
may allow some low frequency incidents to be identified.
Introducing controls and reinforcing their effectiveness is ultimately the responsibility of management, but
workers and unions have responsibility to promote their implementation.
Learning Objectives
https://www.osha.gov/SLTC/etools/safetyhealth/comp3.html
http://www.ccohs.ca/oshanswers/hsprograms/hazard_control.html
https://www.osha.gov/dte/grant_materials/fy10/sh-20839-10/hierarchy_of_controls.pdf
http://www.safework.sa.gov.au/contentPages/EducationAndTraining/HazardManagement/Electricity/TheA
nswer/elecAnswerHierarchy.htm
http://www.safework.sa.gov.au/contentPages/EducationAndTraining/TrainingKits/WHSTrainingResource
Kit/whsKit/top3_7.htm
In Canada, the federal Hazardous Products Act is the legislation that establishes the national standard for
chemical classification and hazard communication. This federal statute is the basis for worker’s “right-to-
know” legislation. The federal, provincial and territorial governments have all passed legislation that
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facilitates a single consistent national system. This is important because hazardous materials are
transported from province to province. In addition, the Canadian labour force is considered to be mobile
and should have a uniform communication system in workplaces across all jurisdictions. (Health Canada-
Workplace Hazardous Materials Information System – Official National Site)
The Global Harmonized Standard (GHS) has been promulgated in the European Union, Canada, United
States, Brazil, Australia, Japan, Korea, and China. In North America, the final implementation date for
GHS is in 2015. Canada and the US have committed to the “align and synchronize implementation of
common classification and labeling requirements for workplace hazardous chemicals” since 2011. These
alignments in policy also encompass the GHS standard. The implementation of the international
standards requires that they be adopted under the Canadian Hazardous Products Act and that revised
Regulations be set. (Health Canada-Environmental and Workplace Health – Implementing the GHS in
Canada)
The GHS categorizes the hazards into three types, they are:
Physical Hazards
• Explosives
• Flammable
• Oxidizing
• Compressed Gas
• Corrosive
Health Hazards
• Toxic
• Corrosive
• Irritant
• Health Hazard (specific cell mutagens and sensitizers)
Environmental Hazards
• Environmentally Damaging
Within these categories are subcategories relating to the specific classification of the material or effect.
Some other hazard symbols are used but may not be within the GH System. These include the Infectious
Substances and the Radioactive Materials signs.
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Figure 10.1 Hazards and the associated pictogram used in the GHS
In the past, these were Material Safety Data Sheets (MSDS), and any controlled product would have
needed a Workplace Hazardous Materials Information System (WHIMS) MSDS. The specifications of the
MSDS were slightly different than those of GHS. During the GHS implementation period, the 16 heading
format will be recognized as acceptable under current regulations (the Controlled Products Regulations
CPR). (Health Canada-Environmental and Workplace Health – Use of the GHS Safety Data Sheets and
Labels Prior to GHS Implementation in Canada).
10.5 Labeling
Hazardous materials that are stored in the workplace require labels to identify them. The label must be
affixed to the container or material packaging and in clear view of the chemical user. This is in addition to
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the other workplace signage and the Safety Data Sheets that are stored in an accessible location. Labels
on material containers must contain the following:
It is generally the responsibility of the supplier to ensure the label is attached and in good condition, but
the user has a requirement to maintain the label integrity and to modify the label if the material is changed
in some way.
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Figure 10.3 These two labels show how hazardous chemical information is communicated on the (a)
packaging label, and (b) during transport in the United States. There are some significant differences
between the two types of labels. These are similar to the Canadian requirements.
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Learning Objectives
Learning Resources
There are two primary resources to access on this subject. They are:
And the GHS website at the United Nations Economic Commission For Europe
(www.unece.org/trans/danger/publi/ghs/ghs_rev05/rev05files_e.html)
The latter reference has several downloadable pdfs describing specific signage, labels, Safety Data
Sheets, and classification of several materials and mixtures.
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The Advisory Standard defines a systematic workplace health and safety risk management process within
a series of basic steps as summarized in Figure 11.1:
Figure 11.1: The Workplace Health and Safety Risk Management Process (from QL p.5)
With the exception of the Initiation Step, which is omitted, the steps are virtually identical in terminology
and content with CSA-Q850, and the entire system is treated as a cyclical process so that new OHS
issues and new information can be periodically revisited. A notable omission, however, is the absence of
any detailed specification for risk communication and stakeholder consultation, although sections 2.3 and
3.2 briefly allude to ongoing consultation with workers at each stage of the process as required by the
Queensland OHS Act. This is somewhat unusual considering the emphasis placed on proactive risk
communication in the Australian/New Zealand Standard for Risk Management (AS/NZS 4360:1999).
Despite this shortcoming the Advisory Standard provides detailed guidance for all the major steps:
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There are also obligations upon the risk manager with respect adhering to the requirements of:
1) Regulations;
2) Advisory Standards or Industry Codes of Practice, and
3) Guidance Material.
Control Priorities
Start at the top of the priority list of risks and work down.
2) If this is not possible, prevent or minimize the exposure to the risk by one or a combination of:
• substituting a less hazardous material, process, or equipment
• redesigning the equipment or work process
• isolating the hazard
3) As a last resort, when exposure to the risk cannot be eliminated or minimized by other means:
• introduce administrative controls
• use appropriate personal protective equipment
Note that these control options are prioritized in the order of their preferred outcomes from the standpoint
of optimal worker protection—thus the elimination of a hazard is preferable to minimizing exposure, which
is in turn preferable to the use of personal protective equipment (the latter measure is generally
objectionable to workers and labour unions except when a temporary measure or otherwise unavoidable).
The review requires new information and measures of workplace health and safety performance and can
be in several forms:
• consultations with workers, supervisors, and OHS representatives
• periodic monitoring of the levels of individual and area exposure to workplace hazards
• monitoring incident and accident reports; monitoring work-related illness reports
Learning Objectives
Traditional Management
• The key persons in health and safety are the supervisor and/or any OHS specialist
• A low level of integration of health and safety into broader management systems and practices (for
example, integration of OHS within general procedures or interfunctional activities)
• Employees may be involved, but their involvement is not viewed as critical for the operation of the
OHSMS, or alternatively a traditional health and safety committee is in place
Innovative Management
• Senior and line managers have the key role in health and safety
• A high level of integration of health and safety into broader management systems and practices (which
connect OHS to business planning, or quality/best practice management initiatives)
• Employee involvement is viewed as critical to system operation and there are mechanisms in place to
give effect to a high level of involvement
Finally, based on the control strategies and management approaches previously described, Gallagher
then provides a 2 x 2 classification matrix (table) that defines the four categories of OHSMS according to
the predominant control strategy and management approaches present within a given organization.
TABLE 12.1 OHSMS System Types according to Gallagher Classification (NOHSC 2001 p.8)
Category 1 Category 2
Category 3 Category 4
While these are idealized forms of more complex real-world systems, they have considerable value in
understanding the underlying corporate culture that influences the selection and perpetuation of a
particular type of OHSMS, and its corresponding strengths and weaknesses. No one type of OHSMS is
necessarily superior to the others in all cases—the relative strengths and weaknesses will depend on the
nature of an organization's main productive activities, its size and complexity, the degree of health and
safety risks attendant to its activities, and the regulatory system under which it operates.
Learning objectives:
• distinguish between a safe person control strategy and a safe place control strategy.
• distinguish between traditional management and innovative management approaches.
• define the four categories of OHSMS system types according to the Gallagher classification table.
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For each of the case studies that follow, the reference material is located in:
EU 2002. The use of occupational safety and health management systems in the member states of
the European Union: experiences at company level. European Agency for Safety and Health at Work,
European Union. Luxembourg, 2002.
Learning objectives:
For each of the four Case Studies that follow, the candidate should be able to:
• recognize which category of the Gallagher classification table best applies to a given case study.
• identify the respective strengths and weaknesses in the OHSMS process for each of the
organizations described in the case studies.
12.2 Case Study #1 Powell River Kraft Pulp Mill, British Columbia
12.2.1 Background
A kraft pulp mill on the coast of British Columbia had a chemical release accident. The release of
chlorine dioxide gas may have caused significant harm and possibly death to site workers and nearby
residents of the community, except that the prevailing winds dispersed the gas plume to uninhabited
portions of the location. In the aftermath, the company embarked on a risk assessment and safety
program to prevent similar accidents in the future.
12.2.2 Facts
The accident appears to have been initiated by a technological failure, or a human error. The exact
cause is not known. A very large wooden stave tank holding pulp and pulp wash water overfilled to a
level that caused the tank to fail and release its contents on the chlorine dioxide tank located within two
meters away. It is possible the fill stop mechanism failed, or that control technologists did not respond to
the alarm mechanism. The weight of the liquid/pulp release crushed the chlorine dioxide tank and it too
released its contents to the paved area around the tanks. This area is outdoors and within 100 meters of
the Discovery Channel coastline.The chlorine dioxide off-gassed to the surrounding area and the wind
carried to the northwest away from the site and the nearby town. This occurred in the very early hours of
the morning, in darkness and the emergency response was limited and slow. Eventually the spill was
managed and was released to the coastal area once local approvals were obtained.
Due to the severity of the release and the threat of legal action, the company embarked on a plan to
improve their safety systems and this included risk analyses and emergency response improvements.
Other mills with similar technologies also followed this plan over the next several years.
12.2.3 Assessment
The OSHMS of Powell River Mill is a semi-integrated system with several links and common
elements. However, it has not yet reached the target of a fully-integrated management system.
This company decided on a comprehensive assessment of many aspects of their operations. Although
the accident had been reported in the local media there appeared to be only minor reputational damage
in the public consciousness. In contrast, the provincial government was willing to take regulatory action
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to ensure better safety and a preventative program to mitigate future events at Powell River and all other
mills. The industry perceived this as an undesirable option and the Council of Forest Industries proposed
that the industry would initiate their own program to improve facilities and procedures if the government
endowed that responsibility to them. This occurred, and it was clear that the Powell River facility had lost
reputational currency with its industry peers. The event also heightened concerns by the company’s
insurers over their operations at Powell River, and elsewhere.
Over the following three years the company contracted a comprehensive risk assessment and evaluation
of their Powell River operations. The initial focus was on the technology, chemical use and siting, and the
spill response capabilities of the mill operations. Later, this included organizational changes and the
development of policies and procedures designed to reduce accidents and to respond to them more
effectively.
• Each of the hazardous chemical materials were evaluated for their siting, technological handling,
spill probability, spill severity, and the usefulness they served to the mill. Over 60 spill scenarios
were developed and evaluated in terms of their release probability and hazard. The resultant
information provided a risk categorization matrix. High risk materials and events were targeted
for further action.
• Emergency response systems were also evaluated. The availability of proper materials, clothing,
information systems, communication systems, personnel dispatch procedures, and facility-wide
understanding of response processes were evaluated and raised in importance. This included a
meteorological station and gas release modeling software systems.
• The company made efforts and was partially successful in creating a larger “buffer area” between
the facility grounds and nearby residents. Prior to the spill, some homes were located within a
street width from the front gates and along the fence line. The company was able to purchase
many of these locations in the following years and increase the safety zone around the mill.
• The corporation legal team approached concerns with their insurers to alleviate risk and fiduciary
concerns.
• The company also communicated their program development and deployment with their industry
peers through their association and Council of Forest Industry meetings.
After this period of time the mill had made several improvements to the facility, although the original
chlorine dioxide technology was still in place. The organization had also improved their effectiveness in
promoting safe practices and mitigating accidents and the outcomes of events. In addition, many other
mills had also taken the same or similar steps to mitigate the risk at other sites.
Agfa-Gevaert N.V. in Mortsel (Belgium) is the headquarters of the Agfa-Gevaert Group and employs
about 5 590 people. In spite of its well-known products within the photographic and film industry, Agfa-
Gevaert’s main business consists in the creation of innovative solutions for the graphic and photographic
industries and the medical imaging market. Agfa-Gevaert products are on the market in about 150
countries. The company has structured its activities around five business groups:
• consumer imaging,
• graphic systems,
• medical imaging,
• non-destructive testing, and
• industrial imaging.
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The company’s main suppliers are from the metal, packaging materials and chemical industries. The
enterprise itself supplies only finished products.
One important issue concerning hazards and risks at work is that there are many different chemical
products on the work floor. The two main problems are that employees must be able to read a chemical
card in order to understand the chemical codes, and the rate of industrial accidents, which, according to
the safety manager, is still too high.
12.3.2 Facts
For a long time, Agfa-Gevaert had a prevention policy that aimed at improving/maintaining the safety and
health of their staff. The subject is now coordinated in one of Agfa’s supporting services: the ‘Coordination
cell for quality, occupational health and safety and environmental management systems’.
The basis for Agfa’s OSHMS is the Belgian labour regulations that require a dynamic risk control system.
Further, Agfa-Gevaert has the ISO 14001 at its disposal and lives up to standards according to the
‘Responsible Care Code’ as set out by the union for the chemical industry.
The enterprise’s OSHMS is part of a global management system, which is based on the principles of ISO
9001 and also includes environmental and quality topics. Its main OSH-related goal is the achievement of
a zero rate of industrial accidents. In the beginning, the OSHMS was initialised by the ‘Prevention and
Protection Committee’, which consists of employees’ and employers’ representatives. After this, each
department started to formulate points of focus in the effort to realise a safer and healthier environment.
Ever since, the level of employee participation has been as high as possible. A special step and method
was the foundation of ‘ARBO groups’ which stand for attention towards safety and health, reaction to
unfavourable conditions, assessment of risks, and encouraging a positive attitude towards OSH and the
environment. ARBO groups meet six times a year in order to discuss industrial accidents, unsafe
situations, new actions, etc. There are also ARBO mini-groups, which allow for the participation of every
single employee. This network of ARBO groups constitutes the basis for communication — both from the
top to the bottom and from the bottom to the top.
Moreover, an annual action plan sets objectives focused on a specific theme. There is a relatively high
involvement of employees and the different ARBO groups are very well integrated into the company’s
management system. There is a steering group that determines the annual action plan and a committee
that must give its final consent. Afterwards the annual action plan is passed on to the other group leaders
who have to discuss this topic in their group.
Every year the safety manager visits every single department in order to assess the development of OSH
subjects. Together with a representative of the committee and the head of the department, he writes an
evaluation report, which is then returned to the department. Afterwards, the department develops a plan
for further action, taking into account both the investigation report and their own ideas. This plan has to be
reported to the committee together with actions that have been carried out and problems that have been
encountered.
Agfa-Gevaert has developed two types of training for their workers:
• an OSH package including videos, newspapers, guidelines, posters and other easily
understandable tools which raise the awareness of the employees with respect to OSH;
• a specific training for everybody who changes or starts a job and thus has to deal with new
procedures and machines.
The management seems to be aware of some weaknesses and is attempting to further develop the
current OSHMS. All in all it seems that Agfa-Gevaert uses an OSHMS which has standards higher than
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12.3.3 Assessment
The OSHMS of Agfa-Gevaert is a semi-integrated system with several links and common
elements. However, it has not yet reached the target of a fully-integrated management system.
The effects of introducing an OSHMS have been successful. Several advantages have become obvious.
Agfa-Gevaert has succeeded in establishing numerous ‘mini ARBO groups’, thereby involving large
numbers of people in the project and motivation among staff seems to be high. Even though Agfa-
Gevaert lies much below the average rate of occupational accidents, they still aim at increasing the safety
levels and perceive their current results as too weak.
Other advantages are those of an integrated system: it is much more transparent than a number of
separate management systems and it requires only one single audit. It is possible to take advantage of
the existing written procedures of every work process. Although the theoretical concept of the OSHMS is
well planned and developed, some differences remain in its implementation. Not all ARBO groups and
employees live up to the standards that were established or they regard only one or two of these points
as being their focus and responsibility. Another disadvantage is the complicated code of the chemical
card. For this reason Agfa-Gevaert has already planned a new and much easier system. Problems and
prevention measures are formulated on the basis of the action lists. Consequently, carrying out risk
analyses is, for Agfa-Gevaert, not the only source from which to formulate prevention measures. Because
an action list is already being used, risk analysis is often considered redundant.
12.4 Case study #3 The Homecare Unit in the Municipality of Herlev, Herlev
(Denmark)
12.4.1 Background
Like all the other 274 municipalities in Denmark, the Municipality of Herlev is responsible for carrying out
a large proportion of the tasks involved in the Danish social welfare system. One of these tasks is to
provide home care for elderly, disabled people and others (primarily people suffering from mental
illnesses) in need of home care. In the Municipality of Herlev approximately 1 000 clients receive home
care. The responsibility for providing home care rests with the Home Care Unit, which employs about 200
home care assistants.
The main hazards for the home care assistants are back and shoulder pains caused by the physical
requirements of the job, which involves, for example, vacuum cleaning, carrying heavy shopping bags
and lifting of people. Another obstacle is connected to the fact that private homes are rarely designed with
care-taking activities in view. This makes it difficult to use lifting and moving aids in the home, and makes
cleaning difficult. Many of the problems are related to a poor working environment, caused by a high
workload added to the pressure of having to deal with angry clients. In 1992 a working group consisting of
area managers and safety representatives began implementing the OSHMS. In 1994, all home care units,
retirement homes and day-care centres became legally obliged to register with the Occupational Health
Service in Denmark, an institution founded under the Ministry of Labour, which provides advice on
occupational health and safety issues, as well as training and educational schemes. The Occupational
Health Service in Denmark has been a major contributor to the development of the current OSHMS in the
Home Care Unit in Herlev. In addition, since 1997 all enterprises have been legally required to make a
written workplace assessment.
12.4.2 Facts
From the very beginning worker involvement was seen as critical, and this has been a continued element
in the OSHMS. Some elements of the OSHMS are directly linked to OSH issues, while others are
established in order to create a supportive structure in the workplace. The OSHMS consists of the
following elements:
• workplace assessment
• courses and training
• communication systems
• absence interviews
• support teams
• performance measures
• paper on service standards
• work teams
• management review
• flexible timetables.
The system integrates all levels of personnel and the City Council. Training and courses are conducted
by trained ergo-therapists and physiotherapists. Many advantages have risen from the implementation of
the OSHMS. The main result has been that days lost through illness have decreased dramatically.
Furthermore clients are more satisfied with the services provided by the Home Care Unit.
12.4.3 Assessment
The type of OSHMS in Herlev is a mix between a sophisticated behavioural approach and
an adaptive hazard management approach.
The system’s strength lies in the high degree of employee involvement, and the fact the system focuses
equally on controlling work related hazards and creating a good working environment for the home care
assistants. Workplace assessment and the training programme, as well as the establishment of a
supportive structure, are very important elements in this respect.
Over the last decade the OSHMS has evolved from a very traditional management system, with little
employee involvement, into an innovative system with a high degree of employee involvement. It also
seems that the OSHMS is a mix between a ‘safe place’ and a ‘safe person’ control strategy. On the one
hand most of the work-related injuries are not caused by singular incidents but by long-term damage and
a behavioural control approach is very important in this respect. On the other hand an efficient system,
which can identify and assess hazards, is very important, because of the changeable nature of the
workplace. The type of OSHMS in Herlev is therefore a mix between a sophisticated behavioural
approach and an adaptive hazard-management approach.
• Involve the employees in the risk identification and problem solving stages of implementation.
• Allocate sufficient resources for the proper functioning of the OSHMS.
• Change the organizational structure, in order to establish direct communication between
managers and employees.
• Integrate the OSHMS in the overall management system, by involving both strategic and
operational levels of management in the OSHMS.
• Establish an educational system.
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Berglandmilch is an enterprise in the food industry and has about 1 000 employees. Its main activities
consist of the production and marketing of a variety of milk products such as milk, cheese and yoghurt.
The company’s main customers are supermarkets and its main suppliers are dairy farmers. The company
merged from six agricultural cooperative societies in the mid-1990s. There are ten production sites with
an annual turnover of about 529 Mio EUR (1999). In 1998 the enterprise won the Austrian Quality Award
(AQA) for Business Excellence.
In this period there was an increase in the number of occupational accidents. This was one of the main
reasons for the implementation of an OSHMS in the company. In order to achieve the main objectives of
a lower accident rate and a safer workplace, the focus was on:
OSH efforts should be intensified, and also the synergy between the OSH management, quality
management and environmental management should be strengthened.
12.5.2 Facts
Some important elements of an OSH management system already existed before the establishment of
the present OSHMS:
During the implementation process, the following main steps were carried out:
The following issues were prioritized within the establishment and implementation process.
There is also a need for constant training and instruction for all employees.The employees are
encouraged to set up initiatives and measures of improvement by implementing self assessment teams,
carrying out internal audits and establishing improvement and innovation teams. All this is aimed at
creating and encouraging employee awareness of prevention. Near-accidents have to be registered
systematically and the relevant causes must be eliminated. Facilities were inspected systematically and
work-related risks evaluated, analysed and assessed. Measures have been set based on the required
improvement. Internal and external audits, reviews, risk analyses and assessments are a systematic
element of the system and give further inputs for progress. A hazard control system considers the
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There exist OSH representatives and an occupational medicine as well as an emergency management
system and a bulletin for contractors dealing with safety, environment and hygiene. The analysed
enterprise now registers the traditional OSH relevant performance indicators of ‘lost time accidents’ and
‘number of staff away sick’. On the basis of the OSHMS standard SCC, the OSH relevant legal
obligations and the principles of total quality management (TQM), the performance regarding OSH is
being measured systematically. Constant improvement is an inherent element of the OSHMS. The
management system is developed and improved by using the outputs of the performance measurements.
Basic elements of the EU legislation concerning OSH are the identification, evaluation and assessment of
risks. Berglandmilch finished its initial analysis and assessment of risks three years before legally
required.
On one side there is the requirement to document the evaluation and hazard/risk assessment by law,
while on the other there exists a so-called ‘generic management system’. Based on the 20 elements of
the ISO9000:1994- further topics like environment and OSH are added. Basic training for new employees
is offered, concerning topics such as quality, environment, OSH and hygiene. One main barrier to be
overcome during the implementation of the OSHMS was the employees’ sceptical attitude towards
management systems. The most important group for implementing the OSHMS were the employees.
The organisation always seeks ways to achieve ongoing improvement of overall business performance.
TQM provides the overall management system framework. Here theme centres’ management systems for
quality, environment and OSH are embedded but because of the company’s size and its complexity there
is a need to separate the management system topics. Several successes can be put down to the
implementation of the OSHMS. Lost time days per employee caused by accidents fell from 1.23 in 1998
to 0.65 in 1999 although no figures exist for a longer period. The accident frequency as defined by the
standard SCC decreased from 47.56 in 1998 to 37.02 in 1999.
12.5.3 Assessment
This case most resembles a semi-integrated management system with several links and
common elements.
The analysis in this case study shows an overall picture of a pronounced training culture and extensive
training efforts. This is expressed in increasing training budgets during the last few years. Benefits in all
aspects of business performance are evident because of the systematic OSH management. This ranges
from employee satisfaction to hard facts, e.g. accident frequency and sick leave. The standard SCC
shows only reduced management system understanding, ostensibly not fitting for a large-scale business.
The case study business also carried out a certification of its OSHMS according to the standard SCC for
obtaining third-party input and feedback. The SCC elements provide some important initial hints regarding
the elements of OSHMS. Based on these, further steps can be undertaken, which are even more far-
reaching than SCC.