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Case study (Delegate) 

SECTION 2: Sample documented information


pertaining to – OH&S Planning

Contents
Processes needed to address risks and opportunities to the extent .................................................. 32
Risks and opportunities to the OH&S MS - OHS008 Issue 1 ......................................................... 34
Planning action (OH&S MS) – OHS009 Issue 2 ............................................................................ 37
OH&S Risk Assessment procedure guidance – OHS010 – Issue 3 ................................................ 38

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The Basic Procedure: ................................................................................................................... 38

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Risk Evaluation – Scoring system to be used .............................................................................. 42

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Process(es) for legal and other requirements ................................................................................... 43
20
1:
OHSMSP 16 – Legal and Other requirements Issue 1 .................................................................... 44
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Slip Lifts (Malaysia) BHD – Health and Safety Legal Register – OHSR3 – Issue 3 ..................... 46
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Statutory instruments (Regulations) owned and enforced by HSE/DOSH: .................................... 46


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Procurement procedure H&SMSP 13 – Issue 3 .............................................................................. 49


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Training, Awareness and Competence OHSMSP8 – Issue 1 .......................................................... 52


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Process to manage incidents and nonconformities - OHS012 Issue 1 ............................................ 54


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Incident investigation procedure – H&SMSP14 – Issue 2 .............................................................. 55


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Procedure H&SMSP 19 (Issue 1) - Enquiries, Complaints & Non-conformities ........................... 58


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Emergency Preparedness and Response – H&SMSP16 Issue 1 ..................................................... 60


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Monitoring, measurement and evaluation – H&SMSP 18 - Issue 1 ............................................... 62


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Procedure H&SMSP 20 – Internal Audits (Issue 2) ........................................................................ 64


OHSR11 (Issue 1) Integrated Audit Programme 20xx-2 ................................................................ 66
OHSR11 (Issue 2) Integrated Audit Programme 20xx-1 ................................................................ 67
OHSR11 (Issue 3) Integrated Audit Programme 20xx .................................................................... 68 
 

 
 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 31
Case study (Delegate)
 
Operational planning
Processes needed to address risks and opportunities to the extent and control processes
necessary OHS007 Issues 2
Pro-active Please note:
Scope How to
A.1 A.3 and B.1 B.6 are supported
evaluate

-ID
Documented by their respective operating procedures
effectiveness of
methodology(ies) and (or further processes) when required for

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actions
Determine criteria confidence (carried out as planned)

-B
Nature Actions to
methodology(ies)

18
Ops address risks,
and criteria for

20
opportunities,
assessing Effective Achieves
Timing legal and other,

1:
OH&S risks participation of continual and emergency

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A1 workers improvement situations

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Systematic Document information of OH&S Legal and

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risks, and opportunities that need other
Issues (4.1) addressing requirements

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(How to apply)

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Requirements (4.2)
rC Risks and opportunities
Scope (4.3) to the OH&S MS Emergency
to
Determine Planning situations
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risks and What needs Action


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Changes to organization, processes, and OH&S MS


Outputs Best practices,
opportunities communicating A3
from the technological
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that need (see B.6)


Intended outcome(s) of the OH&S MS OH&S options,
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addressing MS financial,
Take account of
Appropriate involvement of other interested parties 6.1.2.1 a) - h) operational,
business
How to integrate and requirements
Prevent, reduce undesired effect
implement actions Hierarchy
(OP1) into OH&S MS/ of
Assurance of intended outcome(s) A2
  business processes controls

 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 32
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Emphasize participation Documented Methodology(ies) Documented criteria Scope

B.1 B.2

-ID
Take account of Assess
Identify OH&S hazards Documented OH&S risks
OH&S risks

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6.1.2.1 a) -> h)
OH&S hazards

-B
‘XX’

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‘ZZ’
On-going ‘YY’

20
1:
Effectiveness of existing controls Achieves 6.1.1 a) – c)

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Updated documented
information on ‘ZZ’

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legal and other B.3
B.5

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requirements Issues (4.1) Identify/assess risks and

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Risks and opportunities
Access and determine opportunities to the OH&S
to the OH&S MS

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legal and other MS
Requirements (4.2)

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requirements OH&S

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risks
+ (improving the OH&S MS)
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B.6
B.4
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Documented OH&S
Planned changes
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Determine how to Identify OH&S opportunities


(policies, processes, activities)
apply and what needs opportunities
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What communicating Opportunities to adapt


needs Opportunities to
work, work
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communicating ‘XX’ eliminate/reduce


organization and work
hazards/OH&S risks ‘YY’
environment
Intended outcome(s) of How to apply
A.2 
the OH&S MS (See A.3)

 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 33
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Risks and opportunities to the OH&S MS - OHS008 Issue 1


 

# Issues (Internal) Expected Result Uncertainty Risks (-ve) Opportunities (+ve)


(Effect) (Effect)

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1 Social customs around PPE 8.1.2 e) Use of PPE Social custom is for Workers ignore the Opportunity to be known in the
workers to provide their organization’s OH&S sector as a caring and forward

SI
Responsibility of OH&S 5.1 a) Top management shall
own PPE, and be solely processes, and OH&S thinking employer, attracting
take overall responsibility and

-B
The willingness to be responsible for their performance does not good quality human resources
accountability for the

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involved in consultation and OH&S. Also the improve and inward investment from
protection of workers…

20
participation willingness to be involved client’s (including oversees
5.1 k-m) protecting workers,
in consultation and client’s) concerned with

1:
process(es) for
participation in a work reputational impacts and good

00
consultation/participation,
setting is traditionally social responsibility/governance

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establish OH&S committees
very poor

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2 Is the organizational 8.1.4.3 Outsourced processes Structure is very flat, with Poor OH&S

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structure capable of ensuring are controlled most of the workers being performance affecting (Not every issue will have an

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adequate control for OH&S, 8.1.4.2 Contactor controls for of low education, or the workers and others opportunity associated with it.

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especially when outsourcing communicating hazards, work is outsourced. OH&S, reputational Please do not mix up risk

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and with the use of evaluation and OH&S Uncertainty around damage, fines, loss of treatment with an opportunity)
contractors risks…… rC adequate supervision and customers
OH&S control
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3 ……………… ………………. ………………. ………………. ……………….


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# Issues (External) Expected Result Uncertainty Risks (-ve) Opportunities (+ve)
(Effect) (Effect)
1 Cultural – risk taking 5.1 j) Top Management Might be considered as OH&S MS is not
(contractors/outsourcing) promoting a culture that part of the culture, and effective and does not
supports the OH&S MS seen as normal practice in achieve its intended
10.3 b) Promoting a culture Malaysia. outcome(s)

-ID
supporting an OH&S MS Expansion into other Workers continue to

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7.3 b) Awareness of benefits regions will require adopt peer pressure

-B
of improved OH&S research into culture norms to get the work
performance and their affecting OH&S done

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contribution Workers are injured,

20
7.3 c) Aware of the suffer ill health, or

1:
implications of not conforming fatal consequences (Not every issue will have an

00
8.1.1 b) Implementing control Investment cost of the opportunity associated with it.

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of the processes in accordance OH&S MS is lost Please do not mix up risk
with the criteria Contracts helped by treatment with an opportunity)

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5.2 a) Commitments in the having an OH&S MS

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policy to provide safe and may be lost due to

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healthy workplace non-adherence

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Other MS’s could be

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2 Relationships with, and (Please note/ there Collaborating in forums which
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perceptions and values of, its may also be –ve risk focus on topics dealing with
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external interested parties – associated with any health and safety (Opportunity
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OHS is becoming more opportunity!) to improve the OH&S MS)


important
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3 ……………… ………………. ………………. ………………. ……………….

 
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# (Relevant) Requirements Expected Result Uncertainty Risks (-ve) Opportunities (+ve)
(Workers) (Effect) (Effect)
1 Opportunities for dialogue, Manager & workers OH&S culture does
5.1 l-m) Process(es) for
improvement, and when traditionally do not not improve
consultation/participation,
changes occur consult or participate on
establish OH&S committees OH&S preformance is
OH&S matters.

-ID
5.2 Policy commitment to affected
(Not every requirement will
consultation/participation Time to consult/

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Hazards/risks are not have an opportunity associated
participate and logistical

-B
5.4 Process(es) for identified with it. Please do not mix up risk
arrangements
consultation and participation OH&S loss to workers

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treatment with an opportunity)
Culture in respect to
a)-e)

20
OH&S importance
10.3 Ensure participation of

1:
workers

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2 ………………. ………………. ………………. ………………. ……………….

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# (Relevant) Requirements Expected Result Uncertainty Risks (-ve) Opportunities (+ve)
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(Other interested parties) (Effect) (Effect)
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1 Contractors/suppliers 8.1.4 Controls for procuring OH&S requirements are Poor OH&S Improving the OH&S culture by
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/outsourcing – Clear goods/services conform to not clearly defined in our performance, and extending competence related to
statement of OHS OH&S MS requirements contracts, and demoted to OH&S loss to workers OH&S beyond requirements
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requirements in a contract Annex (OH&S Opportunity to improve


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tenders/contracts OH&S)
2 ……………. ………………. ………………. ………………. ……………….

 
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Planning action (OH&S MS) – OHS009 Issue 2


 

Category: Identified need: Actions required: How to:


1. Address risks and OH&S MS - The Top management are to demonstrate their commitment Integrate – Business processes will be

-ID
opportunities willingness to be to the OH&S MS and those involved with it. Monthly updated to include the actions stated.

SI
involved in OH&S committees are to be set up with top

-B
consultation and management involvement. All workers will be invited Implement into OH&S MS or other

18
participation in a work to select their representatives at the committees. processes – Production Director is tasked to
implement these actions within 3 months

20
setting is traditionally Meeting minutes will be published with actions to
very poor. Workers improve OH&S performance. All suggested (from last management review).

1:
might ignore the improvements will be considered before a decision is

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organization’s OH&S made. All OH&S MS decisions that need to be made Evaluate effectiveness – This will be

45
processes, and OH&S will involve consultation with the workers before the through the first OH&S Committee
scheduled in two months’ time.

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performance does not decision is made. All decisions in the OH&S MS will

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improve. be transparent. Time, training, resource will be made Hierarchy of controls – N/A
available for consultation and participation.

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Other considerations – Operational and

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business requirements and constraints.
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................. …………………. ......................
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OH&S Risk Assessment procedure guidance – OHS010 – Issue 3


Internal OH&S risk assessment procedure guidelines
The term risk assessment appears in many different sets of Regulations: Control of Substances Hazardous
to Health, Management of Health & Safety at Work, Manual Handling, Display Screen Equipment, Fire
Safety, Noise, Vibration etc. The process referred to in all of these pieces of legislation is identical.

The aim of any risk assessment is to prevent accidents and injury. It requires all employers to examine
their processes, equipment, workplaces and work practices to highlight where the potential for accidents
exists. Once the hazards (anything which has the potential to cause harm) are identified, the risk assessment
requires the employer to evaluate the risk. This involves looking at the hazard and considering how likely it
is that it will cause injury as well as the possible severity of the injuries which could be caused. This is by
no means an exact science, but by completing an assessment risks can be identified as high, medium and

-ID
low, which will allow priorities to be set for improvements.

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The Basic Procedure:

1 8-
1. Identify the hazards - in relation to processes or the workplace.
2. Identify who is at risk - consider employees and others. 20
1:
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3. Identify any existing controls - have people been trained?


4. Evaluate the risk - consider possible likelihood and severity.
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5. Take action to reduce the risk of accidents - consider long and short term action.
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6. Record all findings.


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7. Review - if there are any changes.


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8. Monitor - have improvements been implemented? If yes, have they worked?


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The process is always the same. However, the actual specific items examined will differ depending on the
type of risk assessment being completed. Managing Health & requires a general risk assessment of all work
operations. From these more specialist risk assessments will flow.

GENERAL RISK ASSESSMENT

Identify all hazards

DISPLAY SCREEN MANUAL CHEMICALS WORK


EQUIPMENT HANDLING EQUIPMENT

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1 8-
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Slip Lifts (Malaysia) BHD strives to carry out suitable and sufficient assessments of the OH&S risks to the
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health and safety of our employees. The significant findings of the assessments have to be recorded along
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with details of any groups of employees identified as being especially at risk. The contents of the
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assessments will be reviewed:


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 If there is reason to suspect that they are no longer valid.


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 If there has been a significant change in the matters to which they relate
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Every three years if no review has occurred in the interim


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Slip Lifts (Malaysia) BHD are required to provide information to employees on the results of the risk
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assessments. The information has to be comprehensible and relevant on: -


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 The risks to their health and safety identified by the assessments.


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 The preventative and protective measures being taken by management to reduce or eliminate these
risks.
 The identity of the competent persons nominated to implement H&S procedures and any other
procedures to be followed in the event of serious and imminent danger.

1. Identifying Hazards

When seeking out and identifying hazards, adequate information is necessary and reference should be made
to relevant sources such as:
 
Legislation and approved codes of practice
Health and Safety regulators (DOSH) Guidance
Product information - manufacturer guidance
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 39
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Personal knowledge of managers, colleagues and safety representatives
Accident records
Expert advice

In the simplest cases hazards can be spotted by observation and questioning. They may be identified by
individual activities, people or work areas depending on the nature of the area(s) being assessed. Some
tasks may be undertaken by several people in the same department; so an assessment covering the task or
activities would be more appropriate than one covering each individual. Individual aspects about the
people will need to be taken into account i.e. one person may be 5 feet tall the other 6 feet 2 inches,
therefore further risks may be applicable to one employee rather than the other.

2. Identify Those At Risk

-ID
In most cases the person at risk will be the person actually involved in the work. It is however important

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to remember third parties including members of the public who could be affected by the hazard.

1 8-
3. Are There Any Existing Controls? 20
1:
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Are there any existing controls which are already helping to reduce the risk of injury?
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e.g. Have employees been trained?


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Is PPE worn?
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Are warning signs displayed?


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Remember to include only those existing controls which are working effectively. If you know that face
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masks are available, but they are not worn, or are not suitable, then this is not an existing control measure.
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4. Evaluating the Risk


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Evaluating the risk involves judging the likelihood and the severity of the harm that may arise as a result
of the hazard.

Some risks will be insignificant either because the likelihood is very low, or because the severity of injury
is very low, or both.

Risk = Hazard Severity X Likelihood of Occurrence

A scoring system will be used to help in this process and is an essential part of a risk assessment. (See
following table.)

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5. Decide On Measures
The measures, which will be required to minimise or remove risk, need to be considered by applying a
hierarchy of risk control measures. This is the important part of every risk assessment; as it is here where
we are required to take action to reduce the risk of injury.

1 Eliminate the Risk i.e. Is it possible to stop using the chemical or piece of equipment?
2 Personal Protective Equipment (PPE) – Effective if not costly
3 Discipline
4 Substitute i.e. Can we use a less hazardous substance?
5 Engineering Controls at Source i.e. Guards and safety devices
6 Re-design workplace of task
7 Safe Systems Of Work i.e. Staff Operating Procedures which are communicated
8 Training & Supervision - If employees are trained supervision will be needed to ensure the
training is followed

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9 Warning Signs - these do not eliminate the risk but do raise awareness

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10 Maintenance of equipment - to prevent accidents from using defective equipment
11 Good Housekeeping - having clear routes, safe storage

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This is by no means an exhaustive list as certain specific controls will be needed to suit certain work
1:
areas.
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6. Record the Assessment


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It is a legal requirement for many countries with over five employees to record their assessments. Blank
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forms can be found in the QESH management system document set.


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7. Review / 8. Monitor
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The risk assessments will need to be monitored regularly. This will be completed by the Managing
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Director on at least an annual basis.


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Risk Evaluation – Scoring system to be used

Severity (Worst Outcome)

Severe – Disabling / Death e.g. Disability, amputations, Death of one person or


3 Multiple Deaths

Serious – Lasting Injury e.g. Burns, fractures, back injuries, eye injuries. This may
2 include injuries caused by situations involving machinery.

Minor / Temporary harm e.g. Scratch, bruise, minor cut. Injury will allow normal
1 work but may include first aid attention. Typically there is no lost time.

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Likelihood

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Likely: Under the prevailing conditions an accident or incident will either occur or
3

1
will be very difficult to avoid.
20
Possible: Under normal conditions with current procedures being maintained an
1:
2
accident or incident is possible.
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Improbable / Unlikely: There is very little risk present. Only under exceptional
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1
circumstances would there be an accident or incident.
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As shown below the shaded areas present the level of risk. Low risk is represented by a 1 or 2, Medium
risk is represented by a 4 – 6, and High risk is a 9.
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  SEVERITY
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  1 1 2 3
  LIKELIHOOD 2 2 4 6
 
3 3 6 9
 
 
 
 
(SPECIFIC RISK ASSESSMENTS ARE COVERED IN THE SECTIONS
BELOW)

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 42
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Process(es) for legal and other requirements


Documented information

Keep up-to-date

-ID
(Subscription Service
Legal and other requirements
to ‘XXXXX’)

SI
-B
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Review mechanism

20
(3 months email notification)

1:
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Have access to legal Communication
Determine how to apply

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START Determine what needs needs
and other requirements How
Determine legal and other to organization communicating

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(Website ‘XXX’ + Qtly CD Access
Implementing requirements (Qtly OH&S committee, (OH&S manager) (7.4)

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disk) to
(Consultant-external-quarterly) Consultant,

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OH&S manager) apply

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Hazards OH&S risks
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Continual
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Documented
Improvement
9.3b) Information
(10.3) Take into account in OH&S MS
Management review
(OH&S manager) Monitoring, measurement,
(Quarterly)
Support analysis and evaluation (9.1.1)
(7) Evaluating compliance (9.1.2)
Operation (8)
  Outputs

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Case study (Delegate)

OHSMSP 16 – Legal and Other requirements Issue 1

1.0 Purpose

This procedure includes the identification and access to legal and other OH&S requirements, the
determination of how these apply to the OH&S Management System and the communication of relevant legal /
other information to all interested parties.

2.0 Scope

This procedure contains the following sections:-

4.1 Legal and Other Requirements

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3.0 Glossary

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MD - Managing Director

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HSEQ - Health, Safety, Environment and Quality

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MS - Management System
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1:
OH&S - Occupational Health & Safety
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4.0 Procedure
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The MD & Head of HSEQ are responsible for the implementation of this procedure.
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The Head of HSEQ is responsible for the maintenance of a register of applicable health & safety legislation
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and other requirements, and evidence of compliance with these requirements.


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4.1 Legal and Other Requirements


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SLIP LIFTS (MALAYSIA) BHD has established this procedure to identify / give access to legal
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requirements and other requirements that are applicable to the organization. This allows SLIP LIFTS
(MALAYSIA) BHD to be aware of various health and safety requirements and how they apply to its
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activities, products and services. This information is also communicated to all persons, or subcontractors
working on behalf of SLIP LIFTS (MALAYSIA) BHD whose activities could affect compliance with these
requirements.
 
The development of Malaysian Health and Safety Laws have been based upon UK laws. It has therefore
been decided that to ensure compliance in Malaysia, and achieve integratable standards, it is necessary to
embrace the UK safety legislative structure unless it fails to provide an equal or higher standard than the
Malaysian equivalent.

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 44
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This procedure is used in the identification and tracking of legal or other requirements:

To assist with remaining up to date with health and safety legislation, an email update link has been
established with the chosen health and safety legislation Internet sites. Evaluation of Compliance is carried
out 6-monthly using a legislation compliance checklist – see Monitoring, Measurement & Evaluation
procedure H&SMSP18.

A register of UK health and safety legislation has been compiled and the applicability of this legislation to
the activities carried out by SLIP LIFTS (MALAYSIA) BHD has been considered and included on the
register. The register is also used to indicate how the legislation has been taken into account in the OH&S
MS.

Where appropriate, other (non-legal) requirements have been included, and the register also cross-
references to the register of health and safety objectives and programmes, and any associated control

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procedures.

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Slip Lifts (Malaysia) BHD – Health and Safety Legal Register –


OHSR3 – Issue 3
Statutory instruments (Regulations) owned and enforced by HSE/DOSH:
S.I. Topic & Applicability Legislation Compliance – How established
Name of Regulation Year
no. Y=Yes, N=No, P=Potential & status

Chemicals (Hazard Information and Packaging 2002 1689 CHIP – P Reviewed – considered not directly applicable
for Supply) Regulations 2002 (S.I. 2002/1689) (potential supplier issue)

Chemicals (Hazard Information and Packaging 2005 2571 CHIP – P Reviewed – considered not directly applicable
for Supply) (Amendment) Regulations 2005 (S.I. (potential supplier issue)
2005/2571)

Chemicals (Hazard Information and Packaging 2008 2337 CHIP – P Reviewed – considered not directly applicable
for Supply) (Amendment) Regulations 2008 (S.I. (potential supplier issue)
2008/2337)

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Compressed Acetylene Order 1947 (S.I. 1947 805 Fire - P Limited applicability – company aware (to be
1947/805) monitored)

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Confined Spaces Regulations 1997 (S.I. 1997 1713 Confined spaces - P Limited applicability – company aware (to be

8-
1997/1713) monitored)

1
Construction (Head Protection) Regulations 1989
(S.I. 1989/2209)
1989 2209 Construction - N
20 Reviewed – considered not applicable
1:
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Control of Asbestos Regulations 2012 2012 2739 Asbestos - Y Compliant – see compliance checklist. 2012
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amendment came in to force 6th April 2012 -


being monitored
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Control of Major Accident Hazards Regulations 1999 743 COMAH - P Reviewed – considered not applicable
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1999 (S.I. 1999/743)


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Control of Major Accident Hazards (Amendment) 2005 1088 COMAH - P Reviewed – considered not applicable
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Regulations 2005 (S.I. 2005/1088)


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Control of Noise at Work Regulations 2005 (S.I. 2005 1643 Noise - Y ?


2005/1643)
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Control of Substances Hazardous to Health 2003 978 COSHH - Y Compliant – see compliance checklist
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(Amendment) Regulations 2003 (S.I. 2003/978)

Control of Substances Hazardous to Health 2004 3386 COSHH - Y Compliant – see compliance checklist
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(Amendment) Regulations 2004 (S.I. 2004/3386)


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Control of Substances Hazardous to Health 2002 2677 COSHH - Y Compliant – see compliance checklist
Regulations 2002 (S.I. 2002/2677)

Control of Vibration at Work Regulations 2005 2005 1093 Vibration - Y Compliant – see compliance checklist
(S.I. 2005/1093)

Dangerous Substances (Notification and Marking 1990 304 General – Y / P Limited applicability – company aware (to be
of Sites) Regulations 1990 (S.I. 1990/304) monitored)

Dangerous Substances and Explosive 2002 2776 Dangerous substance (Fire Limited applicability – company aware (to be
Atmospheres Regulations 2002 (S.I. 2002/2776) and explosion) monitored)
–P/N

Electricity at Work Regulations 1989 (S.I. 1989 635 Electrical safety - Y Not sure
1989/635)

Employers’ Health and Safety Policy Statements 1975 1584 General - Y Compliant – see compliance checklist
(Exception) Regulations 1975 (S.I. 1975/1584)

Employment Medical Advisory Service (Factories 1973 36 General – Y / P Limited applicability – See HSE Acts below
Act Orders etc Amendment) Order 1973 (S.I.

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S.I. Topic & Applicability Legislation Compliance – How established


Name of Regulation Year
no. Y=Yes, N=No, P=Potential & status

1973/36)

Factories Act General Register Order 1973 (S.I. 1973 8 General – Y / P Limited applicability – company aware (to be
1973/8) monitored)

Fire Certificates (Special Premises) Regulations 1976 2003 Fire – N / P Limited applicability – company aware (to be
1976 (S.I. 1976/2003) monitored)

Fire Precautions (Factories, Offices, Shops and 1989 76 Fire – Y Compliant – see compliance checklist
Railway Premises) Order 1989 (S.I. 1989/76)

Fire Precautions Act 1971 (Modifications) 1989 79 Fire – Y Information only


(Revocation) Regulations 1989 (S.I. 1989/79)

Health and Safety (Consultation with Employees) 1996 1513 Workers – Y Not Compliant – see compliance checklist
Regulations 1996 (S.I. 1996/1513)

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Health and Safety (Display Screen Equipment) 1992 2792 Offices – Y Compliant – see compliance checklist

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Regulations 1992 (S.I. 1992/2792)

8-
Health and Safety (Enforcing Authority) 1998 494 Local authorities - Y Limited applicability – company aware (to be
Regulations 1998 (S.I. 1998/494) monitored)

1
Health and Safety (Explosives and Petroleum 1987 52 Explosives – N 20 Limited applicability – company aware (to be
1:
Fees) (Modification) Regulations 1987 (S.I. monitored)
00

1998/52)
45

Health and Safety (First-Aid) Regulations 1981 1981 917 First aid – Y Not Compliant – see compliance checklist
(S.I. 1981/917)
O
IS

Health and Safety Information for Employees 2009 606 Business – Y Compliant – see compliance checklist
(Amendment) Regulations 2009 (S.I. 2009/606)
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Health and Safety (Miscellaneous Amendments) 2002 2174 General – P Information only – See HSE Acts below
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Regulations 2002 (S.I. 2002/2174)


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Health and Safety (Safety Signs and Signals) 1996 341 General – Y Compliant – see compliance checklist
Regulations 1996 (S.I. 1996/341)
to
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Health and Safety at Work etc Act 1974 2002 282 Workers – Y / P Potentially applicable – company aware (to be
Au

(Application to Environmentally Hazardous monitored)


substances) Regulation 2002 (S.I. 2002/282)
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Health and Safety at Work etc. Act 1974 New variation – reviewed and deemed not
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(Application outside Great Britain) (Variation) 2011 745 Workers / Offshore - N applicable
Order 2011

Health and Safety Information for Employees 1995 2923 Workers – Y / P Information only
(Modifications and Repeals) Regulations 1995
(S.I. 1995/2923)

Health and Safety Information for Employees 1989 682 Workers - Y Compliant – see compliance checklist
Regulations 1989 (S.I. 1989/682)

Health and Safety Inquiries (Procedure) 1976 1246 General – P Limited applicability – company aware (to be
(Amendment) Regulations 1976 (S.I. 1976/1246) monitored)

Health and Safety Inquiries (Procedure) 1975 335 General – P Limited applicability – company aware (to be
Regulations 1975 (S.I. 1975/335) monitored)

Management of Health and Safety at Work 1999 3242 Risk - Y Compliant – see compliance checklist
Regulations 1999 (S.I. 1999/3242)

Management of Health and Safety at Work 2006 438 Risk - Y Compliant – see compliance checklist
(Amendment) Regulations 2006 (S.I. 2006/438)

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 47
Case study (Delegate)

S.I. Topic & Applicability Legislation Compliance – How established


Name of Regulation Year
no. Y=Yes, N=No, P=Potential & status

Manual Handling Operations Regulations 1992 1992 2793 Manual handling - Y Sometimes Compliant – see compliance
(S.I. 1992/2793) checklist

Notification of Conventional Tower Cranes 2010 811 Construction - N Reviewed – considered not applicable
(Amendment) Regulations 2010

Notification of Employment of Persons Order 1964 533 Workers – Y / P Information only


1964 (S.I. 1964/533)

Notification of Tower Cranes Regulations 2010 2010 333 Construction - N Reviewed – considered not applicable

Reporting of Injuries, Diseases and Dangerous 2012 RIDDOR - Y Compliant – see compliance checklist.
Occurrences (Amended) Regulations 2012 Extension of period of incapacitation before
need to report from 3 to 7 days and period in
which report is sent to 15days.
This is not applicable to Malaysia however our
Partner Up Down Lifts Ltd requires reporting

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to them as though they were an enforcing
body.

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Safety Representatives and Safety Committees 1977 500 Safety representatives - Y Compliant – see compliance checklist

8-
Regulations 1977 (S.I. 1977/500)

1
Work at Height (Amendment) Regulations 2007
(S.I. 2007/114)
2007 114
20
Falls from height - Y Compliant – see compliance checklist
1:
00

Workplace (Health, Safety and Welfare) 1992 3004 General - Y Compliant – see compliance checklist
Regulations 1992 (S.I. 1992/3004)
45
O


IS
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Topic & Applicability Legislation Compliance – How established


Statutes – DOSH (Malaysia) Year
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Y=Yes, N=No, P=Potential & status


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Safety and Health Act 1994 Businesses – Y Compliant – see compliance checklist
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Occupational Safety and Health (Safety Officer)


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1997 Businesses - Y Compliant – see compliance checklist


Regulations
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Occupational Safety & Health (Notification of


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accident, dangerous occurrence, occupational 2004 Businesses - Y Compliant – see compliance checklist
poisoning and occupational disease) Regulations
Le

   

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 48
Case study (Delegate)

Procurement procedure H&SMSP 13 – Issue 3

Purpose
The purpose of this procedure is to define the methods adopted in procurement.

Scope
Health and Safety considerations are to be taken into account as part of Slip Lifts (Malaysia) BHD
business procurement procedures. This is to ensure that products, services, equipment and materials are
capable of meeting needed criteria and preserve health and safety at the required level.

Responsibility
It is the responsibility of line management to ensure that products or services purchased achieve the

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desired criteria.

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BS
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References

1
Supplier Health and Safety Appraisal Questionnaire 20
1:
00
45

Procedure
All purchases will be made in accordance to procedures defined in the Company Quality Manual.
O
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All Hazardous Chemicals Control Ordinance (HCCO) permit related materials are subject to Risk
e

Assessment.
rs
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Approval of suppliers will be agreed with purchasing using the Supplier H&S and Safety Appraisal
Questionnaire (OH&S criteria), unless otherwise supported with an approved and completed Exemption
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Form.
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Suppliers are expected themselves to complete the above form, with supporting documentation, before
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considerations are given for approval.


Suppliers and contractors providing services to Slip Lifts (Malaysia) will be monitored against health
ad

and safety parameters as per Key Performance Indicators agreed at time of contract signing.
Le

OH&S MS requirements must always be met by contractors and their workers.

The type and degree of control


Please follow the below steps when defining the type and degree of control to be applied to outsourced
processes:

1) Firstly, ensure the activity meets the criteria for an outsourced process:

An outsourced process is one that fulfils all of the following:

a) It is within the scope of the OH&S management system


b) It is integral to the organization’s functioning
c) It is needed for the OH&S management system to achieve its intended outcome
d) Liability for conforming to requirements is retained by the organization

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 49
Case study (Delegate)

e) The organization and the external provider have a relationship where the process is perceived by
interested parties as being carried out by the organization

2) Then, determine the outsourced process risk category:

Low risk – If the activity deviates from the expected it would have a negligible impact on achieving the
intended outcome(s) of the OH&S MS, minor injury, no ill health, no prosecutions, no fines etc. no effect
on reputation, no loss of business with clients, and not affecting other interested parties

Medium risk – If the activity deviates from the expected it would have an impact on achieving the
intended outcome(s) of the OH&S MS, possibly resulting in injury, ill health, enforcement notices, fines,
affecting reputation, losing business with clients, and affecting other interested parties

High risk – If the activity deviates from the expected it would have a large impact on achieving the

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intended outcome(s) of the OH&S MS, possibly resulting in death, serious ill health, prosecutions, large
fines, greatly affecting reputation, losing major clients, and greatly affecting other interested parties

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3) Then, ensure the appropriate controls are applied to the outsourced process by implementing the below

1
(depending on risk category).
20
1:
Type and degree of controls needed
00
45

Letter stating general Operate according Self-monitoring No OH&S reports


O

OH&S requirements, to their own RA, by outsourced necessary, unless


IS

including general SSOW (reviewed organization legally reportable


e

OH&S awareness and by us)


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competence
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Low risk √ √ √ √
to

Contract detailing Operate according Periodic Monthly OH&S


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minimum OH&S to our own RA, supervision from reporting and any
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requirements SSOW our staff (at least incidents


ad

weekly) occurring
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Medium risk √ √ √ √
Minimum OH&S At least one Regular site Regular toolbox
competency to be qualified, inspections talks expected
defined for certain dedicated OH&S expected (1/month) by their
workers personnel staff
employed (1/week) by their
staff
Medium risk √ √ √ √

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 50
Case study (Delegate)

Full contract Operate Constant Weekly Monthly Site


including according to supervision OH&S formal OH&S tours with
Annex our own RA, from at least reporting their top
detailing SSOW, and one of our (template to management
stipulated Permits OH&S be provided)
OH&S competent staff and any
requirements incidents
occurring

High risk √ √ √ √ √

Minimum Formal At least one Regular Calibration and


OH&S references are professionally toolbox talks equipment/plant
competency to needed qualified expected statutory

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be defined for relating to OH&S (1/week) by inspections to be

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all workers OH&S specialist our staff forwarded for

BS
(depending performance employed inspection

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upon work (depending

1
performed) upon work
20
1:
performed)
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High risk √ √ √ √ √
45
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Supplementary Information
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Contractor Files
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Purchasing and Accounts Standard Operating Procedures


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Customer requirements (Sales Order / Job Files)


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Governmental and relevant NGO Guidelines (if mentioned by customer)


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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 51
Case study (Delegate)

Training, Awareness and Competence OHSMSP8 – Issue 1


Slip Lifts (Malaysia) BHD recognizes that effective Safety Management requires co-operation from all
persons working on behalf of the Company. As such, it is committed to provide health and safety training
for all persons employed.
Subcontractors will be notified to assess their own staff in line with Slip Lifts (Malaysia) BHD Policy.

Health and Safety training will be delivered in the following circumstances:

 Induction training for all new staff


 Company newsletters and / or notice boards
 ‘Toolbox’ talks
 Site Health and Safety Awareness Training

-ID
 Specific staff training and briefing sessions (e.g. health and safety auditor training and operational
controls)

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1 8-
Purpose
20
This procedure describes the provisions of training to ensure that any persons working for or on behalf of
1:
the company, involved in the activities covered by the scope of the H&SMS, are properly trained to carry
00

out their assigned duties; in a manner that will not cause deviation from the company health and safety
45

policy.
O
IS

Scope
e
rs

This procedure applies to H&S related training for staff and any persons working for or on behalf of Slip
ou

Lifts (Malaysia) BHD involved in the activities covered by the scope of the H&SMS. Slip Lifts (Malaysia)
rC

BHD will ensure that all persons performing tasks for or on behalf of the organization, which includes
contractors, sub-contractors, temporary staff and remote workers, have had an appropriate assessment for
to
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their potential to cause a significant health and safety impact and the associated competence required.
Au

Responsibility
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Health and Safety, and Production Manager:


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The Health and Safety, and Production Manager, shall ensure that persons working for or on behalf of the
company within the scope of H&SMS are competent on the basis of appropriate education, training or
experience. The Managers shall identify training needs for persons working for or on behalf of the
company to ensure individual competence to implement the H&SMS effectively.

Human Resources Manager (HRM) and Training Officer (HRTO):


The HRM shall consolidate the training needs and prepare an annual training plan (OHSR5). The HRTO
shall arrange or coordinate training and keep training records.
 
Reference
OHSR 5 Training Plan
OHSR 5.xx Training Attendance records

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 52
Case study (Delegate)

Procedure
Identification of training needs and development of training plans:
The Health and Safety Manager, and Production Manager, will identify the needs of health and safety
training where appropriate. The Health and Safety Manager may also identify additional training needs in
consultation with individual staff members.
The HRM shall produce an annual training plan and shall consider various types of health and safety training
programmes, or other means such as:
 ISO 45001 Awareness Training Programmes (including new starters)
 H&SMS Implementation Training
 H&SMS Auditor Training
 Other specific on-job training

Organization of Training

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For each staff member of Slip Lifts (Malaysia) BHD, the HRTO shall establish, implement and maintain a
training record of any type of H&S related training received. Where a training course is undertaken

I
BS
internally, names of the attendants shall be recorded in the Training Attendance Records (OHSR 5.xx). All

8-
training shall be delivered in English.

1
The effectiveness of training may be evaluated by the Health and Safety and Production Manager (as
20
appropriate) through questionnaire, test, on-job performance review, internal audit, etc. The evaluation
1:
method shall be defined in the Training Plan.
00
45

 
 
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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 53
Case study (Delegate)

Process to manage incidents and nonconformities - OHS012 Issue 1


 
Incident or nonconformity Timely manner

10.2
React: Take action to control and correct

Nature of incident or
Timely controlled and corrected nonconformity, and
subsequent actions
10.2
Effects of the nonconformity
React: Deal with consequence

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Participation/
Dealt with consequences
involvement

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10.2

1 8-
Evaluate need for action…does not recur/occur
20
1:
Causes Evaluated and no
00

Reviewed
Evaluated and action needed action needed
45

ineffective
10.2
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New/changed
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hazards,
Implement action needed
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hierarchy, 10.2
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management of
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Existing
Assessments Action implemented change
Retain documented information
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10.2
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Review effectiveness of any action taken Results of action,


including Documented
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effectiveness information
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Reviewed effective

10.2
Make changes to the OH&S MS if necessary
10.2

Communicate documented information

Changes made
To relevant workers To workers’
representatives

To relevant interested
parties

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 54
Case study (Delegate)

Incident investigation procedure – H&SMSP14 – Issue 2


Introduction

This procedure has been designed to investigate incidents, decide on and implement measures to prevent
a re-occurrence. This will involve detection, analysis and the elimination of the potential root causes.

Definitions

Incident – A generic term to cover all accidents, near misses, property damage or nonconformities.

Accident – An unintended or unplanned event that resulted in injury or occupational illness.


Examples – Cut Hand, strained back, occupational asthma.

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Near miss – A unintended or unplanned event where only good luck prevented an injury or

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occupational illness.

8-
Example – Falling object narrowly missing someone, equipment starting when maintenance are working

1
on it.
20
1:
Property damage – An event that caused physical damage to buildings or plant.
00

Example – Roller shutter door damaged by a FLT, electric motor overheating.


45
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Responsibilities
IS
e

All managers are responsible for ensuring appropriate investigations are held for all incidents, and that
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preventive /corrective actions are implemented according to an agreed timescale.


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The Health & Safety Manager is responsible for providing specialist support to persons assigned to
to

carry out such investigations.


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Initial actions
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Following an incident, the most senior person present should:


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 Take appropriate action to make the area safe;


 Preserve the incident scene to retain valuable information for the incident analysis (some
immediate preventive actions may be necessary to prevent other incidents from occurring).
Individuals responsible for securing the incident scene should balance these two activities
carefully;
 Photograph the scene before too many changes are made;
 Follow the Investigation procedures.

Investigation procedure
The business unit manager in charge of the activity, or equipment involved, should assemble an
appropriate investigation team.
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 55
Case study (Delegate)

The size and complexity of the team will depend on the potential seriousness of the incident. This can
range from a single responsible individual for minor incidents to a multi-functional team including
senior management and employee representatives.

Step 1 – Basic information gathering

Information relating to the incidents will be collected, this will include:

 Photographs of the area or equipment involved;


 Relevant company procedures & work instructions;
 Relevant training records;
 Records of similar incidents in the past;
 Risks assessments for the area, or activity;
 Witness statements (see appendix 1 );

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 Relevant standards, legislation and guidance.

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BS
8-
Practical issues such as the availability of cameras or arrangements for storage of evidence is detailed in

1
appendix 2.
20
1:
Step 2 – Basic information recording
00
45

Basic information relating to the incident should be recorded on either the OHSR7.2 (Accident Report),
O

or OHSR9 (Near Miss/NC Log Sheet).


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Step 3 – Basic cause identification


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The list of questions relating to the basic causes should be considered.


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Step 4 – Root cause identification


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For each basic cause identified in step 3, consider the possible root causes that could have been relevant
ad

to the incident. Record an explanation of the root cause.


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Step 5 – Corrective or protective actions

NOTE: No new corrective action should be implemented until a risk assessment has been carried out to
determine the effects of the proposed new actions.

Based on the identified root causes, corrective and preventive actions should be considered.
 
The focus of defining preventive actions should be on the broad principles involved, rather than defining
actions that would prevent the precise incident occurring again.
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 56
Case study (Delegate)

Step 6 – Risk assessment review

As a result of the investigation it is possible that relevant risk assessments will need to be reviewed and
revised in light of:

 New hazards and risks discovered during the investigation process and
 New hazards and risks that could be introduced as a result of the proposed new controls.

In almost all instances a review of the risk assessment will be a required action from the investigation

Step 7 – Action tracking

A copy of the completed investigation should be passed to the H&S Manager, who will monitor the
timely completion of actions.

I -ID
BS
Outstanding actions will also be collated and presented for discussion at the management review
meeting.

1 8-
Step 8 - Communication of incidents 20
1:
00

Where communication of incidents could assist in the highlighting of important issues to the workforce,
45

a summary of the incident and corrective actions should be placed on notice boards and discussed at the
O

next safety committee meeting. 


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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 57
Case study (Delegate)

Procedure H&SMSP 19 (Issue 1) - Enquiries, Complaints & Non-


conformities
 
Purpose
This procedure describes the approach for handling enquiries and complaints regarding Slip Lifts
(Malaysia) BHD’s health and safety performance, and addressing deviations from the requirements of
Slip Lifts (Malaysia) BHD’s H&SMS; so as to ensure a systematic process is developed to identify and
address nonconformities through both correction and preventive action.

Scope
This procedure applies to the handling of:
 enquiries (both internal and external) regarding Slip Lifts (Malaysia) BHD’s H&SMS or health and
safety performance;

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 complaints (both internal and external) regarding Slip Lifts (Malaysia) BHD’s H&SMS or health

I
and safety performance;

BS
 nonconformities related to Slip Lifts (Malaysia) BHD’s H&SMS requirements which shall include,

8-
but not be limited to the below :

1
20
o internal process/procedure non-compliance identified during regular monitoring / review
1:
o nonconformities identified in internal audits
00

o nonconformities caused by suppliers / contractors / service providers


45

This procedure also addresses nonconformities through correction and preventive actions; so as to
minimize impacts and the potential for occurrence in another area.
O
IS

Reference
e
rs

OHSR 9 – Near Miss/NC Log Sheet


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OHSR 10 – CAR Form


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OHSR 17 – Enquiries/Complaints Log


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Responsibility
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Health and Safety Manager – see procedure


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Head of HSEQ – see procedure


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Staff of Slip Lifts (Malaysia) BHD - see procedure

Procedure
Handling Enquiries / Complaints:
All staff shall report any internal or external OH&S MS enquiries / complaints to their supervisors, and
such enquiries / complaints shall be recorded in the Enquiries/Complaints Log and then tracked in the
CAR Form maintained by the Health and Safety Manager.
 
To handle complaints, the responsible personnel shall consult the Production Manager and/or Health
and Safety Manager to determine the appropriate preventive actions and to ensure the actions are
implemented effectively to rectify the problem. All actions are to be entered into the CAR Form.
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 58
Case study (Delegate)

Handling NC identified internally


Whoever raises an NC shall initiate a Near Miss/NC Log Sheet entry.
The Health and Safety Manager shall investigate the root causes of NC and complete the CAR Form as
appropriate.
Any changes of the H&SMS documentation shall be reflected through amending respective procedures
or instructions. The Health and Safety Manager shall ensure that these changes are communicated to all
relevant staff and the MDC01/2 completed/updated.

CAR Review
The Head of HSEQ will review and discuss any significant issues regarding the enquiry / complaint /
Near Miss / nonconformities identified, and assess the effectiveness of the actions taken.
The effectiveness of correction and preventive actions taken shall be reviewed at management review
meetings.

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Supplementary Material

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Nil

1 8-
20
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00
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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 59
Case study (Delegate)

Emergency Preparedness and Response – H&SMSP16 Issue 1


The procedure outlines the planned response to any foreseeable emergency situations that may arise as a
result of The Company’s activities (e.g. fire, electrocution, falls and other incidents). It is subject to
regular review in the field during the course of routine site inspections, health and safety audits, or
following actual or potential incidents.
The procedure will also define review and testing intervals to ensure the continued effectiveness of the
planned emergency responses.

Supplementary Information
Emergency Plan
Media contacts may be handled by relevant persons in consultation with the Health and Safety Manager
and Company Secretary
Training with regard to emergency evacuation and associated protocols will be co-ordinated by the

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Health and Safety Manager and HR/Training officer in consultation with other department heads and

I
emergency services.

BS
1 8-
Purpose
20
This procedure describes the preparedness and response procedures for potential accidents and
1:
emergency situations that give rise to significant health and safety impacts.
00
45

Scope
O

This procedure applies to all the activities of Slip Lifts (Malaysia) BHD for which potential accidents
IS

and emergency situations may arise. The procedures for preventing and mitigating the following
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emergency situations are described:


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Fires, explosions;
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Rainstorms, typhoon or other unexpected weather conditions;


Major chemical spillage or leakage;
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Accidents as a result of equipment failure and other incidents


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Responsibility
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Health and Safety Manager - see below


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Production Manager - see below


Emergency Team - When emergency incidents occur, the Emergency Team is responsible for the
execution of the appropriate emergency procedures as advised by the Health and Safety Manager and/or
Production Manager.
Staff of Slip Lifts (Malaysia) BHD - All staff shall be familiar with the emergency procedures and
follow them in case of incident or emergency situations.

Reference Documents
OHSR 7.1: Emergency Evacuation Report
OHSR 7.2: Accident Report
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 60
Case study (Delegate)

Procedure
The Health and Safety Manager and Production Manager shall identify dangers, take proactive steps to
prevent emergency incidents, and complete tasks in preparation for emergencies. Health and safety
Risks associated with these identified emergencies will be entered on the risk register. The Health and
Safety Manager shall coordinate the preparation and maintenance of an Emergency Plan, that contains
all emergency procedures, within our Business Continuity Management System.
The Production Manager shall familiarize and train all staff and Emergency Team members on the
procedures described in the Emergency Plan. This shall be accomplished in accordance with OHSR 5
Training Plan.
The Production Manager and involved staff shall identify the root causes and any preventive actions,
report the incident by completing an Accident Report (OHSR 7.2) after each accident or emergency
situation and submit the form for sign off to the Health and Safety Manager.
The Production Manager shall ensure emergency drill and periodic testing of the procedures are
conducted where practical and maintain the emergency evacuation report (OHSR 7.1) for the Health and

-ID
Safety Manager to sign off.

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BS
The Health and Safety Manager together with Production Manager shall review the suitability, adequacy
and effectiveness of the emergency plan after each accident or emergency situation, and revise the

8-
emergency plan as necessary.

1
20
The Health and Safety Manager shall maintain documentation on emergency response and
1:
preparedness, and emergency incidents for at least 3 years.
00
45

Supplementary Material
O

None
IS

 
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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 61
Case study (Delegate)

Monitoring, measurement and evaluation – H&SMSP 18 - Issue 1

Purpose
This procedure describes how health and safety issues will be monitored and measured against the
Company’s stated objectives, and the key operations and characteristics of the sites Production, and
activities that can have an adverse impact upon the health safety or welfare of those persons on site.
Progress will be regularly reviewed at senior management meetings to ensure continued health and
safety improvement.

Scope

This procedure applies to all significant health and safety risks, operational controls and programmes to
achieve its objectives within the scope of the H&SMS established by Slip Lifts (Malaysia) BHD.

Reference Documents

-ID
OHSR 4 Objectives and Programmes

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OHSR 8 Monitoring Data

1 8-
OHSR 3 Legal Register
20
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OHSR 6 Monthly Inspection Reports
00

Operational Controls
45
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Responsibility
IS

Health and Safety Manager – see procedure


e
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Production Manager – see procedure


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Procedure
to

To support the Slip Lifts (Malaysia) BHD Internal Audit programme, an annual evaluation of
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compliance audit will be undertaken to ensure that legal compliance of all activities, undertaken by the
Au

company, is assessed. The exercise will be carried out at timings to be determined and by competent
ad

auditors supported by the Health and Safety Manager.


Le

The scope of the evaluation shall be all of the company within the scope of the H&SMS, using the Legal
Register as the basis for the technical scope.

Records of the evaluation shall be kept with other internal audit records.

The Health and Safety Manager and Production Manager, if necessary, shall establish monitoring
criteria in the following areas:

 The achievement of health and safety objectives and the progress of programmes.
 The effectiveness of operational control procedures for controlling the significant health and safety
risks of its activities, including the control and monitoring of contractors’ health and safety
performance. (Refer to inspection forms list)
 The conformity of health and safety legislation, and other requirements related to Slip Lifts
(Malaysia) BHD’s health and safety.

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 62
Case study (Delegate)

Monitoring criteria shall include the monitoring / measuring frequency, methods, responsibilities and
records or reports that shall be kept. The monitoring criteria shall be documented or integrated into the
respective operational control procedures (refer to appropriate H&SMSP’s). The Production Manager
shall ensure that the monitoring requirements are carried out and report any health and safety
nonconformities to the Health and Safety Manager.

The monitoring criteria shall be reviewed and revised according to changes in legislative requirements
and the practical situations of Slip Lifts (Malaysia) BHD; as a result of continual improvement of health
and safety performance.

The Health and Safety Manager shall hold regular meetings (approximately every 3 months) and
maintain records to:

 discuss and review the achievement of the objectives and targets and the progress of relevant
programmes;

-ID
 review the monitoring data (e.g. inspection checklists) to check whether the monitoring and

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operational control procedures are implemented properly;

BS
 review information to evaluate whether Slip Lifts (Malaysia) BHD’s activities comply with

8-
applicable health and safety legislation and other requirements to which we subscribe;

1
 review any health and safety nonconformities, and the corresponding corrective action and
preventive action. 20
1:
 
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45

 
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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 63
Case study (Delegate)

Procedure H&SMSP 20 – Internal Audits (Issue 2)


 
Purpose
This procedure describes the methods for planning and conducting internal audits to verify that Slip Lifts
(Malaysia) BHD’s activities are in compliance with its OH&S MS, and to determine if the OH&S MS has
been implemented effectively.

Scope
This procedure applies to areas covered in the scope of the OH&S MS.

Reference Documents
H&SMSP 19 Enquiries / Complaints & Nonconformities
ISO 19011 Guidelines for Management System Auditing
OHSR 11 Integrated Audit Programme

-ID
OHSR 18 Audit Report Form

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BS
8-
Responsibility

1
Executive Director:
20
The Executive Director shall approve the audit programme, ensure that audit results are reviewed during
1:
management review meetings, and recommend OH&S MS improvement actions based on audit results.
00

Head of HSEQ:
45

The Head of HSEQ shall prepare the audit programme, coordinate internal audits, review the audit results
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and ensure that preventive actions, if any, are taken by the relevant parties.
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Internal Auditor:
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Auditors shall conduct the audit activities as assigned by the Head of HSEQ.
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Production Manager:
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The Production Manager shall assist the audit activities as required, review audit results and respond to
NC as required.
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Procedure
Audit Planning:
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The Head of HSEQ shall prepare an Audit Programme (H&SMSR 11), which specifies the audit
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schedule, the scopes of audit and allocation of auditors. The audit programme shall be approved by the
Executive Director. The schedule shall be planned so that all OH&S MS elements and all activities
within the OH&S MS scope are covered at least once a year.
For each audit, the Head of HSEQ shall assign auditors who are independent from the areas / functions to
be audited. All auditors shall be qualified on the receipt of OH&S MS auditing training.

Audit Preparation:
The auditor shall contact the auditee informally to arrange a convenient time and date to discuss the scope
of the audit. The auditor shall prepare their own Audit Checklist for the areas to be audited and blank
Corrective Action Report Forms (OHSR 10) for the audit.
 

OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 64
Case study (Delegate)

Conducting Audit:
All audit findings (including strengths and weaknesses) are documented on the Audit Checklist.
When an NC is found, the auditors shall report the details of NC on the Near Miss/NC Log Sheet
(OHSR9) and inform the auditees of the summary findings and observations (Please also use the CAR
Form).

Reporting and Follow-ups:


The Head of HSEQ shall maintain and update the CAR Status which is recorded on the CAR Forms
received.
The auditee shall identify the causes of NC and decide the appropriate preventive actions to be
implemented, the responsible person and the expected completion date for rectifying the NC.
The responsible auditor shall verify the effective closure of the N/C’s when actions are reported closed by
the auditee.
All CAR’s satisfactory closed out are sent to the Executive Director for endorsement and maintained as

-ID
OH&S MS records.

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BS
Review of Audit Results

8-
The Health and Safety Manager shall summarize the audit results in an Internal Audit Summary Report

1
20
for review at the Management Review. The audit results shall form the basis to identify and recommend
1:
OH&S MS improvement actions.
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Supplementary Material
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None
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OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 65
     
 
 
 Case study (Delegate)

OHSR11 (Issue 1) Integrated Audit Programme 20xx-2


Process Jan Feb March April May Jun Jul Aug Sept Oct Nov Dec
Customer Requirements
Determination & Review
2 3

-ID
Communication & Satisfaction

SI
Resource Management

-B
Human Resources 1 2

18
Infrastructure & Environment
Wave solder

20
1 3

1:
Design, technical sales & procurement
0 1

00
PCB populate, wave solder, frame construction

45
& assembly 8 7

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Cabinet testing (Test Lab) & loading onto
1 2

IS
lorries
Document Control

e
0 1

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Control of NC Product
2 1
Internal Auditing
0
rC 0
to
Measurement & Improvement
9 8
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Corrective Action
2 0
ad

MS Planning
9 7
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Planned Audit
Audit complete – action outstanding
Audit complete – action complete
Numbers in completed boxes indicate number of non-conformities found

 
 
 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 66
     
 
 
 Case study (Delegate)

OHSR11 (Issue 2) Integrated Audit Programme 20xx-1


Process Jan Feb March April May Jun Jul Aug Sept Oct Nov Dec
Customer Requirements
Determination & Review 2 0

-ID
Communication & Satisfaction
Resource Management

SI
Human Resources 0 1

-B
Infrastructure & Environment

18
Wave solder
2 1

20
Design, technical sales & procurement
1 0

1:
00
PCB populate, wave solder, frame construction
9 10

45
& assembly
Cabinet testing (Test Lab) & loading onto

O
lorries 0 1

IS
Document Control
2 0

e
rs
ou
Control of NC Product
1 1
Internal Auditing rC
0 0
to
Measurement & Improvement
8 7
di
Au

Corrective Action
1 0
ad

MS Planning
8 9
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Planned Audit
Audit complete – action outstanding
Audit complete – action complete
Numbers in completed boxes indicate number of non-conformities found

 
 
 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 67
     
 
 
 Case study (Delegate)
OHSR11 (Issue 3) Integrated Audit Programme 20xx
Process Jan Feb March April May Jun Jul Aug Sept Oct Nov Dec
Customer Requirements
Determination & Review 2 0
Communication & Satisfaction
Resource Management

-ID
Human Resources 0 1

SI
Infrastructure & Environment

-B
Wave solder
1 2

18
Design, technical sales & procurement
1 1

20
PCB populate, wave solder, frame construction

1:
& assembly

00
Cabinet testing (Test Lab) & loading onto
2 2

45
lorries
Document Control
3 0

O
IS
Control of NC Product
2

e
rs
Internal Auditing
0 0

ou
Measurement & Improvement
8 rC 9
Testing & microscopy
1
to
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MS Planning
8 7
Au

Evaluation of compliance Audit


1
ad

Planned Audit
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Audit complete – action outstanding


Audit complete – action complete
Numbers in completed boxes indicate number of non-conformities found

 
 
 
OHS04101ENGX v2.0(AD03) Dec 2020 ©The British Standards Institution 2020 Page 68

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