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10 Improvement
Pretesh Biswas Uncategorized May 6, 2019 13 Minutes
Due to the new structure and risk focus of the standard, there are no preventive
action requirements in this clause. The organization should react accordingly to
nonconformities and incidents, and take action to control, correct them, cope with
their consequences, and eliminate their source so as to prevent
recurrences. However, there are some new more detailed corrective action
requirements. The first is to react to incidents or nonconformities and take action
in a timely manner, to control and correct these and deal with the consequences.
Root cause analysis can be used to explore all possible factors associated with an
incident or nonconformity by asking what happened and why it happened. The
second is to determine whether similar incidents or nonconformities exist, or could
potentially occur, leading to appropriate corrective actions across the whole
organization if necessary. Although the concept of preventive action has evolved
there is still a need to consider potential nonconformities, albeit as a consequence
of an actual nonconformity. The requirement for continual improvement has been
extended to continually improve the suitability and adequacy of the OH&S
management system as well as its effectiveness through continual improvement
objectives. Clause 10, the final major section, delineates the concept of continual
improvement within the context of specific activities. Any organization wishing to
adopt the principles of ISO 45001 must have a plan for addressing nonconformities
in a timely manner. Organizations should take direct action to control conditions
and deal with consequences. Nonconformities can be identified from investigations,
audits, or other events. The corrective actions should be evaluated and the results
should be documented. To achieve continual improvement, the organization shall
have an OH&S management system that:
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1. Prevents the occurrence of incidents and nonconformities
10.1 General
The organization must determine opportunities for improvement and
must implement necessary actions to achieve the intended outcomes of
its OH&S management system.
The organization should consider the results from analysis and evaluation of
OH&S performance, evaluation of compliance, internal audits, and management
review when taking action to improve. Examples of improvement include
corrective action, continual improvement, breakthrough change, innovation, and
re-organization.
From the results discussed in Clause 9 Management Review including the analysis
and evaluation of OH&S performance, internal auditing, and feedback from worker
engagement, Non-conformity & corrective action, Incident investigation &
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corrective action, Accident investigation & corrective action, and Compliance
obligations including output from the introduction of the new regulation. Several
different methods of capturing improvement opportunities may be designed in the
system based on the structure, activities, and risk within the business discussed in
Clause 4 and 6. The organization must actively seek out and, where possible, realize
opportunities for improvement that will facilitate the achievement of the intended
outcomes of the OH&S management system. The organization should consider the
results from analysis and evaluation of its OH&S performance, evaluation of
compliance, internal audits, and management review when taking actions to
improve its performance. Improvement can arise from corrective action, continual
improvement, breakthrough change, innovation, and re-organization.
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Training and competence for workers and interested parties on the means of
reporting OH&S hazards, incidents and opportunities for improvement
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nature of the incidents or nonconformities and any subsequent actions
are taken and also of the results of any action and corrective action,
including their effectiveness. The organization must communicate this
documented information to relevant workers, and, where they exist,
workers’ representatives, and other relevant interested parties. The
reporting and investigation of incidents without undue delay can enable
hazards to be eliminated and associated OH&S risks to be minimized as
soon as possible.
1. Incidents: same level fall with or without injury; broken leg; asbestosis;
hearing loss; damage to buildings or vehicles where they can lead to OH&S
risks;
Root cause analysis refers to the practice of exploring all the possible factors
associated with an incident or nonconformity by asking what happened, how it
happened, and why it happened, to provide the input for what can be done to
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prevent it from happening again. When determining the root cause of an incident
or nonconformity, the organization should use methods appropriate to the nature
of the incident or nonconformity being analyzed. The focus of root cause analysis
is prevention. This analysis can identify multiple contributory failures, including
factors related to communication, competence, fatigue, equipment, or procedures.
Reviewing the effectiveness of corrective actions refers to the extent to which the
implemented corrective actions adequately control the root causes.
The organization should have a process in place for reporting and investigating
incidents and other nonconformities, and for taking action to correct them and deal
with their consequences. Separate processes may exist for incident investigations
and nonconformities reviews, or these may be combined as a single process. It is
imperative that root cause analysis is carried out on the incident or nonconformity
in order to take appropriate action to prevent a recurrence. Examples of incidents
and nonconformities include but are not limited to:
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Finding out if similar incidents have occurred, if nonconformities exist, or if
they could potentially occur.
The evaluation of the need for corrective action should be carried out with the
active participation of workers and the involvement of other relevant interested
parties. The aim of an incident investigation is to determine what happened, why it
happened, and what can be done to prevent it from happening again. This means
not only considering the immediate causes, but also the underlying or root causes
and taking corrective action to address these causes. Almost all incidents have
multiple causes. These can be related to a range of factors, including human
behavior and competency, the nature of the tasks and processes, equipment, or
management of the organization. The investigation should identify all areas that
need improvement including improvements to the OH&S management system and
propose appropriate corrective actions.
The level of investigation should be proportionate to the potential health and safety
consequences of the incident. The incident should be recorded and reported
internally and, where appropriate, reported externally to regulatory bodies such as
the HSA/HSE /the Safety, Health, and Welfare at Work. Where practicable, the
investigation should be led by a person independent of the activities being assessed
and should include a worker or workers’ representative. In addition, the
organization should
Review existing OH&S risk assessments for continued suitability (e.g. did the
risk assessment anticipate the occurrence of the incident or nonconformity);
Assess OH&S risks that relate to new or changed hazards, prior to taking
action;
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Review the effectiveness of any action taken, including corrective action (e.g.
the extent to which the implemented corrective actions adequately control the
root cause); Make changes to the OH&S management system, if necessary such
as updating a process map or procedure.
Eliminating hazards;
Root cause analysis refers to the practice of exploring all of the possible factors
associated with an incident or nonconformity by ascertaining what happened, how
it happened, and why it happened, to provide input for what can be done to prevent
it from happening again. When determining the root cause of an incident or
nonconformity, the organization should use methods appropriate to the nature of
the incident or nonconformity being analyzed. The focus of root cause analysis is
prevention. Root cause analysis can identify multiple contributory failures,
including factors related to communication, competence, fatigue, equipment, or
documentation. While root cause analysis is being performed, the organization may
also have to undertake immediate but temporary actions to prevent the occurrence
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of the same nonconformity or incident. This would form part of the corrective
action. The organization should retain documented information as evidence of:
The results of any actions and corrective actions taken, including their
effectiveness.
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Unlike ISO 9001 Quality and ISO 14001 Environmental management systems, ISO
45001 introduces ‘Incident’ alongside nonconformity and corrective action. Clause
3 ‘Terms of Definition’ within the standard provides the parameters in which
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‘incident’ can be interpreted and reported. An ‘incident’ is an occurrence that does
not result in an injury and/or ill health. Therefore, the organization must
implement a system of reporting that captures events that have not necessarily
been foreseen within processes of the management system. Often these are referred
to as ‘near misses’, ‘near-hit, or a ‘close call’. When a near miss is reported there
may be a process in which during the investigation the findings are recorded within
a non-conformance report. Prevention of incidents and elimination of hazards is a
key facet of the OH&SManagement System, and this is specifically addressed in the
definition of organizational context and assessing risks and opportunities. Taking
action to correct and control problems when they occur, and then to investigate and
take corrective action for the root causes of these problems when it is necessary, are
critical to prevent recurrence of process nonconformity. The basic example process
of reporting an incident leading to non-conformance, corrective action and
continuous improvement
Investigation
The supervisor has a discussion with the Details recorded as part
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delivery driver relating to the of the investigation.
circumstances.
Risk assessment
The warehouse and site manager discuss reviewed.
the
incident and review the associated risk
assessment.
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The incident is discussed at the Safety Safety committee and
committee and management meetings. management meeting
minutes.
Review
Committee meeting
The responsible supervisor reports the
minutes posted on the
effectiveness of the introduced changes.
notice boards.
Near miss/incident
statistics review.
Management Review
Minutes communicated.
Management Overview of the incident and positive
Review outcome within statistics. A regular audit of
pedestrian routes is
added to the internal
audit programme as part
of an improvement
objective.
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representatives. It should be maintaining and retaining documented
information as evidence of continual improvement.
Examples of continual improvement issues include, but are not limited to:
1. new technology;
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continuous indicates duration without interruption, while continual indicates
duration that occurs over a period of time with intervals of interruption. The latter
certainly seems more suitable for the processes of a system intended to safeguard
employees from injury and illness, since these processes are implemented before
they are evaluated under the Plan-Do-Check-Act cycle. ISO 45001:2018
recommends that organizations evaluate their completed OH&S processes for
continual improvement, not continuous.
Through all of the actions to improve the overall OH&SManagement System, the
organization can achieve enhanced OH&S performance and promote a culture that
supports worker participation in making the OH&SManagement System better.
Improvements can be initiated by any employee when any of the following issues
are identified:
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Promoting the participation of workers in the identification and
implementation of actions for continual improvement of the OHSMS;
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FMEA, APQP and Control Plans. Auditing: He has conducted over 100 third party registration and
surveillance audits and dozens of gap, internal and pre-assessment audits to ISO/QS/TS Standards, in
the manufacturing and service sectors. Other services: He has provided business planning,
restructuring, asset management, systems and process streamlining services to a variety of
manufacturing and service clients such as printing, plastics, automotive, transportation and custom
brokerage, warehousing and distribution, electrical and electronics, trading, equipment leasing, etc.
Education & professional certification: Pretesh Biswas has held IRCA certified Lead Auditor for ISO
9001,14001 and 27001. He holds a Bachelor of Engineering degree in Mechanical Engineering and is a
MBA in Systems and Marketing. Prior to becoming a business consultant 6 years ago, he has worked in
several portfolios such as Marketing, operations, production, Quality and customer care. He is also
certified in Six Sigma Black belt . View all posts by Pretesh Biswas
Satya
May 7, 2019 at 4:27 PM
Too Lengthy
Use Key words
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preteshbiswas
December 13, 2019 at 6:55 PM
clause 9.1
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Pretesh Biswas
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