Professional Documents
Culture Documents
Revision No. : 01
1 of 66
“This Manual contains proprietary information belonging to BMC - How Mine (Pvt) Ltd which may neither be wholly nor partially used, disclosed, reproduced, removed nor
transmitted, in any form or by any means to any unauthorized party without the written permission of the Managing Director”
Revision No. :1
2 of 66
CONTENTS
1.0 DEFINITIONS ..................................................................................................... 3
Revision No. :1
3 of 66
1.0 DEFINITIONS
The following terms and abbreviations have been used in this manual:
Revision No. :1
4 of 66
- Business Excellency - An integrated system of proven practices for operating a business to become the
best it can be. It involves developing and strengthening management systems, processes, activities and
facilities of an organisation to improve its performance and create value for stakeholders.
- Risk - Anything that may prevent or delay the mine or its functions from achieving set or
defined safety, health, environment and quality objectives and/or outcomes
- HLR - High Level Risks – risks occurring at business level or affecting the whole business as
opposed to risks at process or activity level
- HLO - High Level Opportunities – opportunities occurring at business level positively affecting
the business as a whole
- Top Management - These are senior managers in the organization who make business decisions, provide
resources and drive the required implementation activities to achieve the intended outputs. i.e. Managing
Director, Finance Director, Company Secretary and HODs
- HODs - Heads of Department: Technical Services , Mining, Metallurgy, Engineering, SHEQ, Finance,
Revision No. :1
5 of 66
- Interested Parties - organizations, group of individual, individuals or communities that are affected or
perceive to be affected by the mine’s activities and/or decisions. The organization’s main
interested party groups include the following:
• Shareholders
• Customers (internal and external)
• Regulatory Authorities
• Suppliers of goods and services
• Employees
• Local/ Neighboring Communities
• Media
• Trade Unions
• Industry bodies
• Emergency response services providers
• Professional bodies
• Partners
Hierarchy of controls:
The ideal order of controls for addressing risks with the most effective at the top.
• Elimination-Total removal of the hazard or source of risk
• Substitution- Replacing the element/component of the process/activity presenting the hazard and risk
source
• Engineering - use of engineering technics and or systems to avoid or reduce people exposure, errors ,
subjectivity and or inconsistencies
• Administrative - Provision of information through training, signage or procedures to create or improve
awareness or support other controls in place. It also includes any non-engineering controls to reduce
exposure levels.
• Containment - use of PPE to reduce occupational exposure and risk levels.
- confining a pollutant to prevent its escape to the environment e.g. bunding hazardous liquid
storage tanks.
- QA/QC to prevent process and/or product non-conformances
Revision No. :1
6 of 66
Jul. 1941: J. Howe pegged the How Mine claims as a virgin discovery around July 1941.
1941 Aug.: The claims were transferred to the Halo Mining Syndicate
1943 Oct.: Halo Mining Syndicate changed the name to Halo Co. Ltd
1944 Jul.: Two quarries were established with the Southern quarry down to a depth of 30m.
1950-51: Mine put on option to Goldfields Development Co. Ltd. Frobisher Ltd had an option
Diamond-drilling program totaling 2,020m was undertaken. This indicated potential for
large tonnage operation with an average gold grade of 4.9 g/t.
1953: The option was abandoned effectively ceasing all the milling operations.
1954 Jun.: Ballarat Mines (Pvt) Ltd took over the mine and sank the main shaft between the two
open pits.
1973: Mine taken over by Lonrho, first under the name of Rhodesian Gemstones (Pvt) Ltd,
then Attica Mines (Pvt) Ltd, and eventually Independence Mining (Pvt) Ltd, in 1986.
2002 Oct.: Lonmin (Lonrho) relinquished ownership of Independence Mining (Pvt) Ltd to Metallon
Corporation, a South African based mining company.
Since 1970, the mine has operated continuously and is currently among the top gold producers in Zimbabwe. The
mine falls in the large-scale mining operations. There are eight departments at the mine divided into a functional
structure.
• Vision
To be a world class precious metal mining company with a footprint across Africa.
Revision No. :1
7 of 66
• Mission
To create value for stakeholders through sustainable exploration, mining, acquisition and embracing
technological advancement.
BMC – How Mine has developed and implemented formal management systems based on the requirements of the
ISO Standards, referred to as the Business Excellence Management System, as a vehicle for pursuing and
achieving:
• Exceptional management of risk and opportunities
• Compliance with obligations
• Operational efficiency and effectiveness
• Cost containment and profitability
• Meeting the needs and expectations of interested parties
• Continual improvement of organizational capabilities and performance
The BMC – How Mine BEMS is documented in a multi-layered BEMS manual which is in line with the
requirements of the three standards. The manual is divided into seven sections that are aligned to the clauses
of the management system standards. The manual describes, in broad terms, how the standard requirements
are met and gives direction to other related documents. The manual contains policy or compliance positions
describing what it has implemented to meet the requirements of each standard clause.
Revision No. :1
8 of 66
Externally the manual is used to communicate the mine’s BEMS to its interested parties whilst demonstrating
the organization’s focus on responsible and sustainable business management and continual improvement.
3.0 REFERENCES
i. ISO 9001:2015 – Quality Management Systems
ii. ISO 14001:2015 – Environmental Management System Standard Edition 3
iii. ISO 45001:2018 – Occupational Health and Safety Management Systems
iv. ISO 14004:2016 – Environmental Management System – General Guidelines on Principles, Systems and
Support Techniques
v. ISO 14006:2011 – Environmental Management Systems – Guidelines for Incorporating Eco-design
vi. ISO 14015:2001 – Environmental Assessment of Sites and Organizations
vii. ISO 14050:2009 – Environmental Management – Vocabulary
viii. ISO 19011:2011 – Guidelines for Auditing Management Systems
Revision No. :1
9 of 66
The organization fulfils its intended outcomes for business excellence, by developing effective strategic business
plans on a three-year cycle. Amongst others, the strategic planning process takes into consideration the internal
and external factors that may affect the mine’s:
• Compliance with applicable obligations
• performance
• Viability and continuity
• achievement of its intended outcomes for excellence
An effective strategy is based on a good understanding of the internal and external factors impacting on the business
and the needs and expectations of interested parties.
Prior to the strategic business planning process, an assessment to identify the relevant internal and external factors
impacting on the business and determining the needs and expectations of interested parties, is conducted as
defined in the procedure for determining the context of the organization. The PESTLE analysis tool is used to
determine external factors that may affect the mine and the SWOT analysis tool is used to determine internal factors
which are then documented on the High-Level Risk and Opportunities Matrix.
Information on the High Level Risk and Opportunities Matrix is used in:
• Setting business priorities / focus areas and objectives
• Identifying required management actions (projects)
• Other business planning activities
• Developing business awareness amongst employees
Related Documents
• Determining the Context of the Organization Procedure
• High Level Risk and Opportunities Matrix
• Management of Interested Parties Procedure
• Compliance Obligations Management Procedure
Revision No. :1
10 of 66
Related Documents
• Management of Interested Parties Procedure
• Interested Parties Requirements Matrix
• Interested Parties Satisfaction Measurement and Monitoring Procedure
• Employee Perception Surveys
Revision No. :1
11 of 66
From its location, about 30km South East of the City of Bulawayo on 20° 18' 17'' South , 28° 46' 32'' East in the
Bulawayo Mining District, Matabeleland South Province Zimbabwe, the mine carries out exploration, mining,
processing and related activities for gold.
The Business Excellence Management Systems meet all the requirements of the ISO 9001:2015 Quality
Management Systems, ISO 14001:2015 Environmental Management Systems and ISO 45001:2018 Occupational,
Health and Safety Management Systems standard.
BMC – How Mine offers products and services to internal and external customers, which are defined in the various
departmental Process Matrices.
Revision No. :1
12 of 66
Outputs of BMC – How Mine processes and activities, amongst others, include:
• Gold
• Effluent (tail-water, domestic sewage ponds and mobile equipment washing activities)
• Emissions (assay, underground exhaust gases)
• Dust (Earth movers, Slimes dam, Met. Processes, roads)
• General and Hazardous Waste (empty chemical containers, used oils, contaminated materials, old
batteries)
• Livelihoods
The mine’s operations are made up of the following processes and activities, which are managed from within:
• General Management – Business Planning, Resourcing, Coordination, Measurement and Evaluation,
Reporting
• Technical Services – Mine Planning, Geology, Survey and Assay
• Mining – Capital, Development and Production
• Engineering – Electrical, Mechanical, Civil and Projects
• Metallurgy – Crushing, Milling, Leaching, Elution, Smelting and Tailings
• Human Resources – Industrial Relations, Training, HR Administration, Clinic and Community
• Security – Crime investigations, Surveillance, Guarding, Bullion Transportation
• Finance – Administration, Accounts, Procurement, Stores, IT Services
• SHEQ – Safety, Health, Environment and Quality
Revision No. :1
13 of 66
Revision No. :1
14 of 66
General Management – Office of the Managing Director provides leadership to the organization by:
• Facilitating the realization of the organisation’s Vision, Mission, Core values and Strategies
• Establishing policies and controls in line with organizational values
• Resourcing and enabling the coordinated implementation of the organization’s strategies
• Developing strategic partnerships with external parties
• Business performance monitoring, evaluation and reporting
Support Functions which are focused on enabling and providing services to the core functions:
• Engineering – Electrical, Mechanical, Civil and Projects
Revision No. :1
15 of 66
Related Documents
• Departmental Process Matrices
• Organogram
5.0 LEADERSHIP
5.1 Leadership and Commitment
The organisation’s top management consists of:
• Managing Director
• Finance Director
• Company Secretary
• Mine Manager
• Heads of Departments: Technical Services, Engineering, Mining, Metallurgy, Human Resources, Security,
SHEQ, Finance and Procurement
Revision No. :1
16 of 66
Top management leads by example, take full accountability for all process performance and motivate their
subordinates for alignment to desired organizational objectives.
Related Documents
• Vision, Mission and Values
• BEMS Policy Statement
• BEMS Strategy - Strategic Focus Areas, Strategic Objectives, Actions, Plans and Budgets
• BMC – How Organogram
• Business Process Matrices
• Appointments
• Job Descriptions
• Business Meetings Procedure
• Business (High) Level Risks and Opportunities Matrix
• Operational Risk Registers
Revision No. :1
17 of 66
• Shareholders
• Customers – internal and external
• Regulatory Authorities
• Employees – management and workers
• Local communities – internal and external
• Suppliers of goods and services
• Media
Interested Parties are identified on an ongoing basis and their requirements determined as defined in the
Management of Interested Parties Procedure.
The organisation achieves focus on customers and other IPs by ensuring that functions within the business focus
on:
• Both the internal and external IPs
• Understanding the stated or implied needs and requirements of the IPs, determining those that the
organisation has an obligation to meet and the means for meeting them
• Aligning processes to consistently meet and deliver to agreed IPs’ requirements
• The risks and opportunities associated with the processes, needs and requirements of the IPs and the means
of addressing them.
• The compliance obligations associated with the IPs’ needs and expectations
• The appropriate handling/management of any IPs property
• Defining and communicating any specific organisational requirements related to the IPs’ processes, activities,
products, facilities or services
• Documenting and communicating any agreements with internal or external IPs.
Internal and External IPs perceptions and relations are measured and monitored as follows:
• Workers and Management – Employee Perception Surveys
• Internal Suppliers and Customers – Service Level Scoring and Interested Parties Feedback
• External Customer – Customer Product Analysis Feedback and Interested Parties Feedback
• Suppliers and Contractors – Interested Parties Feedback, Contract and Service Level Agreements
• Regulatory Authorities – Interested Parties Feedback, Directives, Evaluation of compliance with obligations,
compliance failures and penalties
• Local communities – Interested Parties Feedback, External consultation and communication process
Revision No. :1
18 of 66
Related Documents
• Supplier and Contractor Identification, Evaluation Procedure
• Internal Consultation, Participation and Communication Procedure
• External Consultation, Participation and Communication Procedure
• Determining the Context of the Organisation Procedure
• Employee Perceptions Surveys
• Interested Parties Satisfaction Measurement and Monitoring Procedure (Interested Parties Perception
Surveys)
• Compliance Obligations Management Procedure
Related Documents
• BE Policy Statement
• Internal Consultation, Participation and Communication Procedure
• External Consultation, Participation and Communication Procedure
• Business Excellence Review Meetings Procedure (Management Review)
Revision No. :1
19 of 66
communication channels, inter and intra-departmental interfaces. The structure is reviewed and adjusted as
necessary in response to new strategic initiatives.
The Managing Director (MD) is ultimately accountable for the effective implementation and operation of the BEMS
and its performance. He ensures that the required resources are timely provided, safeguarded and fully utilised in
a coordinated manner to meet business objectives and IPs expectations. The MD is supported by the Finance
Director, Company Secretary, Mine Manager and HODs who are in turn accountable for the effective planning,
operation and control of processes and activities within their specific areas of control to ensure the delivery of
intended outcomes.
Each HOD takes accountability for the effective development, implementation and improvement of the management
systems elements that pertain to their area of control. HODs are responsible for monitoring and reporting, to other
top managers, the performance of the Business Excellence Management Systems in their areas of control. They
are also responsible for identifying their internal and external IPs, understanding their requirements/expectations
and ensuring that they are met.
The SHEQ Function provides an internal coordination and advisory role on Business Excellence. They also liaise
with external parties (regulatory authorities, certification bodies, benchmarking partners, etc.) on business
excellence issues.
Special teams with specific BE responsibilities are in place to deal with issues such as emergency response
activities, SHE representation, First Aid, specific projects and others. Their roles, responsibilities and authorities are
clearly defined in the individual team members’ appointments. The teams are capacitated through the appropriate
trainings and resourcing.
Roles, responsibilities and accountabilities for non-routine or once-off works {strategic actions (projects)} are defined
in the specific project documents and supported by specific Performance Contracts and Key Performance
Indicators, as appropriate.
Routine roles, responsibilities, authorities and accountabilities for the individuals are defined and communicated
through job descriptions and appointments.
Other routine BEMS roles and responsibilities are defined and communicated through procedures, work instructions
and other system documents
Revision No. :1
20 of 66
The individuals’ performance is assessed based on routine and non- routine roles and responsibilities.
Individual or group roles and responsibilities are timely reviewed and where necessary changed in line with any
changes in the BEMS.
Related Documents
• BMC – How Mine Organogram/organisational structure
• Job descriptions
• Appointments
• People Performance Management Procedure
• Performance Contracts
• Management of Business Changes Procedure
• Management of Operational Changes Procedure
Revision No. :1
21 of 66
Related documents
• Internal Consultation, Participation and Communication Procedure
External parties are free to request the organisation’s participation in their activities or their participation in the
organisation’s activities.
The most relevant Manager represents the business at the various external consultation and participation activities.
All external consultation and participation activities are conducted under the authority of senior management.
External consultation and participation activities are recorded, reviewed and timely actioned, if necessary. Details
of all such activities are generated and maintained.
Related documents
• External Consultation, Participation and Communication Procedure
6.0 PLANNING
6.1 Actions to Address Risks and Opportunities
Business risks and opportunities are identified during the following risk assessment processes:
1) High Level –: identifies risks and opportunities that affect the whole or a significant part of the business.
Most high level or strategic risks arise or are identified from the following:
Revision No. :1
22 of 66
• High level internal and external issues that may significantly and negatively impact on the organization’s
viability and continuity e.g., fall in the international gold price, depletion of the mineral resources and others
• Major OHS incidents e.g., ground or infrastructural failures, major disease outbreak (cholera)
• Environmental aspects with significant impacts e.g., shortage of water for operational activities
• Needs and expectations of interested parties
• Significant compliance gaps
2) Baseline –: initial comprehensive hazard identification and risk assessment for all operational activities
3) Issue based (New issue, Pre-procurement, Pre-change/improvement, Pre-project and Post incident)-: issue-
specific risk assessments applied to different situations and/or processes
4) Pre-task-: risk assessment conducted prior to the performance of a task so as to identify any situational risks
or what might have changed from previously known situations.
The Baseline, Issue Based and Pre-task risk assessments are conducted at operational level, whereas High level
risk assessment is conducted at Business/Strategic level. Risks are mitigated and Opportunities enhanced through
formal actions collectively referred to as Management Actions (projects).
Opportunities are the advantages presented by certain situations, conditions or even some business risks. Actions
to address or take advantage of opportunities can be referred to as Enhancements e.g. adoption of renewable
energy technologies (solar power, biogas, etc.), mining decommissioned slimes dams, increase in international gold
prices.
Actions to address both the business risks and opportunities are structured and implemented in the form of
Management Actions (projects).
This results in Management Actions (projects to mitigate business risks and/or enhance opportunities.
Related Documents
• Determining the Context of the Organization Procedure
• Management of Interested Parties Procedure
• Compliance Obligations Management Procedure
• Operational Hazards and Risks Identification and Assessment Procedure
• Business Planning Procedure
• Management Actions (Projects) Procedure
Revision No. :1
23 of 66
Hazards at operational level and their related risks are identified through a systematic hazard and risk identification
process. The techniques/ tools applied are defined in the Operational Level Hazards and Risks Identification
Procedure. A register of the Hazards and Risks at operational level was established initially, reviewed every three
years, updated as necessary and/or when new hazards and risks are identified.
The identification process of hazards and risks at operational level considers the existing and potential hazards and
the related risks to the organization’s internal and external process, activities, facilities, products, or services, over
which the organization has control and those it can or is expected to influence.
On an ongoing basis, operational hazards and risks may be identified from or at any of the following:
• At the beginning of a project (IBRA Pre-project risk assessment)
• On introduction of a new product or input material or facility (IBRA New Issue)
• On changing an existing process/activity, method, material, machinery, etc. (IBRA Pre-change risk
assessment)
• At the beginning of a high-risk routine or non-routine activity carried out under normal, different or abnormal
conditions (IBRA Pre-task risk assessment, High risk work permit)
• At the beginning of a low/normal risk routine or non-routine activity carried out under different or abnormal
conditions or at excessively spaced intervals (IBRA Pre-task risk assessment)
• During site, facility, process, material or other inspections or audits
Revision No. :1
24 of 66
• During or after the occurrence of an incident or emergency, including near-misses (IBRA Post incident risks
assessment)
Different hazards and risks at operational level can be identified for the same work activities, facilities, practices,
materials or services under Normal and Abnormal or different operating conditions. Some emergencies may also
introduce new hazards and risks depending on the location of occurrence and prevailing conditions.
Identification and assessment of hazards and risks at operational level for the organization’s, facilities, materials, or
products is performed on the part of its lifecycle that the organization is in control of or can influence. Identification
and control of some hazards and risks associated with input materials/equipment may benefit from the information
provided by the manufacturer or supplier in manuals and material safety data sheets.
All the identified hazards and risks at operational level are assessed and ranked using a defined criterion for each
hazard and risk category (quality, environment, safety and health). A full review of the hazards and risks at
operational level is carried out once every three years, however, ad-hoc reviews may also be conducted or carried
out as and when necessary e.g. after an incident and/or emergency situation.
The criteria for evaluating and ranking hazards and risks at operational level is reviewed and, if necessary, adjusted
as appropriate every three years. Information on hazards and risks at operational level is documented, maintained
and communicated within the organization and externally to interested or affected parties, as necessary.
Related Documents
• Operational Level Hazards and Risks Identification Procedure
• Risks Assessment, Ranking and Determination of Controls Procedure
• Management Actions (Project) Procedure
Revision No. :1
25 of 66
Related Documents
• Compliance Obligations Management Procedure
• Compliance Obligations Evaluation Procedure
Revision No. :1
26 of 66
• Significant hazards and risks at operational level obtained from the hazards and risks identification and
assessment process
• Requirements and expectations of Interested Parties obtained from IPs identification, engagement and
management process
• Compliance obligations obtained from compliance obligation identification and analysis process
• Previous performance results
The above inputs may be prioritized to determine those that can be applied in the planning process based on:
• Their contribution/impact to the intended outcome
• Ease of application/implementation
• Cost of implementation/application process
The outputs of the Strategic Planning process include the following:
• Strategic Focus Areas
• BE Policy Commitments
• Strategic Objectives
• Strategic Actions (Management Actions (Projects)
• Strategic Plans (Management Plans)
Revision No. :1
27 of 66
INPUTS
INPUTS
- Vision and Mission/Aspirations
- Strategic Objectives & Actions
- Risks & Opportunities
- Operational/Departmental Objectives
- Interested Parties Requirements
- Routine Activities
- Operational Hazards and Risks
- Operational Actions & Plans
- Compliance Obligations
- Systems & Operational Procedures,
- Continual Improvement Outcomes
Standards, Instructions
- Previous Performance Results
- Implementation Resources
OUTPUTS
OUTPUTS
- Focus Areas
- Implementation Plans/Schedule
- BE Policy commitments
- Implementation Results
- Strategic Objectives
- Strategic Actions
LEADERSHIP
DATE PRINTED: 17-Jun-2021
WARNING: Always refer to Network File Sharing to confirm that this print is the latest version before use.
Document Status: Draft
Revision No. :1
28 of 66
Related Documents
Related Documents
• Determining the Context of the Organization Procedure
• Management of Interested Parties Procedure
• Compliance Obligations Management Procedure
• Operational Hazards and Risks Identification and Assessment Procedure
• Business Planning Procedure
Revision No. :1
29 of 66
• Specific Management Actions (Projects) are determined and defined (planned) for the achievement of the
objectives
• They are communicated to the relevant parties.
Whenever practicable, objectives (Strategic and Operational) are made to be SMART (Specific, Measurable,
Achievable, Realistic and Timely).
The progress made towards achieving objectives is reviewed quarterly during Business Excellence Review
Meetings and at the end of the five-year Strategic Planning Cycle.
Related Documents
• Business Planning Procedure
• Strategic Focus Areas and Objectives Matrix
• BEMS Policy
• Strategic Focus Areas and Objectives Procedure
• Management Actions Procedure
• Management Actions (Projects) Register
• Business Meetings Procedure
Revision No. :1
30 of 66
Related Documents
• Business Planning Procedure
• Strategic Focus Areas and Objectives Procedure
• Management Actions (Projects) Procedure
The changes are implemented/ managed in line with the change plan and whenever possible, changes should be
implemented on a “make-before-break” approach to ensure a smooth change over and minimum disruptions.
Change effectiveness is reviewed at appropriate stages after the implementation and completion of the change
process. The change effectiveness evaluation method would have been defined at the change planning stage.
Information describing the change process, risk assessment methods and change effectiveness evaluation results
is generated, communicated, as necessary, and maintained.
Where major business changes, which may require significant structural, behavioral and or organizational cultural
changes, are carried out, specific change management effort/ Actions covering the ‘people issues’ may be instituted
Revision No. :1
31 of 66
by management to create an environment where the business changes will be accepted and sustained.
Related Documents
• Management of Business Changes Procedure
7.0 SUPPORT
7.1 Resources
7.1.1 General
Resource requirements are determined from the nature of the business and the strategic activities being pursued
at a particular time. The nature of business determines the general resources required for the general routine
activities of the business e.g. infrastructural, human, plant and equipment, buildings and associated utilities,
transportation, accommodation, communication.
Strategic activities may make use of some of the existing general resources but would require some additional and
specific resources. These are determined and defined at the time the strategic plan is being crafted.
7.1.2 People
The organization establishes the manpower and skills requirements based on:
• Strategic direction of the organization
• Nature and extent of the business processes
• Internal and external IPs requirements
• Compliance obligations
Revision No. :1
32 of 66
These manpower and skills requirements are reviewed and adjusted regularly to support specific strategies that will
be pursued at a particular time or period and to align with specific requirements or changes obtained in the business
environment.
On an annual basis, manpower and skills audits are conducted at all levels and the results are compared with
approved establishments to determine any gaps or excesses.
Transfers and/or re-assignments maybe implemented to address any identified excesses and training of existing
personnel and or acquisition from external sources may be carried out to address any manpower/skills shortages.
To ensure continuity of the business processes and activities and focus skills development, a succession planning
process is in place.
The management teams and workers are regularly trained and drilled to fully appreciate and utilize the various
management systems and practices in use within the organization. Management has an obligation to employ
effective management styles that ensure personnel are adequately involved, guided, motivated, focused, fully
utilized and retained.
To ensure competitive remuneration packages, surveys and benchmarking exercises on industry and national
remuneration patterns are conducted regularly and the organization’s remuneration packages may be adjusted or
aligned accordingly. Remuneration packages are also linked to individual and team performance levels in relation
to strategic and operational objectives and performance expectations as agreed in performance contracts and key
performance indicators. Employee perceptions on the organization, management styles, organizational culture and
other relevant functions are established through relevant tools and appropriate actions taken.
Related Documents
• Management of Trainings Procedure
• Training and Competence Development Procedure
• Recruitment and Selection Procedure
• Succession Planning Procedure
• Performance Contracts
• People Performance Management Procedure
Revision No. :1
33 of 66
Related Documents
• Assets Register
• Planned Maintenance Procedures
• Vehicles Management Procedures
• ICT Utilities Maintenance and Testing Procedure
• Procurement of Goods and Services Procedure
• Asset Valuation Procedure
Employees are an integral component of the business processes. Their physical, emotional and psychological
wellness is an important component and enabling input to the business processes performance.
The organization is committed to ensuring employee wellness. In line with this commitment, systems have been
established to ensure employee wellness starting at the recruitment stage, during the employee’s working life and
where necessary, after retirement.
Related Documents
• Industrial Hygiene Surveys Procedure
• Employee Perception Surveys
Revision No. :1
34 of 66
Where necessary and at defined intervals, measuring equipment/devices are sent out to approved laboratories for
servicing and calibration. The calibration and functional status of the monitoring and measuring devices is readily
identified. During handling, storage and use of the devices, precautions are taken to prevent their damage and or
deterioration.
Any software and other tooling equipment used in the various processes to impart dimensional or other
characteristics on the process or activity output are also periodically checked for validity, accuracy and consistency.
Where possible, appropriate corrections and corrective actions are taken on any equipment that is found to be out
of its original measurement tolerances otherwise the instrument is decommissioned or used and the error
compensated for.
Records of monitoring and measurement equipment, devices and software control activities are generated and
maintained.
Related Documents
• Relevant guidelines/standards
Revision No. :1
35 of 66
• Experiments
• Benchmarking activities
• Individual and/or organizational experiences on risks, opportunities, failures and successes
• Participation and consultation activities
• Information from suppliers
Systems and mechanisms for identifying, collating, preserving and sharing organizational knowledge are in place.
As new organizational knowledge is gathered, the existing database is updated and appropriate personnel informed.
Information on organizational knowledge is used to adapt and customize existing processes, practices and facilities
for improved and or reliable performance. It is also used in evaluating the feasibility of any proposed process or
other changes.
Related Documents
• Organizational Knowledge Management Procedure
• Organizational Knowledge Database
Related Documents
• Business Strategy
• Strategic and Operational Plans
• Budgets
• Financial Reports
• Financial Management Procedure
7.2 Competence
Revision No. :1
36 of 66
To ensure that personnel are adequately prepared to effectively execute or discharge their roles and responsibilities,
the recruitment and selection process ensures that minimum competence requirements are defined and met for
new employees and various training interventions are utilized for existing employees.
Skills and competence requirements for routine and strategic activities are determined from operational hazards
and risks in the organization, performance measurements, personal requests, skills gap audits and other factors.
Various approaches or techniques are used to develop or acquire the required skills and competence levels,
including:
• On the job training – targeting individuals or groups internally
• Off the job training – external, targeting individuals or groups
• Apprenticeship Training
• Internship /Graduate Traineeship
• Mentoring and coaching on the job
• Recruitment and utilization of the required skill
• Skills hiring or contracting
For each structured training provided, and after an appropriate period of time, an evaluation of the effectiveness of
the training is carried out and any required actions are taken to meet the original training objectives.
Records of all training activities are generated and maintained.
Related Documents
• Training and Competence Development Procedure
• Apprenticeship Training Programme
• Mentorship Programme
• Graduate Traineeship Programme
• Cadetship Programmes
7.3 Awareness
All new employees, on- and off- site contractors and existing employees in new positions are inducted or introduced
to the business and their specific work activities, before they start work through structured induction training.
The company induction training includes the following:
• Mission/vision
• Values – organizational history
• Business Process Models, Structures
Revision No. :1
37 of 66
To ensure a common and correct understanding of the business objectives, strategies, policies, processes,
activities, stakeholders’ requirements, challenges, opportunities, risks and the necessary individual responsibilities,
detailed business awareness training is planned for and provided to all employees through various training channels
at least once a year.
Related Documents
• Training and Competence Development Procedure
7.4 Communication
7.4.1 General
7.4.2 Internal Communication
The SHEQ Manager and/or Officers are responsible for ensuring the identification of the relevant Business
Excellence information to be communicated internally to management and employees on a regular or ad-hoc basis.
Various internal communication and reporting tools are utilized to ensure effective internal communication.
An Internal Consultation, Participation and Communication Procedure and Communication Matrix are in place to
provide guidance on the Business Excellence information that is communicated internally and how such
communications are done.
Heads of Departments/Sections are responsible for ensuring the timely and correct communication of Business
Excellence information related to their processes and activities, as defined in the Internal Consultation, Participation
and Communication Matrix.
Related Documents
• Internal Consultation, Participation and Communication Procedure
• Emergency Preparedness and Response Procedure
Revision No. :1
38 of 66
The most relevant Manager represents the business at the various external communication activities. All official
communications from the business to external parties are conducted under the authority of the Managing Director.
External parties are free to communicate with the organization through any media. To ensure that all received
external communications are recorded, reviewed and timely responded to, a log or register of all such
communications is centrally maintained by the SHEQ department. Some BEMS related communications may come
directly through emails to the concerned individuals who may trigger the necessary internal communications and or
escalations.
Some communications can be received or picked from public media like newspapers and handled in the same way
as the direct communications. All logged communications are then directed to the most appropriate business
manager to respond to or address. Some communications, e.g. those related to incidents/emergencies, may be
directed to the SHEQ Manager in addition to the responsible department.
Related Documents
• External Consultation, Participation and Communication Procedure
• Emergency Preparedness and Response Procedure
Revision No. :1
39 of 66
i. Document – documented input information (hard copy or electronic) referred to and used to operate the
system for example policies, procedures, work instructions, plans and other control documents
ii. Records – documented output information (hard copy or electronic) generated during the operation of the
business management system e.g. reports, completed checklists, process logs and others.
Revision No. :1
40 of 66
• Procedure – a sequential step-by-step description of carrying out a process. It includes the tasks,
responsibilities, sequence, and any relevant specifications and the records generated. Two types of
procedures: System and operational. System procedures address specific Business Excellence System
Management issues or a common standard requirement. Operational procedures apply to a specific
operational process or activity and one department.
• Work instructions – a detailed, sequential step by step description of how to carry out a specific activity or
task. It includes the steps, responsibilities, sequence, and any relevant specifications and the records
generated.
• Flow charts and maps – diagrammatic illustration of a process, activity or task. It can be used to support
or summarize a procedure or work instruction.
• Matrices – a tabular presentation of related sets of information.
• Checklists – a list summarizing the things to be done/checked
• Drawings – diagrammatic illustration of specifications.
• Forms – blank formatted documents on which data is entered to form records.
All the information above can be in hardcopy or electronic form. Information in electronic format is kept in any of
the following media: -
• Compact disks
• Flash disks (temporary storage only)
• PC hard disc drive
• Network server
• Digital video disk
• Video compact disk
All internally generated documents are originated by a competent person familiar to the process activities to be
documented, reviewed for correctness, adequacy and suitability by relevant competent people before they are put
to use.
Details of the originator, the reviewer and authorizer of the document are indicated on the document control panel.
The naming, numbering and other control information applied to documents is defined in the document control
procedure. Documents can be established internally or acquired from external sources. Documents of external
origin include:
• Legal documents
• Standards
• Codes of practices
Revision No. :1
41 of 66
Where documents are internally generated, cross-referencing between related documents is established and
maintained.
Documents are distributed to or accessed by all who need them and distribution records/access records maintained.
Any documents issued to external parties are decontrolled before issue and details of the recipient maintained.
Internal users of documents are responsible for identifying and communicating the need for any documentation
changes.
Obsolete documents are removed from the point of use on a positive recall basis. A full documentation review and
overhaul is done once in three years. Documents are protected against loss, damage and misuse.
Revision No. :1
42 of 66
Related Documents
• Documentation Procedure
• Documents of External Origin Register
• Master Document Register
• Internal and External Document Distribution Register
The organization has established and maintained a procedure for the generation, identification, storage,
protection/preservation, retention, retrieval and disposal of records. All records generated and maintained are
identified and traceable to the process, activity, product or service from where they are generated, and kept legible
and identifiable.
Records are reviewed and signed, for correctness, adequacy and suitability by the relevant process or activity
Supervisor or Manager. Each procedure or work instruction that generates a record indicates the record, title,
storage place, minimum retention period and disposal method.
Related Documents
• Documentation Procedure
• Records Register
Revision No. :1
43 of 66
8.0 OPERATION
8.1 Operational Planning and Control
To ensure effective control and compliance of processes, activities, facilities, services and products that are
associated with significant hazards and risks which have not yet been eliminated, appropriate operational controls
are developed and implemented on them following the hierarchy of controls (Elimination, Substitution, Engineering,
Administrative and or PPE). The administrative controls may also be used to support the other controls.
In the context of the hierarchy of controls, the following factors are also considered in determining the controls to
be applied:
feasibility, operability, cost, disposition of the intended user and others;
To achieve effective control, compliance and intended outcomes focus is put on:
• Input information and material – process/material specifications, internal customer requirements, MSDS,
material application or usage rates and any other applicable requirements etc.
• Operational methods and practices – guidelines, procedures, work instructions, checklists, plans, drawings,
matrices, flow charts, pictures and any other operational controls.
• Work environmental factors to be controlled – operational parameters, industrial relations, ergonomics,
environmental, occupational health and safety factors.
• People controls– Roles, responsibilities, supervision, competence, numbers, motivation, awareness and
communication channels
• In-process control parameters – Process specifications, process interfaces monitoring and control cycles,
inspections/verifications and output records, ergonomics, environmental, occupational health and safety
factors
• Machinery and equipment – Application of suitable and appropriate processing machinery and monitoring
equipment e.g., monitoring and measurement devices, PPE/C, tools and others
All operational processes or activities require some form of planning and control. Plans and controls for operational
Revision No. :1
44 of 66
processes and activities associated with significant operational hazards and risks should seek to adequately control
the risk sources and/or drivers.
The standard requires the organization to identify, amongst others, the following operational processes/activities as
requiring control procedures to ensure that they are carried out under controlled conditions:
• Process, facility or service design and development
• Outsourcing and contractor management
• Operational changes
• Transportation, Handling, Storage of Input Materials
• Delivery of Finished Product
• Procurement of goods and services
• All types of risk assessment
• Management of high risk works i.e. use of permit to work systems
Operational controls are availed and communicated to the relevant process or activity operators for their
understanding and correct implementation.
Evidence of operational processes/activities controls applied should be generated and maintained.
Related Documents
• Procurement of Goods and Services Procedure
• Supplier and Contractor Identification, Evaluation and Approval Procedure
• Management of Change to Operational Processes and Facilities Procedure
• Transportation Handling, Storage of Input and Material Procedure
• Delivery of Finished Product Procedure (Bullion Shipment)
• Process or Facility Design and Development Procedure
• All operational controls (operational procedures, work instructions, checklists, plans, matrices and others)
for operational processes /activities associated with significant operational hazards and risks
Revision No. :1
45 of 66
• Understands the delivery and post-delivery needs and requirements of these IPs (stated or implied) and the
means for meeting them. The interface between the function and its IPs is constantly monitored to identify
any changes.
• Determines its capacity to understand and consistently meet or deliver the IPs’ current or changed
requirements before promising or entering into an agreement with the IPs
• Identifies the applicable compliance obligations associated with the IPs’ products and services
• Determines the risks and opportunities associated with the requirements and expectations of their IPs and
the means of addressing the identified risks and meeting the requirements and expectations. Establishes
the appropriate arrangements for handling/management of any IPs’ property (materials,
machinery/equipment, information or any other inputs from the IPs)
• Determines any specific organisational requirements related to the IPs’ processes, activities, products or
services
• Documents any reviews, agreements or changes to products and or services Amends or updates relevant
documentation and communicates with affected parties when the requirements for products or services are
changed
Each function establishes appropriate consultation and communication arrangements with its internal or external
IPs on their requirements and expectations on any or all the issues above.
Related Documents
• Management of Interested Parties Procedure
• Interested Parties Satisfaction Measurement and Monitoring Procedure
• Interested Parties Feedback Procedure
• Internal Consultation, Participation and Communication Procedure
• External Consultation, Participation and Communication Procedure
Revision No. :1
46 of 66
For projects with the potential to present significant hazards and risks, a pre-design and development risk
assessment covering quality, environmental, safety and health, social, legal, economic and any other relevant
issues pertaining to the planned design and development, is conducted on the basis of the preliminary plan.
Related Documents
• Operational Hazards and Risks Identification and Assessment Procedure
• Process, Facility or Service Design and Development Procedure
• Management of Operational Changes Procedure
Revision No. :1
47 of 66
All BEMS, social and economic expectations and requirements for specified goods and services are defined in detail
and communicated to prospective suppliers/contractors to ensure a common understanding and response that
enables comparative analysis at the selection stage.
Procurement activities tied to empowerment and social responsibility initiatives that management may define from
time to time, may permit the procurement of goods and services from certain specific groups of suppliers/contractors
upon their demonstration of compliance with specifically defined requirements.
In cases of disadvantaged groups of suppliers/contractors the organization may assist them meet its requirements.
The procurement process is managed and controlled through the Procurement of Goods and Services Procedure.
Supplier/contractor performance are evaluated and monitored in order to identify those who are professionally
competent and can be partnered with in the medium - long term.
Procured goods (machinery and equipment, hazardous chemical substances, some PPE) and services can be
evaluated for suitability and conformance before procurement, before delivery or on receipt. In the case of services,
the supplier/ contractor selection is meant to give confidence of capability whilst service conformance and
effectiveness can be evaluated during and after service delivery.
The suitability and appropriateness of the goods or services to be procured may also be verified before the
procurement process, through risk and/or product performance assessments, as part of the selection process. The
risk and or product performance assessment will be conducted based on a criteria developed, reviewed and
approved by competent personnel.
Related Documents
• Procurement of Goods and Services Procedure
• Supplier and Contractor Identification and Evaluation Procedure
• Determining the Context of the Organisation Procedure
Revision No. :1
48 of 66
Suppliers/contractors of goods and services are identified and selected on the basis of their ability to meet the
specified business requirements. Suppliers/contractors of critical goods and services (machinery and equipment;
materials and chemical substances; PPE/C; mining consumables like explosives; food substances; tailings dam
design and maintenance; medical services; EIAs; Consultancy and trainings services) undergo an evaluation and
selection process based on a defined criteria. This may include subjecting the potential supplier/contractor and
goods or services through an audit and or appropriate risk assessment processes.
A supplier/contractor identification, and evaluation procedure is in place to control and guide this process.
Amongst others, the criteria for evaluating and selecting suppliers/contractors includes:
• Legal and relevant professional registrations and or permits
• Availability of suitable and adequate skills
• Availability of suitable and adequate equipment and machinery including transportation and communication
resources where necessary
• References for similar works successfully completed
• Relevant insurances to cater for any failures, accidents and other possible risk/loss situations
A contract of agreement with details of the scope of work, method statement (quality plan), deliverables, acceptance
and rejection criteria, responsibilities for contractor workers welfare and any specific applicable SHEQ requirements,
is established and accepted by both parties before the commencement of work.
For long term contracts, contractors may be subjected to regular appraisals to ensure their adherence to contractual
terms.
Related Documents 1
• Procurement of Goods and Services Procedure
• Supplier and Contractor Identification, Evaluation and Procedure
• Management Actions Procedure
Revision No. :1
49 of 66
Revision No. :1
50 of 66
Related Documents
• Production/Service Delivery Procedures - process specifications, inputs details, relevant steps,
machinery or equipment requirements, manpower and skills requirements, infrastructure and other resource
requirements, ideal work environment, monitoring and measurement activities and equipment/devices and
output product or service specifications.
8.5.2 Identification and Traceability
Identification and traceability is applied to the business processes and indicated in the process matrices (inputs,
outputs, risks, opportunities and controls). The need to establish identification and, in some cases, traceability
mechanisms have been identified in the following areas: -
• Geological Samples – Identification and traceability is applied to samples sent for assaying, to identify and
trace them to their sources.
• Assets – Identification and tracking is applied to organizational assets in terms of allocation-cost center,
condition, value – Asset Register Number etc.
• Procured Goods – Identified and traceable to the supplier, through batch/ code numbers and or supplier
purchasing and delivery documents
• Stored Goods – Identified through type, storage location and stores codes
• Information – Documented information is identified and traceable through source, issue and review
authority, storage area, revision and issue status, approval date, purpose and scope
• Management Actions (projects) – Identification and traceability is applied to management actions through
the use of names/titles, objectives, targets, scope, status, responsibility, schedule, cost – Management
Action Files and Information Sheets
• Interested Parties – IPs identification and traceability is according to their names, location, requirements
and expectations – Interested Parties Requirements Register
• Operational Level Hazards and Risks – these are identified through their type and traceable to their
location (process, activity, facility or task).
• High level risks and opportunities – these are identified through their type and traceable to the
part/function of business that they may affect.
Related Documents
• Sample management procedures
Revision No. :1
51 of 66
Property, including information and intellectual material, belonging to and provided by any IPs for use or
incorporation into the organization’s products or services (e.g. contractor equipment, methods and materials,
suppliers material or equipment on trial, hired equipment or facilities) is verified for suitability and appropriateness
before its acceptance or application.
Any IPs property or information under the organization’s custody is kept in a manner that preserves its integrity and
security and is only applied to its intended purpose. Everything possible is done to ensure the security and integrity
of IPs property, under the organization’s control.
The following stakeholder property, or information, among others, is held, handled or exposed to the business’
activities:
• Suppliers of goods, services and materials – vehicles, returnable packaging material, information –
addresses, phone numbers, bank details, drawings, specifications and others
• Contractors – equipment, vehicles, IT hardware/software, personal information, materials or substances,
PPE/C, work methods,
• Statutory/Regulatory authorities – vehicles, information
• Visitors to site or offices – vehicles, personal belongings
Where appropriate, a contract of agreement may be generated between the Mine and the Interested Party providing
property condition and other details.
Related Documents
• Supplier and Contractor Identification and Evaluation Procedure
Revision No. :1
52 of 66
To safeguard the integrity of products and services, regular audits, inspections and assessments are conducted to
identify opportunities for change and improvement. Preserved information which may be in hardcopy or electronic
format needs to be properly handled and controlled to prevent its deterioration, loss or misuse.
Procedures for the management of hardcopy documents, records, electronic data including the hardware and
databases are in place to safeguard the integrity and security of information.
Related Documents
• Documentation Procedure
• ICT Hardware and Software Management Procedure
Related Documents
• Relevant Internal Service Level Agreements
Revision No. :1
53 of 66
Change activities are reviewed/ verified for effectiveness, at appropriate stages of the change implementation
process, and appropriate action taken. The change effectiveness evaluation method is established at the change
planning stage.
Information describing the change process, risk assessment and change effectiveness evaluation results is
generated, communicated, as necessary, and maintained.
Related Documents
• Management of Operational Changes Procedure
Revision No. :1
54 of 66
All product and service deliveries to customers are reviewed and authorised by the relevant parties on the Supplier’s
side. Where necessary, acceptance of the delivered product or service is confirmed by customer
management/representative, as appropriate (e.g. handover-takeover after commissioning, repairs and
maintenance, goods/service receipts, Store receipts/ withdrawals).
Related Documents
• Procurement of Goods and Services Procedure
• Internal Product or Service Delivery Records
• Management of Interested Parties Procedure
When non-conforming products/services are identified when their use has already started, appropriate action
following the consequences of the non-conformity is determined and taken.
Significant product/service failure (beyond specification tolerances) is addressed through the corrective action
processes. Product/service failures within tolerance are addressed through the correction process. Recurring
Revision No. :1
55 of 66
product/service failures within tolerance are subjected to the corrective action process. Records of the above
situations are maintained.
Correction and Corrective Action procedure, amongst others, define the responsibility and authority for identifying,
analyzing and deciding on the action to be taken in addressing non-conforming products/services.
On an on-going basis, information on non-conforming products and services and the actions taken, is collated,
reviewed and analysed to determine the trends in product or service failures and appropriate action is then taken.
Related Documents
• Management of Non-Conformities Procedure
• Correction and Corrective Action Procedure
Emergency preparedness and response procedures and/ or plans are regularly communicated to all employees,
contractors and affected interested parties through induction, trainings, awareness programmes and interested
parties’ engagements.
Revision No. :1
56 of 66
Where possible, periodic drills to check the Mine’s state of preparedness to respond to such emergencies, are
conducted and any required improvements are noted and addressed.
After the occurrence of an emergency, a thorough investigation and evaluation of the causes, state of preparedness,
response effectiveness and extent of loss and harm to the business is carried out and appropriate actions are taken
to mitigate any risks caused and to prevent recurrence.
Related Document
• Emergency Preparedness and Response Procedure
• Specific Emergency Preparedness and Response Plans
• Corrections and Corrective Action Procedure
• Incident Reporting, Investigation and Management Procedure
Revision No. :1
57 of 66
Controls are in place to ensure that internal equipment used in measurement and monitoring is safe, calibrated and
accurate. Appropriate measures are also taken to ensure that external measurement and monitoring equipment is
serviceable and accurate. A Measurement and Monitoring Plan is in place to ensure a systematic approach and
consistency. Appropriate corrections or corrective actions or management actions are taken to address any
situations wherein measurement results are found out of specifications and records maintained.
Where there are no specific legal limits for particular process parameters, regional or international good/best
practices may be identified and adopted as internal standards.
Appropriate action(s) are then taken to ensure compliance, improvement and effectiveness of activity, process and
the Business.
Amongst others, the following business elements/factors are measured, monitored and analysed on a regular basis:
• Interested Parties Feedback
• Process performance – efficiencies, costs, recoveries, output quality
• Plant and Equipment Condition, compliance and performance
• Occupational health – dust, ventilation, lighting, noise, ergonomics, pneumoconiosis, hearing, sight
• Environmental factors – effluent quality, dust emissions, energy/resource usage, waste volumes
• People performance – competence, achievement of KPIs or deliverables
• Compliance Obligations
Revision No. :1
58 of 66
The information (results) obtained from these measurement and monitoring activities is analysed to determine its
compliance status, establish any trends and indications of any underlying problems or challenges related to the
monitored or measured business elements.
A criteria, based on key selected indicators is also in place for evaluating the performance and effectiveness of
BEMS at pre-determined intervals. The criteria also makes use of the monitoring and measurement results and/or
trends.
Records of measurement and monitoring activities are generated and maintained.
Related Documents
• Interested Parties Feedback Procedure
• Measurement, monitoring and Analysis Procedure
• BEMS Performance Evaluation Procedure
• Data and Trend Analysis Procedure
External Interested Parties’ perceptions and attitudes towards the organization can be determined from:
• The extent to which the organization has met the IPs’ requirements as defined in the Interested Parties
Requirements Matrix or register
• IPs feedback received by the organization on an ongoing basis
• IPs (e.g. Statutory and regulatory authorities, community, suppliers) feedback gathered through IPs
Revision No. :1
59 of 66
Perception Surveys
All the above information on IPs feedback is collated and analyzed to determine the level of IPs satisfaction at
defined intervals.
Related Documents
• Internal Consultation, Participation and Communication Procedure
• External Consultation, Participation and Communication Procedure
• Employee Perceptions Surveys Procedure
• Management of Interested Parties Procedure
• Interested Parties Satisfaction Measurement and Monitoring Procedure
• Data and Trend Analysis Procedure
During the implementation of each process, critical parameters are measured, monitored and controlled, at
appropriate stages and intervals of the process implementation, to ensure the desired outcomes.
Where necessary/possible, specific process measurement, monitoring and analysis requirements are incorporated
in the relevant process/activity control documents.
Related Documents
• Departmental Measurement and Monitoring Plans
• Departmental Operational Control Procedures (Various)
• Departmental Objectives and Targets
Revision No. :1
60 of 66
A procedure for the evaluation of the BMC – How Mine’s compliance with its obligations has been developed and
implemented.
Internal evaluations are conducted annually by competent internal personnel. External evaluations are conducted
once in three years by competent external personnel. The three-year external evaluation also evaluates the
effectiveness of the internal evaluations.
Results of compliance evaluations are reported on, appropriate corrections and /or corrective actions are determined
and implemented.
Records of the periodic evaluations are kept accordingly.
Related Documents
• Compliance Obligations Identification Procedure
• Compliance Obligations Evaluation Procedure
• Compliance Obligations Register
Revision No. :1
61 of 66
Amongst others, results obtained from this analysis process are used to determine where:
• Resources are inadequate or unsuitable
• Processes are ineffective
• There are ineffective hazards and risks controls
• Changes are required
• Improvement opportunities exist
Related Documents
• Data and Trend Analysis Procedure
• Measurement, Monitoring, and Analysis Procedure
• BEMS Performance Evaluation Procedure
• Management of Interested Parties Procedure
• Correction and Corrective Action Procedure
• Management of Non-Conformities Procedure
• Auditing Procedure
Revision No. :1
62 of 66
An annual internal audit schedule/plan is prepared at the beginning of each year as part of the business planning
process. A more detailed internal auditing plan, showing the processes/activities to be audited, audit scope, audit
criteria and the auditors, is prepared for each internal auditing activity.
The frequency of auditing a particular activity/process, internally, is determined on the basis of its criticality to the
performance of the business, risk level, results of any previous audits and any other relevant factors or key.
Internal Audits are conducted by trained and independent internal auditors who are required to prepare, perform
and report on the audit findings objectively and timely. A log/register of non-conformities raised is maintained and
used to track each non- conformity until closure.
Management responsible for the audited processes or activities are responsible for instituting the appropriate
corrections and/or corrective actions timely. The corrective action implementation progress is monitored and
reported on at Management meetings.
Related Documents
• Auditing Procedure
Revision No. :1
63 of 66
Implementation progress on issues discussed and agreed on at the management review is monitored and reported
at monthly management meetings. Minutes of Business Excellence Reviews are made available to the meeting
attendees, within one week of the review meeting and show opportunities for improvement, BEMS changes
required, resource adequacy and suitability as well as:
• Any other issues discussed and agreed
• Responsibility for implementation of the agreed actions
• Target completion dates of agreed actions
Related Documents
• Business Meetings Procedure
10.0 IMPROVEMENT
10.1 Management of Non-Conformities
The organisation denotes any failure to comply with or meet defined requirements as a non-conformity. Non-
conformities may be identified during:
• Inspections/checks on normal day to day operational activities
• Internal product or service quality control and releases to customers
• Inspection/testing of goods or services from interested parties (e.g. Suppliers, Statutory inspections)
Incident investigations
• Audits
• Evaluation of compliance with obligations
• IPs feedback
Non-conformities identified through internal audits are addressed through the relevant internal audit processes
whilst those identified through external audits are addressed though the corrective actions processes.
The procedures, amongst others, define the responsibility and authority for identifying, analyzing and resolving the
non-conformities and documentation thereof.
On an ongoing basis, information on non- conformities is collated, reviewed and analysed to determine the
effectiveness of the non-conformity resolution process and trends in product or process failures.
Revision No. :1
64 of 66
Related Documents
• Auditing Procedure
• Correction and Corrective Action Procedure
• Management of Non-Conformities Procedure
Related Documents
• Management of Near Misses Procedure
• Incident Management and Reporting Procedure
• Correction and Corrective Actions Procedure
• Emergency Preparedness, Response and Reporting Procedure
Revision No. :1
65 of 66
A procedure for the determination and identification of non-conformities that require corrective actions is in place.
All known possible causes of a non-conformity/incident are identified first, then through a systematic analysis and
elimination process, the root cause (s) is also identified.
Effective corrective action is determined, an appropriate level of risk assessment is conducted, the method and time
frame for evaluating effectiveness of the corrective action are determined and documented before implementation
of the proposed corrective action.
If on evaluation of effectiveness, the corrective action is found satisfactory it may be applied to other
areas/processes where similar non-conformities/incidents may occur. If found ineffective, the whole corrective
action process is re-visited. Where necessary, corrective actions found effective may be adapted to standard
practice.
Records of corrective actions and any actions taken thereafter are generated and maintained.
Related Documents
• Correction and Corrective Action procedure
Opportunities for innovation and improvement are identified and noted on an on-going basis. These are then fed
onto the business planning and resourcing processes where they are presented, reviewed, justified and prioritized.
During the business planning and review stage, amongst others, an analysis of:
• performance of various business processes
• suggestions from IPs and/or changes in their needs, requirements and expectations
Revision No. :1
66 of 66
• changes in the business environment and the risks and opportunities they present
• Progress made towards achieving set objectives/outcomes
is done and the business improvement needs and opportunities are determined, reviewed, prioritized and their
implementation responsibilities assigned. The improvement actions are then addressed through Management
Actions (Projects).
Continual improvement initiatives are planned and implemented in accordance with the Management Actions
(Projects) Procedure.
The implementation progress of the Management Actions is monitored, reported on and any appropriate action
taken.
After completion of a specific improvement Management Action (project), an evaluation of its effectiveness is done
in line with the evaluation plan defined at the management action planning stage. Records of Management Actions
are generated and maintained.
Related Documents
• Management Actions Procedure
• Business Planning Procedure
• Data and Trend Analysis Procedure
• Internal and External Communication Procedures