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Occupatiaonal Health & Safety Management - Short Course Handout
Occupatiaonal Health & Safety Management - Short Course Handout
Lecture Notes On
Compiled by:
April 2020
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Lecture Notes on Short Course on Occupational Health & Safety Management November 2020
Course Staff
Course Coordinator: Dr Eric Stemn, Mr Francis Krampah
Course Organiser: Mr Theophilus Joe-Asare
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Lecture Notes on Short Course on Occupational Health & Safety Management November 2020
Specifically, the course seeks to ensure an understanding of the following broad objectives
✓ The relevance of OHS and how effective OHS contributes to productivity and
profitability
✓ Why investing in OHS is good business
✓ The components of an effective OHS management plan
✓ How to design and implement an effective OHS management plan
LEARNING RESOURCES
Required Resources
This handout is the minimum learning resource required for this course. Students should
note that several references have been made in the handout and they are encouraged to
read those references to better appreciate the course. Additionally, several reading
assignments, which are none-scoring have equally been outlined in the handout. Some of
the reference materials have been upload as part of the course materials on the online
platform and course participants can freely download them.
Recommended Resources
The recommended resources have been provided as footnote and reading assignment in
their respective chapters throughout this handout. Other recommended resources have
been provided at the online platform and are freely downloadable.
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Lecture Notes on Short Course on Occupational Health & Safety Management November 2020
COURSE ASSESSMENT
Assessment of Student
The student’s assessment will be in two forms:
Continuous Assessment [60%] (Quizzes, Class Attendance, Assignments and Group
Project)
End of Course Examination [40%].
Assessment Summary
This is a summary of the assessment in the course. For detailed information on each
assessment, see the Assessment Detail below.
Assessment of Lecturer
At the end of the course, each student will be required to evaluate the course and the
lecturers’ performance by answering a questionnaire specifically prepared to obtain the
views and opinions of the student about the course and lecturer. The date of this exercise
will be communicated. Please be sincere and frank!
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TABLE OF CONTENTS
GENERAL COURSE INFORMATION .............................................................................. i
COURSE AIMS & OBJECTIVES ..................................................................................... ii
LEARNING RESOURCES ............................................................................................... ii
TEACHING & LEARNING ACTIVITIES ........................................................................ iii
COURSE ASSESSMENT ................................................................................................ iv
TABLE OF CONTENTS .................................................................................................. v
LIST OF FIGURES ......................................................................................................... xi
LIST OF TABLES ........................................................................................................... xi
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LIST OF FIGURES
Figure 1.1 Insured and uninsured cost of accidents ......................................................... 5
Figure 1.2 Key elements of successful health and safety management ........................... 13
Figure 4.1 Interrelationships among the four major components of an SMS ................. 32
Figure 5.1 Manual handling – there are many potential ................................................ 41
Figure 5.2 Main injury sites caused by manual handling ............................................... 43
Figure 5.3 HSE guidance for manual lifting – recommended weights ............................ 45
Figure 5.4 Elements of a good lifting technique ............................................................. 47
Figure 6.1 Approach to risk identification ...................................................................... 59
Figure 6.2 Risk matrix .................................................................................................... 61
Figure 6.3 Risk matrix .................................................................................................... 62
Figure 6.4 Risk intolerability and ALARP ....................................................................... 63
Figure 6.5 Safe/unsafe operating zone diagram (from Hassall et al, 2015) .................... 68
Figure 6.6 Approach to risk identification ...................................................................... 69
Figure 6.7 Defining a control (from Hassall et al, 2015) ................................................ 69
Figure 6.8 Traditional view of risk management ............................................................ 70
Figure 7.1 Incident Categories ....................................................................................... 77
Figure 8.1 Health and safety management system......................................................... 87
LIST OF TABLES
Table 6.1 Definitions for Risk Identification ................................................................... 58
Table 6.2 Definitions of Risk analysis ............................................................................. 60
Table 6.3 Definitions of risk analysis .............................................................................. 63
Table 6.4 Range of possible decision-making strategies (Hassall and Sanderson, 2011)65
Table 6.5 Examples of unacceptable risks and unwanted events from the resources
industry .......................................................................................................................... 67
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CHAPTER 1
1. OCCUPATIONAL HEALTH AND SAFETY FOUNDATIONS
1.1 Introduction
Occupational health and safety is relevant to all branches of industry, business and
commerce including traditional industries, information technology companies, the Health
Service, schools, universities, leisure facilities and offices.
The purpose of this chapter is to introduce the foundations on which appropriate health
and safety systems may be built. Occupational health and safety affects all aspects of work.
In a low hazard organization, health and safety may be supervised by a single competent
manager. In a high hazard manufacturing plant, many different specialists, such as
engineers (electrical, mechanical and civil), lawyers, medical doctors and nurses, trainers,
work planners and supervisors, may be required to assist the professional health and safety
practitioner in ensuring that there are satisfactory health and safety standards within the
organization.
There are many obstacles to the achievement of good standards. The pressure of
production or performance targets, financial constraints and the complexity of the
organization are typical examples of such obstacles. However, there are some powerful
incentives for organizations to strive for high health and safety standards. These incentives
are moral, legal and economic.
Corporate responsibility, a term used extensively in the 21st Century world of work, covers
a wide range of issues. It includes the effects that an organization’s business has on the
environment, human rights and third world poverty. Health and safety in the workplace is
an important corporate responsibility issue.
Corporate responsibility has various definitions. However, broadly speaking it covers the
ways in which organizations manage their core business to add social, environmental and
economic value in order to produce a positive, sustainable impact on both society and the
business itself. Terms such as ‘corporate social responsibility’, ‘socially responsible
business’, and ‘corporate citizenship’ all refer to this concept.
In Ghana, within the mining and mineral industry, the Inspectorate Division of the Minerals
Commission (IDMC) is to ensure that the risks to health and safety of workers are properly
controlled. In terms of corporate responsibility, they are to encourage organizations to:
✓ improve management systems to reduce injuries and ill health
✓ demonstrate the importance of health and safety issues at board level
✓ report publicly on health and safety issues within their organization, including their
performance against targets
It is generally believed that effective management of health and safety:
✓ is vital to employee well-being
✓ has a role to play in enhancing the reputation of businesses and helping them
achieve high-performance teams
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Risk - A risk is the likelihood of a substance, activity or process to cause harm. A risk can
be reduced and the hazard controlled by good management.
It is very important to distinguish between a hazard and a risk – the two terms are often
confused and activities such as construction work are called high risk when they are high
hazard. Although the hazard will continue to be high, the risks will be reduced as controls
are implemented. The level of risk remaining when controls have been adopted is known
as the residual risk. There should only be high residual risk where there is poor health and
safety management and inadequate control measures.
1.3 Moral, Legal and Financial Arguments for Health and Safety Management
1.3.1 Moral arguments
The moral arguments are reflected by the occupational accident and disease rates
Accident rates
Accidents at work can lead to serious injury and even death. The International Labour
Organisation (ILO) estimates over 2.3 million work-related death annually. The ILO
further estimate about 313 million non-fatal accidents every year. In Ghana, the mining
industry loses at least five (5) people every year. Although there has been a decrease in
fatalities over recent years, there is still a very strong moral case for improvement in health
and safety performance.
Disease rates
Work related ill-health and occupational disease can lead to absence from work and, in
some cases, to death.
Such occurrences may also lead to costs to the country and to individual employers (sick
pay and, possibly, compensation payments) (consider the Workman Compensation Act
19987, PNDCL 187).
Work related illness and occupational accidents constitute a significant cost to individuals,
families, employers and the wider community and their subsequent reduction could be a
key component of some government’s public health and social exclusion agenda. In 2012,
the then Minister of Employment and Labour Relations, Hon. Nii Armah Ashietey in a
statement said an amount of GH¢956, 362.00 was paid as Workmen’s Compensation to
121 victims of occupational accidents in the public sector. According to him an additional
amount of GH¢915, 177.00 was paid to 273 private sector workers who sustained various
degrees of industrial injuries. In all, the economy of Ghana lost about GH¢1.8 million on
occupational injuries and diseases apart from the loss of live, and source of livelihoods
(Sarpong, 2013). These work-related injuries also result in million of working days lost.
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Reading Assignment
Poplin, GS., Miller, HB., Ranger-Moore, J., Bofinger, CM., Kurzius-Spencer, M., Harris,
RB., Burgess, JL. (2008) ‘International evaluation of injury rates in coal mining: A
comparison of risk and compliance-based regulatory approaches’, Safety Science, 46(8),
pp. 1196-1204
Most jurisdictions have laws relating to the management of risks associated with health
and safety, environment and social impact and executing business activities (e.g.
contracting, conducting business transactions etc). Examples of such legislation are listed
below:
✓ Constitution of Ghana
✓ Labour Regulations, 2007 (L.I. 1833).
✓ Labour Act, 2003 (Act No. 651).
✓ Ghana National Fire Service Act
✓ Radiation Protection Instrument (No. 1559 of 1993)
✓ Constitution of the Republic of Ghana (No. 282 of 1992)
✓ Factories Offices and Shops (Amendment) Act (No. 275 of 1991)
✓ Factories, Offices and Shops Act (No. 328 of 1970)
✓ Mineral Commission Act (Act 450 of 1993)
✓ Mining and Mineral Act (Act 703, 2006)
✓ Minerals and Mining (Health, Safety and Technical) Regulations, 2012 (L.I. 2182)
✓ National Fire Service Regulation, 2003 (L.I 1725)
✓ Environmental Protection Act (Act 490 of 1994)
In addition to the legislation listed above there are other legal requirements that a company
and/or individual should abide by. These include an environment authority/license/permit,
commitment agreements with stakeholders, contractual agreements with employees,
vendors, supplier, etc.
Therefore, there is a myriad of laws that an industry professional needs to be aware of
especially when you consider the OHS, environmental, financial, contractual, human
resources laws that typically apply to the activities of resource companies. Thus,
participants are encouraged to examine for themselves the legislation and regulations that
govern the activities they are involved with.
1 Poplin, GS., Miller, HB., Ranger-Moore, J., Bofinger, CM., Kurzius-Spencer, M., Harris, RB., Burgess, JL. (2008) ‘International evaluation of
injury rates in coal mining: A comparison of risk and compliance-based regulatory approaches’, Safety Science, 46(8), pp. 1196-1204
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There are two sub-divisions of the law that apply to health and safety issues: criminal law
and civil law.
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The civil court is concerned with liability and the extent of that liability rather than guilt or
non-guilt. Therefore, the level of proof required is based on the ‘balance of probability’,
which is a lower level of certainty than that of ‘beyond reasonable doubt’ required by the
criminal court. If a defendant is found to be liable, the court would normally order him to
pay compensation and possibly costs to the plaintiff. However, the lower the balance of
probability, the lower the level of compensation awarded.
In extreme cases, where the balance of probability is just over 50%, the plaintiff may ‘win’
his case but lose financially because costs may not be awarded and the level of
compensation low.
For cases involving health and safety, civil disputes usually follow accidents or illnesses
and concern negligence or a breach of statutory duty. The vast majority of cases are settled
‘out of court’. While actions are often between individuals, where the defendant is an
employee who was acting in the course of his employment during the alleged incident, the
defence of the action is transferred to his employer – this is known as vicarious liability.
The civil action then becomes one between the individual and a company
Reading assignment
Identify the legal system in Ghana relating to health and safety, focusing on criminal and
civil law.
1.4.3 Negligence
The only tort (civil wrong) of real significance in health and safety is negligence. Negligence
is the lack of reasonable care or conduct which results in the injury, damage (or financial
loss) of or to another. Whether the act or omission was reasonable is usually decided as a
result of a court action.
For negligence to be established, it must be reasonable and foreseeable that the injury
could result from the act or omission. In practice, the Court may need to decide whether
the injured party is the neighbour of the perpetrator. A collapsing scaffold could easily
injure a member of the public who could be considered a neighbour to the scaffold erector.
An employee who is suing his employer for negligence, needs to establish the following
three criteria:
✓ a duty was owed to him by his employer since the incident took place during the
course of his employment
✓ there was a breach of that duty because the event was foreseeable and all
reasonable precautions had not been taken
✓ the breach resulted in the specific injury, disease, damage and/or loss suffered.
These criteria should also be used by anyone affected by the employer’s undertaking (such
as contractors and members of the public) who is suing the employer for negligence. If the
employer is unable to defend against the three criteria, two further partial defences are
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available. It could be argued that the employee was fully aware of the risks that were taken
by not complying with safety instructions. This defence is unlikely to be totally successful
because courts have ruled that employees have not accepted the risk voluntarily since
economic necessity forces them to work.
The second possible defence is that of ‘contributory negligence’ where the employee is
deemed to have contributed to the negligent act. This defence, if successful, can
significantly reduce the level of compensation (up to 80% in some cases).
These duties apply even if the employee is working at a third-party premise or if he has
been hired by his employer to work for another employer.
Unlike the Labour Act, the Factories, Offices and Shop Act is very specific to OHS and
contains detailed information and requirements for the effective management of OHS at
workplace. Specific sections include: the notification of accidents and dangerous
occurrence, hygiene and welfare at the workplace, first aid, among others.
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Employer Cares - Sources: §118-121 of the Labour Act 2003 (Act 651)
✓ In accordance with the provisions of Labour Act 2003, it is obligatory for the
employer to provide protective equipment for free and must not charge or deduct
any amount from the employees' salary for the provision of such equipment.
✓ The employer must provide workers with adequate safety appliances, suitable fire-
fighting equipment, personal protective equipment, and instruct the workers in the
use of such appliances or equipment. Workers are under the obligation to use the
safety appliances, firefighting equipment and personal protective equipment
provided by the employer in compliance with the employer’s instructions.
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1.5.1 Policy
A clear health and safety policy contribute to business efficiency and continuous
improvement throughout the operation. The demonstration of senior management
involvement provides evidence to all stakeholders that responsibilities to people and the
environment are taken seriously. The policy should state the intentions of the organization
in terms of clear aims, objectives and targets.
1.5.2 Organising
A well-defined health and safety organization offering a shared understanding of the
organization’s values and beliefs, at all levels of the organization is an essential component
of a positive health and safety culture. An effective organization will be noted for good
staff involvement and participation; high quality communications; the promotion of
competency; and the empowerment and commitment of all employees to make informed
contributions.
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1.5.6 Auditing
An independent and structured audit of all parts of the health and safety management
system reinforces the review process. Such audits may be internal and external. The audit
assesses compliance with the health and safety management arrangements and
procedures. If the audit is to be really effective, it must assess both the compliance with
stated procedures and the performance in the workplace. It will identify weaknesses in the
health and safety policy and procedures and identify unrealistic or inadequate standards
and targets. The conclusions from an audit of an organization’s health and safety
performance should be included in the annual report for discussion at Board meetings.
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HS mgt
Measuring
Active and reactive performance
monitoring
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CHAPTER 2
2. OCCUPATIONAL HEALTH AND SAFETY POLICY
2.1 Introduction
Every organization should have a clear policy for the management of health and safety so
that everybody associated with the organization is aware of its health and safety aims and
objectives. For a policy to be effective, it must be honoured in the spirit as well as the letter.
A good health and safety policy will also enhance the performance of the organization in
areas other than health and safety, help with the personal development of the workforce
and reduce financial losses.
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organization or company. Aims will probably remain unchanged during policy revisions
whereas objectives will be reviewed and modified or changed each year.
The statement should be written in clear and simple language so that it is easily
understandable. It should also be fairly brief and broken down into a series of smaller
statements or bullet points. The statement should be signed and dated by the most senior
person in the organization. This will demonstrate management commitment to health and
safety and give authority to the policy. It will indicate where ultimate responsibility lies and
the frequency with which the policy statement is reviewed.
The policy statement should be written by the organization and not by external consultants
since it needs to address the specific health and safety issues and hazards within the
organization. In large organizations, it may be necessary to have health and safety policies
for each department and/or site with an overarching general policy incorporating the
individual policies. Such an approach is often used by local authorities and multinational
companies.
The following points should be included or considered when a health and safety policy
statement is being drafted:
✓ the aims should cover health and safety, welfare and relevant environmental issues
✓ the position of the senior person in the organization or company who is responsible
for health and safety (normally the chief executive)
✓ the names of the health and safety adviser and any safety representatives’ duties
towards the wider general public and others (contractors, customers, students, etc.)
✓ the principal hazards in the organization
✓ specific policies of the organization (e.g. smoking policy, violence to staff, etc.)
✓ a commitment to employee consultation possibly using a safety committee or plant
council
✓ duties of employees
✓ specific performance targets for the immediate and long-term future.
Health and safety performance targets are an important part of the statement of intent
because:
✓ they indicate that there is management commitment to improve health and safety
performance
✓ they motivate the workforce with tangible goals resulting, perhaps, in individual or
collective rewards
✓ they offer evidence during the monitoring, review and audit phases of the
management system.
The type of target chosen depends very much on the areas which need the greatest
improvement in the organization. The following list, which is not exhaustive, shows
common health and safety performance targets:
✓ a specific reduction in the number of accidents, incidents and cases of work-related
ill-health (perhaps to zero)
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✓ minimal resources are made available for the implementation of the policy
✓ too much emphasis on rules for employees and too little on management policy
✓ a lack of parity with other activities of the organization (such as finance and quality
control) due to mistaken concerns about the costs of health and safety and the
effect of those costs on overall performance. This attitude produces a poor health
and safety culture
✓ lack of senior management involvement in health and safety, particularly at board
level
✓ employee concerns that their health and safety issues not being addressed or that
they are not receiving adequate health and safety information. This can lead to low
morale amongst the workforce and, possibly, high absenteeism
✓ high labour turnover
✓ inadequate personal protective equipment
✓ unsafe and poorly maintained machinery and equipment
✓ a lack of health and safety monitoring procedures.
In summary, a successful health and safety policy is likely to lead to a successful
organization or company.
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CHAPTER 3
3. ORGANISING FOR HEALTH AND SAFETY
3.1 Introduction
This chapter is about managers in businesses, or other organizations, setting out clear
responsibilities and lines of communications for everyone in the enterprise. Chapter 2 is
concerned with policy, which is an essential first step. The policy will only remain as words
on paper, however good the intentions, until there is an effective organization set up to
implement and monitor its requirements.
The policy sets the direction for health and safety within the enterprise and forms the
written intentions of the principals or directors of the business. The organization needs to
be clearly communicated and people need to know what they are responsible for in the
day-to-day operations. A vague statement that ‘everyone is responsible for health and
safety’ is misleading and fudges the real issues. Everyone is responsible but management
in particular.
Some policies are written so that most of the wording concerns strict requirements laid on
employees and only a few vague words cover managers’ responsibilities. Generally, such
policies cannot be said to be effective and comprehensive.
3.2 Control
Like all management functions, establishing control and maintaining it day in day out is
crucial to effective health and safety management. Managers, particularly at senior levels,
must take proactive responsibility for controlling issues that could lead to ill-health, injury
or loss. A nominated senior manager at the top of the organization needs to oversee policy
implementation and monitoring. The nominated person will need to report regularly to
the most senior management team.
The purpose of the health and safety organization is to harness the collective enthusiasm,
skills and effort of the entire workforce with managers taking key responsibility and
providing clear direction. The prevention of accidents and ill-health through management
systems of control becomes the focus rather than looking for individuals to blame after the
incident occurs.
The control arrangements should be part of the written health and safety policy.
Performance standards will need to be agreed and objectives set which link the outputs
required to specific tasks and activities for which individuals are responsible. For example,
the objective could be to carry out a workplace inspection once a week to an agreed
checklist and rectify faults within three working days. The periodic, say annual, audit would
check to see if this was being achieved and if not the reasons for non-compliance with the
objective.
People should be held accountable for achieving the agreed objectives through existing or
normal procedures such as:
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3.4 Role and Functions of Health and Safety and other Advisers
3.4.1 Competent person
One or more competent persons must be appointed to help managers comply with their
duties under health and safety law. The essential point is that managers should have access
to expertise to help them fulfil the legal requirements. However, they will always remain
as advisers and do not assume responsibility in law for health and safety matters. This
responsibility always remains with line managers and cannot be delegated to an adviser
whether inside or outside the organization. The appointee could be:
✓ the employers themselves if they are sure they know enough about what to do.
This maybe appropriate in a small low hazard business
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✓ one or more employees, as long as they have sufficient time and other resources
to do the task properly
✓ someone from outside the organization who has sufficient expertise to help
If an employer decides to seek outside help, they have to ensure that no employees are
competent to assist. Many health and safety issues can be tackled by people with an
understanding of current best practice and an ability to judge and solve problems. Some
help is needed long term, others for a one-off short period.
There are a wide range of experts available for different types of health and safety problem.
For example:
✓ engineers for specialist ventilation or chemical processes
✓ occupational hygienists for assessment and practical advice on exposure to
chemical (dust, gases, fumes, etc.), biological (viruses, fungi, etc.) and physical
(noise, vibration, etc.) agents
✓ occupational health professionals for medical examinations and diagnosis of work-
related disease, pre-employment and sickness advice, health education, etc.
✓ ergonomists for advice on suitability of equipment, comfort, physical work
environment, work organization, etc.
✓ physiotherapists for treatment and prevention of musculoskeletal disorders, etc.
✓ health and safety practitioner for general advice on implementation of legislation,
health and safety management, risk assessment.
3.5 Contractors
3.5.1 Introduction
The use of contractors is increasing as many companies turn to outside resources to
supplement their own staff and expertise. A contractor is anyone who is brought in to work
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who is not an employee. Contractors are used for maintenance, repairs, installation,
construction, demolition, computer work, cleaning, security, health and safety and many
other tasks. Sometimes there are several contractors on site at any one time. Clients need
to think about how their work may affect each other and how they interact with the normal
site occupier.
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CHAPTER 4
4. INTRODUCTION TO SAFETY MANAGEMENT SYSTEMS
4.1 Introduction
In recent years, there have been a great deal of research attention to understand how
industrial workplace accidents happen, particularly within the high-risk industries including
transportation, oil and gas, power, construction, manufacturing and mining. It is now
generally accepted that the causes of industrial accident are multiple and interrelated and
does not relate to only human error. Recent studies have observed that the human is only
the last link in the accident chain, and that changing people might not contribute greatly
to preventing accident. On the contrary, addressing the underlying organisational accident
causal factors could greatly improve organisational safety. These observations are
responsible for the emergence of the term “organisational accident” in the 1990, since
most of the links in an accident chain are under the control of the organisation. Since the
greatest threats to workplace safety originate in organisational issues, making the system
even safer will require action by the organisation. After conducting extensive research both
national and international workplace safety regulating bodies have concluded that the
most efficient way to make the workplace even safer will be adoption of a systems
approach to safety management, through the implementation of a safety management
system (SMS).
Implementing safety management systems should not been seen as imposing an additional
layer of regulatory and safety oversight on an organisation/industry. Safety management
systems incorporate the basic safety process, into the management of an organisation. The
traditional safety approach depended on a safety officer (or department in a larger
organization) independent from operations management, but reporting to the Chief
Executive Officer or Chief Operating Officer of the company. The safety officer or
department had, in effect, no authority to make changes that would enhance safety. The
safety officer or department’s effectiveness depended on the ability to persuade
management to act. A safety management system on the other hand holds managers
accountable for safety related action or inaction.
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The safety management system philosophy requires that responsibility and accountability
for safety be retained within the management structure of the organisation. The directors
and senior management are ultimately responsible for safety, as they are for other aspects
of the organisation. This is the logic that underlies recent safety management system
initiatives. This approach requires an organisation to identify its ‘accountable executive’.
This is the person who has financial and executive control over an entity subject to
regulations. The safety management system approach ensures that authority and
accountability co-exist.
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the significant progress in technology accomplished by aviation between the 1960s and
the 1980s was in no small degree due to the contribution of system safety.
System safety did not remain within aviation, and travelled across transportation inter-
modal and inter-industry boundaries, becoming the safety framework for several industries
to the present day. A point of historical perspective relevant to upcoming discussions on
the development of SMS is that the notions of hazard, risk and mishap are a legacy
(perhaps the legacy) of system safety.
System safety proposes a four-step architecture of intervention, based on hierarchical
precedence:
• Design for minimum risk: eliminate the safety concern (the hazard) through design
• If unable, incorporate safety devices: include design that automatically prevents the
safety concern from becoming a mishap.
• If unable, provide warning devices: include devices that alert personnel to the safety
concern in time to take remedial action, and
• If unable, develop procedures and training: provide instructions so that personnel
will use information available to control the safety concern
The first conclusion to draw from this historical perspective is two-fold. Firstly, as an
engineering discipline, system safety was conceived for application to, and improvement
of, technical systems (an aircraft, a ship, an engine, etc.) exclusively. Secondly, within the
strong engineering notion integral to the fabric of system safety, the human operator is
considered a liability to safety, due to the potential for human mishandling or
mismanagement of technology (human error) during actual operations. This is evident in
the hierarchical precedence of the four steps of intervention outlined in the previous
paragraph.
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transportation service delivery activities, thus contributing to the safety and efficiency of
transportation operations.
Four scientific disciplines converge into the core of Human Factors: ergonomics (human-
centred design of displays and controls), systems engineering (integration of system
components, with operators’ requirements as foremost consideration, to generate an
homogeneous and functional entity), physiology (fatigue, stress, noise, temperature,
pressure, vibration and similar human performance related considerations that may affect
transportation operations), and psychology, which branches out into social, organisational
and cognitive psychology.
The second conclusion to draw from this historical perspective is also two-fold. First, as
multidisciplinary field of endeavour, Human Factors was conceived for application to, and
improvement of, socio-technical systems (systems encompassing people and technology,
in which people must actively interact with technology to achieve the system production
goals). Second, within the multi-disciplinary notion of Human Factors, and in particular
under the auspices of organisational and cognitive psychology, the human operator is
considered an asset to safety, due to the ability of humans to “think on their feet” and
provide response to safety deficiencies and operational situations unforeseen by design
and planning. Closely linked to this consideration, human error, which had long been
maligned as “cause” of safety breakdowns and had therefore been the stop point of the
safety investigation, is considered a symptom of deficiencies deep in the architecture of
the system rather than a cause, and is the starting point of the safety investigation. Under
Human Factors, operational error is considered much in the same way as the medical
science considers fever: an indication of problem(s), but never the problem(s) itself.
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safety community to explore ways to give sense to the safety dollar: was safety truly the
first priority of the organisation, or must the safety return be worth the safety investment?
The third and last conclusion to draw from this historical perspective is also two-fold. First,
the notion that “you cannot manage what you cannot measure” led to the development
of multiple sources of organisation-specific data acquisition during operations. So far, the
limited data points provided by accident investigation (and eventually serious incident
investigation) as sole sources of safety data had generated valuable information for
accident prevention, but did not generate data in volume enough for safety management.
This forced, in the early days of business management, data aggregation (in many cases
at regional and even worldwide level) to obtain data volume, thus removing specificity
and therefore relevance of the data to a single organisation. Second, the fact that data
acquisition must not be random, and that safety data collection must be performed by
reference to defined parameters, which led to the development safety performance
indicators and safety performance targets.
In summary and conclusion, “before SMS”, the safety world of most industries had
progressed along parallel tracks, under the piecemeal guidance provided by three defined
but unmerged interventions: system safety, Human Factors, and business management.
At the dawn of the 21st Century, the three parallel tracks began converging towards an
intersection or point of confluence, and the challenge ahead for industries became the
coordinated integration of the three interventions into a coherent, intact whole. The result
of this integration would be a new discipline named safety management, and the vehicle
for the operationalisation of safety management would be SMS.
SMS implementation will change the way an organisation operates. That is, the main
game will still be operating the business; but SMS provides an underpinning structure
which enables organisations to manage risks in their operation and, when implemented
effectively, improve the effectiveness of the operations. Safety management systems are
not Quality Management Systems (QMS), although they do share many of the same
features and capabilities such as performance targets, reporting, governance and
performance monitoring. The objective of a QMS is the control of processes to achieve
predictable and desirable results that meet with the customer’s and organisation’s
requirements. Whereas the objective of an SMS is to monitor and control operational risks
to improve safety performance.
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If an organisation has a functioning QMS, then its staff will already be familiar with
reporting and feedback and, most importantly, they’ll already be on their way to an
effective reporting and safety culture - which is vital to the implementation and
sustainability of your SMS. Finally, SMS is not a manual, a database, or a reporting
process; these are all tools. It is how safety is managed day to day and becomes part the
organisation’s culture. It penetrates into the organisation’s processes and activities and it
shapes critical management thinking. It is a vital management tool where the staff are the
eyes and ears, the safety group is the heart and management is the decision-making ‘brain’
of the system.
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• The ability to control the potential risky operations faced by the organisation
• A clear and documented approach to achieving safe operations that can be
explained to others
• Active involvement of staff in safety
• Demonstrable control for the authority, customers and other stakeholders that an
organisation’s risks are under control
• Building a positive safety culture
• Reduction or removal of operational inefficiencies
• Decreased insurance costs and improved reputation
• A common language to establish safety objectives and targets and implement and
monitor safety risk controls
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3. Safety assurance
a. Safety performance monitoring and measurement
b. The management of change
c. Continuous improvement of the SMS
4. Safety promotion
a. Training and education
b. Safety communication
The four main component of an SMS are interrelated and their interrelationships have
been exemplified in Figure 1.1 below and discussed in details in the ensuing subsections.
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need to do their job safely, and gives them shared ownership of organisation’s safety
mission. This training commitment demonstrates management’s commitment to
establishing an effective SMS.
Reading Assignment
Airports Council International (ACI) (2016) “Safety Management System Handbook”.
First Edition.
ISO 45001:2018 – Occupational Health and Safety Management Systems – Requirements
with guidance for use
OHSAS 18001:2017 - Occupational Health and Safety Management Systems –
Requirements
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CHAPTER 5
5. HAZARDS AT THE WORKPLACE AND THEIR CONTROLS
5.1 Introduction
The International Board for Certification of Safety Managers (IBFCSM) defines a hazard
as “any solid, gas, or liquid with the potential to cause harm when interacting with an
array of initiating stimuli including human-related factors.” The scope of a hazard can
include any activity, behaviour, error, event, incident, occurrence, operation, process,
situation, substance, or task with potential to cause human harm, property damage, risk
to the environment, or a combination of all three. The board defines hazard closing as the
process of two or more hazards or causal factors attempting to occupy the same space at
the same time. Some hazard control professionals refer to this interaction of causal factors
as the accident generation cycle. This chapter focuses on some common workplace
hazards and how they can be managed.
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(due to careless working at height) and in warehouse work (due to careless stacking of
pallets on racking). The head is particularly vulnerable to these hazards. Items falling off
high shelves and moving loads are also significant hazards in many sectors of industry.
Striking against fixed or stationary objects
This accounts for between 1200 and 1400 major accidents each year in the UK. Injuries
are caused to a person either by colliding with a fixed part of the building structure, work
in progress, a machine member or a stationary vehicle or by falling against such objects.
The head
appears to be the most vulnerable part of the body to this particular hazard and this is
invariably caused by the misjudgement of the height of an obstacle. Concussion in a mild
form is the most common outcome and a medical check-up is normally recommended. It
is a very common injury during maintenance operations when there is, perhaps, less
familiarity with particular space restrictions around a machine. Effective solutions to all
these hazards need not be expensive, time consuming or complicated. Employee
awareness and common sense combined with a good housekeeping regime will solve
many of the problems.
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platforms. Appropriate personal protective equipment, such as hard hats or safety glasses,
should be worn at all times when construction operations are taking place.
Striking against fixed or stationary objects
This can be effectively controlled by:
✓ having good standards of lighting and housekeeping
✓ defining walkways and making sure they are used
✓ the use of awareness measures, such as training and information in the form of
signs or distinctive colouring
✓ the use of appropriate personal protective equipment, in some cases, as discussed
previously.
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✓ is there excessive pulling and pushing of the load? The state of floor surfaces and
the footwear of the individual should be noted so that slips and trips may be
avoided
✓ is there a risk of a sudden movement of the load? The load may be restricted or
jammed in some way
✓ is frequent or prolonged physical effort required? Frequent and prolonged tasks
can lead to fatigue and a greater risk of injury
✓ are there sufficient rest or recovery periods? Breaks and/or the changing of tasks
enables the body to recover more easily from strenuous activity
✓ is there an imposed rate of work on the task? This is a particular problem with some
automated production lines and can be addressed by spells on other operations
away from the line
✓ are the loads being handled while the individual is seated? In these cases, the legs
are not used during the lifting processes and stress is placed on the arms and back
✓ does the handling involve two or more people? The handling capability of an
individual reduces when he becomes a member of a team (e.g. for a three-person
team, the capability is half the sum of the individual capabilities). Visibility,
obstructions and the roughness of the ground must all be considered when team
handling takes place.
The load
The load must be carefully considered during the assessment and the following questions
asked:
✓ is the load too heavy? The maximum load that an individual can lift will depend
on the capability of the individual and the position of the load relative to the body.
There is therefore no safe load, but Figure 5.3 is reproduced from the HSE
guidance, which does give some advice on loading levels. It does not recommend
that loads in excess of 25 kg should be lifted or carried by a man (and this is only
permissible when the load is at the level of and adjacent to the thighs). For women,
the guideline figures should be reduced by about one third
✓ is the load too bulky or unwieldy? In general, if any dimension of the load exceeds
0.75 m (2 ft), its handling is likely to pose a risk of injury. Visibility around the load
is important. It may hit obstructions or become unstable in windy conditions. The
position of the centre of gravity is very important for stable lifting – it should be as
close to the body as possible
✓ is the load difficult to grasp? Grip difficulties will be caused by slippery surfaces,
rounded corners or a lack of foot room are the contents of the load likely to shift?
This is a particular problem when the load is a container full of smaller items, such
as a sack full of nuts and bolts. The movement of people (in a nursing home) or
animals (in a veterinary surgery) are loads which fall into this category
✓ is the load sharp, hot or cold? Personal protective equipment may be required
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Reading assignments
Reading on the “Safety in the use of lifting and moving equipment” and the “Types of
mechanical handling and lifting equipment, together with their safety considerations”
Hazards that affect the mental well-being/health of the worker. These may have physical
effects by overwhelming the individual coping mechanisms and impacting the workers’
ability to work in a healthy and safe manner. The hazards are generally not from physical
things one can see but rather as a result of interactions with others. There are often no
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obvious outward signs of the effects of exposure. The methods to control these hazards
are somewhat different than methods used to control other traditional workplace hazards.
It is only really in the last 20 years that psychological hazards have been included among
the occupational health hazards faced by many workers. This is now the most rapidly
expanding area of occupational health, and includes topics such as mental health and
workplace stress (as well as violence to staff and substance abuse).
• Anxiety/Depression
• Sickness absentees
• Irritability
• Tiredness
• Giddiness
Reading Assignment
Read this research papers on physical and psychosocial hazards in the Ghanaian mining
industry for discussion.
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Amponsah-Tawiah, K., Jain, A., Leka, S., Hollis, D. and Cox, T., (2013), "Examining
Psychosocial and Physical Hazards in the Ghanaian Mining Industry and Their
Implications for Employees’ Safety Experience", Journal of safety research, Vol. 45, pp.
75-84.
Amponsah-Tawiah, K., Leka, S., Jain, A., Hollis, D. and Cox, T., (2014), "The Impact of
Physical and Psychosocial Risks on Employee Well-Being and Quality of Life: The Case
of the Mining Industry in Ghana", Safety Science, Vol. 65, pp. 28-35.
They are organic substances that pose a threat to the heath of humans and other living
organisms. These include pathogenic micro-organisms, virus, toxins (from biological
sources, spores, fungi and bio-active substances). Exposure to infective and parasitic
agents can be through Insect bite, dog bite, snake bite.
Acute effects are of short duration and appear fairly rapidly, usually during or after a single
or short-term exposure to a hazardous substance. Such effects may be severe and require
hospital treatment but are usually reversible. Examples include asthma-type attacks,
nausea and fainting.
Chronic effects develop over a period of time which may extend to many years. The word
‘chronic’ means with time’ and should not be confused with ‘severe’ as its use in everyday
speech often implies. Chronic health effects are produced from prolonged or repeated
exposures to hazardous substances resulting in a gradual, latent and often irreversible
illness, which may remain undiagnosed for many years. Many cancers and mental diseases
fall into the chronic category. During the development stage of a chronic disease, the
individual may experience no symptoms.
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Electricity is a widely used, efficient and convenient but potentially hazardous method of
transmitting and using energy. It is in use in every factory, workshop, laboratory and office
in the country. Any use of electricity has the potential to be very hazardous with possibly
fatal results. Electrical hazards are hazards associated with the use of energy
source/electricity.
• Improper grounding
• Exposed electrical parts
• Inadequate wiring
• Damaged Insulations
• Damaged Insulations
• Overloaded Circuits
• Overhead Power lines
• Wet Conditions
• Damaged Tools and Equipment
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These are hazards associated with moving machinery. Mechanical hazards can occur in
three basic areas;
• At the point where work is performed: work points include areas where cutting,
boring, shaping and forming take place
• In power transmission apparatus: power transmission areas are flywheels, belt,
pulleys, couplings, connecting rods, chains and gears.
• In other moving parts: other moving parts of machinery consist of rotating,
reciprocating, transversing and feeding mechanisms
• Installation of physical barriers and guards such as fences, screens or fixed panels
of various materials
• Protection using minimum gap between the moving components
• Protection by reducing the force and energy levels of moving components
• Preventive maintenance
• Adequate job training
• Ensuring safe working environment
• Establishment of safety department with qualified safety engineer
• Periodic survey for finding out hazards
• Application of ergonomics
These hazards can cause physical and/or health risks. Depending on the chemical, the
hazards involved may be varied, thus it is important to know and apply the PPE especially
during the lab. Exposure to chemicals in the workplace can cause acute or long-term
detrimental health effects. Long term exposure to chemicals such as silica dust, engine
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exhausts, tobacco smoke, and/or lead have been shown to increase risk of heart disease,
stroke, and high blood pressure.
• Liquids like cleaning products, paints, acids, solvents – especially if chemicals are
in an unlabelled container
• Vapours and fumes that come from welding or exposure to solvents
• Gases like acetylene, propane, carbon monoxide and helium
• Flammable materials like gasoline, solvents, and explosive chemicals.
• Pesticides
• Asphyxiation
• Systematic intoxication
• Pneumoconiosis
• Carcinogens
• Irritation
• Mutagenicity
There are four main routes by which hazardous chemicals enter the body.
There are thousands of chemical compounds, which presents some form of hazards
either major or minor incidents usually termed as chemical accidents. Ways to control
chemical accidents and chemical hazard include:
• Read carefully the instructions and warnings on the packaging before using a
chemical product.
• Knowledge of operator of chemicals.
• Only buy and stock the quantities required in the near future.
• Dust control- this can be achieved through proper ventilation, exhaust, enclosed
apparatus, good housekeeping.
• Personnel protection: Mask, clothing, cloves, apron, boots barrier cream etc.
• Personal hygiene.
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Personal protective equipment (PPE) should only be used as a last resort – wherever
possible use engineering controls and safe systems of work instead. If PPE is still needed
it must be provided free by the employer. When selecting PPE, there is the need to
consider
5.8.1 Maintenance
Equipment must be properly looked after and stored when not in use, e.g. in a dry,
clean cupboard. If it is reusable it must be cleaned and kept in good condition. For
effective maintenance, the following must be noted:
✓ using the right replacement parts which match the original, eg respirator filters;
✓ keeping replacement PPE available;
✓ who is responsible for maintenance and how it is to be done;
✓ having a supply of appropriate disposable suits which are useful for dirty jobs
where laundry costs are high, e.g. for visitors who need protective clothing.
✓ Employees must make proper use of PPE and report its loss or destruction or any
fault in it.
5.8.1 Eyes
Hazards
Chemical or metal splash, dust, projectiles, gas and vapour, radiation.
Options
Safety spectacles, goggles, face screens, face shields, visors.
NB: Make sure the eye protection chosen has the right combination of impact/dust/
splash/molten metal eye protection for the task and fits the user properly.
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Options
Industrial safety helmets, bump caps, hairnets and firefighters’ helmets.
NB: Some safety helmets incorporate or can be fitted with specially-designed eye or
hearing protection. Don’t forget neck protection, e.g. scarves for use during welding.
Replace head protection if it is damaged.
5.8.3 Ears
Hazards
Impact noise, high intensities (even if short exposure), pitch (high and low frequency).
Options
Earplugs or earmuffs.
NB: Earplugs may fit into or cover the ear canal to form a seal. Earmuffs are normally
hard plastic cups which fit over and surround the ears. They are sealed to the head by
cushion seals. Take advice to make sure they reduce noise to an acceptable level. Fit only
specially-designed earmuffs over safety helmets.
5.8.4 Hands and arms
Hazards
Abrasion, temperature extremes, cuts and punctures, impact, chemicals, electric shock,
skin irritation, disease or contamination.
Options
Gloves, gloves with a cuff, gauntlets and sleeving which covers part of or the whole of the
arm.
NB: Don’t wear gloves when operating machines such as bench drills where the gloves
might get caught. Some materials are quickly penetrated by chemicals – take care in
selection. Use skin-conditioning cream after work with water or fat solvents. Barrier creams
are unreliable and are no substitute for proper PPE. Disposable or cotton inner gloves can
reduce the effects of sweating.
5.8.4 Feet and legs
Hazards
Wet, hot and cold conditions, electrostatic build-up, slipping, cuts and punctures, falling
objects, heavy loads, metal and chemical splash, vehicles.
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Options
Safety boots and shoes with protective toe caps and penetration-resistant midsole,
wellington boots and specific footwear, e.g. foundry boots and chainsaw boots.
NB: Footwear can have a variety of sole patterns and materials to help prevent slips in
different conditions, can have oil or chemical-resistant soles, and can be anti-static,
electrically conductive or thermally insulating. There is a variety of styles including
‘trainers’ and ankle supports. Avoid high-heeled shoes and open sandals. Consider the
comfort factor for the wearer.
5.8.5 Lungs
Hazards
Oxygen-deficient atmospheres, dusts, gases and vapours.
Options
There are respirators that rely on filtering contaminants from workplace air. These include
simple filtering facepieces and respirators and power-assisted respirators. In addition,
there are types of breathing apparatus, which give an independent supply of breathable
air, for example fresh-air hose, compressed airline and self-contained breathing
apparatus. You will need to use breathing apparatus in a confined space or if there is a
chance of an oxygen deficiency in the work area.
NB: The right type of respirator filter must be used as each is effective for only a limited
range of substances. Filters have only a limited life. Where there is a shortage of oxygen
or any danger of losing consciousness due to exposure to high levels of harmful fumes,
use only breathing apparatus.
5.8.6 Whole body
Hazards
Heat, cold, bad weather, chemical or metal splash, spray from pressure leaks or spray
guns, contaminated dust, impact or penetration, excessive wear or entanglement of own
clothing.
Options
Conventional or disposable overalls, boiler suits, aprons, chemical suits, thermal clothing.
NB: The choice of materials includes flame retardant, anti-static, chain mail, chemically
impermeable, and high visibility. Don’t forget other protection, like safety harnesses or life
jackets.
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CHAPTER 6
6. RISK MANAGEMENT
6.1 Understanding the Importance of Risk Management
But what is risk management? What does risk management mean? There are various
definitions of risk management.
Activity
What does the term ‘risk’ mean to you?
2 KPMG (2013) Expectations of risk management outpacing capabilities - It’s time for action, KPMG International. The full report can be
downloaded from https://www.kpmg.com/Global/en/issuesandinsights/articlesPublications/risk-management-outpacing-
capabilities/documents/expectations-risk-management-survey.pdf
3 Marsh and RIMS (2014), Special report: Excellence in Risk Management XI-Risk management and organizational alignment: A strategic focus,
Marsh and McLennan Group: USA. The full report can be downloaded from: http://www.mmc.com/content/dam/mmc-web/Files/risk
management and organizational alignment.pdf
4 Ernst & Young (2014), Expecting more from risk management: Drive business results through harnessing uncertainty, Ernst & Young Global
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5 Hillson, D., (2010) Exploiting Future Uncertainty: Creating value from risk, Gower, Surrey UK
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Activity
Who does the risk analysing in your organisation. Do you agree with the ICMM? Do you
think organisations can better identify and control health and safety risks and/or other risks
– i.e. community/social risk, human well-being risks, asset security risks, environmental
risks, economic risks, and technical risks? Why/why not?
Risk controller - There are two perspectives of humans and risk. There is the perspective
that humans are the source of risk within industry. The other perspective on humans and
risk is that humans are the adaptable resource that keeps control of risk in real time, most
of the time.
Risk perceiver – As mentioned previously, risk perceivers are stakeholders who consider
and hold a view about a risk or a number of risks. Their point of view is often referred to
as their “risk perception. The concept of risk perception is discussed in detail next.
6.4 Risk Communication
Risk communication involves the exchange of information about risk and risk perception.
Risk communication can be formal or information. It can occur across the many modes of
communication including face-to-face discussions, printed material, online materials,
social media communications. There is growing recognition that risk communication
needs to extend beyond the technical calculations of probability × consequence ×
exposure type information to incorporate risk perception and risk appetite aspects of risk.
6.5 Risk Identification
Risk identification can be defined as shown in Table 6.1. However, in this course we
define risk as the uncertainty that matters because it can have an impact on objectives.
Risk identification is about trying to identify the uncertainties that matter. Uncertainty can
be caused by variability, known and unknown threats and opportunities and incomplete
knowledge, uncertainty can be associated with the present and the future.
DEFINITION FROM
PLAIN ENGLISH DEFINITION
ISO31000:2009
Process of finding, ‘Risk identification’ is the process of identifying the
recognizing and describing opportunities or hazards (sources of harm) and describing
risks. the types of credible risks that could affect your organisation.
It involves a thorough examination of your organisation’s
activities and the potential events that could occur and those
that have occurred in similar circumstances. These events
can be planned or unplanned.
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Risk identification should involve looking for uncertainty that derives from current and
future variability, threats and potential threats, opportunities and potential opportunities,
and incomplete knowledge. Risk identification activities should also refer to the past to
identify historically the variability, threats, opportunities, and knowledge issues that have
impacted objectives and for these risks to be monitored and managed into the future in
ways that prevent reoccurrences of unwanted events.
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DEFINITION FROM
PLAIN ENGLISH DEFINITION
ISO31000:2009
Process to comprehend the ‘Risk analysis’ is the process of determining the
nature of risk and to determine relative effect individual risks are likely to exert on
the level of risk. your organisation/role.
Risk analysis can, and often does, involve using a matrix. The two industry matrices
shown in Figures 6.2 and 6.3 are quite simple. These matrices have different attributes.
Figure 6.2 provides descriptors for the range of consequences – people, assets,
environment, reputation – that relate to organisational objectives. Figure 6.2 also provides
basic guidance on actions to take when the risk is assessed as having a certain
consequence and likelihood rating.
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Source: http://www.eimicrosites.org/heartsandminds/ram.php
Figure 6.3 extends the range of consequences even further and provides more guidance
on assessing likelihood. The output from using a matrix like Figure 6.3 is a number. This
number can be used to rank risks from highest to lowest thereby allowing people to focus
on the highest risks first.
These matrices can help people assess and prioritise risk. However, one of the lessons
learned in using these matrices is that the high consequence, low likelihood events can
often get overlooked. Events such as dust explosions, successful anti-mining campaigns,
tailings dam overflow/failures might not get the priority, or attention, they deserve because
some matrix rank them as low[er] risk.
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6.6 Risk evaluation and the concepts of tolerable risk and ALARP
Once a risk has been analysed, an entity (person or organisation) needs to evaluate it.
The formal definitions for Risk Evaluation are shown in Table 6.3. Risk evaluation is
conducted to determine whether that risk will be accepted as is or whether it needs to be
proactively managed in a way that reduces it to an acceptable level. Risk acceptability is
often judged using terms like tolerability and As Low As Reasonably Practicable (ALARP).
Understanding the concepts of risk tolerability and ALARP can be challenging.
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DEFINITION FROM
PLAIN ENGLISH DEFINITION
ISO31000:2009
Process of comparing the Risk evaluation’ is the process of comparing estimated levels
results of risk analysis with of risk against the criteria defined earlier when establishing the
risk criteria to determine context. It then considers the balance between potential
whether the risk and/or its benefits and adverse outcomes, to determine if the risk is
magnitude is acceptable or acceptable or tolerable based on the quality of the controls in
tolerable. place.
Source: http://www.hse.gov.uk/foi/internalops/hid_circs/permissioning/spc_perm_37/,
http://www.jakeman.com.au/media/alarp-as-low-as-reasonably-practicable
6Health and Safety Executive, Guidance on ALARP Decisions in COMAH, British Government, London,
http://www.hse.gov.uk/foi/internalops/hid_circs/permissioning/spc_perm_37
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If the risks fall in this region then a case specific ALARP demonstration is required. The
extent of the demonstration should be proportionate to the level of risk.
Source: http://www.nopsema.gov.au/assets/Guidance-notes/N-04300-GN0166-
ALARP.pdf
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Table 6.4 Range of possible decision-making strategies (Hassall and Sanderson, 2011)
APPROACH
DESCRIPTION
/SOURCES
SWOT analysis Commonly used as a planning tool for analysing a business, its
(Strength, resources and its environment by looking at internal strengths and
Weakness, Opportunity weaknesses; and opportunities and threats in the external
Threats) environment.
PESTLE (Political, Commonly used as a planning tool to identify and categorise
Economic, Sociological, threats in the external environment (political, economic, social,
Technological, Legal, technological, legal, environmental).
Environmental)
Brainstorming Creative technique to gather risks spontaneously by group
members. Group members verbally identify risks in a ‘no wrong
answer’ environment. This technique provides the opportunity for
group members to build on each other’s ideas.
Scenario analysis Uses possible (often extreme) future events to anticipate how
threats and opportunities might develop.
Surveys/Questionnaires Gather data on risks. Surveys rely on the questions asked.
One-on-one interviews Discussions with stakeholders to identify/explore risk areas and
detailed or sensitive information about the risk.
Stakeholder analysis Process of identifying individuals or groups who have a vested
interest in the objectives and ascertaining how to engage with
them to better understand the objective and its associated
uncertainties.
Working groups Useful to surface detailed information about the risks, ie. source,
causes, consequences, stakeholder impacted, existing controls.
Corporate knowledge History of risks provide insight into future threats or opportunities
through:
Experiential knowledge – collection of information that a person
has obtained through their experience.
Documented knowledge – collection of information or data that
has been documented about a particular subject.
Lessons learned – knowledge that has been organised into
information that may be relevant to the different areas within
the organisation.
Process analysis An approach that helps improve the performance of business
activities by analysing current processes and making decisions on
new improvements.
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Other jurisdictions Issues experienced and risks identified by other jurisdictions should
be identified and evaluated. If it can happen to them, it can happen
here.
Some techniques are general – for example Brainstorming, Event inventories and loss
event data Interviews and self-assessment, Facilitated workshops, SWOT analysis, Risk
questionnaires and risk surveys. Some techniques have been tailored to achieve specific
objectives.
In selecting a technique, it is important to understand the objective and scope of the
assessment before selecting techniques to help achieve that objective. Good critiques of
the techniques exist (for example, Tworek, 20107) and it is also important to understand
the pitfalls and how to overcome them with good process.
7 Tworek, P. (2010) ‘Methods of Risk Identification In Companies’ Investment Projects’, Proceedings of the 5th International Conference Management and
Modelling of Financial Risk, Technical University of Ostrava, Czech Republic, 8-9 September 2010
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Table 6.5 Examples of unacceptable risks and unwanted events from the resources
industry
When describing the unwanted event, ideally the description of the unwanted event
should describe the point at which an opportunity is lost, or a system has gone from
being “in control” to being “out of control”. In terms of safety this can be expressed as
follows and as highlighted in Figure 6.5. The same logic should be applicable to other
types of unwanted events (e.g. environmental, financial, production losses, community
protests, etc.)
The description should be of the system state and not a description of the reasons
why the system state has gone into the unsafe region. In some case it is clear what
the description should be. For example, the fuel leak from a bulk fuel storage area
(loss of fuel containment) could become the description of an unwanted event,
rather than the subsequent fire, explosion or pollution which should be
considered as a consequence. However, in other cases it may not be clear what
the description should be. In these instances, discussion and discretion will be
required to determine the most appropriate description for the unwanted event.
It may be helpful to think about describing the unwanted event as the situation
which represents the last opportunity to intervene and prevent an accident.8
The most effective way to manage unwanted events is to eliminate the hazard
that can cause unwanted events. If elimination is not an option then substituting
the hazard with something that has less risk and minimising exposures should be
the next area to focus on to reduce risk levels. If elimination, substitution and
reducing exposure levels do not reduce the risks to a tolerable level then the next
8 Hassall, M., Joy, J., Doran, C., & Punch, M. (2015) Selection and optimisation of risk controls, (ACARP report C23007). Available from
http://www.acarp.com.au/reports.aspx
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option involves identifying the unwanted events that can emerge from the hazard
and selecting and optimising controls that help ensure effective protection of
people, assets, and the environment.9
Figure 6.5 Safe/unsafe operating zone diagram (from Hassall et al, 2015)
The risk treatment options summarised in Figure 6.6 are consistent with the Hierarchy of
Controls.
9 Ibid
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The proposed definition of control was derived to address operational risks and therefore
focuses on what controls are needed by frontline staff and supervisors to effectively
manage risks at the operational interface. Other risks, such as social risks, economic risks,
and political risks are typically managed higher up in a business. The definition of control
should still apply to the management of external threats and opportunities.
10 AS/NZS ISO 31000:2018 Risk management - Guidelines. The standard is available to UQ students via the SAI Global database in the library
11 Hassall, M., Joy, J., Doran, C., & Punch, M. (2015) Selection and optimisation of risk controls, (ACARP report C23007). Available from
http://www.acarp.com.au/reports.aspx
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Reading Assignment
International Council of Mining and Metals (2015) Health and Safety Critical Control
Management - Good Practice Guide, International Council of Mining and Metals,
London
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CHAPTER 7
7. ACCIDENTS AND EMERGENCIES
7.1 Managing Workplace Emergencies
7.1.1 Emergency procedures
Special procedures are necessary for emergencies such as serious injuries, explosion,
flood, poisoning, electrocution, fire, release of radioactivity and chemical spills. Quick and
effective action by people may help to ease the situation and reduce the consequences.
However, in emergencies people are more likely to respond reliably if they are well trained
and competent, take part in regular and realistic practice, and have clearly agreed,
recorded and rehearsed plans, actions and responsibilities. Write an emergency plan if a
major incident at your workplace could involve risks to the public, rescuing employees or
co-ordination of the emergency services.
• Consider what might happen and how the alarm will be raised. Don’t forget night
and shift working, weekends and times when the premises are closed, eg holidays.
• Plan what to do, including how to call the emergency services. Help them by clearly
marking your premises from the road. Consider drawing up a simple plan showing
the location of hazardous items.
• Provide emergency lighting if necessary
• You must make sure there are enough emergency exits for everyone to escape
quickly, and keep emergency doors and escape routes unobstructed and clearly
marked.
• Nominate competent persons to take control.
• Decide who are the other key people, such as a nominated incident controller,
someone who is able to provide technical and other site-specific information if
necessary, or first-aiders?
• Plan essential actions such as emergency plant shut-down, isolation or making
processes safe. Clearly identify important items like shut-off valves and electrical
isolators etc.
• Everyone must be trained in emergency procedures. Don’t forget the needs of
people with disabilities.
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• Determining what emergencies may occur and seeing that emergency procedures
are developed to address each situation.
• Directing all emergency activities including evacuation of personnel.
• Ensuring that outside emergency services are notified when necessary.
• Directing the shutdown of plant operations when necessary.
Effective security procedures can prevent unauthorized access and protect vital records
and equipment. Duplicate records of essential accounting files, legal documents and
lists of employee relatives – to be notified in case of emergency – can be kept at off-site
locations.
7.1.6 Training
Every employee needs to know details of the emergency action plan, including
evacuation plans, alarm systems, reporting procedures for personnel, shutdown
procedures, and types of potential emergencies. Any special hazards, such as flammable
materials, toxic chemicals, radioactive sources or water-reactive substances, should be
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discussed with employees. Drills should be held at random intervals, at least annually,
and should include outside police and fire authorities.
Training must be conducted at least annually and when employees are hired or when
their job changes. Additional training is needed when new equipment, materials or
processes are introduced, when the layout or design of the facility changes, when
procedures have been updated or revised, or when exercises show that employee
performance is inadequate.
It is essential that first aid supplies are available to the trained first aid providers, that
emergency phone numbers are placed in conspicuous places near or on telephones, and
prearranged ambulance services for any emergency are available. It may help to
coordinate an emergency action plan with the outsider responders such as the fire
department, hospital emergency room, EMS providers and local HAZMAT teams.
There is the also the need to monitor and review any measures put in place to help control
risk and prevent accidents and incidents from happening. Findings from accident and
incidents investigations can form the basis of action to prevent the accident or incident
from happening again and to improve an organisation’s overall risk management. This
will also point to areas of the risk assessments that need to be reviewed.
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✓ Investigating your accidents and reported cases of occupational ill health will help
you uncover and correct any breaches in health and safety legal compliance you
may have been unaware of
✓ The fact that you thoroughly investigated an incident and took remedial action to
prevent further occurrences would help demonstrate to a court that your company
has a positive attitude to health and safety
✓ Your investigation findings will also provide essential information for your insurers
in the event of a claim
An investigation can help you identify why the existing risk control measures failed and
what improvements or additional measures are needed. It can:
✓ provide a true snapshot of what really happens and how work is really done
(workers may find short cuts to make their work easier or quicker and may ignore
rules - you need to be aware of this)
✓ improve the management of risk in the future
✓ help other parts of your organisation learn
✓ demonstrate your commitment to effective health and safety and improving
employee morale and thinking towards health and safety
Investigating near misses and undesired circumstances, where no one has been harmed,
is as useful as, and may be easier than, investigating accidents. In workplaces where a
trade union is recognised, appointed health and safety representatives have the right to:
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Some jurisdictions provide guidance such as requiring that the incident must be conducted
jointly, with both management and labour represented, or that the investigators must be
knowledgeable about the work processes involved.
Members of the team can include:
✓ employees with knowledge of the work
✓ supervisor of the area or work
✓ safety officer
✓ health and safety committee
✓ union representative, if applicable
✓ employees with experience in investigations
✓ "outside" experts
✓ representative from local government or police
Note: In some cases, other authorities may have jurisdiction, such as if a serious injury or
fatality occurred. Your organization should establish, implement, and maintain a
procedure to coordinate managing incidents with the authority having jurisdiction (e.g.,
police, OH&S inspectors, etc.). This coordination may include the authority taking control
of the incident scene.
✓ Was the worker distracted? If yes, why was the worker distracted?
✓ Was a safe work procedure being followed? If not, why not?
✓ Were safety devices in order? If not, why not?
✓ Was the worker trained? If not, why not?
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An inquiry that answers these and related questions will probably reveal conditions that
are more open to correction.
The incident investigation team would perform the following general steps:
✓ Scene management and scene assessment (secure the scene, make sure it is safe
for investigators to do their job).
✓ Witness management (provide support, limit interaction with other witnesses,
interview).
✓ Investigate the incident, collect data.
✓ Analyze the data, identify the root causes.
✓ Report the findings and recommendations.
As little time as possible should be lost between the moment of an incident and the
beginning of the investigation. In this way, one is most likely to be able to observe the
conditions as they were at the time, prevent disturbance of evidence, and identify
witnesses. The tools that members of the investigating team may need (pencil, paper,
camera or recording device, tape measure, etc.) should be immediately available so that
no time is wasted.
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Task
Here the actual work procedure being used at the time of the incident is explored.
Members of the investigation team will look for answers to questions such as:
For most of these questions, an important follow-up question is "If not, why not?"
Material
To seek out possible causes resulting from the equipment and materials used, investigators
might ask:
Again, each time the answer reveals an unsafe condition, the investigator must
ask why this situation was allowed to exist.
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Work environment
The physical work environment, and especially sudden changes to that environment, are
factors that need to be identified. The situation at the time of the incident is what is
important, not what the "usual" conditions were. For example, investigators may want to
know:
Personnel
The physical and mental condition of those individuals directly involved in the event must
be explored, as well as the psychosocial environment they were working within. The
purpose for investigating the incident is not to establish blame against someone but the
inquiry will not be complete unless personal characteristics or psychosocial factors are
considered. Some factors will remain essentially constant while others may vary from day
to day:
Management
Management holds the legal responsibility for the safety of the workplace and therefore
the role of supervisors and higher management and the role or presence of management
systems must always be considered in an incident investigation. These factors may also be
called organizational factors. Failures of management systems are often found to be direct
or indirect causes. Ask questions such as:
✓ Were safety rules or safe work procedures communicated to and understood by all
employees?
✓ Were written procedures and orientation available?
✓ Were the safe work procedures being enforced?
✓ Was there adequate supervision?
✓ Were workers educated and trained to do the work?
✓ Had hazards and risks been previously identified and assessed?
✓ Had procedures been developed to eliminate the hazards or control the risks?
✓ Were unsafe conditions corrected?
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This model of incident investigation provides a guide for uncovering all possible causes
and reduces the likelihood of looking at facts in isolation. Some investigators may prefer
to place some of the sample questions in different categories; however, the categories are
not important, as long as each question is asked. Obviously, there is considerable overlap
between categories; this overlap reflects the situation in real life. Again, it should be
emphasized that the above sample questions do not make up a complete checklist, but
are examples only.
You may want to take photographs before anything is moved, both of the general area
and specific items. A later study of the pictures may reveal conditions or observations that
were missed initially. Sketches of the scene based on measurements taken may also help
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in later analysis and will clarify any written reports. Broken equipment, debris, and samples
of materials involved may be removed for further analysis by appropriate experts. Even if
photographs are taken, written notes about the location of these items at the scene should
be prepared.
Witness accounts
Although there may be occasions when you are unable to do so, every effort should be
made to interview witnesses. In some situations, witnesses may be your primary source of
information because you may be called upon to investigate an incident without being able
to examine the scene immediately after the event. Because witnesses may be under severe
emotional stress or afraid to be completely open for fear of recrimination, interviewing
witnesses is probably the hardest task facing an investigator.
Witnesses should be kept apart and interviewed as soon as possible after the incident. If
witnesses have an opportunity to discuss the event among themselves, individual
perceptions may be lost in the normal process of accepting a consensus view where doubt
exists about the facts.
Witnesses should be interviewed alone, rather than in a group. You may decide to
interview a witness at the scene where it is easier to establish the positions of each person
involved and to obtain a description of the events. On the other hand, it may be preferable
to carry out interviews in a quiet office where there will be fewer distractions. The decision
may depend in part on the nature of the incident and the mental state of the witnesses.
Interviewing
The purpose of the interview is to establish an understanding with the witness and to
obtain his or her own words describing the event:
DO...
DO NOT...
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Ask open-ended questions that cannot be answered by simply "yes" or "no". The actual
questions you ask the witness will naturally vary with each incident, but there are some
general questions that should be asked each time:
7.2.8 What should I know when making the analysis and recommendations?
At this stage of the investigation most of the facts about what happened and how it
happened should be known. This data gathering has taken considerable effort to
accomplish but it represents only the first half of the objective. Now comes the key question
- why did it happen?
Keep an open mind to all possibilities and look for all pertinent facts. There may still be
gaps in your understanding of the sequence of events that resulted in the incident. You
may need to re-interview some witnesses or look for other data to fill these gaps in your
knowledge.
When your analysis is complete, write down a step-by-step account of what happened
(the team’s conclusions) working back from the moment of the incident, listing all possible
causes at each step. This is not extra work: it is a draft for part of the final report. Each
conclusion should be checked to see if:
✓ it is supported by evidence
✓ the evidence is direct (physical or documentary) or based on eyewitness accounts,
or
✓ the evidence is based on assumption.
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✓ be specific
✓ be constructive
✓ identify root causes
✓ identify contributing factors
Resist the temptation to make only general recommendations to save time and effort.
For example, you have determined that a blind corner contributed to an incident. Rather
than just recommending "eliminate blind corners" it would be better to suggest:
Never make recommendations about disciplining a person or persons who may have been
at fault. This action would not only be counter to the real purpose of the investigation, but
it would jeopardize the chances for a free flow of information in future investigations.
In the unlikely event that you have not been able to determine the causes of an incident
with complete certainty, you probably still have uncovered weaknesses within the process,
or management system. It is appropriate that recommendations be made to correct these
deficiencies.
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information needed to help others understand the causes of the event, and why the
recommendations are important.
• Respond to the recommendations in the report by explaining what can and cannot
be done (and why or why not).
• Develop a timetable for corrective actions.
• Monitor that the scheduled actions have been completed.
• Check the condition of injured worker(s).
• Educate and train other workers at risk.
• Re-orient worker(s) on their return to work.
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CHAPTER 8
8. MONITORING, REVIEW AND AUDIT
8.1 Introduction
This chapter concerns the monitoring of health and safety performance, including both
positive measures like inspections and negative measures like injury statistics. It is about
reviewing progress to see if something better can be done and auditing to ensure that what
has been planned is being implemented.
Measurement is a key step in any management process and forms the basis of continuous
improvement. If measurement is not carried out correctly, the effectiveness of the health
and safety management system is undermined and there is no reliable information to show
managers how well the health and safety risks are controlled.
Managers should ask key questions to ensure that arrangements for health and safety risk
control are in place, comply with the law as a minimum, and operate effectively.
Proactive monitoring, by taking the initiative before things go wrong, involves routine
inspections and checks to make sure that standards and policies are being implemented
and that controls are working.
Reactive monitoring, after things go wrong, involves looking at historical events to learn
from mistakes and see what can be put right to prevent a recurrence.
Globally, it has been observed that organizations find health and safety performance
measurement a difficult subject. They struggle to develop health and safety performance
measures which are not based solely on injury and ill-health statistics.
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There is no single reliable measure of health and safety performance. What is required is
a ‘basket’ of measures, providing information on a range of health and safety issues.
There are some significant problems with the use of injury/ill-health statistics in isolation:
✓ there may be under-reporting - focusing on injury and ill-health rates as a measure,
especially if a reward system is involved, can lead to non-reporting to keep up
performance
✓ it is often a matter of chance whether a particular incident causes an injury, and
they may not show whether or not a hazard is under control. Luck or a reduction
in the number of people exposed, may produce a low injury/accident rate rather
than good health and safety management
✓ an injury is the particular consequence of an incident and often does not reflect the
potential severity. For example, an unguarded machine could result in a cut finger
or an amputation
✓ people can be absent from work for reasons which are not related to the severity
of the incident
✓ there is evidence to show that there is little relationship between ‘occupational’
injury statistics (e.g. slips, trip and falls) and the reasons for the lack of
control of major accident hazards (e.g. loss of containment of flammable or toxic
material)
✓ a small number of accidents may lead to complacency
✓ injury statistics demonstrate outcomes not causes.
Due to the potential shortcomings related to the use of accident/injury and ill-health data
as a single measure of performance, more proactive or ‘up stream’ measures are required.
These require a systematic approach to deriving positive measures and how they link to
the overall risk control process, rather than a quick-fix based on things that can easily be
counted, such as the
numbers of training courses or numbers of inspections, which has limited value. The
resultant data provide no information on how the figure was arrived at, whether it is
‘acceptable’ (i.e. good/bad) or the quality and effectiveness of the activity. A more
disciplined approach to health and safety performance measurement is required. This
needs to develop as the health and safety management system develops.
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Effective measurement not only provides information on what the levels are but also why
they are at this level, so that corrective action can be taken.
8.3.2 Answering questions
Health and safety monitoring or performance measurement should seek to answer such
questions as:
✓ where is the position relative to the overall health and safety aims and objectives?
✓ where is the position relative to the control of hazards and risks?
✓ how does the organization compare with others?
✓ what is the reason for the current position?
✓ is the organization getting better or worse over time?
✓ is the management of health and safety doing the right things?
✓ is the management of health and safety doing things right consistently?
✓ is the management of health and safety proportionate to the hazards and risks?
✓ is the management of health and safety efficient?
✓ is an effective health and safety management system in place across all parts of the
organization?
✓ is the culture supportive of health and safety, particularly in the face of competing
demands?
These questions should be asked at all management levels throughout the organization.
The aim of monitoring should be to provide a complete picture of an organization’s health
and safety performance.
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For example, what the chief executive officer of a large organization needs to know from
the performance measurement system will differ in detail and nature from the information
needs of the manager of a particular location/unit/department.
A coordinated approach is required so that individual measuring activities fit within the
general performance measurement framework.
Although the primary focus for performance measurement is to meet the internal needs of
an organization, there is an increasing need to demonstrate to external stakeholders
(regulators, insurance companies, shareholders, suppliers, contractors, members of the
public, etc.) that arrangements to control health and safety risks are in place, operating
correctly and effectively.
7.4
8.4 What To Measure
8.4.1 Introduction
In order to achieve an outcome of no injuries or work-related ill-health, and to satisfy
stakeholders, health and safety risks need to be controlled. Effective risk control is founded
on an effective health and safety management system. This is illustrated in Figure 8.1.
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✓ input: monitoring the scale, nature and distribution of hazards created by the
organization’s activities - measures of the hazard burden
✓ process: active monitoring of the adequacy, development, implementation and
deployment of the health and safety management system and the activities to
promote a positive health and safety culture – measures of success
✓ outcomes: reactive monitoring of adverse outcomes resulting in injuries, ill-health,
loss and accidents with the potential to cause injuries, ill-health or loss – measures
of failure
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8.6.2 Inspections
General
This may be achieved by developing a checklist or inspection form that covers the key
issues to be monitored in a particular department or area of the organization within a
particular period. It might be useful to structure this checklist using the ‘four Ps’ (note that
the examples are not a definitive list):
✓ premises, including:
o access/escape
o housekeeping
o services like gas and electricity
o working environment
o fire precautions
✓ plant and substances, including:
o machinery guarding
o tools and equipment
o local exhaust ventilation
o use/storage/separation of materials/chemicals
✓ procedures, including:
o safe systems of work
o permits to work
o use of personal protective equipment
o procedures followed
✓ people, including:
o health surveillance
o people’s behaviour
o training and supervision
o appropriate authorized person.
It is essential that people carrying out an inspection do not in any way put themselves or
anyone else at risk. Particular care must be taken with regard to safe access. In carrying
out these safety inspections, the safety of people’s actions should be considered, in
addition to the safety of the conditions they are working in – a ladder might be in perfect
condition, but it has to be used properly too.
Observation techniques
In addition, to become a good observer, a person must:
✓ stop for 10 to 30 seconds before entering a new area to ascertain where
employees are working
✓ be alert for unsafe practices that are corrected as soon as you enter an area
✓ observe activity – do not avoid the action
✓ remember ABBI – look Above, Below, Behind, Inside
✓ develop a questioning attitude to determine what injuries might occur if the
unexpected happened and how the job might be accomplished more safely. Ask
‘why?’ and ‘what could happen if …?’
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Preparatory work
✓ meet with relevant managers and employee representatives to discuss and agree
the objectives and scope of the audit
✓ gather and consider documentation
✓ prepare and agree the audit procedure with managers.
On-site
✓ interviewing
✓ review and assessment of additional documents
✓ observation of physical conditions and work activities.
Conclusion
✓ assemble the evidence
✓ evaluate the evidence
✓ write an audit report.
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which may not be as relevant to the development of an effective health and safety
management system.
To achieve the best results, auditors should be competent people who are independent of
the area and of the activities being audited. External consultants can be used or staff from
other areas of the organization. An organization can use its own auditing system or one of
the proprietary systems on the market or, since it is unlikely that any ready made system
will provide a perfect fit, a combination of both. With any scheme, cost and benefits have
to be taken into account. Common problems include:
✓ systems which are too general in their approach. These may need considerable
work to make them fit the needs and risks of the organization
✓ systems which are too cumbersome for the size and culture of the organization
✓ scoring systems may conceal problems in underlying detail
✓ organizations may design their management system to gain maximum points
rather than using one which suits the needs and hazard profile of the business.
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