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ISO 45001-2018-Basic-Gap-Checklist Master

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67% found this document useful (3 votes)
2K views40 pages

ISO 45001-2018-Basic-Gap-Checklist Master

45 K

Uploaded by

visutsi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Context of the Organization: Introduces the organization's context, key elements, and risk management framework in relation to OHSMS requirements.
  • Leadership and Worker Participation: Examines leadership's role and influence in managing and implementing the OHSMS effectively.
  • Planning for the OHSMS: Describes the process of planning actions to address risks and opportunities in the OHS management system.
  • Support for the OHSMS: Outlines resources and competence, communication, and documented information necessary for OHSMS.
  • Operation of the OHSMS: Covers the planning and control of operations necessary for managing risks and implementing the OHSMS.
  • Performance Evaluation: Focuses on monitoring measurement, analysis, and evaluation of OHS performance.
  • Improvement: Discusses continual improvement processes related to OHSMS, addressing incidents and feedback.

INSERT COMPANY NAME/LOGO HERE

ISO 45001:2018 Occupational Health and Safety Management Systems – The Gap Analysis Checklist
___________________________________________________________________________________________________________________

This gap analysis checklist is prepared for use in evaluating an Occupational Health and Safety Management System (OHSMS) against the
requirements of the new international standard ISO 45001:2018. Each requirement is expressed as a question that the user (auditor / assessor)
can use to evaluate your OH&S capabilities. You will need to have a copy of the new standard to use along with this checklist so that you can
refer to the requirements and the guidance sections of Annex A. The intent of the main clauses of the new standard is shown in blue font.
After you have prepared an audit schedule, and assigned responsibility to your auditors for different areas or processes to audit, copy each
section of the checklist for the auditors working with that section. As you work through the checklist take notes on what is in place, and what
needs to be developed.
In the space for ‘currently in place’, list or reference the procedures or other documents, or evidence that you have reviewed and that will provide
information for the new OHSMS. Take notes on the status of the documents, that is, will they need to be revised for the new system, or can they
be used as is? Also, note where processes are in place, but documentation is needed. Focus on what is in place, and what needs to be
developed.
While you do want to know if documented information is in place and if procedures and processes are being complied with, compliance is not
your focus for this audit. Remember that the outcome of this audit should be a list of things that your company needs to do to comply with the
ISO 45001:2018 standard.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

--- OCCUPATIONAL HEALTH & SAFETY Currently Compliant If No - % Items


MANAGEMENT SYSTEMS REQUIREMENTS YES / NO? Completed
in Place Needed

4 CONTEXT OF THE ORGANIZATION

Intent of This first clause introduces two sub-clauses relating to the context of the organization, 1st of all is understanding the organization
clause and its context and 2nd is understanding the needs and expectations of workers and other interested parties. Together they require
that you determine the issues and requirements that can impact on the planning of the OH&S Management System. In addition, the
scope of the OH&S and the OH&S processes along with their applicability and interactions need to be determined.

4.1 Understanding the organization and its context

As an organization, does your company determine


external and internal issues that are relevant to your
purpose?

______________________________________________________________________________________________________________________________

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Do you consider the relevant issues that affect your


ability to achieve the intended outcomes of the OH&S
Management System (OHSMS)?

4.2 Understanding the needs and expectations of workers and other interested parties

Has your company determined:

 The other interested parties that are in addition to


your workers, and that are relevant to the OHSMS?

 The relevant requirements (needs and expectations)


of workers and the other interested parties?

 Which of the needs and expectations become


applicable legal requirements & other requirements?

4.3 Determining the scope of the OH&S management system

To establish the scope of the OHSMS, does your


company determine its boundaries and applicability?

When determining the scope of the OH&S, do you


consider the:

 The external and internal issues per above


4.1?

 The relevant interested parties per above 4.2?

 The work-related activities performed at your


company?

______________________________________________________________________________________________________________________________

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Does the OHSMS include activities, products and


services that are within your control or your influence
and that can impact OH&S performance?

Is the scope of the OHSMS available and maintained


as documented information?

4.4 OH&S management system

Do you have the latest document for ISO 45001:2018?

As required by the ISO 45001 standard, do you


establish, document, implement, maintain, and
continually improve the OHSMS?

Does your company determine the processes needed


for the OHSMS, their interactions and applications?

5 LEADERSHIP AND WORKER PARTICIPATION

Intent of This clause requires that your top management demonstrates leadership and commitment with respect to the OH&S management
clause system. This section also asks top management to establish, implement and maintain an OH&S policy that is appropriate to your
company and to ensure that the organizational roles, responsibilities, and authorities for relevant roles are assigned, communicated,
and understood. In addition, your company is required to establish, implement and maintain systems for participation by and
consultation with both non-managerial and managerial workers in dealing with the OHSMS.

5.1 Leadership and commitment

Does the top management demonstrate leadership


and commitment with respect to the OHSMS by:

 Taking overall responsibility and accountability for


the prevention of work-related injury and ill-health
and the provision of safe and healthy workplaces
______________________________________________________________________________________________________________________________

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and activities?

 Ensuring that the OH&S policy and related OH&S


objectives are established and are compatible with
the strategic direction of the company?

 Ensuring the integration of the OHSMS processes


and requirements into the company’s business
processes?

 Ensuring that the resources needed to establish,


implement, maintain and improve the OHSMS are
available?

 Ensuring that a process for consultation and


participation of workers is established and
implemented?

 Communicating the importance of effective OH&S


management and of conforming to the OHSMS
requirements?

 Ensuring that the OHSMS achieves its intended


outcome(s)?

 Directing and supporting persons to contribute to


the effectiveness of the OHSMS?

 Ensuring and promoting continual improvement of


the OHSMS?

 Are improvement initiatives performed by


systematically identifying and taking actions to
address nonconformities, opportunities, and work-
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related hazards and risks, including deficiencies in


the system?

 Supporting other relevant management roles to


demonstrate their leadership as it applies to their
areas of responsibility?

 Developing, leading and promoting a culture in the


company that supports the intended outcomes of the
OHSMS?

 Protecting workers from reprisals when reporting


hazards, risks and opportunities?

 Supporting the establishment and functioning of


health and safety committees?

With reference to the note in 5.1.1

 In the ISO 45001 standard, do you broadly


interpret references to business as meaning those
activities that are core to the purposes of your
company’s existence?

5.2 OH&S policy

Has the top management established, implemented


and maintained an OH&S policy that:

 Includes a commitment to provide safe and healthy


working conditions for the prevention of work-related
injury and ill health and is appropriate to the
purpose, the size and context of the organization
and to the specific nature of the OH&S risks and
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opportunities?

 Provides a framework for setting the OH&S


objectives?

 Includes a commitment to fulfil legal requirements


and other requirements?

 Includes a commitment to eliminate hazards and


reduce OH&S risks, using the control hierarchy of
8.1.2?

 Includes a commitment to continually improve the


OHSMS?

 Includes a commitment to participation and the


involvement of workers’, and where they exist,
workers’ representatives, in the decision-making
processes in the OHSMS?

Is the OH&S policy:

 Available as documented information?

 Communicated within the company?

 Available to interested parties?

 Relevant and appropriate?

______________________________________________________________________________________________________________________________

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5.3 Organizational roles, responsibilities, and authorities

Has the top management ensured that the


responsibilities and authorities for relevant roles within
the OHSMS are assigned and communicated at all
levels in the company and maintained as documented
information?

Have the workers at each level of the company


assumed responsibility for those aspects of OHSMS
over which they have control?

Has the top management assigned the responsibility


and authority for:

 Ensuring that the OHSMS conforms to the


requirements of the ISO 45001 standard?

 Reporting on the performance of the OHSMS


to top management?

With reference to the note in 5.3

Is top management accountable for the functioning of


the OHSMS?

5.4 Consultation and participation of workers

Has the company established, implemented and


maintained a participation and consultation process?

 Does the process include participation by and


consultation of the workers at all applicable levels
and functions, and where they exist, workers’
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representatives in the development, planning,


implementation, evaluation and actions for
improvement of the OHSMS?

Has your company provided the mechanisms, time,


training and resources necessary for participation?

With reference to the note 1 in 5.4

Is worker representation used as a mechanism for


consultation and participation?

Have you provided timely access to clear,


understandable and relevant information about the
OHSMS?

Have you determined and removed obstacles or


barriers to participation and minimize those that cannot
be removed?

With reference to the note 2 in 5.4

 Do obstacles and barriers include failure to respond


to worker inputs or suggestions, language or literacy
barriers, reprisals or threats of reprisals and policies
or practices that discourage or penalize worker
participation?

Has your company emphasized the participation of


non-managerial workers in the following areas:

 Determination of the mechanisms for their


participation and consultation?

______________________________________________________________________________________________________________________________

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 Hazard identification and assessment of risks and


opportunities (see also 6.1.1, and 6.1.2)?

 Actions to control hazards and risks (see also 6.1.4)?

 Determination of competence and training needs,


training and evaluation of training (see also 7.2)?

 Determination of the information that needs to be


communicated and how this should be done (see
also 7.4)?

 Determination of control measures and their effective


implementation and use (see also 8.1, 8.1.3, & 8.2)?

 Investigation of incidents and nonconformities and


determining corrective actions (see also 10.2)?

Has your company emphasized the inclusion of non-


managerial workers in consultation related to the
following areas:

 Determination of the needs and expectations of


interested parties (see also 4.2)?

 Establishment of the policy (see also 5.2)?

 Assignment of organizational roles, responsibilities,


accountabilities and authorities as applicable (see
also 5.3)?

 Determination of how to apply legal requirements


and other requirements (see also 6.1.3)?

______________________________________________________________________________________________________________________________

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 Establishment of the OH&S objectives and planning


to achieve them (see 6.2)?

 Determination of the applicable controls for


outsourcing, procurement and contractors (see
8.1.4)?

 Determination of what needs to be monitored,


measured and evaluated (see also 9.1)?

 Planning, establishing, implementing and


maintaining an audit program (see also 9.2.2)?

 Ensuring a continual improvement process (see


also 10.3)?

With reference to note 3 in 5.4:

 Do you emphasize that the consultation and


participation of non-managerial workers is intended
to apply to persons carrying out the work activities,
but is not intended to exclude, for example,
managers who are impacted by work activities or
other company factors?

With reference to note 4 in 5.4:

 Do you recognize that training at no cost to workers


during working hours can remove significant barriers
to worker participation?

______________________________________________________________________________________________________________________________

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6 PLANNING

Intent of This clause talks about the planning for the OH&S management system, where your company needs to consider the issues referred
clause to in previous clause 4.1, the requirements of clause 4.2, the scope of the OH&S system per clause 4.3, and determine the actions
to address the OH&S risks and opportunities. The planning of actions includes systems for the identification of workplace hazards
and the assessment of OH&S and other system risks, along with the identification of OH&S opportunities and other system
opportunities. In addition, legal requirements and other requirements that apply to the hazards and OH&S risks need to be
determined, up to date and accessible. This section also talks about establishing the OH&S objectives for the relevant functions and
plans to achieve them.

6.1 Actions to address risks and opportunities

6.1.1 General

When planning for the OH&S management system,


does your company consider the issues referred to in
4.1 (context), the requirements referred to in 4.2
(interested parties) and 4.3 (the scope of its OHSMS)
and determine the risks and opportunities that need to
be addressed to:

 Assure that the OHSMS can achieve its intended


outcome(s)?

 Prevent, or reduce, undesired effects?

 Achieve continual improvement?

When determining the risks and opportunities to the


OHSMS and its outcomes that need to be addressed,
have you considered:

OH&S hazards (see [Link]) and their associated


OH&S risks (see [Link]) and OH&S opportunities (see
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[Link])?

 Applicable legal requirements and other


requirements (see also 6.1.3)?

As part of the planning process, does your company


assess the risks and identify the opportunities that are
relevant to the intended outcome of the OHSMS
associated with changes in the company, its
processes, or the OHSMS?

 In the case of planned permanent or temporary


changes, is this assessment undertaken before the
change is implemented (see also 8.2)?

Is documented information maintained for:

 The OH&S risks and OH&S opportunities that


need to be addressed?

 The processes needed to determine and


address risks and opportunities (see 6.1.2 to 6.1.4)
to the extent needed to provide the confidence they
are carried out as planned?

6.1.2 Hazard identification and assessment of risks and opportunities

[Link] Hazard identification

Has your company established, implemented and


maintained a process for the on-going proactive
identification of arising hazards?

Does your hazard identification process consider how


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work is organized and social factors, including


workload, work hours, victimization, harassment,
bullying leadership and the culture in the company?

Does your process consider routine and non-routine


activities & situations?

For such activities & situation is consideration given to:

 Infrastructure, equipment, materials, substances and


the physical conditions of the workplace?

 Hazards that arise as a result of product design


including during research, development, testing,
production, assembly, construction, service delivery,
maintenance or disposal?

 Human factors?

 How the work is done?

Does your process consider potential emergency


situations?

Does your process consider people?

Is consideration given to:

 People with access to the workplace and their


activities, including workers, contractors, visitors and
other persons?

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affected by the activities of your company?

 Workers at a location not under the direct control of


your company?

Does your process consider other issues such as:

 Design of work areas, processes, installations,


machinery/equipment, operating procedures and
work organization, including their adaptation to the
needs and capabilities of the workers involved?

 Situations occurring in the vicinity of the workplace


caused by work-related activities under your control?

 Situations not under your control and occurring in the


vicinity of the workplace that can cause work-related
injury and ill health to persons in the workplace?

Does your hazard identification process consider


actual or proposed changes in the company, its
operations, processes, activities and the OHSMS (see
also 8.1.3)?

Does your hazard identification process consider


changes in knowledge of, and information about,
hazards?

Does your hazard identification process consider past


incidents, internal or external to the company,
including emergencies, and their causes?

[Link] Assessment of OH&S risks and other risks to the OH&S management system

______________________________________________________________________________________________________________________________

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Has your company established, implemented and


maintained a process to:

 Assess OH&S risks from the identified hazards


taking into consideration the effectiveness of existing
controls?

 Determine and assess the other risks related to the


establishment, implementation, operation and
maintenance of the OHSMS?

Have you defined the methodology and criteria for


assessment of OH&S risks with respect to scope,
nature and timing, to ensure it is proactive rather than
reactive and used in a systematic way?

Are the methodologies and criteria maintained and


retained as documented information?

[Link] Assessment of OH&S opportunities and other opportunities to the OH&S management system

Does your company establish, implement and maintain


processes to identify opportunities that enhance OH&S
performance?

Does the process consider:

 Planned changes to the company, the processes or


activities?

 Opportunities to eliminate or reduce OH&S risks?

 Opportunities to adapt work, work organization, and


work environment to workers?
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 Opportunities for improving the OHSMS?

With reference to the note in [Link]:

 Do OH&S risks and opportunities result in other risks


and other opportunities?

6.1.3 Determination of legal requirements and other requirements

Has your company established, implemented and


maintained a process to:

 Determine and have access to up-to-date legal


requirements and other requirements to which your
company subscribes that are applicable to the
hazards, the OH&S risks, and the OHSMS?

 Determine how these legal requirements and other


requirements apply to the company and what needs
to be communicated (see also 7.4)?

 Consider the legal requirements and other


requirements when establishing, implementing,
maintaining and continually improving its OHSMS?

Do you maintain and retain documented information


on your legal requirements and other requirements
and ensure that it is updated to reflect any changes?

With reference to the note in 6.1.3:

Can your legal requirements and other requirements


result in risks and opportunities for your company?

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6.1.4 Planning to take action

Have you planned the actions to address the risks and


opportunities (see also [Link] and [Link])?

Have you planned the actions to address applicable


legal requirements and other requirements (see also
6.1.3)?

Have you planned the actions to prepare for, and


respond to, emergency situations (see also 8.2)?

Have you planned the actions on how to integrate and


implement the actions into its OHSMS processes or
other business processes?

Have you planned the actions on how to evaluate the


effectiveness of these actions?

Has your company taken into account the hierarchy of


controls listed in 8.1.2 and outputs from the OHSMS
when planning to take action?

When planning the actions, have you considered best


practices, technological options, financial, operational
and business requirements and constraints?

6.2 OH&S objectives and planning to achieve them

6.2.1 OH&S objectives

Has the company established OH&S objectives at


relevant functions and levels to maintain and improve
the OHSMS and to achieve continual improvement in

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OH&S performance (see also Clause 10.3)?

In establishing the OH&S objectives:

 Are they consistent with the OH&S policy?

 Do they take into account applicable requirements?

 Do they take into account the results of the


assessment of OH&S risks and OH&S opportunities?

 Do they take into account the results of consultation


with workers, and where they exist, workers’
representatives?

 Are the objectives measurable or capable of


performance evaluation?

 Are they monitored, clearly communicated, and


updated as appropriate?

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6.2.2 Planning to achieve OH&S objectives

When planning how to achieve its OH&S objectives,


have you determined:

 What will be done?

 What resources will be required?

 Who will be responsible?

 When it will be completed?

 How it will be measured through indicators (if


practicable) and monitored, including frequency?

 How the results will be evaluated, including


monitoring indicators?

 How the actions to achieve OH&S objectives will be


integrated into the business processes?

Do you maintain and retain documented information


on the OH&S objectives and plans to achieve them?

7 SUPPORT

Intent of This clause requires that your company determine and provide the resources needed to establish, implement, maintain and
clause continually improve the OH&S management system. This section covers the resources that support the system and include
competence and awareness of the workers, methods for the communication of OH&S internal and external information along with
the requirements for documented information.

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7.1 Resources

Has the company determined and provided the


resources needed to establish, implement, maintain,
and continually improve the OHSMS?

7.2 Competence

Has your company:

 Determined the necessary competence of workers


that affects or can affect its OH&S performance?

 Ensured that workers are competent on the basis of


appropriate education, training, or experience?

 Taken actions to acquire the necessary competence,


and evaluate the effectiveness of the actions taken?

 Retained relevant documented information as


evidence of competence?

With reference to the note in 7.2:

Do your actions include, for example, the provision of


training to, the mentoring of, or the re- assignment of
currently employed workers, or the hiring or
contracting of competent ones?

7.3 Awareness

Are the workers made aware of the following:

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 The OH&S policy and OH&S objectives?

 Their contribution to the effectiveness of the


OHSMS, including the benefits of improved OH&S
performance?

 The implications and potential consequences of not


conforming with the OHSMS requirements?

 Incidents and outcome of the investigations relevant


to them?

 Hazards, OH&S risks and actions relevant for them?

 Their ability to remove themselves from work


situations that they consider having an imminent and
serious danger to their life or health, along with the
arrangements for protection from undue
consequences for doing so?

7.4 Communication

7.4.1 General

Have you determined the need for internal and


external communications relevant to the OHSMS?

Do they include:

 On what you will communicate?

 When to communicate?

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 With whom to communicate, such as:

o Internally with various company levels & functions?

o With contractors and visitors to the workplace?

o With other external or interested parties?

 How to communicate?

Have you taken into account diversity aspects, such as


gender, language, culture, literacy, and disability,
when considering the communication needs?

Has your company ensured that the views of external


interested parties are considered in the communication
process?

When establishing the communication process, do you


consider the legal requirements and other
requirements?

How do you ensure that OH&S information to be


communicated is consistent with information
generated within the OH&S management system, and
is reliable?

Does the company respond to relevant


communications on the OH&SMS?

Is documented information retained as evidence of


communications?

7.4.2 Internal communication


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Does your company communicate internally the


information relevant to the OHSMS among the various
levels and functions, including changes to the system?

Do you ensure that communication processes enable


workers to contribute to continual improvement?

7.4.3 External communication

Does your company communicate externally the


information relevant to the OHSMS as established by
the communication processes and taking into account
the legal requirements?

7.5 Documented information

7..5.1 General

Have you included the following in your OHSMS:

 The documented information required by the


international ISO 45001 document?

 The documented information determined by your


company as being necessary for the effectiveness of
the OHSMS?

With reference to the note in 7.5.1:

With the extent of documented information for the


OHSMS differing from one company to another, have
you considered the:

 Size of your company and the type of activities,


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processes, products and services?

 Complexity of your processes and their interactions?

 Competence of your workers?

7.5.2 Creating and updating

When creating and updating documented information,


do you ensure the appropriate:

 Identification and description, such as a title, date,


author, or reference number?

 Format, such as language, software version,


graphics, and paper or electronic media?

 Review and approval for suitability and adequacy?

7.5.3 Control of documented information

Is your documented information required by the


OHSMS and by the ISO 45001 international standard
controlled to ensure that:

 It is available and suitable for use, where and when it


is needed?

 It is adequately protected, such as from loss of


confidentiality, improper use, or loss of integrity?

For the control of documented information, has your


company addressed the following activities:

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 Distribution, access, retrieval and use?

 Storage and preservation, including preservation of


legibility?

 Control of changes, such as version


control?

 Retention and disposition?

Is the documented information of external origin


determined by your company to be necessary for the
planning and operation of the OHSMS identified and
controlled?

With reference to note 1 in 7.5.3:

Do you recognize that access can imply a decision


regarding the permission to view the documented
information only, or the permission and authority to
view and change the documented information?

With reference to the note 2 in 7.5.3:

Do you recognize that access to relevant documented


information include access by workers, and any
relevant worker representatives?

8 OPERATION

Intent of This clause requires that your company plan, implement and control the processes required for the OH&S management system and
clause to implement the actions to address risks and opportunities as determined in previous planning clause 6. Operational planning and
control include processes to eliminate or reduce OH&S risks, to manage change, and systems for procurement, contractors,
outsourcing, and emergency preparedness and response.
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8.1 Operational planning and control

8.1.1 General

Has the company planned, implemented and


controlled the processes needed to meet requirements
of the OHSMS?

Have you implemented the actions determined in


previous clause 6, by:

 Establishing criteria for the processes?

 Implementing controls for the processes in


accordance with the criteria?

 Maintaining and retaining documented information to


provide confidence that the processes have been
carried out as planned?

 Adapting work to workers?

At multi-employer workplaces, have you implemented


a process for coordinating the relevant parts of the
OHSMS with other organizations?

8.1.2 Eliminating hazards and reducing OH&S risks

Has your company established a process and


determined the controls for achieving reduction in
OH&S risks using the following hierarchy of control:

 Eliminate the hazard?

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 Substitute with less hazardous materials, processes,


operations or equipment?

 Use of engineering controls and reorganization of


work?

 Use of administrative controls, including training?

 Use of adequate personal protective equipment?

With reference to the note in 8.1.2:

As required in many countries, do legal requirements


require that you provide personal protective equipment
to workers at no cost to them?

8.1.3 Management of change

Is a process established for the implementation and


control of planned temporary and permanent changes
that impact OH&S performance, such as for:

 New products, processes or services or changes to


existing ones as related to workplace locations and
surroundings, work organization, working conditions,
equipment, and work force?

 Changes to work processes, procedures, equipment,


or organizational structure?

 Changes to legal requirements and other


requirements?

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 Changes in knowledge or information about hazards


and related OH&S risks?

 Developments in knowledge and technology?

Do you review the consequences of unintended


changes, taking action to mitigate any adverse effects,
including addressing potential opportunities?

With reference to the note in 8.1.3:

Do you consider change as resulting in risks and


opportunities?

8.1.4 Procurement

[Link] General

Have you implemented a process to control the


procurement of products and services that ensures
that they conform to requirements of your OHSM?

[Link] Contractors

Do you coordinate the procurement process with


contractors to identify hazards and to assess and
control the OH&S risks, resulting from:

 Contractors’ activities and operations that impact


your company?

 Contractors’ activities and operations that impact the


contractor’s workers?

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 Contractors’ activities and operations that impact


other interested parties in the workplace?

Are processes established and maintained to ensure


that the requirements of your OHSMS are met by
contractors and their workers?

Does the procurement process include the OH&S


criteria for selection of contractors?

With reference to the note in [Link]:

Do you include the OH&S criteria for selecting


contractors in the contract documents?

[Link] Outsourcing

Does the company ensure that outsourced processes


and functions affecting the OHSMS are controlled?

Are the outsourcing arrangements consistent with legal


requirements and with achieving the intended
outcomes of the OHSMS?

Is the type and degree of control to be applied to these


processes and functions defined within your OHSMS?

With reference to the note in [Link]:

Is the coordination with external providers used to


address any impact outsourcing has on OH&S
performance?

8.2 Emergency preparedness and response

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Has your company established, implemented and


maintained a process to prepare for and respond to
potential emergency situations as identified in clause
6.1.2, dealing with hazard identification and the
assessment of risks and opportunities?

Does your process include the:

 Establishment of a planned response to emergency


situations and including the provision of first aid?

 Provision of training for the planned response?

 Periodic testing and exercising the planned response


capability?

 Evaluation of performance, and as needed, revision


to the planned response, after testing and in
particular after the occurrence of emergency
situations?

 Communication and provision of relevant information


to all workers on their duties and responsibilities?

 Communication of relevant information to


contractors, visitors, emergency response services,
government authorities, and the local community, if
appropriate?

 Take into account the needs and capabilities of all


relevant interested parties and ensure their
involvement in developing the response plan?

Do you maintain and retain documented information


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on the process and on the plans for responding to


potential emergency situations?

9 PERFORMANCE EVALUATION

Intent of This clause requires that your company plan, implement and control the monitoring, measurement, analysis, and performance
clause evaluation processes. Performance evaluation includes systems for the calibration and maintenance of monitoring and measuring
equipment, evaluation of compliance with legal requirements, internal audits, and management review, all aimed at improving
OH&S performance and an effective OH&S management system.

9.1 Monitoring, measurement, analysis and performance evaluation

9.1.1 General

Has your company established, implemented and


maintained a process for monitoring, measurement
and evaluation?

Have you determined the following:

 What needs to be monitored and measured, such as:

o The extent to which legal requirements and other


requirements are fulfilled?

o The activities and operations related to identified


hazards, risks and opportunities?

o Effectiveness of operational controls?

o Progress toward achieving your OH&S objectives?

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performance?

 The methods for monitoring, measurement, analysis


and evaluation, to ensure valid results?

 When the monitoring and measuring will be


performed?

 When the results from monitoring and measurement


will be analyzed, and evaluated and communicated?

Does your company ensure that monitoring and


measurement equipment is calibrated or verified and is
used and maintained as needed?

With reference to the note in 9.1.1:

Are legal requirements or other requirements, such as


national or international standards, concerning the
calibration or verification of monitoring and measuring
equipment considered?

Do you evaluate the OH&S performance, and


determine the effectiveness of the OHSMS?

Is documented information retained as evidence of the


monitoring, measurement, analysis and evaluation
results?

Is documented information retained on the


maintenance, calibration or verification of measuring
equipment?

9.1.2 Evaluation of compliance

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Does your company plan, establish, implement and


maintain a process for evaluating compliance with
applicable legal requirements and other requirements
(see also 6.1.3)?

Do you perform the following:

 Determine the frequency and method(s) for the


evaluation of compliance?

 Evaluate compliance?

 Take action if needed in accordance with 10.3?

 Maintain knowledge and understanding of your


status of compliance with legal requirements and
other requirements?

 Retain documented information of the compliance


evaluation results?

9.2 Internal audit

9.2.1 General

Does your company conduct internal audits at planned


intervals to determine whether the OHSMS:

 Conforms to your OHSMS requirements, including


the OH&S policy and OH&S objectives, and the
requirements of the ISO 45001 standard?

 Is effectively implemented and maintained?

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9.2.2 Internal audit program

Does your company plan, establish, implement and


maintain an audit program that includes the frequency,
methods, responsibilities, consultation, planning
requirements and reporting?

Do you take into consideration the importance of the


processes concerned and the results of previous
audits?

As part of your internal audit program, do you:

 Define the audit criteria and scope for each audit?

 Select auditors and conduct audits to ensure


objectivity and the impartiality of the audit process?

 Ensure that the results of the audits are reported to


relevant responsible management?

 Ensure that relevant audit findings are reported to


relevant workers, and where they exist, workers’
representatives, and relevant interested parties?

 Act to address nonconformities and continually


improve OH&S performance (see clause 10)?

 Retain documented information as evidence of the


implementation of the audit program and the audit
results?

With reference to the note in 9.2.2:

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For more information on auditing, do you refer to ISO


19011 Guidelines for auditing management systems?

9.3 Management review

Does the top management review the OHSMS at


planned intervals, to ensure that it continues to be
suitable, adequate and effective?

As inputs for the planning and conducting


management reviews, do you consider:

 The status of actions from previous management


reviews?

 Changes in external and internal issues that are


relevant to the OHSMS and including the needs and
expectations of interested parties, legal requirements
and other requirements, and risks and opportunities?

 Extent to which the OH&S policy and the OH&S


objectives have been met?

 Information on the OH&S performance including


trends in:

o Incidents, nonconformities, corrective actions and


continual improvement?

o Monitoring and measurement results?

o Results of evaluation of compliance with legal


requirements and other requirements?

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o Audit results?

o Consultation and worker participation

o Risks and opportunities?

 Relevant communication with interested parties?

 Opportunities for continual improvement?

 Adequacy of the resources for maintaining an


effective OHSMS?

Do the outputs of the management review include


decisions related to:

 The continuing suitability, adequacy and


effectiveness of the OHSMS and the intended
outcomes?

 Continual improvement opportunities and any need


for changes to the OHSMS, including resources
needed?

 Actions needed?

 Opportunities to integrate the OHSMS with other


business processes?

 Implications for the strategic direction of the


company?

Does the top management communicate the relevant


outputs of the management review to relevant
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workers, and where they exist, workers’


representatives?

Is documented information retained as evidence of the


results of management reviews?

10 IMPROVEMENT

Intent of This last clause requires that your company determine the opportunities for improvement as identified with the performance
clause evaluation processes of previous clause 9, and manage OH&S incidents, nonconformities, and corrective actions. The improvement
process includes the objectives for continual improvement and the implementation of the actions needed to continually improve the
suitability, adequacy and effectiveness of the OH&S management system.

10.1 General

Has your company determined the opportunities for


improvement (per clause 9) and implemented the
actions needed to meet the intended outcomes of the
OHSMS?

10.2 Incident, nonconformity and corrective action

Has your company planned, established, implemented


and maintained a process to manage incidents and
nonconformities including reporting, investigating and
taking action?

When an incident or a nonconformity occurs, does


your company react in a timely manner to the incident
or nonconformity, and, as applicable:

 Take action to control and correct it?

 Deal with the consequences?


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When an incident or a nonconformity occurs, does


your company evaluate, with the participation of
workers and the involvement of other relevant
interested parties, the need for corrective action to
eliminate the root cause of the incident or
nonconformity, in order that it does not recur or occur
elsewhere, by:

 Investigating the incident or reviewing the


nonconformity?

 Determining causes of the incident or


nonconformity?

 Determining if similar incidents, nonconformities,


exist, or could potentially occur?

When an incident or a nonconformity occurs, do you:

 Review the assessment of OH&S risks and other


risks (see also 6.1)?

 Determine and implement any action needed,


including corrective action, in accordance with the
hierarchy of controls (see also 8.1.2) and the
management of change (see 8.1.3)?

 Assess OH&S risks related to new or changed


hazards, prior to taking action?

 Review the effectiveness of action and corrective


action taken?

 Make changes to the OHSMS, if necessary?


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Are your corrective actions appropriate to the effects


or potential effects of the incidents or nonconformities
encountered?

Do you retain documented information as evidence of:

 The nature of the incidents or nonconformities and


any subsequent actions taken?

 The results of any corrective action, including the


effectiveness of the actions taken?

Does your company communicate this documented


information to relevant workers, and where they exist,
workers’ representatives, and relevant interested
parties?

With reference to the note in 10.2:

Is the reporting and investigation of incidents promptly


done to assist in the removal of hazards and in
minimizing associated OH&S risks?

10.3 Continual improvement

As an organization, have you planned, established,


implemented and maintained a continual improvement
process which takes into account the outputs of the
activities described in the ISO 45001 standard?

Does your company continually improve the suitability,


adequacy and effectiveness of the OHSMS by:

 Enhancing OH&S performance?


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 Promoting a culture that supports the OHSMS


culture?

 Promoting the participation of workers in the


implementation of actions for the continual
improvement of the OHSMS?

 Communicating the results of continual improvement


to workers and relevant worker representative?

 Maintaining and retaining documented information as


evidence of continual improvement?

Additional Notes:

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Common questions

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Management review is crucial for assessing the continuing suitability, adequacy, and effectiveness of the OHSMS. It involves evaluating the status of actions from previous reviews, changes in internal and external issues, compliance results, and the alignment of the OHS objectives. The outcome of management reviews drives decisions on necessary improvements and resource allocation (9.3).

A company must establish processes that proactively identify hazards and assess OH&S risks, considering factors such as infrastructure, equipment, and materials, as well as human factors and work culture. This includes routine and non-routine activities, potential emergencies, changes in working conditions, and lessons from past incidents (6.1.2.1, 6.1.2.2).

ISO 45001:2018 requires organizations to prepare for potential emergency situations by establishing planned responses, providing related training, and periodically testing these plans. The responses should be evaluated and revised as necessary, informed by performance evaluations and past emergencies. Communication with all stakeholders including employees, contractors, and emergency services is vital (8.2).

The continual improvement process ensures that the OHSMS and its objectives remain relevant and adequate, addressing new risks and opportunities promptly. It involves regular performance evaluations, management reviews, and corrective actions, which collectively impact strategic decision-making by aligning OH&S goals with the organization's broader objectives, facilitating better resource management and integration into business processes (10.1).

The process involves establishing, implementing, and maintaining procedures to determine and access up-to-date legal and other requirements pertinent to OH&S risks. The organization must ascertain how these apply and communicate them within the company. Compliance with these requirements must be evaluated regularly, maintaining documented evidence as necessary (6.1.3).

ISO 45001:2018 requires the establishment of processes to manage OH&S incidents and nonconformities effectively. This includes implementing corrective actions and identifying opportunities for continual improvement. Documented information on nonconformities and the corresponding corrective measures must be retained to ensure learnings are incorporated into system improvements (10.2).

The key components of planning for an OHSMS include considering the context of the organization (clause 4.1), determining the needs and expectations of interested parties (clause 4.2), and defining the scope of the OHSMS (clause 4.3). Organizations must consider both risks and opportunities to assure that the system can achieve its intended outcomes, prevent undesired effects, and achieve continual improvement (6.1).

Organizations should identify and act on opportunities that enhance OH&S performance. This involves adapting work environments to better suit worker needs, eliminating or reducing risks, and implementing improvements in processes and systems. They should also consider potential changes to processes, activities, and the organization as a whole (6.1.2.3).

Conducting internal audits involves planning, establishing, implementing, and maintaining an audit program. This includes defining audit criteria, selecting impartial auditors, and reporting findings to relevant management. Internal audits help ensure that the OHSMS conforms to both the organization's requirements and the ISO 45001 standard, and that it is effectively implemented and maintained. The results drive continuous improvement and compliance (9.2.2).

ISO 45001:2018 emphasizes that the consultation and participation of non-managerial workers is crucial but does not intend to exclude managers affected by work activities or other company factors. The standard highlights the importance of including these workers in areas such as establishing policies, determining needs and expectations of interested parties, and developing objectives (5.4).

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