ENERGY & MINING DIVISION HEALTH AND SAFETY MANAGEMENT SYSTEM STANDARD DRAFT 2 October 16, 2003 Prepared By: AMEC 2020 Winston Park Drive, Suite 700 Oakville, Ontario L6H 6X7 ENERGY & MINING DIVISION HEALTH AND SAFETY MANAGEMENT SYSTEM TABLE OF CONTENTS 1.0 SCOPE ....................................................................................................... 4 1.1 1.2 1.3 1.4 1.5 SAFETY, HEALTH AND ENVIRONMENT MANAGEMENT SYSTEM STANDARD ....... 4 SHE STRUCTURE PYRAMID ........................................................................ 4 FEATURES AND CHARACTERISTICS .............................................................. 5 CONTINUOUS IMPROVEMENT CYCLE ............................................................ 6 SHE MANAGEMENT SYSTEM STANDARD SPECIFICATIONS ............................ 7 2.0 REFERENCE PUBLICATIONS.................................................................. 8 3.0 GLOSSARY ............................................................................................... 8 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 4.0 ACCIDENT ................................................................................................. 8 AUDIT ....................................................................................................... 8 CONTINUAL IMPROVEMENT ......................................................................... 8 EMPLOYEE ................................................................................................ 8 HAZARD .................................................................................................... 8 INCIDENT................................................................................................... 8 INTERESTED PARTY ................................................................................... 8 NON-CONFORMANCE .................................................................................. 9 OBJECTIVES .............................................................................................. 9 RISK ......................................................................................................... 9 RISK ASSESSMENT..................................................................................... 9 SAFETY ..................................................................................................... 9 TOLERABLE RISK ....................................................................................... 9 UPSET CONDITION ..................................................................................... 9 W ORKPLACE ............................................................................................. 9 SHE MANAGEMENT SYSTEM ELEMENTS ........................................... 10 4.1 GENERAL REQUIREMENTS ............................................................... 10 4.1.1. SHE Management System.............................................................. 10 4.2 POLICY ................................................................................................. 11 4.2.1. Policy Document ............................................................................. 11 4.3 PLANNING ............................................................................................ 12 4.3.1. Hazard Identification, Risk assessment and Risk control................ 12 4.3.2. Legal and Other Requirements....................................................... 13 4.3.3. Objectives ....................................................................................... 14 4.3.4. SHE Management Programme....................................................... 15 4.4 IMPLEMENTATION AND OPERATION ................................................ 16 4.4.1. Structure and Responsibility ........................................................... 16 4.4.2. Training, Awareness and Competence ........................................... 17 4.4.3. Consultation and Communication ................................................... 18 PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 2 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.4. Documentation................................................................................ 19 4.4.5. Document and Data Control ........................................................... 20 4.4.6. Operational Control......................................................................... 21 4.4.7. Emergency Preparedness and Response ...................................... 22 4.5 CHECKING AND CORRECTIVE ACTION ............................................ 24 4.5.1. Performance Measurement and Monitoring.................................... 24 4.5.2. Accidents, Incidents, Non-conformance and Corrective and Preventive Action ...................................................................................... 25 4.5.3. Records and Records Management ............................................... 26 4.5.4. Audit................................................................................................ 27 4.6 MANAGEMENT REVIEW...................................................................... 28 4.6.1. Review Program ............................................................................. 28 PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 3 DATE ISSUED: DATE OF REVISION: 03/10/16 1.0 SCOPE 1.1 Safety, Health and Environment Management System Standard Energy & Mining Division has adopted a management systems approach to Safety, Health and Environment across Canada. This system is compliant with the Occupational Health and Safety Assessment Series (OHSAS) 18001. The Energy & Mining Division Safety, Health and Environment (SHE) Management System Standard provides a means of achieving continuous improvement in SHE performance. It also formalises the Division’s approach to SHE management to establish consistency across the Division. The Energy & Mining Division SHE Management System is a key element in the demonstration of “due diligence” in managing SHE issues by corporation, its officers and management. It also describes how the projects and operations of the Division will comply with the requirements of the AMEC Americas SHE policy. The Energy & Mining Division SHE Management System applies to all Energy & Mining Division projects and operations. 1.2 SHE Structure Pyramid The following diagram depicts how the SHE management building blocks are integrated to drive behaviours toward the desired level of performance. POLICY MANAGEMENT SYSTEM STANDARDS PROGRAMS PRACTICES BEHAVIOURS AND PERFORMANCE Figure 1: SHE Management Structure Pyramid PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 4 DATE ISSUED: DATE OF REVISION: 03/10/16 1.3 Features and Characteristics The Energy & Mining Division SHE Management System: a) Establishes sound management practices and processes in business units across the Division, to promote a strong SHE performance that is sustainable and transferable across the business units of the Division b) Clearly sets out and formalises the expectations of the Division with respect to SHE management c) Provides a systematic approach to the identification of SHE issues and establishes a system of risk identification and management d) Provides a framework for personal, site and corporate SHE responsibility and leadership, and provides a systematic approach for the attainment of Energy & Mining Division SHE objectives e) Assures conformity with Energy & Mining Division policies and objectives and ensures that these continue to have relevance and add value to the business f) Promotes continued improvement of SHE programmes and performance The Energy & Mining Division SHE Management System Standard is: g) Compatible with the OHSAS 18001 (Occupation Health and Safety Assessment Series) Health and Safety Management System Standard and the ISO 14001 (International Organisation for Standardisation) Environment Management System Standard h) Straightforward in design and is intended as an effective management tool for all types of business activities and operations i) Easy to audit, j) Designed to provide a practical tool to assist the business units in identifying and achieving their SHE objectives while satisfying Energy & Mining Division governance requirements PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 5 DATE ISSUED: DATE OF REVISION: 03/10/16 1.4 Continuous Improvement Cycle The SHE Management System is designed to provide continuous improvement in SHE performance through a five-element continuous process. The five elements are based on sound business practices followed in all aspects of business. This process applies these time proven business management tools to the management of Safety, Health and Environment in the workplace. POLICY POLICY What Whatare areour our Commitments? Commitments? REVIEW REVIEW PLAN PLAN How Howdo dowe we Improve? Improve? What Whatdo dowe we need needto todo? do? CHECK CHECK IMPLEMENT IMPLEMENT Are Arewe weachieving achieving Our Ourobjectives? objectives? How Howdo dowe we do doit? it? Figure 2: Energy & Mining Division SHE Management System Structure PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 6 DATE ISSUED: DATE OF REVISION: 03/10/16 1.5 SHE Management System Standard Specifications The following elements are included within the SHE Management System. Each element has standard requirements that set out minimum expectations for SHE performance. These stipulated standard requirements must be met as a minimum, although the means by which these requirements are achieved is left to the discretion of the projects and sites. The element requirements are as follows. 1. Policy Document POLICY PLAN IMPLEMENT CHECK 2. Hazard Identification, Risk Assessment, Control 3. Legal and Other Requirements 4. Objectives 5. SHE Management Program 6. Structure & Responsibility 7. Training, Awareness, Competence 8. Consultation and Communication 9. Documentation 10. Document and Data Control 11. Operational Control 12. Emergency Preparedness and Response 13. Performance Measurement and Monitoring 14. Accidents, Incidents, Non-conformance and Corrective and Preventive Action 15. Records and Record Management 16. Audit 17. Management Review REVIEW PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 7 DATE ISSUED: DATE OF REVISION: 03/10/16 2.0 REFERENCE PUBLICATIONS Where appropriate, advice on effective implementation of the element is provided by the SHE Programmes and Practices Manual that are referenced in each element. While the SHE Management System formalises the minimum expectations of Energy & Mining Division, there is no one correct model for implementation of the system within the projects and operations of the Division. Local implementation will normally be through programmes that address specific aspects of safety, health or environment that need to be managed, and through site-specific safe work practices. The design of local implementation programmes and practices will depend on the needs and risk profile of the project or operation. 3.0 GLOSSARY 3.1 Accident An unplanned, undesired event that results in harm to people or to the environment, damage to property, or loss of process. 3.2 Audit A systematic examination to determine whether activities and related results conform to planned arrangements and whether these arrangements are implemented effectively and are suitable for achieving the organizations policy and objectives 3.3 Continual Improvement The process of enhancing the SHE Management System to achieve improvements in overall occupational health and safety performances, in line with Energy & Mining Division SHE policy 3.4 Employee A person who performs work or supplies services for monetary compensation including all persons in a Division from front line to the executive offices 3.5 Hazard A source or situation with a potential for harm to people or the environment, damage to property, or loss of process or a combination of these 3.6 Incident Includes accident, damage to property, damage to environment, and near miss. 3.7 Interested Party Individual or group concerned with or affected by the SHE performance of Energy & Mining Division PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 8 DATE ISSUED: DATE OF REVISION: 03/10/16 3.8 Non-conformance Any deviation form work standards, practices, procedures, regulations, management system performance etc. that could either directly or indirectly lead to injury or illness, property damage, damage to the environment, or a combination of these 3.9 Objectives Targets that Energy & Mining Division sets itself to achieve in a specific time frame 3.10 Risk Combination of likelihood and consequence(s) of a specified hazardous event occurring 3.11 Risk Assessment The process of estimating the magnitude of risk and deciding whether or not the risk is tolerable 3.12 Safety Freedom from unacceptable risk of harm 3.13 Tolerable Risk Risk that has been reduced to a levee that can be endured by Energy & Mining Division having regard to its legal obligations and its own HS policy 3.14 Upset Condition A condition that falls outside of the expected operating parameters with potential negative impacts 3.15 Workplace Any land, premises, location or thing at, upon, in or near which a worker works PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 9 DATE ISSUED: DATE OF REVISION: 03/10/16 4.0 SHE MANAGEMENT SYSTEM ELEMENTS 4.1 GENERAL REQUIREMENTS 4.1.1. SHE Management System 4.1.1.1 Requirement Energy & Mining Division shall establish and maintain an Occupational Safety, Health and Environment (SHE) Management System, meeting the requirements set out in this management system standard. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 10 DATE ISSUED: DATE OF REVISION: 03/10/16 4.2 POLICY 4.2.1. Policy Document 4.2.1.1 Requirement Energy & Mining Division shall develop an occupational health and safety policy consistent with the template provided by AMEC Americas and authorized by Energy & Mining Division senior management that clearly states overall health and safety objectives and a commitment to improving health and safety performance. 4.2.1.2 Specifications The policy shall: a) Be appropriate to the nature and scale of Energy & Mining Division’s SHE risks; b) Include a commitment to continual improvement; c) Include a commitment to comply with current applicable SHE legislation and with other requirements to which Energy & Mining Division subscribes; d) Be documented, implemented and maintained; e) Be communicated to all employees with the intent that employees are made aware of their individual SHE obligations; f) Be available to interested parties; and g) Be reviewed annually to ensure that it remains relevant and appropriate to Energy & Mining Division PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 11 DATE ISSUED: DATE OF REVISION: 03/10/16 4.3 PLANNING 4.3.1. Hazard Identification, Risk assessment and Risk control 4.3.1.1 Requirement Energy & Mining Division shall establish and maintain procedures for the ongoing identification of hazards, the assessment of risks, and the implementation of necessary control measures. 4.3.1.2 Specifications These procedures shall include provisions for: a) Routine and non-routine activities; b) Activities of all personnel having access to the workplace (including subcontractors and visitors); c) Facilities at the workplace, whether provided by Energy & Mining Division or others. The methodology for hazard identification and risk assessment shall: d) Be defined with respect to its scope, nature and timing to ensure it is proactive rather than reactive; e) Provide for the classification of risks and identification of those that are to be eliminated or controlled by measures as defined in sections 4.3.3 and 4.3.4; f) Be consistent with operating experience and the capabilities of risk control measures employed; Energy & Mining Division shall: g) Provide input into the determination of Business Unit requirements, identification of training needs and/or development of operational controls; h) Provide for the monitoring of required actions to ensure both the effectiveness and timeliness of their implementation; i) Ensure that the results of these assessments and the effects of these controls are considered when setting its SHE objectives; j) Document and keep this information up to date. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 12 DATE ISSUED: DATE OF REVISION: 03/10/16 4.3.2. Legal and Other Requirements 4.3.2.1 Requirement Energy & Mining Division shall establish and maintain a procedure for identifying and accessing the legal and other SHE requirements that are applicable to it. 4.3.2.2 Specifications a) A specific individual shall be assigned responsibility for determining which legislation, regulations, codes of practice, permit requirements, licenses, registrations, certifications, approvals, industry standards, etc., apply to Energy & Mining Division, offices, projects, operations and activities. b) Records of this information shall be kept in an accessible location. c) These records shall be kept up-to-date. d) Procedures shall be put in place to track changes and key developments in legislation and other SHE requirements. e) Information on legal and other requirements shall be communicated to affected employees and other relevant interested parties. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 13 DATE ISSUED: DATE OF REVISION: 03/10/16 4.3.3. Objectives 4.3.3.1 Requirement Energy & Mining Division shall establish and maintain documented occupational health and safety objectives at the Divisional level. Each relevant function and level within Energy & Mining Division shall also establish and maintain documented occupational health and safety objectives consistent with Divisional expectations. 4.3.3.2 Specifications a) The objectives shall be consistent with the Energy and Mining Division SHE policy, including the commitment to continual improvement; b) The objectives shall include both leading indicators (proactive initiatives) and trailing indicators (reactive performance statistics); c) Reports of performance compared to objectives shall be prepared and communicated to employees and other relevant interested parties on a regular basis; d) The objectives shall be reviewed annually and integrated into the business strategic plan; e) When establishing and reviewing its objectives, Energy & Mining Division shall consider its legal and other requirements, its SHE hazards and risks, its technological options, its financial, operational and business requirements, and the views of interested parties. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 14 DATE ISSUED: DATE OF REVISION: 03/10/16 4.3.4. SHE Management Programme 4.3.4.1 Requirement Energy & Mining Division shall establish and maintain an SHE management programme for achieving its objectives. 4.3.4.2 Specifications The SHE management programme shall include documentation of: a) An annual SHE plan detailing how the objectives will be achieved at the Divisional level and relevant functions and levels within Energy & Mining Division; b) The designated responsibility and authority for achievement of the objectives at relevant functions and levels of Energy & Mining Division; c) The means and time-scale by which objectives are to be achieved; d) Reviews of the SHE management programme at regular and planned intervals; e) Action taken to meet objectives where the review finds objective shortfalls; f) Amendments of the SHE management programme, where necessary, to address changes to the activities, products, services, or operating conditions of Energy & Mining Division PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 15 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4 IMPLEMENTATION AND OPERATION 4.4.1. Structure and Responsibility 4.4.1.1 Requirement The roles, responsibilities and authorities of personnel who manage, perform and verify activities having an effect on the SHE risk of Energy & Mining Division activities, facilities and processes, shall be defined, documented and communicated in order to facilitate SHE management. 4.4.1.2 Specifications Ultimate responsibility for occupational health and safety rests with top management. a) Energy & Mining Division shall appoint a member of senior management with particular responsibility for ensuring that the SHE management system is properly implemented and performing to requirements in all locations and spheres of operation within Energy & Mining Division b) The Energy & Mining Division management appointee shall have a defined role, responsibility and authority for: − ensuring that SHE management system requirements are established, implemented and maintained in accordance with this standard; − ensuring that reports on the performance of the SHE management system are presented to top management for review and as a basis for improvement of the SHE management system. c) Management shall provide resources essential to the implementation, control and improvement of the SHE management system including human resources and specialized skills, technology and financial resources. d) Energy & Mining Division shall maintain an organizational chart clearly defining the SHE reporting structure of all positions in the Division. e) The job description for each position in the Division shall clearly define the roles and responsibilities for that position. f) All those with management responsibility shall demonstrate their commitment to the continual improvement of SHE performance. g) The annual personal performance evaluations of all employees shall include a review of SHE responsibilities specific to that person. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 16 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.2. Training, Awareness and Competence 4.4.2.1 Requirement Personnel shall be competent to perform tasks that may impact SHE in the workplace. Competence shall be defined in terms of appropriate education, training and/or experience. 4.4.2.2 Specifications a) Energy & Mining Division shall establish and maintain procedures to ensure that its employees working at each relevant function and level are aware of: − the importance of conformance to the SHE policy and procedures, and to the requirements of the SHE management system; − the SHE consequences, actual or potential, of their work activities and the SHE benefits of improved personal performance; − their roles and responsibilities in achieving conformance to the SHE policy and procedures and to the requirements of the SHE management system including emergency preparedness and response requirements; − the potential consequences of departure from specified operating procedures. b) Training procedures shall take into account differing levels of responsibility, ability, literacy and risk. c) Records of training shall be kept for each employee in central file and made available to the employee and appropriate management. Energy & Mining Division shall: d) Conduct a training needs assessment to determine what skills and knowledge workers require to work safely and with proper regard for the environment. The assessment will also include legislated requirements for training. e) Provide SHE training to workers based on the training needs assessment that relates to the risks and requirements of their jobs. This training shall address the SHE considerations of their job including hazards associated with routine and nonroutine activities, upset conditions, maintenance, and emergency conditions. f) Issue to workers who have completed required training programmes, some means of identification providing proof of training they have received. g) Prohibit any worker from performing work on a project without proof of having received appropriate training for that work. . PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 17 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.3. Consultation and Communication 4.4.3.1 Requirement Energy & Mining Division shall have procedures for ensuring that pertinent SHE information is communicated to and from employees and other interested parties. Employee involvement and consultation arrangements shall be documented and interested parties informed. 4.4.3.2 Specifications Employees shall be: c) Consulted where there are any changes that affect workplace health and safety; d) Represented on health and safety measures; e) Informed as to who is their employees SHE representatives and specified management appointee Energy & Mining Division shall: f) Ensure that each workplace with 15 or more employees establishes a Joint Health and Safety Committee; g) The committee shall meet the requirements of applicable legislation as a minimum. h) The committee will be comprised of at least one worker representative and one management representative. Additional members may be appointed provided that the number of management members does not exceed the number of worker members. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 18 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.4. Documentation 4.4.4.1 Requirement Energy & Mining Division shall establish and maintain health and safety information, in a suitable medium such as paper or electronic form. 4.4.4.2 Specifications Documents shall: a) Describe the core elements of the management system and their interaction; b) Describe programs, practices and procedures necessary for the protection of the worker and for compliance with this management system standard. c) Provide direction to related documentation. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 19 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.5. Document and Data Control 4.4.5.1 Requirement Energy & Mining Division shall establish and maintain procedures for controlling all documents and data required by this SHE Management System Standard. 4.4.5.2 Specifications Procedures for controlling documents shall ensure that: a) They can be located; b) They are periodically reviewed, revised as necessary and approved for adequacy by authorized personnel; c) Current versions of relevant documents and data are available at all locations where operations essential to the effective functioning of the SHE system are performed; d) Obsolete documents and data are promptly removed from all points of issue and points of use or otherwise assured against unintended use; and e) Archival documents and data retained for legal or knowledge preservation purposes or both, are suitably identified. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 20 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.6. Operational Control 4.4.6.1 Requirement Energy & Mining Division shall identify those operations and activities that are associated with identified risks where control measures need to be applied. 4.4.6.2 Specifications Energy & Mining Division shall plan these activities including maintenance, in order to ensure that they are carried out under specified conditions by: a) Establishing and maintaining documented procedures to cover situations where their absence could lead to deviations from the SHE policy and the objectives; b) Stipulating operating criteria in the procedures; c) Establishing and maintaining procedures related to the identified SHE risks of goods, equipment and services purchased and/or used by Energy & Mining Division and communicating relevant procedures and requirements to suppliers and contractors; d) Establishing and maintaining procedures for the design of workplace, process, installations, machinery, operating procedures and work organization, including their adaptation to human capabilities, in order to eliminate or reduce SHE risks at their source. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 21 DATE ISSUED: DATE OF REVISION: 03/10/16 4.4.7. Emergency Preparedness and Response 4.4.7.1 Requirement Energy & Mining Division shall establish and maintain plans and procedures to identify the potential for, and responses to, incidents and emergency situations, and for preventing and mitigating the likely illness and injury that may be associated with them. 4.4.7.2 Specifications The Emergency Plan shall be: a) Compliant with the requirements of applicable legislation and insurance carriers. b) Specific to the needs of the project or facility and be developed in consultation with the Joint Health and Safety Committee. c) Based on a formal assessment of the risks associated with each project or facility and for reasonably foreseeable emergency situations that could arise from the identified risks. d) Communicated and coordinated with local community plans, as appropriate. e) Documented and periodically reviewed particularly after the occurrence of incidents or emergency situations to ensure that it remains effective and addresses the current risk profile. f) Tested at least annually. The test may comprise a “table top” exercise or a mock emergency drill depending on local circumstances and need. Evacuation drills shall be conducted at least annually. Reviews shall be documented. Energy & Mining Division shall ensure that: g) Emergency equipment appropriate to the identified risks for each facility or project is installed and maintained, h) An emergency response team or mine rescue team appropriate to the needs of a facility or project and where there is not ready access to community emergency services is maintained. i) The emergency response team(s), are properly equipped to allow it to respond in an effective and safe manner. Equipment shall be subject to regular maintenance and inspection. j) Emergency response team members are appropriately trained and qualified to respond to reasonably foreseeable emergencies, and ensure they regularly train and practice emergency response. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 22 DATE ISSUED: DATE OF REVISION: 03/10/16 k) Rules of engagement are developed detailing under what conditions the emergency response team may respond to an emergency and under what conditions they shall prudently abandon their emergency response activities. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 23 DATE ISSUED: DATE OF REVISION: 03/10/16 4.5 CHECKING AND CORRECTIVE ACTION 4.5.1. Performance Measurement and Monitoring 4.5.1.1 Requirement Energy & Mining Division shall establish and maintain procedures to monitor and measure SHE performance on a regular basis. 4.5.1.2 Specifications These procedures shall provide for: a) Both qualitative and quantitative measures, appropriate to the needs of Energy & Mining Division; b) Monitoring of the extent to which the Energy & Mining Division SHE objectives are met; c) Proactive measures of performance that monitor compliance with the SHE management programme, operational criteria and applicable legislation and regulatory requirements; d) Reactive measures of performance that monitor accidents, ill health, incidents (including near-misses) and other historical evidence of deficient SHE performance; e) Recording of data and results of monitoring and measurement sufficient to facilitate subsequent corrective and preventive action analysis. If monitoring equipment is required for performance measurement and monitoring, Energy & Mining Division shall: f) Establish and maintain procedures for the calibration and maintenance of such equipment. Records of calibration and maintenance activities and results shall be retained. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 24 DATE ISSUED: DATE OF REVISION: 03/10/16 4.5.2. Accidents, Incidents, Non-conformance and Corrective and Preventive Action 4.5.2.1 Requirement Energy & Mining Division shall establish and maintain procedures for defining responsibility and authority for identification and correction of non-compliance conditions. 4.5.2.2 Specifications These procedures shall make provision for: a) Handling and investigation of: − accidents; − incidents; − non-conformances; b) Action to mitigate any consequence arising from accidents, incidents or non-conformances; c) Initiation and completion of corrective and preventive actions; d) Confirmation of the effectiveness of corrective and preventive actions taken. These procedures shall require: e) That all proposed corrective and preventive actions be reviewed through the risk assessment process prior to implementation. f) Any corrective or preventive action taken to eliminate the causes of actual and potential non-conformance shall be appropriate to the magnitude of problems and commensurate with the SHE risk encountered; g) The implementation and recording of any changes in the documented procedures resulting from corrective and preventive action. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 25 DATE ISSUED: DATE OF REVISION: 03/10/16 4.5.3. Records and Records Management 4.5.3.1 Requirement Energy & Mining Division shall establish and maintain procedures for the identification, maintenance and disposition of SHE records, as well as the results of audits and reviews. 4.5.3.2 Specifications SHE records shall be: a) b) c) Legible, identifiable and traceable to the activities involved; SHE records shall be stored and maintained in such a way that they are readily retrievable and protected against damage, deterioration or loss. Their retention times shall be established and recorded; Maintained, as appropriate to Energy & Mining Division requirements, to demonstrate conformance to the Energy & Mining Division SHE Management System Standard. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 26 DATE ISSUED: DATE OF REVISION: 03/10/16 4.5.4. Audit 4.5.4.1 Requirement Energy & Mining Division shall establish and maintain an audit programme and procedures for periodic SHE management system audits to be carried out. 4.5.4.2 Specifications The audit programme shall: a) Determine whether or not the SHE management system: − conforms to planned arrangements for SHE management including the requirements of this OHSAS specification; − has been properly implemented and maintained; and − is effective in meeting Energy & Mining Division’s policy and objectives; b) Review the results of previous audits; c) Provide information on the results of audits to management; d) Be based on the results of risk assessments of Energy & Mining Division activities, and the results of previous audits. The audit procedures shall cover the scope, frequency, methodologies and competencies, as well as the responsibilities and requirements for conducting audits and reporting results; e) Make provisions for self-audits, internal audits (Energy & Mining Division) and external audits (external to Energy & Mining Division); f) Audits shall be under the lead of a qualified person trained in audit procedures. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 27 DATE ISSUED: DATE OF REVISION: 03/10/16 4.6 MANAGEMENT REVIEW 4.6.1. Review Program 4.6.1.1 Requirement Energy & Mining Division senior management shall, at least annually, review the SHE management system, to ensure its continuing suitability, adequacy and effectiveness and to ensure continual improvement in occupational health and safety. 4.6.1.2 Specifications a) The management review process shall ensure that the necessary information is collected to allow management to carry out this evaluation. b) This review shall be documented. c) The management review shall address the possible need for changes to policy, objectives and other elements of the SHE management system, in the light of SHE management system audit results, changing circumstances and the commitment to continual improvement. PREPARED BY: R. Ryckman FORM NO.: APPROVED BY: REVISION NO: Draft 2 28 DATE ISSUED: DATE OF REVISION: 03/10/16
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