Information
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Prince of Wales Private Hospital
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Conducted on
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Prepared by
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Location
4 Context of the organization
Context of the organization
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Has your organization determined:
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External and internal issues, relevant to its purpose and that affect your ability to achieve the intended outcome(s) of your OH&S MS?
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Other interested parties, in addition to workers, that are relevant to the OH&S MS?
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The relevant needs and expectations (i.e. requirements) of workers and other interested parties?
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Which of these needs and expectations are or could become applicable legal requirements and other requirements?
Determining the scope of the OH&S MS
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Has your organization
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Determined the boundaries and applicability of the OH&S MS to establish the scope?
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Considered the external and internal issues and taken into account these requirements?
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Taken into account the planned or performed work-related activities?
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Made the scope available as documented information?
5 Leadership
Leadership and worker participation
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Does top management:
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Demonstrate leadership and commitment with respect to the OH&S MS?
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Ensure that the OH&S policy and OH&S objectives are established and compatible with the strategic direction of the organization?
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Ensure the integration of the OH&S MS processes and requirements into your organization’s business processes?
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Communicate the importance of effective OH&S management and of conforming to the OH&S MS requirements?
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Ensure that the OH&S MS achieves its intended outcome(s)?
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Direct and support workers to contribute to the effectiveness of the OH&S MS?
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Ensure and promote continual improvement?
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Support other relevant management roles to demonstrate their leadership as it applies to their areas of responsibility?
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Develop, lead and promote a culture in the organization that supports the OH&S MS?
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Protect workers from reprisals when reporting incidents, hazards, risks and opportunities?
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Establish and implement a process(es) for consultation and participation of workers?
OH&S Policy
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Has top management, established, implemented and maintained an OH&S policy that:
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Includes a commitment to provide safe and healthy working conditions for the prevention of work-related injury?
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Includes a commitment to eliminate hazards and reduce OH&S risks?
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Includes a commitment to consultation and participation of workers, and where they exist, workers representatives?
Organizational roles, responsibilities, accountabilities and authorities
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Does top management:
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Ensure responsibilities, accountabilities and authorities for relevant roles within the OH&S management system are assigned and communicated at all levels within the organization and maintained as documented information?
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Assign the responsibility and authority to ensure the OH&S management system conforms to the requirements of ISO 45001?
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Report on the performance of the OH&S management system?
Consultation and participation of workers
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Does your organization establish, implement and maintain processes for consultation and participation of workers at all applicable levels and functions and where they exist, workers representatives in the development, planning, implementation, evaluation and actions for improvement of the OH&S management system?
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Does your organization
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Provide mechanisms, time, training and resources necessary for participation?
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Provide timely access to clear, understandable and relevant information about the OH&S management system?
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Determine and remove obstacles or barriers to participation and minimized those that cannot be removed?
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Does your organization emphasize the consultation of non-managerial workers on the following:
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Determining the needs and expectations of interested parties?
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Establishing the OH&S policy?
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Assigning organizational roles, responsibilities, accountabilities and authorities as applicable?
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Determining how to fulfil legal requirements and other requirements?
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Establishing OH&S objectives and planning to achieve them?
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Determining applicable controls for outsourcing, procurement and contractors?
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Determining what needs to be monitored, measured and evaluated?
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Planning, establishing, implementing and maintaining an audit program?
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Ensuring continual improvement?
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Does your organization emphasize the consultation of non-managerial workers on the following:
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Determining the mechanisms for their consultation and participation?
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Hazard identification and assessment of risks and opportunities?
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Actions to eliminate hazards and reduce OH&S risks?
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Identification of competency requirements, training needs, training and evaluation of training?
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Determining what needs to be communicated and how this will be done?
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Determining control measures and their effective implementation and use?
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Investigating incidents and nonconformities and determining corrective actions?
6 Planning
Planning for the OH&S management system
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Does your organization consider its context, interested parties and the scope of the OH&S MS and determine the risks and opportunities that need to be addressed to:
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Give assurance that the OH&S MS can achieve its intended outcome(s)?
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Prevent, or reduce, undesired effects?
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Achieve continual improvement?
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Does your organization plan actions to:
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Address risks and opportunities?
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Address applicable legal requirements and other requirements?
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Prepare for, and respond to, emergency situations?
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Does your organization plan how to:
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Integrate and implement the actions into its OH&S MS processes or other business processes?
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Evaluate the effectiveness of these actions?
OH&S objectives and planning to achieve them
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Has your organization established OH&S objectives at relevant functions and levels to maintain and improve the OH&S management system and its performance?
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Are the OH&S objectives:
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Consistent with the OH&S policy?
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Measurable, if practicable or capable of performance evaluation?
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Monitored?
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Communicated?
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Updated as appropriate?
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Taking into account:
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Applicable requirements?
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The results of the assessment of risks and opportunities?
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The results of consultation with workers, and where they exist, workers representatives?
7 Support
Support
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Does your organization ensure that workers are competent (including the ability to identify hazards) on the basis of appropriate education, induction, training, or experience:
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Does your organization make workers aware of:
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The OH&S policy and OH&S objectives?
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Their contribution to the effectiveness of the OH&S MS, including the benefits of improved OH&S performance?
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The ability to remove themselves from work situations that they consider present an imminent danger to their life or health, as well as the arrangements for protecting them from undue consequences for doing so?
Information and communication
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Has your organization established, implemented and maintained the process(es) needed for the internal and external communications relevant to the OH&S management system
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Has your organization determined relevant to the the OH&S MS communications process:
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On what it will communicate?
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When to communicate?
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With whom to communicate?
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How to communicate?
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Does your organization:
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Ensure its communication process(es) enables workers to contribute to continual improvement?
8 Operation
Operation planning and control
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Does your organization determine, plan, implement, control and maintain the processes to meet requirements of the OH&S MS by:
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Maintaining and retaining documented information to the extent necessary to have confidence that the processes have been carried out as planned?
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On multi-employer workplaces, has the organization implemented a process for coordinating the relevant parts of the OH&S MS with other organizations?
Management of change
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Does your organization review the consequences of unintended changes and take action to mitigate any adverse effects, as necessary?
Procurement
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Has your organization established, implemented and maintained a process(es) to control the procurement and services in order to ensure their conformity with the OH&S MS?
Contractors
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Has your organization co-ordinated its procurement process(es) with its contractor(s) to identify hazards and to assess and control the OH&S risks arising from the:
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Contractors’ activities and operations that impact the organization?
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Organization’s activities and operations that impact the contractors?
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Contractors’ activities and operations that impact other interested parties in the workplace?
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Has the organization ensured that the requirements of its OH&S MS are met by contractors and their workers?
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Does the organization’s procurement process(es) define and apply OH&S criteria for the selection of contractors?
Outsourcing
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Has your organization ensured that outsourced functions and processes are controlled?
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Has your organization ensured that its outsourcing arrangements are consistent with legal requirements and other requirements and with achieving the intended outcomes of the OH&S MS?
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Has your organization clearly defined the type and degree of control to be applied to these functions and processes within the OH&S MS?
9 Performance evaluation
Performance evaluation
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Has the organization determined:
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What needs to be monitored and measured?
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The methods for monitoring, measurement, analysis and performance evaluation, as applicable, to ensure valid results?
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The criteria against which the organization will evaluate its OH&S performance?
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When the monitoring and measuring shall be performed?
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When the results from monitoring and measurement shall be analyzed, evaluated and communicated?
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Does your organization retain appropriate documented information:
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As evidence of the monitoring, measurement, analysis and performance evaluation results?
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On the maintenance, calibration or verification of measuring equipment?
Internal Audit
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Has your organization:
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Planned, established, implemented and maintain an audit program(s) including the consultation requirements, which takes into consideration the importance of the processes concerned and the results of previous audits?
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Selected competent auditors and conducted audits to ensure objectivity and the impartiality of the audit process?
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Ensured that the results of the audits are reported to relevant managers, workers, and where they exist, workers representatives, and other relevant interested parties?
Management review
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Does management review include consideration of: changes in external and internal issues that are relevant to the OH&S management system including risks and opportunities?
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Do the outputs of the management review include decisions related to: Opportunities to improve integration of the OH&S MS with other business processes?
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Has top management communicated the relevant outputs of the management review to its relevant workers, and where they exist, workers representatives?
10 Improvement
Improvement
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Have you determined:
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What to do when an incident or a nonconformity occurs, does the organization react in a timely manner to the incident or nonconformity and as applicable: 1. Take action to control, and correct it? 2. Deal with the consequences?
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Does the organization evaluate, with the participation of workers (see 5.4) and the involvement of other relevant interested parties, the need for corrective action to eliminate the root cause(s) of the incident or nonconformity, in order that it does not recur or occur elsewhere, by: 1. Investigating the incident or reviewing the nonconformity? 2. Determining the cause(s) of the incident or nonconformity? Determining if similar incidents or nonconformities exist, or could potentially occur?
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Does the organization communicate the ISO 45001:2018 documented information to relevant workers and where they exist, workers representatives and other interested parties?
Completion
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General comments and observations
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Sign off
