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Effective Health & Safety
      Management


    Kev Coghill MIOSH RSP
     Senior Risk Consultant
  Marsh Risk Consulting Practice
Objectives

   Introduce the UK H&S legal regime
   Appreciate why H&S is important
   Understand the risk assessment process
    Summarise current “hot” topics - e.g. field

    trips/stress/noise
   Recognise why H&S should be managed
So why bother with H&S?
                                 Fines and costs
  Pain and
                                   Court time
  suffering
                                   Civil cases
Duty to fellow
                                    Notices
                    Legal
human being

           Moral
                   Business
                        Premiums
                     Uninsured losses
                       Reputation
                         Morale
                      Productivity
2003/04 Statistics
 235 fatalities
 159,809 RIDDOR reported injuries
 An estimated 2.2 million people suffering
  from an illness caused or made worse by
  their current or past work
 An estimated 39 million working days lost -
  30 million due to ill health & 9 million due
  to injury
UK legal system

    Criminal             Civil


By HSE or LA        By injured person
Leads to a          Leads to award of
fine/imprisonment   damages
Not insurable       Must be insured
Legal process                  B
                                   r
                                   iw
                                   t
                                   i
                                   s
                                   hL
                                    a



                               C
                               r
                               i
                               m
                               i
                               na
                                lC
                                 i
                                 v
                                 i
                                 l


 Someone is injured at work or by people at
  work
 They make a civil claim for compensation
  (damages)
 The HSE or local authority prosecute on
  behalf of the state (fine/imprisonment)
Health and Safety at Work etc
          Act 1974
Duties on all at
work


                   To protect all
                   affected by work
Pre 1974 Legislation




Factories Act    OSRP Act     Other Safety
    1961           1963          Acts


Regulations     Regulations   Regulations
Post 1974 Legislation

                HASAWA 1974



                Regulations


                A.C.O.P’s


Factories Act    OSRP Act     Other Safety
    1961           1963          Acts


Regulations     Regulations   Regulations
Legal Requirements

Health & Safety at Work etc Act 1974
Management of Health & Safety at Work
Regulations 1999

Failure to comply is a criminal act
Employers CANNOT insure against failure
to comply
Section 2

    Section 2(1) - employers’ general duty

    Duty to ensure „so far as is reasonably

    practicable‟, the health, safety and welfare at work
    of employees and any others who may be affected
    by the undertaking….
Legal Standards
    “Reasonably Practicable” or “SFARP”

   Implies a weighing up of the risk against the cost
    (in terms of time, money or trouble) of preventing
    or controlling the risk
Section 2 (cont.)

   Provision of such information, instruction, training
    and supervision as is necessary to ensure , SFARP,
    the health and safety at work of employees and
    any others who may be affected….
Section 2 (cont.)
Duty of Employers to Employees cont.
 2.2a - safe plant and systems of work
 2.2b - safe use, handling, storage and transportation of
  articles and substances
 2.2c - information, instruction, training and adequate
  supervision
 2.2d - safe place of work and a safe means of access and
  egress
 2.2e - safe working environment and adequate welfare
  facilities
Section 7
Duty of Employees at Work
It shall be the duty of every employee whilst at work:-
 to take reasonable care of their own health and safety and
    of any other person who may be affected by their acts or
    omissions
 to co-operate with their employer so far as is necessary to
    enable that employer to meet their requirements with
    regards to any statutory provisions
Section 21

Improvement Notices
If an inspector is of the opinion that a person:-
 is contravening one or more of the relevant
   statutory provisions; or
 has contravened one or more of those statutory
   provisions, in circumstances that it is likely that
   the contravention will continue or be repeated,
then he will issue an Improvement Notice.
Section 22

Prohibition Notices
If any activity is being, or is about to be, carried
out that could result in serious personal injury,
then an inspector may issue a Prohibition Notice.
This notice will cause the immediate cessation of
the activity involved until all measures are
rectified.
Enforcement
The HSE can take legal action against an
 employer/employee in a criminal court for H&S
 failures:
Unlimited fine and/or
Custodial sentence
(Remember - you cannot insure against failure to
 comply with H&S legislation)
             If guilty = criminal record
British Justice
INNOCENT
until proven
GUILTY
beyond
ALL
REASONABLE
DOUBT
Civil Litigation
Provides for compensation to be paid to
persons who suffer harm as a result of a work
activity.
Can insure - Employers Liability Insurance
Burden of proof is NEGLIGENCE
Proof is “on the balance of probabilities”
    Effectively “guilty until you prove your
                  innocence”
Reportable
Reporting of:
Injuries (accidents & incidents)
Disease
Dangerous Occurrences
(Regulations)
Accident/Incident Investigation

 RIDDOR only requires reporting of
  incidents etc.
 No explicit legal requirement in any H&S
  legislation to investigate - therefore WHY
  DO IT?
Accident/Incident Investigation
  HSW Act states - “employers must

  ensure….the health, safety and welfare of
  employees...” etc.
 Reactive monitoring - to prevent the same
  or similar from happening again
 Review/revise risk assessments and
  associated H&S documentation/working
  practices
The Management Of Health &
 Safety At Work Regulations
            1999
Management of H&S Regs
Risk Assessments

    Every employer shall make a „suitable and

    sufficient‟ assessment of risks to the health and
    safety:-
     – of his employees
     – of persons not in his employment
Management of H&S Regs
Suitable & Sufficient

   Should enable the employer to identify and
    prioritise the measures that need to be taken

   Should identify the significant risks arising out of
    or as a result of the work activity
Management of H&S Regs
     (Definitions)
                HAZARD


                    RISK


                   HARM
TAKEN FROM THE MHSWR APPROVED CODE OF PRACTICE 1999
Management of H&S Regs
What is a Hazard ?

  “Something with the potential to cause

  harm”
 May be chemical, mechanical,electrical,
  environmental etc. OR quot;Humanquot; in nature
Management of H&S Regs
What is a Risk ?


   'Risk expresses the likelihood that harm
    from a particular hazard is realised'
     Risk therefore reflects both the likelihood
    that harm will be caused and its severity
Management of H&S Regs
What is Harm?
 HARM = death, bodily injury and damage to
  physical or mental health.
  Safety law is only concerned with harm to
  property or the environment if that entails a risk of
  harm to people.

  Now consider risk ranking
Risk Ranking - Probability
Measurement of frequency/likelihood
3 Categories :
                    Likelihood of incident recurring
    Frequent    3   repeatedly during course of the
                             work activity
                    Likelihood of incident occurring
   Occasional   2   sometime during course of the
                             work activity
                     Likelihood of incident virtually
     Rare       1    never occurring during course
                           of the work activity
Risk Ranking - Consequence
Measurement of severity
3 Categories :
                          May lead to lost-time or
     Severe     3          recordable incident

                    May lead to recordable or first-
    Moderate    2            aid incident

                      May result in minor first-aid
     Minor      1     treatment or no harm being
                                caused
Risk Assessment Matrix
Risk = Probability x Consequence (Severity)
              Severe   Moderate    Minor
                (3)      (2)        (1)
 Frequent
    (3)         9         6          3
Occasional
    (2)         6         4          2
   Rare
    (1)         3         2          1
Existing Control Measurers
   Assess your existing control measures

   Take into account whether controls are
    being applied / complied with etc.

   If there are no controls, enter this on the
    assessment
Required Actions
   What
                 What is to be undertaken
   Who
        Who is charged with undertaking the action
   By When
                    Action target date
   Completion confirmed [Formalised]
                 Action completion date
Review
   Assessment Review date
   Remember that the required actions progress must
    be monitored to ensure that the actions are carried
    out and are effective.
   A review should be undertaken following the
    implementation of the improved controls to assess
    the effectiveness and ensure other new risks have
    not evolved from these actions
Reviewing cont.

 Legal requirement
 Reason to suspect no longer valid
 Significant change
 Think “systems” approach to constant
  monitoring and review
Risk Control Hierarchy
   Hierarchy of risk controls
    – Eliminate hazard at source
    – Reduce hazard at source
    – Remove person from hazard
    – Contain hazard by enclosure
    – Reduce employee exposure
    – Systems of work
    – Personal protective equipment (PPE)
    – * pay attention to order*
“Hot Topics”

 Stress
 Field trips
 Noise
 Occupational road safety
Stress
 Should be considered under Management
  Regs & risk assessment
 HSE published “Management standards for
  tackling work related stress”
 First improvement notice issued this year to
  a NHS Trust for failing to assess stress risks
Field Trips
 Management Regs risk assessment
  requirement
 Popular item for press when something goes
  wrong
 Require detailed management plans -
  obviously dependent upon each trip
Noise
 Existing Noise at Work Regs set levels at
  85dBA & 90dBA
 New Physical Agents Directive to be
  incorporated into UK legal regime by
  15/02/06 - noise levels reduced to 80dBA &
  85dBA
Occupational Road Safety
 Currently on the HSE top 10 inspection
  topics
 Traditionally excluded from any statistics
  because it is Road Traffic Act & therefore
  the police who enforce
 Now looking at all work related driving -
  excluding commuting to/from work
Health & Safety Management
HSG65
              Policy


            Organising

           Planning and
Auditing   Implementing


            Measuring
           Performance


            Reviewing
           Performance
Organising

   Split into four sections, four Cs
    – Co-operation
    – Communication
    – Control
    – Competence
Planning & Implementing
Objectives/Actions should be - SMART
Specific
Measurable
Ambitious & agreed
Relevant
Tied to a timetable
Measuring Performance
   Important management tool
   Use work already being done
     – Risk assessment
     – Active monitoring
     – Accident/incident data
   Detailed techniques in BS 8800/OHSAS 18001
   Implementing goes back to effective
    communication
Review & Audit
   Remember systems theory - monitor and review
    (audit and feedback)
   Helps to determine whether actions have been
    achieved and if so, what new ones should be set
   Once review completed - communicate findings
    and remember both positive and negative feedback
   Set new SMART objectives
Poor Communication……...




   “Well this certainly buggers
    up our plans to conquer the
             Universe”

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A Part 3 Introduction To H&S Management

  • 1. Effective Health & Safety Management Kev Coghill MIOSH RSP Senior Risk Consultant Marsh Risk Consulting Practice
  • 2. Objectives  Introduce the UK H&S legal regime  Appreciate why H&S is important  Understand the risk assessment process Summarise current “hot” topics - e.g. field  trips/stress/noise  Recognise why H&S should be managed
  • 3. So why bother with H&S? Fines and costs Pain and Court time suffering Civil cases Duty to fellow Notices Legal human being Moral Business Premiums Uninsured losses Reputation Morale Productivity
  • 4. 2003/04 Statistics  235 fatalities  159,809 RIDDOR reported injuries  An estimated 2.2 million people suffering from an illness caused or made worse by their current or past work  An estimated 39 million working days lost - 30 million due to ill health & 9 million due to injury
  • 5. UK legal system Criminal Civil By HSE or LA By injured person Leads to a Leads to award of fine/imprisonment damages Not insurable Must be insured
  • 6. Legal process B r iw t i s hL a C r i m i na lC i v i l  Someone is injured at work or by people at work  They make a civil claim for compensation (damages)  The HSE or local authority prosecute on behalf of the state (fine/imprisonment)
  • 7. Health and Safety at Work etc Act 1974 Duties on all at work To protect all affected by work
  • 8. Pre 1974 Legislation Factories Act OSRP Act Other Safety 1961 1963 Acts Regulations Regulations Regulations
  • 9. Post 1974 Legislation HASAWA 1974 Regulations A.C.O.P’s Factories Act OSRP Act Other Safety 1961 1963 Acts Regulations Regulations Regulations
  • 10. Legal Requirements Health & Safety at Work etc Act 1974 Management of Health & Safety at Work Regulations 1999 Failure to comply is a criminal act Employers CANNOT insure against failure to comply
  • 11. Section 2 Section 2(1) - employers’ general duty Duty to ensure „so far as is reasonably  practicable‟, the health, safety and welfare at work of employees and any others who may be affected by the undertaking….
  • 12. Legal Standards “Reasonably Practicable” or “SFARP”  Implies a weighing up of the risk against the cost (in terms of time, money or trouble) of preventing or controlling the risk
  • 13. Section 2 (cont.)  Provision of such information, instruction, training and supervision as is necessary to ensure , SFARP, the health and safety at work of employees and any others who may be affected….
  • 14. Section 2 (cont.) Duty of Employers to Employees cont.  2.2a - safe plant and systems of work  2.2b - safe use, handling, storage and transportation of articles and substances  2.2c - information, instruction, training and adequate supervision  2.2d - safe place of work and a safe means of access and egress  2.2e - safe working environment and adequate welfare facilities
  • 15. Section 7 Duty of Employees at Work It shall be the duty of every employee whilst at work:-  to take reasonable care of their own health and safety and of any other person who may be affected by their acts or omissions  to co-operate with their employer so far as is necessary to enable that employer to meet their requirements with regards to any statutory provisions
  • 16. Section 21 Improvement Notices If an inspector is of the opinion that a person:-  is contravening one or more of the relevant statutory provisions; or  has contravened one or more of those statutory provisions, in circumstances that it is likely that the contravention will continue or be repeated, then he will issue an Improvement Notice.
  • 17. Section 22 Prohibition Notices If any activity is being, or is about to be, carried out that could result in serious personal injury, then an inspector may issue a Prohibition Notice. This notice will cause the immediate cessation of the activity involved until all measures are rectified.
  • 18. Enforcement The HSE can take legal action against an employer/employee in a criminal court for H&S failures: Unlimited fine and/or Custodial sentence (Remember - you cannot insure against failure to comply with H&S legislation) If guilty = criminal record
  • 20. Civil Litigation Provides for compensation to be paid to persons who suffer harm as a result of a work activity. Can insure - Employers Liability Insurance Burden of proof is NEGLIGENCE Proof is “on the balance of probabilities” Effectively “guilty until you prove your innocence”
  • 21. Reportable Reporting of: Injuries (accidents & incidents) Disease Dangerous Occurrences (Regulations)
  • 22. Accident/Incident Investigation  RIDDOR only requires reporting of incidents etc.  No explicit legal requirement in any H&S legislation to investigate - therefore WHY DO IT?
  • 23. Accident/Incident Investigation HSW Act states - “employers must  ensure….the health, safety and welfare of employees...” etc.  Reactive monitoring - to prevent the same or similar from happening again  Review/revise risk assessments and associated H&S documentation/working practices
  • 24. The Management Of Health & Safety At Work Regulations 1999
  • 25. Management of H&S Regs Risk Assessments Every employer shall make a „suitable and  sufficient‟ assessment of risks to the health and safety:- – of his employees – of persons not in his employment
  • 26. Management of H&S Regs Suitable & Sufficient  Should enable the employer to identify and prioritise the measures that need to be taken  Should identify the significant risks arising out of or as a result of the work activity
  • 27. Management of H&S Regs (Definitions)  HAZARD  RISK  HARM TAKEN FROM THE MHSWR APPROVED CODE OF PRACTICE 1999
  • 28. Management of H&S Regs What is a Hazard ? “Something with the potential to cause  harm”  May be chemical, mechanical,electrical, environmental etc. OR quot;Humanquot; in nature
  • 29. Management of H&S Regs What is a Risk ?  'Risk expresses the likelihood that harm from a particular hazard is realised' Risk therefore reflects both the likelihood that harm will be caused and its severity
  • 30. Management of H&S Regs What is Harm?  HARM = death, bodily injury and damage to physical or mental health. Safety law is only concerned with harm to property or the environment if that entails a risk of harm to people. Now consider risk ranking
  • 31. Risk Ranking - Probability Measurement of frequency/likelihood 3 Categories : Likelihood of incident recurring Frequent 3 repeatedly during course of the work activity Likelihood of incident occurring Occasional 2 sometime during course of the work activity Likelihood of incident virtually Rare 1 never occurring during course of the work activity
  • 32. Risk Ranking - Consequence Measurement of severity 3 Categories : May lead to lost-time or Severe 3 recordable incident May lead to recordable or first- Moderate 2 aid incident May result in minor first-aid Minor 1 treatment or no harm being caused
  • 33. Risk Assessment Matrix Risk = Probability x Consequence (Severity) Severe Moderate Minor (3) (2) (1) Frequent (3) 9 6 3 Occasional (2) 6 4 2 Rare (1) 3 2 1
  • 34. Existing Control Measurers  Assess your existing control measures  Take into account whether controls are being applied / complied with etc.  If there are no controls, enter this on the assessment
  • 35. Required Actions  What What is to be undertaken  Who Who is charged with undertaking the action  By When Action target date  Completion confirmed [Formalised] Action completion date
  • 36. Review  Assessment Review date  Remember that the required actions progress must be monitored to ensure that the actions are carried out and are effective.  A review should be undertaken following the implementation of the improved controls to assess the effectiveness and ensure other new risks have not evolved from these actions
  • 37. Reviewing cont.  Legal requirement  Reason to suspect no longer valid  Significant change  Think “systems” approach to constant monitoring and review
  • 38. Risk Control Hierarchy  Hierarchy of risk controls – Eliminate hazard at source – Reduce hazard at source – Remove person from hazard – Contain hazard by enclosure – Reduce employee exposure – Systems of work – Personal protective equipment (PPE) – * pay attention to order*
  • 39. “Hot Topics”  Stress  Field trips  Noise  Occupational road safety
  • 40. Stress  Should be considered under Management Regs & risk assessment  HSE published “Management standards for tackling work related stress”  First improvement notice issued this year to a NHS Trust for failing to assess stress risks
  • 41. Field Trips  Management Regs risk assessment requirement  Popular item for press when something goes wrong  Require detailed management plans - obviously dependent upon each trip
  • 42. Noise  Existing Noise at Work Regs set levels at 85dBA & 90dBA  New Physical Agents Directive to be incorporated into UK legal regime by 15/02/06 - noise levels reduced to 80dBA & 85dBA
  • 43. Occupational Road Safety  Currently on the HSE top 10 inspection topics  Traditionally excluded from any statistics because it is Road Traffic Act & therefore the police who enforce  Now looking at all work related driving - excluding commuting to/from work
  • 44. Health & Safety Management
  • 45. HSG65 Policy Organising Planning and Auditing Implementing Measuring Performance Reviewing Performance
  • 46. Organising  Split into four sections, four Cs – Co-operation – Communication – Control – Competence
  • 47. Planning & Implementing Objectives/Actions should be - SMART Specific Measurable Ambitious & agreed Relevant Tied to a timetable
  • 48. Measuring Performance  Important management tool  Use work already being done – Risk assessment – Active monitoring – Accident/incident data  Detailed techniques in BS 8800/OHSAS 18001  Implementing goes back to effective communication
  • 49. Review & Audit  Remember systems theory - monitor and review (audit and feedback)  Helps to determine whether actions have been achieved and if so, what new ones should be set  Once review completed - communicate findings and remember both positive and negative feedback  Set new SMART objectives
  • 50. Poor Communication……... “Well this certainly buggers up our plans to conquer the Universe”