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COR™ 2020 STANDARD
February 2020Version 1.1
The Infrastructure Health & Safety Association (IHSA) is your new partner in preventing workplace injury and illness. We serve the transportation, electrical, utilities, construction, aggregates, pipelines, and ready-mix concrete industries.
IHSA was founded in January 2010 by amalgamating the Construction Safety Association of Ontario (CSAO), the Electrical & Utilities Safety Association of Ontario (E&USA) and the Transportation Health and Safety Association of Ontario (THSAO).
We are committed to providing you with world-class service and the information you need to prevent occupational injury and illness.
Disclaimer:
The contents contained in this publication are for general information only. This publication should not be regarded or relied upon as a definitive guide to government regulations or to safety practices and procedures. The contents of this publication were, to the best of our knowledge, current at the time of printing. However, no representations of any kind are made with regard to the accuracy, completeness or sufficiency of the contents. The appropriate regulations and statutes should be consulted. Readers should not act on the information contained herein without seeking specific independent legal advice on their specific circumstance. Infrastructure Health & Safety Association is pleased to answer individual requests for counseling and advice.
© Infrastructure Health & Safety Association 2010.
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TABLE OF CONTENTS
Forward.......................................................................................................................................2
1.0 Introduction ...................................................................................................................3
2.0 Scope of this Document ................................................................................................5
3.0 Definitions .....................................................................................................................5
4.0 COR™ Program............................................................................................................9
4.1 What is Involved? ......................................................................................................9
4.2 Eligibility Requirements ...........................................................................................10
4.3 Training ...................................................................................................................10
4.4 Internal Audit ...........................................................................................................10
4.5 Documentation, Control of Documents and Records ...............................................11
4.6 Scope of OHSMS ....................................................................................................12
4.7 Leadership ..............................................................................................................12
5.0 Elements .....................................................................................................................13
5.1 Health and Safety Policy .........................................................................................13
5.2 Hazard Assessment, Analysis and Control ..............................................................14
5.3 Controls ...................................................................................................................15
5.4 Procurement and Contractor Management ..............................................................15
5.5 Company Rules .......................................................................................................16
5.6 Personal Protective Equipment ...............................................................................16
5.7 Preventative Maintenance .......................................................................................17
5.8 Training and Communication ...................................................................................17
5.9 Workplace Inspections ............................................................................................18
5.10 Investigations and Reporting ...................................................................................19
5.11 Emergency Preparedness .......................................................................................19
5.12 Statistics and Records .............................................................................................20
5.13 Legislation and Other Requirements .......................................................................20
5.14 Management Review and Management of Change .................................................21
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IHSA COR™ STANDARD
FORWARD
Infrastructure Health & Safety Association (IHSA) is a leader in health and safety education.
IHSA provides skill-based training, auditing and evaluation safety solutions for performing high-
risk activities such as working at heights, operating suspended access equipment, working on
energized high-voltage power systems, driving motor vehicles, transporting dangerous goods,
and utility line clearing.
IHSA incorporates a research-based educational methodology right from the needs assessment
stage through to program development, delivery, and evaluation. This comprehensive
evaluation framework, which measures program and performance outcomes, is a critical
element in high-risk activity education.
As part of Ontario's health and safety system, the Ministry of Labour, Training and Skills
Development (MLTSD), the Ministry of Transportation (MTO), the Ministry of Colleges and
Universities (MCU), and the Workplace Safety and Insurance Board (WSIB) recognizes IHSA as
a designated provider of training and consulting.
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1.0 INTRODUCTION
This standard outlines the requirements for attaining the Certificate of Recognition (COR™)
certification in the province of Ontario. An organization must implement and maintain an
occupational health and safety management system to achieve certification.
As defined in the Occupational Health and Safety Act (OHSA), a health and safety management
system means “a coordinated system of procedures, processes and other measures that is
designed to be implemented by employers in order to promote continuous improvement in
occupational health and safety”.
The COR™ program is nationally trademarked and endorsed by participating members of the
Canadian Federation of Construction Safety Associations (CFCSA) of which the IHSA is a
member. It provides employers with effective tools to develop implement and assess their health
and safety management system.
COR™ is aimed at driving positive workplace behaviour and practices that lead to improved
performance. It is currently used across Canada and is a pre-qualification requirement for many
contractors working in and out of the province, and on public- and private-sector projects.
The IHSA is the 'Authority having Jurisdiction' to grant COR™ in the province of Ontario. In
achieving this national safety program accreditation in Ontario, IHSA is responsible to ensure
that the COR™ standards are upheld.
In Ontario, COR™ is recognized by the Ministry of Labour, Training and Skills Development
(MLTSD) as an equivalent standard for the purposes of the Occupational Health and Safety
Management System Accreditation Standard. Workplaces that achieve COR™ may apply to the
Ministry of Labour, Training and Skills Development to be recognized as accredited by the
MLTSD and receive all of the benefits that go along with this including:
Recognize employers that have fully implemented an accredited OHSMS
WSIB rebate on premiums
A proactive approach to ensuring health and safety for everyone in the workplace
Opportunity to pre-qualify for work/business requiring COR™ certification
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How Does an OHSMS Work?
An occupational health and safety management system (OHSMS) is a coordinated system of
procedures, processes and other measures designed for implementation by employers in order
to promote continual improvement in occupational health and safety. Organizations can
implement an OHSMS system by identifying, assessing, and controlling risks to workers. As part
of the OHSMS, employers can continually improve health and safety performance through
evaluation, corrective, and preventative actions.
The Plan - Do - Check - Act framework is the basis for an OHMS.
Plan: Get ready to implement an OHSMS by establishing commitment through
leadership, worker participation, creating a health and safety policy, setting
objectives, identifying and assessing health and safety risks.
Do: Implement the OHSMS by following policies and procedures.
Check: Monitor and evaluate the OHSMS. Are objectives and targets of the health
and safety policy and program being met?
Act: Take action to continually improve the OHSMS.
Continual Improvement
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2.0 SCOPE OF THIS DOCUMENT
This document specifies requirements for an OHSMS for the purposes of completing the COR™
program requirements as established by the IHSA.
While this standard applies to any organization, the scope and complexity of your OHSMS
depends on the unique characteristics of your organization, for example:
Size
Type of work
Location
Activities of the organization
3.0 DEFINITIONS
Action Plan: A plan that identifies the tasks to be accomplished, assigns responsibilities for
completing each task, identifies the time line in which it is to be completed, and records the
actual action taken and completion dates.
Audit: A systematic, independent and documented process for obtaining evidence and
evaluating it objectively to determine the extent to which pre-determined criteria is fulfilled.
Audit Program: A set of one or more audits planned for a specific timeframe and directed
towards a specific purpose.
Competency: A person performing a task for, or on behalf of, the organization is competent to
do so by means of appropriate:
a) Knowledge of the hazards and risks associated with the tasks for the operations and
activities
b) Demonstrated understanding and working knowledge of the control measures
associated with the hazards and risks
c) Training with regard to the hazards, risks and associated control measures
d) Aptitudes, such as skillset, ability and willingness to deal with the hazards, risks and
control measures
Compliance: Meeting all requirements outlined within applicable legislation and regulations.
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Conformity: Fulfillment of a requirement.
Consultation: Process by which the organization seeks the views of the workers, worker
representatives, and workplace parties before it makes a decision.
Continual Improvement: Recurring activity to enhance performance and achieve a
measurable result.
Contractor: Person or organization providing services to another organization in accordance
with agreed upon specification, terms and conditions.
Corrective Action: Action to eliminate the cause of a nonconformity and to prevent recurrence.
There can be more than one cause for a nonconformity.
Document: Medium containing information related to the OHSMS.
Hazard: Source, situation or act with a potential for harm in terms of human injury.
Hazard Assessment: The process of conducting a systematic review to:
Identify hazards associated with work activities
Analyze or evaluate the risks(s) associated with the hazards
Determine appropriate ways to eliminate or control the hazards
This can be broken down into three levels:
1. Formal Hazard Assessment: A documented overall hazard assessment encompassing
all of the organizations potential hazards/risks.
2. Site Specific Hazard Assessments: A documented hazard assessment identifying any
hazards specific to the worksites.
3. Field Level Hazard Assessment: A documented hazard assessment, which can identify
specific conditions present where the work takes place.
Incident: Work-related event(s) in which an injury, fatality or occupational illness occurred; and
includes event(s) where no injury or illness occurred, such as a near hit or property damage.
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Interested Parties: Persons or groups, inside or outside the workplace, concerned with or
affected by OHS performance of an organization.
Legal Requirements: All applicable legislation, including but not limited to the Occupational
Health and Safety Act and its regulations.
Management: People who have care and control over people and/or processes.
Nonconformity: Non-fulfillment of a requirement.
Objective: Result to be achieved. An objective can be expressed in many ways, e.g. as an
intended outcome, a purpose, an operational criterion, as an OHS objective or by the use of
other words with similar meaning (e.g. aim, goal, or target).
Occupational Health and Safety (OHS): Conditions and factors that affect, or could affect the
health and safety of employees or other workers, inclusive of temporary workers and contractor
personnel, visitors, suppliers, vendors, or any other person in the workplace.
Occupational Health and Safety Management System (OHSMS): As defined in the OHSA,
means “a coordinated system of procedures, processes and other measures that is designed to
be implemented by employers in order to promote continuous improvement in occupational
health and safety.”
OHS Objective: OHS goal, in terms of OHS performance, that an organization sets itself to
achieve.
OHS Performance: Measureable results of an organization’s management of its OHS risks.
OHS Policy: Overall intentions and direction of an organization related to its OHS performance
as formally expressed by senior management in relation to the implementation of the OHSMS.
Organization: Company, corporation, firm, enterprise, authority or institution, or part or
combination thereof, whether incorporated or not, public or private, that has its own functions,
management and administration.
Other Requirements: Requirements or provisions the organization subscribes, however are
not legally binding, such as industry standards.
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Participation: Involvement of workers, or worker representatives, in decision-making
process(es) regarding the OHSMS.
Plan: Detailed method for doing or achieving something.
Policy: A policy is a general commitment, direction or intention formally stated by top
management. A quality policy statement should express top management's commitment to the
implementation and improvement of its management system.
Preventative Action: Action to eliminate the cause of potential nonconformity or other potential
undesirable potential situation. There can be more than one cause for a potential nonconformity.
(For the purposes of this Standard, this refers to any action taken to fix a potential OHS
problem.)
Procedure: A documented, specified method to carry out an activity.
Process: A set of interrelated or interacting activities that transforms inputs into outputs.
Record: Document stating results achieved or providing evidence of activities performed.
Residual Risk: Combination of the likelihood of the occurrence after the hierarchy of controls
has been implemented for an identified hazard.
Risk: Combination of the likelihood of an occurrence of a hazardous event or exposure(s) and
the severity of injury or occupation illness that can be caused by the event or exposure(s).
Risk Assessment: Process of evaluating the risk(s) arising from a hazard(s), taking into
account the adequacy of any existing controls, and deciding whether the risk(s) is acceptable.
Senior Management: Person(s) at the highest level of an organization’s structure responsible
for leading, managing and /or directing an organization’s day-to-day activities and/or operations.
Workplace Parties: Includes, but is not limited to, the employer, supervisor(s), workers,
constructor, visitors and owner.
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4.0 COR™ PROGRAM
To achieve COR™ certification, the organization shall establish, implement, monitor and
maintain an occupational health and safety management system (OHSMS) in accordance with
the requirements of this Standard set out in sections 4 and 5.
4.1 What is Involved?
The organization is responsible for the OHSMS. They must allocate necessary financial, human
and organizational resources to plan, implement, monitor, review, correct and continually
improve the OHSMS. This involves implementing all of the elements in the COR™ program and
setting up a cycle of evaluation and continual improvement.
A representative from senior management and at least one designated full-time permanent
employee must take prescribed training offered by IHSA. The training is conducted to help the
employer understand and commit to the COR™ program, and for the full-time employee to
become the designated Internal Auditor.
Once the required IHSA training is complete, the employer conducts an internal audit of their
OHSMS using IHSA's COR™ Audit Tool. The internal audit is reviewed by IHSA, and is then
followed-up with an external audit by IHSA approved auditors. Upon successful completion of
the internal and external audits, the employer is issued the Certificate of Recognition.
The COR™ certification is valid for three years from the date of certification, provided the
employer performs and successfully completes internal maintenance audits in the second and
third years and complies with the terms and conditions of the COR™ program. All internal audit
results must be validated by IHSA. A Letter of Good Standing issued in year 2 and 3 verifies
that the Employer maintains the audit elements and auditing standards.
YEAR 1
• Initial Internal Audit
• External Audit
• Certificate of Recognition
YEAR 2
• Internal Maintenance Audit
• Letter of Good Standing
YEAR 3
• Internal Maintenance Audit
• Letter of Good Standing
YEAR 1
• Internal Maintenance Audit
• External Audit
INITIAL COR™ CYCLE RECERTIFICATION
CYCLE
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4.2 Eligibility Requirements
The COR™ program requires the employer to have an active Ontario Workplace Safety and
Insurance Board (WSIB) account in good standing. Employers having more than one account,
and who intend to have several of their accounts participating in COR™, must register each
account separately by providing IHSA with the corresponding WSIB account numbers. IHSA will
only audit accounts registered under COR™. To obtain a Certificate of Recognition, each WSIB
account registered by the employer must independently achieve its own COR™.
4.3 Training
As part of the organization’s commitment to the COR™ program, a representative from Senior
Management must complete the following training:
COR™ Essentials
One designated permanent full-time employee must complete the following IHSA training to
qualify as the Internal Auditor:
COR™ Essentials
Basic Auditing Principles
COR™ Internal Auditor
Introduction to Hazard & Risk Management
4.4 Internal Audit
To facilitate the internal audit process, the organization shall establish, implement, monitor and
maintain a documented policy statement and procedure.
The internal audit procedure shall include:
a) Frequency of internal audits, responsibilities and reporting
b) Verify the extent to which the occupational health and safety management system has
been implemented and maintained
c) Responsibilities, competencies, and selection of the audit team(s) and lead auditor(s)
d) Requirements for communication of internal audit results to relevant workplace parties
e) Process for addressing good practices, nonconformities and continual improvement of
the OHSMS
f) Consultation and participation of workers, or worker representatives
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The organization shall ensure internal auditors:
a) Are qualified, permanent full-time employee(s) of the organization appointed by the
employer
b) Have completed IHSA training as specified in section 4.3 Training
The internal auditor’s responsibilities include but are not limited to:
a) Completing and submitting the Employer’s COR™ Internal Audit and the supporting
documentation
b) Complying with COR™ program guidelines and COR™ Audit Instructions
Senior Management shall facilitate the audit process and approve the internal audit prior to
submission to IHSA.
4.5 Documentation, Control of Documents and Records
As part of the OHSMS, the organization shall establish, implement, monitor and maintain
procedures specifying the documents and records used and maintained.
4.6 Documentation
The procedure for Documentation shall include, as a minimum:
a) Documents and records required by this Standard
b) Documents and records determined by the organization to be necessary for the
effectiveness of the OHSMS
c) Description of the main elements, their interaction and reference to related documents
The creation, collection, retention and distribution of documents and records shall comply with
all applicable legal requirements, collective agreements and organizational policies, as
appropriate.
Control of Documents
The procedure for Document Control shall include:
a) Requirement to ensure documents are approved prior to issue
b) Requirement to review, update, re-approve or withdraw documents as necessary
c) Requirement to ensure changes to, and current revision status of, documents are
identified and tracked
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d) Requirement to ensure relevant versions of applicable documents are readily available
at the point of use
e) Requirement to ensure documents remain legible and readily identifiable
f) Requirement to identify documents of external origin that may be necessary for the
planning and operation of the OHSMS
g) Requirement to prevent the unintended use of obsolete documents and identify such
documents if retained for any purpose.
Control of Records
The procedure for Control of Records shall include:
a) Requirement for the identification and retention of records as necessary to demonstrate
conformity to the requirements of its occupational health and safety management system
and this Standard
b) Requirement for protection of privacy and confidentiality, as appropriate
c) Requirement to ensure records are legible.
4.7 Scope of OHSMS
The OHSMS shall include the activities, products and services within the organization’s control
or influence that affect the organization’s OHS performance.
The organization shall create a written scope statement for the occupational health and safety
management system that:
Takes into account the size nature and needs of the organization
Is reflective of the operations and /or activities of the organization
4.8 Leadership
Senior management shall demonstrate commitment, leadership and effective participation by
taking ultimate responsibility for the organization’s occupational health and safety performance
and the OHSMS.
Senior management shall:
a) Designate one or more employee(s) and a member(s) of senior management with
responsibility and accountability for ensuring that an occupational health and safety
management system is established, implemented, monitored and maintained in
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accordance with the requirements of this Standard. The identity of this person(s) shall be
made available to all workplace parties in the workplace
b) Define roles, assign responsibilities, and establish accountabilities for relevant workplace
parties to contribute to the OHSMS and identify and ensure competencies.
c) Ensure planning and promotion of the effective implementation and continual
improvement of the OHSMS
d) Ensure that the resources needed for the OHSMS are available
e) Ensure that all appropriate workplace parties (e.g. Joint Health and Safety Committee
(JHSC), Health and Safety Representative (H&S Representative)) are consulted and
have the information, mechanisms, time and resources to participate in the OHSMS.
5.0 ELEMENTS
The organization shall establish, implement, monitor and maintain an occupational health and
safety management system (OHSMS) in accordance with the requirements of this
Standard. The OHSMS shall:
a) Have a written policy statement and procedure(s) for each element. This shall include
roles and responsibilities for relevant workplace parties
b) Support worker participation by identifying and removing barriers to participating in the
OHSMS.
c) Have a mechanism for communication to and from all appropriate workplace and
external parties. Communication must be in a way that the receiver understands the
message
d) Ensure workplace parties are trained and competent for the implementation of the
element
e) Be evaluated to ensure effectiveness and continual improvement
f) Be revised and updated as needed.
5.1 Health and Safety Policy
5.1.1 Senior management shall establish, implement, monitor and maintain a documented
occupational health and safety policy appropriate to the scale and nature of the
organization’s operations and activities, and associated risks.
5.1.2 The policy shall:
a) Provide a framework for setting and reviewing OHS objectives and continual
improvement of the OHSMS and OHS performance
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b) Confirm senior management and management’s commitment to provide a safe and
healthy work environment for the prevention of injuries and illnesses
c) Express a commitment to be in compliance with applicable OHS legal and other
requirements
d) Express a commitment to work in a spirit of consultation and co-operation with workers
e) Address health and safety responsibilities for workplace parties
f) Be signed by senior management and dated
g) Be current
h) Be visibly posted in the workplace
i) Be reviewed at least annually
j) Be communicated to workplace parties
5.2 Hazard Assessment, Analysis and Control
5.2.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for assessing, analyzing and controlling hazards that is
appropriate to the nature of the hazards and level of risk.
5.2.2 The procedure shall include:
a) Requirement to conduct hazard assessments for all operations, including routine and
non-routine and human factors, where work is performed
b) Requirements for reporting actual and potential hazards
c) Requirement to conduct risk assessment for identified hazards:
Proactively prior to commencement of tasks
When equipment, material, substance or process is introduced or changed
When a change to the OHSMS may impact workplace operations or activities (See
also Section 5.14.2 Management of Change)
d) Requirement to Identify hazards originating outside of the workplace that may impact
OHS within the workplace for which the organization has control
e) Consideration of legal requirements and associated standards and guidelines
f) Consideration of design and layout of the work area, ergonomics, machinery and
processes
g) Requirement for involvement of appropriate competent personnel such as workers,
supervisors, maintenance, engineering and suppliers in the hazard assessment process
h) Requirement to prioritize risks before and after identifying controls
i) Development of a list of identified critical tasks and/or activities
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j) Determination of control measures using the hierarchy of controls:
1. Elimination
2. Substitution
3. Engineering controls
4. Administrative controls
5. Personal protective equipment
5.2.3 The hazard assessment, analysis and control measures shall be documented, current,
reflect actual practice and made available to affected workplace parties.
5.3 Controls
5.3.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for controlling hazards identified in 5.2 of this Standard.
5.3.2 The controls shall be developed following the hierarchy of controls, accurately reflect the
organization’s activities, take into account applicable legal and other requirements such
as standards, guidelines or manufacturer instructions.
5.3.3 Control measures shall be documented, communicated, and made readily available to
the affected workplace parties at the point of use as required.
5.4 Procurement and Contractor Management
5.4.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for procurement and contractor management/outsourcing.
5.4.2 The procedure shall include:
a) Hazard assessment, analysis and control for procured goods and services following the
methodology required in Sections 5.2 Hazard Assessment, Analysis and Control and 5.3
Controls of this Standard
b) Occupational health and safety criteria for selecting, monitoring and evaluating
contractor/service providers. The criteria shall include:
The ability and competency of the contractor to be able to assess, analyze and control
hazards arising from their own work that may impact the organization’s workers
The ability and competency of the contractor to be able to assess, analyze and control
hazards arising from the organization’s work that may impact the contractor’s workers
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Communication with workplace parties when there are changes affecting the health
and safety of the work
c) Requirement for the organization to lead the coordination and integration of relevant
portions of the organization’s OHSMS on multi-employer or multi-contractor worksites.
5.5 Company Rules
5.5.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for company rules.
5.5.2 The procedure shall:
a) Include responsibilities for setting, implementing and complying with company rules
b) Ensure both standard and work location specific rules are available
c) Require company rules to be written and either visibly posted or provided to each
employee
d) Ensure company and workplace specific rules are clearly explained to workers in a way
that they understand them
e) Include a progressive disciplinary policy
f) Ensure company rules are applied and consistently enforced throughout the company.
5.6 Personal Protective Equipment
5.6.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for Personal Protective Equipment (PPE).
5.6.2 The procedure shall:
a) Ensure activities requiring PPE are documented and specific criteria is used to select
appropriate PPE for all activities
b) Include written rules and/or guidelines for the proper fitting, care and use of PPE and
ensure workers are made aware of them
c) Ensure that appropriate PPE is provided and/or made available to workers for specific
activities
d) Include requirement for inspection and maintenance of PPE as per manufacturer’s and
legislative requirements
e) Ensure management, supervisors, workers, sub-contractors and suppliers of service use
required PPE.
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5.7 Preventative Maintenance
5.7.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for preventative maintenance
5.7.2 The procedure shall include:
a) An inventory of items to be maintained
b) Requirement for use of preventative maintenance schedules
c) Requirement to meet manufacturers’ preventative maintenance guidelines and legislated
requirements
d) Requirement to keep records including corrective actions taken
e) Qualifications for worker(s) performing the inspection and maintenance
f) Requirement to remove overdue and/or defective tools, equipment, facilities and
vehicles from service.
5.8 Training and Communication
5.8.1 Training
5.8.1.1 The organization shall establish, implement, monitor and maintain a documented
policy statement and procedure for training.
5.8.1.2 The procedure shall include:
a) Setting roles and responsibilities for those administering and managing the
training procedure
b) Identifying competencies for each task (See also Section 3.0 Definitions for
definition of competency)
c) Determining OHS training needs by:
Conducting training needs analysis
Reviewing legislated training requirements
d) How the training will be administered and managed
e) Evaluation of learning
f) Method for maintaining training records
5.8.1.3 Training shall:
a) Take into consideration differing levels of responsibilities, ability, language skills
and literacy
b) Include training as prescribed by relevant legislation and other requirements
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c) Include information on the organization’s OHSMS including purpose, roles,
responsibilities and rights, importance of conformity, potential consequences for
deviations or noncompliance and importance of workers’ participation within the
OHSMS
d) Be provided prior to the individual performing the relevant task.
e) Include a relevant orientation program that:
Is completed prior to starting work
Is provided for new and young workers, returning workers, change of position
Is mandatory for all workers
5.8.2 Communication
5.8.2.1 The organization shall establish, implement, monitor and maintain a documented
policy statement and procedure for OHS communication.
5.8.2.2 The procedure shall include:
a) Senior management holding regularly scheduled company-wide OHS meetings
with all employees that includes the OHSMS and its implementation
b) Communication delivered in a manner that is understood by the receiver of the
message and considers ability, language skills and literacy
c) Communication that provides opportunity for input from workers
d) Receiving, documenting and responding to internal and external OHS
communications.
e) Tailgate or toolbox talks or their equivalent.
5.9 Workplace Inspections
5.9.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure(s) for workplace and pre-use inspections.
5.9.2 The procedure(s) shall include:
a) Requirement to conduct and keep records for workplace inspections including
identifying and preventing potential nonconformities and corrective actions
b) Requirement to conduct and keep records for pre-use inspections of vehicles,
machines, tools and equipment including corrective actions
c) Inspection frequencies and who must complete them
d) Appropriate worker participation in the inspection process
e) Requirement to meet all legislation and manufacturers’ requirements.
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5.10 Investigations and Reporting
5.10.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for reporting and investigating incidents.
5.10.2 The procedure shall include:
a) Roles and responsibilities of workplace parties for reporting incidents and for
conducting investigations in a timely manner
b) Requirement that personnel have been trained in legislative and company specific
reporting requirements and investigation procedures
c) Actions to mitigate any additional consequences of the incident
d) Determination of OHS deficiencies including root causes of the incident
e) Determination of corrective and preventative actions
f) Communication of investigation results and corrective and preventative actions to
interested parties
g) A process measuring the effectiveness of the corrective and preventative actions.
5.10.3 The organization shall maintain records of incidents and investigation reports.
5.11 Emergency Preparedness
5.11.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for emergency prevention, preparedness and response.
5.11.2 The procedure shall include:
a) Identification of potential emergency situations
b) Documented response plans including roles and responsibilities of relevant personnel
c) Input of relevant interested parties
d) Identification of resources needed to implement the emergency response plans
taking into consideration the needs of other interested parties
e) Requirement for emergency equipment to be in place, well-marked and regularly
inspected and maintained
f) Prevention or minimization of injury or occupational illness for the identified
emergency situations
g) Provision to transport injured workers to medical facility
h) An appropriate emergency communication system
i) Requirement for training for emergency response appropriate for roles and
responsibilities
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j) Periodic testing of the emergency response (e.g. drills) in a way that does not
introduce new hazards and the maintenance of records of testing and corrective
actions
k) Periodic review of emergency procedures and response plans at least annually and
revision as appropriate
l) Communication of relevant information to all involved including workers, visitors,
contractors, emergency response services, government authorities and the
community regarding emergency response.
5.12 Statistics and Records
5.12.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure to organize, monitor, and regularly measure their OHS
performance.
5.12.2 OHS performance shall be measured at a specified frequency and:
a) Include qualitative and quantitative measurements appropriate to the organization
b) Include leading and lagging performance measures
c) Compare current health and safety performance with past performance
d) Include analysis of statistics and identification of trends
e) Include analysis of first aid treatment records
f) Results shall be recorded and communicated to relevant workplace parties.
5.13 Legislation and Other Requirements
5.13.1 The organization shall establish, implement, monitor and maintain a documented policy
statement and procedure for identifying and complying with all applicable legislation.
5.13.2 The procedure shall include:
a) Identification of applicable legislation, regulations, standards and any other
requirements
b) Methods to ensure compliance with applicable legislation
c) Currency of all documentation related to legislation, regulations, standards and any
other requirements
d) Visible posting or availability of relevant legislation at each workplace as required
e) Evaluation of compliance to legislation at regularly planned intervals and retention of
records of evaluations
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5.14 Management Review and Management of Change
5.14.1 Management Review
5.14.1.1 The organization shall establish, implement, monitor and maintain a documented
policy statement and procedure for senior management to review the effectiveness
of the OHSMS at regularly planned intervals, and at least annually.
5.14.1.2 The input to the management review shall include:
a) Evaluation of the effectiveness of all elements of the OHSMS
b) Status of actions from previous management reviews
c) Results of internal audits, including COR™ audits
d) Evaluations of compliance with legal requirements
e) Results of participation and consultation with employees/ H&S Representative /
JHSC
f) Communication from external parties
g) OHS performance of the organization
h) Evaluation of the extent to which OHS objectives have been met
i) Status of incident investigations, trends identified, implementation of corrective
actions, implementation of preventive actions and status of action taken
j) Changing circumstances related to the OHS such as developments in legal
requirements or technology
k) Recommendations for improvement
5.14.1.3 The output to the management review shall include decisions related to:
a) OHS policy updates
b) Measurable OHS objectives
c) Action plan to achieve objectives
d) Required resources
e) Any other elements of the OHSMS as appropriate
f) Communication of the objectives and action plan(s) to all personnel
5.14.1.4 Management review shall be documented and the records retained.
5.14.2 Management of Change
5.14.2.1 The organization shall establish, implement, monitor and maintain a documented
policy statement and procedure for managing occupational health and safety
change.
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5.14.2.2 The Management of Change procedure shall be initiated by:
a) Changes in legal requirements
b) Significant changes in work processes, control measures, equipment,
organization, work location
c) Introduction of new products, processes or services
d) Introduction of new developments in OHS knowledge or technology
5.14.2.3 Elements 5.2 Hazard Assessment, Analysis, Control, and 5.3 Controls will be
applied to any identified changes.
5.14.2.4 Where appropriate, the organization shall provide information and training for any
affected personnel.
Find out what we can do for you at www.ihsa.ca
Infrastructure Health & Safety Association (IHSA)21 Voyager Court South
Etobicoke, Ontario M9W 5M7 CanadaTel: 1-800-263-5024 • Fax: 905-625-8998
www.ihsa.ca
About IHSA IHSA’s vision is the elimination of all workplace injuries, illnesses, and fatalities within our member firms.
We engage with our member firms, workers, and other stakeholders to help them continuously improve their health and safety performance. We do this by providing effective and innovative sector-specific programs, products, and services.
We offer • Training programs • Consulting services • Health and safety audits • Publications and e-news • Posters and stickers • Reference material • A resource-rich website.