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Contents
1 Introduction to the Five Star Audit Model
2 1: Five Star Audit Process
3 1.1: Scoring and Grading System
4 1.2: Audit Report and Action Planning
5 2: Preparing for the Audit
5 3: Standardisation and Quality Assurance
6 4: Specification Details
Introduction to the
Five Star Audit Model
This document is intended to provide a summary of the British
Safety Council Five Star Audit process, together with details of
the aforementioned audit specification.
The Five Star Audit process involves an in-depth examination of an organisations
entire health and safety management system(s) and associated arrangements,
focusing on the key aspects of their approach to managing occupational
health and safety in the workplace and offers a structured path for continuous
improvement towards best practice.
Utilising extensive worldwide industry experience and acknowledging aspects of
internationally recognised occupational health and safety management system
frameworks, the British Safety Council has developed a unique Five Star Audit
model that objectively evaluates health and safety system(s) and arrangements
against current best practice techniques.
L e a d e r s hi p
Policy and
Organisation
Evaluation
and Review
Best
Practice
Indicators
Performance
Measurement
Co
n t in
Implementation
and Operation
ual improveme
Strategy
and Planning
nt
1.
1.1.
Scoring and
grading system
The Five Star Audit is audit conducted using the British
Safety Councils numerical safety grading system.
The overall audit grading is as follows:
Marks %
Star Rating
92 100: Excellent
86 91.9: Very Good
75 85.9: Good
60 74.9: Satisfactory
50 59.9: Basic
The Five Star Audit process focuses on five sections and two Safety
Management Indicators (SMI) as shown below:
Section
Audit criteria
1.
750 Points
2.
1125 Points
3.
Implementation and
Operation
1500 Points
4.
Performance Measurement
1125 Points
5.
500 Points
Total: 5000 Points
SMI 1
Leadership
SMI 2
Continual Improvement
The five sections of the audit are divided into sixty six (66) elements which
attract a maximum numerical value of 5000 points. Several of these elements are
considered as core to the relevant section, and some of these core elements are
also applicable within more than one section. Wherever an element of the audit is
not applicable to the organisation, it is withdrawn from the audit. The Maximum
Accredited Audit Figure (MAAF) is the maximum total score available when nonapplicable questions have been removed and the Actual Accredited Audit Figure
(AAAF) is the score achieved against such applicable questions.
Throughout the audit, two safety management indicators (sub-sections of leadership
and continual improvement) are evaluated either as elements within their own
right, in certain sections, or alternatively as scoring areas within other elements.
The cumulative scoring for these two sub-sections are then converted into a
percentage figure which can provide an additional 0.5% - 2% to the overall audit
grading. This aspect of the audit process is designed to encourage organisations
to focus upon continually developing their safety management systems and
culture through demonstration of commitment and robust leadership at all levels.
1.2.
The recommendations against the criteria requirements of the Five Star Audit
are presented in tabulated colour coded format as per the key below:
Grading system table 1: the five audit sections
Colour Code
Priority
Definition
High:
Differential over
40% in this area
Recommendations to
be implemented as a
priority 1 action
Medium:
Differential of
1 40% in this area
Recommendations to
be implemented as a
priority 2 action
Low:
Full marks
awarded
Monitor existing
arrangements in this
area to demonstrate
continuous improvement
Not applicable
The requirements of
this section are not
applicable
The red coded differential indicates where significant marks (over 40%) have been
lost in respect of the five star audit scoring criteria and the amber coded differential
indicates where marks have been lost (1-40%). Wherever this is identified by the
auditor, a recommendation will be provided that, if followed and implemented,
would assist the organisation in working toward best practice standards.
The green coded area indicates wherever full marks have been awarded in
respect of the five star audit scoring criteria. The organisation must monitor
these elements in order to maintain best practice and demonstrate continuous
improvement. The action planning tables are also designed to allow the
organisation to plan for implementation of the recommendations by populating
the relevant columns as appropriate.
If any elements of the audit are not applicable to the audited organisation then
this will be left blank within the relevant table and indicated as N/A.
As with any time-bound audit, observations and recommendations made are
based upon the scope and depth of information reviewed during the process.
2.
3.
Standardisation and
quality assurance
British Safety Council auditors are appropriately qualified, highly
experienced health and safety professionals who are subject
to a robust internal quality assurance and appraisal process,
in addition to the requirements of relevant professional bodies
with whom they are members.
All audit reports are technically verified and quality-endorsed before being issued
to clients and auditors are also subject to on-site monitoring (subject to client
agreement) on a sampling basis.
Annual standardisation meetings are held, at which auditor attendance is mandatory.
This specification document is reviewed at least annually to reflect changes in
legislation and relevant developments / trends in occupational health and safety
management best practice technique.
4.
Specification Details
Section 2
Section 3
Section 4
Section 5
Implementation
Performance Measurement
(750 pts)
(1125 pts)
and Operation
(1125 pts)
(500 pts)
(1500 pts)
1.01 Safety policy statement
safety plan
arrangements)
1.03 Leadership and
commitment
1.04 Roles and responsibilities
(monitoring)
2.03 Benchmarking and initial
review
2.04 Provision of resources
equipment
1.05 Document management
reporting
5.02 Provision of resources
wellbeing
ergonomics
requirements
compliance monitoring
commitment
control
monitoring
4.09 Documentation
management
planning
absenteeism monitoring
capability
2.15 Sustainable health and
4.
Five Star Audit 2013: Specification Details (Please note: This table contains typical information likely to be
reviewed during the audit process but is not a definitive index)
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Commitment to:
legislative compliance,
continual improvement,
periodic review,
prevention of injury and
ill health, provision of
adequate resources,
management of risk,
consultation with staff
and others.
Policy statement
consistent with
subsequent OH&S
objectives and
planning
Policy statement
readily available to,
and understood by, all
levels of management,
staff and other
interested parties.
(verified through
interview)
Evidence that
management review
influences policy
review and setting.
Leadership
Indicator
Continual
Improvement
Indicator
Roles and
responsibilities defined
within SMS.
Roles and
responsibilities defined
within SMS.
Evidence of effective
supervision and role
competency.
OH&S responsibilities
/ organisational
structure.
Targets / KPIs
Training records,
CPD, employee
understanding and
awareness. (verified
through interview and
site inspection)
Accident / incident
statistics, ill health
monitoring, etc
Management /
Corporate reports
Evidence of policy
statement reviewed.
Evidence that review
has considered
suitability of SMS
scope etc
Authorised by top
management.
Safety Management
System (SMS) is
defined and scoped.
Operational procedures
and arrangements are
clearly stipulated within
SMS.
Structure, Roles and
Responsibilities,
Leadership and
Commitment
(1.3)(1.4)(2.7)
Leadership
Indicator
Continual
Improvement
Indicator
Organisation chart
Appointed top level
management for
OH&S.
Policy statement
endorsement
Senior management
commitment
(interview)
Appraisal planning
Role development
Appraisal records
Training records,
accident / incident
statistics, ill health
monitoring, etc
Statistics of
management
involvement
(meetings attended,
investigations, tours,
risk assessment, etc)
Regular CPD /
appraisal reviews
Development plans
Plans to improve
management
involvement
Plans for changing
roles and responsibility
Compare documented
roles with actual
quality of management
involvement.
Supervision and
resources
4.
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Documentation
Management
(1.5) (4.9)
Current versions
available
Current versions
available in workplace
Current versions
available
System refinements
OH&S planning
documents
consistent with policy
requirements
Document policy
requirements verified
Employee / stakeholder
involvement in
objective setting
Effective
communication
of OH&S controls
(inspection, sampling,
interview)
Continual
Improvement
Indicator
Consultation and
Communication
(1.6)(2.6)
Leadership
Indicator
Continual
Improvement
Indicator
If quality management
system is used,
clear link / reference
to OH&S system
requirements
Policy / Process
for consulting and
communicating with
staff and others
(including induction).
Evidence of document
review
Evidence of H&S
forums taking place
(minutes)
Evidence of meetings,
effectiveness of
training.
Stakeholder
Involvement in review
process
Closure of actions
/ non conformities,
achievement of
objectives.
Corporate reporting
Internal reporting
Audit records
Communication to
others (contractors,
visitors, etc)
Site Induction records
Competence and
Capability
(1.7)(2.14)(3.20)
Leadership
Indicator
Continual
Improvement
Indicator
Occupational Health
and Wellbeing
(1.8)(2.5)(4.7)
Leadership
Indicator
Continual
Improvement
Indicator
Training needs
analysis.
Evidence of trainer
competency
CPD / Appraisal
planning
Training evaluation
Mentoring / coaching
plan
OH Plan / schedule
Lifestyle / wellbeing
promotions
Role competency
records
Accident / Incident
analysis and
investigation reports
Audit findings
Risk assessment
reviews
Statutory compliance
CPD maintenance
Health surveillance
schedules
Training records
Training plan
Health surveillance
records
OH Plan review
Review and setting of
OH&S objectives
OH policy review
Evidence of OH
promotions
Return to work
interviews
Support mechanisms
Risk assessments
Change Management
(1.9)(2.10)
Continual
Improvement
Indicator
Examples of
planning for change
(organisational,
structural, physical,
etc)
Risk assessments
Audit findings
Physical evidence
(inspections)
Project outcomes
Training records
Inspection records
Safety surveys
Review of policy /
process
Forward planning
Project review
4.
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Occupational H&S
Objectives
(2.1)(4.2)
Reference to OH&S
Objectives
Documented
description of the
objectives (SMART)
Awareness of
objectives throughout
organisation
(interview)
Evidence of
monitoring of
objectives (eg audits,
departmental and
senior management
meetings)
Review of objective
achievement
Leadership
Indicator
Continual
Improvement
Indicator
Occupational Health
and Safety Planning
(2.2)(2.3)(4.1)(5.5)
Leadership
Indicator
Continual
Improvement
Indicator
Provision of Resources
(including goods,
services, including
contractors, etc)
(2.4)(2.13)(5.2)
Leadership
Indicator
Continual
Improvement
Indicator
Objectives set at
organisational and
functional levels
Evidence of
consultation and
involvement of staff
(and others) during
setting of objectives
Reference to OH&S
Plan within policy
statement
Policy / process for
planning and review
Commitment within
policy statement
Reference within
arrangements
Defined roles and
responsibilities
Policy / process for
procurement of goods
/ services / budget
setting
Policy / process
for approval and
management of
contractors
Documented OH&S
plan
Link to other
operational plans
(training, engineering,
financial)
Audit / Review planning
OH&S Plan
Evidence of OH&S
considerations within
budget planning (eg
capital expenditure
allocation)
Documented OH&S
budget
Project planning
Evidence of OH&S
factors within project
design
Evidence of
consultation and
involvement of staff
(and others)
Management reports
Sampling of objective
progression
Sampling of OH&S
plan (inspection and
interview)
Audit findings
Risk assessments
Minutes from
management and H&S
meetings
Maintenance records
Accident analysis
Statutory inspections
etc
Management reports
Effective
implementation
of OH&S plan /
arrangements /
controls (inspection,
sampling, interview)
OH&S objective
monitoring
Evaluation of
compliance records
Management review of
OH&S plan / objectives
External accreditation
Financial and project
reviews
Management reports
Management reports
PTW documentation
Site Induction /
Training records
Forward planning
Risk assessment(s)
Evidence of Provision
of equipment
Documented review
of plan
Forward planning
Non conformance
monitoring
Approved contractor /
supplier register / index
Risk Management
(2.8)(2.9)(3.1)(4.5)
Leadership
Indicator
Continual
Improvement
Indicator
Commitment to
a process of Risk
Control within policy
statement
Risk assessment
(sampling) and
evidence of association
of these with SOPs and
incident reports
Effective
implementation of
controls (inspection
and interview)
Training records
Maintenance records
Risk assessment /
register review
Records of
management review
External accreditation
Management reports
Development of risk
register
Non conformance
monitoring
OH&S objective
monitoring
Statutory compliance
records
4.
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Legislative
Compliance and
Sector Best Practice
(2.11)(4.6)(5.4)
Commitment to
legal (and other
requirements)
compliance
Legislative register.
Statutory records
External accreditation
External accreditation
(statutory and
otherwise)
Continual
Improvement
Indicator
Policy statement
Defined roles and
responsibilities
OH&S plan
Initial SMS review
Training records
Risk assessment(s)
Signage (inspection)
Effective
implementation of
controls (inspection
and interview)
Management reports
Audit and Inspection
records
Records of
management review
Evidence of legislative
updates to SMS
Non conformance
monitoring
OH&S objective
monitoring
Statutory compliance
records
Accident Investigations
Emergency Incident
Management
(2.12)(3.22)(3.23)(3.24)
Leadership
Indicator
Continual
Improvement
Indicator
Commitment to
manage emergency
events, staff welfare,
etc
Emergency
management policy /
process
Defined roles and
responsibilities
Disaster Recovery /
Emergency Planning.
Emergency
Procedures.
Risk assessments (fire,
first aid, security, etc)
Training / competency
matrix
OH&S Plan
OH&S Objectives
Evidence of emergency
procedure testing (fire
drills, environmental
incidents, recovery
tests, etc)
Staff awareness
(interviews)
Signage (escape routes
etc)
Review of evacuation
tests
Loss / Damage analysis
Audit and Inspection
reports
Records of
management review
of SMS
Improved emergency
planning and
arrangements
Evidence of legislative
updates to SMS
Provision of equipment
(fire extinguishers, first
aid, etc)
Inspection and
maintenance records
Training records
10
4.
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Commitment
to develop and
continually improve
Training matrix /
programme
Evidence of
stakeholder
involvement,
empowerment
and management
commitment
(interviews and
inspection)
Staff surveys
Stakeholder
involvement in SMS
reviews
OH&S Objectives
External accreditation
Specific programmes
Training records
Terms of reference
for H&S (and other)
forums
Audit reports
Leadership
Indicator
Continual
Improvement
Indicator
Policy / Process
for competency,
consultation and
communication
Defined roles and
responsibilities
KPI monitoring
Accident / Incident
analysis and reports
External accreditation
Management reports
Appraisal reviews
Occupational health
and wellbeing plans /
programmes
Safety Management
System Controls
(General) and Safe
Working Procedures
(1.2)(3.2)(3.3 3.8)(5.3)
Continual
Improvement
Indicator
Relevant Operational
procedures and
arrangements are
clearly stipulated
within SMS.
Reference to risk
control within policy
statement
Incident report
analysis.
Records of review of
SMS controls
Staff surveys.
OH&S meeting
minutes.
Compliance audits
Inspection records
(statutory)
Evidence of legislative
updates within control
system reviews
Manual Handling
Compliance audits
Workstation
Ergonomics DSE
Welfare
Housekeeping
Traffic Management
Storage
Risk assessment(s)
Welfare
Training Plan
Traffic Management
Training records
Forward planning
Personal Protective
Equipment
Storage
OH&S Plan
Observation of
implementation
of procedures and
document checks.
Signage, guarding,
RAs, training, correct
processes.
Risk assessment
sampling
11
4.
Subject Area
S2: Strategy
and Planning
(1125 PTS)
Example of Typical
Information Required
S3: Implementation
and Operation (1500
PTS)
Example of Typical
Information Required
S4: Performance
Measurement
(1125 PTS)
Example of Typical
Information Required
S5: Evaluation
and Review
(500 PTS)
Example of Typical
Information Required
Safety Management
System Controls
(Specific) and Safe
Working Procedures
(1.2)(3.9)(3.10-3.18)
(5.3)
Relevant Operational
procedures and
arrangements are
clearly stipulated
within SMS.
Observations of
procedures and
document checks
(including contractor
performed tasks).
Incident report
analysis.
Staff surveys.
Permit to Work
Continual
Improvement
Indicator
Reference to risk
control within policy
statement
Permit to Work
Safe Isolation
Working at Height
Lifting Equipment
Pressure Systems
Hazardous Substances
(includes Asbestos,
radiation and DSEAR)
Electrical safety
Management of Noise
Management of
Vibration
Risk assessment(s)
Training Plan
Audit and Inspection
schedules
Safe Isolation
Working at Height
Lifting Equipment
Pressure Systems
OH&S minutes.
Forward planning
Compliance audits
Evidence of legislative
updates within control
system reviews
Compliance audits
Hazardous Substances
(includes Asbestos,
radiation and DSEAR)
Electrical safety
Management of Noise
Management of
Vibration Training
records
Risk assessment
sampling
OH&S Plan
Active and Reactive
Monitoring
(2.2)(2.3)(4.3 4.13)
(5.1)(5.4)(5.5)
Leadership
Indicator
Continual
Improvement
Indicator
Policy / process
for performance
monitoring
Commitment to
continual improvement
within policy statement
Reference to corporate
reporting
Defined roles and
responsibilities
Staff awareness
(interview)
Accident / Incident
analysis
Records of
management review
Audit records
Auditing
Inspection records
Management reports
Inspection
Accident / Incident
records
Website / Corporate
information and
reporting
OH&S Plan
Procedures / process /
plan for
Accident Investigation
Ill health monitoring
Incident / loss / near
miss reporting
Contractor / supplier
monitoring
Training plan
Risk assessment
PTW documents
Contractor Induction
records
Approved contractor /
supplier index
Risk assessment(s)
External accreditation
(planning and review)
KPI / Objective
monitoring
Audit records
External accreditation
Statutory records
Site inspection
H&S meeting minutes
Notice board
information
Statutory records
12
13
Ref: MA131
14