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INTRODUCTION The annual occupational safety and health performance awards are intended to give due recognition
INTRODUCTION The annual occupational safety and health performance awards are intended to give due recognition

INTRODUCTION

The annual occupational safety and health performance awards are intended to give due recognition to all organizations/companies which have achieved commendable safety and health records and/or have shown improvement in occupational safety and health processes through sound safety and health management systems.

The MSOSH Occupational Safety and Health Awards provide the opportunity to give employees, management and public the chance to hear about your companys success story on safety and health performance which can be an example to inspire other organizations.

All organizations are strongly encouraged to participate in the 2016 Occupational Safety & Health Award. This exercise will provide the Society the opportunity to identify areas where the Society can provide assistance to the respective companies/organizations in the development of a long term safety and health management systems to benefit the employees in particular and the organization at large.

Each successful applicant will receive the award at the presentation ceremony, which will be held at a leading hotel, and presented by the Guest of Honors on the auspicious night.

BUSINESS GROUPING

For the 2016 Occupational Safety and Health Awards, MSOSH has categorized organizations into ten (10) business groupings. This will enable participants to compete fairly within their own grouping and they are as follows:

1. The Petroleum, Gas, Petrochemical & Allied Sectors

2. The Electronics and Electrical Sectors

3. The Manufacturing & Chemical Sectors

4. The Utilities Sectors

5. The Construction & Engineering Construction Sectors

6. The Agricultural Sectors(Fishery/Forestry/Plantation)

7. The Services Sectors(Hospitality/Banks/Theme Parks, etc)

8. The Logistics and Transportation Sectors

9. The Educational Sectors

10. Public Sectors &Statutory Bodies

USE OF AWARD LOGO.

The award winning company eligibility to use the Awards logo for publicity purposes within the winning year until the announcement of the next award winners or until the printed letterhead is used up.

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TERMS AND CONDITIONS : 1 ) The application for the award is open to All

TERMS AND CONDITIONS :

1)

The application for the award is open to All MSOSH Corporate Members and Non-Members. Deadline for the submission of application form and requested documents is Monday, 27 th February 2017. No submission will be entertained after the deadline. Those who need additional time for submission can submit a written appeal enclosing a NON REFUNDABLE appeal fee of RM550-00 for each site on Monday, 20 th February 2017. Extended deadline for successful appeal cases is on Monday, 13 th March 2016 (upon receiving of appeal fees). The administration and auditing fees:

2)

3)

Category Award

Member

Non-Member

a) Platinum

RM2,200-00

RM3,300-00

b) Grand and Gold Merit

RM1,650-00

RM2,200-00

c) Gold, Silver and Bronze

RM1,100-00

RM1,650-00

d) Additional Fee for Offshore Facilities

RM2,000-00

RM3,000-00

MSOSH seeks your understanding and cooperation for an additional fee audit offshore facilities, the expenses of which were paid for our auditors to undergo the mandatory Basic Offshore Safety & Emergency Training (BOSET), Special Training for H2S, medical checkup fees and additional travelling days required to audit offshore facilities.

e) RM1,100-00 fee for member per site and RM2,000 fee for non- member per site for an organization requesting for a written REPORT. No written reports will be issued by the Auditors after the audit. Findings will be presented orally at the closing meeting at the end of the site audit. However, an organization can still request for a written report within two (2) weeks from the date of site audit. A written report will be submitted to the auditee within one (1) month following the request date. The content of the report will cover the issues discussed during the closing meeting.

f) All fees should be made payable to:

 
 

Malaysian Society for Occupational Safety and HealthAccount No : 8002324462 CIMB Bank Berhad, Section 52, Petaling Jaya, Selangor.

 

4)

All requested documents SHALL be attached.

 

GRAND AWARD and PLATINUM AWARD APPLICANTS are given the option of submitting soft copy of scanned documents via CD to MSOSH.

Panel of Auditors has the right to assume unavailability of required documents should the requested documents are not attached. Points will not be given if any required document is not attached.

5)

Documents shall be relevant and applicable to the site being audited. Eg: Do Not send HQ documents to represent the site unless it is being implemented at site. As much as possible, the documents should be from the site to be audited. Every site must submit a complete and independent set of documents. The document contents shall be orderly arranged and clearly identified in accordance with the OSH Management System Evaluation Criteria. Applicant needs to ensure adequate preparation in terms of manpower, site documentation, personal protective equipment, etc are ready during the site audit. Applicant need to ensure site personnel are aware of the audit dates and relevant preparation are made prior to the audit The Panel of Auditors has the right to disqualify entries which contain false information / declaration. Companies, including their contractors that have fatalities in the competition period shall not apply for

6)

7)

8)

9)

Grand & Gold Merit Award. 10) Companies those are unable to attach any document along with this application because it is against their companys policy SHALL NOT participates.

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1 1 ) 1 2 ) 1 3 ) 1 4 ) 1 5 )

11)

12)

13)

14)

15)

The assessment period:

a) 1 January 2015 to 31 December 2016 (TWO year period) for Platinum and Grand Only

b) 1 January 2016 to 31 December 2016 (ONE year period) for Gold Merit, Gold, Silver and Bronze Award.

All documents will be treated with the strictest confidence and can only be viewed by the Panel of Auditors.

Participating companies may collect their documents from MSOSH office within 3 months after the award dinner failing which MSOSH reserves the right to dispose the documents in an appropriate manner.

An Award Technical Committee, which is independent from the auditors, will make the decision and the decision is final. Any appeal will NOT be entertained.

MSOSH HAS THE RIGHT TO HOLD OR NOT TO AWARD ANY PARTICIPATING ORGANIZATION WITH THE AWARD APPLIED/ELIGIBLE IF ANY MAJOR OR SERIOUS ACCIDENT/INCIDENT OCCURS OUTSIDE THE AUDIT PERIOD IN THE CURRENT YEAR (BEFORE OR DURING THE AWARD PRESENTATION DAY)

CRITERIA AND CATEGORIES OF AWARDS

CRITERIA AND CATEGORIES OF AWARDS

The 2016 Occupational Safety and Health Awards are based on the participating companie's safety and health management performance. There will be six categories of awards, namely, Platinum, Grand, Gold Merit, Gold, Silver and Bronze. The performance levels for the categories are as described below:

a)

Platinum = Ultimate OSH Performance

b)

Grand = Superior OSH Performance

c)

Gold Merit = Excellent OSH Performance

d)

Gold (Class I & II) = Very Good OSH Performance

e)

Silver = Good OSH Performance

f)

Bronze = Satisfactory OSH Performance

The qualification required to participate in the states categories is listed below:

1. MSOSH PLATINUM AWARD

1.1 No limit to the number of employees.

1.2 Companies which have won three (3) Grand Awards since 2003 qualify to apply for Platinum Award.

1.3 No worksite fatalities for 5 consecutive years including the year of participation.

1.4 The company shall participate in the current OSH Award Competition.

1.5 Candidates are subject to document audit, site audits and Platinum audit checklist.

Note: The Organization which applies for the Platinum Award but does not qualify for the applied category will be granted any other category, as decided by the Award Technical Committee.

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2. MSOSH GRAND AWARD 2.1 MSOSH GRAND AWARD (minimum 50 employees) 2.1.1 Minimum 50 employees.

2.

MSOSH GRAND AWARD

2.1

MSOSH GRAND AWARD (minimum 50 employees)

2.1.1 Minimum 50 employees.

2.1.2 Achieved No Lost Time Injury (LTI) for assessment period of 2 years i.e. from 1 January 2015 to

31

December 2016. No Worksite Fatality for 2 consecutive years.

2.1.3 Documentation Audit score shall be at least 90%.

2.1.4 Site audit to verify the OSH implementation & the physical condition of the worksite will be conducted by min. 2 Panel of Auditors. Auditors will again validate related documents & also interview Staff/Contractors at site to determine their level of OSH competency & awareness.

2.1.5 Site audit score shall be at least 90%

2.1.6 Workplace Assessment score shall be at least 90%

2.1.7 Panel of auditors may conduct second site audit to verify the nomination and the result of the first audit, if deemed necessary.

2.1.8 Company should have won at least one (1) Gold Award since 2003. (Please submit documented evidence).

2.2

MSOSH GRAND AWARD (Less than 50 employees)

2.2.1

Less than 50 employees.

2.2.2

Achieved No Lost Time Injury (LTI) for assessment period of 2 years i.e. from 1 January 2015 to

31

December 2016 and No Worksite Fatality for 5 consecutive years.

2.2.3

Documentation Audit score shall be at least 90%.

2.2.4

Site audit to verify the OSH implementation & the physical condition of the worksite will be conducted by min. 2 Panel of Auditors. Auditors will again validate related documents & also interview staff/contractors at site to determine their level of OSH competency & awareness.

2.2.5

Site audit score shall be at least 90%.

2.2.6

Workplace Assessment score shall be at least 90%

2.2.7

Panel of auditors may conduct second site audit to verify the nomination and the result of the

2.2.8

first audit, if deemed necessary. Company should have won at least one (1) Gold Award since 2003 (Submit documented

Note:

evidence) The Organization which applies for the Grand Award but does not win the applied category will be granted any other category, as decided by the Award Technical Committee.

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3. MSOSH GOLD MERIT AWARD 3.1 MSOSH GOLD MERIT AWARD (minimum 50 employees) 3.1.1 Minimum

3.

MSOSH GOLD MERIT AWARD

3.1

MSOSH GOLD MERIT AWARD (minimum 50 employees)

3.1.1 Minimum 50 employees.

3.1.2 Achieved No Lost Time Injury (LTI) for assessment period of 1 year i.e. from 1 January 2016 to

31

December 2016 and No Worksite Fatality for 1 year.

3.1.3 Documentation audit score shall be at least 85%.

3.1.4 Site audit to verify the OSH implementation and the physical condition of the worksite will be conducted by min. 2 Panel of Auditors. Auditors will again validate related documents & also interview staff/contractors at site to determine their level of OSH competency and awareness.

3.1.5 Site audit score shall be at least 85%.

3.1.6 Workplace Assessment score shall be at least 85%

3.1.7 Panel of Auditors may conduct second site audit to verify the nomination and the result of the first audit, if deemed necessary.

3.1.8 Company should have won at least one (1) Gold Award since 2003 (Submit documented evidence)

3.2

MSOSH GOLD MERIT AWARD (Less than 50 employees)

3.2.1 Less than 50 employees.

3.2.2 Achieved No Lost Time Injury (LTI) for assessment period of 1 year i.e. from 1 January 2016 to

31

December 2016 and No Worksite Fatality for 5 years.

3.2.3 Documentation audit score shall be at least 85%.

3.2.4 Site audit to verify the OSH implementation and the physical condition of the worksite will be conducted by min. 2 Panel of Auditors. Auditors will again validate related documents & also interview staff/contractors at site to determine their level of OSH competency and awareness.

3.2.5 Site audit score shall be at least 85%.

3.2.6 Workplace Assessment score shall be at least 85%

3.2.7 Panel of Auditors may conduct second site audit to verify the nomination and the result of the first audit, if deemed necessary.

3.2.8 Company should have won at least one (1) Gold Award since 2003(Submit documented evidence)

4.

MSOSH GOLD AWARD (Class I)

 

4.1 No limit to the number of employees

4.2 Documentation audit score shall be at least 78%.

4.3 Site audit to verify the OSH implementation and the physical condition of the worksite will be conducted by min. 1 Panel of Auditor. Auditor will again validate OSH related documents and also interview staff/contractors at site to determine their level of OSH competency.

4.4 Site audit score shall be at least 78%.

4.5 Workplace Assessment score shall be at least 78%

5.

MSOSH GOLD AWARD (Class II)

5.1 No limit to the number of employees

5.2 Documentation audit score shall be at least 70%.

5.3 Site audit to verify the OSH implementation & the physical condition of the worksite will be conducted by min. 1 Panel of Auditor. Auditor will again validate OSH related documents and also interview staff/contractors at site to determine their level of OSH competency.

5.4 Site audit score shall be at least 70%.

5.5 Workplace Assessment score shall be at least 70%

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6. MSOSH SILVER AWARD   6.1 No limit to the number of employees 6.2 Documentation

6.

MSOSH SILVER AWARD

 

6.1 No limit to the number of employees

6.2 Documentation Audit score shall be at least 50%.

6.3 Site Audit to verify the OSH implementation and the physical condition of the worksite will be conducted by min. 1 Panel of Auditor. Auditor will again validate OSH related documents and also interview staff/Contractors at site to determine their level of OSH competency

6.4 Site audit score shall be at least 50%.

6.5 Workplace Assessment score shall be at least 50%

7.

MSOSH BRONZE AWARD

 

7.1 No limit to the number of employees.

7.2 Documentation audit score shall be at least 35%.

7.3 Site audit to verify the OSH implementation and the physical condition of the worksite will be conducted by min. 1 Panel of Auditor. Auditor will again validate OSH related documents and also interview staff/contractors at site to determine their level of OSH competency

7.4 Site audit score shall be at least 35%.

7.5 Workplace Assessment score shall be at least 35%

8.

MSOSH CERTIFICATE OF PARTICIPATION

 

8.1

Organizations that do not qualify under any one of the categories above will be awarded with MSOSH OSH Award Certificate of Participation

9.

DEFINITIONS

9.1

Lost Time Injury/Illness (LTI) cases. These include:

9.1.1 Fatality

Death resulting from a work injury or occupational illnesses

9.1.2 Permanent Total Disability

Work injury which incapacitates an employee permanently and results in termination of employment on medical grounds.

9.1.3 Permanent Partial Disability

Work injury which results in complete loss, or permanent impairment of functions of parts of the body.

9.1.4 Lost Time Injury

Work injury other than permanent partial disability which renders the injured person temporarily unable to perform a regular job after the next cycle shift on which the injury was received. Eg: 1 full day MC is already considered an LTI.

9.1.5 Lost Time Illness

Illnesses due to the work that renders the person temporarily or permanently unable to perform

a regular job after the next cycle shift on which the illness was established. Subsequent

MC due to the same illness shall also be counted. Occupational Health Doctor's (OHD) advice

is needed before any case can be considered to be work related.

9.1.6 In all the above cases, LTI of permanent and temporary contractor's or vendor's at worksite shall also be included.

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9 . 2 LTI Case Numbers of LTI incident in one year. LTI means Lost

9.2 LTI Case

Numbers of LTI incident in one year. LTI means Lost Time Injury or Lost Time Illness

9.3 LTI Frequency Rate (FR)

LTI frequency rate is the number of lost time injuries/illnesses per 1,000,000 exposure hours worked (based on Notification of Accident, Dangerous Occurrence, Occupational Poisoning and Occupational Disease(NADOPOD) Regulations 2004 Form JKKP 8) during the year, and is calculated as follows:

LTI FR

=

No. of LTI CASES

---------------------------------------

TOTAL MAN HOURS WORKED

9.4 Total Man Hours Worked (TMHW)

X 1,000,000MAN HOURS

Number of Employees & Contractors employed in one year multiplied by Number of Hours worked in a day multiplied by Number of Days worked in a Year

TMHW = Number Employee & Contractors X

Number Hours/day X Number Days/Year

Note: TMHW shall include the total Man Hours Worked by the Permanent & Contractual Staff and Permanent & Temporary Contractors.

9.5 LTI Severity Rate (SR)

LTI Severity rate is the number of working days lost (i.e: no. of MC days) per 1,000,000 exposure hours worked (based on Notification of Accident, Dangerous Occurrence, Occupational Poisoning and Occupational Disease(NADOPOD) Regulations 2004 Form JKKP 8) during the year, and is calculated as follows:

LTI SR =

No. of LTI Days

-------------------------------------------

TOTAL MAN HOURS WORKED

X

1,000,000 MANHOURS

10.

EMPLOYEE

Includes permanent/contract staff and permanent & temporary contractors

(Temporary = minimum duration of six months).

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11. APPLICATION FORM Organizations applying for the awards should complete the enclosed application form and

11. APPLICATION FORM

Organizations applying for the awards should complete the enclosed application form and questionnaire and return them together with requested documents and the application fee not later than Mon, 27 th February 2017.

12. PANEL OF AUDITORS

1. Department of Occupational Safety and Health (DOSH),

2. Social Security Organization (SOCSO),

3. Malaysian Society for Occupational Safety and Health (MSOSH),

4. Federation of Malaysian Manufacturers (FMM),

5. National Institute of Occupational Safety and Health (NIOSH),

6. SIRIM Berhad.

7. Malaysian Employer Federation (MEF),

8. Other selected resources.

13. AWARD TECHNICAL COMMITTEE

Minimum Three (3) or Maximum Five(5) Independent MSOSH Members appointed by the Management Committee

14. MSOSH OSH AWARDS DINNER

Participants are encouraged to buy the table to support the Society.

“SUSTAINABLE OSH CULTURE”

ZARIMAN BIN ZAINUDDIN ORGANISING CHAIRMAN MSOSH OSH AWARDS 2016

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Please send this completed form together with payment and required documents to: CHAIRMAN MSOSH OSH
Please send this completed form together with payment and required documents to: CHAIRMAN MSOSH OSH

Please send this completed form together with payment and required documents to:

CHAIRMAN MSOSH OSH Awards 2016 4 th Floor,Wisma PERKESO, Jalan Selangor 46050 Petaling Jaya, Selangor. Tel: 03-79561763 / 79588396

A. PARTICULARS OF COMPANY/ORGANIZATION

1. Name of Company

:

SOSCO code no.

:

Address

:

:

:

Tel No.

:

Fax No :

2. Name of site to be audited

:

Address of site

:

 

(Please attach route map)

Site Contact person

:

Designation

:

E-mail

:

Tel No.

:

Fax No:

H/p No.

:

3. Business Sectors

Tel No. : Fax No: H/p No. : 3. Business Sectors Petroleum, Gas, Petrochemical and Allied
Tel No. : Fax No: H/p No. : 3. Business Sectors Petroleum, Gas, Petrochemical and Allied
Tel No. : Fax No: H/p No. : 3. Business Sectors Petroleum, Gas, Petrochemical and Allied
Tel No. : Fax No: H/p No. : 3. Business Sectors Petroleum, Gas, Petrochemical and Allied
Tel No. : Fax No: H/p No. : 3. Business Sectors Petroleum, Gas, Petrochemical and Allied

Petroleum, Gas, Petrochemical and Allied Sectors

Electronics and Electrical Sectors

Manufacturing & Chemical Sectors

Utilities Sectors

Construction & Engineering Construction Sectors

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OSH Award 2016 Application Form Rev: 1 28-10-16 Page 9 of 23 Agricultural Sectors (Fishery/Forestry/Plantation) Services
OSH Award 2016 Application Form Rev: 1 28-10-16 Page 9 of 23 Agricultural Sectors (Fishery/Forestry/Plantation) Services
OSH Award 2016 Application Form Rev: 1 28-10-16 Page 9 of 23 Agricultural Sectors (Fishery/Forestry/Plantation) Services
OSH Award 2016 Application Form Rev: 1 28-10-16 Page 9 of 23 Agricultural Sectors (Fishery/Forestry/Plantation) Services
OSH Award 2016 Application Form Rev: 1 28-10-16 Page 9 of 23 Agricultural Sectors (Fishery/Forestry/Plantation) Services

Agricultural Sectors (Fishery/Forestry/Plantation) Services Sectors (Hospitality/Banks/Theme Parks, etc)

Logistics and Transportations

Educational Sectors

Public Sectors & Statutory Bodies

4. Number of Employees Incl. (Contract Employees & Permanent Contractors) : More than 1000 501
4. Number of Employees Incl. (Contract Employees & Permanent Contractors) : More than 1000 501
4.
Number of Employees Incl.
(Contract Employees &
Permanent Contractors)
:
More than 1000
501
- 1000
301
- 500
101
- 300
50 - 100
Less than 50
Please
Where applicable.
Mark
B.
PARTICULARS OF CHIEF EXECUTIVE OFFICER & PERSON SUBMITTING THE ENTRY FORM
1.
Application submitted by
Name:
Position:
E-mail:
Signature & stamp
Tel No:
Fax No:
2.
Contact Person:
Position:
E-mail
Tel No.
Fax:
H/p No.
3.
Name of Chief Executive Officer/ Managing Director / General Manager
Name:
Designation:
Signature & stamp

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C. CATEGORY OF AWARDS Based on the company's 2015 ( for Platinum, Grand and Gold

C. CATEGORY OF AWARDS

Based on the company's 2015 (for Platinum, Grand and Gold Merit Awards only) and/or 2016 (for Gold and other awards) OSH performance and based on the Award criteria stated on the front page, tick the category applied for: (Note that new participations CAN ONLY apply for Gold Category and below)

participations CAN ONLY apply for Gold Category and below) PLATINUM GOLD GRAND SILVER GOLD MERIT BRONZE

participations CAN ONLY apply for Gold Category and below) PLATINUM GOLD GRAND SILVER GOLD MERIT BRONZE

PLATINUM

GOLD

CAN ONLY apply for Gold Category and below) PLATINUM GOLD GRAND SILVER GOLD MERIT BRONZE Note:

CAN ONLY apply for Gold Category and below) PLATINUM GOLD GRAND SILVER GOLD MERIT BRONZE Note:

GRAND

SILVER

GOLD MERITfor Gold Category and below) PLATINUM GOLD GRAND SILVER BRONZE Note: Applicants for Platinum Award have

Category and below) PLATINUM GOLD GRAND SILVER GOLD MERIT BRONZE Note: Applicants for Platinum Award have

BRONZE

Note:

Applicants for Platinum Award have to provide documented evidence of winning the MSOSH Grand Award three times since 2003. Grand & Gold Merit award applicants should include evidence of having won gold awards before.

D. APPLICATION FEE

Category Award

Member

Non-Member

a)

Platinum

RM2,200

RM3,300

b) Grand and Gold Merit

RM1,650

RM2,200

c) Gold, Silver and Bronze

RM1,100

RM1,650

d) Additional Fee for Offshore Facilities

RM2,000

RM3,000

e) Written REPORT per site

RM1,100

RM2,000

TOTAL

RM

Cheque No:

 

Payment should be made payable to : Malaysian Society for Occupational Safety and HealthAccount No.: 8002324462 CIMB Bank Berhad, Section 52, Petaling Jaya, Selangor.

E. FIRST TIME PARTICIPANT:

YES52, Petaling Jaya, Selangor. E. FIRST TIME PARTICIPANT: ( Please indicate year & award received )

(Please indicate year & award received ) Please indicate year & award received)

NO

Year

:

Award Received

:

& award received ) NO Year : Award Received : Doc: OSH Award 2016 Application Form
& award received ) NO Year : Award Received : Doc: OSH Award 2016 Application Form

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F. OSH PERFORMANCE MEASUREMENT Please provide the following information 1 . 2016 OSH Performance: a)

F. OSH PERFORMANCE MEASUREMENT

Please provide the following information

1. 2016 OSH Performance:

a) Total man-hours worked accumulated in 2016:

(Refer to item 9.4 page 8 on the front)

b) Average number of Staff & Permanent Contractors employed in 2016:

c) Number of dangerous occurrence/s:

d) Total no of fatalities

:

e) Total no. of LTI cases in 2016:

f) Total no. of days away from work in 2016:

g) Latest LTI was on

h) LTI frequency rate:

(date)

(Refer to item 9.3 page 8 on the front for calculation)

i) LTI severity rate:

(Refer to item 9.5 page 8 on the front for calculation)

2. 2015 OSH Performance (Applicable for Platinum and Grand Award applicants only):

a) Total man-hours worked accumulated in

2015:

(Refer to item 9.4 page 8 on the front)

b) Average number of staff & contractors employed in 2015:

c) Total Fatality :

d) Last fatality date :

e) Last LTI was on

(date)

f) Last dangerous occurrence was on

(date)

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G. OSH MANAGEMENT SYSTEMS EVALUATION CRITERIA     This questionnaire must be duly completed and

G.

OSH MANAGEMENT SYSTEMS EVALUATION CRITERIA

 
 

This questionnaire must be duly completed and submitted together with the application form and requested attachments.

Please mark



in appropriate box. *Please attach supporting documents.

 

Every attachment must be labeled according to the topic number.

 

1.

S&H POLICY

 
 

Yes

No

 

(1)

S&H policy is written.

  (1) S&H policy is written.

(2)

S&H policy is written in language understood by the employees/ contractors and made known to them S&H policy signed and dated by the top management and reviewed regularly.

(3)

*Please attach

 
 
a) Latest Company Organization Chart b) Latest copy of S&H policy.

a) Latest Company Organization Chart

b) Latest copy of S&H policy.

 

2.

ORGANISATION.

 

2.1

OSH Organization & Responsibilities

 

Yes

No

(1)

There is a competent safety & health officer in the company.

(2)

There is authorized manager for OSH in the organization

(3)

The SHO / authorized manager reports direct to the top management

(4)

There is an OSH department/unit established and reports direct to the top management. Department managers and line supervisors are accountable for OSH in their respective work area and NOT the OSH personnel. OSH responsibilities are stated in each employee, supervisor and manager's job description OSH responsibilities are also stated on the Purchase Order awarded to contractors who provide services OSH elements are being considered before and whenever new employees are recruited

(5)

(6)

(7)

(8)

*Please attach

 
   

a)

Copy of the company's OSH organization structure

 

b)

A copy of one of the Department Manager's job description

 

c)

Sample copy of Purchase Order or attach contractor additional requirement that states contractor/supplier's OSH responsibilities

 

d)

Special interview checklist for high risk job eg: Confined Space worker, Working At Height worker, Welder, Chargeman, etc

 

e)

HR new employee interview checklist

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2.2 Safety and Health Committee (1) The S&H Committee is established and chaired by the

2.2 Safety and Health Committee

(1)

The S&H Committee is established and chaired by the top management.

(2)

(3)

(4)

Composition of members complied with Sub Reg. 5 of S&H Committee Regulations, 1996 Last 4 SHC meeting dates in year 2016: 1

4

Sub Committees were also established to handle various types of programs or tasks.

,

2

,

3

,

(5)

(6)

The attendance of members for every meeting is above 85%

OSH issues brought up in meeting are assigned to PIC (Person in charge) & completion dates identified.

(7)

Majority OSH actions raised in meeting are closed.

* Please attach

Yes No
Yes
No
raised in meeting are closed. * Please attach Yes No a) Copy of at least four

a) Copy of at least four (4) 2016 S&H Committee meeting minutes complete with attendance

b) The structure & composition of the Main Committee and the Subcommittee members.

2.3 Documentation & Data Control

Yes

No

(1)

(2)

(3)

(4)

Level of OSH documents have been identified eg: manual, procedures, work instructions/SOP/SWP, records, etc There is a master list for all OSH documents and records (i.e: OSH document & record registers) All these documents are well controlled, current, numbered, issued, periodically reviewed and approved by PIC. All these documents are accessible and communicated to the relevant employees

(5)

There is a procedure to manage items (1), (2), (3) & (4)

* Please attach

to manage items (1), (2), (3) & (4) * Please attach a) Copy of the company

a) Copy of the company complete procedure on controlling OSH documents/ data/records

b) Master List of OSH Documents and Master List of OSH Records.

2.4 Communication, Participation &Consultation

Yes

No

(1)

There are means to communicate the OSH related news to employee eg: Notice Board, E-mail, staff meetings, Intranet, Banners, etc. There are means for employees to give feedback/ suggestions/ hazard reporting to Management eg: reporting scheme, suggestion scheme, STOP, AWAS, SUSA, I See I Act, ACT, UAUC, etc Actions are taken on feedback and suggestions submitted by the employees

(2)

(3)

(4)

There is an arrangement to communicate to employees any new laws, changes in the OSH Management System, etc There is an arrangement to receive, document and respond to an external OSH communication. There is a procedure to manage items (1), (2), (3), (4) & (5)

(5)

(6)

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 14 of 23

* Please attach a) Copy of the company complete procedure on OSH Communication &Consultation b)

* Please attach

* Please attach a) Copy of the company complete procedure on OSH Communication &Consultation b) An

a) Copy of the company complete procedure on OSH Communication &Consultation

b) An evident of past hazard reporting/feedback/suggestion submission.

3.

PLANNING

 

3.1

Hazard Identification, Risk Assessment & Determining Controls (HIRADC).

 

Yes

No

(1)

All sites, office activities, canteen activities and other supporting activities (including low & medium risk activities) have been analyzed, OSH hazards are identified, risks are assessed and control measures identified and implemented. ONLY High risk activities are analyzed, OSH hazards are identified, Risks are assessed and determined control measures identified and implemented.

   

(2)

   

(3)

HIRADC is also performed on new activities or jobs.

   

(4)

HIRADC result is considered in establishing OSH Objectives, action plan, training plan, work instructions, SOP, etc HIRADC result is reviewed after each time an accident, near miss, dangerous occurrence or occupational illness happened HIRADC result is periodically monitored in an OSH Committee meeting or other meetings.

   

(5)

   

(6)

   

*Please attach

 
 
  a) Complete copy of the company HIRADC Procedure

a) Complete copy of the company HIRADC Procedure

b) 1 sample copy of completed HIRADC document (1 or 2 pages minimum)

 

3.2

Legal and Other Requirements (LOR)

 
 

Yes

No

(1)

OSH related legal and other requirements (eg: customer/corporate requirements) that the company has to comply have been identified. Legal & Other Requirements Register, to identify any non-compliance with the applicable requirements has been developed. The non-compliances are considered in establishing OSH objectives, action plan, training plan, procedures, work instructions, SOP, etc The Non-compliance status is periodically monitored in an OSH Committee meeting or other meetings. Local authority permit/license register is established and maintained to monitor the validity and the compliance status of the permit/license (eg: PMA, PMT, PMD, workplace registration with DOSH, Bomba Cert, LPTA cert, etc).

(2)

(3)

(4)

(5)

(6)

There is a procedure and PIC for managing and keeping LOR up to date.

*Please attach

PIC for managing and keeping LOR up to date. *Please attach a) Complete copy of the

a) Complete copy of the company LOR Procedure

b) List of Legal and Other Requirements the company has to subscribe to

c) Copy of the local authority permit/license register (list only).

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 15 of 23

3 . 3 Objectives & Action Plan Yes No (1) Result of HIRADC, legal &

3.3

Objectives & Action Plan

Yes

No

(1)

Result of HIRADC, legal & other requirements non-compliance status, accident/ incident report, audit/inspection reports, etc. are used as a basis to establish the OSH objectives of the company The company's OSH objectives are supported by and linked to each departmental objectives The status of the objectives is being monitored in S&H committee meeting or management team meeting The achievement of the objectives is linked to each employee's year end performance appraisal scheme

   

(2)

   

(3)

   

(4)

   

(5)

Employees are made known of the company's OSH objectives

   

*Please attach

 
   

a)

Copy of the company's 2016 OSH objectives and 2015 OSH objectives list (for

 

Platinum and Grand Only)

 

b)

One of the departmental OSH objectives

 

c)

Sample format of employee performance appraisal form.

 

d)

Evidence on how employees were made known to the Objectives

3.4

Action Plan (OSH Management Program)

 
 

Yes

No

 

(1)

Each Objective in item (3.3) above is supported in detail by an Action Plan (What, Who, When)

  (1) Each Objective in item (3.3) above is supported in detail by an Action Plan

(2)

The progress of the action plan is being monitored in S&H committee meeting or management team meeting

*Please attach

 
 
  A sample of the action plan to support the achievement of the objectives in item

A sample of the action plan to support the achievement of the objectives in item 3.3

 

4

IMPLEMENTATION

 

4.1

S&H Training & Competency

Yes

No

(1)

Basis for identifying OSH training needs are clearly defined

(2)

There is a yearly OSH training plan for managers, supervisors, employees & contractors There is an employee competency plan for jobs that fall under the legal requirements.

(3)

(4)

Majority of OSH training planned were implemented

*Please attach

of OSH training planned were implemented *Please attach a) Copy of Training Procedure b) Sample 2016

a) Copy of Training Procedure

b) Sample 2016 Training Need Analysis (TNA) form

c) 2016 Training Plan (and 2015 training plan for Platinum and Grand only)

d) Minimum of 3 OSH training attendance for training conducted in 2016 (and 2015 for Platinum and Grand only)

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 16 of 23

4 . 2 Controlling Safe Operation   Yes No (1) There is a General S&H

4.2 Controlling Safe Operation

 

Yes

No

(1)

There is a General S&H rules/procedures established, implemented and communicated to employees & other affected parties. There are S&H Work Instructions (WI)/SOP/Rules established. Example are:

selection & control of contractors, forklift safety, office safety, chemical safety, electrical safety, hot work, confined space safety, permit to work, management of PPE, hearing conservation, lock out tag out, indoor air quality, etc The WI/SOP/S&H Rules are implemented and communicated to relevant employees and contractors. Permit to work (PTW) system and its procedure to control high risk activities such as contractor work, hot work, confined space, working at height, radiography work, excavation work, etc has been established and implemented.

   

(2)

   

(3)

   

(4)

   

* Please attach

 
 
  a) Copy of the General S&H rules/procedures

a) Copy of the General S&H rules/procedures

b) A Copy of PTW Procedure & the forms used

c) Minimum 3 samples of other S&H WI/SOP/Rules.

4.3 Procurement

 

Yes

No

(1)

S&H elements are being considered whenever labour services from contractors are contracted. S&H elements are being considered whenever materials and chemicals, gases and other substances are purchased. S&H elements are being considered whenever PPE from the supplier are purchased S&H elements are being considered whenever machines (including pressure vessels), equipment and tools from suppliers are purchased. S&H elements are being considered whenever workstation equipment eg:

(2)

(3)

(4)

(5)

chairs, tables, workbench, etc are purchased.

*Please attach

chairs, tables, workbench, etc are purchased. *Please attach A copy of the complete Procurement procedure. Procedure

A copy of the complete Procurement procedure. Procedure shall reflect that elements of S&H are being considered whenever purchases are made.

4.4 Contracting

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

There is a S&H pre-evaluation questionnaire before contractors are registered with the organization

S&H criteria are used when deciding which contractor to be awarded

All new contractors are subject to S&H induction before starting any work, induction pass is issued and subsequent periodical refresher thereafter. Contractors have to sit for internal / external exams before they are issued the induction pass Contractors have to pass the alcohol & drug test before they are issued the induction pass There is a contractor S&H sub-committee established and the meeting is held periodically A S&H tool box talk or pre job briefing is held before the start of every job

Regular S&H inspection and supervision is carried out while the job is being performed by the contractors

Yes No
Yes
No

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(9) Permanent contractors are requested to have an ongoing S&H training (10) There is a

(9)

Permanent contractors are requested to have an ongoing S&H training

(10)

There is a post evaluation questionnaire or checklist to be filled up once the job is completed to assess the contractor's compliance to the company's S&H

the contractor's compliance to the company's S&H *Please attach       a) Complete copy

*Please attach

 
   

a)

Complete copy of managing contractor S&H procedure or managing contracts procedure

 

b)

A copy of Contractor S&H pre-evaluation questionnaire

 

c)

Sample of Contractor Induction booklet

 

d)

A copy of the Contractor 2016 S&H Induction attendance list

 

e)

Copy of Contractor 2016 S&H Sub Committee meeting minutes

 

f)

A copy of 2016 S&H Tool Box Talk or Pre Job briefing attendance

 

g)

A copy of Contractor S&H post-evaluation questionnaire

 

h)

Evidence of Drug & Alcohol test was carried out.

4.5 Hazard Communication & Health Surveillance

 

Yes

No

(1)

There is a written procedure on occupational health surveillance, safe handling of chemicals and other hazardous materials (e.g: gases, asbestos, mineral dusts, lead, dusts, etc). Personnel exposed to health hazards have been adequately trained.

   

(2)

   

(3)

PPE needed for the job are provided, correct type, correctly used, properly maintained and regularly inspected. All chemicals, other hazardous material and hazardous waste containers are properly labeled. MSDS/SDS for all chemicals stored, used and disposed are available, and in Bahasa Malaysia and English languages. All chemicals, other hazardous material and hazardous waste containers are appropriately stored/ disposed. Noise monitoring, dust exposure, ergonomics, stress, indoor air quality and confined space program are implemented.

   

(4)

   

(5)

   

(6)

   

(7)

   

*Please attach

 
   

a) Minimum 3 samples of MSDS/SDS

 

b) A sample copy of occupational health surveillance report

 

c) A complete copy of chemical control or management procedure

 

d) A complete copy of management of PPE Procedure

 

e) A copy of 2016 chemical safety training attendance

 

f) A copy of 2016 PPE training attendance.

4.6 S&H Awareness & Promotional Activities

Yes

No

(1)

Regular S&H promotional activities such as S&H newsletter, campaign,

(2)

exhibition, talks, quiz, are organized There is involvement of local community in the S&H projects/

(3)

programs/activities conducted (Note: Environmental project is not considered) Managers, employees and contractors are involved in the S&H awareness & promotional activities

in the S&H awareness & promotional activities *Please attach a) The 2016 S&H awareness &

*Please attach

awareness & promotional activities *Please attach a) The 2016 S&H awareness & promotional activity

a) The 2016 S&H awareness & promotional activity plan (details on types of S&H

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 18 of 23

awareness & promotional activities organized) b) Copy (s) of newsletter, newspaper cuttings, in-house S&H
awareness & promotional activities organized) b) Copy (s) of newsletter, newspaper cuttings, in-house S&H

awareness & promotional activities organized)

b) Copy (s) of newsletter, newspaper cuttings, in-house S&H magazines

c) Samples of S&H quiz, contest, survey, competition materials, etc

d) Attendance of talks, photos, competition activities, blood donation etc, and copy of evidence of S&H activities with local community conducted in 2016.

4.7 Disciplinary Action Program

(1)

There is a disciplinary procedure implemented to enforce the implementation of

(2)

S&H WI/SOP/rules All employees including managers, executives, supervisors, floor people and

(3)

contractors are subject to this. The top management is serious about S&H and will take appropriate disciplinary action if required.

Yes No
Yes
No

*Please attach

disciplinary action if required. Yes No *Please attach a) Complete copy of the Disciplinary Action Procedure

a) Complete copy of the Disciplinary Action Procedure

b) Any past evidence that disciplinary action has been taken on errant employees for S&H noncompliance

4.8 Management of Change (MOC)

(1)

(2)

(3)

(4)

Any major internal changes (on process, working procedure, equipment, organizational structure) and external changes (new law introduced, new corporate or customer requirement) that have impacts on the S&H of the organization is being controlled through a management of change procedure. Workplace hazard identification & risk assessment are carried out before any modification or introduction of new work methods, materials, chemicals processes or machinery. Employees, their representatives & S&H committee are involved in such assessment. All affected members in the company are properly informed and trained on the changes.

*Please attach

properly informed and trained on the changes. *Please attach a) Complete copy of the Management of

a) Complete copy of the Management of Change Procedure

b) Past year evidence of any MOC carried out eg: forms used, etc.

4.9 Emergency Response Plan (ERP)

Yes

No

Yes

No

(1)

Emergency response plan manual written, and contents are communicated to employees Specific and related emergency scenarios (eg: Fire, Chemical Spill, Gas Leak, Bomb Threat, Earthquake, etc) Action Plan are written and simulated.

(2)

(3)

ERT (Team) is established & members are regularly &adequately trained.

(4)

ER Equipment is available, adequate, regularly inspected and tested.

(5)

Drills, exercises, simulations, evacuations are carried out (minimum yearly)

*Please attach

evacuations are carried out (minimum yearly) *Please attach a) Copy of the company's ERP Procedure table

a) Copy of the company's ERP Procedure table of contents

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 19 of 23

b) 1 sample of specific emergency scenario action plan (eg: Fire, Chemical Spill, Gas Leak,
b) 1 sample of specific emergency scenario action plan (eg: Fire, Chemical Spill, Gas Leak,

b) 1 sample of specific emergency scenario action plan (eg: Fire, Chemical Spill, Gas Leak, Bomb Threat, etc)

c) 2016 ER training attendance

d) 1 copy of 2016 ER equipment inspection checklist records (that have been filled up).

e) 1 copy of 2016 drill/ exercise/ simulation/ evacuation post mortem report.

5.

EVALUATION

 

5.1

Performance Measurement

Yes

No

(1)

OSH Key Performance Indicators (KPI) eg: LTI FR, LTI SR, recordable cases, medical treatment cases, first aid cases, near misses, no. of medical leaves, etc are used in measuring the organizational OSH performance. OSH Key Performance Indicators (KPI) eg: LTI FR, LTI SR, recordable cases, medical treatment cases, first aid cases, near misses, no. of medical leaves, etc are used in measuring the departmental OSH performance. This KPI is continuously monitored in the S&H committee meeting or management team meeting and action taken if necessary This KPI is regularly communicated to all employees through Notice Board, Intranet, Newsletter, meeting, etc The achievement of this KPI is linked to the Organizational & Departmental OSH objectives and year end performance appraisal criteria or bonus scheme

   

(2)

   

(3)

   

(4)

   

(5)

   

*Please attach

 
 
  a) Copy of the 2016 OSH KPI (and 2015 OSH KPI for Platinum and Grand

a) Copy of the 2016 OSH KPI (and 2015 OSH KPI for Platinum and Grand Only)

 

b) Photos of the OSH Incident Statistics board

c) A sample of year end employee performance appraisal form to show OSH elements are being considered.

5.2

Performance Monitoring

 

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Quarterly site OSH inspection is being carried out by Management Team, Supervisors, Employees and Contractors Action is taken on the result of the inspection, continuously monitored and eventually closed Regular personal meeting between department managers & the subordinates to discuss OSH issues is on-going Yearly OSH management system audit covering reviewing documents, interviewing personnel and inspecting site is done. Health/Medical surveillance program is carried out during pre-employment and regularly during employment

Health/Medical surveillance program includes Occupational Poisoning, Occupational Disease, Biological monitoring & Noise Induced Hearing Loss (NIHL)

Health/medical surveillance program is carried out at post-employment.

Health/Medical Program covers Mental Health, Medical Removal, MSD Management, Fatigue Management, Quit Smoking, Weight Management, Workers Vaccination, Drug & Alcohol Control, Dengue/Malaria/Zika Prevention, Non Communicable Disease Programs etc

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 20 of 23

Yes No
Yes
No
(9) OSH Performance covers tracking and analyzing of Medical Leave, Medical cost, Hospitalization cost and

(9)

OSH Performance covers tracking and analyzing of Medical Leave, Medical cost, Hospitalization cost and Insurance cost, SOCSO reporting and commuting accident cases

Insurance cost, SOCSO reporting and commuting accident cases *Please attach       a) Copy of

*Please attach

 
   

a)

Copy of the 2016 OSH site inspection report & the status

 

b)

2016 OSH management system audit report & the status

 

c)

A copy health/medical surveillance summary report (including Occupational Poisoning, Occupational Disease, Biological monitoring & Noise Induced Hearing Loss (NIHL) Noise Monitoring)

 

d)

A copy of the employee’s health/medical surveillance summary report/, medical removal report (with the name erased)

 

e)

Copy of reports/photos on Health/Medical Programs conducted in 2016

 

f)

Summary of overall OSH Performance Report (including Medical Leave, Medical cost, Hospitalization cost and Insurance cost, SOCSO reporting and Commuting accident cases for 2016

 

g)

Sample of Health-related program or photos (MSD Management, Fatigue Management, Quit Smoking Program etc.)

5.3 Injuries, Occ. Illnesses, Incidents, Dangerous Occurrence, Non-Conformances (IOIIDONC) Reporting & Investigation

Yes

No

(1)

There is a procedure managing IOIIDONC Reporting and Investigation established& implemented in the company

(2)

Incident Investigation is carried out whenever any IOIIDONC is reported

(3)

Incident investigation team is established and adequately trained.

(4)

The result of the investigation is documented, corrective and preventive actions taken, communicated to OSH Committee and other relevant employees, and reported to DOSH (if required by law) Related HIRADC of the investigated IOIIDONC and the Training Plan of personnel involved in the IOIIDONC are reviewed after the incident. The Corrective and Preventive Actions (CPA) and the effectiveness of CPA are continuously monitored and eventually closed.

(5)

(6)

(7)

Annual report to DOSH (JKKP Form 8) is submitted in January of each year

*Please attach

Form 8) is submitted in January of each year *Please attach a) Complete copy of the

a) Complete copy of the company's IOIIDONC reporting and investigation procedure

b) A sample of the 2016 completed IOIIDONC investigation form and the findings

c) A copy of the incident investigation team training attendance list.

d) A copy of the 2016 JKKP 8 Form.

5.4 Other Incidents:

List the last three (3) dates and brief description of the above that happened in 2016, if any.

1)

2)

3)

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5 . 5 Internal Audit. List dates of any OSH internal audits in 2016 and

5.5

Internal Audit. List dates of any OSH internal audits in 2016 and attach the executive summaries of the audit

 

1)

5.6

Management Review

 
 

Yes

No

 

(1)

There is a management review meeting (as per procedure) carried out to discuss the progress of overall performance of OSH

   

(2)

The meeting is attended by the top and senior management team members in the company The meeting discusses the KPI, OSH objectives and action plan achievements, system audit result, legal compliance status, past management review actions, IOIIDONC status, etc The results of the management review are recorded, implemented and communicated to S&H committee & relevant employees.

   

(3)

   

(4)

   

*Please attach

 
   

a) Copy of the 2016 management review meeting attendance

 

b) Minutes of the meeting and status of the action items.

6.0

ACTION FOR IMPROVEMENT

 

6.1

Corrective and Preventive Action (CAPA) & Continuous Improvement

Yes

No

(1)

CAPA resulting from performance monitoring activities, performance measurement results, OSH management system audits, other external OSH audits and IOIIDONC that happened are taken action and eventually closed. Continuous improvement actions are taken on objectives, action plans, management review and S&H committee meeting, results of hazard identifications & risks assessment, legal compliance status, employee's OSH training & competency status, employee's suggestion and feedback, employee's health surveillance reports, etc.

   

(2)

   

*Attach the relevant documents or evidences.

 

7.0

OSH Management System

 
 

Yes

No

(1)

The Company has established and implemented a recognized OSH Management System (eg:OHSAS18001, MS 1722, ISRS, BS 8800, Responsible Care Program, OIMS, HSE MS, etc) The complete cycle (policy, organizing, planning, implementation and evaluation & action for improvement) of OSH Management System has been fully implemented.

(2)

(3)

Only partial cycle of the OSH Management System is implemented

(4)

Has not embarked on any recognized OSH Management System yet

*Please attach

on any recognized OSH Management System yet *Please attach a) Copy of the company's OSH management

a) Copy of the company's OSH management system manual table of content

b) The name of the OSH management system the company is subscribing

c) Certification body's cert if the OSH management system is certified by any certification body.

Doc: OSH Award 2016 Application Form Rev: 1 28-10-16 Page 22 of 23

8.0 The Organization’s OSH Achievements in 2016 (1) International Level (eg: ROSPA/IOSH/HSE Awards, etc) (2)

8.0 The Organization’s OSH Achievements in 2016

(1)

International Level (eg: ROSPA/IOSH/HSE Awards, etc)

(2)

At National Level (eg: NCOSH Award, MSOSH Award, CIDB OSH Award, etc)

(3)

At Corporate Level

Yes No
Yes
No

*Attach a list of the achievement and copies of the Award Certificates.

Thank you very much for your sincere participation and concern on your Occupational Safety and Health Management System.

Please complete this form, attach the required documents which are accurately labeled and mail them together with the entrance fee and shall reach latest by Monday, 27 th February 2017.

Thank you very much.

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