OHS Management Systems Audit Evidence Guide

Transcription

1 OHS Management Systems Audit Guide OHS Strategic Framework The University is required to develop an OHS Strategic Framework which outlines the steps that the University must take to implement and resource its OHS Management System; as well as establishing OHS goals and key performance indicators for the University. 1. Does Macquarie University have an OHS Strategic Framework, which is current and approved by the Vice Chancellor? 2. Has the Dean/Directors incorporated the Macquarie University OHS Strategic Framework objectives into their Faculty/Departmental Operational Plans? 3. Has Head of School/ Unit Managers incorporated the Macquarie University s OHS Strategic Framework objectives into their School/ Unit Operational Plans? Auditee must demonstrate the ability to access: 1. Current and approved Macquarie University s OHS Strategic Framework. 2. Faculty/Departmental Operational Plan incorporating the criteria requirements. 3. School/ Unit Operational Plans incorporating the criteria requirements. Statement This document provides the overall strategic framework for Occupational Health and Safety (OHS) at Macquarie University and provides linkage to the Macquarie Strategic Plan, Macquarie University OHS Policy and Faculty/Division OHS Operational Plans. Purpose The purpose of the OHS Strategic Framework is to establish OHS strategic goals and objectives that provide direction in the management of OHS at Macquarie University. Page 1 of 32

2 OHS Management Systems Audit Guide Scope This applies to all staff, students, visitors and contractors at Macquarie University. OHS Strategic Goals 1. Demonstrate strong leadership in setting and achieving OHS goals; 2. Integrate OHS risk management principles into all operations; 3. Consult with staff and students on decisions that may impact their health and safety; 4. Encourage a culture of cooperation, initiative and responsibility across the University community to maintain a safe and healthy workplace; 5. Identify and control all health and safety hazards and associated risks; 6. Continue to review and improve the Occupational Health and Safety System (OHSMS) to eliminate workplace injury and illness. Page 2 of 32

3 Staff Health & Safety Unit OHS Management Systems Audit Plan) OHS Policy The University, in consultation with all employees and/or their representatives, shall define and document a policy establishing commitment to occupational health and safety (OHS). 1. Does Macquarie University have an OHS Policy, which is current, signed by the Vice Chancellor and developed in consultation with employees? 2. Is the OHS Policy Statement displayed at key workplace locations? 3. Is the OHS Policy communicated to all employees? OHS Policy is current and signed by the Vice Chancellor Local OHS Committee minutes with policy consultation as agenda item OHS Policy TRIM Administrative File containing employee consultation feedback Current and signed OHS Policy Statement displayed in main foyer of building/school Documented evidence of communication. Macquarie University in consultation with all employees has documented an OHS Policy. This establishes a framework for action and for the setting of measurable OHS objectives and targets. Page 3 of 32 Har dcopi es of this document a re c onsider ed uncont roll ed. Please refer to the Staff healt h & Safety inter net site for latest vers ion Document No:0.16 Created: August 2006 Revised: - Version No: 1

4 OHS Management Systems Audit Guide OHS Responsibility, Authority and Accountability The University is required to define OHS responsibilities, authorities and accountabilities to establish a clear understanding of each person s OHS role in the University. 1. Are OHS responsibilities of employees defined and documented? 2. Are OHS responsibilities communicated to employees? 1. OHS Responsibility, Authority and Accountability Matrix established for relevant positions. 2. OHS Responsibility, Authority and Accountability inclusions in agree position descriptions. 1. Purpose The purpose of the OHS Responsibility Procedure is to ensure that responsibility and authority for all elements of the University s OHS Management System are adequately define and clearly documented in a manner that is accessible to the position holder. It is also to ensure that an accountability process is defined and implemented to make certain that responsibilities are performed effectively. 2. Scope This procedure applies to the management and conduct of OHS activities across all operational areas and campuses of the University. This document should be read in conjunction with the University s Register of Delegations in which responsibility, authority and accountability for OHS management at the executive level of the University is defined. Page 4 of 32

5 OHS Management Systems Audit Guide Planning for OHS Risk Management The University shall establish, implement and maintain a risk management program. 1. Is there an agreed process for the identification of hazards, assessment of risks, implementation and monitoring of control measures? 2. Is there a program for the identification of hazards? 3. Are risk assessments completed for proposed activities? 4. Are risk assessments approved by the relevant supervisor? 5. Are controls that are identified in the risk assessment implemented? 6. Are risk assessments regularly reviewed? 7. Is there a system to report and record OHS hazards? 8. Are all identified hazards reported and controlled? 1. OHS Risk Management Program. 2. OHS Risk Assessment and Control Procedure, Workplace Inspection Schedule 3 6. Risk Assessments completed, signed and reviewed. 7. Completed Hazard Report Forms. 8. Completed Hazard Report Forms, Corrective Action Register The Risk Management Program describes the legal requirements and procedures used to facilitate the early identification of foreseeable hazards, assessment of risk and implementation of control mechanisms. Page 5 of 32

6 OHS Management Systems Audit Guide Design Control The University must establish and maintain procedures to ensure the identification and control of OHS risks resulting from the design process. This process must take into account legislative requirements, standards and codes of practice where applicable. 1. During the design stage does the risk assessment of plant and equipment consider the following factors? The impact of the plant on the work environment; The range of environmental and operational conditions in which the plant is to be manufactured, transported, installed and used; The ergonomic needs of the users; The need for safe access and egress for persons who install, erect, use, maintain and dismantle the plant. 2. Are all building design and construction projects coordinated by Facilities Management and Office of Major Projects undertaken in accordance with relevant Guidelines for the Management of OHS (Construction). 1. Risk assessments consider design factors as listed above. 2. All building and refurbishment projects conducted thorough Facilities Management. All staff who undertake projects related to building design and construction and the refurbishment of rooms and laboratories, must ensure this work is co-ordinated by the Office of Facilities Management. Facilities Management is to ensure all building design projects are conducted within specified OHS policies and guidelines. All staff purchasing plant and equipment must ensure that OHS considerations have been addressed prior to purchase of equipment. Page 6 of 32

7 OHS Management Systems Audit Guide Purchasing and Acquisition Macquarie must develop and implement a system for measuring the capacity of suppliers of goods, services and human resources to comply with OHS specifications and requirements. Has Macquarie developed and implemented a system for measuring that all goods and services acquired are safe for use in the workplace? OHS Purchasing Procedure, OHS Pre/Post Purchase Checklist 1. Purpose The purpose of this guideline is to ensure that all goods and services purchased by Macquarie University are safe for use in the workplace by staff and students. 2. Scope This guideline applies to all staff and students who are designated to purchase goods and services for use at Macquarie. These can include, but is not limited to: Plant and equipment Furniture Chemicals Contractor services Staff travel Page 7 of 32

8 OHS Management Systems Audit Guide Emergency Preparedness Macquarie University shall identify all potential emergency situations, risks and document emergency procedures and plans for the preparedness of, planning for, response to and recovery from incidents or emergencies that may cause harm, injury illness or death to people, assets and the environment? 1. Has Macquarie developed an Emergency Site Plan? 2. Has Macquarie developed an Emergency Risk Register? 3. Has Macquarie developed a schedule of Evacuation Drills? 4. Is there an security management plan? 1. Macquarie Emergency Site Plan 2. Macquarie Emergency Risk Register 3. Macquarie Evacuation Drill Schedule Macquarie University must document an emergency risk register, which identifies all potential emergency situations. Macquarie University must develop, maintain, review and test the Macquarie Emergency Site Plan, which outlines preparedness, planning, response and initial recovery measures for Macquarie University. Macquarie University must develop and maintain site-specific emergency plans as required for Development Applications set by State Planning arrangements. Page 8 of 32

9 OHS Management Systems Audit Guide Research Design The University is required to plan for OHS in the design phase of research activity to effectively identify, assess and control risks. 1. What system has Macquarie University established to assist researchers plan for OHS in the design phase of research activities? 2. How do you access the system? 1. Macquarie University Research Toolkit Macquarie University Research OHS Toolkit will assist researchers to integrate occupational health and safety into their research plans and processes. Page 9 of 32

10 OHS Management Systems Audit Guide Legislation The University shall establish, implement and maintain procedures to identify and have access to all legal and other requirements that are directly applicable to OHS. 1. Have you identified all legislative and other requirements that are directly applicable to your activities? 1. Risk assessments include relevant legislative and other requirements. Macquarie University has established access to relevant sources of legislation applicable to Macquarie activities. Use the links provided to assist you in identifying the legislation, standards and codes of practice and other sources of information applicable to your activity. Page 10 of 32

11 OHS Management Systems Audit Guide Consultation The University must consult with employees to contribute to the making of decisions affecting their health, safety and welfare at work. 1. Is there an agreed process describing how consultation on OHS issues with employees takes place? 2. Do you have an OHS Committee or OHS Representative constituted as per the OHS Consultation Policy? 3. Are the minutes and outcomes of the OHS Committee communicated to employees? 4. Are employees consulted prior to proposed changes in the workplace that could affect health and safety? 5. Is progress on health and safety issues or disputes communicated to employees? 6. Do you use the constitution template for your OHS committee? 7. Do you use the agenda template for OHS meetings? 1. Minutes or other documents outlining the agreed consultation process (vote) on OHS issues with employees that has taken place. 2. Committee or OHS Representative constituted and fulfilling the requirements of those committees. 3. OHS Committee meeting minutes available to all staff displayed on website, posted on OHS notice board Minutes or other documentation recording communication of proposed changes in the work place that could affect health and safety issues, progress on OHS issues or OHS disputes. 6 Copies of Constitutions or terms of reference available on line. 7. Copies of agendas. Page 11 of 32

12 OHS Management Systems Audit Guide 1. Purpose The purpose of the OHS Consultation Procedure is to: Facilitate effective consultation with employees and students whenever decisions are made that impact on their OHS and welfare in order to reduce the incidence of injury and illness; Define the OHS consultation arrangements that management is required to implement in their area of responsibility; and Fulfil the OHS legislative requirements to record the University s consultation arrangements and publicise those arrangements among existing and new employees. 2. Scope This procedure applies to OHS consultation processes. Page 12 of 32

13 OHS Management Systems Audit Guide Risk Management Program The University shall establish, implement and maintain a risk management program so that all foreseeable hazards are identifies, assessed and controlled. 1. Prior to purchasing goods or services, are health and safety impacts assessed using the Macquarie University s Purchasing Guideline? 2. Are all reasonably foreseeable hazards identified? 3. Do you have a current OHS Hazard and Risk Register? 4. Are risk assessments undertake for all identified hazards? 5. Are all identified hazards eliminated or controlled to a level that is reasonably practicable? 6. Are hazards/risks controlled using the Hierarchy of Risk Controls? 7. Are all identified hazards/risks rated using the Macquarie Risk Rating Procedure? 8. Do you have a current Corrective Actions Register? 9. Is the Corrective Actions Register reviewed to ensure all actions are completed? 10. Do you use Macquarie s OHS procedures to ensure proper control of workplace activities? 11. Have you developed and documented Safe Working Procedures? 12. Are there written procedures for potential emergency situations at the workplace, e.g. chemical spills, emergency evacuations, emergency equipment shutdown, etc. 13. Is there a system to report hazards and incidents? 14. Have local emergency personnel been identified and responsibilities assigned, e.g. floor wardens? 15. Have the names and roles of the emergency personnel been communicated to all employees? 16. Is the Emergency Procedure Plan displayed on each floor? 1. Pre/post Purchasing Checklist records. 2-7 OHS Hazard and Risk Register and Risk Assessment records. Page 13 of 32

14 OHS Management Systems Audit Guide Health & Safety Unit 8-9 Corrective Action Register Safe Working Procedure records. 13. Hazards and incident reports Emergency Procedure Plan and OHS Responsibility Matrix. Using the procedures in the OHS Risk Management Program, you must identify all foreseeable hazards; assess the associate risk and implement controls. Page 14 of 32

15 OHS Management Systems Audit Guide Document and Record Management The University must establish, and maintain a system to control OHS documentation to ensure currency and relevancy. 1. Do you have an OHS Document Control Register? 2. Are all OHS documents used current? 3. Are all OHS records maintained according to the OHS Document and Record Control Procedure? 4. Can relevant personnel find OHS records easily and efficiently? 1. OHS Document Control Register. 2. Are all documents downloaded from the OHS Web page? Are they current? 3-4 Current OHS records, e.g. risk assessment, safe working procedures, training records. 5 OHS documents are secure and accessible by relevant persons. 1. Purpose The purpose of the OHS Document and Record Control Policy and Guidelines are to provide direction for the implementation of OHS document and record control at Macquarie University. This procedure describes the methodology for ensuring consistency in the generation and management of OHS documents and records. 2. Scope This procedure applies to all documents and records that constitute the Macquarie University OHSMS and other related documents and records. Page 15 of 32

16 OHS Management Systems Audit Guide OHS Training The University shall establish a structured system of training to ensure individuals receive appropriate and relevant OHS information, instruction, supervision and competency assessment to ensure they can safety carry out their work. 1. Have the OHS training needs of all staff/students been identified and documented? 2. Has an OHS Training Plan been developed and documented to address the identified needs? 3. Are records of OHS training accurate and up to date? 4. Has all staff attended OHS Induction Training? 5. Are managers and supervisors trained in OHS management principles and practices relevant to their roles and responsibilities? 6. Is job specific OHS training provides on specific hazards, safety equipment and safe working procedures for each employee? 7. Are people with specific OHS responsibilities provided with appropriate training? 8. Have employees been evaluated or tested to ensure that they are competent to apply the training outcomes? 1. OHS Training Needs Analysis. 2. OHS Training Plan. 3-7 OHS Training Records 8 Records of staff and student OHS competencies recorded as per the OHS Training Procedure. 1. Purpose The purpose of the OHS Training Procedure is to ensure a structured system for the implementation of OHS Training at Macquarie University. This procedure describes the methodology for ensuring consistency in the management of OHS Training requirements. Page 16 of 32

17 OHS Management Systems Audit Guide 2. Scope This procedure applies to all staff, students, contractors and visitors at Macquarie University. This procedure details University practice in the identification and provision of OHS related knowledge, skills and training. Page 17 of 32

18 OHS Management Systems Audit Guide Specific Hazards Management The University must identify all foreseeable hazards that may arise from the conduct of its business activities. 1. Biological Hazards s 1. Are all biological hazards registered? 2. Have all biological hazards been assessed to determine their Risk Group as per AS ? 3. Are all biological hazards used in the appropriate containment facility based on Risk Group? 4. Is the Containment Facility Register up to date? 5. Has immunisation been identified and provided where appropriate? 1. Biological Hazards Register. 2. Containment Facility Register. 3. Risk Assessment and Immunisation Records. 2. Building and Construction s 1. Are all building and facilities hazards (e.g. faculty lifts or lights, suspected asbestos) reported to Facilities Management for elimination or control? 2. Are all construction, refurbishment and maintenance of buildings and engineering services coordinated by Facilities Management? 3. Has all identified asbestos in buildings and facilities been recorded in Macquarie University s Asbestos Register, maintained by facilities Management? Page 18 of 32

19 OHS Management Systems Audit Guide 1. Hazard reports and/or Requests for Works and Services 2. Requests for Works and Services and/or correspondence with FM relating to construction, refurbishment or maintenance 3. Macquarie University s Asbestos Register is maintained Macquarie University s Asbestos Register is a record of identified asbestos in buildings and facilities and the risk control measures that have been implemented. Asbestos used in research activities must be managed in accordance with the OHS Risk Management Program and recorded in the School/Centre OHS Hazard & Risk Register. 3. Chemicals s 1. Are all chemicals listed on the chemical register? 2. Is there an up to date MSDS readily available for each chemical? 3. Are all chemicals labelled in accordance with the labelling of Hazardous Substances guidelines? 4. Is there a documented risk assessment for all activities involving chemicals? 5. Are Dangerous goods stored in dangerous goods cabinets where appropriate? 6. Are spill kits and first aid facilities readily available? 7. Is personal protective clothing and equipment always worn when handling hazardous chemicals? 1. Chemical Register 2. Easy access to up to date manufacturer s MSDS s (hard copy or electronic) 3. Appropriate labelling on containers with substance, risk and safety phrases, first aid emergency and information 4. Written risk assessments signed off by supervisor 5. Dangerous goods cabinets 6. Appropriate spills kits and maintained First Aid Kits Page 19 of 32

20 7. PPCE readily available OHS Management Systems Audit Guide 4. Confined Space s 1. Are Entry Permits issued by Facilities Management for all entry to and work in or on confined spaces? 2. Have all confined spaces been identified and included on Macquarie Confined Spaces Register, maintained by facilities Management? 1. Entry Permits for confined spaces 2. Macquarie University Confined Spaces Register 5. Electrical Hazards s 1. Is all plug-in electrical equipment tested and tagged? 2. Do you use the Pre/Post Purchased Checklist for electrical equipment that pose OHS risk? 3. Are all power points regularly inspected for mechanical defects? 1. Electrical equipment tagged and records maintained. 2. Pre/Post Purchase checklists. 3. Workplace inspection reports. Page 20 of 32

21 OHS Management Systems Audit Guide 6. Ergonomics s 1. Have duties involving ergonomic risks (e.g. repetitive tasks, minimal task variation etc) been identified? 2. Have risk assessments of all ergonomic risks have been completed? 3. Are appropriate risk control measures implemented? (e.g. provision of preventing overuse training, environmental and task modifications etc) 1. Risk assessments 2. Observation of risk control measures 7. Fieldwork s 1. Are Fieldwork Plan and Notification forms completed for trip approval? 2. Are risk assessments completed and lodged with the Fieldwork Plan and Notification forms 3. Are Fieldwork Authorisation and Medical naires for Students completed where required? 1. Completed risk assessments 2. Completed Fieldwork Plan and Notification forms 3. Completed Fieldwork Authorisation and Medical naires Page 21 of 32

22 OHS Management Systems Audit Guide 8. Gene Technology s 1. Have all dealing with genetically modified organisms (GMOs) been approved by the University Bio-safety Committee or the Office of the Gene Technology Regulator? 2. Do all OGTR-certified facilities comply with the OGTR s general and specific conditions of certification? 3. Are all research personnel working in OGTR-certified containment facilities trained in the specific procedures? 4. Have all research personnel involved in a licensed GMO dealing acknowledge in writing that they understand and will comply with the licence conditions? 1. Approval letter from Bio-safety Committee or licence instrument from OGTR 2. Annual inspection report from Bio-safety Committee and Corrective Action Report (where applicable) 3. Facility training records 4. Completed appropriate training and certification. 9. Laser Safety s 1. Are all users of Class 3B and/or Class 4 lasers trained? 2. Is the correct laser safety eyewear readily available for users? 3. Are laboratories where Class 3B and/or Class 4 are used adequately indicated with external signage? 1. Training records 2. Laser safety eyewear available 3. Workplace inspection records Page 22 of 32

23 OHS Management Systems Audit Guide 10. Manual Handling s 1. Have duties involving manual handling risks been identified? (e.g. by staff consultation, direct observation, task inspection etc.) 2. Have risk assessments of all manual handling tasks been completed? 3. Are appropriate risk controls measure implemented? (e.g. task elimination, provision of mechanical aids, provision of safe lifting training, administrative controls etc.) 1. Risk assessments 2. Observation of risk control measures 11. Plant and Equipment s 1. Do you have a plant and equipment register? 2. Do you have safe working procedures for plant that pose OHS risks? 3. Do you use the Pre/Post Purchase Checklist for plant that pose OHS risks? 1. Maintained Plant and Equipment register 2. Safe Working Procedures 3. Pre/Post Purchase Checklist for plant Page 23 of 32

24 OHS Management Systems Audit Guide 12. Radiation s 1. Are risk assessments for all radiation work carried out? 2. Are persons using ionising radiation appropriately licensed? 3. Is there a register of radioactive material purchases? 1. Risk assessments 2. Observation of licence 3. Register of radioactive material purchases 13. Travel 1. Dose the University have a system for notification of travel restrictions? 2. Does the University have a Travel policy? 1. Macquarie University travel advice web page with link to Department of Foreign Affairs and Trade 2. Travel policy Page 24 of 32

25 OHS Management Systems Audit Guide Macquarie University has developed procedures, guidelines and tools for the management of specific hazards. Staffs are required to follow the procedures; guidelines and tools provided for each the Macquarie University Risk Management Procedure. Specific hazards include: Biological Building and Construction Chemical Confined Spaces Electrical Ergonomic Fieldwork Gene Technology Lasers Manual Handling Plant and Equipment Radiation Travel Page 25 of 32

26 OHS Management Systems Audit Guide Emergency Preparedness and Response The University shall identify all potential emergency situations. Emergency procedures and plans for the preparedness of, planning for, response to and recovery from incidents or emergencies must be documented. 1. Is there a crisis management plan? 2. Have competent persons assessed the suitability, location and accessibility of emergency equipment? 3. Is emergency equipment inspected, tested and maintained at regular intervals? 4. Have employees received training in emergency procedures appropriate to their allocated emergency response responsibilities? 5. Are emergency drills held regularly? 1. Copy of Crisis Management plan and any sub plans Faculties Management contractor reports including fire extinguisher maintenance record. 4. OHS training records. 5. Current emergency evacuation schedule. Divisions and Faculties are required to implement the Macquarie University Site Emergency Management Plan, Emergency Procedure, First Aid Policy, and Emergency Management Policy. Page 26 of 32

27 OHS Management Systems Audit Guide Inspection, Testing and Monitoring The University shall establish, implement and maintain documented procedures to monitor and measure on a regular basis the key characteristics of its operations and activities that can cause illness and injury. The effectiveness of those measures shall be evaluated. 1. Is there an Inspections, testing and monitoring policy? 2. Have you identified the plant, processes and activities that require inspection, testing and monitoring? 3. Have all ITM activities been recorded, e.g. annual equipment certifications (e.g. pressure vessels, block and tackle equipment, vehicle registration reports), workplace inspection reports? 4. Are non-conformances addressed through the Corrective Action Register? 1. Inspections policy, 2. Register of plant, processes and activities that require inspection, testing and monitoring. 3. Inspection, testing and monitoring records. 4. Inspection, testing and monitoring records and Corrective Action Register. 1. Purpose The purpose of the OHS Inspection, Testing, and Monitoring (ITM) Procedure is to identify any new hazards that may have arisen in the workplace, to ensure that risk controls are working, and that plant conforms to regulatory requirements and can be used safely. It is also to ensure that environmental and personal monitoring occurs for specific hazards where required. Page 27 of 32

28 OHS Management Systems Audit Guide 2. Scope This procedure applies to all staff, students, contractors and visitors at Macquarie workplaces. This procedure refers to potentially hazardous processes, plant and environments. The procedure sets out a planned system of ITM as part of Macquarie University s OHS Management System (OHSMS). Page 28 of 32

29 OHS Management Systems Audit Guide Health Surveillance The University shall identify those situations where employee health surveillance is required and shall implement appropriate monitoring and recording systems. 1. Is there a Health Surveillance policy, procedures and guidelines? 2. Do risk assessments identify activities that require health surveillance? 3. Are these activities appropriately monitored and those records maintained? 4. Are radiation dose reports recorded and supplied to staff when employment ceases? 1. Health Surveillance policy, procedures and guidelines. 2. Risk assessments. 3. Health Surveillance records. 4. Radiation dose reports are recorded and supplied to staff when employment ceases. 1. Purpose The purpose of this guideline is to provide information on situations where health surveillance could be needed at Macquarie University. Page 29 of 32

30 OHS Management Systems Audit Guide Auditing The University shall conduct OHS audits in order to measure the effectiveness of the implemented OHS management system. 1. Has each OHS Committee area undergone an OHSMS audit in the last twee months? 2. Have the results of the audit been communicated to the Committees? 3. Have all non-conformances been recorded on the Corrective Action Register? 4. Have all non-conformances been corrected in a timely manner? 1. OHSMS Audit Report. 2. Consultation on OHSMS Audit findings, e.g. from Head of School/Unit Manager to all staff, minutes of staff meetings discussing audit report findings. 3. Corrective Actions Register. 1. Purpose/Objectives Provides direction for persons undertaking OHS Auditing at Macquarie University and describes the methodology for ensuring consistency in the undertaking, recording and management of Macquarie University OHSMS Audits. This procedure provides Macquarie Senior Management with a source of data identifying the level of implementation of the OHSMS across all faculties and Divisions at Macquarie University. The data will be used for directing system review and improvement. 2. Scope This procedure applies to all persons who undertake OHSMS audits at Macquarie University as well as all activities and documents related to auditing the Macquarie University OHSMS. Page 30 of 32

31 OHS Management Systems Audit Guide Monitoring Macquarie University OHS Strategic Framework The University shall monitor OHS strategic goals, objectives and key performance indicators to ensure continual improvement aimed at the elimination of work related injury and illness. 1. Has each OHS committee provided quarterly OHS reports to the relevant Executive Dean/Director and the OHS Unit? 2. Has each OHS Committee submitted an Annual OHS Report relevant Executive Dean/Director and the OHS Unit? 3. Has the Central OHS unit, provided quarterly and annual OHS reports to the Vice Chancellor and University Council? 1 3 Copies of reports are available for inspection. Purpose The purpose of Macquarie University OHS Strategic Framework is to establish OHS strategic goals and objectives that provide direction in the management of OHS at Macquarie University. Scope This document applies to all staff, students, visitors and contractors at Macquarie University, and to staff and students who are located at premises external to Macquarie University Campuses. Page 31 of 32

32 OHS Management Systems Audit Guide OHSMS Review The University shall review its OHSMS regularly to ensure compliance and continuous improvement. 1. Is there an OHSMS audit policy and regime? 2. Has each faculty /Administrative Unit been consulted on the level of implementation of the OHSMS at Macquarie University? 1. Copy of policy or guidelines 2. Correspondence, audit results 1. Purpose/Objectives Procedure describes the methodology for ensuring consistency in the undertaking, recording and management of Macquarie University OHSMS Audits. The results obtained, provides Senior Management with information regarding the level of implementation of OHSMS across the University. The data will be used for directing system review and improvement. 2. Scope This procedure applies to all persons who undertake OHSMS audits at Macquarie University as well as all activities and documents related to auditing the Macquarie University OHSMS. Page 32 of 32