AbuDhabi OSHA

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The Abu Dhabi Occupational

Safety and Health


Practitioners Course

Learner Guide V.8 November 2017


Contents
Purpose of this course .................................................................................................................. 4
OSH Registration Scheme – Qudorat ........................................................................................ 4
Course Objectives......................................................................................................................... 6
MODULE 1: Introduction to the Abu Dhabi Occupational, Safety and Health System Framework
(OSHAD-SF) ................................................................................................................................. 8
1.1 Key milestones in the development of OSHADSF ............................................................... 8
1.2 Scope .................................................................................................................................. 8
1.3 Applicability ......................................................................................................................... 9
1.4 Distinctive Features of the OSHAD SF .............................................................................. 10
1.5 Benefits ............................................................................................................................. 13
1.6 Administrative Hierarchy .................................................................................................... 14
1.7 OSHAD-SF – Documents .................................................................................................. 15
Code of Practice 2.0 – Personal Protective Equipment............................................................ 17
MODULE 2 OSHAD-SF ELEMENTS .......................................................................................... 30
Element 1 Roles, Responsibilities and Self-Regulation............................................................ 31
Element 2 Risk Management................................................................................................... 33
Element 3 Management of Contractors ................................................................................... 35
Element 4 Communication and Consultation ........................................................................... 37
Element 5 Training, Awareness and Competency ................................................................... 39
Element 6 Emergency Management........................................................................................ 42
Element 7 Monitoring, Investigation and Reporting.................................................................. 47
Element 8 Audit and Inspection ............................................................................................... 50
Element 9 Compliance and Management Review ................................................................... 54
MODULE 3 OSHAD-SF – MECHANISMS ................................................................................. 59
Mechanism 1.0 ........................................................................................................................ 60
Mechanism 2.0 ........................................................................................................................ 62
Mechanism 3.0 ........................................................................................................................ 66
Mechanism 4.0 ........................................................................................................................ 78
Mechanism 5.0 ........................................................................................................................ 90
Mechanism 6.0 ........................................................................................................................ 91
Mechanism 7 and 8 ............................................................................................................... 115
Mechanism 9.0 ...................................................................................................................... 117
Mechanism 10.0 .................................................................................................................... 118

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Mechanism 11.0 .................................................................................................................... 121
Mechanism 12.0 .................................................................................................................... 150
Documents of the Abu Dhabi Occupational Safety and Health System Framework (OSHAD-SF) -
Version 3.1 (march 2017) .............................................................................................................
156

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 3
Purpose of this course

The purpose of the course is to confirm the participants existing knowledge of the Abu Dhabi
Occupational Safety and Health System Framework (OSHAD-SF).

This course is not intended to be an introduction to Occupational Safety and Health. We expect
that everyone attending is already functioning as a Safety Practitioner and are attending in
order to ensure that they are aware of the specific regulatory requirements within the Emirate
of Abu Dhabi.

Practitioners should be aware that this document presents key requirements of OSHAD-SF; hence it is
their responsibility to review OSHAD-SF documents on the OSHAD website to understand the full
requirements applicable to them and to monitor for updates and amendments.

Practitioners should also understand the requirements and how they apply to their organization’s.

OSH Registration Scheme – Qudorat

The participants are required to pass the assessment for the Abu Dhabi Occupational Safety and
Health Practitioner Course as a requirement for registration under the Qudorat system developed by
OSHAD (Abu Dhabi Occupational Safety and Health centre).

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The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 5
Course Objectives

The course objective is to confirm that the OSH practitioner has an understanding of the following
aspects of OSHAD-SF

1. OSHAD-SF System Framework.


2. OSHAD-SF Document Structure.
3. OSHAD-SF Mandatory Requirements:
a. Elements;
b. Mechanisms;
c. Codes of Practice; and
d. Occupational Standards and Guideline Values.
4. Forms for reporting performance and incidents as per the OSHAD-SF.
5. Guidance documents available

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The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 7
MODULE 1: Introduction to the Abu Dhabi Occupational, Safety and
Health System Framework (OSHAD-SF)

1.1 Key milestones in the development of OSHADSF

1.2 Scope

Occupational Safety and Health:

The OSHAD-SF is designed to ensure employees’ safety and the promotion and maintenance of the
highest degree of physical, mental and social well-being of employees by preventing ill health,
controlling risks and the adaptation of work to people, and people to their jobs.

The goal of all OSH programs is to foster a safe and healthy work place. Through the protection of
employees the system will also protect visitors, customers, suppliers, nearby communities, and other
members of the public who are impacted by the workplace environment.

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1.3 Applicability

The OSHAD-SF is the key OSH regulation in the Emirate of Abu Dhabi.

Compliance of any entity to its different components is subject to the entity’s classification under the
system

The OSHAD-SF recognizes that not all entities perform tasks and activities that contain a significant
level of risk. Each Sector Regulatory Authority (SRA) (see Section 1.6) shall conduct a risk assessment
to determine the underlying hazards and risks on all relevant sector entities.

However, all entities must comply with the Codes of Practice regardless of their risk classification.

There are three levels of classification, which include:

Nomination as a High Risk Entity: An entity officially nominated as high risk by a concerned SRA
shall comply with all requirements of the OSHAD-SF, including developing a fully compliant OSHMS
and gaining approval from the concerned SRA, and with the technical requirements of relevant
Mandatory Requirements (Codes of Practice, Mechanisms, and Standards).

Notification as a Medium Risk Entity: An entity that is officially notified to do so, shall comply with
the requirements of OSHAD-SF – Mechanism 5.0 – OSH Requirements for Medium Risk Entities and
the technical requirements of relevant Mandatory Requirements (Codes of Practice, Mechanisms and
Standards).

Notification as a Low Risk Entity: Following notification by the Sector Regulatory Authority, low
risk entities shall be managed by the SRA and inspected to ensure compliance with the OSHAD-SF,
within a timeframe specified by the SRA during the official notification.

All other Entities: The OSHAD-SF nomination and notification process has been phased to ensure
that adequate resources are in place to manage the requirements of the OSHAD-SF. This allows SRAs
to target higher risk entities during the initial stages rather than trying to focus on all entities at once,
and prioritize the reduction of higher risks. Over a period of time all entities that are operating within
the emirate of Abu Dhabi will be nominated or notified to comply with the relevant requirements of
the OSHAD-SF, in line with the risks their undertakings pose.

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During this phase, entities that are yet to be nominated or notified shall strive to comply with the
requirements of the OSHAD-SF, however it is important to note that this voluntary compliance will
exclude any external interaction with OSHAD or government bodies who have been delegated
authority from OSHAD as a Sector Regulatory Authority, unless otherwise directed by OSHAD or the
Sector Regulatory Authority.

1.4 Distinctive Features of the OSHAD SF

Regulatory Integration of OSH – the main focus of OSHAD-SF is to reduce OSH regulatory
duplication and overlap through a systematic process of integration into the system of the OSH
requirements of several Federal and Emirate authorities. Refer to– Mechanism 1.0 Integration of OSH
Requirements in the Emirate of Abu Dhabi for more details.

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Promotes and Rewards Self-Regulation – entities are encouraged to voluntarily discover, disclose,
correct, and prevent violations of relevant laws. By applying these concepts they may be rewarded
with less frequent regulatory intervention and be less prone to OSH prosecution.

Incorporates International Standards – but Stand Alone in Implementation – the system


incorporates the key components of the relevant international standards but does not require entities
to gain certification to these international systems by a third party if they do not wish to do so.

Based on Partnerships between Government and the Private Sector Entities – the system is
designed to encourage interaction and cooperation between the government and private sectors, in
particular the interaction between entities and the concerned SRAs.

Performance Based System – it is a system requirement for SRAs and entities to establish OSH
performance targets and goals and implement a monitoring program. For entities to obtain and
maintain approval for their OSHMS they must comply with the monitoring and reporting
requirements of the OSHAD-SF.

Communication and Consultation – a key component of the system is the inclusion of


communication and consultation requirements. Employers have the duty to consult with employees
and work together to eliminate or reduce work-related injuries and illness and to promote health and
well-being. This is not only a legal responsibility - there are very real benefits for an employer to
implement a n d m a i n t a i n a c o n s u l t a t i v e a p p r o a c h . It e n s u r e s t h a t a s a f e a n d
h e a l t h y w o r k environment, and work practices, programs and procedures are actually created
and maintained by the people who must work within these systems and be guided by them.

Risk Management – One of the most important components in managing OSH hazards and risks is to
ensure entities have a comprehensive risk management program implemented.

Risk management provides a structured approach to identifying OSH risks. Having an understanding
of all OSH hazards and risks allows an entity to measure and prioritize risk and take the appropriate
action to reduce loss.

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Risk Management has other benefits for an entity, including;

 Protecting employees and other persons from harm;


 Protecting the reputation and public image of the company;
 Increasing the stability of operations, and
 Preventing or reducing legal liability

An effective risk management program does not eliminate all OSH risks. However having an
appropriate and operational risk management program in place is a key component to ensure that an
entity is committed to loss reduction or prevention.

Another key factor of risk management is the management of change within an entity, (changes to
processes, machinery, equipment, location, materials, chemicals, etc.). This process ensures that you
have control over every stage of the change being made and that the change is properly evaluated
prior to being introduced to your workplace. This avoids any problems that may arise by ensuring the
effects of the change are assessed carefully in advance, such as the introduction of unforeseen OSH
risks caused by the change.

OSHAD–SF Element 2 - Risk management provides detailed information and requirements.

Capacity Building and “Emiratisation”- one of the key features of the system is the focus on
capacity building within the field of expertise in Occupational Safety and Health within the Emirate.
An important component of the capacity building initiative is to encourage citizens of the Emirate to
engage in the OSHAD -SF initiative proactively.

Cultural Change – one of the long term goals of the OSHAD-SF initiative is to effect cultural change
within the inhabitants of the Emirate. It is intended that the OSHAD-SF will be a key tool in the
process of achieving a positive OSH cultural change to achieve a safer, healthier and sustainable
future for the Emirate.

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1.5 Benefits

 Improved OS&H standards;


 Reduced injuries, illnesses and incidents in workplaces.
 Reduced corporate risks and liabilities.
 Robust occupational health programs.
 Improved business efficiency.
 Increased Staff wellbeing and morale.

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1.6 Administrative Hierarchy

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1.7 OSHAD-SF – Documents

This course will address in detail requirements of OSHAD-SF Elements (Module 2) and
Mechanisms (Module 3), together with applicable OSHAD-SF Forms. Other OSHAD-SF
documents are described below.

Occupational Standards and Guideline Values

The Occupational standards and Guideline Values documents the Air Quality Threshold Limit Values (TLV)
and noise standards set for occupational exposure under the OSHAD-SF and the derivation and sources of
such TLVs and standards.

 NOTE: OSH standard and guideline values are currently non-mandatory requirements, however
are based on international and local best practice.

 Entities are encouraged to incorporate these requirements to the extent possible, alongside other
internal and local standards.

Glossary of Terms

The purpose of this Glossary is to harmonize the definitions and understanding of commonly used
OSH technical terms within the Emirate of Abu Dhabi. This is vital due to the diverse range of cultural
backgrounds and languages spoken within the Emirate.

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Codes of Practice

Each CoP provides mandatory minimum OSH technical requirements on a specific subject (e.g. PPE)
that each entity must comply with. CoPs are mandatory for all entities, regardless of risk
classification. The basic make-up of the codes of practice consists of:

 Introduction; (e.g. Who it applies to, purpose and explanation of applicable laws);
 Training and Competency;
 Requirements; (Roles and Responsibilities etc.); and
 References (international references used to ensure best practice is achieved).

Standard Forms

OSHAD-SF Standard Forms stipulate OSHAD-SF information to be provided and requirements that
need to be complied with. However, in implementation the same information would be submitted and
processed through the OSH Electronic Application (Al-ADAA) provided by OSHAD for use by entities
and Sector Regulatory Authorities.

Guidance
OSHAD-SF provides two kinds of guidance documents
Technical Guidelines (Non-mandatory information and guidance in support of mandatory
requirements)
 Occupational Air Quality Management
 Management of Contractors
 Process of Risk Management
 Safe Removal of Asbestos Containing Materials
 Safe Work in Confined Spaces
 Safety in the Heat
 Training, Awareness and Competency
 Consultation and Communication
 OSH Incident Notification, Investigation and Reporting
OSHMS Guidance Documents (provide information, guidance and / or interpretation of an OSHAD-
SF concept or principle).
 OSH Roles and Responsibilities

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Code of Practice 2.0 – Personal Protective Equipment

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Introduction
(a) This Code of Practice (CoP) applies to all employers within the Emirate of Abu
Dhabi. This CoP is designed to incorporate requirements set by UAE and Abu Dhabi
Regulatory Authorities. If requirements of this document conflict with requirements
set by another regulatory authority, employers are required to follow the more
stringent requirement.

(b) PPE is defined in the glossary as: Any device, appliance or equipment (including
clothing or sunscreen affording protection against the weather) designed to be worn
or held by an individual for protection against one or more health and safety hazards,
or minimize their exposure to workplace risks. It includes, but is not limited to, items
such as facemasks and respirators, eye protection, high visibility clothing, coveralls,
goggles, helmets, safety harnesses, gloves and footwear.

(c) This CoP does not apply to general clothing worn whilst at work, such as corporate
clothing with the primary purpose of presenting a corporate image. However any
uniform or clothing provided to protect against a specific risk, such as high visibility
vests, shall be deemed as PPE and covered under these requirements.

Training and Competency


(a) Employers shall ensure that OSH training complies with the requirements of:

(i) OSHAD-SF – Element 5 – Training, Awareness and Competency;


(ii) OSHAD-SF – Mechanism 7.0 – OSH Professional Entity Registration; and
(iii) OSHAD-SF – Mechanism 8.0 – OSH Practitioner Registration.
(b) The training shall be delivered to all persons who are required to use the PPE or
could be affected by the misuse of the PPE.

(c) Training shall include;

(i) the risk(s) which the PPE shall avoid or limit;


(ii) the limitations of the PPE;
(iii) when and where the PPE shall be worn;
(iv) what PPE shall be worn;
(v) how to correctly don, doff, adjust and wear PPE;
(vi) the correct care, cleaning, useful life, maintenance and disposal of the PPE;
(vii) identification of defects and reporting procedures;
(viii) correct storage of PPE;
(ix) inspection of PPE prior to, during and after use; and
(x) procedures for recording issue and use of PPE.

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(d) Training provided shall include practical and theoretical training.

(e) Training shall be conducted in a language and method appropriate for the workforce.

(f) Training shall include a test of competency and employees shall demonstrate an
understanding of the training delivered. Employees unable to demonstrate a sound
understanding the training provided shall not be permitted to undertake the task(s)
that require the use of the said PPE until appropriate retraining has been undertaken
and understanding demonstrated.

(g) Refresher training shall be provided at appropriate intervals and include the criteria
listed in Section 2(c) of this CoP.

(h) Employers shall maintain a record of the required training that contains the following:

(i) name and ID number;


(ii) Emirates ID number of the employee;
(iii) subject(s) of training;
(iv) date(s) of training;
(v) person providing the training; and
(vi) type of PPE issued.

Requirements
Roles and Responsibilities

Employers

(a) Employers shall undertake their roles and responsibilities in accordance with the
general requirements of OSHAD-SF – Element 1 – Roles, Responsibilities and Self-
Regulation Section 3.2.5.

(b) Every employers shall ensure that appropriate PPE is provided to all employees who
may be exposed to a risk to their health or safety whilst at work.

(c) All PPE provided to employees shall be provided at no cost to the employee.
Employees may only be charged for PPE if they wilfully damage, misuse or misplace
PPE.

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Employees

(a) Employees shall undertake their roles and responsibilities in accordance with the
general requirements of OSHAD-SF – Element 1 – Roles, Responsibilities and Self-
Regulation Section 3.2.7.

(b) Employees shall ensure they follow all the rules and regulations set by the employers
and shall not misuse items provided for the purpose of safety.

(c) Employees shall ensure that they immediately report any hazard or information that
may affect, adversely or otherwise, the works being undertaken.

General Requirements

(a) Employers are to ensure that PPE is hygienic and otherwise free of risk to health,
and that PPE is provided to a person for their personal use only.

(b) PPE provided to employee’s shall meet appropriate international standards, including
American National Standards Institute / Australian Standard / European (CE
Marking), or equivalent.

(c) Employers shall ensure that other persons in the workplace (e.g. visitors) are
provided with appropriate PPE when in areas where PPE is required and that the
PPE is used correctly.

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Planning and Assessment

(a) Employers shall evaluate each site or operation to determine if hazards are present
and the workplace shall be assessed using risk management practices as required
by OSHAD-SF – Element 2 – Risk Management.

(b) Employers shall ensure that the risk assessment is reviewed on a regular basis in
line with the requirements of OSHAD-SF – Element 2 – Risk Management.

(c) Prior to providing employees with PPE, employers shall ensure that all other means
of protecting the employee from risk to their health or safety, in line with the health
and safety hierarchy of control identified within OSHAD-SF – Element 2 – Risk
Management, have been examined, and where reasonably practicable,
implemented.

Selection of PPE

(a) Where it is determined that PPE is required to avoid or limit exposure to risk,
employers shall ensure that:

(i) it is appropriate for the risk or risks involved, the conditions at the place where
exposure to the risk may occur, and the period for which it is worn;
(ii) it takes account of ergonomic requirements and the state of health of the
person or persons who may wear it, and of the characteristics of the
workstation of each such person;
(iii) it is capable of fitting the employee correctly, if necessary, after adjustments
within the range for which it is designed;
(iv) where the PPE is provided for protection against chemicals, chemical
protection / penetration is assessed and factored into the PPE replacement;
and
(v) so far as is reasonably practicable, it is effective to prevent or appropriately
control the risk or risks involved without increasing overall risk.
(a) Employers shall ensure that where the presence of more than one risk to health or
safety makes it necessary for employees to wear or use simultaneously more than
one item of PPE, such equipment is compatible and continues to be effective against
the risk or risks in question.

(b) Employers shall ensure that where they supply non-PPE clothing and footwear (e.g.
corporate uniforms) that an appropriate risk assessment is performed as per the
requirements of OSHAD-SF – Element 2 – Risk Management.

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Maintenance of PPE

(a) Employers shall ensure that any PPE provided to employees is maintained (including
replaced or cleaned as appropriate) in an efficient state, in working order and in good
repair.

(b) Employers shall ensure that an appropriate inspection regime is developed and
implemented for all PPE issued.

Storage Facilities for PPE

(a) Employers shall ensure that appropriate storage facilities are provided for the
appropriate storage and protection of PPE when it is not being used.

(b) The storage for PPE shall ensure prevention of:

(i) damage from chemicals, sunlight, high humidity, heat and accidental knocks;
(ii) contamination from dirt and harmful substances;
(iii) the possibility of losing the PPE; and
(iv) contamination from multi users.
(c) Where it is required that PPE shall not be used by other persons, employers shall
ensure that the accommodation provided is secure and can only be accessed by the
user of the PPE.

Consultation & Communication

(a) Employers shall communicate to all employee’s, visitors and interested parties;

(i) areas where PPE is required;


(ii) types of PPE required;
(iii) risks present within these areas; and
(iv) procedures for issue of PPE.
(b) Employers shall ensure that appropriate signage is erected in all areas where PPE is
required in accordance with OSHAD-SF – CoP 17.0 – Safety Signage and Signals.

Cost of Personal Protective Equipment

(a) All necessary protective equipment shall be provided by the employers at no cost to
employees, as per Article 91 of Federal Law No. 8 of 1980.

(b) Other protective equipment shall also be provided, at no cost, by the employers as
per the results of risk assessment:

(i) everyday clothing, such as long-sleeve shirts, long pants, street shoes, and
normal work boots; and

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(ii) ordinary clothing, skin creams, or other items, used solely for protection from
weather, such as winter coats, jackets, gloves, parkas, rubber boots, hats,
raincoats, ordinary sunglasses and sunscreen.
(c) Employers shall pay for replacement of employers-provided PPE, except when the
employee has lost or intentionally damaged the PPE.

(d) If an employee wishes to provide their own PPE, employers shall be responsible for
assuring that it provides appropriate protection based on the risk assessment,
including appropriate maintenance, and sanitation of such equipment.

Respiratory Protection General Requirements

(a) Wherever an employee is exposed to airborne contaminants in excess of the


Threshold Limit Values (TLV) as stated in the OSHAD-SF – Occupational Standards
and Guidelines Values, employers shall provide respiratory protection to that
employee. Appropriate and effective respirators shall be provided until such time as:

(i) exposures are reduced to levels below the TLV through engineering control
measures and other means; or
(ii) in those scenario where engineering or other control measures are not
effective in reducing the employee’s exposure below the TLV.
(b) Employers shall provide appropriate respiratory protection in accordance of the
results of risk assessment.

(c) Employers shall ensure that the respirators do not exceed the assigned protection
factor as set by the manufacturer of the respirator.

(d) Where the use of respirators is required employers shall establish and maintain a
written Respiratory Protection Program, with required worksite-specific procedures
and elements for required respirator use. The program shall be administered by an
appropriately trained and competent person and at a minimum shall:

(i) cover each employee required by this section to use a respirator;


(ii) be updated as necessary to reflect those changes in workplace conditions that
affect respirator use;
(iii) employers shall include in the program the following procedures / provisions,
as applicable:
1. for selecting respirators for use in the workplace;
2. for appropriate use of respirators in routine and reasonably foreseeable
emergency scenario ;
3. include respiratory “fit test” requirements;
4. schedules for cleaning, disinfecting, storing, inspecting, repairing,
discarding, and otherwise maintaining respirators;
5. ensure appropriate air quality, quantity, and flow of breathing air for
supplied air respirators;

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6. training of employees in the respiratory hazards to which they are
potentially exposed during routine and emergency scenario ;
7. training of employees in the appropriate use of respirators, including putting
on and removing them, any limitations on their use, and their maintenance;
and
8. ensure regularly evaluating the effectiveness of the program.
(iv) where exposures do not exceed the TLV employers shall provide respirators at
the request of employees, or for voluntary use. Where the voluntary use of
disposable filtering face piece respirators only are used, at exposures below
the TLV, a written respiratory protection program is not required.
(e) Employers shall designate a competent person who is competent through
appropriate training or experience commensurate with the complexity of the program
to administer and oversee the respiratory protection program and conduct the
required evaluations of program effectiveness.

(f) Employers shall provide respirators, training, and medical evaluations at no cost to
the employee.

(g) Where disposable respirators are used employers shall supply an appropriate
number of respirators to allow replacement as required by conditions in the
workplace.

(h) Appropriate medical surveillance shall be maintained of work area conditions and
degree of employee exposure, as per OSHAD-SF – CoP 5.0 – Occupational Health
Screening and Medical Surveillance When there is a change in work area conditions
or degree of employee exposure that may affect respirator effectiveness, employers
shall reevaluate the continued effectiveness of the respirator.

(i) Employers shall conduct evaluations of the workplace as required to ensure that the
provisions of the current written Program are being effectively implemented and that
it continues to be effective. Respiratory Protection Program evaluations shall be
conducted annually.

Respirator Use

(a) Employers shall provide each employee required to use respiratory protection with a
respirator that is clean, sanitary, and in good working order.

(b) Employers shall develop a schedule to replace respirator filters based upon the
manufactures requirements, the use of the respirator and effective life of the
respirator.

(c) Employers shall ensure that respirators are cleaned and disinfected as required and
recommended by the respirator manufacturer and including:

(i) respirators issued to more than one employee shall be cleaned and disinfected
before being worn by different employees;
(ii) respirators maintained for emergency use shall be cleaned and disinfected
after each use; and

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(iii) all respirators shall be stored to protect them from damage, contamination,
dust, sunlight, extreme temperatures, excessive moisture, and damaging
chemicals, and they shall be packed or stored to prevent deformation of the
face piece and exhalation valve.
(d) All respirators used in routine scenario are to be inspected before each use and
during cleaning.

(e) All respirators maintained for use in emergency scenario are to be inspected at
least monthly and in accordance with the manufacturer's recommendations, and
shall be checked for appropriate function before and after each use.

(f) Employers shall ensure that respirators that fail an inspection or are otherwise found
to be defective are removed from service, and are discarded or repaired or adjusted
in accordance with the manufacturer’s recommendations.

(g) Repairs or adjustments to respirators are to be made only by persons appropriately


trained to perform such operations and shall use only the respirator manufacturer's
approved parts designed for that respirator.

Supplied Air Systems

(a) Employers shall ensure that compressed air supplied to respirators meet the
following specifications:

(i) oxygen content (v/v) of 19.5% - 23.5%;


(ii) hydrocarbon (condensed) content of 5 milligrams per cubic meter of air or less;
(iii) carbon monoxide (CO) content of 10 ppm or less;
(iv) carbon dioxide content of 1,000 ppm or less;
(v) lack of noticeable odour; and
(vi) contains no concentration of toxic material(s)
(b) Employers shall ensure that compressors or cylinders used to supply breathing air to
respirators are constructed and situated so as to:

(i) prevent entry of contaminated air into the air-supply system;


(ii) minimize moisture content so that the dew point at 1 atmosphere pressure is
5.5 degrees C below the ambient temperature;
(iii) have suitable in-line air-purifying sorbent beds and filters to further ensure
breathing air quality. Sorbent beds and filters shall:
1. be maintained and replaced or refurbished periodically following the
manufacturer's instructions; and
have a tag containing the most recent change date and the signature of the
2.
person authorized by employers to perform the change. The tag shall be
maintained at the compressor.
(c) For compressors that are not oil-lubricated, employers shall ensure that carbon
monoxide levels in the breathing air do not exceed 10 ppm.

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(d) For oil-lubricated compressors, employers shall use a high-temperature or
carbon monoxide alarm, or both, to monitor carbon monoxide levels. If only high-
temperature alarms are used, the air supply shall be monitored at intervals
appropriate to prevent carbon monoxide in the breathing air from exceeding 10 ppm.
Refer to OSHAD-SF – CoP 36.0 – Plant and Equipment and OSHAD-SF – CoP 49.0
– Compressed Gases and Air.

(e) Employers shall ensure that breathing air couplings are incompatible with outlets for
non-respirable worksite air or other gas systems. No asphyxiating substance shall be
introduced into breathing air lines.

Respirator Training and Competency

(a) Prior to requiring an employee to use a respirator in the workplace, employers shall
provide a training program appropriate to ensure that each employee can
demonstrate knowledge of at least the following:

(i) why the respirator is required and how improper fit, usage, or maintenance can
compromise the protective effect of the respirator;
(ii) what the limitations and capabilities of the respirator are;
(iii) how to use the respirator effectively in emergency scenario , including
scenario in which the respirator malfunctions;
(iv) how to inspect, put on and remove, use, and check the seals of the respirator;
(v) the procedures for maintenance and storage of the respirator;
(vi) how to recognize medical signs and symptoms that may limit or prevent the
effective use of respirators; and
(vii) the general requirements of this section.

(b) Training shall be conducted in a language and method that is understandable to the
employee, at a time and place convenient to the employee, and at no cost to the
employee.

(c) Retraining is to be administered annually, and when the following scenario occur:

(i) changes in the workplace or the type of respirator render previous training
obsolete;
(ii) inadequacies in the employee's knowledge or use of the respirator indicate that
the employee has not retained the requisite understanding or skill; or
(iii) any other situation arises in which retraining appears necessary to ensure safe
respirator use.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 27
References
 OSHAD-SF – Element 1 – OSH Policy, Roles, Responsibilities and Self-Regulation

 OSHAD-SF – Element 2 – Risk Management

 OSHAD-SF – Element 5 – Training, Awareness and Competency

 OSHAD-SF – CoP 5.0 – Occupational Health Screening and Medical Surveillance

 OSHAD-SF – CoP 17.0 – Safety Signage and Signals

 OSHAD-SF – CoP 36.0 – Plant and Equipment

 OSHAD-SF – CoP 49.0 – Compressed Gases and Air

 INDG288 – Selection of Suitable Respiratory Protective Equipment – HSE – UK

 L25 – PPE at Work Regulations and Guidance – HSE – UK

Document Amendment Record


Revision Page/s
Version Description of Amendment
Date Affected
Change of Logo All
Change from AD EHS Center to OSHAD throughout

Change of document title: AD EHSMS RF to OSHAD-SF Throughout


3.0 1st July 2016
Acknowledgements deleted 2/3
Preface Deleted 4

Clause 1(b) updated 3

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 28
Learning Outcomes

1. Understand key requirements of the elements of OSHAD-SF.

2. Develop and apply the organizational OSHMS in compliance with the elements of OSHAD-
SF.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 29
MODULE 2 OSHAD-SF – ELEMENTS

The OSHAD-SF Elements define the mandatory management system components to be


incorporated into an entity’s OSHMS. These key components specify the minimum requirements of
an entity’s OSHMS.

1. Roles, Responsibilities and Self-Regulation;


2. Risk Management;
3. Management of Contractors;
4. Communication and consultation;
5. Training, Awareness and Competency;
6. Emergency Management;
7. Monitoring, Investigation and Reporting;
8. Audit and Inspection; and
9. Compliance and Management Review.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 30
Element 1 Roles, Responsibilities and Self-Regulation

The aims and intent of this Management System Element is to:


 Ensure that the OSH roles and responsibilities within an entity implementing an OSH
Management System are clearly-defined and a systematic process is in place for
communication of these requirements; and
 Define the roles and responsibilities of stakeholders under the OSHAD-SF.

Requirements
To demonstrate compliance an entity shall;
 Develop, implement and maintain appropriate OSH Roles and Responsibilities
Procedure(s); and
 Actively participate in Self-Regulation of OSH

Roles and Responsibilities procedure(s) shall, at a minimum:


 Ensure top management is ultimately responsible for the OSHMS and OSH matters;
 Appoint a member of top management as the Occupational Safety and Health Management
Representative with specific responsibility and authority for ensuring that the OSH MS is
implemented and maintained and performance reports are presented to top management at
least quarterly;
 Ensure appropriate and competent OSH resources to develop, implement and maintain an
OSHMS, and where an entity has been classified as high risk by the appropriate SRA, to
implement a full OSHMS, with at least one GRADE A practitioner employed (defined by
OSHAD-SF – Mechanism 8.0 – OSH Practitioner Registration);
 Establish clearly defined and documented OSH roles and responsibilities and delegated
authorities for each role within the entity;
 Ensure roles and responsibilities link with those of external stakeholders as appropriate
and applicable. Establish clearly defined roles and responsibilities for an OSH Committee as
required by OSHAD-SF – Element 4 Communication and consultation.
 Ensure effective communication of roles and responsibilities to all employees and
stakeholders; and

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 Establish the means to measure employee conformance against their defined roles,
responsibilities and accountabilities.

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Element 2 Risk Management

The aims and intent of this Element is to:


 Ensure a systematic approach to risk management;
 Ensure OSH hazards and risks are identified, assessed and appropriate control measures
are implemented and monitored; and
 Prescribe standard methodologies in which the risk management process shall be
conducted and compliance can be assessed.

Requirements
To demonstrate compliance an entity shall;
 Develop, implement and maintain appropriate Risk Management Procedure(s); and
 Conduct an OSH review of all activities, products and services (e.g. Risk Assessment /
Registers).
NOTE: Refer to OSHAD-SF – Technical Guideline – Process of Risk Management

Risk Management program shall, at a minimum:


 Ensure risk management is an integral part of management and embedded in the entity
culture and practices;
 Ensure risk management shall be applicable to all activities that an entity undertakes
and/or phases of a project / development (from design to decommissioning/demolition);
 Define risk management methodologies and competencies;
 Be based on consultation with employees, contractors and other relevant stakeholders.
 Incorporate the recognized steps of risk management, which include:
 Identify all OSH hazards in the workplace;
 Assess the risks of these hazards;
 Formulate control measures to reduce the risk to an acceptable and as low as
reasonably practicable (ALARP) level;
 Review the program on a regular basis; and
 Incorporate a management of change process within the entity.

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 Address routine and non-routine activities of all persons having access to the workplace;
 Address supply chain and contractor undertakings;
 Address human behaviour;
 Identify hazards outside the workplace capable of adversely affecting the environment
and/or health and safety of employees;
 Address potential risk to persons not in the entity’s employment;
 Address plant, machinery, equipment, substances and materials at the workplace;
 Address the design of work areas, processes, work organization and operating procedures;
and;
 Ensure documentation, recording and communication of the results of risk management
activities.

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Element 3 Management of Contractors

The aims and intent of this Element is to:


 Ensure a systematic approach to the management of contractors so that risks to safety and
health of contractors, employees, the community and the environment are minimised; and
 Provide specific requirements for the Building and Construction Sector for the management
of OSH aspects of contractors engaged in “construction work”. Including the need for a full
OSH MS dependant on the level of risk.

Requirements
An Entity shall;
 implement and maintain appropriate management of Contractors Procedure(s)
 develop, implement and maintain appropriate procedure(s) in compliance with OSHAD-SF –
CoP 20.0 – Safety in Design (Construction), if applicable; and
 develop, implement and maintain appropriate procedure(s) in compliance with OSHAD-SF –
CoP 53.0 – OSH Management during ‘Construction Work’, if applicable

Management of Contractors Procedure, including:

 Establishment of Project OSH Requirements - the process of pre-qualifying contractors


and/or including project OSH requirements in tender / specification documentation;
 Evaluation / Selection - the process for evaluation and selection of contractors that
possess appropriate OSH management tools commensurate with the scope of works;
 Contractual Agreement - the contractual agreement process between the client and the
contractor (once selected) includes a clear scope of works and the project specific
requirements for OSH management;
 Co-ordination and Communication - the process of agreeing on the method of co-
ordination of contractor(s) activities, with clear arrangements for communicating the OSH
information and requirements to all relevant stakeholders;

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 Mobilization / Work in Progress - the process of ensuring OSH management is
implemented during mobilization to the workplace / site and during work activities to
achieve the successful completion of the scope of work;
 Monitoring Performance - the process of defining measures that are used to periodically
evaluate contractor OSH performance and compliance against legislative and project
specific OSH requirements and goals;
 Commissioning - the process of ensuring OSH management during the commissioning of
buildings / machinery / plant / equipment;
 Demobilization / Decommissioning - the process of ensuring OSH management is
implemented during demobilization / decommissioning activities, including transportation
of personnel, equipment and supplies/materials not used, including the disassembly,
removal and site cleanup of any offices, buildings or other facilities assembled on the site;
and
 Contract Close-Out - the contractual agreement process at the completion of scope of
works. This step is particularly important for contracts that contain construction work. This
is when official “control” of the site is returned to the Entity / Client / Developer.

IMPORTANT NOTE: Element 1 clause 4 (b) allows for


(iii) requiring all contractors of works, services or supplies that are assessed to pose significant
OSH hazards and risks to have an approved OSHMS; and
(iv) requiring all other contractors or suppliers to comply with OSH requirements commensurate
with the risks of the supplied works, services or supplies.

Reference
 Mechanism 9 – Appointment of Principal Contractor for “Construction Work”
 CoP 20.0 – Safety in Design (Construction)
 CoP 53.0 – OSH Management during ‘Construction Work’
 Guidance Documents: OSHAD-SF TG - Management of Contractors

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Element 4 Communication and Consultation

The aims and intent of this Element is to:


 Ensure a systematic approach to the management of OSH:
 Consultation activities; and
 Communication and awareness

Requirements
An Entity shall;
 Develop, implement and maintain appropriate Communication Procedure(s)
 develop, implement and maintain appropriate Consultation procedure(s)

Communication Procedures shall address at a minimum;


 Internal communication throughout the various levels of the entity;
 Communication with contractors and other visitors to the workplace
 Relevant communication with external stakeholders; and
 Development of an annual OSH performance report, to be used for internal communication
and management review purposes (external stakeholder communication / distribution is
optional).

Consultation Procedure(s),
a) Shall address at a minimum:
 Ensure effective consultation and participation of employees in OSH matters;
 Appropriate involvement in risk management activities;
 Appropriate involvement in OSH incident investigation;
 Involvement in the development and review of OSH policies & objectives;
 Structure of consultation committees and meetings; and
 Consultation with contractors and other external stakeholders.
b) Consultation shall take place at every stage of the risk management process including when:
 new work processes, equipment or tools are being designed, purchased or modified;
 identifying hazardous activities which require assessment;

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 establishing priorities for the assessment of hazardous activities and during the risk
assessment process
 deciding on control measures to manage risk
 reviewing the effectiveness of implemented control measures and identifying whether
further hazards and risks are created by the chosen control measures; and
 deciding the contents of OSH procedural documents
c) An entity / project / facility / site with greater than 50 employees, or as warranted by risk
assessment, shall establish an OSH committee or equivalent. Employees and management shall be
represented on and participate in OSH Committee activities.

IMPORTANT NOTE: the OSH committee should not be confused with a committee overseeing the
implementation of the system or other management committees. The OSH committee is a forum for
all staff to put forward OSH issues and receive feedback.

d) The committee shall be chaired by a member of top management or a person with formal
delegated authority.
e) The OSH Committee meetings shall be recorded and documented. The record of the meeting shall
be available to all stakeholders and displayed at appropriate locations.
f) OSH Committee shall meet a minimum of 4 times a year. The employer shall provide facilities,
resources and assistance to the OSH Committee as may reasonably be required for the purpose of
carrying out the committees functions and duties.
g) OSH Committee duties include;
 review of issues and circumstances in the workplace which may affect the safety and health
of persons in the workplace, including OSH aspects and impacts;
 to promote co-operation between management and employees in achieving and
maintaining healthy and safe working conditions; and
 to exercise such other functions and duties as may be prescribed or conferred on the
committee by the employer in assuring the health and safety of employees.
h) Consultation shall allow:
 sharing of information relevant to OSH aspects in the workplace with employees; and
 that the employees are advised of the outcome of the consultation in a timely manner.

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Element 5 Training, Awareness and Competency

The aim and intent of this Element is to:


 Ensure a systematic approach to the management of identifying, implementing and
monitoring OSH training;
 Ensure all employees, contactors and visitors receive appropriate OSH training; and
 Ensure a systematic approach to identifying, assessing and monitoring the competencies
that are required to ensure tasks can be performed in a safe manner by all employees and
contractors.

Requirements
An Entity shall;
 develop, implement and maintain appropriate OSH Training and Awareness
Procedure(s) and
 develop, implement and maintain appropriate OSH Competency procedure(s)

OSH Training Procedure(s) shall address, at a minimum:


 Identification and evaluation of OSH training needs (e.g. Training Needs Analysis).:
 When undertaking a training needs analysis, the entity shall consider the following
requirements.
 OSH Management System training.
 Competency requirements for identified roles and tasks.
 Risk management requirements.
 Requirements of relevant operational control procedures.
 OSH roles and responsibilities.
 OSH emergency response and management.
 OSH inductions, generic and site-specific (including contractors and other persons), that at
a minimum include compliance with Article 98 of Federal Law No.8 (1980) on Regulation of
Labour Relations.
 OSH consequences of non-conformance to specified procedures.
 Relevant, subject-specific OSH training (e.g. Manual Handling, Safety in the Heat, etc.).
 Specialized task-specific training (e.g. Confined Spaces etc.).

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 Entities shall ensure all identified training requirements are evaluated and planned based
on risk (eg. OSH Training Matrix).

Planning the implementation and provision of the required training:


When planning and implementing training entities shall consider the following as a minimum:
 Learning aims and objectives;
 Level of responsibility and competence;
 Frequency of training;
 Types of training;
 Literacy, numeracy, language and other learning requirements;
 Course selection/material development;
 Trainer competency;
 Assessment activities;
 Training records; and
 Refresher training requirements.
Following delivery of training, entities shall ensure that training is evaluated including:
 Learning outcomes;
 Training delivery.
 Entities shall ensure all external OSH training shall be performed by OSH Training and
Service Entities registered with OSHAD as per the requirements of OSHAD-SF – Mechanism
7.0 OSH Professional Entity Registration.
 All OSH training which leads to a certification of competency will be provided by a person
registered with OSHAD as per the requirements of OSHAD-SF – Mechanism 8.0 – OSH
Practitioner Registration.

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OSH Competency Procedure(s) shall address, at a minimum:

 Identifying OSH competency requirements for all roles or tasks within the organisation.
 Process to measure individual competencies against those that have been identified for the
role or task;
 Process to ensure that employees and other persons under its control performing tasks are
competent on the basis of appropriate education, training or experience;
 Methods of assessing competencies;
 Process to record competencies;
 Maintaining and improving competencies; and
 A system to review the OSH competency procedure(s).

Reference
Guidance Documents: OSHAD-SF TG - Training, Awareness and Competency

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 41
Element 6 Emergency Management

The aims and intent of this Element are to:


 Ensure a systematic approach to emergency management planning and response; and
 Facilitate harmonization of relevant Competent Authority(s) requirements and provide a
clear hierarchy of control in the event of significant emergencies.

Requirements
An Entity shall;
 Develop, implement, document and maintain appropriate Emergency Management
Procedure(s) in compliance with the requirements of this document and all relevant
Federal and Local Authorities requirements (eg. Latest edition UAE Fire and Life
Code and Business Continuity Management Standard – AE/HSC/NCEMA 7000.

Emergency Management procedure(s) shall address, at a minimum:


1) Identification of potential Emergency Scenario

a) The entity shall develop procedure(s) to identify all potential emergency scenario t h a t
could have an impact upon their undertakings or cause danger to persons or property
b) The identification of potential emergency scenario shall be risk based and follow the
requirements of OSHAD SF – Element 2 – Risk Management
c) During this identification entities shall consider the following information:
 Legal Requirements,
 Results of Risk management Activities,
 Previous Incidents,
 Emergency scenario that have occurred elsewhere, especially in similar operations or
industries.
 Entities shall consider emergency scenario that can occur
 Example emergency scenario include:
 Incidents leading to serious injuries/fatalities or ill health;
 Explosion / fire;
 Release of hazardous materials or gases;
 Natural disaster (e.g. storm, flood, earthquake);

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 42
 Bomb threat / terrorism / unrest;
 Pandemic of communicable or infectious disease;
 Communications failure;
 Radiological accident; and
 Biological agent release.
f) As part of the identification and assessment of emergency scenario , entities shall consider
how identified emergencies will impact upon:
 immediate surroundings,
 All persons in the vicinity,
 Persons with special needs.

2. Planning for emergency scenario .


a) Emergency Response Plans (ERPs) are action execute documents that are produced and
maintained to safeguard people, property or business from foreseeable emergency
scenarios.
b) Entities shall develop specific ERP for all identified emergency scenarios.
c) As a minimum each entity shall develop:
 Fire Management Plan, in line with the requirements of the UAE Fire and Life Safety
Code 2011; and
 Emergency Evacuation Plan.
d) Each ERP shall be:
 appropriate to the size and nature of the employers activities and commensurate with
the emergencies it intends to manage;
 based on examination of each Emirate, national and international standards;
 linked with other plans where appropriate;
 flexible;
 straightforward and easy to understand;
 in place prior to any operations involving the underlying inherent risk;
 communicated to employees and relevant parties;
 put in use when an emergency occurs;
 well controlled and maintained.

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e) To ensure emergency scenario are managed in a manner appropriate to the risk, entities
shall evaluate the emergency situation using the tiers below;
Tier 1: Events are typically of localised significance and can be handled using resources
immediately available within / to the employer;
Tier 2: Events are typically of regional or Emirate significance and may require
involvement of specialized emergency services; and
Tier 3: events are typically of international significance and may require access to national
/ international resources and emergency response services.
f) When developing ERP entities shall at a minimum include the following information:
 Document Control – including authorisation, distribution, revision record and glossary
of terms & abbreviations;
 Introduction – Aim and Objectives, Scope, Roles and Responsibilities;
 Linkage with other plans - Key stakeholders;
 Risk Assessment – Credible scenarios, Worst case scenario, Tiered Response definitions;
 Organization – Tier 1,2,3 Organization of operation;
 Emergency Response Activities – Alerts, immediate reactions. Operating Procedures,
Communications Systems;
 Post Incident Activities – Site restoration, post incident evaluation;
 Training and Exercises – Training Plan and matrix, Exercises and Drills;
 Checklists;
 Reporting Requirements;
 Appendices.
g) ERPs shall be subject to exercises, tests or drills at a frequency necessary to assure that all
participants are aware of and able to perform required duties under the Plan.
Following each exercise, test or drill:
 Performance of the exercise, test or drills shall be reviewed and documented; and
 The plan shall be modified as necessary to resolve deficiencies noted in the review.
h) ERP shall be reviewed at least annually or whenever significant operational changes or
conditions in the workplace need additional review. When the plan is reviewed:
 all affected persons shall be informed or significant changes in duties, actions and
obligations under the Plan; and
 all controlled copy holders of the plan shall receive exact revision updates.

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3) Emergency personnel.
 Employers shall ensure appropriate emergency personnel / allocated based on the results
of emergency planning and risk assessment.
 Employers shall ensure emergency personnel receive and maintain appropriate training
and competency levels.
 Employers shall clearly document emergency personnel duties and responsibilities.
 Employers shall ensure that all staff are aware of the identity of emergency personnel
duties and responsibilities.
 Employers shall ensure that all staff are aware of the identity of emergency personnel and
how to contact them in the case of an emergency.

4. Identification of Emergency Personnel.


During an emergency situation all members of the entity’s emergency team / personnel shall be
identifiable.

5. Emergency Operations Centre (EOC)


To enhance communication and coordination during emergencies, an area shall be assigned where
decision makers gather during an emergency.
The Emergency Operations Centre shall be of a size, design, equipment, manning level, and
leadership structure that is commensurate with the size and potential risks of the entity.

6. Communication and Reporting


a) The emergency management communications system shall address at a minimum:
 dissemination of relevant information,
 issuing alarms,
 issuing an receiving of notification of potential or actual emergencies,
 activation of the appropriate response plans,
 reporting of incidents and outcomes of their investigations,
 any required communications with media.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 45
b) Emergency contact information, notification and reporting procedures, evacuation plans
shall be communicated.
c) Alarm systems shall be appropriate, comply with Abu Dhabi Building Codes/applicable
international standards, and consider persons with special needs
d) Entity shall have procedures in place to assure that notification of emergencies are received
in a timely manner.
e) Emergencies shall be recorded and reported to relevant authorities.

7. Emergency Evacuation Plan shall be in place for each entity.

8. Periodic Testing of Emergency Response Procedures.

9. Review and Update of Emergency Response Procedures.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 46
Element 7 Monitoring, Investigation and Reporting

The aims and intent of this Element is to:


 Ensure a systematic approach to the OSH monitoring, investigation and reporting;
 Ensure accurate, timely and informative data on incidents, injuries and occupational
illnesses is collected and analyzed; and
 Ensure e f f e c t i v e i n v e s t i g a t i o n i s conducted, identifying root causes, and appropriate
corrective actions are implemented.

Requirements
An Entity shall;
 Develop, implement, document and maintain appropriate OSH Targets and Objectives
Procedure(s)
 develop, implement and maintain appropriate OSH Incident (including Hazard and
Near Miss) Investigation procedure(s)
 develop, implement and maintain appropriate OSH Monitoring procedure(s)
 develop, implement and maintain appropriate OSH Reporting procedure(s) and
 ensure compliance with OSHAD-SF – Mechanism 6.0 – OSH Performance Monitoring and
Reporting and OSHAD-SF – Mechanism 11.0 – Incident Notification, Investigation and
Reporting;


OSH Targets and Objectives Procedure(s) including, as minimum:


 Ensure documented OSH targets and objectives, including as a minimum the mandatory key
performance indicators as defined within OSHAD-SF – Mechanism 6.0 – OSH Performance
Monitoring and Reporting;
 Ensure all targets and objectives are effectively communicated at appropriate levels
throughout the organization;
 Ensure targets and objectives, where practicable shall be measurable;
 incorporate requirements of

• The entity OSH policy,

• Legal requirements,

• Risk Management programs,

• Relevant Competent Authorities requirements; and

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 47
• OSHAD-SF mandatory key performance indicators, as defined in OSHAD-SF Mechanism 6.0
– Performance Monitoring and Reporting;
 The entity shall develop, document, implement and maintain program(s) for achieving the
set targets and objectives, including resources, methods, timeframes, monitoring and
evaluation activities and responsibilities.
 The entity shall ensure that where targets and objectives are not being met, a corrective
action plan is developed and communicated to top management; and
 The entity shall ensure targets, objectives and procedures(s) are reviewed periodically, at
least annually, to ensure they remain relevant and appropriate.
OSH Incident Investigation Procedure(s), including:
 Compliance with OSHAD-SF – Mechanism 11 – OSH Incident Notification, Investigation and
Reporting;
 Address the process of recording, investigating and analyzing OSH incidents;
 Ensure investigations are performed by competent person(s) in consultation and
coordination with relevant stakeholders;
 Ensure investigations are performed in a timely manner;
 Address the process of determining the root causes of OSH incidents;
 Identify opportunities for corrective and preventative control measures; and
 Ensure effective communication of the outcomes of the investigation to relevant
stakeholders.
OSH Monitoring Procedure(s) including as a minimum:
 Monitoring of the entity’s OSH targets and objectives;
 Monitoring the effectiveness of OSH programs and control measures;
 Proactive and reactive measures of performance to monitor compliance with applicable
Federal Occupational Standards and OSHAD-SF Occupational Standards and Guideline
Values;
 Other relevant requirements of OSHAD and the OSHAD-SF;
 Requirements outlined in SRA/Competent Authorities permits/licenses/no objection
certificates or equivalent;
 Requirements outlined in approved OSH Plans and Studies;
 Requirements outlined by relevant SRA/Competent Authority (-ies); and

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 Description of methodologies and instruments used to monitor, including calibration
requirements and records.

The monitoring process should be risk-based and include at a minimum:

 Occupational air, noise and other relevant work amenities (e.g. Lighting and ventilation);
 Ergonomic and workplace design factors;
 Wellness programs;
 Waste management;
 Hazardous substances;
 Health surveillance;
 Occupational illnesses; and
 OSH hazards, near-misses and incidents.

OSH Reporting Procedure(s) includes the following.


 Hierarchies, timetables & responsibilities for reporting (Internal & External).
 OSH performance & incident reporting requirements, including:

• OSH Incidents to the concerned SRA as required;

• Quarterly OSH performance to the concerned SRA;

• Annual 3rd party external audit results to the concerned SRA;

• Requirements of OSHAD-SF – Mechanism 6.0 OSH Performance Monitoring and reporting and
OSHAD-SF Mechanism 11.0 – OSH Incident Notification, Investigation and Reporting; and

• Other legal and regulatory reporting requirements.


 Requirements in permits / licenses / no objection certificates / equivalent.
 Requirements outlined in approved OSH Plans and Studies.
 Requirements outlined in relevant AD OSH Mandatory Requirements.
 Other requirement outlined by the entity’s approved OSHMS.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 49
Element 8 Audit and Inspection

The aims and intent of this Element are to:


 Ensure a systematic approach to OSHMS audit and OSH inspection;
 Ensure regular OSHMS audits and OSH inspections are conducted; and
 Ensure that OSH non-conformances are identified and an appropriate corrective action plan
is implemented as early as possible.

Requirements
An Entity shall;
 Develop, implement, document and maintain appropriate risk based OSH MS Audit
Procedure(s)
 develop, implement and maintain appropriate risk based OSH Inspection
procedure(s)
 develop, implement and maintain appropriate Non-Conformance and Corrective
Action procedure(s)
 Undergo an annual external third party compliance audit of the entity OHSMS, as per
the requirements of OSHAD-SF – Mechanism 6.0 – OSH Performance Monitoring and
Reporting

OSH MS audit program / procedure(s) shall address, at a minimum:


 Scope, criteria, and objectives of audits to be conducted;
 Audit program responsibilities, competencies and resources;
 Audit program planning and implementation processes, including
 Documented criteria,
 Frequency and schedules,
 Methods of collecting and verifying information,
 Reporting audit results,
 Nonconformance and Corrective Action processes and
 Audit program record keeping;
 Audit program monitoring and review; and
 Internal and external reporting requirements.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 50
The internal audit criteria shall be fully documented and cover all relevant requirements to
the entity such as:
 Federal and Local OSH Legislation;
 OSHAD-SF Requirements;
 Other specific entity requirements.

OSH inspection program / procedure(s) shall address the following, at a minimum


 The Scope, criteria and objectives of inspections to be conducted.
 Inspection program responsibilities, competencies and resources.
 Inspection program planning and implementation processes, including:
 Criteria;
 Frequency and schedules;
 Methods of collecting and verifying information;
 Reporting inspection results;
 Non-conformance and corrective action process; and
 Inspection program record keeping.
 OSH Inspection program monitoring and review.
 Internal reporting requirements.

Annual Third Party External OSH MS Compliance Audit


• Each entity shall undergo an annual third party OSH MS compliance audit that as a
minimum meets the following criteria:
 A review of the entity’s approved OSH MS to ensure regulatory compliance to the OSHAD-
SF,
 A systematic examination to determine whether activities and related results conform to
planned arrangements. The audit shall determine whether these arrangements are
implemented effectively and are appropriate in achieving the entity’s objectives.
• The Entity shall ensure that the scope and duration of the audit is reasonable and in line
with the size and complexity of their operations. Entities shall give consideration to the
guidelines within the International Accreditation Forum (IAF) guideline: IAF-MD5:2013.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 51
• Entities shall undertake their initial third party external compliance audit within one year of
official notification of approval of their entity OSH MS from the concerned SRA.
• Subsequent annual audits shall be undertaken within one year of the previous third party
external compliance audit date.

IMPORTANT NOTE: Government entities shall be advised on the need to undertake an annual third
party audit by OSHAD or relevant body.

Annual 3rd Party OSHMS Compliance Audit Reporting.

 The annual external compliance audit results shall be submitted to the concerned SRA by
completing and submitting OSHAD-SF Form F – Annual External OSH MS Audit Form and the
detailed audit report within 30 calendar days from date of the audit.
 The entity shall submit a detailed action plan for all major non-compliance(s) identified
during the audit, including timescales for completion.
 The entity shall ensure that the SRA is updated as to the progress of implementation of the
corrective actions.
 The intent of the audit reporting is to provide evidence and inform the SRA of the level of
compliance of an entity.

Competency requirements for OSHMS auditing Personnel.

 Internal OSH MS auditors shall be suitably knowledgeable, experienced and competent to


undertake OSH MS audits and have adequate knowledge of the OSHAD-SF.
 External Auditors, Certification Bodies and Consultancy Offices engaged to undertake an
annual third party external compliance audit shall be approved by OSHAD for conducting
the third party external OSH MS compliance audit in compliance with OSHAD-SF Mechanism
7.0 OSH Professional Entity Registration and OSHAD-SF Mechanism 8.0 – OSH Practitioner
Registration.
 To ensure objectivity and that no conflicts of interest exist, the third party external audit
shall not be performed by an auditor/company who has assisted or is employed by an entity

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 52
that was contracted to develop and/or implement the entity’s OSH MS within the last two
years. Entities are to select an audit team that has relevant sector specific experience.

Non-conformance and corrective action procedure(s), shall address at minimum:

 Identifying and correcting non-conformity(s) and taking actions(s) to mitigate their OSH
consequences;
 The means to report potential non-conformances at appropriate levels throughout the
organisation.
 The means to record, monitor and manage all reported non-conformances appropriate to
the organisation.
 Recording and communicating the results of corrective action(s) and preventative action(s)
taken; and
 Reviewing the effectiveness of corrective action(s) and preventative action(s) taken as part
of the close-out procedure.

Reference:
OSHAD-SF TG – Audit and Inspection

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 53
Element 9 Compliance and Management Review

The aims and intent of this Element is to:


 Define system compliance requirements; and
 Ensure a systematic approach to the review of the entity’s OSHMS.

Requirements
To demonstrate compliance an entity shall develop, implement and maintain:
 an appropriate Integrated OSH Policy;
 an appropriate Legal Compliance Procedure(s);
 an appropriate Operational Procedures(s);
 an appropriate Document Control(s);
 an appropriate OSH Record Retention Procedure(s);
 an appropriate Management of Change Process;
 an appropriate Management Review Procedure(s);and
 Develop, implement and maintain appropriate programs and procedures prescribed
under all OSHAD-SF Management System Elements.

OSH Policy, including as a minimum the following requirements:


 The ability to demonstrate safety and health commitments;
 Be authorized by Top Management;
 Be appropriate to nature & scale of the entity’s OSH risks;
 Include commitment to

• Prevent injury and illness,

• Enhance employee health and wellbeing,

• Identify and manage OSH risks,

• Comply with legal requirements,

• Set, monitor and review OSH targets and objectives,

• Provide appropriate OSH resources and

• Improve continually;
 Be communicated to all relevant stakeholders; and
 Be reviewed periodically to ensure it remains relevant and appropriate.

Note: the OSH policy must be independent of any other policy adopted by the entity.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 54
Legal Compliance Procedure(s) including as a minimum:
 The provision of resources, both internal and external, to meet legal requirements;
 The means to identify and access relevant legal and other requirements (e.g. Legal
Register);
 A mechanism to ensure relevant legal and other requirements are considered;
 A means to evaluate compliance to all legal requirements;
 A means to determine any changes that affect the applicability of legal requirements;
 A process to identify what legal information is required at each level throughout the
organisation and how this will be communicated;
 Communication channels to all relevant stakeholders of legal requirements;
 A documented register of all applicable legal requirements that contains the following as a
minimum-
 OSH Law/Regulation full title, as gazetted,
 Applicable clause(s), article(s) or reference(s),
 Applicable process/activity impacted by the legal requirement,
 Internal OSHMS procedure(s)/document(s) to ensure compliance and
 Compliance monitoring requirements;
 The documented register shall be reviewed periodically (as a minimum annually), to ensure
it remains relevant and appropriate.

Operational procedure(s) including the following as a minimum:


 Operations and activities that are associated with identified hazard(s) that require
implementation of control measure(s) to manage risk(s);
 Control measures related to supply chains (purchase of goods, equipment and services);
 Control measures related to contactors and other visitors to the workplace; and
 Stipulated operating criteria / instructions, maintenance instructions / integrity programs
where their absence could lead to an increase in OSH risk(s).
Such documented procedures are to be fully integrated into the OSHMS and appropriately
referenced through risk management programs. The entity shall undertake a minimum of
ONE review per year to ensure operational controls are reviewed to ensure they are up to
date.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 55
Document Control procedure(s), including as a minimum those to:
 Ensure appropriate review and approval processes;
 Ensure documents remain legible, and identifiable;
 Ensure that changes and current revision status of documents are identified;
 Ensure relevant version control to prevent unintended use of obsolete documents; and
 A controlled distribution process for OSH documents to ensure that applicable
documentation is readily available at points of use.

Record Retention:
 A process to maintain OSH records as necessary to demonstrate conformity to the
requirements of this document and Section 3 of Federal Law No. 8, of 1980, on Regulation of
Labour Relations;
 A process to ensure identification, storage, protection, retrieval, retention and disposal of
records;
 A Process to retain OSH documents / records for a minimum period of 5 years; and.

Note: where specific OSHAD – SF mandatory requirements state a lesser time scale, this shall be
reflected in the entity OSH MS procedure.
 A process to retain medical/occupational health records for a minimum period of
employment plus 30 years thereafter.

Management of Change Process; including:


 Consider change management requirements when developing all OSH MS procedures,
processes and programmes.;
 Ensure that changes in organizational structure, personnel, plant, machinery, equipment,
materials, documentation, processes or procedures do not result in the inadvertent
introduction of hazards and increased risk;
 Analyze changes in operational procedures or processes to identify any required changes in
training, documentation or equipment;
 Analyze changes in location, equipment or operating conditions for any potential hazards;
 Ensure that information on changes is documented and OSH risks are assessed prior to
implementing the planned changes; and
 Ensure that all personnel are made aware of (and understand) any changes in
requirements, procedures and applicable control measures.
The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 56
Management System Review procedure(s), including:
 Ensure top management reviews the entity’s OSHMS, at planned intervals to ensure its
suitability and effectiveness - minimum of one full review per year;
 Identify key review team members;
 Specify clear roles and responsibilities assigned to review team members;
 Define the process of recording, implementing and communicating the results of
management reviews; and
 Define the criteria for the review.
 Record the result of the OSH Management system review, along with any recommendations
or changes.
 Any recommendations and changes that are to be implemented shall be assigned timescales
and individual responsibilities.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 57
Q

Module 3

OSHAD-SF- MECHANISMS

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 58
MODULE 3 OSHAD-SF – MECHANISMS

Mechanisms describe mandatory OSHAD SF implementation processes and procedures (e.g. OSH
Incident Reporting). These mechanisms include relevant process maps and are associated with
standard OSHAD SF Forms.

1. The Integration of OSH 2. OSHAD-SF Administration 3. Identification, Assessment


Requirement in the and Nomination of Entities
Emirate of Abu Dhabi

4. OSHMS Submission, 5. OSH Requirement for 6. OSH Performance


Review and Approval Medium Risk Entities Monitoring & reporting

7. OSH Professional Entity 8. OSH Practitioner 9. Appointment of Principal


Registration Registration Contractor for Construction
Work

10. Request to Develop 11. Incident Notification, 12. Notification


Investigation and Reporting Requirements for OSH
or Update OSHAD-SF
Awareness Activities.
Document

All mechanisms have been designed to ensure fair, transparent and consistent implementation
of the OSHAD-SF.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 59
Mechanism - 1.0
The Integration of OSH Requirements in the Emirate of Abu Dhabi

Mechanism 1.0 defines the procedures to be utilized by OSHAD, Competent Authorities (CA’s),
Sector Regulatory Authorities (SRA’s) and Entities to manage the integration of OSH requirements
throughout the Emirate of Abu Dhabi.

Integration of relevant Federal and Emirate authorities’ OSH requirements is an important process
to advance and harmonize the OSH regulations.

Benefits of developing integrated regulations will provide the following:


• Streamlined and harmonized requirements;
• Regulatory transparency for government and private sector business
• Confidence for investors and private sector business by providing stable and
harmonized OSH regulations;
• Clearly defined OSH obligations for all stakeholders;
• Drive improvement in OSH performance; and
• Create a competitive advantage for the Emirate of Abu Dhabi.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 60
Q
OSH Requirements Integration Process:

Identity anddevelop
----------------------------- -----------------------------
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subjectmatte.r
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-------------,----------- I

OSHAO I ntegration
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Requirements

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OSHAD
competentAuthoritytorthe OSHAO.SF andOSH n the!mlrate of AbuDh bl

SpeclftcOSH
operations
delegated to SRA's.
sectorRegulatory AuthontlesjSRA's)

As perag.reedOSHOp41:ra.tionsDetegation

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 61
Mechanism - 2.0
OSHAD - SF Administration

Mechanism 2.0 relates to the way in which the Occupational Safety and Health System Framework
(OSHAD – SF) operates. Its various components include the following:

 This mechanism identifies key roles and responsibilities of OSHAD and the SRAs for the
administration and implementation of OSHAD-SF.

Note: Roles and Responsibilities of Sector entities are held within OSHAD- SF - Elements 1.

 OSHAD has the authority to identify a new economic sector within the Emirate that requires
a Sector Regularity Authority to oversee the implementation of OSHAD – SF and identify the
most suitable government authority to take duties of the SRA for this sector.
 Sector Assessment Process - to ensure assignment of the sector to the appropriate Sector
Regulatory Authority.
 Appointment of a Sector Regulatory Authority (SRA) – once the need has been established,
the assessment completed, and the appropriate body identified, OSHAD will recommend the
body to the Executive Council for approval. Upon approval OSHAD will commence planning
with the new SRA to implement the OSHAD-SF in the new sector.
 The top management of the SRA shall ensure appropriate resources (human, financial,
equipment, etc.) to fully implement their role. At minimum, each SRA shall have 3 full-time
dedicated OSH personnel that are registered with OSHAD as per OSHAD-SF – Mechanism
8.0 – OSH Practitioner Registration, including a manager / team leader / section head
registered as Grade A Generalist, and at least one additional person with an internationally
recognized OSH Lead Auditor qualification.
 The SRA will need to upgrade their internal OSHMS and other systems to cover/include
their undertakings as an SRA under OSHAD-SF.
 OSHAD shall, on an annual basis, issue Annual Performance Targets for all SRA’s to comply
with.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 62
 Performance targets for each SRA will be monitored by means of Audits, performance
reviews and reports. Should these fall short of requirements corrective action will be
implemented. OSHAD will then report to the Executive Council with overall reports on the
SRAs, and benchmark performance.
 In the light of poor performance, or owing to changes in laws or policy, approval for an SRA
can be withdrawn.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 63
SRA Performance Management:
OSHAD shall, on an annual basis, issue Annual Performance Targets for all SRA’s to comply
with.

Timescale August September October November

Owner OSHAD OSHAD SRA OSHAD


Initial targets set
for each year will be Targets SRA develops Action Plan for the
Action based on previous communicated to, Action plan based next calendar year
mid-year and agreed with, on targets and approved.

Annual Performance Targets shall be decided based upon the following:

 OSHAD-SF – Mechanisms;

 Previous year’s performance;

 Available resource(s);

 Other SRA performance;

 Feedback from SRAs;

 Objectives of OSHAD strategic plans; and

 Requirements set by the Executive Council of Abu Dhabi

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 64
Performance Monitoring of SRA’s:

OSHAD shall monitor the performance of SRA’s for implementation of the OSHAD-SF and its
requirements through a number of means including but not limited to:

 Audits;
 OSH Performance reports; and
 Performance review meetings.

Issues identified as a result of performance monitoring shall be officially communicated to the


relevant SRA. Where SRAs are seen to fail to meet annual action plan / performance
requirements consistently, OSHAD shall invite the SRA for a meeting to discuss performance
and corrective action.
The meeting agenda shall cover:
 Current status of the SRA;
 Issues leading to current performance; and
 Corrective action plan.
OSHAD shall provide the Executive Council of Abu Dhabi with an annual report on the overall
performance of all SRAs, including benchmarking of performance.

Withdrawal of Appointment of SRA:


As the competent authority for OSH and the OSHAD-SF in the emirate of Abu Dhabi, OSHAD
has the right to recommend to the Executive Council of Abu Dhabi withdrawal of appointment
as an SRA.
Recommending withdrawal of appointment as an SRA shall be based upon:
 Performance issues;
 Changes in policies, laws, direction of Abu Dhabi Government; and
 Change of OSHAD Policy / Direction.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 65
Mechanism - 3.0
Identification, Assessment and Nomination of Entities

Mechanism 3.0 is for SRAs to identify entities within their sector, and for whom the SRA will be
responsible for ensuring compliance with the OSHAD-SF.

The SRA will determine the level of risk involved in the operations of its entities (High, Medium and
Low). The risk level for each entity will determine the management “tool” (see below) to be used by
that entity to demonstrate compliance with OSHAD –SF.

The SRA will seek official approval from OSHAD for including entities within its sector and for its
entities’ risk ranking. Procedures will be included in order to achieve these ends.

The determination of entity risk ranking will be based on the complexity, nature and frequency of
the activities performed, the size of the entity in terms of employees, the nature of contractors, the
use of hazardous materials, and the proximity to residential areas or sensitive locations (such as
schools and hospitals). The risk ranking of entities will have to be reviewed every three years.

Where an entity is involved in several main operational activities with overlapping sectors, the SRA
should raise the issue with OSHAD to resolve the matter. Form A1 shall be used for this purpose.

The SRA will maintain a register of all the entities within its sector, recording the name, main
undertaking, risk classification, and entity classification code and registration number.

Entity Compliance Requirements:

High Risk Entities; will be “nominated” to develop an operational OSHMS to manage hazards in
compliance with the OSHAD-SF. The concerned SRA will provide Form A, and the entity will register
with the SRA within a 30 day timescale, committing to develop its OSHMS within 12 months of
nomination. Form B is used to modify or update information, including any changes to the OSHMS
development and implementation timelines. OSHMS implementation should start within a month
of its approval date. Reporting should start within the next quarter following approval. Incident
reporting should start immediately following nomination/registration., An annual third party audit
is to be undertaken within 1 year of approval.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 66
Medium Risk Entities: will be “notified” by the SRA and be expected to comply with Mechanism 5.0
- OSH Requirements for Medium Risk Entities. A compliance inspection will be performed by the SRA
within 6 months of notification, recording the outcome of this inspection. Ongoing inspections will
be risk-based and include analysis of annual Occupational Injury Register data (as per the
requirements of Mechanism 5.0). The SRA can reassess an entity and their compliance status at any
time.

Low Risk Entities: Will be “notified” by the relevant SRA, which will also ensure that at least one
OSH inspection occurs every three years. Low Risk Entities shall be managed by their SRA in a
manner relevant to their risk and operation. The entity will have to notify serious incidents and the
SRA shall investigate notified fatalities.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 67
Form A
General Information
Name of Entity:

Type of Business Activities:

 Building and Construction  Education

 Food   Commercial
Sector Name:
 Industry  Tourism & Culture

 Waste  Transport

 Health  Energy
Number of Employees:

Advisor / Officer /
Current OSH Resources: Director / Manager:
Technical / Other:

Address: Zone :
Coordinates: Northing :
Easting :

Contact of Head Office within Telephone No.: E-mail Address:


Emirate:

Fax No.: P.O. Box:

Authorized Contact Person:

Authorized Contact Person


Position / Title:

Telephone No.: E-mail Address:

Contact Details of Authorized


Person:
Fax No. : P.O. Box :

Coordinates:
Address:
Other Offices / Sites / Projects Zone Northing Easting
Operating Under this Entity
Operating License:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 68
Location Map(s):
 Location map(s) of Head Office and Branches attached.

Schedule of Developing & Implementing of OSHMS


Target Date for Completing the
Development of OSHMS:
(Day) (Month) (Year)

Occupational Health & Safety Management System (OHSMS)


Have an OHSMS in place and certified to OHSAS 18001.

Have an OHSMS in place based on OHSAS 18001 but not certified by third party.

Have an OHSMS in place but not certified by third party.

No OHSMS in place.


Declaration

I declare that all information provided in this document is true, correct and complete.

I understand that if I utilize the service of consultants for OSH MS development and/or implementation that they must be
registered to perform this work in the appropriate category as per OSHAD’s requirements.

Signature of the
Official
Authorised
Stamp :
Contact Person:

Date :
(DD/MM/YYYY)

Official Use

Assigned Classification Code:

Assigned Registration Number:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 69
Deadline for completing the development of OSHMS: (Day) (Month) (Year)

Note: Implementation of the Entity’s OSHMS shall commence within 30 days of receiving approval from the concerned SRA.
Note: Incident Reporting Requirements shall commence from the date of approval.
Note: OSH Performance Reporting Requirements shall commence in the quarter following quarter of approval.
Note: Annual Third Party External Compliance Audit shall be undertaken with (12) twelve months from the date of approval.

Entered into Database by:


Relevant Authority Stamp

Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 70
Form A1
General Information
Name of Entity:

Number of Employees:

Entity Offices / Branches in


 Abu Dhabi Total No. of Offices / Branches:
Abu Dhabi Emirate:  Al Ain

 Western Region

Other Sites / Projects


Operating Under this Entity:

Telephone No.: E-mail Address:

Contact of Head Office within


Abu Dhabi Emirate:
Fax No.: P.O. Box:

Name:

Position:

Telephone No.: E-mail Address:


Authorized Person providing
Information:

Fax No. : P.O. Box :

Entity Activities
Trade License No.

(Attach copy)

Indicate if operational
Title of Activity
(yes/No)

Activity/Activities as specified
in the trade license:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 71
Main Operational Activity /
Activities of the Entity

1………………………………………………………………………………………

Other licenses issued for the


2………………………………………………………………………………………
Entity (Attach copies)

3………………………………………………………………………………………

 Energy  Transport  Tourism

 Construction  Industry  Food


Indicate the sector that your
activities are related to:
 Health  Waste  Commercial

 Education  Other (specify):

Remarks / Other Information

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
Authorized
Official
Person
Stamp :
providing the
Information:

Date :
/ /
(DD/MM/YYYY)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 72
Official Use
Part A – To Be Filled by the SRA

Meeting with / site visit to the entity:

 Not Required

 Done: (Day) (Month) (Year)

Energy Transport Tourism


Construction Industry Food
Sector or sectors, that entity
activities fall under
Health Waste Commercial
Education Other (specify):

Main Operational Activity /


Activities of the Entity that are
subject to OSHAD-SF:

Decision:

 Nominate entity within own sector.

 Entity needs to be nominated by (name SRA / Sector)



, because: 

 Refer entity to OSHAD for decision on the SRA to nominate, because: 




 


Date Entity Notified of SRA Decision: (Day) (Month) (Year)

Relevant Authority Stamp and Entered into Database by:


Authorized Signature
Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 73
Signature:

Date: (DD/MM/YYYY) / /

Part B – To Be Filled by OSHAD


Date Form A1 Received:
/ /
(DD/MM/YYYY)

Meeting Date:
/ /
(DD/MM/YYYY)

 Energy  Transport  Tourism

 Construction  Industry  Food


Sectors participating in the
Meeting
 Health  Waste  Commercial

 Education  Other (specify):

Decision:

 Entity needs to be nominated by (name SRA / Sector)



,: 
Justification:

Date (DD/MM/YYYY):

Center Stamp and Authorized Signature

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 74
Form B

General Information
Name of Entity:

Classification Code:: Registration Number:

Item Requiring Amendment Updated Information

Type of Business Activities:




Zone :
Address:
Coordinates: Northing :
Easting :

Contact Details of Head Telephone No.: E-mail Address:


 Office:

Fax No.: P.O. Box :

Authorized Contact Person:



Authorized Contact Person
 Position:

Telephone No.: E-mail Address:

Contact Details of Authorized


 Person:
Fax No.: P.O. Box :

Coordinates:
Address:
Zone Northing Easting
Other Branches / Site Office:


Location Map(s):
  Current Location map(s) of Head Office and Branches are attached.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 75
(a) Original Target Date: (Day) (Month) (Year)

(b) New Target Date Proposed: (Day) (Month) (Year)

(c) Reason for Extension of Time Request:

Target Date for Completing


 the Development of OSHMS:

Note: Implementation of the Entity’s OSHMS shall commence within 30 days of receiving
approval from the concerned SRA.

Note: Incident Reporting Requirements shall commence from the date of approval.

Note: OSH Performance Reporting Requirements shall commence in the quarter


following quarter of approval.

Note: Annual Third Party External Compliance Audit shall be undertaken with (12) twelve
months from the date of approval.

Other Information requiring Amendment / Additional Information

(Please list and attach any relevant documents / evidence )

Comments:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 76
Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the Official


Authorised
Contact Person: Stamp :

Date :
/ /
(DD/MM/YYYY)

Official Use

Remarks:

(a) Comment/Actions on the information submitted :

(b) Revised deadline for completing the development of OSHMS :

(Day) (Month) (Year)

Entered into Database by:


Relevant Authority Stamp

Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 77
Mechanism - 4.0
OSHMS Submission, Review and Approval

Mechanism 4.0 defines the procedures to be utilized by OSHAD and Sector Regulatory
Authorities (SRAs) to manage the review, approval and implementation of a developed OSHMS.

OSHMS Submission, Review and Approval of a Developed OSHMS

 When an entity has completed the development of their OSH MS (documentation), it


shall be submitted to the concerned SRA for review against the minimum requirements of
the OSHAD-SF.
 Submittal of the entity OSH MS shall include a completed and authorized OSHAD-SF –
Form C.
 If the entity utilizes a consultant to help develop their OSHMS, its name and Qudorat
registration number shall be recorded on OSHAD-SF - Form C.
 The consultancy office shall be registered and approved, at the time of submission,
to perform this work by OSHAD. If the consultancy office is not registered and
approved, at the time of submission, by OSHAD, the OSHMS shall be automatically rejected.
 OSHAD-SF – Form I – Evaluation of OSHSM shall be completed by the SRA as part of the
review process for all submitted OSHMS.
 Where a consultant is utilized to develop the OSH MS, the SRA shall submit the completed
OSHAD-SF – Form I to OSHAD. The final determined grade of each OSH MS developed by
approved OSH Consultancy Office shall be recorded. OSHAD shall utilize this information as
part of the annual renewal of the professional entity registration process.
 Concerned SRA’s shall undertake reviews of submitted entities OSHSM and provide official
feedback to the entity within 60 calendar days from the submission date.
 Following review of the OSHMS, the SRA shall provide the entity official feedback on the
outcome of the OSH MS review. If the system is deemed non-compliant this feedback shall
include specific information on any changes, updates or modification required.
 The SRA shall implement process to monitor entities compliance with timescale for
submission of their OSHMS, including meeting with the entity.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 78
 OSHMS meeting OSHAD – SF conditions for approval shall be issued a certificate following
the template presented by OSHAD and highlighting the key conditions for OSHMS approval.
 Each SRA shall have a procedure for renewal of entity’s OSHMS certificate, which shall be
granted only if minimum criteria set by OSHAD-SF are met.
 An entity whose OSHMS certificate was cancelled or suspended, may appeal the SRA’s
decision to OSHAD within 20 days of receiving the notification from the SRA. The decision of
OSHAD shall be final in all appeals.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 79
Form C
General Information
Name of Entity:

Classification Code: Registration Number :

Type of Business Activities:

Percentage of time engaged Percentage of time engaged in


Number of Employees:
in office based activities: on-site / field based activities:

Name of Internal Manager Leading OSHMS


 Developed by Internal OSH Development:
Resources:
OSHMS Development:
 Developed by Registered OSH Consultancy Office Name:
Consultancy:
Registration Certificate Number:

Date(s) of OSHMS  First Submission Date (Day) (Month) (Year)


Document Submission:  Subsequent Submission Date (Day) (Month) (Year)
Subsequent Submission Number

OSHMS Information
OSH Requirements: List where system addresses
the specific requirement.

1.0 Submittals and Report Organization


1.1 Completed Form C Submitted with system

1.2 Cleary defined document structure – easy to navigate

1.3 Description of the type of business activities undertaken

1.4 Defines scope of the OSHMS

2.0 OSH Policy


2.1 Occupational Safety and Health Policy (OSH Policy)

2.2 Authorized / Signed by Top Management

2.3 Is appropriate to the nature and scale of Entity’s Risks

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 80
Policy includes commitment to:

 prevention of injury and illness


 enhancement of employee health and wellbeing
2.4
 Identification and management of OSH risks
 legal compliance
 setting, monitoring and reviewing OSH targets and objectives
 provision of appropriate OSH resources
 continual improvement
2.5 Evidence of commitment for communication to all stakeholders

2.6 Ensures OSH Policy is reviewed periodically

3.0 Roles and Responsibilities


3.1 Roles and Responsibilities procedure developed

3.2 Ensures top management is ultimately responsible for OSH and the OSHMS

3.3 Member of Top Management appointed as OSH Management Responsibility

Ensures appropriate Competent OSH resources to implementing and maintain the


3.4 OSH MS - if classified as high risk the entity must employ as a minimum one Grade
A practitioner as defined by OSHAD-SF Mechanism 8.0

Establishes clearly defined and documented OSH roles, responsibilities and


3.5
delegating authorities for each role within the entity

3.6 Ensures effective communication of roles & responsibilities to all employees

Establishes the means to measure employee conformance against their defined


3.7
roles, responsibilities and accountabilities

4.0 Targets and Objectives


4.1 OSH Targets and Objectives procedure developed

4.2 Ensures documented & effectively communicated OSH targets & objectives

4.3 Ensures targets and objectives, where practicable shall be measureable

Incorporates requirements of:


 the entity OSH policy
4.4
 legal requirements
 Risk Management programs
 relevant Competent Authorities targets and objectives
 OSHAD-SF mandatory key performance indicators, as defined in Mechanism
6.0 – OSH Performance Monitoring and Reporting
Includes program(s) for achieving the targets and objectives, that include at a
4.5
minimum, the methods, timeframes, monitoring activities and responsibilities

Includes mechanisms to ensure that where targets and objectives are not met,
4.6
corrective actions are developed and communicated to top management.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 81
4.7 Ensures targets, objectives and program(s) are reviewed periodically

5.0 Legal Compliance


5.1 Legal compliance procedure developed

5.2 Ensures the means to identify and access relevant legal requirements

Includes mechanisms to ensure legal requirements are considered when developing


5.3
OSH MS procedures, processes and programs.

5.4 Includes a means to evaluate compliance to all relevant legal requirements

Includes mechanisms to determine any changes to legal requirements that may affect
5.5
the applicability of legal requirements

Includes a process to identify what legal information is required at different levels


5.6
throughout the organization and how this will be communicated

Includes a documented legal register that contains the following as a minimum:

 OSH Law / Regulation full title as gazzetted


5.7  Applicable clause(s), Article(s) or references
 Applicable process(s) / Activity impacted by the legal requirement
 Internal OSH MS procedure(s) / Document(s) references to ensure compliance to
the legal requirement
 Compliance monitoring requirements
5.8 Includes an annual review of legal requirements

6.0 Risk Management


6.1 Risk management procedure developed

Ensures risk management is an integral part of management and embedded in the


6.2
entity culture and practices

Ensures risk management shall be applicable to all phases of a project /development


6.3
(from design to decommissioning)

6.4 Defines risk management methodologies and competencies

6.5 Is based on consultation with employees, contractors & other stakeholders

Incorporates the recognized steps of risk assessment, which include:


 identify all OSH hazards in the workplace
6.6
 assess the risks of these hazards
 formulate a hazard management program to reduce the risk to an acceptable and
as low as reasonably practicable (ALARP) level
 review the program on a regular basis
 incorporates a management of change process within the entity

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 82
Procedure(s) address:

 routine & non-routine activities of all persons having access to the workplace
 supply chain and contractor undertakings
 human behavior (inc people with special needs and young persons)
6.7  hazards outside the workplace capable of adversely affecting the safety and health
of employees
 potential risk to persons not in the entity’s employment
 plant, equipment , substances and materials at the workplace
 Inclement weather
 the design or work areas, processes, plant, machinery, equipment, work
organization and operating procedures
6.8 Ensures documentation & recording of the results of risk management activities

6.9 Incorporates the OSH Control Hierarchy

6.10 Completed an OSH impacts review of all products, activities and services

6.11 Appropriate Operational / Process Safety control measures developed, if applicable

6.12 Appropriate Safety Case control measures developed, if applicable

7.0 Contractor Management


7.1 Management of Contractors procedure developed

Incorporates the steps of the "Management of Contractors Process" – Element 03, As


7.2
applicable

Includes specific "construction work" processes & responsibilities – as per OSHAD-


7.3
SF - CoP 53.0 – OSH Management during “Construction Work – if applicable

8.0 Emergency Management


Emergency Response and Management program / procedures developed
8.1

Includes risk-based identification and response to potential emergency scenario ,


8.2 including normal and abnormal conditions

Defines specific emergency response & management roles, responsibilities &


8.3 resources

Appropriate risk-based emergency response and management plan(s), including:

 Fire management Plan


8.4  Emergency Evacuation plan
 threat-specific
 facility specific
 appropriate support / functional plans
Specific plans developed to deal with appropriate emergencies and high-risk hazards.
Includes:

8.5  provision of appropriate resources (human, equipment, facilities, training)


 arrangements for external stakeholder communications and requirements
 arrangements for communications with local authorities & emergency services, if
applicable

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 83
8.6 Ensures periodic emergency response and management tests and exercises

8.7 Ensures monitoring and review of plans and procedures annually

9.0 Specific Entity Standard Operating Procedures


9.1 Appropriate SOP's developed

Addresses operations & activities that are associated with identified hazard(s) that
9.2
require implementation of control measure(s) to manage risk(s)

9.3 Includes controls related to supply chains (purchase of goods, equipment & services)

9.4 Includes controls related to contactors and other visitors to the workplace

Includes stipulated operating criteria / instructions where their absence could lead to
9.5
an increase in OSH risk(s)

10.0 Management of Change


10.1 Management of Change process developed

Ensures that changes in organizational structure, personnel, documentation,


10.2
processes/procedures does not inadvertently introduce new hazards or increased risk

Analyzes changes in operational procedures or processes to identify any required


10.3
changes in training, documentation or equipment

10.4 Analyzes changes in location, equipment or operating conditions for potential hazards

Ensures that all personnel are made aware of and understand any changes in
10.5
requirements, procedures and applicable control measures

11.0 Training
11.1 OSH Training procedure developed

11.2 Appropriate compliance and reference to OSHAD-SF - Mechanism 7.0 and 8.0

11.3 Appropriate monitoring and measuring of training results

Identifying and evaluating OSH training needs (eg. Training Needs Analysis and
OSH Training Matrix), and providing appropriate OSH training including:

 OSH Management System training\


 Competency requirements for identified roles or tasks
 Risk Management requirements
11.4
 Requirements of relevant operational control procedures
 OSH roles and responsibilities
 OSH emergency response and management
 OSH inductions (generic and site-specific)
 OSH consequences of non-conformance to specified procedures
 relevant subject specific OSH training
 specialized task-specific training

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 84
Planning the implementation of the training:

 learning aims and objectives


 level of responsibility and competence
 frequency and types of training
11.5
 literacy, numeracy, language and other learning requirements
 course selection / material development
 trainer competency
 assessment activities
 training records
 refresher training requirements
11.6 Ensures review of OSH training program

12.0 Competency
12.1 OSH Competency procedure developed

12.2 Ensures that person(s) under its control performing tasks are competent

Identifies and evaluate OSH competency requirements, including:

 relevant OSH competencies


12.3
 task-specific competences
 methods of assessing competencies
 recording competencies; and
 maintaining and improving competencies
12.4 Ensures review of OSH competency program

13.0 Hazard, Near Miss, Incident Reporting and Investigation


OSH Hazard, Near Miss, Incident Reporting & Investigation procedure(s) developed,
13.1 in compliance with OSHAD-SF - Mechanism 11 – Incident Notification, Investigation
and Reporting

OSH Incident Investigation Program addresses at a minimum:

 record, investigate and analyze OSH incidents


 ensure investigations are performed by competent person(s) in consultation with
13.2
relevant stakeholders
 ensure investigations are performed in a timely manner
 determine the root causes of OSH incidents
 identify opportunities for corrective and preventative actions
 effective communication of outcomes of investigations to relevant stakeholders
OSH Reporting Procedure addresses at a minimum:

 hierarchies, timetables and responsibilities for reporting


 internal OSH performance and incident reporting requirements
 external OSH performance and incident reporting requirements, including:
13.3 o OSH Incidents to the SRA / CA as required
o quarterly OSH performance to the SRA
o annual third party external compliance audit results to the SRA / CA
o requirements of Mechanism 6.0 – OSH Performance Monitoring and Reporting
o other legal and regulatory reporting requirements
 requirements outlined in CA permits / licenses / no objection certificate / etc
 requirements outlined in approved OSH Plans and Studies
 requirements outlined in relevant OSHAD-SF documents

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 85
14.0 Communication and Consultation
Communication procedure developed, addressing:

14.1  internal communication throughout the various levels of the entity


 communication with contractors and other visitors to the workplace
 relevant communication with external stakeholders
 development of an annual OSH performance report
Consultation procedure developed, addressing:

 appropriate OSH committee established


 appropriate consultation and participation of employees in OSH matters
14.2
 appropriate involvement in risk management activities
 appropriate involvement in OSH incident investigation
 involvement in the development and review of OSH policies and objectives
 structure of consultation committees and meetings
 consultation with contractors and other external stakeholders

15.0 Inspection
OSH inspection program / procedure(s) developed, addressing:
 scope, criteria, and objectives of inspections to be conducted
 inspection program responsibilities and resources
 Inspection program planning and implementation processes, including;
o criteria
15.1 o frequency and schedules
o methods of collecting and verifying information
o reporting inspection results
o non-conformance and corrective action process
o inspection program record keeping
 inspection program monitoring and review
 internal reporting requirements
16.0 Audit
OSH audit program / procedure(s) developed, addressing

 scope, criteria, and objectives of audits to be conducted


 audit program responsibilities, competencies and resources
 audit program planning and implementation processes, including:
16.1 o documented criteria
o frequency and schedules
o methods of collecting and verifying information
o reporting audit results
o nonconformance and corrective action
o audit program record keeping
 audit program monitoring and review
 internal and external reporting requirements
16.2 Ensures internal OSHMS auditors are suitably competent to undertake OSH audits.

Ensures annual external third party compliance audits to be performed by registered


16.3
Auditors in OSHAD

17.0 OSH Performance Monitoring


17.1 OSH Performance Monitoring procedure developed

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 86
OSH Monitoring Program addresses at a minimum:
 monitoring of the entity’s OSH targets and objectives
 monitoring the effectiveness of OSH programs and controls
 proactive and reactive measures of performance to monitor conformance with
OSH programs and controls
17.2  OSH Standards and Guideline Values and Federal OSH Standards
 appropriate elements outlined in relevant OSHMS
 elements outlined in CA permits / licenses / no objection certificate / etc
 elements outlined in approved OSH Plans and Studies
 elements outlined by relevant SRA / Competent Authority(s)
 description of methodologies and instruments used to monitor, including,
calibration requirements and records
The monitoring of occupational health and safety includes at a minimum:
 occupational noise, air and lighting
 ergonomic and workplace design factors
 waste management
17.3
 wellness programs
 hazardous substances
 health surveillance
 occupational illnesses
 OSH hazards, near-misses and incidents
18.0 Document Control
18.1 Document Control procedure developed

Ensures:

 documents are reviewed and updated as required


18.2
 documents remain legible, traceable and secure
 relevant version control to ensure unintended use of obsolete documents
 appropriate review and approval processes
 appropriate distribution process for OSH documents
19.0 Record Retention
19.1 Record Retention procedure developed

Ensures:

 maintenance of OSH records as necessary to demonstrate conformity to the


19.2 requirements
 identification, storage, protection retrieval, retention & disposal of records
 retention of OSH documents for a period of 5 years
 retention of medical / occupational health records - period of employment + 30
years

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 87
20.0 Management Review
Management System Review procedure developed, addressing:

 ensure top management review the entity(s) OSHMS, at planned intervals to


ensure its suitability and effectiveness;
 identify of key review team members;
 specify clear roles and responsibilities assigned to review team members;
 defines the process of recording management reviews;
 ensure management reviews shall include at a minimum:
20.1 o review of the OSHMS by OSH staff;
o status of action on previous OSH MS reviews
o adequacy of recourses for maintaining an effective OSHMS
o risk management program
o results of internal and external audits;
o other changes that affect the organization
o OSH performance against targets and objectives;
o changes to legal and other requirements;
o relevant communications and complaints;
o OSH incidents, investigations, non-conformances and corrective actions; and
o recommendations for continual improvement
* Please attach all OSHMS documents being submitted with this form.

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
Official
Authorised
Stamp:
Contact Person:

Date : / /

Official Use

Approval of OSHMS as Submitted by Entity:

 Yes 
 No, reasons / amendments required: 


 

Date for resubmission of OSHMS for Review and Approval: (If Applicable)
 Not Required

  (Day) (Month) (Year)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 88
Note: Implementation of the Entity’s OSHMS shall commence within 30 days of receiving approval from the concerned SRA.
Note: Incident Reporting Requirements shall commence from the date of approval.
Note: OSH Performance Reporting Requirements shall commence in the quarter following quarter of approval.
Note: Annual Third Party External Compliance Audit shall be undertaken with (12) twelve months from the date of approval.

Date Entity Notified of Decision: (Day) (Month) (Year)

Evaluation of OSHMS Form Completed and Submitted to OSHAD (OSHAD-SF – Form I)


 Yes

Entered into Database by:


Relevant Authority Stamp

Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 89
Mechanism - 5.0
Requirements for Medium Risk Entities

Mechanism 5.0 is designed to define the minimum OSH requirements for sector entities that have
been assessed by the concerned Sector Regulatory Authority (SRA) as medium risk and do not
require a fully compliant OSHMS to manage their risks.

Medium Risk Entity Requirements


Entities assessed by the concerned SRA to be medium risk shall develop, implement and
maintain OSH records that comply with the following OSH requirements (in compliance with
Federal Law No. 8, for 1980, Regulation of Labor Relations) as a minimum:
 Ensure employee training, both site and task specific;
 Ensure hazards and risks are assessed;
 Provide safe and appropriate plant, equipment and tools;
 Provide safe and appropriate safety and welfare facilities, as required;
 Consider health issues;
 Notify concerned SRA of all OSHAD-SF serious OSH incidents as soon as practicable, within
24 hours in case of a fatality or within 3 days in case of other serious incident;
 Record OSH incidents and perform OSH incident investigations for all incidents (serious and
non-serious);
 submit a copy of their Occupational Injuries Register on an annual basis to the concerned
SRA.
Complete and maintain at a minimum the following OSH records and registers:
 Training register;
 PPE register;
 Occupational injuries register;
 Hazard and risk register;
 Incident investigation records; and
 Hazardous substance registers. (If applicable).
The entity may use the standard templates appended to this mechanism.
Should comply with the requirements of OSHAD- SF – code of practices
as applicable to the undertaking entity.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 90
Mechanism - 6.0
OSH Performance Monitoring & Reporting

Mechanism 6.0 defines the procedures to be used by OSHAD, SRAs and Entities to manage
minimum OSH performance monitoring and reporting process and criteria by means of Quarterly
Performance reports and Third Party Audit reports.

Quarterly Performance Monitoring

Quarterly performance reports will be delivered by entities with approved OSHMS using the
relevant form (OSHAD SF – Form E for Entities within sectors, and OSHAD SF – Form E2 for
government entities) to the SRA (for entities with Sectors) or OSHAD (for Government Entities).

These reports have to be delivered within set timescales, and quarterly reporting shall start with
the quarter following the approval of an entity’s OSHMS. The information required in the reports
include: the number, frequencies and costs of OSH incidents and consequences, the overall cost of
OSH Management, training of entity employees, entity OSH resources and their registration in
Qudorat, and management of contractors.

SRAs will develop and implement procedure meeting OSHAD –SF requirements to monitor the
performance of entities with respect to:

 Audit and inspection results;


 Incident investigation reports,
 Performance reporting,
 Closure of corrective actions,
 Lost time injury rate,
 Total reportable case frequency,
 Number of fatalities,
 Reporting requirements,
 Overall OSH performance.

Continuous noncompliance will result in reviewing the approval certificate (in line with the
requirements Mechanism 4.0).

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 91
Third Party Audit

A Third Party Compliance Audit will also be required by the SRA for entities with approved OSHMS
(in accordance with Element 8.0). This will be used to determine compliance with the OSHAD-SF,
and the audit report shall be reviewed by the SRA to ensure there are suitable Corrective Action
Plans, and suitable timescales for correcting any noncompliance. The SRA will provide feedback to
the entity on the outcomes of Audit Report review, as well as to OSHAD on the performance of the
auditing company.

If the auditing company or its’ auditor are not registered by Qudorat at the time of audit, the audit
shall be automatically rejected.

The SRA shall ensure the entity provides a corrective action plan for the identified non-compliance
with an agreed timescale and shall monitor and verify closure of the Corrective Action plans.

Form E – Entity Quarterly OHS performance


report
This form is to be submitted by sector entities to the concerned SRA to report their quarterly
performance.
Form E1 – Sector Quarterly OHS Performance
report
This form is to be submitted by the relevant SRA to OSHAD to report quarterly performance
within the sector
Form E2 – Government Entity Quarterly OHS Performance
report
This form is to be submitted by government entities to OSHAD to report their quarterly
performance.
Form E4 – OSH Implementation costs in Entities within Sectors
This form is to be submitted by sector entities to the concerned SRA on an annual basis as a
summary of OSH costs for OSH management and OSH incidents.
Form E5 – OSH Implementation costs in Government Entities
This form is to be submitted by government entities to OSHAD on an annual basis as a
summary of OSH costs for OSH management and OSH incidents.
Form F – Entity Annual External OSH MS Audit Report
This form is to be submitted to the concerned SRA within 30 days of the audit.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 92
Form E

General Information
Classification Code: Registration Number:

OSHMS Approval
Name of Entity:
Date:

Address of Entity: Telephone Number

Contact Details of Name:


OSH Focal Point: E-mail: Telephone Number

Number of Working Hours Performed this


Employees: Quarter*
*Working Hrs. = No. of employees x working hrs. x No. of workdays (This simple formula is to be used only if no accurate
mechanism available)

Reporting Period: ☐ Q1 (Jan-Mar) ☐ Q2 (Apr-Jun) ☐ Q3 (Jul-Sep) ☐ Q4 (Oct-Dec)


Year: YYYY
Reporting Timeframe: Mid April Mid July Mid October Mid-January

Occupational Health & Safety Performance – Mandatory Reporting to Sector Regulatory Authority
Note: Refer to OSHAD SF - Mechanism 11.0 for reporting of incident with multiple consequences and its schedule B and C for
Guidance on Injuries & Illness

Occupational Health & Safety Performance Summary for Entity, Contractors & Other Persons
KPI 2-01 Total Incidents (From My Entity and Non- Nominated Contractor)(sum of KPI 2-02 & 3-01)

Occupational Health & Safety Performance Summary for Entity


Total Incidents (From my Entity)
KPI 2-02
(Total No. of incidents that occurred during the reporting quarter)
Lost
Entity (s) Employees Injuries & Illness Consequences No. Other Consequences No.
Workdays
Serious Dangerous
Fatality
Occurrence
Equipment / Property
Permanent Total Disability
Damage

Lost Time Injuries Permanent Partial Disability


Lost Workdays Cases

a) Lost Workdays Injuries


b) Lost Workdays Occupational
Illness
Restricted Workday Case
Medical Treatment Case
Total Consequences (Summation of Injuries, illnesses and other Consequences)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 93
KPI 2-03 Number of Total Injuries & Number of TRC x 1,000,000
Total Reported Case Frequency (TRCF) Illness Reported in the Working Hours in
Reporting Period Reporting Period Working Hours
[Total Injuries & illness reported in KPI 2-02
(Lost Time Injuries, Restricted Workdays and
Medical Treatment Cases)]

KPI 2-04 Number of Workdays lost Number of No. of Days Lost x 1,000,000
Lost Time Injury Severity Rate (LTISR) due to Injuries & illness in Working Hours in
Working Hours
the Reporting Period Reporting Period
[Total Lost Workdays reported in KPI 2-02]
Zero LWDs for Fatality & Permanent Total
Disability

KPI 2-05 Number of Lost Time Number of No. of LTI ’s x


Lost Time Injury Frequency Rate (LTIFR) Injuries in the Reporting Working Hours in 1,000,000
Period Reporting Period
[Total Lost Time Injuries reported in KPI 2-02 Working Hours
(Fatality, Permanent Total Disability, Permanent
Partial Disability & Lost Workdays Cases)]

KPI 2-06 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Entity:

Occupational Health & Safety Performance Summary for Contractors


(hired by or working for Entity but not Nominated currently with any concerned SRA/does not fall under any current Sector).
Total Incidents (From Non-Nominated Contractor)
KPI 3-01 (total No. of incidents that occurred during the reporting
quarter)
Contractor (s) Employees Injuries & Illness Consequences No. Other Consequences No.
Fatality Serious Dangerous Occurrence
Permanent Total Disability Equipment / Property Damage
Permanent Partial
Disability
Lost Time Injuries Lost Workdays Cases
a) Lost Workdays
Injuries
b) Lost Workdays
Occupational Illness
Restricted Workday Case
Medical Treatment Case
Total Consequences (Summation of Injuries, illnesses and other Consequences)

KPI 3-02 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Contractors:

KPI 3-03 Total No. of Contractors Inspections Performed on Contractors


Number of
Monitoring Review / Approval of Contractor OSH
Contractor Incidents Investigated by Entity.
Activities Procedures.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 94
Performed on Specific Requirement / Part System Audit
Contractor(s) / Corrective Notices Issued to Contractors:
Performed on Contractors
Supply Chain by
Entity (nominated/ Full OSHMS Audit Performed on Contractor Breach Notices Issued to Contractors:
non-nominated):

Injury and Illnesses Consequences Summary for Other Persons (Visitors, Students, Hotel Guests,
Passengers, etc.)
Total consequences (Summation of Fatalities &
Injuries)
KPI 4-01
Number of Fatalities & Injuries for other Persons: Fatality Other Injuries

KPI 4-02 Near Miss First Aid Cases


Number of Near-Miss & First Aid Cases for other
Persons:

OSH Resources, OSHMS Development, Implementation and Enforcement Summary for Entity
No. of OSH Nationals Employees x 100
Number of OSH
Number of OSH Employees
Nationals Employees Number of OSH Employees

KPI 5-01- OSH


Resources
(Cumulative) Number of OSH Employees
that passed the OSHAD-SF Number of OSH Employees Registered at Qudorat till date
Practitioner Course

Number of OSH
KPI 5-02 Training Hours
No. of OSH Training Hours undertaken by Employees
Average Number of Undertaken Total No. of Employees
Training Hours per
Employee

No. of Participants Title Training Level Training Provider Training Hours

Note: Additional information can be attached on a separate sheet if required

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 95
KPI 5-03 Annual 3rd Party OSHMS Compliance Audit conducted this year and form F
Third Party OSHMS Compliance submitted (YES/NO)
Audit
If YES, include date of audit

Number of warning notices received:


Number of Corrective Notices (warning notices,
improvement notices) received from the SRA as Number of improvement notices received:
a result of non-compliance to OSHMS
requirements Number of prohibition notices received:

KPI 5-05 Number of fines / penalties received:


Number of Breach Notices (fines / penalties /
Number of enforceable undertakings (entity’s commitment
enforceable undertakings) received from the to spend money to rectify OSHMS non- compliance):
SRA as a result of non-compliance to OSHMS
requirements Total value of all fines / penalties/ enforceable
undertakings enforced (AED):

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
CEO / MD: Official
Stamp:
(Top Manager):

Date :
/ /
(DD/MM/YYYY)

Official Use
Remarks :

Entered into Database by:


Relevant Authority Stamp
Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 96
Form E1
General Information
Classification Code: Sector Regulatory Authority:

Reporting Period:  Q1 (Jan-Mar)  Q2 (Apr-Jun)  Q3 (Jul-Sep)  Q4 (Oct-Dec)


Year:
End of April End of July End of October End of January
Reporting Timeframe:
Number of Total Total Working
Sector Summary: Entities Number of Hours Performed
Reporting: Employees: This Quarter:

Occupational Health and Safety Performance - Compulsory Reporting to Competent Authority


Total Number of “High Risk” Entities Nominated to develop full
KPI 1-01 - Cumulative OSHMS:
Number of Entities Nominated (High Risk)
Total Number of Entities approved )full OSHMS):

KPI 1-02 – Cumulative Total Number of “Medium Risk” Entities Notified to comply with
Mechanism 5:
Number of Entities Notified (Medium/Low
Risk Entities) Total Number of “Low Risk” Entities Notified:

KPI 1-03 –This Quarter Total number of entities with an approved OSHMS who should
Number of entities with an approved OSHMS submit their OSH Performance Report:
complying with quarterly OSH performance
reporting requirements Percentage of entities with an approved OSHMS complying:

Number of serious incidents notified or reported by entities with


an approved OSHMS:

Number of serious incidents notifications/reports received by the


KPI 1-04 – This Quarter SRAs involving entities without an approved OSHMS:
Number of SRA investigations of incidents
Number of investigations performed by SRA:

Percentage of investigations performed by SRA (out of total


incidents notified or reported this quarter):

Number of nominated/notified entities inspected (excluding those


with approved OSHSMS):
KPI 1-05 –This Quarter
Number of entities with an approved OSHMS inspected:
Number of SRA inspections of entities
Percentage of entities with an approved OSHMS inspected (out of
total entities inspected this quarter):

KPI 1-06 – Cumulative Number of entities with approved OSHMS audited by SRA:
Number of SRA Audits of entities Percentage of entities with approved OSHMS audited by SRA:

*KPI 1-07 – This Quarter Total Number of workshops/Seminars:


Number of OSHMS Workshops / Seminars or
Total Number of Participants:
Similar Training Conducted by the
SRA Total Training hours (for all participants in all workshops) :

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 97
No. of Participants Title Training Level Training Provider Training Hours

Total Number of Awareness Notifications (workshops,


KPI 1-08– This Quarter
publications, press releases, etc.) sent to the Center:
Number of Awareness Activities conducted by
the SRA Percentage of Awareness Notifications approved by the Center
(out of total submitted this quarter):

*Note: Additional information can be attached on a separate sheet if required

Occupational Health & Safety Performance Summary for Sector Entities, Contractors & Other
Persons
Total Incidents (From Sector Entities and Non- Nominated Contractor working with
S-KPI 2-01
Sector Entities) (sum of S-KPI 2-02 &3-01)

Occupational Health & Safety Performance Summary for Sector Entities


S-KPI 2-02 Total incidents (From Sector Entities)

Entity (s) Employees Injuries & Illness Lost


No. Other Consequences No.
Consequences Workdays
Fatality Serious Dangerous Occurrence
Permanent Total Disability Equipment / Property Damage

Permanent Partial
Disability
Lost Time Injuries
Lost Workdays Cases

a) Lost Workdays Injuries


b) Lost Workdays
Occupational Illness
Restricted Workday Case
Medical Treatment Case
Total Consequences (Summation of Injuries, illnesses and other Consequences)

S-KPI 2-03 Number of Total Injuries & Number of


TRC x 1,000,000
Total Reported Case Frequency (TRCF) Illness Reported in the Working Hours in
Working Hours
Reporting Period Reporting Period
[Total Injuries & illness reported in KPI 2-02
(Lost Time Injuries, Restricted Workdays and
Medical Treatment Cases)]

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S-KPI 2-04 Number of Workdays lost Number of
No. of Days Lost x 1,000,000
Lost Time Injury Severity Rate (LTISR) due to Injuries & illness in Working Hours in
Working Hours
the Reporting Period Reporting Period
[Total Lost Workdays reported in KPI 2-02]
Zero LWDs for Fatality & Permanent Total
Disability

S-KPI 2-05 Number of Lost Time Number of


No. of LTI ’s x 1, 000,
Lost Time Injury Frequency Rate (LTIFR) Injuries in the Reporting Working Hours in 000
Period Reporting Period
[Total Lost Time Injuries reported in KPI 2-02 Working Hours
(Fatality, Permanent Total Disability, Permanent
Partial Disability & Lost Workdays Cases)]

S-KPI 2-06 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Sector Entities:

Occupational Health & Safety Performance Summary for Contractors (hired by or working for Sector Entities
but not Nominated currently with any concerned SRA/does not fall under any current Sector).
Total Incidents (From Non-Nominated Contractor working
with sector entities)
S-KPI 3-01 (total No. of incidents that occurred during the reporting
quarter)

Contractor (s) Employees Injuries & Illness No. Other Consequences No.
Consequences
Fatality Serious Dangerous Occurrence
Permanent Total
Equipment / Property Damage
Disability
Permanent Partial
Disability

Lost Time Injuries Lost Workdays


Cases
a) Lost Workdays
Injuries
b) Lost Workdays
Occupational
Illness
Restricted Workday Case
Medical Treatment Case
Total Consequences (Summation of Injuries, illnesses and other Consequences)

S-KPI 3-02 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Contractors:

S-KPI 3-03 Total No. of Contractors Inspections Performed on Contractors

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Number of Review / Approval of Contractor OSH
Monitoring Contractor Incidents Investigated by Entity.
Procedures.
Activities
Specific Requirement / Part System Audit
Performed on Corrective Notices Issued to Contractors:
Performed on Contractors
Contractor(s) /
Supply Chain by
Sector
Full OSHMS Audit Performed on Contractor Breach Notices Issued to Contractors:
Entities(nominated/
non-nominated):

Injury and Illnesses Consequences Summary for Other Persons (Visitors, Students, Hotel Guests,
Passengers, etc in Sector Entities.)
Total consequences (Summation of Fatalities &
Injuries)
S-KPI 4-01
Number of Fatalities & Injuries for other Persons: Fatality Other Injuries

S-KPI 4-02 Near Miss First Aid Cases


Number of Near-Miss & First Aid Cases for other
Persons:

OSH Resources, OSHMS Development & Implementation Cost and Enforcement Summary for the
Sector
No. of OSH Nationals Employees x 100
Number of OSH
Number of OSH Employees
S-KPI 5-01- OSH Nationals Employees
Number of OSH Employees
Resources in
entities within
Sector
Number of OSH Employees that
(Cumulative) passed the OSHAD-SF Number of OSH Employees Registered at Qudorat till date
Practitioner Course

S-KPI 5-02 Number of OSH Training No. of OSH Training Hours undertaken by Employees
Average Number Hours Undertaken Total No. of Employees
of Training Hours
per Employee

S-KPI 5-03 Total number of entities with approved OSHMS


completed annual 3rd Party compliance Audit and
Number of Sector Entities with approved
submitted report
OSHMS completed annual 3rd Party OSHMS
Compliance Audit and report approved by SRA Percentage of entities with approved OSHMS completed
annual 3rd Party compliance Audit.

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100
S-KPI 5-04 Number of warning notices issued:
Number of Corrective Notices (warning notices,
improvement notices) issued by the SRA as a Number of improvement notices issued
result of non-compliance to OSHMS
requirements within its Sector Number of prohibition notices issued:

S-KPI 5-05 Number of fines / penalties issued:

Number of Breach Notices (fines / penalties / Number of enforceable undertakings (entity’s


enforceable undertakings) issued by the SRA as commitment to spend money to rectify OSHMS non-
a result of non-compliance to OSHMS compliance):
requirements within its Sector
Total value of all fines / penalties/ enforceable
undertakings enforced (AED):

Declaration

I declare that all information provided in this document is true, correct and complete.

Regulatory
Signature of the
Authority
Authorised
Official
Contact Person :
Stamp:

Date :
/ /
(DD/MM/YYYY)

Official Use
Remarks :

Entered into Database by:


Competent Authority Stamp
Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page
101
Form E2

General Information
Classification Code: Registration Number:

OSHMS Approval
Name of Entity:
Date:

Address of Entity: Telephone Number

Authorized OSH Name:


Contact Person: E-mail: Telephone Number

Number of Working Hours Performed this


Employees: Quarter*
*Working Hrs. = No. of employees x working hrs. x No. of workdays (This simple formula is to be used only if no accurate mechanism
available)

Reporting Period: Q1 (Jan-Mar) Q2 (Apr-Jun) Q3 (Jul-Sep) Q4 (Oct-Dec)


Year:
Reporting Timeframe: Mid April Mid July Mid October Mid-January

Occupational Health & Safety Performance – Mandatory Reporting to OSHAD


Note: Refer to OSHAD-SF - Mechanism 11.0 for reporting of incident with multiple consequences and for Guidance
on Injuries & Illness

Occupational Health & Safety Performance Summary for Entity, Contractors & Other Persons
Total Incidents (From My Entity and Non- Nominated Contractor)(sum of KPI 2-02 &
KPI 2-01
3-01)

Occupational Health & Safety Performance Summary for Entity


KPI 2-02 Total Incidents (From my Entity)
(Total No. of incidents that occurred during the reporting quarter)
Entity (s) Employees Injuries & Illness Lost
No. Other Consequences No.
Consequences Workdays
Fatality Serious Dangerous Occurrence

Permanent Total Disability Equipment / Property Damage

Permanent Partial Disability


Lost Time
Injuries Lost Workdays Cases

c) Lost Workdays Injuries


d) Lost Workdays
Occupational Illness
Restricted Workday Case

Medical Treatment Case

Total Consequences (Summation of Injuries, illnesses and other Consequences)

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102
KPI 2-03 Number of Total Injuries & Number of TRC x 1,000,000
Total Reported Case Frequency (TRCF) Illness Reported in the Working Hours in
Reporting Period Reporting Period Working Hours
[Total Injuries & illness reported in KPI 2-02
(Lost Time Injuries, Restricted Workdays and
Medical Treatment Cases)]

KPI 2-04 Number of Workdays lost Number of No. of Days Lost x1,000,000
Lost Time Injury Severity Rate (LTISR) due to Injuries & illness in Working Hours in
the Reporting Period Reporting Period Working Hours
[Total Lost Workdays reported in KPI 2-02]
Zero LWDs for Fatality & Permanent Total
Disability

KPI 2-05 Number of Lost Time Number of No. of LTI ’s x 1,000,000


Lost Time Injury Frequency Rate (LTIFR) Injuries in the Reporting Working Hours in
Period Reporting Period Working Hours
[Total Lost Time Injuries reported in KPI 2-02
(Fatality, Permanent Total Disability, Permanent
Partial Disability & Lost Workdays Cases)]

KPI 2-06 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Entity:

Occupational Health & Safety Performance Summary for Contractors (hired by or working for Entity but not
Nominated currently with any concerned SRA/does not fall under any current Sector).
Total Incidents (From Non-Nominated Contractor)
KPI 3-01
(total No. of incidents that occurred during the reporting quarter)
Contractor (s) Employees Injuries & Illness Other Consequences
No. No.
Consequences
Fatality Serious Dangerous Occurrence
Permanent Total Equipment / Property Damage
Disability
Permanent Partial
Disability
Lost Time Injuries Lost Workdays
Cases
c) Lost Workdays
Injuries
d) Lost Workdays
Occupational
Illness
Restricted Workday Case
Medical Treatment Case

Total Consequences (Summation of Injuries, illnesses and other Consequences)

KPI 3-02 Near Miss First Aid Cases


Number of Near Miss & First Aid Cases for
Contractors:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 103
KPI 3-03 Total No. of Contractors Inspections Performed on Contractors
Number of
Monitoring Review / Approval of Contractor OSH
Contractor Incidents Investigated by Entity.
Activities Procedures.
Performed on Specific Requirement / Part System Audit
Contractor(s) / Corrective Notices Issued to Contractors:
Performed on Contractors
Supply Chain by
Entity (nominated/ Full OSHMS Audit Performed on Contractor Breach Notices Issued to Contractors:
non-nominated):

Injury and Illnesses Consequences Summary for Other Persons (Visitors, Students, Hotel Guests,
Passengers, etc.)
Total consequences (Summation of Fatalities &
Injuries)
KPI 4-01
Number of Fatalities & Injuries for other Persons: Fatality Other Injuries

KPI 4-02 Near Miss First Aid Cases


Number of Near-Miss & First Aid Cases for other
Persons:

OSH Resources, OSHMS Development & Implementation Cost and Enforcement Summary for
Entity
No. of OSH Nationals Employees x 100
Number of OSH
Number of OSH Employees
Nationals Employees
Number of OSH Employees
KPI 5-01- OSH
Resources
(Cumulative) Number of OSH Employees
that passed the OSHAD-SF Number of OSH Employees Registered at Qudorat till date
Practitioner Course

Number of OSH
KPI 5-02 Training Hours
No. of OSH Training Hours undertaken by Employees
Average Number of Total No. of Employees
Undertaken
Training Hours per
Employee

No. of Participants Title Training Level Training Provider Training Hours

Note: Additional information can be attached on a separate sheet if required

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 104
KPI 5-03 Annual 3rd Party OSHMS Compliance Audit conducted this year and form F
Third Party OSHMS Compliance submitted (YES/NO)
Audit
If YES, include date of audit

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
CEO / MD: Official
Stamp:
(Top Manager):

Date :
/__/
(DD/MM/YYYY)

Official Use
Remarks :

Entered into Database by:


Relevant Authority Stamp
Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 105
Form E4
General Information
Classification
Name of Entity:
Code:

Type of Business Activities:

 Building and Construction  Education  Energy

Sector Name:
 Food  Commercial  Health

 Industry  Tourism  Transport

 Waste

Telephone No.: E-mail Address:

Address:
Fax No.: P.O. Box:

Authorized Contact Person:

Authorized Contact Person Position /


Title:

Telephone No.: E-mail Address:

Contact Details of Authorized Person:


Fax No. : P.O. Box :

Annual Budget allocated for OSHMS


Year:
implementation (AED):

Details of Actual Expenditure (during the same year)

1. OSH Management Costs (AED)


OSH Manpower Direct Costs OSH Manpower Indirect Costs

(Salaries of full time OSH staff, Part time (Man hours lost for non-OSH staff who have
Manpower: OSH staff, internal OSH consultant and spent time managing OSH issues, through
related financial costs) supervision, inspection, internal audit, etc)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 106
OSH Training Indirect Costs
OSH Training Direct Costs
(Man hours lost during internal and external
Training: (Internal and external OSH training)
training)

OSH Awareness Events/Campaigns Indirect


OSH Awareness Events/Campaigns
Costs
Direct Costs

Events/Campaigns: (Man hours lost during OSH special


(Costs of OSH special events/campaigns)
events/campaigns)

OSH Consultancy Costs


Third Party Audit
(Cost of consultancy services for gap
Consultancy/Audits: analysis, risk assessment, system (Cost of third party annual audits)
development, etc)

OSH Equipment Capital Costs


OSH Equipment Maintenance Costs
(Purchase of OSH equipment, such as fire
extinguishers, first aid kits, etc. and cost of
(Maintenance of OSH equipment)
safety system purchases or upgrades such
Equipment:
as alarm systems)

Other Costs related to/associated with OSH Management:

2. OSH Incidents Costs (AED)


Repair & Maintenance Costs Replacement Costs

(Property, Machinery, Structure, Vehicle, (Property, Machinery, Structure, Material,


Assets:
etc.) Vehicle, etc)

OSH Incident Scene / Area Restoration


Productivity Loss
Costs
(Includes total value of production, total man
Restoration/Productivity: (Cost of cleanups, arrangement to make the
hours, total work hours lost )
area safe)

Legal Cost
Compensation
Legal: Penalties
Claims
(lawyers, Judicial prosecutions, etc)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 107
Injury Cost
Other Costs
(Treatment, Hospital, Transport, Insurance,
Injury: (relevant to / associated with the Incident)
etc.)

OSH Management OSH Incidents Costs Grand Total


Total Expenditure for OSH Costs (AED) (AED) (AED)
Implementation:

Comments (Please add any additional comment if needed)

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
Official
Authorized Contact
Stamp :
Person:

Date :
/ /_
(DD/MM/YYYY)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 108
Form E5
General Information
Classification
Name of Entity:
Code:

Type of Business Activities:

Telephone No.:
E-mail Address:
Address:

Fax No.: P.O. Box:

Authorized Contact Person:

Authorized Contact Person Position /


Title:

Telephone No.: E-mail Address:


Contact Details of Authorized Person:
Fax No. : P.O. Box :

Annual Budget allocated for OSHMS


Year:
implementation (AED):

Details of Actual Expenditure (during the same year)

1. OSH Management Costs (AED)


OSH Manpower Direct Costs OSH Manpower Indirect Costs

(Salaries of full time OSH staff, Part time (Man hours lost for non-OSH staff who have
Manpower: OSH staff, internal OSH consultant and spent time managing OSH issues, through
related financial costs) supervision, inspection, internal audit, etc)

OSH Training Indirect Costs


OSH Training Direct Costs
(Man hours lost during internal and external
Training: (Internal and external OSH training)
training)

OSH Awareness Events/Campaigns Indirect


OSH Awareness Events/Campaigns
Costs
Direct Costs

Events/Campaigns: (Man hours lost during OSH special


(Costs of OSH special events/campaigns)
events/campaigns)

Consultancy/Audits: OSH Consultancy Costs Third Party Audit

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 109
(Cost of consultancy services for gap (Cost of third party annual audits)
analysis, risk assessment, system
development, etc)

OSH Equipment Capital Costs


OSH Equipment Maintenance Costs
(Purchase of OSH equipment, such as fire
extinguishers, first aid kits, etc. and cost of
Equipment: (Maintenance of OSH equipment)
safety system purchases or upgrades such
as alarm systems)

Other Costs related to/associated with OSH Management:

2. OSH Incidents Costs (AED)


Repair & Maintenance Costs Replacement Costs

(Property, Machinery, Structure, Vehicle, (Property, Machinery, Structure, Material,


Assets:
etc.) Vehicle, etc)

OSH Incident Scene / Area Restoration Productivity Loss


Costs
(Based on monthly average wage per Grade,
Restoration/Productivity: (Cost of cleanups, arrangement to make the total work hours lost per month and total work
area safe) hours per month)

Legal Cost
Compensation Claims
Legal: (lawyers, Judicial prosecutions, etc)

Injury Cost
Other Costs
(Treatment, Hospital, Transport, Insurance,
Injury: (relevant to / associated with the Incident)
etc.)

OSH Management OSH Incidents Costs Grand Total


Total Expenditure for OSH Costs (AED) (AED) (AED)
Implementation:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 110
Comments (Please add any additional comment if needed)

Declaration

I declare that all information provided in this document is true, correct and complete.

Signature of the
Official
Authorized Contact
Stamp :
Person:

Date :
/ /_
(DD/MM/YYYY)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 111
Form F
General Information

Name of Entity:

Registration Number:

Number of Sites/Locations
(including Head Office)

Audit Details

Scope of Audit:

Number of Sites / Locations Visited:

From: Audit Man Days


Reporting Period:
To: Performed:

OSH 3rd Party Auditing


Qudorat Registration No.:
Company:

OSH 3rd Party Lead Auditor: Qudorat Registration No.:

Mandatory Documents to be attached


 3rd Party Audit Report attached

 Corrective Action Plan attached

Number of Minor Number of Major


OSHAD SF Elements
Non-Conformities Non-Conformities

1. OSH Policy

2. Roles and Responsibilities

3. Targets and Objectives

4. Legal Compliance

5. Risk Management

6. Contractor Management

7. Emergency Response and Management

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 112
Number of Minor Number of Major
OSHAD SF Elements
Non-Conformities Non-Conformities

8. Operational Procedures

9. Management of Change

10. Training, Awareness & Competency

11. Hazard, Near Miss, Incident Investigation & Reporting

12. Communication and Consultation

13. Audit and Inspection (Non-Conformance)

14. OSH Performance Monitoring

15. Document Control and Record Retention

16. Management Review

Total:

Corrective Acton Plan for Major Non Compliances (NC):


NC No. Corrective Action Target Date

Entity Declaration:

I declare that all information provided in this document is true, correct and complete.

Signatory of the
Official
Authorized
Stamp:
Contact Person :

Date :
/ /
(DD/MM/YYYY)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 113
Official Use

Remarks:

Entered into Database by:


Relevant Authority Stamp
Name:

Signature:

Date: (DD/MM/YYYY) / /

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 114
Mechanism - 7.0 & 8.0
OSH Professional Entity registration and OSH Practitioner Registration

Mechanism 7 and 8 are concerned with ensuring that all those fulfilling roles in OSH within the
Emirate of Abu Dhabi are qualified and competent based on experience, skill sets, training,
education and qualifications.

These Mechanisms recognize 3 types of Practitioners and 4 types of Professional Entitles, each
subdivided into 2 or 3 grades (see below).

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 115
In addition, the OSH Practitioner Registration Mechanism recognises the following Practitioners as
OSH Trainers:

 Grade A or B Generalist holding a training qualification and/or 2 years of demonstrable


training experience; or
 Lead or Certified Auditor holding a training qualification and/or 2 years demonstrable
training experience; or
 Grade A Technical Specialist holding a training qualification and/or 2 years demonstrable
training experience.

Specific fields of work for OHS practitioners and professional entities are defined and announced by
OSHAD as appropriate.

The mechanisms set detailed process and criteria for registration.

Associated with this mechanism are the standard forms, I, L, M, P, N, O and Q.

Standard Forms:

Form I – Consultancy Evaluation Form


Form M – OSH Professional Entity Project Experience Form
Form P – OSH Professional Entity Declaration and Code of Conduct Template
Form N – OSH Practitioner Resume Template
Form O – OSH Practitioner CPD Form
Form Q – OSH Practitioner Declaration and Code of Conduct Template

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 116
Mechanism – 9.0
Appointment of Principal contractor for “Construction Work”

Mechanism 9.0 is designed to define the procedures to be utilized by OSHAD and Building and
Construction Sector Regulatory Authority to manage the appointment of a principal contractor on
sites where “Construction Work” is being undertaken.

Requirements for Appointment of Principal Contractor

 This mechanism has been developed as part of the OSHAD-SF and prescribes the process
for nominating and appointing principal contractors for “Construction Work” in the
Emirate of Abu Dhabi.
 This mechanism has been developed to regulate the process of notification of projects and
the appointment of principal contractors in the Building and Construction Sector.
 The Building and Construction SRA will administer and enforce the appointment process as
part of the Municipality Building Permit Approval Procedure.
 The aim of this mechanism is to regulate the process for the appointment of an
appropriate entity to perform this important role.
 Refer to OSHAD-SF - CoP 53.0 – OSH Management during “Construction Work” for more
information on the appointment of principal contractors and the obligations of all relevant
stakeholders.
Form H – Notice of Appointment of a Principal Contractor

This form shall be submitted to the Building and Construction SRA by the Developer / Client of all
projects that include:
 “Construction Work” with a duration of 90 days or more; or
 “Construction Work” involving 100 staff or more on site at any time during the project; or
 1,800 man days or more planned construction work.
This form shall be completed and approved before “Construction Work” is to begin on site.

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Mechanism – 10.0
Request to Develop or Update OSHAD-SF Document

Mechanism 10.0 defines the requirements to be met in requesting and processing a proposed
change to any issued OSHAD-SF or associated document.

The purpose is to ensure that proposed changes are beneficial to the system, adequately
described and justified and submitted in an appropriate manner for efficient review by OSHAD.

Submission of Requests

 Requests shall be submitted directly to OSHAD.


 All requests shall be submitted using OSHAD-SF - Form J – Request for Modification of the
OSHAD-SF.
 Additional evidence shall be included in the proposed request, where applicable, as part
of the justification for the change(s).
 Requests made in any other manner shall not be considered.

Criteria and process for review of the submitted request are described in the Mechanism.

Form J – Request for Modification of OSHAD-SF.

This form is used to request a change to the OSHAD-SF or associated document.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 118
Form J
General Information of Requester
Date:
Name:
(DD/MM/YYYY)

Position / Title:

Name of Sector / Entity:

Telephone No.: E-mail Address:


Contact Details:
Fax No. : P.O. Box :

Classification Code: Registration Number:

Modification Request Details

 Change of Existing Requirement in Documents & Forms under the OSHAD-SF

 Introduction of New Requirement in Documents & Forms under the OSHAD-SF

 Cancellation and Removal of Existing Requirement in Documents & Forms under the OSHAD-SF
Document Name: Version Number:

Document Section Number: Page Number:

Existing Situation:

Description of Change
Requested:

Reason for Change /


Amendment / Introduction /
Removal:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 119
OSHAD Use Only:
Change Request
Reference Number:

Change Significance:
 Minor  Significant

Decision::
 Accepted  Not Accepted

 Incorporate immediately  Incorporate at 6-monthly interval

Justification / Comments:

Date:
Reviewer Name: Signature:
(DD/MM/YYYY)

Date:
Manager Name: Signature:
(DD/MM/YYYY)

OSHAD Authorized Date:


Signature:
Signatory: (DD/MM/YYYY)

Requestor Informed of
Decision:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 120
Mechanism – 11.0
Incident Notification, Investigation and Reporting

Mechanism 11.0 defines the procedures to be utilized by OSHAD, Sector Regulatory Authorities
and Entities to manage OSH Incident Notification, Investigation and Reporting.

Note: Although key relevant definitions are provided here, it is important to always refer to the
Glossary of Terms for the correct definition and use of all the relevant terms under OSHAD-SF.

Key Definitions:

Lost Time Injury (LTI): Any absence from work resulting from work-related Fatalities,
Permanent Total Disabilities, Permanent Partial Disabilities and Lost Workday Cases.

Lost Workday Case (LWDC): A work-related injury or illness that results in an injured person
temporarily unable to perform any regular job or restricted work activity on a subsequent
scheduled workday or shift, supported by a medical report from an approved medical practitioner.

Note: Lost Time Injury (LTI) vs. Lost Work Day Case (LWDC): A lost time injury is a
reporting requirement and is a collection of a number of different consequences that can
occur following an incident, such as a fatality, permanent disability etc.

A lost Work Day Case is a single injury or illness which has resulted in a work day being
lost, excluding fatalities.

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Serious OSH Incident: A work related incident that requires notification to SRA and consisting of
or resulting in:
 Fatality;
 Serious Injuries;
 Serious Occupational Illness;
 Serious Dangerous Occurrence

Restricted Workday Case (RWDC): is a work-related injury or illness that results in


limitations on work activity that prevent an individual from doing any task of his/her normal job or
from doing the entire job for any part of the day.

Notification: Notification under OSHAD-SF includes notifying the Serious Incidents to concerned
SRA using the OSHAD-SF - Form G – Serious OSH Incident Notification within (a) 24 hrs. for
fatalities or (b) within 3 working days for other serious incidents.

Reporting: Under the OSHAD-SF includes (a) reporting of incident investigation findings (using
OSHAD-SF - Form G1 – Serious OSH Incident Investigation) and (b) reporting incidents in Quarterly
Performance Report (OSHAD-SF - Form E – Entity Quarterly OSH Performance Report to the relevant
SRA or OSHAD-SF - Form E2 – Government Entity Quarterly OSH Performance Report to OSHAD).

OSH Investigation: Under the OSHAD-SF, the term incident investigation shall refer to the
internal investigation undertaken by the entity and/or the SRA investigation for the purpose of
identifying the root causes of OSH incidents and identifying appropriate corrective actions to
prevent reoccurrence.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 122
Classification of OSH Incidents

Incident Types
The types of the OSH incidents to be recorded, notified and/or reported are listed below:

 Lost Time Injury;


 Fatality;
 Permanent Total Disability;
 Permanent Partial Disability; and
 Lost Workday Case;
 Serious Injury;
 Serious Occupational Illness / Disease;
 Serious Dangerous Occurrence;
 Restricted Work Case;
 Medical Treatment Case;
 First Aid Injury;
 Equipment / Property Damage; and
 Near Miss

Schedule A specifies the List of Serious Dangerous Occurrences.

Schedule B specifies the List of Serious Injuries.

Schedule C specifies the List of Serious Occupational Illnesses / Diseases.

Entities should note that regardless of the classification, all incidents shall be recorded and
investigated internally.

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Recordable vs. Reportable Incidents

 The entity shall ensure that all incidents shall be recorded, whether reportable (next
point) or not, to ensure effective collection of OSH incident and performance data.
 The term “Reportable” as used in this Mechanism refers to Notification & Reporting
requirements as defined above.
 Refer to Schedule No. 1 of Federal Law No. 8 of 1980 and Schedule A (Serious Dangerous
Occurrences), Schedule B (Serious Injuries) & Schedule C (Serious Occupational Illnesses /
Diseases) of this mechanism.

Entity OSH Incident Notification and Reporting Procedures(s)


The entity OSH Incident Notification and Reporting Procedure(s) shall address, at a
minimum:

Process for identification and notification, both internally and externally;


hierarchies, timetables and responsibilities for incident notification and reporting;
internal OSH incident reporting requirements; and
external OSH incident reporting requirements

Serious OSH Incident Notification and reporting requirements:


The entity shall officially notify the concerned SRA as follows:
 Within 24 hours of an incident occurring at a workplace which results in Fatality;
 Within maximum of 3 working days from the date of an incident occurring at a
workplace which results in the following incident types (serious incidents):
a. Serious Dangerous Occurrence (Schedule A);
b. Serious Injury (Schedule B); and
c. Receipt of a written diagnosis or other knowledge of the occurrence of a Serious
Occupational Illness or Disease arising out of and in the course of work (Schedule C)
 OSH injuries / illnesses shall be notified to SRA’s based on immediate judgment of their
severity, where a medical report is not available at the time of notification.
 The entity shall notify the concerned SRA of relevant OSH incidents by completing and
submitting OSHAD-SF Form G – Serious OSH Incident Notification (mandatory for entities

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with an approved OSH MS and for Medium Risk Entities complying with minimum
requirements stipulated in OSHAD-SF – Mechanism 5.0).
 The actual severity and consequences of the notified injury / illness once established based
on investigation and diagnosis by licensed health care professional and supported by
medical report shall be reported in the incident investigation report to the SRA (Form G1)
as well as in the entity performance report to the SRA (Form E/E2).

IMPORTANT NOTE: If a LWDC transforms into Fatality or Permanent Total / Partial Disability, it
will no longer be considered as LWDC. Incident Severity, Statistics and KPIs shall be updated
accordingly for severity of injury and number of lost workdays. Such escalation applies to all types
of incident / injury.

OSH Incidents with Multiple Consequences:


 A single OSH incident may result in multiple consequences.
 In case the consequences are multiple injuries, injury details for each person should be
completed as part of the incident notification.
 OSHAD-SF – Form E, E1 and E2 have been designed to collate multiple consequences of
single incident. This is to correctly account for the number of injuries and incidents
while calculating injury rates / frequencies.
 Appendix 2 of Mechanism 11 includes an example.

Medium & Low Risk Entities Notification and Reporting:


 Entities officially notified to comply with OSHAD-SF – Mechanism 5.0 – OSH Requirements
for Medium Risk Entities shall follow these requirements for Serious OSH Incident
Notification & Reporting:
1. Notification of all “Serious OSH Incidents” as soon as practicable.
submitting OSHAD-SF – Form G – Serious OSH Incident Notification;
2. Submitting internal investigation Reports for all “Serious OSH Incidents” as
stipulated, by completing and submitting OSHAD-SF – Form G1 – Serious OSH
Incident Investigation.
 For notified Low Risk Entities, the concerned SRA shall undertake the
internal OSH investigation when notified of fatalities

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Principal Contractor OSH Incident Notification and Reporting Process:
 Principal contractors shall notify, investigate and report relevant OSH incidents to
the Building and Construction SRA (as per OSHAD-SF – CoP 53.0 – OSH Management during
“Construction Work”) for their operations and all construction subcontractors that are not
nominated.
 At a workplace where “Construction Work” is being undertaken and there is a principal
contractor assigned the following OSH performance and incident reporting
hierarchies apply:
a. all OSH incidents at the workplace shall be notified to the principal contractor;
b. if a sub-contractor or project manager / client representative / supervising
consultant is involved in an OSH incident and they do have an approved OSH MS,
they are responsible for notifying, investigating and reporting the incident to
the concerned SRA; and
c. if a sub-contractor or project manager / client representative / supervising
consultant is involved in an OSH incident and they do not nominated, the principal
contractor is responsible for notifying, investigating and reporting the incident
to the concerned SRA.

Entity Internal OSH Incident Investigation:

The entity internal OSH Incident Investigation Procedure(s) shall address, at a minimum:
 process for classification of incidents and incident types;
 process of recording, investigating and analyzing OSH incidents;
 roles and responsibilities of all stakeholders involved in incident investigations;
 that investigations are performed by competent person(s), as required by OSHAD and in
consultation and coordination with relevant stakeholders;
 terms of reference for investigations;
 contents of an investigation report;
 that investigations are performed in a timely manner;
 process to determine the root causes of OSH incidents;
 opportunities for corrective and preventative control measures; and
 effective communication of the outcomes of the investigation to relevant stakeholders

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Internal Investigation team:
 The entity shall ensure that the person(s) designated to undertake the internal OSH
investigation are competent in the application of techniques employed in the investigation.
 Depending on the severity of OSH incidents, it may be deemed appropriate and/or
necessary to utilize the services of professional investigators to assist in the internal OSH
investigation of the root causes of the incident.

Preserving Incident Site and Evidence:

 The employer shall, as far as reasonably practicable, preserve and not disturb the site
where an incident has occurred until the relevant authorities (Police, Civil Defense) arrive
on site or direct the employer to take other action.
 The employer shall preserve all evidence associated with the incident until such time as
the relevant authorities (Police, Civil Defense) deem necessary to ensure that all relevant
evidence is collected.
 Notwithstanding these requirements, the entity may take such steps as reasonably
necessary to preserve the life or safety of any person, or prevent further damage to
property.

Process of investigating and analyzing OSH incidents:


 The entity shall ensure that all work related incidents, including near misses and
dangerous occurrences, are investigated. The focus of investigation shall be to identify
root causes, prevent future incidents and injuries and not to assign blame for the incident.
 The entity shall initiate an internal investigation of all incidents as soon as practicable,
in which:
(a) the level of investigation shall be proportional to the magnitude of the occurrence;
(b) the entity shall use methods, processes and techniques sufficient to identify the
root cause(s) of the occurrence.

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OSH Investigation Reports

An internal OSH incident investigation report shall include information such as, but not
limited to:
 type of OSH incident;
 details of the injured person (e.g. gender, occupation, experience, training, etc.);
 details of the location;
 details of the event;
 Evidence c o l l e c t e d ( e.g. arrangements and location for witness interviews, the
statements of the interviewees, photographs of the scene, OSHMS documents, maintenance
registers);
 actual consequences (e.g. people, assets, reputation) and potential consequences of the
incident;
 details of the investigation outcome (e.g. equipment maintenance records; risk assessments
/ registers; the status of the implementation of the emergency plan and procedures, where
appropriate);
 recommendations (corrective action plan) on preventing the recurrence of a similar
incident (the recommendations shall prioritize the actions with target completion dates and
stipulate the action parties and responsibilities);
 the person(s) responsible for the investigation, their authority and competency
requirements; and
 The direct and indirect causes of the incident.

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Completing and Reporting Serious OSH Incident Investigations:
These requirements are applicable to all Serious OSH Incidents notified to the concerned SRA
(using Form G) by entities with an approved OSH MS as well as for Medium Risk Entities complying
with minimum requirements stipulated in OSHAD-SF – Mechanism 5.0.
 The internal incident investigation report, shall be completed and submitted to the
concerned SRA within 30 calendar days of the date of the incident as an attachment to the
completed OSHAD-SF – Form G1.
 The completed OSHAD-SF - Form G1 shall identify OSH injuries / illnesses in terms of their
actual severity and consequences based on diagnosis by licensed health care professional
and supported by medical report.
 Entities shall submit the corrective action plan, to the relevant SRA as part of the completed
investigation report. The entity shall update the relevant SRA on the progress of the
corrective actions.
 OSHAD acknowledges that specific components of the final report may not be
available within 30 calendar days of the incident – such as outcomes of official Abu
Dhabi Police investigation or the results of specific scientific/medical investigations or tests.
This should not delay the submission of the entity’s investigation report.

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Submission and Review of OSH Investigations:
 The SRA shall ensure that all completed internal OSH incident investigations by entities are
submitted within 30 calendar days. Where this is not possible due to information not being
fully available or the investigation incomplete, the SRA shall ensure that an ongoing
record of communication is kept and all stakeholders, including OSHAD, are aware of
the timescales for completion.
 The SRA shall review all submitted investigations for completeness and to ensure the root
cause of the incident has been identified, within 5 working days of receipt of the completed
investigation.
 The SRA shall review the corrective action plan submitted, as part of the internal OSH
incident investigation, to ensure it is reasonable and appropriate. The SRA may request
additional corrective action where required.
 The SRA shall ensure that all completed investigations, including OSHAD-SF - Form G1,
are submitted to OSHAD within 3 working days of review by the SRA.
 OSHAD may request, at any time, additional investigation or action on a submitted
internal investigation

Other issues addressed in the Mechanism:


 Establishing work relationship
 Pre-existing medical/health conditions.
 Penetration (sharp) injuries.
 Definition and handling of “other persons”.
 Role of SRA in notification, investigation and reporting incidents, as well as in monitoring
corrective action and incident analysis.
 Role of OSHAD in OSH incident investigation.

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OSHAD-SF - Standard Forms

Form G – Serious OSH Incident Notification


This form is to be submitted by entities to the concerned SRA to notify a Serious Incident. It
requires details of the incident and shall be submitted as per the reporting requirements: a) for
fatalities within 24 hrs. of incident and b) for other Serious Incidents within maximum of 3
working days from the date of incident. The concerned SRA to notify OSHAD about the
Serious Incident using Form G within one working day within 1 day form receipt of the
notification.

Form G1 – Serious OSH Incident Investigation


This form is to be submitted by entities to the concerned SRA to summarize Serious Incident
Internal Investigation findings. The full OSH Incident investigation shall be attached to the
completed OSHAD-SF – Form G1. It requires details of the incident investigation and shall be
submitted as per the reporting requirements: as soon as practicable – Maximum 30 Calendar Days
from Date of Incident - For all Serious Incidents notified to SRA by Form G.

Form G2 – Non-Serious OSH Incident Investigation


This form is for Entity Internal Use and Recordkeeping. All non-serious Incidents not requiring
immediate notification to SRA should be investigated internally and results recorded using
Form G2 only.

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Form G
Notification Date:
Notification To: (DD/MM/YYYY)

To be submitted to the concerned Sector Regulatory Authority a) for fatalities within 24 hrs. of incident and b) for other
Serious Incidents within maximum of 3 working days from the date of incident.

1. Reporting Entity
Incident No. (for official use by SRA)
Information:
Name of Entity:

Sector: Classification Code:


Registration Number:
Address of Entity:
Authorized Contact Person: Email Address:

Telephone Number: Mobile Number:

2. Reporting on behalf of a Non-Nominated Contractor


(hired by or working for Entity but not Nominated currently with any concerned SRA/does not ☐ Yes ☐ No
fall under any current Sector).
Name of Contractor:

Type of Business:

Address:

3. Incident Information
DD/MM/YYYY Time (24 hr):

☐ Serious Dangerous ☐ Serious Occupational


☐ Serious Injury
☐ Fatality Occurrence Illness
Type of Incident:
Mechanism11Schedule Mechanism 11Schedule Mechanism 11Schedule
A B C

Other Restricted Workday Case Equipment / Property


Medical Treatment Case First Aid Cases
Consequences Damage
resulting from
this incident

Incident Description: (Attach


additional pages if required)

Incident Location on Site:

Incident Workplace Address:

Region where incident


☐ Abu Dhabi ☐ Al Ain ☐ Western region
occurred:
Applicable Reports: ☐ Police ☐ Medical ☐ Other (Specify)

Attached: ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 132
4. Injury Type based on Immediate Judgment of the Severity:
The actual severity and consequences of the notified injury based on diagnosis by licensed health care professional and suppo rted
by medical report shall be reported in the incident investigation report to the SRA (Form G1) as well as in the entity performance
report to the SRA (Form E/E2).
☐ Injury causing the affected person temporarily unable to perform any regular job or restricted work activity on a subsequent
scheduled workday or shift
☐ Immediate medical treatment of the injured person(s) as an in-patient in a hospital;

☐ Medical treatment of the injured person(s) within 48 hours of exposure to a substance;


Immediate medical treatment of the injured person(s) for:
☐ fracture (not including fingers or toes) ☐ electric shock or electrical burn;

☐ loss of a distinct part or organ of body including the


☐ serious burns due to thermal and chemical agents;
amputation of any part of body;
☐ loss of consciousness and/or requiring resuscitation; ☐ entrapment of a body part in machinery / equipment / plant

☐ a serious head injury; ☐ a spinal injury;

☐ a serious eye injury including loss of sight (temporary or ☐ dislocation of joints


permanent); ☐ the loss of bodily function; and

☐ exposure to a hazardous material; ☐ Serious laceration

☐ the separation of skin from any underlying tissue (such as


☐ Other
scalping or de-gloving);

5. Injury Severity known at the time of Incident


The actual severity and consequences of the notified injury based on diagnosis by licensed health care professional and suppo rted
by medical report shall be reported in the incident investigation report to the SRA (Form G1) as well as in the entity performance
report to the respective SRA (Form E/E2).
☐ Fatality

☐ Permanent Total Disability

☐ Permanent Partial Disability

☐ Lost Workdays Injury

☐ Lost Workdays Occupational Illness

6. Injured Person’s Personal Details (For Injuries):


In case of an incident with more than one injured person, complete the information for each person
using separate forms
Name: Occupation:
Relationship with Entity: ☐ Entity Employee ☐ Contractor Employee ☐ Other Person (e.g. Visitor,)
Nationality: Date of Birth:
Passport Number: Length of Service: Years Months
Contact Phone Number: Gender: ☐ Male ☐ Female

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7. Actions Taken Immediately after the Incident:
(Attach additional pages if more space is required)

No. Actions Responsibility Status

1.

2.

3.

Declaration by Reporting Entity:


I declare that all information provided in this document is true, correct and complete.

Signature of the
Official
Authorized
Stamp:
Contact Person :

Date :
(DD/MM/YYYY)

Official Use by SRA


Requires SRA Investigation / Follow-
Requires Reporting to OSHAD:  Yes  No up  Yes  No

Remarks:

Relevant Authority Stamp Entered into Database by:

Name:

Signature:

Date: (DD /MM /YYYY)

Reviewed by:

Name:

Signature:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 134
Form G1
Appropriate Investigation to be completed as per Mechanism 11.0
To be completed and submitted to SRA as soon as practicable
Maximum 30 Calendar Days from Date of Incident - For all Serious Incidents notified to SRA by Form G
Reporting Date:
Reporting To:
(DD/MM/YYYY)

Part A – Incident Information (as notified in Form G)


1. Reporting Entity Information: Incident No. (for official use by SRA)
Name of Entity:
Sector: Classification Code:
Registration Number:
Address of Entity:
Authorized Contact
Email Address:
Person:
Telephone Number: Mobile Number:

2. Reporting on behalf of a Non-Nominated Contractor (hired by or working for Entity


☐ Yes ☐ No
but not Nominated currently with any concerned SRA/does not fall under any current Sector):

Name of Contractor:
Type of Business:
Address:

3. Incident Information:
Date of Incident:
Time (24 hr):
(DD/MM/YYYY)
Incident Type:
☐ Fatality
☐ Permanent Total Disability
Lost Time Injuries
☐ Permanent Partial Disability

☐ Lost Workdays Injury


☐ Lost Workdays Occupational Illness
☐ Serious Dangerous Occurrence

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4. Incident Details:
Brief description of the
main circumstances
leading to the Incident:
(Attach additional pages
if requires)
Incident Location on Site:

Incident Workplace
Address
Region where incident
☐ Abu Dhabi ☐ Al Ain ☐ Western region
occurred:

☐ Investigation
Applicable Reports: ☐ Police ☐ Medical ☐ Other (Specify)
report and Photos
Attached: ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

5. Injured Person’s Personal Details (For Injuries):

In case of an incident with more than one injured person, complete the information for each person using separate forms

Name: Occupation:
Relationship with Entity: ☐ Entity Employee ☐ Contractor Employee ☐ Other Person (e.g. Visitor,)
Nationality: Date of Birth:
Passport Number: Length of Service: Years Months
Contact Phone Number: Gender: ☐ Male ☐ Female

Part B – Incident Investigation Summary

1. Incident Causes Details: To be supported with the incident investigation report


☐ Failure to secure ☐ Operating equipment without authority

☐ Failure to warn ☐ Servicing equipment in operation

☐ Removing / Defeating Safety Devices ☐ Using defective equipment / tools

Immediate Cause ☐ Failure to use PPE properly ☐ Using equipment improperly


(Unsafe Act) ☐ Operating at improper speed ☐ Improper lifting/ loading/ placement

☐ Lack of awareness / knowledge ☐ Improper position for task

☐ Lack of attention / concentration ☐ Horseplay (practical joke with harmful impacts)

☐ Violation / taking shortcuts ☐ Others

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☐ Inadequate guards or barriers ☐ Inadequate or improper protective equipment

☐ Inadequate warning system or notice ☐ Inadequate or excess illumination

☐ Inadequate ventilation ☐ Congestion/ restricted action/ poor access

Immediate Cause ☐ Fire and explosion hazards ☐ Poor housekeeping, disorder


(Unsafe Conditions) ☐ High / Low temperature exposure ☐ Excessive noise exposure

☐ Hazardous gases/dusts/vapors/fumes ☐ Radiation exposure

☐ Defective tools, equipment or materials ☐ Equipment failure

☐ Others

☐ Physical Capability ☐ Physical Condition


(Any sensory deficiency, Inadequate size (previous injury/illness, Fatigue, blood sugar
or strength or physical disabilities) or Impairment due to drugs)

☐ Mental State ☐ Skill Level


(poor judgment, memory failure, poor (Inadequate required skill, lack of coaching on
Root Causes
condition, fears or emotional disturbance) skill or infrequent performance of skill)
(Personal factor)
☐ Behavior ☐ Mental Stress
(save time, avoids discomfort, improper (Frustration, confusion/conflicting directions,
supervisory, inadequate disciplinary emotional overload, extreme meaningless
process or inappropriate aggression) activities or concentration/judgment demands)

☐ Human Error ☐ Others

☐ Inadequate Training / Knowledge transfer ☐ Inadequate Leadership Supervision

☐ Inadequate / Missing Work Procedures (SoP) ☐ Inadequate Incident Investigation / Analysis

☐ Inadequate Purchasing/Material handling ☐ Inadequate Engineering / Design / Controls


Root Causes
☐ Inadequate Tools/Equipment ☐ Inadequate Maintenance
(System Factor)
☐ Inadequate Risk Assessment / Management ☐ Inadequate Communication

☐ Inadequate Contractor Management ☐ Inadequate Planned Inspections

☐ Inadequate Management of Change ☐ Inadequate Emergency Response Plan

☐ Others

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2. Injury Details:
To be supported with diagnosis by Licensed Health Care Professional and/or Medical Report
☐ Abrasions / Bruising ☐ Amputation - Traumatic ☐ Bite / Sting
☐ Burn ☐ Concussion ☐ Crush / Internal Injury
☐ Cuts/ Laceration / Open
☐ Hearing Loss / Deafness ☐ Dislocation
Wound
☐ Electric Shock ☐ Foreign Body under Skin ☐ Fracture
☐ Foreign Body in Eye ☐ Infectious Disease ☐ Hernia
Nature of Injury / Illness: ☐ Occupational Illness / ☐ Musculoskeletal Disorder -
☐ Heat Related Illness
Disease Chronic / RSI
☐ Poisoning / Toxic Effect -
☐ Nerve / Spinal Cord Injury ☐ Psychological (Stress)
Ingestion
☐ Poisoning / Toxic Effect –
☐ Strain / Sprain ☐ Respiratory Disease
Inhalation
☐ Skin Irritation / Disease ☐ Other ☐ Other

☐ Bite / Sting ☐ Biological Factors ☐ Cave-In or Collapse


☐ Chemicals / Substances / ☐ Dust / Fumes / Gases
☐ Drowning / Submersion
Radiation ☐ Equipment / Property Damage
☐ Extreme Temperature /
☐ Electricity ☐ Fall from Height
Mechanism of Injury / Fire
Illness: ☐ Hit by Moving Object /
☐ Manual Handling ☐ Mental Stress
Crush / Vehicle
☐ Occupational Violence ☐ Penetrating Injury (needle stick, puncture wound)
☐ Repetitive Motion ☐ Slip, Trip and Fall ☐ Sound / Pressure
☐ Struck by Falling Object ☐ Other Unspecified Mechanism:

☐ Animal / Human ☐ Confined Space ☐ Environmental Conditions


☐ Materials or Chemical
☐ Fixed Machinery / Plant ☐ Infectious Agent
Substances
Agency / Source of ☐ Mobile Plant / Equipment ☐ Non-Powered Equipment / Tools / Appliances
Injury / Illness: ☐ Powered Equipment / Tools ☐ Road Transport /
☐ Scaffolding or Ladders
/ Appliances Vehicles
☐ Sharps / Scalpels / Needles
☐ Trench or Excavations ☐ Other
/ etc.
☐ Cervical Spine ☐ Ear ☐ Eye
☐ Head / Neck ☐ Face (excluding eye) ☐ Forehead ☐ Mouth
☐ Neck ☐ Nose ☐ Scalp / Skull
☐ Abdomen ☐ Back ☐ Genitals
☐ Trunk
☐ Pelvis ☐ Spine ☐ Thorax

Bodily ☐ Clavicle (Collar Bone) ☐ Elbow ☐ Fingers (other than Thumbs)


Location: ☐ Upper
☐ Forearm ☐ Hand ☐ Shoulder
Extremity
☐ Thumb ☐ Upper Arm ☐ Wrist
☐ Ankle ☐ Buttocks ☐ Foot
☐ Lower
☐ Hip / Groin ☐ Knee ☐ Lower Leg
Extremity
☐ Thigh ☐ Toes
☐ Internal ☐ Arteries ☐ Brain ☐ Heart

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 138
Organs ☐ Intestines ☐ Kidney ☐ Liver
☐ Lungs ☐ Spleen ☐ Stomach
☐ General ☐ Heat Related ☐ Occupational Illness ☐ Other:

3. Actions Taken Immediately after the Incident: (Attach additional pages if more space is required)
No. Actions Responsibility Date Completed:

1.

2.

3.

4. Incident Root Cause(s): (Refer to Section 1. Attach additional pages if more space is required)

1.

2.

3.

5. Corrective Actions to prevent Recurrence: (Attach additional pages if more space is required)
No. Actions: Person Responsible: Target Date

1.

2.

3.

6. Incident Cost: (Approximate / Best Estimate)


No. Item / Area Amount (Dhs.)

1. ☐ Injury Cost (Treatment, Hospital, Transport, Insurance, etc.)

2. ☐ Legal Cost (Compensation claims, judicial prosecutions, etc. – Federal Law No. 8)

☐ Productivity Cost (Business disruptions, Delays, Production loss / day, Material, Salaries,
3.
etc.)

☐ Asset Cost (Property, Machinery, Equipment, Structure, Vehicle, etc. – Repair &
4.
Maintenance)

☐ Asset Cost (Property, Machinery, Equipment, Structure, Material, Vehicle, etc. –


5.
Replacement)

6. ☐ Enforcement Action (Penalty Issued by Authority)

☐ Incident Scene / Area Restoration Cost (arrangements to making safe, cleanup,


7.
etc.)

8. ☐ Other Cost relevant to / associated with the Incident

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 139
9. Total Cost

7. Risk Assessment:
(considering / implementing the post incident corrective actions and controls): Refer to OSHAD SF Technical Guideline on
Process of Risk Management
Probability: ☐ Rare ☐ Possible ☐ Likely ☐ Often ☐ Frequent

Severity of ☐ Catastrophic
☐ Insignificant ☐ Minor ☐ Moderate ☐ Major
Consequence:

Level of Residual Risk: ☐ Low ☐ Moderate ☐ High ☐ Extreme

8. Declaration by Injured Person (If applicable / possible)


I declare that all information provided in this document is true, correct and complete.

Name of Injured Signature of Injured


Person or Person or
Representative: Representative:

Date :
(DD/MM/YYYY)

Declaration by Reporting Entity:


☐ I declare that all information provided in this document is true, correct and complete.
☐ Complete investigation report attached – as per Mechanism 11.0 – Incident Notification, Investigation and Reporting
☐ Relevant evidence included / attached to report (e.g. Copies of Relevant Procedures, Permits to Work, Photos, Drawings,
MSDS, Copy of Police Report, Copy of Medical Report, Interviews, etc.)
☐ I declare that corrective actions listed in this form and/or the attached investigation report will be fully implemented in a timely
manner

Incident Investigation Status: ☐ Closed – Completed ☐ Report attached

Signature of the CEO / MD:


Official
Stamp:
(Top Manager)

Date : (DD/MM/YYYY)

Official Use by SRA


Requires SRA
Requires Reporting to OSHAD  Yes  No Investigation / Follow-up  Yes  No

Remarks:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 140
Relevant Authority Stamp
Entered into Database by:

Name:

Signature:

Date: (DD/MM/YYYY)

Reviewed by:

Name:

Signature:

Date: (DD/MM/YYYY)

Note: Personal information will not be disclosed to other parties without entity’s consent unless required to do so by law

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 141
Form G2
Appropriate Investigation to be completed as per Mechanism 11.0
All non-serious Incidents not requiring notification to SRA should be investigated and results recorded using
this Form (G2)

Part A – Incident Information


1. Reporting Entity Information:
Name of Entity:
Sector: Classification Code:
Registration Number:
Address of Entity:
Authorized Contact
Email Address:
Person:
Telephone Number: Mobile Number:

2. Incident involving a Non-Nominated Contractor


(hired by or working for Entity but not Nominated currently with any concerned SRA/does not fall under ☐ Yes ☐ No
any current Sector):

Name of Contractor:
Type of Business:
Address:

3. Incident Information:
Date of Incident
Time (24 hr):
(DD/MM/YYYY)

Incident Type:

☐ Restricted Work Case

☐ Medical Treatment Case


☐ First aid Injury
☐ Equipment / Property Damage

☐ Near-miss

4. Incident Details:
Brief description of the
main circumstances leading
to the Incident: (Attach
additional pages if more
space is required)

Incident Location on Site:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 142
Incident Workplace
Address:

Medical Report: (If


applicable)

5. Injured Person’s Personal Details (For Injuries):


In case of an incident with more than one injured person, complete the information for each person using separate forms

Name: Occupation:
Relationship with Entity: ☐ Entity Employee ☐ Contractor Employee ☐ Other Person (e.g. Visitor,)
Nationality: Date of Birth:
Passport Number: Length of Service: Years Months
Contact Phone Number: Gender: ☐ Male ☐ Female

Part B – Incident Investigation Summary


1. Incident Causes Details:
To be supported with the incident investigation report

☐ Failure to secure ☐ Operating equipment without authority

☐ Failure to warn ☐ Servicing equipment in operation

☐ Removing / Defeating Safety Devices ☐ Using defective equipment / tools

Immediate Cause ☐ Failure to use PPE properly ☐ Using equipment improperly


(Unsafe Act) ☐ Operating at improper speed ☐ Improper lifting/ loading/ placement

☐ Lack of awareness / knowledge ☐ Improper position for task

☐ Lack of attention / concentration ☐ Horseplay (practical joke with harmful impacts)

☐ Violation / taking shortcuts ☐ Others

☐ Inadequate guards or barriers ☐ Inadequate or improper protective equipment

☐ Inadequate warning system or notice ☐ Inadequate or excess illumination

☐ Inadequate ventilation ☐ Congestion/ restricted action/ poor access

Immediate Cause ☐ Fire and explosion hazards ☐ Poor housekeeping, disorder


(Unsafe Conditions) ☐ High / Low temperature exposure ☐ Excessive noise exposure

☐ Hazardous gases/dusts/vapors/fumes ☐ Radiation exposure

☐ Defective tools, equipment or materials ☐ Equipment failure

☐ Others

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 143
☐ Physical Capability ☐ Physical Condition
(Any sensory deficiency, Inadequate size (previous injury/illness, Fatigue, blood sugar
or strength or physical disabilities) or Impairment due to drugs)

☐ Mental State ☐ Skill Level


(poor judgment, memory failure, poor (Inadequate required skill, lack of coaching on
Root Causes
condition, fears or emotional disturbance) skill or infrequent performance of skill)
(Personal factor)
☐ Behavior ☐ Mental Stress
(save time, avoids discomfort, improper (Frustration, confusion/conflicting directions,
supervisory, inadequate disciplinary emotional overload, extreme meaningless
process or inappropriate aggression) activities or concentration/judgment demands)

☐ Human Error ☐ Others

☐ Inadequate Training / Knowledge transfer ☐ Inadequate Leadership Supervision

☐ Inadequate / Missing Work Procedures (SoP) ☐ Inadequate Incident Investigation / Analysis

☐ Inadequate Purchasing/Material handling ☐ Inadequate Engineering / Design / Controls


Root Causes
☐ Inadequate Tools/Equipment ☐ Inadequate Maintenance
(System Factor)
☐ Inadequate Risk Assessment / Management ☐ Inadequate Communication

☐ Inadequate Contractor Management ☐ Inadequate Planned Inspections

☐ Inadequate Management of Change ☐ Inadequate Emergency Response Plan

☐ Others

2. Injury Details:
To be supported with diagnosis by Licensed Health Care Professional and/or Medical Report
☐ Abrasions / Bruising ☐ Amputation - Traumatic ☐ Bite / Sting
☐ Burn ☐ Concussion ☐ Crush / Internal Injury
☐ Cuts/ Laceration / Open
☐ Hearing Loss / Deafness ☐ Dislocation
Wound
☐ Electric Shock ☐ Foreign Body under Skin ☐ Fracture
☐ Foreign Body in Eye ☐ Infectious Disease ☐ Hernia
Nature of Injury / Illness: ☐ Occupational Illness / ☐ Musculoskeletal Disorder -
☐ Heat Related Illness
Disease Chronic / RSI
☐ Poisoning / Toxic Effect -
☐ Nerve / Spinal Cord Injury ☐ Psychological (Stress)
Ingestion
☐ Poisoning / Toxic Effect –
☐ Strain / Sprain ☐ Respiratory Disease
Inhalation
☐ Skin Irritation / Disease ☐ Other Other

☐ Bite / Sting ☐ Biological Factors ☐ Cave-In or Collapse


☐ Dust / Fumes / Gases
Mechanism of Injury / ☐ Chemicals / Substances /
☐ Drowning / Submersion ☐ Equipment / Property
Illness: Radiation
Damage
☐ Extreme Temperature / Fire ☐ Electricity ☐ Fall from Height

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 144
☐ Hit by Moving Object / Crush /
☐ Manual Handling ☐ Mental Stress
Vehicle
☐ Occupational Violence ☐ Penetrating Injury (needle stick, puncture wound)
☐ Repetitive Motion ☐ Slip, Trip and Fall ☐ Sound / Pressure
☐ Struck by Falling Object ☐ Other Unspecified Mechanism:

☐ Animal / Human ☐ Confined Space ☐ Environmental Conditions


☐ Materials or Chemical
☐ Fixed Machinery / Plant ☐ Infectious Agent
Substances
Agency / Source of ☐ Mobile Plant / Equipment ☐ Non-Powered Equipment / Tools / Appliances
Injury / Illness: ☐ Powered Equipment / Tools / ☐ Road Transport /
☐ Scaffolding or Ladders
Appliances Vehicles
☐ Sharps / Scalpels / Needles /
☐ Trench or Excavations ☐ Other
etc.
☒ Cervical Spine ☐ Ear ☐ Eye
☐ Head /
☒ Face (excluding eye) ☐ Forehead ☐ Mouth
Neck
☐ Neck ☐ Nose ☐ Scalp / Skull
☐ Abdomen ☐ Back ☐ Genitals
☐ Trunk
☐ Pelvis ☐ Spine ☐ Thorax
☐ Clavicle (Collar Bone) ☐ Elbow ☐ Fingers (other than Thumbs)
☐ Upper
☐ Forearm ☐ Hand ☐ Shoulder
Bodily Extremity
☐ Thumb ☐ Upper Arm ☐ Wrist
Location:
☐ Ankle ☐ Buttocks ☐ Foot
☐ Lower
☐ Hip / Groin ☐ Knee ☐ Lower Leg
Extremity
☐ Thigh ☐ Toes
☐ Arteries ☐ Brain ☐ Heart
☐ Internal
☐ Intestines ☐ Kidney ☐ Liver
Organs
☐ Lungs ☐ Spleen ☐ Stomach
☐ General ☐ Heat Related ☐ Occupational Illness ☐ Other:

3. Actions Taken Immediately after the Incident:


(Attach additional pages if more space is required)

Date Completed:
No. Actions: Responsibility
(DD/MM/YYYY)

1.

2.

3.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 145
4. Incident Root Cause(s):
(Refer to Section 1. Attach additional pages if more space is required)
1.

2.

3.

5. Corrective Actions to Prevent Recurrence:


(Attach additional pages if more space is required)

Target
No. Actions: Person Responsible:
Date(DD/MM/YYYY)

1.

2.

3.

6. Incident Cost:
(Approximate / Best Estimate)

No. Item / Area Amount (Dhs.)

1. ☐ Injury Cost (Treatment, Hospital, Transport, Insurance, etc.)

2. ☐ Legal Cost (Compensation claims, judicial prosecutions, etc. – Federal Law No. 8)

☐ Productivity Cost (Business disruptions, Delays, Production loss / day, Material, Salaries,
3.
etc.)

☐ Asset Cost (Property, Machinery, Equipment, Structure, Vehicle, etc. – Repair &
4.
Maintenance)

☐ Asset Cost (Property, Machinery, Equipment, Structure, Material, Vehicle, etc. –


5.
Replacement)

6. ☐ Enforcement Action (Penalty Issued by Authority etc.)

7. ☐ Incident Scene / Area Restoration Cost (arrangements to make safe, cleanup, etc.)

8. ☐ Other Cost relevant to / associated with the Incident

9. Total Cost

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 146
7. Risk Assessment
(considering / implementing the post incident corrective actions and controls) Refer to OSHAD SF Technical Guideline on
Process of Risk Management
Probability: ☐ Rare ☐ Possible ☐ Likely ☐ Often ☐ Frequent

Severity of ☐ Catastrophic
☐ Insignificant ☐ Minor ☐ Moderate ☐ Major
Consequence:

Level of Residual Risk: ☐ Low ☐ Moderate ☐ High ☐ Extreme

8. Declaration by Injured Person (If applicable)


I declare that all information provided in this document is true, correct and complete.

Name of Injured Signature of Injured


Person or Person or
Representative: Representative:

Date :
/ /
(DD/MM/YYYY)

9. Reviews & Approvals:


☐ Complete investigation report attached – as per Mechanism 11.0 – Incident Notification, Investigation and Reporting.
☐ Relevant evidence included / attached to report (e.g. Copies of Relevant Procedures, Permits to Work, Photos, Drawings, MSDS,
Copy of Police Report, Copy of Medical Report, Interviews, etc.)
☐ Corrective actions listed in this form and/or the attached investigation report will be fully implemented in a timely manner

Incident Investigation Status: ☐ Closed – Completed ☐ Report attached

Signature of Investigation Team Leader Signature of OSH Manager or Equivalent

Date (DD/MM/YYYY) / / Date (DD/MM/YYYY) / /

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 147
The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 148
Section 3: Attachments

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 149
Mechanism – 12.0
Notification Requirements for OSH Awareness Activities

Mechanism 12.0 defines the requirements to be met when planning awareness activities and/or
contact with the media in relation to OSH / OSHAD-SF.
 The purpose is to ensure that OSH awareness activities conducted by SRAs and Government
Entities are planned and undertaken in a coordinated manner to ensure appropriate,
accurate, timely and consistent OSH information is communicated to the intended audience.
 Awareness activities addressed within this mechanism are limited to those delivered
by an SRA or a Government Entity to external stakeholders, i.e. not to their own employees.
 This mechanism also provides basic guidance and requirements when SRA’s and
Government Entities are required to respond to unplanned enquiries from the media after
OSH incidents.

General Requirements:
 As the Competent Authority for Occupational Safety and Health within the Emirate of
Abu Dhabi and for the OSHAD-SF, OSHAD has a role to ensure OSH related awareness
activities are presented in a coordinated and disciplined manner and include information
that is appropriate, accurate and consistent.
 The purpose of this mechanism is not to limit or hinder SRAs or Government Entities OSH
awareness activities, but to ensure a coordinated approach and to protect the reputation of
the Emirate of Abu Dhabi, OSHAD and the OSHAD-SF. This coordination shall ensure that
awareness activities do not conflict with those of other SRA’s / OSHAD / or any
other relevant authorities.
 OSHAD will support these activities by ensuring consistent key messages and
interpretations of the requirements of the OSHAD-SF, a strategic approach of coordination
between the concerned SRA’s, and organizing technical support for specific OSH related
issues.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 150
OSHAD role in Awareness activities:

OSHAD shall review and approve all awareness materials developed by an SRA or
Government Entity with particular regard to:
 Consistent and accurate information;
 Applicability to other Sectors / Stakeholders; and
 On-going awareness activities
Awareness materials shall be submitted to OSHAD using Form L.

Awareness Activities Subject to the Mechanism:


 Events (e.g., workshops, training sessions, seminars).
 Media activities (e.g., press releases / statements or video release).
 OSH publications (e.g., Brochures, Flyers, Information / Fact Sheets, Newsletters / Posters).
 Safety Alerts (Information / Fact Sheets; written or electronic).

Exclusions
As the competent authority for OSH in the Emirate of Abu Dhabi, OSHAD shall lead specific types of
awareness activities, including but not limited to the following:

 Conferences related to OSH or the OSHAD-SF;


 Invitation to international speakers at any OSH event;
 Printed or Electronic Guidance / Guidelines / Handbooks / Booklets;
 Training Materials and Tools (e.g. checklists, educational presentations);
 OSH Campaigns; and
 OSH Movies / Video’s / DVD’s.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 151
Awareness activities by Approved Sector Entities
 Sector Entities with an Approved OSHMS by their relevant SRA are encouraged to utilize
the OSHAD Approved Logo as part of their merchandising and marketing. On approval of
the entity’s OSHMS the concerned SRA shall provide the entity with an electronic copy of
the OSHAD Approved logo along with the guidelines on how this can be used.
 Sector Entities are not permitted in any way to utilize the logo of OSHAD on any material.
 If Sector Entities are planning awareness events, they may request OSHAD to assist with
the development or attend planned events related to the OSHAD-SF or OSH by submitting.
 OSHAD shall review each submission and respond based on the merit of event and
current direction and other commitments of OSHAD.

OSHAD-SF - Form L directly to OSHAD.

Form L – OSH Awareness Activity Notification Form.


This form is used for notification of Sector OSH Awareness Activities.

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 152
Form L
Awareness Activity Information
Entity Name:

SRA Name:  

OSH
Type of Awareness Activity: Event Media Activiy Safety Alert
Publication

Start Date of Awareness Activity: --/ -- / ---- Intended End Date: --/ -- / ----

Contact Person Name: Phone Number:

Contact Persons Role: Email Address:

Entity Undertaking
Awareness Activity:
Sector Regulatory Authority Government Entity

OSHAD Participation, Involvement,


Assistance Requested:
No Yes Details:

Details:

Description of Activity:

Awareness Activity Materials


Attached (soft or hard copy), if
Details:
applicable:

Attached
(eg. Program of W orkshop, Presentation
Slides, Media Releases / Brochures /
Posters /etc)
Not Applicable
Intended Audience:

(eg. Sector Entities, Media, General


Community, Employers, Contractors, etc)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 153
OSHAD

 Other SRA’s
Opportunity to Coordinate with other Yes
Stakeholders?
Government Departments

No Other Relevant Authorities

Does the Awareness Material Intend


to refer to the OSHAD -SF/ OSHAD Yes No
or display the OSHAD Logo?

Other Relevant Information:

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 154
OSHAD Official Use

 Awareness Activity Approved as Submitted

 Modifications Required (Resubmittal Required)

Details of Modifications Required:

Reviewed by:
Competent Authority Stamp

Name:

Signature:

Date: (DD/MM/YYYY)

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 155
Documents of the Abu Dhabi Occupational Safety and Health System
Framework (OSHAD-SF) - Version 3.1 (March 2017)

First – Mandatory Requirements

OSHAD-SF Manual

Glossary of Terms

Management System Elements

Roles, Responsibilities and Self-Regulation


1-

Risk Management
2-

Management of Contractors
3-

Communication and Consultation


4-

Training, Awareness and Competency


5-

Emergency Management
6-

Monitoring, Investigation and Reporting


7-

Audit and Inspection


8-

Compliance and Management Review


9-

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 156
Occupational Standards and Guideline Values
Note: OSH Standards and Guideline Values are currently non-mandatory requirements, however are based on
international and local best practice. Entities are encouraged to incorporate these requirements to the extent
possible, alongside other international and local standards.

Mechanisms

1- The Integration of OSH Requirements in the Emirate of Abu Dhabi

2- OSHAD-SF Administration

3- Identification, Assessment and Nomination of Entities

4- OSHMS Submission, Review and Approval

5- OSH Requirements for Medium Risk Entities

6- OSH Performance Monitoring and Reporting

7- OSH Professional Entity Registration

8- OSH Practitioner Registration

9- Appointment of Principal Contractor for “Construction Work”

10 - Request to Develop or Update OSHAD-SF Document

11 - Incident Notification, Investigation and Reporting

12 - Notification Requirements for OSH Awareness Activities

Codes Of Practice

1.0 Hazardous Materials

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 157
1.1 Management of Asbestos Containing Materials

1.2 Lead Exposure Management

2.0 Personal Protective Equipment

3.0 Occupational Noise

3.1 Vibration

4.0 First Aid and Medical Emergency Treatment

5.0 Occupational Health Screening and Medical Surveillance

8.0 General Workplace Amenities

9.0 Workplace Wellness

9.1 New and Expectant Mothers

9.2 Managing Work-Related Stress

10.0 Rehabilitation and Return to Work

11.0 Safely in the Heat

12.0 Prevention and Control of Legionnaires Disease

13.0 Violence in the Workplace

14.0 Manual Handling and Ergonomics

14.1 Manual Tasks Involving the Handling of People

15.0 Electrical Safety

16.0 OSH Requirements for People with Special Needs

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 158
17.0 Safety Signage and Signals

18.0 Employer Supplied Accommodation – General Requirements

18.1 Temporary Employer Supplied Accommodation

19.0 Occupational Food Handling and Food Preparation Areas

20.0 Safety in Design (Construction)

21.0 Permit to Work Systems

22.0 Barricading of Hazards

23.0 Working at Heights

24.0 Lock-out / Tag-out (Isolation)

25.0 Driver Fatigue Prevention

26.0 Scaffolding

27.0 Confined Spaces

28.0 Hot Work Operations (e.g., Welding and Cutting)

29.0 Excavation Work

30.0 Lone Working and/or in Remote Locations

30.1 Working in International Locations

31.0 Working On, Over or Adjacent to Water

33.0 Working On or Adjacent to a Road

34.0 Safe Use of Lifting Equipment and Lifting Accessories

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 159
35.0 Portable Power Tools

36.0 Plant and Equipment

37.0 Ladders

38.0 Concrete Placing Equipment

39.0 Overhead and Underground Services

40.0 False work (Formwork)

41.0 Steel Erection

42.0 Pre-Cast Construction

43.0 Temporary Structures

44.0 Traffic Management and Logistics

45.0 Underwater Activities

46.0 Underground Construction

47.0 Machine Guarding

48.0 Spray Finishing

49.0 Compressed Gases and Air

50.0 Abrasive Blasting and Associated Protective Coating Work

51.0 Powered Lift Trucks

52.0 Local Exhaust Ventilation

53.0 OSH Management During "Construction Work"

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 160
53.1 OSH Construction Management Plan

54.0 Waste Management

Forms
From A Registration for OSH MS Development

Form B Amendment to Entity Information

Form C Submission of OSH MS for Review and Approval

FORM A1 Identification of Entity Main Operational Activity

Form E Entity Quarterly OSH Performance Report

Form E1 Sector Quarterly OSH Performance Report

Form E2 Government Entity Quarterly OSH Performance Report

Form E4 OSH Implementation costs in Entities within Sectors

Form E5 OSH Implementation costs in Government Entities

Form F Entity Annual External OSH MS Audit Report

Form G Serious OSH Incident Notification

Form G1 Serious OSH Incident Investigation

Form G2 Non-Serious OSH Incident Investigation

Form H Appointment of Principal Contractor For Construction Work

Form J Request for Modification of OSHAD-SF

From L OSH Awareness Activity Notification

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 161
Form M OSH Professional Entity Project Experience Form

Form N OSH Practitioner Resume Template

Form O OSH Practitioner CPD Form

Form P OSH Professional Entity Declaration and Code of Conduct Template

Form Q OSH Practitioner Declaration and Code of Conduct Template

Second – Guidance ( Technical Guidelines)


1.0
Audit and Inspection

2.0 Communication and Consultation

3.0
Management of Contractors

4.0 Occupational Air Quality Management

5.0 OSH incident notification, investigation & reporting

6.0
Process of Risk Management

7.0
Safe Removal of Asbestos Containing Materials

8.0
Safe Work in Confined Spaces

9.0
Safety in the Heat

10.0
Training, Awareness and Competency

11.0
Dealing with adverse weather conditions

12.0
Laboratory safety

13.0 New and Expectant mothers A Guide for Employers

14.0 Dealing with Adverse Weather Conditions for School Transportation

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 162
Guidance Documents
(About OSHAD-SF)

OSH Roles and Responsibilities

The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 163
The Abu Dhabi Occupational Safety and Health Practitioner Course V 8.0 Nov 2017 Page 164

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