This document outlines the key components of a safety management system (SMS). It defines SMS as a systematic approach to managing safety that includes organizational structures, policies, and procedures. The four main components of an SMS are safety policy, safety risk management, safety assurance, and safety promotion. Safety policy establishes management's commitment to safety goals. Risk management determines adequate risk controls. Assurance evaluates risk controls and identifies new hazards. Promotion includes training and communication to create a positive safety culture.

1. SAFETY
MANAGEMENT
By/ MahmoudShaqria
‫شقريه‬ ‫محمد‬ ‫محمود‬

2. Outlines
What is safety management
What is a safety management system (sms)?
Recognizing the organization's role in accident prevention
How safety management system (sms) addresses the
organization's role in safety
Safety committees
Establish a committee
Committee membership

3. Duty of care and duty to consult
Components and elements
Occupational hazards: types &definition
Safety culture
Relationship between safety management
system &quality management
Patient safety
How our patients contribute to their safety in
health first healthcare environments

4. What is safety management?
Safety management is managing business
activities and applying principles, frame work,
processes to help prevent accidents, injuries
and to minimize other risk.

5. What is a safety management system (SMS)?
A safety management system is a systematic
approach to managing safety, including
organizational structures, accountabilities, policies
and procedures. An SMS is scalable so it can be
tailored to the size and complexity of your
organization.

6. By recognizing the organization's role in accident
prevention, SMSs provide:
A structured means of safety risk management decision
making
A means of demonstrating safety management capability
before system failures occur
Increased confidence in risk controls though structured
safety assurance processes
An effective interface for knowledge sharing between
regulator and certificate holder
A safety promotion framework to support a sound safety
culture

7. How Safety Management System (SMS) Addresses the
Organization's Role in Safety
1-SMS requires the organization itself to examine its operations
and the decisions around those operations.
2-SMS allows an organization to adapt to change, increasing
complexity, and limited resources .
3-SMS will also promote the continuous improvement of safety
through specific methods to predict hazards from employee
reports and data collection. Organizations will then use this
information to analyze, assess, and control risk..

8. 4-SMS will help organizations comply with existing
regulations while predicting the need for future action by
sharing knowledge and information.
5- Finally ,SMS includes requirements that will enhance the
safety attitudes of an organization by changing the safety
culture of leadership, management, and employees. All of
these changes are designed to help the organization
incorporate all three forms of rationale—reactive, proactive,
and predictive thinking .

9. Safety Committees
Health and safety committees allow businesses to work
together with workers on health and safety matters .
A health and safety committee can be a good option if you
have a significant number of workers who may be reluctant to
take on the role of a health and safety representative(HSR),
but some would be willing to participate on a committee .A
committee may also be effective if you have a large business
and need to consult on matters that are the same across a
number of work groups or work places .

10. The main functions of the health and safety
committee are to:
Facilitate co-operation in instigating, developing
and carrying out measures to improve the health
and safety of workers
Assist in developing health and safety standards,
rules and procedures

11. Establish a Committee
A health and safety committee can be established on your own
initiative or at the request of:
AHSR, or
five or more workers at the work place
You have two months to establish a committee if requested to do so
.
A committee can also be established for workers who carry out work
at one or more locations or for those who do not have a fixed place
of work .
The constitution of the health and safety committee may be agreed
to between the business ,HSR and workers at the workplace. If
agreement is not reached within a reasonable time, any party may
ask us to appoint an inspector to decide the matter

12. OPERATION OF A COMMITTEE
The committee must meet at least every three
months and at any reasonable time requested
by at least half the members of the
committee.

13. To make the consultation effective, members must be
provided with:
Reasonable time to attend meetings and carry out their
functions as a committee member, and be paid at their normal
rate of pay when doing .
Access to information about hazards and risks at the
workplace as well as information relating to the health and
safety of workers at the workplace (excluding workers'
personal or medical information without the workers' consent)

14. Coal and mine committees
There are special provisions for health and safety
committees in coal and mine workplaces.
A coal workplace must have any site check inspector and
electrical check inspector for that workplace as members of
any health and safety committee. A mine workplace must
include a site check inspector for that workplace as a
member of any health and safety committee.

15. Duty of care and duty to consult
1.Identify safety risks
Ask your workers about problems they may have
encountered, like near misses, aches and pains, and anything
else which may concern them about their safety. Some ways
to identify any potential safety problems include:
Taking regular walks around the workplace
Looking how plant and equipment are used
Finding out what chemicals are around and what they are
used for
Looking out for unsafe work practices
Examining the general state of housekeeping

16. You should also:
Analyze incident reports, worker complaints, reasons for
sick leave and the like
Get safety data sheets and instruction manuals from
manufacturers and suppliers
Get information from industry associations, unions and us.

17. 2.Get rid of the problems
The best way to have an injury-free
workplace is to get rid of potential safety
problems, ideally at the design or planning
stage. If you can‘t eliminate the problem
completely, you need to minimise the risk to
your staff.

18. 3.Limit the impact of the problem
Do the best you can to do one or more of the following:
1.Substitute the problem with something safer –e.g. replace
solvent-based paints with water-based ones.
2.Isolate the problem from people –e.g. install a guard to
prevent access to moving parts on a machine.
3.Use engineering controls –e.g. use springs to self-close
gates.
4.Minimizeany remaining risk with administrative controls -e.g.
install warning signs.
5.If a risk still remains, use personal protective equipment –
e.g. ear muffs, face masks, hard hats.

19. 4.Review and revise controls
You must review your risk control measures:
When the control measure is not working
Before workplace layout or practices are changed
If a new problem is found
If consultation shows a review is necessary
If a health and safety representative requests it.

20. You must ensure that:
The work environment, systems of work, machinery and
equipment are safe and properly maintained
Chemicals are used, handled and stored safely
Adequate workplace facilities are available
Information, training, instruction and supervision are
provided
Workers‘ health and workplace conditions are monitored
Any accommodation you provide to your workers is safe.

21. Duty to consult
 Share information with anyone likely to be directly affected by a
work health and safety matter –and give them the opportunity to
express their views and contribute to any decisions relating to the
matter.
 Take their views into account and let them know the outcome of
consultation in a timely manner.
 You must also consult, cooperate and coordinate activities with
other individuals and organizations–and any health and safety
representative (HSR) –who have a duty in relation to the same
matter.
 Establish consultation arrangements that best suit the needs of
your workers, be it regular toolbox talks or scheduled meetings

22. You must consult when:
identifying hazards and assessing risks
making decisions about ways to eliminate or control risks,
and workplace facilities
proposing changes that may affect the health and safety of
workers
making decisions about consulting procedures, resolving
safety issues, monitoring workers‘ health and conditions,
and providing information and training

23. Components and elements
The universally accepted framework for SMS includes four main
components and twelve elements, representing the minimum
requirements for an SMS. SMS includes an additional three elements: the
SMS implementation plan, third party interface (contractors and service
providers) and internal safety investigation.
They are:
1-Safety policy and objectives
Establishes senior management's commitment to continually improve
safety; defines the methods, processes, and organizational structure
needed to meet safety goals

24.  Establishes management commitment to safety performance through
SMS
 Establishes clear safety objectives and commitment to manage to
those objectives
 Defines methods, processes, and organizational structure needed
to meet safety goals
 Establishes transparency in management of safety
Fully documented policy and processes
Employee reporting and resolution system
Accountability of management and employeess

25. 2-Safety risk management
Determines the need for, and adequacy of, new or revised
risk controls based on the assessment of acceptable risk
A formal process within the SMS composed of:
Describing the system
Identifying the hazards
Assessing the risk
Analyzing the risk
Controlling the risk

26. 3-Safety assurance
 Evaluates the continued effectiveness of implemented risk control
strategies; supports the identification of new hazards
 SMS process management functions that systematically provide
confidence that organizational outputs meet or exceed safety
requirements
 Product/service providers
 Information Acquisition
 Audits and evaluations
 Employee reporting
 Data Analysis
 System Assessment

27. 4-Safety promotion
 Training and education
 Safety communication Includes training,
communication, and other actions to create
a positive safety culture within all levels of
the workforce

28. 4 Main Types of Occupational Hazards
1.Chemical Hazards:The common chemical
substances, such as carbon monoxide, carbon
dioxide, nitrogen dioxide, ozone, limes and alkalies
cause injury to the employee when they are
absorbed through skin and inhaling or ingesting.
Workers may suffer from respiratory diseases, skin
diseases, allergy, heart disease, cancer and
neurological disorders.These diseases may be
temporary or chronic in nature.

29. 2.BiologicalHazards:
These hazards are manifested by diseases
caused by bacteria, fungi, viruses, insects,
dietary deficiencies, excessive drinking,
allergies, brain fever, imbalances, tetanus,
stresses and strains. All these tell upon
employee‘s health.

30. 3.EnvironmentalHazards:
Environmental hazards may include noise pollution,
vibration and shocks, illumination, radiation, heat,
ventilation, air and water pollution. These hazards
cause redness of eyes, genetic disorders, cancer,
sterility, hearing loss, nerve injury etc.,to workers.

31. 4.PsychologicalHazards:
Industrial/job stress caused by various stressors such as task
and role demands, organizational leadership, lack of group
cohesion, intergroup and interpersonal conflicts, life and
career changes, etc., lead to emotional disturbances which, in
turn, lead to fatigue and exhaustion. All these affect health of
employees. Apart from occupational hazards, there are some
occupational diseases also that impair health of employees in
industries..

32. Safety culture The values, attitudes,
motivations and knowledge that affect the
extent to which safety is emphasized over
competing goals in decisions and behavior

33. WhatSafetyCultureisNot
 It‘s not separate or different from organizational culture
 It‘s not a ―thing‖ with an objective existence
 It‘s not a policy, program or procedure
Why Do We Care?
• Safety culture affects safety performance –Injury rates –
Accident rates –Patient safety
• Reasonable support across industries –Aerospace,
healthcare, manufacturing, construction, agriculture.

34. What does the safety climate tell us?
The safety climate is a direct reflection of the health
of the safety culture and therefore tells you
everything you need to know to be able to tighten
your safety operations and reduce your vulnerability
to preventable accidents and losses.

35. RISK:
Risk is defined as ” combination of the probability of
occurrence of harm and the severity of that harm.”
SAFETY:
Safety is defined as “freedom from which is not tolerable .”
PATIENT SAFETY:
Patient safety was defined as ” the prevention of harm to
patient.”

36. Patient safety
A definition for patient safety has emerged from the health
care quality movement that is equally abstract, with various
approaches to the more concrete essential components.
Patient safety was defined by the as ―the prevention of harm
to patients.1Emphasis is placed on the system of care delivery
that prevents errors; learns from the errors that do occur; and
is built on a culture of safety that involves health care
professionals, organizations, and patients.

37. Patient safety practices have been defined as
―those that reduce the risk of adverse events
related to exposure to medical care across a
range of diagnoses or conditions .This definition
is concrete but quite incomplete, because so
many practices have not been well studied with
respect to their effectiveness in preventing or
ameliorating harm.

38. Practices considered to have sufficient evidence to include in
the category of patient safety practices are as follows:
Appropriate use of prophylaxis to prevent venous
thromboembolism in patients at risk
Use of perioperative beta-blockers in appropriate patients to
prevent perioperative morbidity and mortality
Use of maximum sterile barriers while placing central
intravenous catheters to prevent infections
Appropriate use of antibiotic prophylaxis in surgical patients
to prevent postoperative infections

39. Asking that patients recall and restate what they have
been told during the informed-consent process to verify
their understanding
Continuous aspiration of subglottic secretions to prevent
ventilator-associated pneumonia
Use of pressure-relieving bedding materials to prevent
pressure ulcers
Use of real-time ultrasound guidance during central line
insertion to prevent complications

40. How our patients contribute to their safety in Health
First healthcare environments
1. Speak up:If at any time you have concerns about your
safety or the safety of those around you, please tell us
. Don‘t hesitate to ask questions about your care.
2. Accurate health status: Provide us with up-to-date
information of your past and present health history because
this helps us take better care of you.

41. 3. Updated medication list: We must know your current
medications —name, dose [including route—by mouth,
intravenous, suppository, etc.], and frequency when possible.
When you can, bring your medication bottles or packages
with you to the hospital, including any herbals or
supplements, for verification. When you leave the hospital,
you should receive a list of medications to be continued at
home after discharge. If you don‘t receive this list, please tell
your nurse and don‘t leave until that list has been given to
you.

42. 4. Minimizing falls: Our clinical staff assesses every
patient for risk of falling while in the hospital. You may
be identified as a fall risk and the Nursing staff will
give you specific instructions to help keep you safe.
It‘s very important for you to follow these instructions.
Be sure to call for help before getting out of bed,
getting up from a chair, or going to the bathroom.

43. 5. Identification required:
Expect all caregivers to ask your name, date of
birth, and check your ID band frequently. This will
happen before administering medications, blood
or IV fluids, drawing blood, performing
procedures, or transporting you for care from one
area of the hospital to another. This may become
repetitious, so we appreciate your patience.
Proper identification is the primary factor in

44. 6. Understanding each procedure: Before you
undergo an operation or procedure, make sure
that your doctor has explained it to you. Make sure
that you understand how it will help you, what the
risks and possible outcomes are, and what other
types of treatment may be available.

45. 7. Surgical identification policy:
Before an operation or procedure, expect your
caregivers to check your identity, the specific
operation or procedure planned, and the site of the
operation. The exact site will be marked to avoid
any confusion when right or left sites are possible;
for example, procedures on a foot or an arm.

46. 8. Healthy hygiene:
We expect you and your visitors to maintain the highest
personal hygiene in our hospital environment, and you
should require the same from us .Health first is committed to
care that minimizes the possibility of you getting an infection.
Our standards require hand washing before and after direct
hands-on care. If you‘re concerned that this has not
occurred, we expect you to speak up and remind us about
the importance of hand washing in infection prevention.

47. 9. Safe activity:
Your doctor will determine a specific level of activity
that‘s appropriate while you‘re a patient in one of
our hospitals. You are, of course, safest staying
either in your room or on the clinical unit where our
staff is readily available if needed. We discourage
unsupervised movement beyond the clinical unit,
such as to visit the cafeteria or going outside the
hospital.

48. 10. No-smoking policy:
Because it‘s well established and accepted that
smoking, or any type of tobacco use, is detrimental
to your health, we strongly discourage tobacco use
in any form or setting. We provide a smoke-free
environment asa pro-active measure to protect the
health of our associates, patients, visitors,
volunteers, and other customers.