Risk Management Maturity Model rm3
Risk Management Maturity Model rm3
Risk Management Maturity Model rm3
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Foreword
The Office of Rail and Road (ORR) and the Health & Safety Laboratory (HSL) have agreed to collaborate on the
development, promotion and wider use of the Risk Management Maturity Model (RM3).
ORR developed RM3, in collaboration with the rail industry as a tool for assessing an organisation’s ability to
successfully manage health and safety risks, to help identify areas for improvement and provide a benchmark
for year on year comparison. RM3 is helping guide the rail industry towards excellence in health and safety risk
management. Best performing companies are those which have fully integrated health and safety practices
into their culture. RM3 sets out criteria for key elements of a health and safety risk management system
which describe the steps used to evaluate a company’s progress from ad-hoc to excellent health and safety
management capability. It defines what excellent management looks like, including:
JJ Leaders inspiring confidence and commitment, safely taking their teams through periods of change.
JJ Making full use of employees’ potential and actively involving them to develop shared values and a
culture of trust, openness and empowerment.
JJ Health and safety strategy being used to challenge the organisation to achieve business performance
which is in line with the best-performing organisations.
HSL, in partnership with ORR, will now develop RM3 to support wider industry to achieve excellence in health
and safety risk management, making sure that RM3 continues to reflect best practice in risk management,
drawing on the latest academic thinking along with experience from the rail sector and beyond. The application
of RM3 across wider industry is reflected in the change of name for the model: from the Railway Management
Maturity Model to the Risk Management Maturity Model.
FOREWORD................................................................................................................................ 3
INTRODUCTION.......................................................................................................................... 7
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Contents
In respect of health and safety ORR aim to make sure that the health and safety of everyone associated with
the rail industry is protected by encouraging railway businesses to have excellent health and safety risk
management. This includes properly identifying, assessing and controlling risks. And compliance with relevant
legal provisions, including:
JJ The Health and Safety at Work etc Act 1974 and the Regulations made under it that
cover how certain risks should be controlled, including the Management of Health and
Safety at Work Regulations 1999 (MHSWR 1999), and;
JJ The relevant European law that arises from the Railway Safety Directive 2004/09,
implemented under UK law through the Railway and Other Guided Transport Systems (Safety)
Regulations 2006 (ROGS).
Within their ‘Health and Safety Regulatory Strategy’ published in 2015, ORR set out their expectations that
industry deliver continuous improvement in the health and safety of passengers, the workforce, and the public,
to achieve a vision of: “zero industry caused fatalities and major injuries to passengers, the public,
and the workforce.”
JJ Culture;
JJ Risk control.
In order to achieve and sustain this excellence in health and safety culture and risk control, ORR believes that
duty holders need to put in place excellent health and safety management systems.
The Risk Management Maturity Model (RM3) describes what excellent management capability would look like
for key elements of an organisation’s health and safety management system as measured against five maturity
levels. It is used by ORR, and increasingly by duty holders, to understand their maturity in a number of
business critical areas.
This document sets out the criteria used to assess an organisation’s ability to achieve excellence when
managing for health and safety risks.
“providing visionary and inspirational leadership, coupled with constancy and consistency of purpose,
delivered through the operation of interdependent and interrelated organisational management systems which
maximise the contribution of employees through their development and involvement to deliver results that
exceed stakeholder expectation and create sustainable customer value.”
Excellence is not a theory, it relates to an organisation in what it does, how it does it, the results it gets
and the confidence that these results will continue into the future. An excellent organisation meets its legal
requirements in an efficient way.
Risk
Planning
Proofing
Organising
Policy
PLAN DO
Implementing
your plan
Investigating
Reviewing accidents/
performance incidents/ near
misses
Figure 1 The Plan, Do, Check, Act cycle (HSG 65, 2013)
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RM3 has adopted the framework set out in the Health and Safety Executive’s publication ‘Successful Health
and Safety Management’ (HS (G) 65), shown in Figure 1, which is the most widely adopted model of successful
health and safety management within the UK . The RM3 framework incorporates the key features of Safety
Management System (SMS) good practice and also draws in emerging knowledge from incident reviews from
both the safety and commercial risk areas, examples of which include the Baker Report into the Texas City
Explosion, The Haddon-Cave Nimrod Review and the Walker Report into Governance within the UK Finance
sector.
Use of this approach allows organisations to manage their operations via the application of a systems process
that is in line with other management systems standards such as ISO 9001: 2000 (Quality) and ISO 14001:
2004 (Environmental) which promote the use of the Plan-Do-Check-Act (PDCA) process model. The move
towards PDCA is thought to achieve a balance between the systems and behavioural / cultural aspects of
management.
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The following descriptions of excellence have been set for each of the main areas of an effective health and
safety management system.
JJ Leaders of the organisation set and communicate clear direction that reinforces a consistent approach
to health and safety and shapes day-to-day activities.
JJ Leaders at all levels of the organisation act in a consistent way that reinforces the values, ethics and
culture needed to meet their organisation’s objectives.
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Organising for control and communication
The organisation is structured to help put the organisation’s policies into practice as efficiently as
JJ
possible.
JJ There is a clear understanding of how each person’s role affects the organisation’s ability to achieve
specific goals and the overall objectives.
JJ The organisation provides the framework for using people, plant and processes success fully.
JJ Communications up, down and across the organisation are highly effective.
JJ Communications from management should be appropriate for the target audience. The right message
should be received at the right time, by the right people, and through the appropriate channels.
Recruitment, selection, training and continued development focus on meeting the organisation’s
JJ
objectives.
JJ Employees are actively involved in developing processes and making the business successful and safe.
Planning and implementation of risk controls through co- ordinated management arrangements
JJOrganisations systematically implement processes to make sure that the plant, people and processes
are fully used, continually improving effectiveness, efficiency and safety to achieve the organisation’s
objectives.
Monitoring, reviewing and auditing to provide effective governance, management and supervision
JJ Monitoring is an important part of the organisation’s management arrangements at all levels.
JJ Performance measures and audit programmes are used to continually encourage everyone to achieve
the organisation’s objectives and reduce the risk to the business.
JJ Variations from expected outcomes are reviewed to understand where the organisation is failing and
what corrective action is necessary to restore performance.
JJ The organisation actively seeks opportunities to identify good practice from both within the organisation
and from others.
Assessors should adopt an evidence-based approach to evaluating the management of risk. Several sources of
data, information and knowledge can be used to measure an organisation’s current level of risk management
maturity.
Information on the performance of duty holders can be gathered in a variety of ways, through interviewing
individuals at various levels through an organisation, inspecting and reviewing documentary evidence
and through direct or indirect observation of conditions found at site level. Figure 4 illustrates the type of
information and the collection methods available to assessors in determining an organisations maturity levels.
SMS assessments may focus on a limited number of risk controls and track them up through the levels of
the organisation. They may also start at senior management level and track the relevant risk controls down
through the organisation. However, to form a reliable opinion the assessor would need to make sure that all of
the elements set out in RM3 are assessed, and the size, structure and nature of the organisation are also taken
into account.
Workplace violations
Incidents, failures to Wider Intelligence
deliver performance RAIB Reports
objectives Formal Inquiries
Complaints Reactive
Assessment
SAFETY MANAGEMENT SYSTEM
RM3
Audit
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Evidence of the capability (or otherwise) of the organisation will be built up during assessment activities. The
evidence gathered will only be based on a sample of the information available and so will not be conclusive
and it is possible that the evidence collected would fall across a range of maturity levels. Assessors should
use the evidence gathered to inform their opinion of the organisation’s management arrangements against the
RM3 criteria. As the volume of evidence increases there should be greater clarity over where an organisation’s
maturity lies. Assessors should use their judgement when deciding which criteria and evidence to use. The
following issues should be considered.
JJ Currency of the information – when the evidence was gathered and whether there is likely to have been
any significant changes since then.
JJ Quality of the evidence - whether the evidence is based on a limited observation from one site or is
consistent across a number of sites.
JJ Quantity of the evidence - whether there is enough evidence to provide an informed opinion on the
organisation as a whole. For example, if evidence on document control for a small depot revealed
an ‘ad hoc’ level of achievement, is that sufficient to form an opinion on the document-control system
for 30 other, much larger, depots?
JJ Consistency of the evidence - if evidence from a number of sources suggests a similar level of maturity
this would indicate that the findings of the assessment are accurate.
How the health and safety management system works in practice is, in terms of risk management, generally
more important, than how it appears on paper. As such, the assessment should focus also on the day to day
application of the safety management system. Using the RM3 model it is possible to identify the gap between
the ‘work as imagined’ of the written safety management and the ‘work as done’ actions taken at the sharp
end; the ‘here and now’ of task performance. Evidence collected during assessments and investigations
should be compared against the descriptions of each level and a judgement made of the health and safety
management capability of the company. This will enable the organisation to understand their strengths and
target areas for improvement.
system;
JJ Identify deficiencies in management systems that may impact on issues wider than safety, such as
efficiency and performance, especially in relation to asset management;
JJ Inform future regulatory activity within the industry or with particular organisations; and
JJ Provide assurance that system safety is being managed by all the interdependent duty-holders in the
railway industry.
Key principles to remember when undertaking an assessment using RM3 are that:
JJ Both health and safety are most effectively managed when they are integrated with other management
activities and managed in the same way.
JJ Any unsafe act, unsafe condition, near miss or accident is a symptom of a possible failure of the
management system.
JJ Health and safety management systems should focus on making sure that the physical, managerial,
procedural and cultural elements of the organisation are managed.
The health and safety management system should take account of, and be shaped by the culture of the
JJ
organisation.
There is no one right way to achieve excellence in health and safety management in an organisation.
JJ
However, there are some common characteristics that are seen in organisations that manage safety
well.
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The Risk Management Maturity Model Criteria
The following labelling convention is used throughout:
SP1: Leadership;
SP2: Safety policy;
SP3: Board governance;
SP4: Written safety management system.
Criteria OP: Securing co-operation, competence and development of employees at all levels:
Criteria PI and RCS: Planning and implementing risk controls through co-ordinated management
arrangements
Each RM3 maturity descriptor for the criteria described above are based on the Capability Maturity Model
(CMM) generic descriptors which originate in the software industry. These are shown below.
AD HOC It is characteristic of processes at this level that they are (typically) undocumented and in a state
of dynamic change, tending to be driven in an ad hoc, uncontrolled and reactive manner by users
or events. This provides a chaotic or unstable environment for the processes.
MANAGED It is characteristic of processes at this level that some processes are repeatable, possibly with
consistent results. Process discipline is unlikely to be rigorous, but where it exists it may help to
ensure that existing processes are maintained during times of stress.
STANDARDISED It is characteristic of processes at this level that there are sets of defined and documented
standard processes established and subject to some degree of improvement over time. These
standard processes are in place (i.e. they are the AS-IS processes) and used to establish
consistency of process performance across the organisation.
PREDICTABLE It is characteristic of processes at this level that, using process metrics, management can
effectively control the AS-IS process (e.g. for software development). In particular, management
can identify ways to adjust and adapt the process to particular projects without measureable
losses of quality or deviations from specifications. Process capability is established from this level.
EXCELLENT It is characteristic of processes at this level that the focus is on continually improving
process performance through both incremental and innovative technological changes/
improvements.
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Criteria SP: Health And Safety Policy, Governance And Leadership
The organisation’s policies are forward-thinking and based on solid evidence of what the organisation can
achieve. Together with effective leadership, the policies promote a consistent approach to health and safety at
all levels of the organisation.
JJ Leaders of the organisation set and communicate a clear direction for the organisation that reinforces a
consistent approach to health and safety.
JJ Leaders at all levels of the organisation act in a consistent way to reinforce the values, ethics and
culture needed to meet the organisation’s objectives.
JJ The governance arrangements make sure that the organisation remains accountable for the health and
safety of its workers and members of the public affected by their work.
Purpose
JJ To make sure that the organisation is effectively governed and led.
JJ To make sure that each policy clearly expresses the top-level management expectation, accurately
defining what the organisation wants to achieve, how it will achieve it (through effective leadership)
and how management will know when that expectation has been met.
JJ To make sure that the organisation (specifically the board) effectively challenges whether a policy and
its associated activity is correct, in place and effective.
Introductory notes
Failure to consider health and safety risks when the board makes decisions can have catastrophic results. Poor
leadership has caused many high-profile safety failures. An organisation’s approach to health and safety often
reflects the attitudes of those who make business decisions, and it leads the opinions and attitudes of the staff
who work within the organisation.
The overall policy and associated procedures produced by the senior management is vital to setting and
maintaining the organisation’s approach to health and safety. The policy should give a clear understanding of
how the organisation intends to manage health and safety. The senior team and other managers should also
lead by example and act in ways that reinforce the messages contained within the policy.
Executive officers within the organisation must be accountable for their actions relating to health and safety.
The board’s role is to ensure governance and hold the executive officers to account. This function is vital for
preventing incidents such as that described in the Baker Report into the Texas City accident, and even the
Walker Report into the governance of the UK banking system.
Subcriteria
SP1: Leadership
SP2: Health and safety policy
SP3: Board governance
SP4: Written health and safety management system
SP1: Leadership
Good leadership relating to health and safety management involves:
JJ deciding and communicating the reasons for risk controls and the importance of good management,
and promoting continued improvement;
JJ communicating and co-ordinating risk-control (including health and safety management) and
improvement strategies across the organisation;
JJ making sure that all the units and managers act in line with the organisation’s goals and strategies;
JJ adjusting the performance-management and reward systems so they help the organisation achieve its
goals and strategies for improving health, safety and performance; and
monitoring the organisation’s improvement activities and results, and taking corrective action when
JJ
necessary.
The attitudes and decisions of senior managers are critical in setting and delivering the organisation’s
priorities.
Two guidance documents are available. These are INDG 277 ‘Leadership in the Major Hazard Industries’ and
INDG 417 ‘Leading Health and Safety at Work’.
JJ Leaders search for opportunities to make risk control in their area of the organisation as effective and
efficient as possible.
JJ Leaders can inspire confidence and commitment, and safely take their teams through periods of change.
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Level 4 (predictable)
JJ Leadership activities are consistent with and reinforce the organisation’s health and safety policies. The
JJ Leaders at all levels of the organisation are credible and open to ideas for improvement. Non-technical
management skills are recognised and developed within the organisation.
Level 3 (standardised)
JJ Leadership is still largely viewed as a senior management role.
Level 2 (managed)
JJ Leadership is viewed as a senior management role.
JJ Managers demonstrate leadership skills but these are not recognised or used consistently within the
organisation.
Level 1 (ad hoc)
JJ There is no evidence of positive leadership at any level in the organisation
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
None specifically.
SP2: Health And Safety Policy (Not Including Written Health And
Safety Management Systems)
Effective health and safety policies set a clear direction for the organisation to follow. They contribute to all
aspects of a business’s performance as part of a commitment to continuous improvement.
Goal (excellence)
JJ The health and safety policy is used to challenge the organisation to achieve business performance
JJ The health and safety policy recognises that managing health and safety risks is not a separate
function but an integral part of a productive, competitive and profitable organisation.
chain.
The health and safety policy includes a realised commitment to continually improving the efficiency and
JJ
JJ The health and safety policy and any associated policies are:
Level 3 (standardised)
JJ The health and safety policy and any other associated policies are used as a focus for managers,
Employees are actively involved in reviewing and revising the health and safety policy and how it is
JJ
applied.
Level 2 (managed)
JJ The health and safety policy is up to date and is communicated within the organisation, but local
managers and supervisors have inconsistent approaches or interpretations. This results in the policy
being applied in different ways across the organisation.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Schedule 1, 2 (a) a statement of the safety policy which has been approved by the chief executive and
communicated to all persons carrying out work or voluntary work directly in relation to the operation;
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SP3: Board Governance
This establishes executive accountability for the management and performance of the organisation’s work and
results.
defining and communicating the organisation’s goals for health and safety (see also the section on
JJ
policy);
JJ establishing the business workflows and structure needed to meet the organisation’s goals for health
and safety (see also the section on organising for control and communication);
JJ defining measures of the organisation’s business goals, and performance measures for the activities to
achieve the business goals;
JJ developing and communicating the organisation’s policies to guide actions and decide how work is
performed in the organisation (this is also covered in leadership);
JJ making sure that the responsibilities and activities of each part of the organisation work together to
control the health and safety requirements of the products, services and business needs of the
organisation (this is also covered in planning and implementing); and
JJ monitoring the workflow of the different parts of the organisation and how those parts rely on each
other (this is also covered in the monitoring and review criteria).
There is more guidance on governance in the Haddon-Cave, Turnbull and Baker reports, the combined code
and the Walker Report.
Goal (excellence)
JJ The board shows a balanced approach to continuous improvement, looking for examples of good
practice from outside the organisation that will add value to the business and challenge management to
deliver improvement.
JJ Non-executive members are ready, able and encouraged to test strategies put forward by the executive
members.
JJ The organisation knows about and regularly measures its activities against recognised good practice.
JJ The board carries out a formal and extensive evaluation of its own performance against health and
safety objectives.
Level 4 (predictable)
JJ Non-executive directors have a strong and independent role in challenging health and safety issues.
JJ Health and safety risk is recognised as part of the overall risk to the organisation.
JJ Appropriate training is provided to board members, particularly non-executive directors, so they can
understand the business risk of the organisation.
Level 3 (standardised)
JJ The board and executives show a clear wide-ranging understanding of the business as a system.
JJ It is clear how responsibilities relating to health and safety are defined both between the board and the
executive management.
Level 2 (managed)
JJ Executive management bring activities in line with the organisation’s goals. They approve, measure
The board is not as thorough as possible in reviewing the effectiveness of risk controls within the
JJ
organisation.
JJ There is little difference between the role of the board and the role of the executive.
Level 1 (ad hoc)
JJ The board shows little or no consideration of health and safety issues.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Schedule 1, 1 (d) show how continuous improvement of the safety management system is ensured.
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SP4: Written Health And Safety Management System
The purpose of the written health and safety management system is indicated in Schedule 1, 1 of the
Railways and other Guided Transport Systems (Safety) Regulations 2006. In particular, the health and safety
management system will:
(a) describe the distribution of responsibilities, within the operation, for the safety management system;
(b) show how control of the safety management system by the management on different levels is secured;
(c) show how persons carrying out work (or voluntary work) directly in relation to the operation and
their representatives on all levels, are involved with the safety management system; and
(d) show how continuous improvement of the safety management system is ensured. Also, the safety
management system will contain information relating to the specific elements in schedules 1 and 2 of
the Railways and other Guided Transport Systems (Safety) Regulations 2006.
The written health and safety management system allows the organisation to set out how risk will be controlled
within the organisation and how the risk controls will be kept under review.
The written health and safety management system arrangements should reflect what happens in reality and be
supported by more detailed procedures, standards, guidance and forms which form the day-to-day parts of the
health and safety management system.
Goal (excellence)
JJ The written health and safety management system demonstrates how the organisation will identify
opportunities to improve, not only against its own targets but against other organisations’ targets which
have been identified as being excellent.
Level 4 (predictable)
JJ The written health and safety management system presents a clear approach to managing safety. It
shows how the organisation proactively controls risk through continual improvement of its
internal arrangements.
Level 3 (standardised)
JJ The written health and safety management system presents a systematic approach to controlling risk,
with appropriate checks and balances, and all aspects of health and safety are considered.
Level 2 (managed)
JJ The written health and safety management system meets the elements laid down in Schedule 1 of the
JJ It is not clear how more general occupational health and safety arrangements are applied.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
ROGS Regulation 19 (5) – elements
Schedule 1 (all of it)
JJ To make sure the organisation’s arrangements and actions promote a culture that makes excellence in
risk control possible .
JJ To make sure that organisations have controls in place to make sure that risks are identified and
adequately controlled.
Introductory notes
Health and safety policies set the direction for health and safety, but organisations need to create a strong
framework for management activities. They also need to set out the relationships and responsibilities that will
improve performance. Two important areas within this framework are control and communication.
Control is the foundation of a positive health and safety culture, and maintaining control is central to all
management functions. Control of health and safety is achieved by allocating and carrying out responsibilities
which relate to health and safety objectives. It is important that all levels of staff from the board down
accept their allocated health and safety responsibilities. Safety representatives can also make an important
contribution. Staff should be focused on developing and maintaining systems of control before events happen
– not on blaming people for failures after events.
Communication is often a challenge to organisations. It is important that the messages which senior managers
want people to understand are the ones the people actually hear. Effective communication about health and
safety relies on accurate and clear information coming into the organisation, flowing within it, and going out
from it.
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Subcriteria
OC1: Allocation of responsibilities
OC2: Management credibility and supervisory
performance
OC3: Organisational structure (management
cascade etc.)
OC4: Communication arrangements
OC5: System safety and interface arrangements
OC6: Culture management
OC7: Record keeping
Goal (excellence)
JJ As for level 4 below, with evidence that staff at all levels take responsibility for health and safety within
a strong management framework.
Level 4 (predictable)
JJ As for level 3 below, with clear links between the organisation’s objectives and individual responsibility.
JJ Individuals show that they understand how their activities affect the organisation.
JJ Safety activities and decision-making activities are given to the people who are best placed to carry
them out.
JJ Health and safety responsibilities are allocated with the same consideration as other business
responsibilities. This makes sure that the right resources are available and used.
Level 3 (standardised)
JJ Responsibilities are identified and given in writing to teams or individuals who accept them in order to
Level 2 (managed)
JJ Important health and safety roles are allocated, some in job descriptions or objectives, though not
consistently.
systematic way.
JJ Responsibilities relating to health and safety are not allocated to individuals and teams.
JJ Responsibilities relating to health and safety are not recorded in job descriptions.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3)
and shall record such arrangements.
Schedule 1, 1 (a) describe the distribution of responsibilities, within the operation, for the safety management
system;
(b) show how control of the safety management system by the management on different levels is secured;
Goal (excellence)
As level 4, but with evidence of the organisation actively seeking to draw in good management practice
JJ
Level 4 (predictable)
JJ As for level 3 below, but with competent managers and supervisors having control to make sure they
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JJ There are effective and fair reward systems to reinforce good behaviour.
Supervisory processes are aligned to monitoring systems and information management to give total
JJ
Level 3 (standardised)
JJ Teams and individuals responsible for controlling significant risks are regularly overseen.
There are processes in place to allow managers to identify failings and use appraisal systems to
JJ
correct problems.
Level 2 (managed)
JJ Some processes for controlling responsibilities have been given out, through procedures or
There is inconsistency between accountability for health and safety and accountability for other
JJ
business objectives.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
Schedule 1, 1 (b) show how control of the safety management system by the management on different levels
is secured;
Risk controls should fit sensibly into management structures so that responsibility for meeting the business
objectives safely is clear and effectively deals with interfaces.
Goal (excellence)
JJ As for level 4 below, but with effective reviews of the organisation’s structure, at all levels, against
achievement of business objectives.
Level 4 (predictable)
JJ As for level 3 below, but with responsibilities from the top to the bottom of the organisation, not just at
Level 3 (standardised)
JJ Responsibility for risk-control systems is in line with responsibility for other business objectives. This
provides clarity and consistency between similar activities and business units.
JJ Overall policies and strategies are consistent with those of the relevant business units.
Level 2 (managed)
JJ The structure of the organisation means that most risks are managed by the people or teams carrying
out the work, but some risks are split so that there is or could be conflict between health and safety
and other objectives.
There is little consistency between the activities of a business unit and the wider aims of a strategy or
JJ
policy.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control,monitoring and review of the measures identified pursuant to paragraph (1) or (3)
and shall record such arrangements.
Schedule 1, 1 (b) show how control of the safety management system by the management on different levels
is secured;
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OC4: Internal Communication Arrangements
These arrangements make sure that any member of staff making a decision or performing a task has the right
information, in the form of:
JJ corporate messages;
Goal (excellence)
JJ Communication arrangements are kept under regular review against identified good practice in other
sectors.
Level 4 (predictable)
JJ Everything listed at level 3 below is in line with the main risk-control systems.
JJ Effective procedures for gathering feedback make sure that communications are understood.
Level 3 (standardised)
JJ Most of the following applies.
- Written business-health and safety objectives, standards and procedures for controlling
significant risks are in formats suitable for users.
- Factual information is used to share experiences and guide future performance
and decisions.
- Managers give instructions which reinforce procedures to help achieve health and safety
objectives.
- Staff report their performance and experiences because the organisation encourages them to
do so.
Managers give instructions and receive reports relating to controlling risks, but there is a lack of
JJ
consistency.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control,
monitoring and review of the measures identified pursuant to paragraph (1) or (3)
and shall record such arrangements.
Schedule 1, 1 (b) show how control of the safety management system by the management on different levels
is secured;
(f) arrangements for the provision of sufficient information relevant to safety— (i) within the operation in
question; and
(ii) between the operator in question and any other transport operator or an applicant for a safety certificate or
a safety authorisation who carries out or who intends to carry out operations on the same infrastructure;
(h) procedures to control the lay out of, and changes to, vital safety information;
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OC5: System Safety And Interface Arrangements
Risk Management (PI1) deals with the identification of interfaces and the associated risk controls. Effective
teamwork and co-operation are needed to implement these controls and make sure systems across the
organisation are safe.
Goal (excellence)
JJ As for level 4 below, and also looks to other sectors and countries to identify system-safety issues and
JJ Where appropriate, good practice is shared with other organisations in the UK and the rest of the world.
Level 4 (predictable)
JJ All of 3, relating to all system safety and interface issues.
JJ Decisions and arrangements are consistent with the full range of information listed in level 3.
JJ There are arrangements for sharing information throughout the organisation in order to promote
effective reviews and continual improvement.
Level 3 (standardised)
JJ Organisational interfaces are systematically identified.
There is regular discussion with other organisations to agree objectives, standards, processes and
JJ
arrangements.
JJ Communications outside the organisation are satisfactory to make sure that anyone making a decision
relating to risk controls with cross organisational boundaries is in possession of the right information
(in the form of procedures and standards); factual data and intelligence; and instructions and reports.
Level 2 (managed)
JJ Procedures identify interfaces between business units at a working level. There is liaison with the other
JJ There is co-ordination of practical issues at working level between individuals of organisations but
there is no overall organisation, resulting in inefficient planning and execution.
respect of shared risk controls. Procedures to achieve this are weak or do not exist.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
1. By routinely gathering informal information about the health and safety culture during inspections,
investigations and other dealings with employers and the workforce. For instance, workers on site during
a routine preventive inspection may comment that performance pressures sometimes take priority over risk
controls. In this case, as well as investigating the allegation, the background should be recorded to build up a
picture of the organisation’s health safety culture.
2. An organisation may have recently carried out a health and safety culture or safety climate
assessment. These assessments can provide useful information on the current safety culture, but
organisations do not have to carry them out.
32
3. If there is a particular concern about an organisation’s health and safety culture, perhaps because of an
incident or several informal reports of the type described in paragraph 1 above, an inspector may gather
more formal information about the safety culture by using the HMRI Safety Culture Inspection Toolkit
(www.hse.gov.uk/research/rrpdf/rr365.pdf ). This would provide information and views about leadership,
communications, learning culture, employee involvement and attitudes to blame.
Inspectors have to use their professional judgement to decide which of the methods explained above is most
suitable in the circumstances. For instance, the organisation may deny that there are any cultural problems
until they are given detailed supporting evidence from the HMRI Safety Culture Inspection Toolkit.
Goal (excellence)
JJ The organisation shows a culture which helps to deliver excellence in risk controls, and a commitment
JJ The organisation:
- respects, anticipates and responds to risks;
- develops a fair, learning, flexible, adaptable, prepared and informed culture; and,
- aims to be resilient.
JJ There is excellent two-way communication between management and employees, excellent employee
involvement, an excellent culture of learning, and mutual trust, where management and employees
agree on acceptable and unacceptable standards.
Level 4 (predictable)
JJ Most staff are convinced that health and safety is important, both morally and for financial reasons.
JJ Management recognises that a wide range of factors leads to accidents, and the root causes are likely
to stem from management decisions.
JJ Frontline staff accept responsibility for their own and other people’s health and safety.
JJ The organisation recognises how important it is for all employees to feel valued and be
treated fairly.
JJ The organisation tries to spot failings in the system and correct them before they cause a problem.
Level 3 (standardised)
JJ There is evidence that the organisation realises that employee involvement is essential for improving
health and safety, and that a wide range of factors – often coming from management decisions – lead
to accidents.
JJ A significant proportion of frontline employees are willing to work with management to improve health
and safety.
JJ Most staff accept responsibility for their own health and safety.
JJ Health and safety performance is monitored and the findings are used to make improvements.
Level 2 (managed)
JJ Safety is seen as a business risk, and management devotes time and effort to prevent accidents.
JJ Management feels that most accidents are due to the unsafe behaviour of frontline workers.
JJ Safety performance is measured with lagged indicators (indicators with a delayed effect, for example,
injury rates).
JJ Senior managers only become involved in health and safety if accidents increase and enforcement
action is likely to be taken against the organisation.
JJ Safety is not seen as an important business risk.
34
JJ The safety department, and not individuals, is considered to be responsible for safety.
JJ Most frontline workers are not interested in health and safety. It is only used as a lever on other issues.
JJ There is a blame culture (where focus is placed on finding out who is to blame) or a relaxed attitude to
accountability (no blame culture).
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
None.
Goal (excellence)
JJ As for level 4 below, but making more use of the process to drive efficiency and effectiveness of the
management system.
Level 4 (predictable)
JJ Comprehensive records of risk-related processes and standards, decisions and information are
JJ Records are kept of important information and decisions that are likely to be valuable in the future.
Level 2 (managed)
JJ There are some records of information on important risk controls, but the records are inconsistent.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Schedule 1, 2 (g) procedures and formats for the documentation of safety information;
(h) procedures to control the lay out of, and changes to, vital safety information;
JJ To see if the organisation’s recruitment, selection, training and development policies focus, as far as
possible, on meeting the organisation’s health and safety objectives.
JJ To prove how much the organisation consults its employees at all levels to make sure that knowledge
and experience are shared and health and safety becomes ‘everybody’s business’.
Introductory notes
Employees’ involvement supports risk control by encouraging their ‘ownership’ of health and safety policies
and procedures. It makes sure the organisation as a whole, and people working in it, benefit from good
health and safety performance. Sharing knowledge and experience means that health and safety becomes
‘everybody’s business’.
36
Organisations need an effective system for managing competence to help make sure that their staff have
the appropriate skills. Making sure that workers, supervisors and managers have, and keep, the appropriate
skills helps those members of staff to carry out their work safely, reducing risks to themselves and to other
people. ORR guidance on competence management systems (‘Developing and maintaining staff competence’,
Railway Safety Publication 1, second edition, published in 2007) explains the legal basis for duties relating to
competence management systems.
Subcriteria
JJ develop, maintain and promote measures for protecting health and safety at work; and,
JJ check the effectiveness of those measures. Successful organisations often go further than the law
specifies and actively encourage age and support consultation in different ways.
JJ Effective organisations will actively involve the workforce to encourage them to use their knowledge and
experience and build commitment to achieving shared objectives
Goal (excellence)
JJ The organisation makes full use of its employees’ potential and actively involves them to develop
JJ The organisation uses involvement to gather ideas for improvement and put them into practice.
JJ Employees show that they understand how they contribute to achieving the organisation’s goals. That
understanding is consistent with the organisation’s relevant policies and vision of the senior team.
Level 4 (predictable)
JJ The organisation has a policy of seeking to involve employees at all levels of the organisation, and
The organisation regularly consults its workforce in a range of ways, such as through surveys, work
JJ
Employees are motivated to deliver the business objectives and demonstrate a consistent
JJ
Employees understand the need for change and confirm that they are consulted on how changes are
JJ
introduced.
Level 3 (standardised)
JJ The organisation has a way of making sure that employees are consulted on health and safety matters.
JJ Employees understand how they contribute to their health and safety and the safety of the railway.
Level 2 (managed)
JJ Employees understand that they are responsible for their own health and safety and colleagues, but
There is some consultation on health and safety matters, but it is not carried out in a systematic way or
JJ
Employees do not understand how they contribute to their own health and safety and to the safety of
JJ
38
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are
appropriate, having regard to the nature of his activities and the extent of the undertaking, for the effective
planning, organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements
Schedule 1, 1 (c) show how persons carrying out work or voluntary work directly in relation to the operation
and their representatives on all levels are involved with the safety management system;
Once a competence management system is set up it can be applied more widely than the safety-critical tasks
defined in regulation 24, and excellent organisations will apply the same system to make sure all employees
are competent in their roles. Level of achievement according to evidence Goal (excellence)
The organisation uses employee involvement to gather ideas for improvement and put them into
JJ
practice.
Level 4 (predictable)
JJ Policies on recruitment, selection and training are in line with identified objectives. They are based on
Level 3 (standardised)
JJ The organisation has an effective competence management system in place. This covers the
competencies needed to meet the objectives of the business and to manage risks.
JJ The organisation has ways of making full use of the competencies of their staff.
management system.
JJ Recruitment, selection and training policies are not in line with the business objectives.
JJ Training is provided by chance as and when training needs are identified locally.
JJ Employees may have the competencies they need, but there are no arrangements to check this.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
(1) Every controller of safety critical work shall, so far as is reasonably practicable, ensure that a person under
his management, supervision or control, with the exception of where that person is receiving practical training
in a safety critical task, only carries out safety critical work where—
(a) that person has been assessed as being competent and fit to carry out that work following an assessment
by an assessor;
(b) there is an accurate and up to date record in writing of that person’s competence and fitness which
references any criteria for determining competence and fitness against which that assessment of competence
was made;
(c) the record, or an accurate summary of the record referred to in sub-paragraph (b) is available for
inspection, on reasonable request, by any other controller of safety critical work or any operator who may
be affected by any safety critical work carried out or to be carried out by that person, for the purposes of
establishing that person’s competence and fitness to carry out safety critical work; and
(d) there are in place arrangements for monitoring the competence and fitness of that person.
(2) Every controller of safety critical work shall without unreasonable delay review any person’s competence or
fitness assessment where—
(a) they have reason to doubt the competence or fitness of a person to carry out that safety critical work; or
40
(b) there has been a significant change in the matters to which the assessment relates,
and where, as a result of any such review a reassessment of competence or fitness is required, that
reassessment of competence or fitness shall be carried out to ensure that the requirements of paragraph (1)
are met.
(3) Where a reassessment of competence or fitness under paragraph (2) is required, the controller of safety
critical work shall, so far as is reasonably practicable ensure that, as a result, the health and safety of persons
on a transport system is not prejudiced.
Schedule 1, 2 (e) provision of programmes for training of persons carrying out work or voluntary work directly
in relation to the operation and systems to ensure that the competence of such persons is maintained and that
they carry out tasks accordingly;
Introductory notes
The risk-control systems associated with planning risk controls and putting them in place should be co-
ordinated to make sure they keep to relevant laws and allow the organisation to meet its objectives efficiently
and effectively.
Subcriteria
Goal (excellence)
JJ Risk assessment is used to drive continual improvement in the risk profile of the organisation.
JJ The approach to risk management is embedded and applied consistently throughout the organisation.
JJ Removing risk at its source is part of a consistent approach and is reflected in the organisation’s
policies.
Level 4 (predictable)
JJ Risk assessments are built into other aspects of the business to make sure there is a systematic
JJ All levels of the workforce, and outside organisations, can contribute to risk assessments.
JJ Risk assessments, including removing risk at its source, are part of the culture of the organisation.
JJ There is effective use of the risk-control hierarchy and removal of risk at source.
Level 2 (managed)
JJ Risk assessments are completed, but overall co-ordination is poor.
Control measures within an activity do not always include the measures identified by the risk
JJ
assessment.
42
JJ Risk assessment is often only used to demonstrate that the risk controls already in place are adequate.
Risk assessments are used to identify where risk controls are needed, but controls are not adequately
JJ
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
(a) make a suitable and sufficient assessment of the risks to the safety of any persons for the purpose of
identifying the measures he needs to take to ensure safe operation of the transport system in question insofar
as this is affected by his operation; and
(b) implement the measures referred to in sub-paragraph (a).
(2) When carrying out an assessment or a review under paragraph (1) or (3), a transport operator shall apply
the CSMs to the extent that the operation is carried out on the mainline railway.
(3) Any assessment under paragraph (1) shall be reviewed by the transport operator who made it if-
(b) there has been a significant change in the matters to which it relates and where as a result of any such
review changes to an assessment are required,
the transport operator concerned shall make them, and implement any changes to the measures identified
pursuant to paragraph (1) as a result of the review.
(4) The transport operator shall record in relation to any assessment or review under this regulation—
(b) the significant findings of the risk assessment including the measures in place and any further measures
the transport operator intends to take to ensure safe operation of the transport system in relation to his
operation.
(5) Every transport operator shall make and give effect to such arrangements as are appropriate, having regard
to the nature of his activities and the extent of the undertaking, for the effective planning, organisation, control,
monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements.
Schedule 1, 2(d) procedures and methods for carrying out risk evaluation and implementing risk control
measures when –
(i) there is a change in the way in which the operation in question is carried out; or,
which gives rise to new risks in relation to any infrastructure or the operation being carried out.
Goal (excellence)
JJ As for level 4 below, but the organisation compares its performance against that of others, within and
outside the rail industry, to make sure that objectives represent excellence.
44
Level 4 (predictable)
JJ Objectives are SMART, prioritised and in line with each other to support the overall policy.
The health and safety management system makes sure that targets are set and achievement is
JJ
measured.
Level 3 (standardised)
JJ Health and safety targets and objectives are set.
Attempts are made to achieve SMART objectives and to prioritise objectives and targets and bring
JJ
Level 2 (managed)
JJ There are objectives. Some may be SMART and prioritised, but objectives within different parts of the
organisation are not aligned and do not always support the objectives of the organisation’s overall policies.
JJ Personal targets are not related to the objectives of the organisation’s overall policies.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are
appropriate, having regard to the nature of his activities and the extent of the undertaking, for the effective
planning, organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements
Schedule 1, 1(d) show how continuous improvement of the safety management system is ensured.
Schedule 1, 2 (b) qualitative and quantitative targets for the maintenance and enhancement of safety and plans
and procedures for reaching those targets;
Goal (excellence)
JJ As for level 4 below but with more focus on identifying good practice in other organisations, where
appropriate.
Level 4 (predictable)
JJ The planning system includes regular reviews of workload at different levels of management.
JJ Major projects and other known tasks are planned and given out at the beginning of the work year.
JJ Extra work is planned and care is taken to make sure that nobody is overloaded with work.
completed on time.
There is some monitoring of workloads but people still become overloaded, leading to failures in risk
JJ
control.
JJ The culture within the organisation is for people to accept extra work and become overloaded.
Level 2 (managed)
JJ Workloads vary, but some thought has been given to allocating tasks in a way that aims to even the
load.
46
JJ There is evidence that poor performance in carrying out tasks is due to not enough time being given
and tasks which are critical to safety not being prioritised properly.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3)
and shall record such arrangements.
Goal (excellence)
JJ As for level 4 below, plus a commitment to continually improve the systems by, for example,
JJ The systems have the best possible blend of processes, plant and people to achieve excellent results,
delivered efficiently and safely.
Level 4 (predictable)
JJ The systems of work are used to both implement risk controls and get feedback on how adequate they
are.
Changes to the systems of work are checked carefully and are well-managed. They produce the result
JJ
Arrangements for selecting and recruiting staff make sure those using the systems of work have the
JJ
Level 2 (managed)
JJ Systems of work are in place but there are clear differences in how they are applied
The systems are sometimes less than adequate because the procedures cause mistakes or are not
JJ
JJ Work that is critical to health and safety is recognised but is not managed consistently.
The systems of work do not take account of risk, and tasks that are critical to health and safety are not
JJ
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Schedule 1, 2(e) provision of programmes for training of persons carrying out work or voluntary work directly
in relation to the operation and systems to ensure that the competence of such persons is maintained and that
they carry out tasks accordingly.
Goal (excellence)
JJ As for level 4 below, but reviews of inspection frequencies and schedules include information from
48
Level 4 (predictable)
JJ As for level 3 below, but the frequency of inspections is reviewed systematically and the system allows
Level 3 (standardised)
JJ The asset register is up to date, and inspection and maintenance schedules are based on risk and are
followed.
JJ There may be some backlog of inspections, but this is recognised and managed.
There is some reviewing of the frequency of inspections, and some ability to adapt to changes to the
JJ
condition of assets.
Level 2 (managed)
JJ There are schedules for inspecting and maintaining most, but not all, assets.
JJ The overall policy on managing assets does not aim to improve health and safety.
register, so the organisation cannot be sure that all assets are maintained in a safe condition.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
Schedule 1, 2(c) procedures to meet relevant technical and operational standards or other requirements as set
out in—
(i) TSIs;
(iv) decisions of the Office of Rail Regulation addressed to the transport operator in question,
and procedures to ensure compliance with the requirements listed in this paragraph throughout the life-cycle
of any relevant equipment or operation which is subject to the requirement in question.
Goal (excellence)
JJ As for level 4 below, but there is also an understanding that change affects other aspects of business.
It leads to business risk being linked with health and safety risk during and as a result of any change.
Level 4 (predictable)
JJ As for level 3 below, but the review is carried out after a change is structured to also consider the effect
JJ The importance of involving employees in the change process is recognised to bring benefits.
Level 3 (standardised)
JJ There is an efficient approach to managing any process, organisational and engineering changes.
JJ There may be a structured approach to change, involving a number of steps in the change-
management system.
JJ There is a consistent approach to risk assessment and risk control after a change is made.
Level 2 (managed)
JJ The importance of change management is understood and there is some degree of control over all
types of change.
50
JJ Changes are planned but are not always adequate.
JJ There is no system for making changes, which leads to risks not being identified or controlled following
a change.
JJ There is little consideration of the effects a change has on the organisation’s culture.
JJ Not all risks associated with a change are identified and so are not controlled.
JJ The effect the change has on the organisation’s culture is not considered.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
(5) Every transport operator shall make and give effect to such arrangements as are appropriate, having regard
to the nature of his activities and the extent of the undertaking, for the effective planning, organisation, control,
monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements.
Schedule 1, 2(d) procedures and methods for carrying out risk evaluation and implementing risk control
measures when –
(i) there is a change in the way in which the operation in question is carried out; or,
which gives rise to new risks in relation to any infrastructure or the operation being carried out;
Goal (excellence)
JJ The contractor supply chain seamlessly delivers all of the organisation’s objectives.
JJ The contractor’s main health and safety activities are in line with the organisation’s.
Level 4 (predictable)
JJ There is a systematic approach to contractor control.
JJ Effective prequalification arrangements take a balanced approach, including considering their health and
safety performance.
JJ There is a clear understanding of responsibility at all stages of the contract work. Good working
relationships between client and all contractors are delivered through effective interface arrangements.
Level 3 (standardised)
JJ The importance of contractor control is recognised and this is reflected in the organisation’s relevant
policy.
JJ Contractors are chosen on their ability to complete work safely and to a satisfactory standard.
JJ The contractor’s performance is monitored during the contract, and appropriate performance
measures are used effectively to track achievement.
Level 2 (managed)
JJ Some elements of a risk control system are in place for contractor control, but there is no systematic
52
Level 1 (ad hoc)
JJ Contractors are appointed when needed, but when contractors are chosen there are few considerations
JJ There is little consideration of the responsibilities for risk control when deciding how to do the work.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
5) Every transport operator shall make and give effect to such arrangements as are appropriate, having regard
to the nature of his activities and the extent of the undertaking, for the effective planning, organisation, control,
monitoring and review of the measures identified pursuant to paragraph (1) or (3) and shall record such
arrangements.
JJ providing adequate training and making sure that the necessary resources are available; and
Goal (excellence)
JJ As for level 4 below, but with good practice, both within and outside the rail industry, being recognised.
Level 4 (predictable)
JJ As for level 3 below, but with feedback from exercise wash-ups being taken into account when
procedures are reviewed to make sure emergency responses remain up to date and effective.
JJ Control measures, including training and resources, are in place to deal with emergencies.
JJ Joint emergency-response exercises take place with other organisations involved in a task.
Level 2 (managed)
JJ The organisation realises that emergency responses are an important part of a risk-control system.
JJ Major emergencies that could arise are identified and there are some plans in place to deal with them.
JJ The organisation relies on the emergency services to deal with all aspects of an emergency.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Schedule 1, 2 element j) provision of plans for action, alerts and information in the case of an emergency
which are to be agreed with any public body, including the emergency services, that may be involved in such
an emergency;
The aim is to make sure that risk controls are in place, working correctly and achieving the organisation’s
objectives.
Introductory notes
Organisations need to measure the effectiveness of risk controls to make sure that risk controls are identified
and work in practice. Safe systems of work must be monitored to make sure they are appropriate and are
actually being followed. Systems for monitoring, auditing and reviewing performance should be in place to
make sure that the health and safety management system is working correctly.
54
An audit checks that the organisation is doing what it says it will do. It should be supported by regular reviews
to make sure that the organisation’s business objectives are correct. The review should also check that the
arrangements put in place to meet the business objectives are working as intended.
Monitoring, audit and review form a feedback loop within the overall health and safety management system,
and are an essential part of programmes for continual improvement and achieving excellence.
Purpose
Goal (excellence)
JJ The monitoring activities chosen are for critical and vulnerable systems. The results of this monitoring
are effectively co-ordinated throughout the organisation to support reviews and effective control of
improvement.
Monitoring procedures are reviewed to make sure they remain relevant to the organisation’s risk
JJ
profile.
Level 4 (predictable)
JJ As for level 3 below, but with an understanding of the monitoring of essential and vulnerable systems.
Managers and supervisors are well-trained and have the necessary resources, and there is evidence
JJ
Level 3 (standardised)
JJ Monitoring flows from the risk assessment, and all risk controls are monitored in a logical way.
Monitoring is process driven so critical or vulnerable systems are not prioritised over monitoring of less
JJ
There is evidence that some people in the organisation do not understand the need to
JJ
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
Schedule 1, 2(b) qualitative and quantitative targets for the maintenance and enhancement of safety and plans
and procedures for reaching those targets;
MRA2: Audit
An audit is an independent, systematic check of risk-control systems and management arrangements to make
sure that business objectives are being met.
Goal (excellence)
JJ As for level 4 below, but with more challenging business objectives and comparison against best
practice.
56
Level 4 (predictable)
JJ Audit activities are planned and prioritised.
business objectives.
JJ The organisation can show that audits are completed by competent auditors.
Level 3 (standardised)
JJ There is evidence of a co-ordinated, effective and planned approach to audits.
JJ Audits that are carried out are not planned or prioritised, and the findings are not acted upon.
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are
appropriate, having regard to the nature of his activities and the extent of the undertaking, for the effective
planning, organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements.
Schedule 1, 2(k) provisions for recurrent internal auditing of the safety management system.
Goal (excellence)
JJ As for level 4 below, with an understanding of the implications of the findings from other organisations’
investigations.
Level 4 (predictable)
JJ As for level 3 below, but the quality of investigation produces recommendations that can be applied
JJ The range of incidents investigated includes, where appropriate, disruptions to work and where
expected outcomes are not achieved.
Level 3 (standardised)
JJ There are standard arrangements for when and how investigations are carried out.
JJ The root cause of an incident is investigated, and investigations are also carried out after a near miss
or near hit.
Level 2 (managed)
JJ Incidents are investigated but there is little guidance on how or what to investigate.
JJ The range of incidents investigated is limited to accidents, and recommendations arising from
investigations are limited to preventing the same thing happening again. They do not identify areas for
wider improvement.
to blame.
58
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are
appropriate, having regard to the nature of his activities and the extent of the undertaking, for the effective
planning, organisation, control,monitoring and review of the measures identified pursuant to paragraph (1) or
(3) and shall record such arrangements.
Schedule 1, 2(i) procedures to ensure that accidents, incidents, near misses and other dangerous occurrences
are reported, investigated and analysed and that necessary preventative measures are taken;
Goal (excellence)
JJ As for level 4 below.
Level 4 (predictable)
JJ As for level 3 below, but learning lessons from incidents in other organisations and other industries.
Level 3 (standardised)
JJ Management automatically uses findings from monitoring and audits to review the organisation’s
Recommendations from reviews are clearly allocated, tracked and show that the wider implications are
JJ
considered.
Level 2 (managed)
JJ The reviews carried out are not part of an ordered approach to improvement
JJ They are often reactive and not planned as part of the management cycle.
Level 1 (ad hoc)
JJ There is no analysis of the findings of monitoring and audits.
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
Schedule 1, 1 (d) show how continuous improvement of the safety management system is ensured.
Schedule 1, 2(c) procedures to meet relevant technical and operational standards or other requirements as set
out in—
(i) TSIs;
(iv) decisions of the Office of Rail Regulation addressed to the transport operator in question,
and procedures to ensure compliance with the requirements listed in this paragraph throughout the life-cycle
of any relevant equipment or operation which is subject to the requirement in question.
Goal (excellence)
JJ As for level 4 below, and with corrective action put in place by sources within and outside the rail
industry.
Level 4 (predictable)
JJ As for level 3 below, but with closure criteria and mechanisms for tracking progress.
60
JJ Corrective actions are linked to objectives set out in the health and safety management system to get
the most benefit possible.
Level 3 (standardised)
JJ A process is in place to make sure the necessary actions identified by monitoring, audits and reviews
are implemented and identify who is responsible for the actions and the timescales for carrying them
out.
JJ Corrective action will be at any level of the health and safety management system.
Level 2 (managed)
JJ Simple findings from monitoring, audit and review give rise to simple actions and changes to low levels
JJ No systematic process.
Level 1 (ad hoc)
JJ Monitoring, audits and reviews result in little or no change, either because none are carried out or they
Relevant parts of the Railways and other Guided Transport Systems (Safety) Regulations 2006
Regulation 19 (5) Every transport operator shall make and give effect to such arrangements as are appropriate,
having regard to the nature of his activities and the extent of the undertaking, for the effective planning,
organisation, control, monitoring and review of the measures identified pursuant to paragraph (1) or (3) and
shall record such arrangements.
Schedule 1, 1 (d) show how continuous improvement of the safety management system is ensured.
Schedule 1, 2(i) procedures to ensure that accidents, incidents, near misses and other dangerous occurrences
are reported, investigated and analysed and that necessary preventative measures are taken;
Risk Management
Maturity Model
Contact Details
Neil Anderson
RM3 Manager
Strategic Risk and Competence Team
Office of Road and Rail I 2nd Floor Mallard House I Kings Pool I 1-2 Peasholme Green I York I Y01 7PX
T : 020 7282 3703
M: 07789 283 156
E : neil.anderson@orr.gsi.gov.uk