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Chemical Industries Council of Malaysia (CICM)
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EMPLOYEE HEALTH AND SAFETY CODE
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Responsible Care Assessment Checklist 2026
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( ) Self-Assessment Form / ( ) Documentation Assessment Form / ( ) Site Assessment Form [Please tick (√)]
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Name of Company: __________________________________
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NO.MANAGEMENT PRACTISESIMPLEMENTATION GUIDELINESEVIDENCE & EXAMPLESTAGES OF IMPLEMENTATIONREFERENCES (by company) /
FINDINGS (by assessor)		RECOMMENDATIONS
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1MANAGEMENT LEADERSHIP & COMMITMENT Commitment by all levels of management to protect and promote the Health & Safety (H&S) of people working at or visiting company facilities through published policies, accountability for implementation and provision of sufficient resources including qualified H&S personnelDemonstrating management leadership and commitment in H&S through :0.0
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1. Policy A written H&S policy endorsed by top management is available. The policy shall be periodically reviewed, communicated to all employees (including contractors) and publicly displayedH&S Policy published in languages understood by employees, approved by top management, periodically reviewed/updated and displayed at strategic locations on site00.0
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H&S Policy awareness & refresher training / briefing record are available for all employees0
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2. H&S Management System (H&S MS) A standard H&S MS is established and fully implemented on siteThe site is certified with the latest version of H&S MS e.g. ISO 45001:2018 or has implemented formal Internal HSE MS based systems for H&S00.0
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3. Accountability H&S accountability for every management personnel by establishing goals and responsibilities for implementing H&S throughout the organizationDocumented H&S strategy, plan and goals established, communicated and implemented by top management and monitored and reported on periodical basis00.0
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H&S accountability at all levels of the organization as stated in the Job Description (JD) & annual H&S objectives in order to meet the set goals0
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4. Participation Active management participation & involvement in H&S via H&S-related meetings, events, campaigns & activities where employees at all levels are involved H&S-related meetings e.g. H&S Committee, Management Review & HIRARC Meeting00.0
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Involvement & Participation through Employee Engagement Program e.g. Survey, Dialogue, Town Hall / Coffee Talk session, Suggestion Scheme, H&S Campaign and company media of communication e.g. notice board, e-mail, website, newsletters & magazines0
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5. Resources Provision of sufficient resources to implement the policyAvailability of a qualified and competent H&S personnel, H&S-related committee or function group and H&S-related facilities.00.0
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Competency training requirement established based on Training Matrix for critical H&S position0
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Adequate H&S training provided to employees including contractors e.g. training plan, refresher training & completion record provided0
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Consistent financial budget allocated for H&S-related initiatives & improvement programs/projects0
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2STAKEHOLDER ENGAGEMENT Opportunities for employees (including contractors) to participate in developing, implementing and reviewing of H&S programsProvide opportunities for employee (including contractors) at all levels to participate & be involved on continuous basis in H&S program at :0.0
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1. Development StageA. Employee Feedback / Survey00.0
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B. Employee Suggestion Scheme0
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C. Safe Operating Procedure
Establishment, Implementation & Review		0
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2. Implementation StageA. Hazard Identification & Communication
e.g. Workplace H&S inspection, risk-based observation activity or Behavioral-based Safety (BBS)		00.0
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B. H&S Program & Activities
e.g. Committee Meetings, Improvement Projects, Competitions, Campaigns, Promotions & Community Engagement		0
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C. H&S Audit & Assessment
Involvement as auditee / auditor and assessee / assessor		0
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D. H&S Training
Participation of employee as trainee / trainer or organizer		0
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E. PPE Selection
e.g. PPE Fit Test		0
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 3. Recognition & Reward A. Internal Announcement Recognize employee participation & contributions in H&S programs through company communications00.0
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B. Reward
Offer reward or incentives for participation or achievement in H&S program / activities		0
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C. Employee Performance
Recognize the participation or achievement as part of employee performance appraisal		0
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3CONTRACTOR MANAGEMENT
Ensure contractors (inluding sub-contractors) management includes selection criteria, contractor H&S program, performance and contract review, consistent with applicable Management Practices of the EHS Code		Contractor is selected based on their H&S program and performance such as follows:0.0
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1. Policy Demonstrating H&S management leadership and commitment through written H&S policy which is communicated to all employees via training / briefingContractor H&S Policy published in languages understood by employees, approved by top management, periodically reviewed/updated and displayed at strategic locations00.0
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Contractor H&S Policy awareness training / briefing record are available for all their employees0
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2. Contractor & Visitor Management A management system on contractor and visitor control is established and fully implemented on siteProcedure of managing contractors with regards to statutorial requirement, contractor selection, approved vendor / contractor list, site operation, H&S program, performance monitoring, training, audit and contract review of the contractor on site00.0
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Procedure of managing and handling visitor on site including during abnormal circumstances0
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3. Accountability Accountability for implementation by establishing H&S goals and responsibilities for implementing H&S throughout the contractor organizationContractor H&S plan / program and KPI performance objectives, goals or target set with periodical monitoring report00.0
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H&S accountability at all levels of the contractor organization through via Job Description, Letter of Appointment or Organization Chart0
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4. Participation Active participation & involvement in H&S via H&S-related meetings, events, campaigns & activities when employees are involved MOM for H&S or/and Management Review Meeting00.0
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H&S events, campaigns & activities involving employees (including contractors)0
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5. Resources Provision of sufficient resources to implement the contractor's H&S policy & ensure compliance with client's H&S policy, rules, procedures and practices related to the services being providedAvailability of a competent / qualified personnel for H&S personnel and/or high risk or critical H&S tasks00.0
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Availability of safe & effective equipment / facility provided and used on site by the contractor e.g. PPE and high risk / H&S critical task equipment0
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6. Training Competency training requirement for critical H&S position & H&S awareness training for all contractors (incl. site supervisor) and safety induction for visitorsCompetency training records for high risk or critical H&S tasks e.g. confined space entry (CSE), working at height (WAH), electrical work & hot work00.0
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H&S awareness training records i.e. attendance & validation test for contractor employees0
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H&S induction briefing records for visitors0
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7. Contractor H&S Audit Periodical H&S audit of contractorRecord of contractor periodical H&S audit00.0
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8. Contract Review Periodical contract evaluation & reviewRecord of annual contractor performance review00.0
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4DOCUMENTATION & PROGRAM
Each site should have written and current H&S documents e.g. procedures, work instructions, manuals & guidelines, and programs which are appropriate to the H&S matters on site and re-evaluated for any changes and current good practice, and updated as necessary.		Maintain simple to be understood site specific H&S documentation and program such as follows:0.0
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1. System The site should have an updated H&S documentation system to manage the generation, review, update, distribution & communication of all related matters including programs to all stakeholdersA written and up-to-date H&S documentation system is in place comprises of procedures, work instructions, manuals and programs00.0
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2. Key H&S Issues Documentation & program based on the following key H&S issues should be in place:a. H&S Hazards & Risks
Procedures & programs documented, reviewed and updated based on the site H&S hazards identified and risk assessed. Example : HIRARC/HAZOP & JSHA		00.0
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b. H&S Regulatory Requirements Procedures & programs documented, reviewed and updated based on the most current H&S-related act and regulatory provisions applicable including Industrial Code of Prctices (ICoPs) issued by the respective governing authorities.0
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c. H&S Critical Operations / Tasks
Procedures & programs documented, reviewed and updated based on H&S Critical Activities & Tasks. Example : Permit to Work (PTW), Confined Space Entry (CSE), Work at Height, Hot Work, Electrical Inspection and Management of Change (MoC)		0
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d. Abnormal Circumstances
Procedures & programs documented, reviewed and updated based on abnormal circumstances e.g. emergency & unplanned events, shutdown & crisis		0
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3. Review & Update Documents & programs reviewed & updatedDocuments & programs are periodically reviewed and updated whenever necessary for any changes and implementation of better practices00.0
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4. Responsibility Qualified and responsible personnel with necessary experience to produce the documentation & programQualified and responsible personnel with necessary experience and expertise selected to develop specific documents & programs updated. A Register or List of Document Issuer & Reviewer is appropriate.00.0
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5. Distribution Distribute written document and program to accountable or affected personnelA list of Document Receiver is appropriate with receiving evidence00.0
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6. Communication Communicate newly developed or revised document and program to affected stakeholdersA communication or validation record is available00.0
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5AUDIT & ASSESSMENT
Means to verify that the H&S documents & programs are effective and that actual practices are consistent with them		The site / facility should establish a system to verify the effectiveness & consistency of the H&S documents & programs through:0.0
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Regular H&S audits / assessmentsAudit / assessment procedure is in place00.0
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Only conducted by trained or competent Auditor/Assessor0
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Periodical plan is in place0
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Identify non-compliance and take corrective / preventive actionsNon-compliance results reported, analyzed & improvement action plan generated00.0
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Implement improvement action plan completionH&S improvement action plan monitored on periodical basis by Management until completion00.0
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6RECORD & PERFORMANCE REVIEW Establish system for maintaining H&S records and analyzing data to evaluate H&S performance, determine trends and identify areas for improvement. The site / facility should establish a system to record, analyze & review H&S performance through :0.0
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Establishing a recording, data analysis & review systemProcedure for recording, monitoring & reviewing of H&S performance is in place00.0
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H&S KPI established and database for recording the performance is available0
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Analyze H&S KPI trend to ensure it meets or exceeds regulatory requirementsDatabase for reporting and monitoring of H&S KPI is available00.0
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Periodical reporting, monitoring and analysis of H&S KPI via formal communication platform e.g. H&S Committee or/and Management Review Meeting and ensure compliance or meet regulatory requirements0
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Take corrective / preventive actionsH&S performance improvement plan established & implemented00.0
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7H&S HAZARDS IDENTIFICATION Establish methods to identify and evaluate potential health and safety hazards in plants / facilities & processes including new and to be modified plants / facilities & processes.Establish means to identify and evaluate potential H&S hazards and for existing and new / modified facilities & processes at the following stages :0.0
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H&S Hazards AnalysisSystem in place & implemented to identify potential H&S hazards before construction, purchase or modification via systematic and effective procedures e.g. product research, plant & process design, HAZOP procurement screening policy and MOC.00.0
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Observation & InspectionSystem in place & implemented to observe, inspect and report potential H&S hazards on regular basis at the workplace through systematic and effective programs with input from all stakeholders e.g. Workplace Inspection, UA/UC Identification, PMOS and BBS00.0
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Hazard Exposure MonitoringSystem in place & implemented to monitor H&S hazards on regular basis at the workplace through systematic and effective exposure monitoring, surveillance & tracking programs & system e.g. Industrial Hygiene Monitoring and Health Surveillance00.0
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Document ReviewSystem in place & implemented to review H&S documents on periodical basis e.g. hazard review, Regulations & Codes of Practice, Incident / Near Miss Report, Injury/Illness Record, Audit Report, worker's compensation report, main hazards, SDS and product formulation00.0
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8RISK EVALUATION
Conduct periodic assessment on employee exposure to H&S hazards to evaluate management performance for each respective risk		Establish means to conduct periodic employee exposure assessment to evaluate H&S risks with respect to :0.0
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Plants & ProcessesHIRARC and Health Risk Assessment (HRA) conducted as part of the Site Risk Assessment (SRA) on all potential hazard exposure to employees and visitors on site with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Biological Hazards (Example : bacteria, viruses or parasites, as well as venomous wildlife, pests and insects carrying disease-causing agents and poisonous plants)A simple Rapid Risk Assessment (RRA) procedure is used for biological hazards exposure to determine the level of risk associated with detected cases or illnesses and level of intervention required. The RRA should be conducted with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Chemical Hazards (as classified under the respective law and regulations) HRA, Chemical Health Risk Assessment (CHRA), Chemical Exposure Monitoring (CEM), LEV Examination & Testing (LEVET) and Health/Medical Surveillance or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.conducted with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Energy Hazards Example : Electric Current, Electric Static, Pressurized/Compressed Fluid, Explosion, Radiation, Kinetic Energy (e.g. Moving Vehicle/Object) and Potential EnergyRisk assessment on such hazard exposure or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Environmental Hazards Example : Excessive Noise, Extreme Temperatures, Confined Space, Height, Poor Indoor Air Quality, Dark/Poor Lighting, Poor Ventilation, Contaminated Air & Crowded RoomRisk assessment e.g. Noise Risk Assessment (NRA), Heat Stress Assessment (HSA), Indoor Air Quality (IAQ) and Medical Surveillance on such hazard exposureor risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Ergonomical Hazards (Physical conditions that may pose risk of injury to the human musculoskeletal system) Ergonomical Risk Assessment (ERA) such as for Manual-handling & Video Display Unit (VDU) / Display Screen Equipment (DSE) or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Mechanical Hazards (Example : Cutting, Shearing, Stabbing & Puncturing, Impacting & Compacting, Entanglement, Friction & Abrasion, Crushing, Drawing-in and Ejection)Risk assessment on such hazard exposure or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Physical Hazards (Example : Sharp, Slippery, Uneven Surface, Hot, Heat, Vibration, Heavy/Overload, Obstacle & Falling/Flying Object) Risk assessment on such hazard exposure or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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Psycho-social Hazards (Example : Stress, Improper Occupational Behavior (IOB)*, Alcohol & Substance Abuse, Illness Absenteeism and Smoking) *Example : Horseplay, Workplace Violence, Intimidation, Bullying and HarassmentMental Wellness assessment, hazard related behavioral survey or risk-based observation activity conducted as part of HIRARC and workplace inspection with findings reported, opportunity for improvement implemented, effectiveness assessed & re-assessed, and communicated to relevant stakeholders.00.0
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Records and reports on the assessment are available, maintained, reviewed & updated0
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9HEALTH FITNESS ASSESSMENT
For specific jobs, conduct employee health assessment to determine employee medical fitness		Conducted health fitness assessment through:0.0
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Establish medical fitness standards for specific H&S critical jobs / tasks such as confined space entry (CSE), work at height (WAH) and use of self-contained breathing apparatus (SCBA) during emergency responseProcedure for conducting health fitness assessment on employees for H&S critical jobs / tasks is in place00.0