Registration Form

Individual Registration

Please enter information in the form below to process registration for event MSOSH Award.

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DOCUMENT SUBMISSION

Please print Application Form and have it signed by the CEO/MD/GM, complete with company stamp.

Please attach all required documents either hard copy or soft copy, arranged systematically with label or index.

The printed Application Form together with requested supporting document (hard copy or soft copy) must be sent to MSOSH Secretariat by the closing date Monday, 24th February 2020.

Please mail to:

CHAIRMAN
MSOSH 2019 OSH AWARD
MALAYSIAN SOCIETY FOR OCCUPATIONAL SAFETY AND HEALTH
Wisma MSOSH, No.1-1, Jalan Pegaga D U12/D,
Section U12, Desa Alam, 40170 Shah Alam, Selangor, Malaysia

Application form

Applicant can register online by completing the online registration form as link below. (Do NOT attach any document during registration).

Audit document must be sent separately to MSOSH Office. (See details below)

Closing date for online registration and document submission is on Monday, 24th February 2020. (Request for late submission please see item No.2 (page 2) click here to read & download

A.PARTICULARS OF COMPANY/ORGANIZATION

Are you MSOSH Corporate Members ?


Please attach route map – if necessary




B. PARTICULARS OF CHIEF EXECUTIVE OFFICER & PERSON SUBMITTING ENTRY FORM


B.1.Application submitted by



C. CATEGORY OF AWARDS


Based on the criteria on page 3 and click here to read and download
PLEASE TICK ONE CATEGORY YOU WISH TO APPLY:

D. APPLICATION FEE


Payment by cheque/bank draft should be made payable to MALAYSIAN SOCIETY FOR OCCUPATIONAL SAFETY AND HEALTH.

Account No.: 8002324462 CIMB Bank Berhad, Section 52, Petaling Jaya, Selangor.


E. FIRST TIME PARTICIPANT OF MSOSH OSH AWARD



F. OTHERS ( Optional )



G.1 OSH PERFORMANCE MEASUREMENT


G.1. 2019 OSH Performance

Refer to item 9.4 page 5 and click here to read and download

Refer item 9.3 to page 5 for calculation and click here to read and download

Refer item 9.5 to page 5 for calculation and click here to read and download


G.2. 2018 OSH PERFORMANCE

Applicable for Platinum and Grand Award applicant only


I. OSH MANAGEMENT SYSTEM EVALUATION CRITERIA


This questionnaire must be duly completed and submitted together with the application form and requested attachments.

I.1. S&H POLICY

Please attach all required documents either hard copy or soft copy.


I.2. ORGANIZATION


I.2.1 OSH ORGANIZATION & RESPONSIBILITIES

Please attach required documents either soft copy or hard copy.


I.2.2 SAFETY AND HEALTH COMMITTEE


Please attach required documents either soft copy or hard copy.


I.2.3. DOCUMENTATION & DATA CONTROL


Please attach required documents either soft copy or hard copy.


I.2.4. COMMUNICATION, PARTICIPATION & CONSULTATION


Please attach required documents either soft copy or hard copy.


I.3. PLANNING


I.3.1. HAZARD IDENTIFICATION, RISK ASSESSMENT & DETERMINING CONTROL (HIRADC)

Please attach required documents either soft copy or hard copy.


I.3.2 LEGAL AND OTHER REQUIREMENTS (LOR)


Please attach required documents either soft copy or hard copy.


I.3.3 OBJECTIVES & ACTION PLAN


Please attach required documents either soft copy or hard copy.


I.3.4. ACTION PLAN (OSH MANAGEMENT PROGRAM)


Please attach required documents either soft copy or hard copy.


I.4 IMPLEMENTATION


I.4.1 S&H TRAINING & COMPETENCY

Please attach required documents either soft copy or hard copy.


I.4.2 CONTROLLING SAFE OPERATION


Please attach required documents either soft copy or hard copy.


I.4.3 PROCUREMENT


Please attach required documents either soft copy or hard copy.


I.4.4 CONTRACTING


Please attach required documents either soft copy or hard copy.


I.4.5 HAZARD COMMUNICATION & HEALTH SURVEILLANCE


Please attach required documents either soft copy or hard copy.


I.4.6 S&H AWARENESS & PROMOTIONAL ACTIVITIES


Please attach required documents either soft copy or hard copy.


I.4.7 DISCIPLINARY ACTION PROGRAM


Please attach required documents either soft copy or hard copy.


I.4.8 MANAGEMENT OF CHANGE (MOC)


Please attach required documents either soft copy or hard copy.


I.4.9 EMERGENCY RESPONSE PLAN (ERP)


Please attach required documents either soft copy or hard copy.


I.5 EVALUATION


I.5.1 PERFORMANCE MEASUREMENT

Please attach required documents either soft copy or hard copy.


I.5.2 PERFORMANCE MONITORING


Please attach required documents either soft copy or hard copy.


I.5.3 INJURIES, OCC. ILLNESSES, INCIDENTS, DANGEROUS OCCURRENCE, NON-CONFORMANCES (IOIIDONC) REPORTING & INVESTIGATION


Please attach required documents either soft copy or hard copy.


I.5.4 INTERNAL AUDIT


Please attach required documents either soft copy or hard copy.


I.5.5 MANAGEMENT REVIEW


Please attach required documents either soft copy or hard copy.


I.6 ACTION FOR IMPROVEMENT


I.6.1 CORRECTIVE AND PREVENTIVE ACTION (CAPA) & CONTINUOUS IMPROVEMENT

Please attach required documents either soft copy or hard copy.


I.7. OSH MANAGEMENT SYSTEM


Please attach required documents either soft copy or hard copy.


I.8. THE ORGANIZATION’S OSH ACHIEVEMENTS IN 2019


Please attach required documents either soft copy or hard copy.


I.9. OCCUPATIONAL HEALTH


PART A : WORKPLACE HEALTH PROGRAM (WHP) DECLARATION

Please tick in the appropriate boxes and attached supporting documents for ALL.


I.9.1 EMPLOYER COMMITMENT


I.9.2 EMPLOYEE INVOLVEMENT


Active participating in WHP


I.9.3 ASSESSMENT OF NEEDS


Data collection of employee relating to health

I.9.4 PROVISION OF HEALTHY WORKPLACE ENVIRONMENT


Implementation or practicing of process control or culture

I.9.5 PROMOTION AND PUBLICITY



I.9.6 HEALTH SCREENING



I.9.7 MONITORING AND EVALUATION



PART B: COMMUTING SAFETY PROGRAM


I.9.8 MANAGEMENT COMMITMENT



I.9.9 IMPLEMENTATION



I.9.10 INSPECTION AND MONITORING



I.9.11 TRAINING



Thank you very much for your enthusiastic participation and concern on your Occupational Safety and Health Management System.

Please complete this form, attach the required documents which are accurately labeled and mail them together with the entrance fee and shall reach MSOSH office latest by Monday, 24th February 2020

Payment Information

RM

MSOSH

The Malaysian Society for Occupational
Safety & Health (MSOSH)

Wisma MSOSH
No. 1, Jalan Pegaga D U12/D
Section U12, 40170 Shah Alam,
Selangor, Malaysia.

  Tel: +603-3359 8046/8048/8049
Fax: +603-3358 7196

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