The MHMS for Health Risk Assessment requires that –
• Management programmes are to be in place to assess, control and document those health risks arising from chemical, physical, biological, ergonomic and psychological hazards associated with the work environment which have been identified as potentially High or Medium on the Risk Assessment Matrix.
• Health Risk Assessments are to cover all activities, including new projects, acquisition, closure, divestment and abandonment of facilities.
• Health Risk Assessments are to be carried out by competent persons in line with good practice as described in the Group guide “Health Risk Assessment”.
• Exposure monitoring and health surveillance programmes are to be implemented where the need is identified by Company or Governmental requirements.
• Results of mandatory Company or Governmental exposure monitoring and health surveillance are to be recorded.

This is achieved when –
1. A Health Risk Assessment (HRA) is carried out and recorded by a competent assessment team to the standard specified in the HRA Yellow Guide 2001 for all Assessment Units within a business.
2. Where HRAs in line with the previous Yellow Guide are in place, they have been validated against the new Guide by a competent assessment team.
3. The recommendations within the HRA have been discussed with management, and a Remedial Action Plan (RAP) with action parties and target dates agreed.
4. HRA based exposure monitoring and health surveillance requirements have been defined and incorporated into location plans and procedures.
5. The location has a system in place to trigger HRA if the process changes significantly, if a new health hazard is introduced, for new projects, acquisitions, closures, divestments and abandonments, and as a minimum every five years.

Reference
Shell HSE Panel Yellow Guide – Health Risk Assessment (July 2001)

Health Risk Assessment

The MHMS for Monitoring of Health Performance and Incident Reporting & Investigation requires that -
• Annual TROIF data are to be reported for company employees with a break down into the 10 illness categories in line with the guidance contained in the “Group HSE Performance Monitoring and Reporting” guide.
• All health incidents with significant impact, including non-accidental death cases, as defined in the Group guide on “Incident Classification and Reporting” are to be reported and investigated.

This is achieved when –
1. The location or business has a reliable system in place for recognizing and capturing occupational illness in line with Group HSE performance Monitoring and Reporting (2000) and Addendum (2001).
2. Guidance has been given to line managers and supervisors on what a recordable occupational illness is and how it is reported.
3. Identification of occupational illnesses is made by a physician or other person who by training or experience is capable to do so.
4. Supervisors and employees are encouraged to seek medical advice where possible on any potential occupational illnesses.
5. Health incidents are reported and investigated as defined in the Group Incident Classification, Investigation and Reporting Guide.
6. Significant non-accidental death cases are reported and investigated as defined in the Incident Classification, Monitoring and Reporting Guide.

Reference
Shell HSE Panel Yellow Guide – Group HSE Performance Monitoring and Reporting (Dec 2002)
Shell HSE Panel Yellow Guide – Incident Classification, Investigation and Reporting (Feb 2002)

MHMS 3 - Health Impact Assessment
The MHMS for Health Impact Assessment requires that -

• A Health Impact Assessment is to be made in conjunction with any Environmental and Social Impact Assessments that are required for all new projects, major modifications and prior to abandonment of existing projects where there is the potential to impact on the health of the local community and/or company and contract workers and their families.

This is achieved when –
1 All new projects, major modifications and abandonments are screened for minimum HIA requirements as defined in the HIA Yellow Guide.
2 Where the screening indicates that HIA is necessary, the location or business applies the correct processes, tools and competencies at the correct stages of the project as defined in the HIA Yellow Guide.
3 The recommendations have been discussed with management, and a Health Management Plan with action parties and target dates agreed.

Reference
Shell HSE Panel Yellow Guide – Health Impact Assessment (Under preparation)
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	PDO HIA Guidelines
	PDO HIA Toolkit

MHMS 5 - Product Stewardship The MHMS for Product Stewardship requires that -
• The hazards relating to manufacturing, storage, transportation, use and disposal of existing, new, reformulated and re-branded products are to be assessed prior to marketing or supply.
• The necessary information and advice to minimise risks are to be provided to employees, contractors and customers.

This is achieved when –
1 The business has a Product Stewardship system in place for the products which it manufactures, markets or supplies which incorporates an assessment of the hazards to health of these products.
2 A Material Safety Data Sheet for each such product has been made available to employees, contractors and customers.
3 There is a system to respond to product related health emergencies.
4 There is a system in place to support customers on the health aspects of storage, transportation, use and disposal of Shell products.

The MHMS for Fitness to Work requires that -
• Minimum fitness for duty standards are to be established and applied for specific work and working conditions where there are critical occupational health or safety requirements.
• Appropriate health-related policies are to be in place encompassing, as a minimum, the use of alcohol and drugs, and other substances that may impair performance.

This is achieved when –
1 The location or business has identified all worker groups whose specific work or working conditions require a minimum fitness for duty standard.
2 A minimum fitness for duty standard has been defined for each of these groups.
3 There is a system in place which allows managers to appropriately identify employees in these groups and review their status regarding the minimum fitness for duty standard.
4 There is an alcohol and drug abuse policy in place which meets local legislation and the Drug and Alcohol Abuse Employment Guidelines.

Reference
OGP 6.55/251 – Fitness to Work in the E&P Industry
Shell HR Red Guide – Drugs and Alcohol Abuse Employment Guidelines (Dec 1993)
 

Medical Examination Requirements

The MHMS for Local Health Facilities and Medical Emergency Response requires that -
• Plans are to be in place to provide company employees access to medical services which meet acceptable standards in relation to risks posed by the special nature or location of their employment.
• Plans are to be in place to respond to medical emergencies which meet the requirements set out in the Group guide “Medical Emergency Guidelines for Management”.

This is achieved when –
1. Medical services and facilities available to employees to address work related illness or injury have been reviewed and assessed by the local or regional health advisor against standards appropriate to the location and risks involved. In doing so, they will take into account guidance (such as the OGP 6.44/222 - Standards for Local Medical Support) relevant for use by health professionals in assessing local medical support facilities.
2. Resourced plans are in place to address any shortfalls in required standards.
3. Medical emergency response arrangements are in place which meet the requirements of local legislation and the Yellow Guide “Medical Emergency Guidelines for Management”.

Reference
OGP 6.44/222 – Standards for Local Medical Support
Shell HSE Panel Yellow Guide – Medical Emergency Guidelines for Management (Aug 2001)
Shell HSE Panel Yellow Guide – Incident Classification, Investigation and Reporting (Feb 2002)