Guidance On The Management of Psychosocial Risks in The Workplace
Guidance On The Management of Psychosocial Risks in The Workplace
European Agency
for Safety and Health
at Work
PAS 1010:2011
This Publicly Available Specification comes into effect on 1st February 2011
Contents
Foreword ....................................................................................................... ii
Introduction .................................................................................................. iii
1 Scope .......................................................................................................... 1
2 Terms and definitions ................................................................................ 1
3 Psychosocial risk management: overview, policy and key principles .... 3
4 Setting up the psychosocial risk management process .......................... 6
5 The psychosocial risk management process ............................................ 9
6 Monitoring performance . ......................................................................... 19
7 Management review ................................................................................. 20
Annexes ......................................................................................................... 21
Annex A (informative) Statutory requirements and guidelines ................ 21
Annex B (informative) Work-related stress ................................................. 22
Annex C (informative) Workplace harassment and third party
violence . ........................................................................................................ 27
Annex D (informative) Developing a policy for the management of
psychosocial risks and the prevention of work-related stress .................... 31
Annex E (informative) Developing a policy for the prevention and
management of workplace harassment ...................................................... 32
Annex F (informative) Examples of psychosocial risk assessment and
management tools ........................................................................................ 34
List of figures
Figure 1 – Plan-Do-Check-Act (PDCA) approach.......................................... iv
Figure 2 – Overview of the psychosocial risk management process .......... v
Figure 3 – Main steps in the psychosocial risk management process ........ 3
List of tables
Table 1 – Key principles of psychological risk management ...................... 5
Table 2 – Psychosocial hazards ..................................................................... 11
Table 3 – Key principles of risk assessment . ................................................ 13
Table 4 – Psychosocial risk management interventions .............................. 15
Table 5 – Key issues for success in psychosocial risk management
interventions ................................................................................................. 16
Table B.1 – Well-designed work ................................................................... 24
Table C.1 – Examples of interventions for the prevention and
management of harassment at work .......................................................... 29
Bibliography .................................................................................................. 36
Foreword
This Publicly Available Specification (PAS 1010) was sponsored by the University
of Nottingham, Institute of Work Health and Organizations (I-WHO) and its
development was facilitated by the British Standards Institution (BSI).
Acknowledgement is given to the following It has been assumed in the preparation of this
organizations that were involved in the development Publicly Available Specification that the execution
of this Publicly Available Specification: of its provisions will be entrusted to appropriately
• CIOP-PIB (Central Institute for Labour Protection – qualified and experienced people, for whose use
National Research Institute); it has been produced.
• EEF (The Manufacturers’ Organisation);
• ETUC (European Trade Union Confederation); Presentational conventions
• EU-OSHA (European Agency for Safety and Health
The provisions in this PAS are presented in roman
at Work);
(i.e. upright) type. Its recommendations are expressed
• FIOH (Finnish Institute of Occupational Health); in sentences in which the principal auxiliary verb
• HSE (Health and Safety Executive); is “should”.
• iMS Risk Solutions Ltd;
Commentary, explanation and general informative
• INAIL (Italian Workers’ Compensation Authority);
material is presented in smaller italic type and does
• TNO – Work and Employment; not constitute a normative element.
• WHO (World Health Organization).
The word “may” is used in the text to express
Acknowledgement is also given to Stavroula Leka permissibility, e.g. as an alternative to the primary
and Aditya Jain as the technical authors for this recommendation of the clause. The word “can” is
Publicly Available Specification. used to express possibility, e.g. a consequence of
an action or an event.
Wider comments from other interested parties
were invited by BSI. BSI Technical Committee HS/1,
Occupational Health and Safety Management, and Contractual and legal considerations
CEN SABE on OHS (CEN Advisory Body Occupational
Health and Safety) were consulted. The expert This publication does not purport to include all the
contributions made by the organizations and necessary provisions of a contract. Users are responsible
individuals consulted in the development of this for its correct application.
Publicly Available Specification are gratefully
acknowledged. Compliance with a British Standard cannot confer
immunity from legal obligations.
Introduction
0.1 Background
Psychosocial risks, work-related stress, violence and and Health at Work (EU-OSHA [1] see Annex A) it is
harassment (psychological harassment, bullying or reported that in France stress-related illnesses cost
mobbing) are now widely recognized major challenges society between €830 and €1,656 million, while in the
to occupational health and safety. Nearly one in three Netherlands the estimated total cost of poor working
of Europe’s workers, and more than 40 million people, conditions was up to €6,000 million, equivalent to
report that they are affected by stress at work. 2.96% of the gross national product (GNP).
Psychosocial risks can have a negative impact in
terms of human, social and financial costs. Negative The European Survey of Enterprises on New and
outcomes on the individual level include poor health Emerging Risks (ESENER) by EU-OSHA3) [1] covered
and well-being, and problems with interpersonal over 28,000 enterprises in 31 countries (27 EU Member
relationships, both at the workplace and in private life. States, Norway, Switzerland, Croatia and Turkey)
and found that even though work-related stress was
reported among the key occupational safety and health
concerns for European enterprises, only about half of
the establishments surveyed reported that they inform
their employees about psychosocial risks and their
effects on health and safety; less than a third have
procedures in place to deal with work-related stress.
1)
www.eurofound.europa.eu/ewco/surveys/ewcs2005/index.htm 3)
www.esener.eu
2)
www.hse.gov.uk/statistics/lfs/lfs0809.pdf
0.2 Purpose
This Publicly Available Specification (PAS) provides PDCA can be briefly described as:
guidance for organizations on how to manage the • Plan: establish the objectives and processes
health of employees with respect to psychosocial risk. necessary to deliver results in accordance with
It recognizes that this area of risk is but one area that the organization’s OH&S policy;
organizations can manage proactively with respect
• Do: implement the processes;
to occupational health and safety. It focuses in
particular on work-related stress (see Annex B). While • Check: monitor and measure processes against
work-related harassment and bullying are included in OH&S policy, objectives, legal and other
this PAS as psychosocial risks, these issues are discussed requirements, and report the results;
only briefly (see Annex C). These are often complex • Act: take actions to continually improve
phenomena, e.g. to become bullied is a psychosocial OH&S performance.
risk situation causing psychological harm; on the
other hand, harassment at work may be regarded In everyday practice, psychosocial risks at the
and discussed as a consequence of a poor psychosocial workplace have many underlying causes. As a
work environment. In addition, this PAS recognizes result there are no quick-fix solutions; a continuous
the relevance and impact of third party violence as a management process is required. To be effective
psychosocial risk and covers it briefly in Annex C.4) it is important to understand the most important
underlying causal factors before solutions are selected.
This PAS does not deal with the clinical management This requires a systematic risk management process
of mental health issues. Although in this PAS the to be implemented and monitored by organizations.
health impact of psychosocial risks in relation to The aim is to identify potential areas and activities
the development of musculoskeletal disorders and that give rise to work-related stress and implement
cardiovascular disease is recognized, this is not intervention measures before harm can occur.
discussed in detail.5)
This PAS provides guidance and recommendations
This PAS has been written so that it is consistent with for psychosocial risk management to enable an
other guidance and specifications that are used by organization to develop and implement a strategy
organizations to manage occupational health and and to specify objectives that take into account legal
safety but expands on the specific needs for managing requirements and information about psychosocial
psychosocial risk. The framework and approach risk. It is intended to apply to all types and sizes
adopted is compatible with that found in the of organizations and to accommodate diverse
ILO OSH-MS Guidelines [5], BS OHSAS 18001; geographical, cultural and social conditions. The
BS OHSAS 18002; BS 18004 and ANSI Z 10, which success of psychosocial risk management depends
are all risk based, and use the Plan-Do-Check-Act on commitment from all levels and functions of the
(PDCA) approach (see Figure 1). organization, especially from top management.
The overall aim of this PAS is to support and promote
good psychosocial risk management practices.
Figure 1 – Plan-Do-Check-Act (PDCA)
approach Good psychosocial risk management goes beyond
legal requirements and offers many opportunities for
business. In essence, psychosocial risk management is
Plan synonymous with good business practice. As such, good
practice in relation to psychosocial risk management
essentially reflects good practice in organizational
Act Do management, learning and development, social
responsibility, employer image and promotion of
quality of working life and good work. Psychosocial
risk management also has positive financial returns
Check through its positive impact on productivity and safety
management and is important for sustainability of
organizations. It also has positive benefits outside the
workplace, including the promotion of individual and
4)
ILO (2006) [3]; EU-OSHA (2010) [4]. family health, well-being and quality of life.
5)
EU-OSHA (2009) [1], WHO (2010) [2].
0.3 How psychosocial risk management relates to general occupational health and
safety management
The psychosocial risk management process (see Figure 2) both addressed by the European Framework Directive
is quite similar to that of general occupational health 89/391/EEC [6] on the introduction of measures to
and safety risk management. In principle, they are both encourage improvements in the safety and health of
based on the concept of a control cycle: workers at work. This legal framework establishes
• identification of hazards and assessment of risks; the need for continuous assessment of risks and their
reduction. It also defines a participative approach as
• design and implementation of interventions;
the way in which this assessment and reduction of risks
• evaluation and review. should be conducted. Thus, both the psychosocial and
general risk management approaches are a shared
Further similarities can be observed when considering responsibility of the employer and the employees.
the context in which these processes occur. They are
Production
Design, development and operation of work and production Innovation
Productivity
and quality
Risk management process
The similarities, in relation to shared principles, do more traditional risks (such as physical exposures).
not end with their mention in legislation. There is For example, psychosocial hazards may increase the
strong research and practice-based evidence of their risk of exposure to hazardous chemicals through
effectiveness on the reduction of undesired costs for the generation of more human error, so more harm
workers, organizations and society. They can both might occur within the same levels of exposure when
have an effect over a broad range of aspects, including psychosocial conditions are less favourable. On the
sickness absence and social security, among others. other hand, the exposure to physical or chemical
Due to their impact, they should be understood as hazards might in itself constitute a psychosocial risk
basic social responsibilities and regarded as aspects as employees worry about the possible implications
of good management. of such exposures.
In more practical terms, psychosocial and general risk In the psychosocial risk management process, once
management are associated in terms of the interactions hazards and their associated risks have been identified,
that can be observed between psychosocial and the next step is to take measures to eliminate or to
reduce the risks that result from the hazards. It is more agreements on work-related stress (2004) [12] and
or less generally accepted that there are hierarchies of on harassment and violence at work (2007) [13].
preferred measures, starting with measures at source, Standards that are relevant to this PAS include:
then measures to minimize the effect of exposure to BIP 3055:2005, BIP 2033:2003, BS 3518-1:1993,
psychosocial risks, and finally measures to mitigate the BS 31100:2008, BS EN ISO 10075-1, BS EN ISO 10075-2,
effects in case of serious exposure to the hazards. BS EN ISO 10075-3, PD ISO/IEC Guide 73:2002,
ILO OSH-MS Guidelines [5], BS OHSAS 18001;
Apart from European and national legislation, BS OHSAS 18002; BS 18004, ANSI Z 10 and the
psychosocial risk management has also been included Management Standards for Work-related Stress
in guidance by the ILO (1986) [7], the WHO (2003 [8], (HSE, 2005) [14].
2008 [9], and 2010 [10]), the European Commission NOTE The stages of the psychosocial risk management
(2002) [11], as well as in European social partner process are detailed in Section 5.
This Publicly Available Specification (PAS) provides For the purposes of this PAS the following terms and
employers with guidance on good practice for the definitions apply.
assessment and management of psychosocial risks
in a workplace environment.
2.1 harassment (bullying, mobbing) at
This PAS is applicable to human resources managers work
and specialists, occupational health and safety
managers and specialists, managers and owners harassing, offending, socially excluding someone or
of small and medium-sized enterprises (SMEs), and negatively affecting someone’s work tasks; negative
employee representatives. activity is repeated and regular and lasts over a period
of time
This PAS is most likely to be used by organizations NOTE See Annex C.
that wish to:
a) establish a strategy and process of psychosocial
risk management to eliminate or minimize risks to 2.2 harm
personnel and other interested parties who could subsequent and related ill effects on the health of an
be exposed to psychosocial hazards associated with employee(s) following exposure to hazards at work
its activities;
b) implement, maintain and continually improve the
psychosocial risk management process and related 2.3 hazard
practices;
source, situation or act with a potential for harm in
c) assure themselves of their conformity with their terms of human injury or ill health, or a combination
stated occupational health and safety (OH&S) and of these
psychosocial risk policy.
The guidance and recommendations in this PAS 2.4 occupational health and safety
are intended to be incorporated into any OH&S
(OH&S)
management system. The extent of the application
will depend on such factors as the OH&S policy of conditions and factors that affect, or could affect,
the organization, the nature of its activities and the health and safety of employees or other workers
the risks and complexity of its operations. (including temporary workers), visitors or any other
person in the workplace
Primary stage interventions are proactive by nature and Tertiary interventions are rehabilitative by nature.
about creating understanding in the organization.
2.9 rehabilitation
process aimed at enabling people to reach and
maintain their optimal physical, sensory, intellectual,
psychological and social functional levels
2.10 risk
combination of the likelihood of an occurrence of a
hazardous event or exposure(s) and the severity of
injury or ill health that can be caused by the event
or exposure(s)
3.1 Overview
Psychosocial risk management is the application of the risk management framework to psychosocial risks at work.
As such it is based on the principles of prevention in line with occupational health and safety legislation, and it
aims at risk elimination or reduction. It is a systematic process (see Figure 3) by which hazards are identified, risks
analyzed and managed, and workers protected. Psychosocial risk management involves five main steps:
a) hazard identification and risk assessment;
b) translation/action planning;
c) risk reduction (interventions/controls);
d) evaluation and review;
e) organizational learning and development.
The legal responsibility for removing or reducing any type of risk to workers’ health lies with the employer
as stipulated in the European Framework Directive on the Introduction of Measures to Encourage Improvements
in the Safety and Health of Workers at Work, 89/391/EEC [6].
Organizational learning
and development Evaluation and review
5 4
In addition, two framework agreements at European of social partners to negotiate as equals, to reach
level of particular relevance to the management of consensus on relevant issues and to find innovative
psychosocial risks have been concluded as a result of solutions. Therefore, successful social dialogue is crucial
social dialogue: for combating psychosocial risks at the workplace.
a) the framework agreement on work-related stress
(2004) [12]; As with all risk management processes, psychosocial risk
management should represent a systematic, ongoing
b) the framework agreement on harassment and
process within the organizational context so that risks
violence at work (2007) [13].
to workers’ health can be monitored and managed
effectively. This is especially important in relation
They aim to increase awareness of employers, workers
to psychosocial risks, as their relevance to subjective
and their representatives in relation to these issues and
perceptions and the dynamic nature of the work
provide a framework to identify problems and address
environment make their continuous assessment very
them within an overall process of risk management
necessary. It is also very important that the assessment
and through specific policies. At national level, social
and management of psychosocial risks is considered
partners commit to implement the agreements through
when new processes or functions are implemented
their member organizations. Implementation results
within the organization.
depend highly on the quality of industrial relations
at national level, particularly the ability and the will
In managing psychosocial risks and preventing The responsibility for defining and authorizing a
work-related stress (see Annex B for further psychosocial risk management policy rests with the
information), organizations should adopt a organization’s senior management. However, the
comprehensive, long-term strategy. This strategy ongoing and proactive involvement of all relevant
should consider the organization’s policies, structure, stakeholders in developing and implementing a
resources, existing systems and operations, and psychosocial risk management policy is crucial.
practices. In developing appropriate policies to
manage psychosocial risks (see Annex D for further The organization (or senior management) should
information), organizations should consider whether define and authorize the organization’s policy on
a synergistic fit exists among different organizational psychosocial risk and ensure that it:
policies and whether they adhere to existing legislation a) is appropriate to the nature and scale of the
and standards. For example, organizations should organization’s psychosocial risks;
consider how health and safety, human resources and
b) includes a commitment to prevention of injury
corporate social responsibility (CSR) policies fit together
and ill health and continual improvement of
to achieve common goals and promote organizational
psychosocial risk management;
learning and development.
c) includes a commitment to at least comply with
Psychosocial risk management is relevant to the core applicable requirements to which the organization
values underpinning organizational practices and also subscribes that relate to its psychosocial risks;6)
represents an ethical responsibility for employers. d) provides the framework for setting and reviewing
Following the development of policies for the objectives for the management of psychosocial risks;
management of psychosocial risks, organizations e) is documented, implemented and maintained;
should develop and monitor practices in line with
f) is communicated to all persons working under the
their policies in order to be successful.
control of the organization with the intent that they
are made aware of their individual obligations;
The responsibility for managing psychosocial risks lies
with the employer. As such, top management should g) is reviewed periodically to ensure that it remains
demonstrate the leadership and commitment necessary relevant and appropriate to the organization.
for psychosocial risk management to be successful.
However, using risk management to tackle psychosocial This policy should be translated into practice at
risks and work-related stress requires the collaborative the organizational level, reviewed periodically and
efforts of several key stakeholders. The employees evaluated systematically as given in Annexes D and E.
themselves are always central to the process.
Employees and/or their representatives should
be consulted and engaged in all discussions on 3.3 Key principles of psychosocial risk
psychosocial risk management, including policy management
development. Their active participation needs to A number of key principles underpin the psychosocial
be appropriately supported and managed. risk management process and are given in Table 1.
These are discussed in more detail in Sections 4 and 5.
Good psychosocial risk Good practice in relation to psychosocial risk management essentially reflects
management is good good practice in organizational management, learning and development,
business social responsibility and promotion of quality of working life and good work
Worker and management It is very important that managers and workers feel the “ownership” of the
commitment psychosocial risk management process. Top management should demonstrate
leadership and commitment for psychosocial risk management to be successful
Participative approach The psychosocial risk management process recognizes the validity of the
expertise that working people have in relation to their jobs and seeks to
involve employees in the prevention of psychosocial risks and not by
requiring them to simply change their perceptions and behaviour
Identification of key factors For psychosocial risk management to be effective it is important to understand
the most important underlying causal factors before solutions are selected.
As a consequence, there are usually no quick-fix solutions at hand; a
continuous management process is required
Context relevance As workplace contexts differ, there is a need to optimize the design of the
risk management activities, to guide the process and maximize the validity
and benefit of the outcome. Tailoring improves the focus, reliability and
validity of the risk management process as well as the utilization of the
results of the risk assessment and the feasibility of the results, and helps to
make effective action plans
Solutions that are fit for Psychosocial risk management is an action-led process. It is important to make
purpose the problems at the workplace the starting point for action, and to develop
knowledge and solutions that are “fit for purpose”
Ethics The management of psychosocial risks is about people, their health status,
and business and societal interests. Protecting the health of people is not
only a legal obligation but also an ethical responsibility
Relevance for organizational Psychosocial risk management is central to occupational health and safety
policy agendas policy and practice. Psychosocial risk management can contribute to the
creation of positive work environments where commitment, motivation,
learning and development play an important role and sustain organizational
development
Consideration of capabilities The implementation of the psychosocial risk management process requires
required capabilities that comprise: adequate knowledge of the key agents
(management and workers); relevant and reliable information to support
decision-making; availability of effective and user-friendly methods and
tools; ownership and participation of managers and employees or their
representatives; availability of competent supportive structures (experts,
consultants, services). Competence should be developed by appropriate
training when lacking
Figure 2 – Overview of the psychosocial risk management process8) (as presented on page v)
Management and organization of work processes Outcomes
Production
Design, development and operation of work and production Innovation
Productivity
and quality
Risk management process
As workplace contexts differ, there is a need to important that these be made taking into consideration
optimize the design of the risk management activities, the size of the enterprise (especially SMEs, which
to guide the process and maximize the validity and require specific attention due to problems such as lack
benefit of the outcome. Tailoring aims to improve the of resources), its occupational sector, characteristics of
focus, reliability and validity of the risk management the workforce (such as gender, age and contingent
process. It improves the utilization of the results of the work) and the wider context of the country.
risk assessment and the feasibility of the results and
helps to make effective action plans. Areas that should Tailoring means that the method chosen should suit
be considered in the tailoring process include: the actual aim of policy and management. Its coverage
a) what the process will cover (in terms of hazards, should be relevant, and those using the method should
target and data collection); be competent to carry out the risk assessment and to
interpret the results. The content of the method should
b) who (people or agencies) will be involved in
also suit the type of work assessed. The competence of
the process;
the user should be taken into account.
c) the process itself (e.g. hazard identification,
risk assessment, goal setting and planning, An effective model for psychosocial risk management
implementation, monitoring, evaluation); places particular emphasis on the central status of the
d) who will review the process. workers as “experts” in relation to their own jobs.
In this respect, data collection is seen as an exercise
Tailoring is often needed to find a useful approach in knowledge elicitation and modelling. Employees
and tools for managing the actual psychosocial risks should be educated about the process, to develop
in the workplace. When planning the assessment and appropriate expectations, and to participate actively
management of psychosocial risks in a workplace, in both the risk assessment and risk reduction phases.
several choices and decisions should be made to It is this requirement, both in principle and in practice,
prepare for action. At the enterprise level, it is to empower workers to undertake the assessment
and improvement of their own working conditions
that drives the necessity for this approach to be
8)
WHO (2008) [9].
user-friendly. Much of what needs to be done to reduce
psychosocial risks at source involves implementing good relation to their jobs. It draws on their expert
management practices or organizational development judgements at group level. It works with consensus and
activities; for such changes to be effective, it is seeks to validate consensus judgements against health
important that the people involved in them have a data. However, the overall risk management process
sense of ownership and are involved in the changes goes further and seeks to involve employees in the
that take place. The risk assessment recognizes the prevention of psychosocial risks and not by requiring
validity of the expertise that working people have in them to simply change their perceptions and behaviour.
Production
Hazard identification
Outcomes
Translation / Risk reduction
and risk assessment action planning (interventions / controls)
1 2 3
Organizational learning
and development Evaluation and review
5 4
Job content Lack of variety or short work cycles, fragmented or meaningless work,
underuse of skills, high uncertainty, continuous exposure to people through
work
Workload and work pace Work overload or underload, machine pacing, high levels of time pressure,
continually subject to deadlines
Work schedule Shift working, night shifts, inflexible work schedules, unpredictable hours,
long or unsociable hours
Organizational culture Poor communication, low levels of support for problem-solving and
and function personal development, lack of definition of, or agreement on,
organizational objectives
Interpersonal relationships Social or physical isolation, poor relationships with superiors, interpersonal
at work conflict, lack of social support, harassment, bullying, third party violence
Home – work interface Conflicting demands of work and home, low support at home, problems
relating to both partners being in the labour force (dual career)
The organization’s methodology for psychosocial of the work undertaken to consider what could
hazard identification and risk assessment should: cause injury or harm, whether the hazards could be
a) be defined with respect to its scope, nature and eliminated, and if not what preventive or protective
timing to ensure it is proactive rather than reactive; measures are, or should be, in place to control the
risks” (EC, 1996 [15]). The risk assessment (see 2.11)
b) provide for the identification, prioritization and
provides information on the nature and severity
documentation of risks, and the application of
of the problem, psychosocial hazards and the way
controls, as appropriate.
they might affect the health of those exposed to
them and the healthiness of their organization (in
5.1.2 Psychosocial risk assessment
terms of issues such as absence, commitment to the
Risk assessment is a central element of the risk organization, worker satisfaction, intention to leave
management process. It has been defined by the and productivity).
European Commission as “a systematic examination
Risk assessment should assess work as it is done. A well-
conducted risk assessment not only identifies challenges
in the work environment but also positive aspects of
This psychosocial hazard typology is comparable to the
9) the work environment that should be promoted and
HSE’s Management Standards for Work-related Stress six enhanced. The purpose of the risk assessment is to
key areas of work design: Demands, Control, Support, inform, guide and support subsequent risk reduction;
Relationships, Role and Change. it is not an aim in itself.
5.1.3 Methods and tools for risk assessment and key This information is used to determine which of the
principles psychosocial hazards actually affect the health of those
A baseline should be established through risk exposed to them. This involves comparing groups
assessment. Surveys can be part of this process; they or areas that differ in terms of their exposure to, or
are an important element in some of the available report of, psychosocial hazards in terms of the data
tools for the management of psychosocial risk factors. on possible health outcomes. What is required here is
that the exercise of logic is described and that decisions
NOTE Examples of such surveys can be found in the
based on it are justified on the available evidence so
Management Standards for Work-related Stress
that they can be audited at a later stage if necessary.
Indicator Tool [14] and the EU-OSHA Online interactive
Bringing together the information on psychosocial
Risk Assessment Tool – OiRA for SMEs.10) Additional
hazards and their possible health effects allows the
examples are presented in Annex F.
identification of likely risk factors. These risk factors
However, other qualitative and observation methods can be prioritized in terms of the nature of the hazard
may also be used, especially in smaller enterprises, or the harm it causes, the strength of the relationship
provided the scope is the same and there is a clear between hazard and harm, or the size of the group
intention of taking timely action on the results. The affected. Similar decisions on priorities are made every
risk assessment should take into consideration diversity day in other areas of risk assessment.
issues (e.g., gender, age) and should not ignore
the wider context, such as the occupational sector Work should be carried out within a number of
characteristics or socioeconomic and cultural variations. well-defined guiding principles in the psychosocial
risk assessment process. These keep the risk assessment
Psychosocial hazards are usually situation specific; on track and guard against a number of problems.
what is present in one type of work or affects a For example, they help prevent misconceptions about
particular type of worker may not be present in the aims and objectives of the risk assessment
another job or affect a different type of worker. (e.g. that it is about stress management training
The identification of psychosocial hazards relies or counselling provision).
on the expert judgement of groups of relevant
working people on the adequacy of the design and These principles should be applied throughout the
management of their work. The knowledge and process in accordance with Table 3. They are especially
expertise of working people in relation to their jobs important in establishing good practice early on.
is recognized and treated as valuable evidence.
This information is treated at the group level, and Analyzing possibly hazardous situations and assessing
consensus is measured in those expert judgements the risk that they might pose to the health of
on working conditions. The method does not seek individuals or the healthiness of their organizations
to catalogue individual views about work. should provide sufficient appropriate evidence to
initiate discussions of psychosocial hazards at work,
Before a problem can be addressed, it should be and to provide an informed basis for managing those
analyzed and understood, and an assessment made problems through a risk reduction action plan.
of the risk that it presents. Much harm can be done,
and resources squandered, if precipitous action is 5.1.4 Review of existing practices and support
taken on the assumption that the problem is obvious Before action can be sensibly planned, it is necessary
and well enough understood. to analyze what measures, if any, are already in place
to deal with psychosocial hazards and their effects on
The risk assessment should bring together two elements the individual or the organization. This analysis requires
to allow the identification of likely risk factors: a review, analysis and critical evaluation of existing
a) identification of psychosocial hazards; management practices and employee support. This is
b) information about the possible harm associated an examination of initiatives for handling psychosocial
with psychosocial hazards collected both from hazards, work-related stress and other associated
the risk assessment and from otherwise available health outcomes. The support available to employees
organizational records such as absence data and to help them cope or look after them if they are
occupational health referrals. affected is also examined (see Annex B).
Principle Implications
Work with defined groups Each risk assessment is carried out within a defined work group, workplace
or function
Focus on working conditions Risk assessments are executed to identify aspects of the psychosocial work
not individuals environment that give rise to the experience of stress and challenges to
health and not to identify individuals experiencing stress or ill health
Focus on “big issues” The primary focus is on the problems that have the greatest impact on
staff and not on individual complaints
Use valid and reliable measures All methods of data collection are both reliable and valid. Employees’
expertise provides an important source of information
Focus on risk removal or The risk assessment is designed with risk removal or reduction in mind.
reduction as the goal Risk assessment tools are designed to provide sufficient detail and
context-specific information to allow for control measures to be taken.
The emphasis is primarily on prevention and organizational-level
interventions
Involve employees The use of participative methods (e.g. through group discussions) and
employee involvement are critical to success
Production
Outcomes
Hazard identification Action planning Risk reduction
and risk assessment (interventions / controls)
1 2 3
Organizational learning
and development Evaluation and review
5 4
When the nature of the problems and their causes are give priority to modifying psychosocial risk factors at
sufficiently understood, a reasonable and practical source, focusing on the organization or groups within
action plan to reduce risk (interventions) should be it. Worker-directed measures can complement these
developed. This involves deciding on: actions and are an important source of support for
a) what is being targeted; those employees who are already suffering from the
negative effects of exposure to risk factors.
b) how;
c) by whom (who is responsible); Examples of possible interventions are given in
d) who else needs to be involved; Annex B.
e) what the time schedule will be;
f) what resources will be required;
g) what will be the expected (health and business
benefits);
h) how benefits can be measured;
i) how the action plan and its effects will be evaluated.
Production
Risk reduction
Outcomes
Hazard identification (interventions /
and risk assessment Action planning
2 controls)
1
3
Organizational learning
and development Evaluation and review
5 4
Level Focus
Primary The management of psychosocial risks should prioritize interventions that reduce risks at
interventions source. There are a number of arguments for giving it precedence; European law, and
transposed national legislation in EU Member States, prioritizes such measures within
organizations and the need to target problems at source. They can also be significantly
cost-effective as the focus of interventions is put on the causes and areas within the
organization where change is required. Moreover, they promote organizational healthiness
as they address issues related to organizational culture and development. Interventions of
this kind call for and promote dialogue and a participative approach; resulting actions can
be tailored to different contexts and are general in nature
Secondary Involve taking steps to improve the perception and management of psychosocial risks for
interventions groups that could be at risk of exposure. They are not a substitute for primary prevention
interventions. The focus of these actions is on the provision of education and training. It is
assumed that, through the provision of training, employees can become more aware about
psychosocial risks, work-related stress, harassment and third party violence and hence better
able to address them. Issues that can be covered through training include interpersonal
relationships (between colleagues and with supervisors), time management and
handling conflicts
Tertiary In cases where individuals have already been harmed by exposure to hazards, actions can
interventions be taken once a problem has become evident to limit its effects. The action here is on the
consequences of exposure to psychosocial hazards, which can be either psychological
or physical in nature. Thus, people who are suffering from psychological ill health, which
includes burnout, depression or strain, can be provided with counselling and therapy, and
those suffering from physical symptoms can benefit from occupational health services
provision. When affected employees have been off work because of ill health, appropriate
return-to-work and rehabilitation programmes should be implemented to support their
effective reintegration into the workforce
Having completed a risk assessment and having taken The effective implementation of psychosocial risk
account of existing controls, the organization should management interventions depends on a number
be able to determine whether existing controls are of key issues, as given in Table 5. These relate to the
adequate or need improving, or if new controls are readiness of an organization for change that might
required. If new or improved controls are required, result as an outcome of the interventions implemented
their selection should be determined by the principle of (and especially of those at primary level), the nature of
the hierarchy of controls (see OHSAS 18001:2007, 5.3.1), the intervention plan in terms of how realistic, practical
which, in the case of psychosocial risk management and comprehensive it is to address key problem areas
refers to the levels of intervention, as given in Table 4: effectively, and the fit between the intervention plan
a) primary: proactive by nature, attempting to prevent and day-to-day business activities in order to avoid the
harmful effects or phenomena to emerge; intervention being disruptive and to promote continual
improvement of the work environment.
b) secondary: aiming to reverse, reduce or slow the
progression of ill health or to increase individual
resources;
c) tertiary: rehabilitative by nature, aiming to reduce
negative impact.
Organizational readiness Organizational readiness and resistance to change will impact on the success
to change and effectiveness of the intervention. Organizational commitment and
support should be developed and retained from the beginning of the
intervention initiative
Realistic intervention plan Addressing all the problems and issues identified through psychosocial risk
assessment would result in a resource-heavy and complicated intervention
initiative that would be unlikely to succeed. The intervention strategy should
outline achievable solutions that can be incorporated into daily business
practices, thus facilitating easier, and more successful, implementation over
the longer term. Simpler measures should be combined with long-term
planning to deal with more difficult issues
Comprehensive intervention To successfully prevent and manage psychosocial risks, intervention
plan strategies should comprehensively incorporate elements from all three
intervention levels:
• primary: address the root causes of work-related stress
• secondary: provide training to managers and employees on psychosocial
risk management
• tertiary: for those that have suffered ill health as a result of work-related
stress, provide them with support to manage and reduce their respective
effects
Supporting continual Efforts to effectively address psychosocial risks should not be viewed as
improvement “one-off activities” but rather should be incorporated into daily business
practices. In so doing, a continual improvement cycle promoting a better
psychosocial work environment can be supported
Production
Outcomes
and risk assessment (interventions / controls)
1 2 3
Organizational learning
Evaluation and review
and development
5 4
It is essential for any action plan to be evaluated strengths and weaknesses of both the action plan
to determine how well and in what respects it has and the implementation process to be assessed. This
worked. The process of implementation as well as the information should not be treated as an issue of success
outcomes of the action plan should be evaluated and or failure, praise or blame, but more dispassionately. It
reviewed. Evaluation should consider a variety of types should inform a reassessment of the original problem
of information and draw it from a number of relevant and of the overall risk management process, as well as
perspectives (e.g. staff, management, stakeholders). provide feedback on the outcomes. Evaluation drives
The results of the evaluation should allow the reassessment and continual improvement.
Production
Organizational learning
and development Evaluation and review
5 4
Evaluation not only tells the organization how well Essentially, it establishes a continual process for
something has worked in reducing psychosocial improvement that should be repeated within an
risks and the associated harm but also allows the established time frame in the organizational context.
reassessment of the whole situation, providing a Lessons learned from the evaluation should be
basis for organizational learning and development. explicitly identified.
The organization should use the evaluation for meetings and as part of the social dialogue process
continual improvement and also as the basis for within the firm. They should be communicated to a
sharing (discussing and communicating) learning wider organization audience. Finally, they should be
points that may be of use in future risk management. used as input for the “next cycle” of the psychosocial
Evaluation can also inform the (re)design of work risk management process.
organization and workplaces as part of the normal
organizational development process. A long-term Psychosocial risk management can contribute to
strategy is essential and should be adopted the creation of positive work environments where
by organizations. commitment, motivation, learning and development
play an important role and sustain organizational
Lessons learned through the evaluation should be development.
discussed and, if necessary, redefined in existing work
Production Outcomes
Innovation
Productivity
Hazard identification Risk reduction and quality
and risk assessment Action planning (interventions / controls)
1 2 3 Quality of
work
Workers’
Organizational learning health
and development Evaluation and review
5 4
Societal
outcomes
A healthy organization is one with values and practices e) the development of an innovative, responsible,
facilitating good employee health and well-being future-orientated corporate culture;
as well as improved organizational productivity f) the promotion of health and well-being in the
and performance. Managing psychosocial risks and enterprise as well as in the wider community setting.
workplace health relates to managing the corporate
image of organizations. Psychosocial risk management is central to occupational
health and safety policy and practice. The management
Psychosocial risk management can contribute to: of psychosocial risks is about people, their health status,
a) a reduction in the cost of absence or errors and business and societal interests. Protecting the
and accidents and hence an associated increase health of people is not only a legal obligation but
of production; also an ethical responsibility.
b) a reduction in the cost of medical treatment and
associated insurance premiums and liabilities;
c) an improvement in work processes and
communication and promotion of work
effectiveness and efficiency;
d) the attractiveness of the organization as a good
employer and one that is highly valued by its staff
and its customers;
6 Monitoring performance
An organization should have a systematic approach interventions, or to evaluate the need to modify
for measuring and monitoring its psychosocial risk or introduce new interventions;
management performance on a regular basis; this can e) providing data to proactively and reactively measure
be an integral part of its overall OH&S management the organization’s psychosocial risk management
system. Monitoring involves collecting information, performance;
such as measurements or observations over time, using
f) providing data to evaluate its psychosocial risk
measures or techniques that have been confirmed as
management strategy;
being fit for purpose. Measurements can be either
quantitative or qualitative. g) providing data for the evaluation of competence.
Monitoring and measurements can serve many The results of measurement and monitoring should
purposes in psychosocial risk management, such as: be analyzed and used to identify both successes
and areas requiring correction or improvement. The
a) tracking progress on meeting policy commitments,
organization’s measuring and monitoring should use
achieving objectives and targets, and continual
both reactive and proactive measures of performance,
improvement;
and should primarily focus on proactive measures to
b) monitoring exposures to determine whether drive performance improvement. The data and results
applicable legal and other requirements to which of monitoring and measurement should be recorded
the organization subscribes have been met; sufficiently to facilitate subsequent corrective action
c) monitoring incidents, injuries and ill health; and preventive action analysis.
d) providing data to evaluate the effectiveness of
7 Management review
Top management should review the organization’s g) follow-up actions from previous management
psychosocial risk management strategy, at planned reviews;
intervals, to ensure its continuing suitability, adequacy h) changing circumstances, including developments
and effectiveness. Reviews should include assessing in legal and other requirements related to
opportunities for improvement and the need for psychosocial risk management;
changes. Records of the management reviews should
i) recommendations for improvement.
be retained.
The outputs from management reviews should be
Input to management reviews should include:
consistent with the organization’s commitment
a) results of internal reviews and evaluations of for continual improvement and should include any
compliance with applicable legal requirements and decisions and actions related to possible changes to:
with other requirements to which the organization
a) psychosocial risk performance;
subscribes;
b) psychosocial risk policy and objectives;
b) the results of participation and consultation;
c) resources and other elements.
c) relevant communication(s) from external interested
parties, including complaints;
Relevant outputs from management review should be
d) the psychosocial risk management performance of made available for communication and consultation.
the organization;
e) the extent to which objectives have been met;
f) status of incident investigations, corrective actions
and preventive actions;
Annex A (informative)
Statutory requirements and guidelines
This Annex draws the users’ attention to relevant [13] European Social Partners (2007). Framework
statutory requirements and guidelines to this PAS. Agreement on Harassment and Violence at
Work. Brussels: European Social Partners – ETUC,
[1] EU-OSHA (2009). OSH in figures: Stress at work – BUSINESSEUROPE, UEAPME and CEEP.
facts and figures.
[14] Health and Safety Executive (2005). Tackling stress:
[2] WHO (2010). Health impact of psychosocial hazards The Management Standards approach. Sudbury: HSE
at work: An overview. Books.
[3] International Labour Organization (2006). Violence [15] European Commission (1996). Guidance on risk
at work. assessment at work.
[4] European Agency for Safety and Health at Work [16] European Agency for Safety and Health at Work
(2010). Workplace violence and harassment: a European (2002). Bullying at work. Factsheet 23.
picture.
Annex B (informative)
Work-related stress
Aspect Examples
Clear organizational structure Employees are provided with clear information about the structure,
and practices purpose and practices of the organization
Appropriate selection, training Each employee’s skills, knowledge and abilities are matched as much as
and staff development possible to the needs of each job
Candidates for each job are assessed against that job’s requirements
Where necessary, suitable training is provided
Effective supervision and guidance is provided to employees
Job descriptions Job descriptions are clear. It is important that an employee’s manager and
other key staff are aware of the relevant details of the job and make sure
that demands are appropriate
A job description will depend on an understanding of the policy, objectives
and strategy of the organization, on the purpose and organization of work
and on the way performance will be measured
The better employees understand their job, the more they will be able to
direct the appropriate efforts towards doing it well
Communication Managers are to talk to their staff, listen to them and make it clear that
they have been heard
Communication of work expectations are comprehensible, consistent with
the job description and complete
Commitments made to staff are clear and are kept
Social environment A reasonable level of socializing and teamwork is often productive as it can
help increase commitment to work and to the work group
B.5.1 Levels of intervention • increasing the amount and quality of support they
There are various strategies to solve work-related stress receive (e.g. by introducing “people management”
problems, which should be developed in consultation training schemes for supervisors, allowing
with workers and/or their representatives. interaction among employees and encouraging
cooperation and teamwork).
Primary interventions b) Ergonomics and environmental design:
a) Work redesign: the best strategies for work redesign • improving equipment used at work and physical
focus on demands, knowledge and abilities, support working conditions.
and control, including: c) Organizational development:
• changing the demands of work (e.g. by • implementing better work systems and
changing the way the job is done or the working management systems, developing a more friendly
environment, sharing the workload differently); and supportive culture.
• ensuring that employees have or develop the
appropriate knowledge and abilities to perform Secondary interventions
their jobs effectively (e.g. by selecting and training a) Stress awareness training:
them properly and by reviewing their progress
• asking employees to attend classes on time
regularly);
management, assertiveness training or conflict
• improving employees’ control over the way they resolution.
do their work (e.g. by introducing flexitime,
b) Management development:
job-sharing, more consultation about working
practices); • improving managers’ attitudes towards dealing
with work-related stress, their knowledge and c) The intervention components and tools are to be
understanding of it, and their skills to deal with adapted and tailored to the given occupational
the issue as effectively as possible. The role of both sector and meet the unique needs of the respective
top management and line managers is important.11) organization.
d) The intervention is to be designed to be
Tertiary interventions implemented in a systematic and stepwise manner
a) An individual worker’s problems and the solutions to with the aims, objectives and implementation
those problems may be discussed with the worker, strategy of the intervention clearly defined and
described and agreed. Timing of such discussions outlined.
may depend on the worker’s state of well-being.
b) Possible interventions, both individual (e.g. training,
medical treatment, counselling) and organizational
(e.g. job redesign, changes in management practices)
can be planned, implemented and evaluated.
c) Keeping records: careful, accurate, records are
kept, and progress is evaluated. It is important that
opinions and judgements are not represented as
facts. Proposed actions and the reasons for their
selections may be agreed where possible and
recorded.
Larger businesses may have access to their own a) Raising awareness and educating managers and
occupational health service or employee assistance employees on the causes and consequences of
programme. work-related stress is essential.
b) Knowledge, competencies and skills on continuous
psychosocial risk prevention and management at the
B.6 Preventing and managing work- workplace is to be developed through appropriate
related stress: good practice principles training for managers and workers.
c) It is crucial that the intervention aims and its overall
The key aspects and good practice principles for
importance, are understood and agreed by both
strategies to prevent and manage psychosocial risks
management and employees.
and work-related stress are given in B.6.1 to B.6.3.
These good practice principles relate to the content, d) The overall support and commitment of the
implementation and evaluation of work-related stress organization (e.g. allocation of resources) and the
management interventions. active participation of management throughout
the intervention, in its design, implementation and
evaluation, are important.
B.6.1 Intervention content: key components
e) Employees are to participate actively and be
a) The content (key elements of focus, tools and
consulted in the development of the intervention
implementation) of the intervention are to be
strategy.
derived from evidence-based practice, based on
sound scientific theory.
b) Psychosocial risks to employees’ health and
well-being in the work environment are to be
identified by way of conducting a proper risk 11)
For further information on line managers’ competencies to deal
assessment. with work-related stress, see www.hse.gov.uk/stress/mcit.htm
Annex C (informative)
Workplace harassment and third party violence
Becoming exposed to continuous inappropriate and C.4 Interventions for the prevention and
negative behaviour and harassment is an extreme management of harassment at work
social stress situation. Targets of harassment suffer
from different kinds of ill-health and stress symptoms The prevention of harassment is a key element in the
(e.g. depression, irritability, concentration and sleeping improvement of working life and the avoidance of
problems, lowered job satisfaction) and possibly social exclusion. It is important to take early action
musculoskeletal problems. Targets of harassment also against a destructive work environment to avoid
have more sickness absence days than those who are waiting for victims to complain to employers.
not exposed to harassment. a) Primary interventions are proactive by nature and
aimed at reducing the risks of harassment at work.
Observing harassment in the workplace may lead to b) Secondary interventions aim to reverse, reduce or
negative health effects on the observers or witnesses, slow the progression of the situation and to increase
who may report higher stress levels and more stress the resources of individuals.
symptoms than other employees.
c) Tertiary interventions are aimed at reducing and
The costs for the organization include, sickness absence healing the damages of harassment.
costs, costs of litigation, turnover, replacement,
It is important to emphasize the importance of both
recruitment and training costs, as well as damage to
appropriate policies and the appropriate management
the organization image and negative publicity.
of individual cases (see Table C.1).
Table C.1 – Examples of interventions for the prevention and management of harassment
at work13)
13)
EU-OSHA (2010).
Annex D (informative)
Developing a policy for the management of psychosocial
risks and the prevention of work-related stress14)
An organizational policy for the management of there should be clarity on the operationalization of the
psychosocial risks and the prevention of work-related policy and its implementation. There should be detail
stress should present a clear message to employees on how the organization will conduct risk assessments
and stakeholders that the organization recognizes and how the data will be used to develop appropriate
the importance of these issues and is serious about interventions for risk reduction at the organizational
addressing them. As with every other stage in and at the individual level. The policy should state who
psychosocial risk management, a policy will work will be involved and should outline responsibilities
best when it is developed through a consultation of key actors, including managers, health and safety
process with key stakeholders within the organization staff, trade union representatives, health and safety
(e.g. managers, OH&S representatives, worker committee or representatives and employees.
representatives) and with appropriate expert support
as necessary. It is important for the policy to highlight the key
role of dialogue and employee participation in the
A number of key issues are to be addressed through psychosocial risk management process. Procedures
the policy: and contact persons in relation to the policy should be
a) psychosocial risks and work-related stress are defined outlined. Key indicators that the organization will use
to avoid misunderstandings; throughout the psychosocial risk management process
should be identified. The policy should mention the
b) aims and objectives are clearly stated, as is the
type of training and guidelines that will be developed
policy’s link to health and safety legislation;
and offered to key actors to ensure its proper
c) application and use are clarified; implementation. How and how often the policy will
d) links to other organizational policies and practices be evaluated should be mentioned. Any ethical issues
are stated; of relevance to the policy should be addressed and
e) details on its operationalization on the basis of discussed, and information should be provided on the
the key stages and principles of psychosocial risk procedure for them to be tackled.
management are provided;
The functioning and effectiveness of the policy should
f) implementation issues, including responsibilities of
be monitored and evaluated in a systematic way. It is
key actors and policy evaluation, are addressed.
best practice to evaluate the process on a regular basis
g) ethical issues relevant to it are addressed (e.g. annually). The policy should also be developed
and clarified. further on the basis of the evaluation.
Annex E (informative)
Developing a policy for the prevention and management
of workplace harassment15)
E.1 General
It is the employer’s duty to ensure that any case of The policy should include a clear statement of
harassment emerging in the organization is handled in commitment to tackle the issue, definition and facts
a fair, ethical and legally responsible manner, ensuring about the issue, relevant legislation and regulations,
the rights of the targets, as well as those accused. responsibilities and duties of different actors, reporting
Anti-harassment policies, procedures and guidelines systems, appropriate procedures to settle specific cases
for actions are a necessity and a suitable tool for both (including informal systems and formal complaints),
managers and those involved in harassment situations, clear instructions and measures to prevent harassment,
both in regard to dealing with the situation, and for and ways of supporting and rehabilitating the targets.
preventing and managing the problem.
E.1.1 The anti-harassment policy and instructions
With a policy, the employer demonstrates commitment should include:
to tackle harassment at work. A policy makes a clear a) a clear statement from management that all types
statement about what an organization thinks, its of harassment are unacceptable;
relationships with staff and how it expects people
b) a description of harassment, with examples of
to work within its culture. It also makes clear what is
negative acts and harassing behaviour as well as
considered acceptable behaviour and what will not be
positive and desired behaviour;
tolerated. The policy should recognize that harassment
is an organizational issue that affects health and safety. c) legislation and/or other regulations in relation to
harassment, disciplinary procedures and sanctions;
It is important to note that the process of drawing up d) responsibilities, duties and roles of management
and implementing a policy and codes of conduct for and other actors such as line managers/supervisors,
the management and prevention of harassment is as targets, co-workers, occupational health care
important as its contents. To ensure the success of a services, health and safety representatives, health
policy of this nature, it is crucial that it is developed and safety authorities, and trade unions;
and implemented jointly in the organization. e) the procedures to tackle harassment in the
Commitment and feeling of ownership in relation to organization:
the policy and its actions can best be achieved when
• complaint/reporting procedures;
a representative working group is instrumental in
the policy’s formulation and development. The group • dealing with and settling harassment cases in
should include employer, employee and health and the workplace;
safety representatives, personnel administration and f) clear instructions for the persons experiencing
trade unions. Additionally, the group should consider harassment, for the observers, for the persons
whether an outside expert is required to be involved accused of harassment and for supervisors;
during the policy formulation process to give a broader g) information on support mechanisms for those
perspective and overview. involved (targets, harassers), including any
organizational rehabilitation programme;
The objective and purpose of the policies in the
h) measures to prevent harassment in the organization;
management and prevention of harassment are in
many respects universally the same; however, they i) measures to monitor and evaluate the policy;
differ somewhat between countries and organizations j) identification of specific contact persons (in the
in relation, for example, to the roles and duties of the organization).
different actors and procedures. It is important that
the policy reflects the culture and ways of action of the Often the policy document also includes a section on
specific organization. E.1.1 lists some issues that a policy the causes and antecedents of workplace harassment.
should include, but the actual content of the policy
should be developed in the respective organization.
15)
WHO (2008).
Annex F (informative)
Examples of psychosocial risk assessment and
management tools
16)
www.workorganisation.org.uk/
17)
www.istas.ccoo.es/descargas/m_metodo_istas21.pdf www.deparisnet.be/PSY/Eng/Sobane_guide_psychosocial_
19)
18)
www.hse.gov.uk/stress/standards aspects.pdf
20)
www.qps-nordic.org/en/index.html
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