FIRE SAFETY POLICY April 2011

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FIRE SAFETY POLICY April 2011

CONTENTS Page No 1.0 Statement of Intent 1 2.0 Fire Safety Accountability Structure 2 3.0 Roles and Responsibilities 3 4.0 Fire Safety Management 7 5.0 Fire Risk Assessment 11 6.0 Legislative Compliance and Guidance 13 7.0 Equality and Human Rights Considerations 14 8.0 Policy Approval 14 9.0 Policy Implementation, Training and Education 15 10.0 Review of Policy 15 APPENDICES Appendix 1 : Premises, Fire, Health and Safety Committee Terms of Reference ii

1.0 STATEMENT OF INTENT It is the intent of the Fire Safety Policy to ensure that the Health and Social Care Board complies with its statutory responsibilities under the Health and Safety at Work (Northern Ireland) Order 1978, Fire Safety Regulations (Northern Ireland) 2010, other related legislation, Controls Assurance Standard (Fire) and the Firecode suite of documents. The Health and Social Care Board encourages and supports a high quality approach to maintaining a fire safe environment. It shall: provide a safe physical environment; ensure information is available to staff; put in place suitable fire safety training and evacuation procedures in accordance with the Firecode and relevant legislation; put in place appropriate security and other arrangements to minimise the risk of arson; and continue to develop and implement appropriate fire safety procedures within all premises owned or occupied by the Health and Social Care Board and take cognisance of the links between fire safety management and other organisational functions such as health and safety and security. The Health and Social Care Board is committed to ensuring, as far as is reasonably practicable, that all steps are taken to eliminate or minimise the risks arising from fire to its employees, visitors, members of the public, contractors, agency and other staff working on behalf of the Health and Social Care Board and other health and social care staff based in Health and Social Care Board premises, including leased premises. The Fire Safety Policy is part of the Health and Social Care Board s overall governance framework and is one of the key requirements of the Controls Assurance Standards established by the Department of Health, Social Services and Public Safety. Signed: Chief Executive Date: April 2011 1

2.0 FIRE SAFETY ACCOUNTABILITY STRUCTURE Health and Social Care Board Chief Executive Governance and Audit Committee Directors Director with responsibility for Fire Safety (Head of Corporate Services) Premises Committee HSCB/PHA/BSO representatives Lead Nominated Fire Safety Officer (Corporate Business Manager, HQ) Specialist Fire Safety Adviser Site Nominated Fire Safety Officers (Corporate Business Managers, Local Offices) All Staff Deputy Nominated Fire Safety Officers (Fire Wardens) 2

3.0 ROLES AND RESPONSIBILITIES 3.1 Health and Social Care Board The Health and Social Care Board is committed to ensuring, as far as is reasonably practicable, that all steps are taken to eliminate or minimise the risks arising from fire in Health and Social Care Board premises, including leased premises. The Board should ensure it receives the appropriate assurances that the requirements of current fire safety legislation are met and, where appropriate, that the objectives of the Firecode are met. 3.2 Governance and Audit Committee The Governance and Audit Committee provides an assurance to the Board of the Health and Social Care Board each year on the adequacy and effectiveness of the system of internal controls in operation within the Health and Social Care Board. 3.3 Chief Executive The Chief Executive is responsible for fire safety within the organisation. He will ensure that: current fire legislation is met and, where appropriate, Firecode guidance is implemented in all premises owned or occupied by the Health and Social Care Board; A final Certificate of Firecode Compliance is completed in line with the Fire Safety Regulations (Northern Ireland) 2010. appropriate fire safety policies and procedures are in place. 3.4 Directors It is the responsibility of Directors to: implement the policy within their respective directorates; disseminate this policy and procedure to staff within their area of responsibility, including new staff, as part of their induction, and ensure its promotion and implementation by providing leadership, support and advice to staff on fire safety issues; make suitable arrangements to facilitate the attendance of staff at training in fire safety and evacuation procedures practise and promote fire safety awareness; 3

ensure that fire safety incidents are reported, monitored and reviewed within their area of responsibility and any action recommended as a result of an incident is taken to prevent recurrence; liaise with Nominated Fire Safety officers (Corporate Business Managers) on fire safety matters within their respective departments; and identify Deputy Nominated Fire Officers/Fire Wardens from within their directorate. 3.5 Director with Responsibility for Fire Safety The Head of Corporate Services will provide an assurance to the Chief Executive and the Governance and Audit Committee that the policy is developed, monitored and reviewed and that staff receive the relevant training. He/she will ensure that agreed programmes of investment are properly accounted for in the organisations Capital Investment Plan. He/she will provide an annual report on Fire Safety to the Governance and Audit Committee. 3.6 Premises Committee In recognition of the Health and Social Care Board s responsibilities under the Health and Safety at Work Order (Northern Ireland) 1978, Safety representatives and Safety Committee (NI) Regulations 1979, Health and Safety (Consultation with Employees) Regulations (NI) 1990 and relevant European legislation, the Premises Committee of each Local Office, will act as a mechanism for ensuring that all matters relating to the Health and Social Care Board and its tenants fire, health, safety and premises management are addressed effectively and in line with all relevant standards and applicable legislation. Details of the Premises Committees, their terms of reference and membership is attached at Appendix 1. 3.7 Lead Nominated Fire Safety Officer (Corporate Business Manager, Headquarters) The Lead Nominated Fire Safety Officer reports to the Head of Corporate Services and will be responsible for the co-ordination of fire safety matters across the Local Offices. 4

It is the responsibility of the Lead Nominated Fire Safety Officer to: ensure that all premises comply with fire safety procedures; ensure that the policy is monitored, reviewed and updated; provide an effective fire safety training programme for staff, in conjunction with the Specialist Fire Safety Adviser; ensure the Controls Assurance Standard (Fire Safety) is met; monitor fire safety standards within facilities occupied by the Health and Social Care Board staff or other health and social care staff; ensure that the Health and Social Care Board has access to competent advice in the areas of fire safety; in conjunction with the Specialist Fire Safety Adviser, ensure that fire risk assessments are carried out in all premises owned or occupied by the Health and Social Care Board; ensure the reporting and investigation of fire incidents in accordance with the policy; and monitor the inspection and maintenance of fire safety systems. 3.8 Specialist Fire Safety Adviser/s The Health and Social Care Board shall have access to Specialist Fire Safety Adviser(s), either directly or indirectly (eg through a Service Level Agreement), who shall be familiar with fire safety legislation and fire safety guidance including the Firecode suite of documents and who shall be competent when considering the factors to be taken into account when assessing the suitability of fire safety measures. The Fire Safety Advisers role is to provide technical expertise and support to the Corporate Business Managers to enable them to fulfil their duties. He/she will liaise with the Corporate Business Managers regarding the development and delivery of training programmes for staff. The Fire Safety Adviser will also liaise with the Fire Authority on technical issues. 3.9 Site Nominated Fire Safety Officer (Local Office) The Corporate Business Manager in each Local Office will be appointed as the Site Nominated Fire Safety Officer. He/she will be responsible for monitoring and reviewing procedures in the Local Office to ensure compliance with the Fire Safety Policy. 5

He/she shall, in conjunction with the Specialist Fire Safety Adviser, ensure that a programme of fire safety training is in place for all staff, have responsibility for the co-ordination of fire safety matters within the premise and ensure that the necessary measures are in place to meet the Fire Safety Policy, the Firecode and statutory obligations. 3.10 Deputy Nominated Fire Safety Officer/Fire Wardens Directors shall identify Deputy Nominated Fire Safety Officers/ Fire Wardens from within their Directorates to carry out the duties of the Nominated Fire Safety Officer, in his/her absence. The Deputy Nominated Fire Safety Officer/Fire Warden will be trained to ensure there is cover at all operational times. 3.11 All Staff Each employee of the Health and Social Care Board has an individual responsibility to maintain the integrity of fire precaution measures and is responsible for maintaining a fire safe environment within Health and Social Care Board premises, including leased premises. Employees have an individual responsibility to: prevent the outbreak of fire; attend fire training; follow the established procedures for the management of an actual or suspected fire incident; and report all breaches in fire precautions to the Corporate Business Managers in Headquarters and Local Offices 3.12 Tenants within Health and Social Care Board Premises Where tenants are based within Health and Social Care Board premises the Nominated Fire Safety Officers should ensure that line managers and staff are made aware of their duties and responsibilities in respect of fire safety. They must comply with the Fire Policy and: attend fire training lectures as per the Fire Policy ; be aware of fire hazards within the premises; and report any breaches in fire precautions to the Nominated Fire Safety Officers (Corporate Business Managers in 6

Headquarters and Local Offices). The Nominated Fire Safety Officers will liaise with tenants in relation to fire safety responsibilities, building maintenance and adaptations and equipment used or stored within the building. 3.13 Landlord Procedures Where Health and Social Care Board staff are tenants in a building, there may also be additional specific landlord procedures for the building. Where applicable, these will be available to staff. 4.0 FIRE SAFETY MANAGEMENT The aim of fire safety management is to: minimise the risk of fire occurring; prevent it escalating into a serious incident where it does occur; train staff to ensure correct action is taken in the event of fire and ensure that emergency evacuation procedures are in place; design both passive (eg fire doors) and active (eg fire alarms, suppression systems) fire safety measures; and maintain and test fire safety installations. 4.1 Fire Prevention Fire Prevention is an essential component in reducing the potential causes of fire and accordingly in minimizing the risk of a fire. All premises occupied by Health and Social Care Board staff shall implement fire prevention measures which will include: fire safety inspections/audits by the Specialist Fire Safety Adviser; fire risk assessments of the premises which will take into account any specific needs of staff; acting on recommendations from fire risk inspections and assessments; quarterly programme of unannounced fire safety, health and safety and security inspections; the prevention and control of arson; the control over contactors working on Health and Social Care 7

Board premises; disposal and collection of waste; the purchase of soft furnishings and textiles in accordance with the Firecode; Permit to Work system; carrying out routine housekeeping checks; ensuring that all plant and equipment is properly installed, commissioned, inspected and maintained to ensure its safe operation. 4.2 Design of Fire Safety Systems Inadequate design, alteration or maintenance of Health and Social Care Board premises can have a detrimental impact on the fire integrity of the buildings that could expose the Health and Social Care Board and occupants to significant risks. The Fire Safety Adviser shall: ensure correct design, construction, commissioning and operation for new and existing premises in accordance with the relevant Health Technical Memoranda (HTMs), Health Building Notes (HBNs), Fire Practice Notes (FPNs) and British Standards and Codes of Practice; ensure fire alarm and detection, escape lighting, first aid, fire fighting equipment, suppression systems, plant, equipment and other installations are checked, tested and maintained in accordance with good maintenance practice; and appoint, where appropriate, qualified competent designers, contractors and maintenance personnel to ensure that existing and new buildings are altered or constructed to an acceptable standard and that existing buildings are adequately maintained. 4.3 Emergency Fire Evacuation Procedures The safety of occupants in a building is paramount and will depend on the successful implementation of safety procedures. Preplanning for a fire is key to the success of safeguarding the occupants and the fabric of the building. All Health and Social Care Board premises are required to have an emergency fire evacuation plan that addresses the following issues: Roles and responsibilities of all staff with responsibility for fire safety 8

Recognising the signs of fire Action to take on discovery of a fire Action to take if the alarm sounds First aid fire fighting equipment Safe methods for the movement of staff and visitors Fire safety drawings placed on each floor identifying: - alarm system - detection system - means of escape - emergency lighting - the location of first aid/fire fighting equipment - compartmentation - Fire Brigade access - hydrant points and dry risers Fire assembly points for the premises 4.4 Staff Training Attendance at fire safety training is mandatory for health and social care staff at all levels, without exception. Staff need to have an understanding of fire risks and know what to do in the event of a fire in order that fire safety procedures can be applied effectively. It is the responsibility of the Corporate Business Manager, Headquarters, as the Lead Nominated Fire Officer, in conjunction with the Specialist Fire Safety Adviser/s, to ensure that this training is carried out. 4.4.1 All staff shall receive departmental induction training specific to the premises in which they are employed. Where staff are working in areas where there are specific fire risks or hazards, the induction training will be supplemented by job-specific instruction as soon as their employment commences. All staff, including part time and agency and contracted staff must attend local fire safety training, fire fighting and emergency evacuation procedures appropriate to their actual place of work. This training should take place as soon as possible after appointment and preferably should be repeated at least once more within a 12 months period, and thereafter once annually. 4.4.2 Fire safety training records for all staff shall be maintained by Corporate Business Managers. 4.4.3 Training programmes shall be in accordance with the Firecode suite of documents and appropriate to the place of employment. 9

4.5 Fire Safety Manual A fire safety manual shall be prepared and retained for each Health and Social Care Board premises. The manual shall contain both design information and operational records for the premises. The manual shall also contain a statement of fire design intent for the building, including management arrangements where the fire safety aspects of the design have incorporated fire safety engineering techniques which may impact on the overall management or operation of the building. As a minimum the following information should be retained in the fire safety manual: Emergency evacuation plan Fire risk assessments Fire Safety Policy and related policies Plans of property detailing fire safety features and installations 4.6 Maintenance of Fire Safety Installations The maintenance of all passive and active fire safety systems and equipment is the responsibility of the Head of Corporate Services, delivered through external contracts with specialist staff. The results of all tests, maintenance, faults uncovered and actions taken in respect of fire safety systems and equipment shall be retained by the Corporate Business Managers, Headquarters and Local Offices. Records of confirmation of corrective action/s shall be retained by the provider. As a minimum the following fire safety installations shall be maintained at all times: Fire notices First aid / fire fighting equipment Fire alarm and detection installations Emergency lighting Fixed fire fighting installations Fire resisting doors, fire exit doors and final exit doors Elements of fire resistant construction External fire escape staircases (internal and external) External fire hydrants and internal dry risers 10

4.7 Fires and Unwanted Fire Signals As part of the management of fire safety in Health and Social Care Board premises and other premises leased, owned or occupied by the Health and Social Care Board, the number of unwanted fire signals should be minimised. To mitigate unwanted fire signals the recommendations contained in Fire Practice Note 11 (FPN 11), Reducing Unwanted Fire Signals in Health Care Premises shall be observed to identify, control and reduce unwanted fire signals within premises occupied by the Health and Social Care Board. 4.8 Business Continuity Plan If a significant fire incident occurs and a building has to be evacuated consideration will be given to putting into action the Health and Social Care Board interim business continuity arrangements. 5.0 FIRE RISK ASSESSMENT The Fire Safety Regulations (Northern Ireland) 2010 requires each premise, either owned, managed or occupied by the Health and Social Care Board to have a current written Fire Risk Assessment. The fire risk assessment shall be undertaken in accordance with recommendations contained in the Fire Safety Regulations and Firecode and shall be subject to regular review and whenever any of the following applies: There is reason to believe that it is no longer valid; or There has been a significant change in the matters to which it relates, including when the: - relevant premises; - special, technical and organisational measures; or - organisation of the work undergoes significant changes. 5.1 Auditing of Fire Safety Auditing of fire safety measures is required to ensure that there are effective arrangements in place for managing fire safety and to ensure that the Health and Social Care Board is complying with its statutory obligations, Firecode and Controls Assurance Standard (Fire). Auditing shall be active and reactive and shall include the 11

following: review of Fire Risk Assessment of all Health and Social Care Board Premises review and prioritisation of issues arising from Fire Risk Audit/Assessment bi-annual review of the Fire Safety Policy (or earlier if legislation or relevant guidance is issued) an annual report on Fire Safety will be prepared for the Governance and Audit Committee quarterly programme of unannounced fire safety, health and safety and security inspections will be carried out unannounced inspections by the Specialist Fire Safety Adviser/s unannounced visits by the Fire Authority 5.2 Fire Reporting Procedures 5.2.1 Fire Incidence Reporting All fire incidents including false alarms shall be reported in accordance with the Health and Social Care Board s fire incident reporting procedure. More serious outbreaks of fire, such as fires involving death, injury, evacuation or damage on a large scale, needs to be reported immediately to the Head of Corporate Services. Notification must also be sent to the Health Estates Investment Group, DHSSPS, either by telephone - 028 9052 3704 or fax - 028 9052 3900. 5.3 Monitoring and Reporting Regular auditing and monitoring of fire safety is required to ensure that there are effective arrangements in place for managing fire safety and to ensure the Health and Social Care Board achieves compliance with relevant statutory provisions, the Firecode and Controls Assurance Standard (Fire). 5.4 Fire Safety Performance Indicators The Health and Social Care Board shall develop a number of performance indicators to demonstrate that fire safety matters are managed and that there is a continuous improvement in performance. 12

6.0 LEGISLATIVE COMPLIANCE AND GUIDANCE The Health and Social Care Board has an obligation to comply with legislation relating to fire safety and to observe recommendations and requirements contained in guidance documents, including the Firecode, Statutes, guidance, circulars and other publications. 6.1 Primary Legislative Instruments The Health and Safety at Work (Northern Ireland) Order 1978 Building Regulations (Northern Ireland) 2000 The Housing (Northern Ireland) Order 2003 The Housing (Management of Houses in Multiple Occupation) Regulations (Northern Ireland) 1993 The Management of Health and Safety at Work Regulations (Northern Ireland) 2000 The Health and Safety (Safety Signs and Signals) Regulations (Northern Ireland) 1996 The Dangerous Substances and Explosives Atmospheres Regulations 2002 Corporate Manslaughter Act 2007 The Fire Safety Regulations (Northern Ireland) 2010 6.2 Subsidiary Legislative Instruments / List of appropriate Northern Ireland Health Technical Memoranda (NIHTM) NI Firecode Policy and Principles Health Technical Memorandum (HTM) 81 Fire Precautions in New Health Care Premises HTM 82 Alarm and Detection Systems HTM 82 Alarm and Detection Systems : Supplement A, automatic fire control systems and voice alarm systems HTM 83 Fire Safety in Health Care Premises: General Fire Precautions HTM 84 Fire Risk Assessment in Residential Care Premises HTM 85 Fire Precautions in Health Care Premises HTM 86 Fire Risk Assessments, Part 1 : Community Health Care Premises HTM 86 Fire Risk Assessments, Part 2 : Healthcare Premises HTM 87 Textiles and Furniture Northern Ireland Fire Practice Notes (NIPN) Firecode HTM 05 01, 02 and 03 series 13

7.0 EQUALITY AND HUMAN RIGHTS CONSIDERATIONS 7.1 This policy has been screened for equality implications as required by Section 75, Schedule 9, of the Northern Ireland Act, 1998. 7.2 Using the Equality Commission s screening criteria, no significant equality implications have been identified. This policy will therefore not be subject to an equality impact assessment. 7.3 This policy has been considered under the terms of the Human Rights Act, 1998, and was deemed to be compatible with the European Convention Rights contained in that Act. 7.4 This policy will be included in the Health and Social Care Board s Register of Screening Documentation and maintained for inspection whilst it remains in force. 7.5 This document can be made available on request in alternative formats and in other languages to meet the needs of those who are not fluent in English. 8.0 POLICY APPROVAL 8.1 This policy was presented in draft to the Health and Social Care Board Senior Management Team on 5 October 2010. 8.2 This policy was presented to and approved by the Health and Social Care Board s Governance and Audit Committee, subject to consultation, at its meeting on 11 October 2010. 8.3 This policy was circulated for consultation to Trade Unions on 12 October 2010. 14

9.0 POLICY IMPLEMENTATION, TRAINING AND EDUCATION 9.1 The Corporate Business Manager as Lead Nominated Fire Officer will ensure the provision of any necessary training with regard to this policy. 9.2 A copy of this policy will be placed on the Health and Social Care Board s intranet. 9.3 All Health and Social Care Board managers must ensure that their staff have access to this policy, understand its content, and are aware of its aims and purpose immediately upon its release. 9.4 All Health and Social Care Board staff must comply with the requirements of this policy. 9.5 Staff from other HSC organisations, visitors, contractors to Health and Social Care Board premises must comply with the requirements of this policy. 10.0 REVIEW OF POLICY 10.1 The Health and Social Care Board is committed to ensuring that all policies are kept under review to ensure that they remain compliant with relevant legislation. 10.2 This policy will be reviewed bi-annually by the Head of Corporate Services and may be subject to change consistent with any new guidance, legislation or corporate change being introduced. That review will be noted on a subsequent version of this policy, even where there are no substantive changes made or require 15

APPENDIX 1 PREMISES, FIRE, HEALTH AND SAFETY COMMITTEE 1 BACKGROUND TERMS OF REFERENCE Under the provisions of the HSC (Reform) Act (NI) 2009, the facilities of the four legacy HSS Boards, and associated statutory responsibilities, transferred to the HSCB from 1 April 2009. As well as staff of the HSCB, these facilities also provide accommodation and services for other bodies including PHA, BSO and HSC Trusts. These terms of reference take cognisance of the previous MIPB paper 175/08 and also the statutory responsibilities of the HSCB in terms of Health and Safety legislation, Fire Safety requirements and the Disability Discrimination Act, including the provision of necessary assurances to other organisations based in the premises. The terms of reference also address issues relating to Healthy Workplace requirements. It is proposed that a committee shall operate as a Premises, Fire and Health and Safety Committee and shall be known as the Premises Committee. It is intended that there shall be four Premises Committees, one operating in each of the Local Offices in Belfast, Armagh, L/Derry and Ballymena. 2 ROLE OF THE PREMISES COMMITTEE In general terms, the role of the Premises Committee will be to consider the following: 2.1 Issues relating to allocation of and general accommodation requirements, catering, domestic services, car parking, security and common services. 2.2 Facilities Management including routine maintenance, minor works, decants, renovations, acquisitions and equipment.

2.3 Health and Safety, Fire Safety and Disability Discrimination legislation requirements. 2.4 Healthy Workplace requirements. 3 FUNCTION The functions of the Committee are: 3.1 Issues relating to allocation of and general accommodation requirements, catering, domestic services, car parking, security and common services Discuss any issues relating to the allocation of and general accommodation requirements of the HSCB, PHA, BSO and HSC Trusts. This will include general accommodation allocation and organisational requirements, security issues that are specific to each local office, common services, e.g. catering, domestic services etc, and car parking requirements. Monitor and make recommendations in respect of catering, domestic services, car parking, etc. Ensure timely maintenance of CCTV cameras and equipment, and in conjunction with the Information Governance Manager, make recommendations for the installation of new equipment in line with the CCTV policy and procedures. Monitor compliance with Waste management and Environmental policies. 3.2 Facilities Management including routine maintenance, minor works, decants, renovations, improvements/ refurbishments acquisitions and equipment Monitor and review all aspects of maintenance and improvement or repair to buildings or grounds

Discuss and consider issues in relation to proposed accommodation improvements and refurbishment projects, including any potential impact on staff welfare Monitor, review and make recommendations in relation to Service Level Agreements with external Estates Services (HSC Trusts) Make recommendations in relation to Capital Expenditure and building needs Consider annual inspection of the premises and grounds and prepare reports for consideration by Head of Corporate Services. Ensure reporting mechanisms for minor works and repairs are effective and efficient and recommend and instigate changes where necessary 3.3 Health and Safety, Fire Safety and Disability Discrimination legislation requirements In recognition of the HSCB s responsibility for the health, safety and welfare of its employees, tenants, contractors and visitors under the Health and Safety at Work Order (Northern Ireland) 1978, Safety Representatives and Safety Committee (NI) Regulations 1979, Health and Safety (Consultation with Employee s) Regulations (Northern Ireland) 1996 and relevant European legislation the Premises Committee will act as a mechanism for ensuring that all matters relating to the Board and its tenants fire, health, safety and premises management are addressed effectively and line with all relevant standards and applicable legislation. The Premises Committees through their operation will encourage and promote a culture of partnership in relation to the management of health and safety in all premises. The Premises Committee will seek opinion on any matters that require external expertise and will consider the following aspects of health and safety, fire safety and Disability Discrimination Act requirements:

Promote and encourage a health and safety culture within the Board/PHA/BSO and tenant organisations. Facilitate and initiate reviews of Local Office risk assessment reports, accident/incident/near miss/fire reports/unannounced security and health and safety inspections within the local offices, and ensure that any lessons learned and remedial follow up actions are implemented and shared with other local office Premises Committees as deemed appropriate. Review and consider any referrals that have been made to RIDDOR. Ensure that the Board meets its obligations under the Disability Discrimination Act 1995, with particular attention to accessibility of Board locations, making recommendations for adjustments where required. Initiate, develop, roll out and monitor measures designed to ensure the health, safety and welfare at work of employees. Assist in the resolution of issues relating to fire, health and safety or welfare at work of employees. Assist in the development, review and distribution of health, safety and welfare practices, procedures and policies to employees within the workplace. Consider, and take action as appropriate on, reports from Trade Union health and safety representatives. Monitor the adequacy of health and safety training, communication and publicity and initiate action to maintain a high standard. Discuss and agree any proposed changes to health, safety or welfare practices, procedures or policies and take forward the implementation of the changes within the Local Offices.

3.4 Healthy Workplace Requirements. HSC Bodies have a responsibility for addressing health improvement across a range of settings, with the workplace being a key priority. There is a responsibility for HSC bodies to champion and show leadership in terms of supporting their workforce to make healthier choices and ensure that health improvement is at the core of the health and safety agenda. The Premises Committees will take consideration of these requirements. 3.5 Communication with Staff The Premises Committee will ensure that staff receive regular updates on issues discussed and agreed by the Committee and that all relevant information is posted on the Intranet. 4 MEMBERSHIP In line with health and safety legislation, employees and management should have equal representation on a (Health and Safety) Committee. It would therefore be proposed to adopt this approach for the Premises Committees. Membership of the Premises Committees will include: - Senior Corporate Services staff from the HSCB, PHA and BSO; - Representatives from Facilities Management, Corporate Business Services, Estates (where possible); - One representative per Directorate function within the HSCB/PHA/BSO and other tenant organisations where appropriate. The Premises Committees will be chaired by the Commissioning Leads in the Western, Northern and Southern Offices. In the Eastern Office, the Premises Committee will be chaired by the Head of Corporate Services. The quorum for the Premises Committees should be 4 persons including at least one representative from PHA, BSO and HSCB. A

quorum of 4 members must be present before a meeting can proceed with one member being the Chair. Internal or external persons may be invited to attend the meetings at the request of the Chair on behalf of the committee to provide advice and assistance where necessary. 5 TRAINING The Premises Committees will facilitate training and awareness sessions on a regular basis for all existing and new staff. Joint training initiatives will be implemented, where appropriate. 6 MEETINGS The Premises Committees should normally meet quarterly (a minimum of 3 times per year). This will not preclude the convening of a meeting at any time for a special purpose for example in the event of a specific incident having occurred. The Premises Committees shall be supported by Corporate Business staff. The agenda and minutes of the previous meeting will be distributed at least 1 week prior to each meeting 7 ACCOUNTABILITY The Premises Committees shall be responsible through the HSCB Head of Corporate Services to the Chief Executive, HSCB. 8 REVIEW The terms of reference shall be reviewed annually.