EMERGENCY HEALTH & SAFETY QMS FAMILY PACK

Table of Contents

Section 1 - EHS Process Family Summary

This Family inherits the governance requirements defined in the Unified Governance Manual (SOP-QMS-GOV), including the Quality Manual, Risk Management Program (RMP), Internal Audit Program (IAP), and Material Review Board (MRB) governance (SOP-QA-MRB). All Family responsibilities and WINs must align with these L2 authorities.

The Environmental Health & Safety (EHS) Process Family governs all programs, controls, and safety infrastructure that protect personnel, facilities, and products during GMP operations. EHS establishes the foundational safety environment required for compliant dietary supplement manufacturing, including:

EHS programs are critical to GMP compliance because they directly affect personnel hygiene, facility sanitation, contamination prevention, and operational safety. These requirements align with:

Major EHS risk themes include:

EHS relies on strong cross-functional interaction with:

Risk Tier Classification: HIGH. Due to regulatory exposure, safety sensitivity, and the systemic impact of failures on personnel and product safety, EHS is a HIGH-risk governance domain. Its programs form the compliance foundation on which safe, controlled, and legally compliant GMP operations depend.

Section 2 - Purpose, Scope & Regulatory Anchors

Citations listed support WHAT-level governance requirements; full compliance traceability is maintained at the L0 level.

SOP ID SOP Title Purpose (Control Intent) Scope (Operational Boundary) Regulatory Anchors
SOP-EHS-GEN General Safety Program Establishes the foundational safety requirements, hazard controls, and safety behaviors required to protect personnel and maintain a safe GMP operating environment. Applies to all personnel, contractors, and visitors across all facility areas where safety risks may exist. 21 CFR 111.10 β€” Personnel hygiene & contamination prevention
21 CFR 111.15 β€” Facility & grounds sanitation controls
NSF/ANSI 455-2: 4.4 β€” Facility & personnel safety expectations
SOP-EHS-HAZCOM Hazard Communication & SDS Program Ensures all chemical hazards are identified, communicated, labeled, and accessible through managed Safety Data Sheets, preventing exposure and ensuring regulatory alignment. Applies to all personnel handling, storing, or exposed to chemicals, cleaning agents, or hazardous materials. 21 CFR 111.15 β€” Chemical storage & sanitation risk controls
NSF/ANSI 455-2: 4.4 & 4.5 β€” Chemical management, SDS access, labeling, and employee hazard awareness
SOP-EHS-PPE Personal Protective Equipment Program Defines required PPE based on hazard assessment to prevent personnel injury and contamination of components, dietary supplements, and contact surfaces. Applies to all GMP and non-GMP areas where PPE is required due to chemical, ergonomic, mechanical, or contamination risk. 21 CFR 111.10(b) β€” Hygienic practices including protective garments
NSF/ANSI 455-2: 4.4 β€” PPE requirements for GMP operations
SOP-EHS-EMER Emergency Response & Evacuation Establishes emergency response, evacuation, communication, and preparedness controls to ensure personnel safety during emergency events. Applies to entire facility, including all employees, contractors, and visitors during emergencies. 21 CFR 111.15 β€” Facility safety and contamination protection
NSF/ANSI 455-2: 4.4 β€” Emergency preparedness and response requirements
SOP-EHS-INCIDENT Incident Reporting & Investigation Ensures all injuries, near-misses, unsafe conditions, and safety violations are documented, escalated, investigated, and corrected to prevent recurrence. Applies to all personnel across all operations where incidents may occur or be observed. 21 CFR 111.35(b)(3) β€” Recordkeeping for safety-related equipment controls
NSF/ANSI 455-2: 4.10 β€” Incident reporting and corrective action expectations
SOP-EHS-ERG Ergonomics & Injury Prevention Reduces musculoskeletal injuries through ergonomic assessment, safe lifting techniques, workstation design, and repetitive-motion risk mitigation. Applies to all manual handling, repetitive-motion work, equipment operation, and workstation areas. 21 CFR 111.10 β€” Personnel safety & hygienic practice
NSF/ANSI 455-2: 4.4 β€” Injury prevention and ergonomic risk controls

AA Type–Specific Execution Requirements

Check (CHK) Requirements

Checks (CHK) are verification activities used to confirm that required, GMP-critical actions, reviews, or prerequisites have been completed in accordance with the governing SOP or WIN. Checks do not instruct how to perform tasks; they verify that required conditions or outcomes have been met.

Log (LG) Requirements

Logs provide chronological documentation of repeated or ongoing monitoring activities. Logs in this Process Family must:

Template (TMP) Requirements

Templates provide standardized data fields for recording measurements, quantities, equipment settings, sampling results, or other structured GMP data. Templates in this Process Family must:

Record / Form (FRM) Requirements

Records (FRMs) capture the finalized GMP evidence for this Process Family. All Records must comply with ALCOA+, GDP, Part 11 requirements for electronic records, and the metadata and retention standards defined in L0 Section 16 β€” AA Governance. Records may incorporate Checks, Logs, and Templates as embedded evidence.

Citations above support WHAT requirements; compliance traceability is maintained at the L0 level.

Section 3 - General Training Requirements

All personnel, contractors, and visitors operating within or interacting with the Environmental Health & Safety (EHS) Process Family must complete and maintain the following training-related requirements. These statements represent WHAT-level expectations and do not require procedural work instructions.

Section 4 β€” Unified Responsibility & High-Level Control Mapping

Role Primary Responsibilities High-Level Controls (WHAT Requirements)
Executive Leadership β€’ Ensures organizational commitment to safety programs and employee protection
β€’ Allocates resources necessary to maintain a safe and compliant facility
β€’ Supports implementation of EHS policies and organizational safety culture
β€’ Establishes expectations for safe behaviors and workplace safety standards
β€’ Reviews safety performance metrics and ensures continuous improvement
β€’ Approves enterprise-level safety initiatives and risk mitigation strategies
EHS β€’ Oversees all safety, hazard communication, PPE, and emergency programs
β€’ Identifies and communicates workplace hazards and mitigation strategies
β€’ Provides safety training content and supports incident investigation
β€’ Maintains hazard assessments and required safety documentation
β€’ Ensures availability of SDS, safety signage, and emergency information
β€’ Monitors compliance with safety rules and escalates unsafe conditions
Operations β€’ Ensures operational areas follow applicable EHS requirements
β€’ Communicates safety expectations to functional teams
β€’ Oversees implementation of EHS controls in day-to-day operations
β€’ Verifies work areas maintain required safety controls and PPE standards
β€’ Ensures timely reporting of incidents and unsafe behaviors
β€’ Ensures personnel complete required safety training before work assignment
Production β€’ Ensures personnel follow posted safety rules and hazard controls
β€’ Maintains clean, orderly, and hazard-free production areas
β€’ Identifies and reports any unsafe condition or near-miss event
β€’ Enforces PPE requirements for production activities
β€’ Ensures proper handling of chemicals and cleaning agents
β€’ Ensures workers follow safe lifting and ergonomic practices
Warehouse β€’ Ensures safe handling, storage, and movement of materials
β€’ Maintains clear aisles and hazard-free warehouse areas
β€’ Implements forklift, pallet-jack, and transport safety controls
β€’ Follows required PPE for material handling and storage zones
β€’ Ensures chemical storage follows hazard control requirements
β€’ Reports unsafe equipment or conditions immediately
Maintenance β€’ Ensures maintenance work is performed safely and without creating hazards
β€’ Supports facility safety infrastructure and utility reliability
β€’ Communicates safety risks related to equipment and utility systems
β€’ Performs lockout/tagout and other required safety controls
β€’ Maintains safe access pathways and hazard-free equipment areas
β€’ Ensures safety devices and protective systems remain functional
Talent Management β€’ Ensures required safety training is assigned and tracked
β€’ Maintains training records for personnel working in safety-sensitive operations
β€’ Supports annual safety and GMP refresher training
β€’ Ensures new hires complete required EHS onboarding
β€’ Ensures role-based safety requirements are clearly defined
β€’ Ensures competency gaps trigger retraining actions
IT β€’ Supports system access and data integrity related to safety records
β€’ Ensures critical safety-related systems maintain availability and security
β€’ Supports electronic access to SDS and safety documentation
β€’ Maintains secure access controls for safety-related systems
β€’ Ensures backups protect required safety documentation
β€’ Ensures system changes do not disrupt safety workflows

Quality Unit roles (QA, QC, QA-SOD, QC-SOD) are intentionally excluded from this section.
Their responsibilities are defined globally in the L0 Unified Governance Document and detailed within the QA and QC Family Packs, and therefore apply uniformly across all Process Families.

Section 5 β€” Required AAs & Traceability Matrix (EHS)

This section defines the authoritative Auditable Artifact (AA) inventory for the Environmental Health & Safety (EHS) Process Family. Each AA provides objective evidence that EHS SOP requirements are executed and controlled. All AAs listed below are mandatory and traceable to an approved SOP and WIN.

SOP WIN AA Doc ID AA Name Type Purpose
SOP-EHS-GEN WIN-EHS-SAFETY AA-CHK-EHS-GEN-EVT General Safety Compliance Checklist CHK Verifies implementation of site-wide safety controls and hazard awareness.
SOP-EHS-HAZCOM WIN-EHS-HAZCOM AA-LOG-EHS-SDS-MNT SDS Inventory & Access Log LOG Documents availability, currency, and access to Safety Data Sheets.
SOP-EHS-PPE WIN-EHS-PPE AA-REC-EHS-PPE-ISSUE PPE Issuance & Training Record REC Records PPE assignment, training, and user acknowledgment.
SOP-EHS-EMER WIN-EHS-EMER AA-CHK-EHS-EMER-DRILL Emergency Drill Readiness Checklist CHK Verifies preparedness for emergency response and evacuation.
SOP-EHS-INCIDENT WIN-EHS-INCIDENT AA-FRM-EHS-INC-RPT Incident Report Form FRM Captures incident details for investigation and corrective action.
SOP-EHS-ERG WIN-EHS-ERG AA-REC-EHS-ERG-EVAL Ergonomic Assessment Record REC Documents ergonomic risk assessments and preventive actions.

Authoritative versions, retention rules, and system ownership for all EHS AAs are governed by the Enterprise Artifact System of Record (SOR) Register.

Section 6 β€” AA Deliverable Requirements (EHS)

6.1 AA Deliverable Definitions

6.2 Emergency Use Only β€” Checklist Mockups

AA-CHK-EHS-GEN-EVT (Emergency Use Only)

[ ] Safety signage present and visible
[ ] Emergency exits unobstructed
[ ] Fire extinguishers accessible
[ ] Hazard controls in place
[ ] Personnel aware of safety rules

Operator: __________ Date: _______
Reviewer: __________ Date: _______
  

AA-CHK-EHS-EMER-DRILL (Emergency Use Only)

[ ] Alarm system functional
[ ] Evacuation routes followed
[ ] Assembly points used
[ ] Accountability completed
[ ] Issues documented

Operator: __________ Date: _______
Reviewer: __________ Date: _______
  

6.3 AA Type–Specific Execution Requirements

Section 7 β€” WIN Layer (High-Level Operational Context)

WIN-EHS-SAFETY β€” General Safety Oversight

  1. Triggered by routine operations or safety reviews.
  2. EHS reviews site conditions and applicable hazards.
  3. Safety controls are verified against requirements.
  4. Findings are documented using safety checklists.
  5. Issues are escalated for corrective action.

WIN-EHS-HAZCOM β€” Hazard Communication & SDS Control

  1. Initiated upon chemical introduction or SDS update.
  2. EHS verifies SDS availability and accessibility.
  3. SDS inventory is reviewed for completeness.
  4. Updates are logged and communicated.

WIN-EHS-PPE β€” Personal Protective Equipment Control

  1. Triggered by role assignment or hazard identification.
  2. Required PPE is identified and issued.
  3. Training and acknowledgment are completed.
  4. PPE records are maintained.

WIN-EHS-EMER β€” Emergency Response & Evacuation

  1. Initiated by drills or emergency events.
  2. Emergency procedures are executed.
  3. Evacuation and response effectiveness is verified.
  4. Results are documented and reviewed.

WIN-EHS-INCIDENT β€” Incident Reporting & Investigation

  1. Triggered by an incident or near miss.
  2. Incident details are collected.
  3. Investigation is initiated.
  4. Corrective actions are documented.

WIN-EHS-ERG β€” Ergonomics & Injury Prevention

  1. Initiated by task review or injury trend.
  2. Workstation or task is evaluated.
  3. Risks are identified and documented.
  4. Preventive actions are implemented and recorded.

Section 8 - Governance Inheritance

This Family Pack inherits all enterprise-level governance defined in the L0 Unified Governance Document (L0-QMS-UGD), which serves as the authoritative source for quality, documentation, data integrity, and system requirements. All SOPs, WINs, and FORMs within this Family must be created, maintained, and executed in alignment with L0 rules, including:

L0 requirements apply uniformly and supersede all Family-level content. This Family Pack does not replace or modify L0 governance and operates fully within the enterprise-wide QMS architecture.