STRATEGIC MACROPROCESS INTEGRATED MANAGEMENT SYSTEMS SGSST

Publication date: August 4, 2026

INTEGRATED SYSTEMS MANAGEMENT PROCESS

CHARACTERIZATION

Management System Manager

Luz Etelvina Lozano Soto
Human Resources Director

- Establish a Digital University Government, characterized by self-control, social control, good practices, and University social control.

- Ensure continuous improvement through risks and opportunities at the University of Cundinamarca.

- Ensure an institutional environmental culture within the framework of its commitment to life-forming education, democratic values, civility, and freedom.

- Consolidate and make visible the University of Cundinamarca as a Green University Institution, consistent with its responsibility to society and nature, within the framework of the international standard.

- Promote and ensure austerity commitments in the efficient use of materials and energy consumed by the strategic, core, support, monitoring, measurement, analysis, and evaluation processes of UCUNDINAMARCA.

- Inform and educate the community of the University of Cundinamarca and its stakeholders, both at its main campus and its regional branches and extensions, regarding the guidelines of this Institutional Environmental Policy.

- Ensure an institutional environmental culture within the framework of its commitment to life-forming education, democratic values, civility, and freedom.

- Consolidate and make visible the University of Cundinamarca as a green university institution, consistent with its responsibility to society and nature, within the framework of the international standard.

- Promote and ensure commitments to austerity in the efficient use of materials and energy consumed by the strategic, mission-critical, support, monitoring, measurement, analysis, and evaluation processes inherent to the University of Cundinamarca.

- Inform and educate the community of the University of Cundinamarca and its stakeholders, both at its main campus and its regional branches and extensions, on the guidelines of this Institutional Environmental Policy.

- Allocate the human, physical, and financial resources necessary for the planning, development, verification, and continuous improvement of the Occupational Health and Safety Management System, in accordance with existing risks and hazards, by designing interventions through the various promotion and prevention programs that generate favorable working conditions and environments.

- Assignment of responsibilities at all hierarchical levels, from senior management to the operational levels of the University, generating an individual and collective commitment to self-care and comprehensive health protection.

- Identify the hazards, evaluate, assess, and intervene in the risks present in the processes developed by the University Community and other stakeholders, establishing the respective controls, with the purpose of avoiding and minimizing incidents, work-related accidents, and occupational illnesses that may arise as a result thereof.

- To promote the comprehensive protection of the physical and mental health of officials and contractors who contribute to the fulfillment of the institutional mission, through the prevention and control of occupational hazards.

- Provide consultation and participation mechanisms for workers and their representatives within the Occupational Health and Safety Management System.

- Comply with the legal and regulatory requirements regarding information security and privacy that bind the activities of the Information Security Management System – ISMS.

STAGES

PROCESS OPERATION POLICY

The implementation and development of the OHS Management System activities are based on current legal regulations, Decree-Law 1295 of 1994, Decree 1072 of 2015, Resolution 0312 of 2019, the 2016-2026 Strategic Plan, and the Rectoral Plan of the University of Cundinamarca.

The responsibility of the Management System is established in accordance with the hierarchy, roles, and responsibilities designated by top management in the OHSMS policy and the Resolution on roles and responsibilities, as well as the obligations and duties established in Decree 1072 of 2015.

ENTRIES	PROCEDURES	EXITS
– Occupational Health and Safety Management System	ESG-SST-P01 – Occupational Health and Safety Management System	– Identification of legal requirements - Annual work plan results and indicators - Self-assessment of minimum standards – Management review report
– Occupational medical evaluations	ESG-SST-P02 – Occupational Medical Evaluation Procedure	– Occupational Medical Concepts
Training needs Hazard Analysis – Psychosocial Risk Battery Report.	ESG-H&S-P04 – OSHMS Training Management	Training evaluation. Improvement actions
-Academy Risk Analysis.	ESG-H&S-P05 – Security and Health Risk Management in Academy-Specific Processes or Activities	– Risk mitigation interventions
– Risk matrix – OHS Indicators	ESG-H&S-P06 – Inspections	– Inspections – Inspection report – Improvement actions
– Record ESG-SST-r041 Identification and validation of risk and hazard matrix - Inspection results – Audit reports	ESG-H&S-P07 – Hazard Identification and Risk Assessment	- Hazard matrices – Controls Job profile – Promotion and prevention programs

ENTRIES	PLANES	EXITS
– OSH Policy – Legal Requirements – Identify internal and external threats – Identify the current conditions of existing resources and necessary resources for initial emergency response – Identify actions aimed at improving risk conditions – Establish and maintain a practical, effective, and efficient internal organizational scheme to initially respond to an emergency – Establish simple and practical reaction procedures for evacuation and response to the main identified threats	ESG-SST-PL01 – Disaster Risk Management and Emergency Prevention, Preparedness and Response Plan	- Emergency response – Action plans according to the needs for emergency plan management – Documented information – Drills – Emergency brigade training

ENTRIES	PROGRAMS	EXITS
– Training requests – Health conditions report	ESG-SST-PG01 – Voice Disease Prevention Program	– Documented information – Trainings – Follow-ups on health conditions
- Training Requests – Legal Requirements	ESG-SST-PG02 – Cardiovascular Disease Prevention Program	– Documented information – Trainings – Follow-ups on health conditions
- Training Requests – Legal Requirements	ESG-H&S-PG03 – Hearing Disease Prevention Program	– Documented information – Trainings – Follow-ups on health conditions
- Training Requests – Legal Requirements	ESG-H&S-PG04 – Visual Disease Prevention Program	– Documented information – Trainings – Follow-ups on health conditions
- Training Requests – Legal Requirements	ESG-H&S-PG05 – Epidemiological Surveillance Program for the Prevention of Musculoskeletal Disorders - Biomechanical Risk Management	– Documented information – Trainings – Follow-ups on health conditions

- Training Requests – Legal Requirements	ESG-H&S-PG06 – Epidemiological Surveillance Program for Biological Risk COVID-19	– Documented information – Trainings – Follow-ups on health conditions
– Training requests – Legal Requirements	ESG-SST-PG07 – Fall Protection Program	– Work permits – Trainings – Inspections – Acquisition of certified items – Resource projection – Education – Occupational medical fitness concept

- Training Requests – Legal Requirements	ESG-H&S-PG08 – Safety program for electrical work	– Work permits – Trainings – Inspections – Acquisition of certified items – Resource projection – Education
– Legal Requirements – Training requests	ESG-SST-PG09 – Work Program for high-risk activities	- Work permit – Trained and certified staff – Inspections
– Psychosocial Battery	ESG-H&S-PG10 – Epidemiological surveillance program for the prevention of diseases derived from psychosocial risk	– Interventions resulting from the application of the psychosocial risk battery

– Health conditions report

ESG-H&S-PG11 – Healthy lifestyle habits program

– Promotion and prevention strategies

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Documents

Fusagasugá Branch

STRATEGIC MACROPROCESS INTEGRATED MANAGEMENT SYSTEMS SGSST

INTEGRATED SYSTEMS MANAGEMENT PROCESS

Management System Manager

STAGES

1. PLAN

2. DO

3. VERIFY

4. ACT

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