1. Scope
1.1 General
1.2 Structure of guide: Investigate, define, plan, do,
check, act
2. Environmental management systems
2.1 Environmental management systems and ISO 14001
2.2 Why would a hospital want an EMS?
2.3 What should your hospital EMS include?
2.4 Links to ISO 9000
3. Investigate readiness for an EMS
3.1 Top management support
3.2 Initial environmental review
4. Define goals
4.1 Environmental policy (ISO 14001 clause 4.2)
4.2 Environmental objectives and targets (ISO 14001
clause 4.3.3)
5. Plan and prepare
5.1 Environmental management programs (ISO 14001
clause 4.3.4)
5.2 Organizational capabilities
6. Do: EMS implementation and maintenance
6.1 Operational control (ISO 14001 clause 4.4.6)
6.2 Emergency preparedness and response (ISO 14001
clause 4.4.7)
6.3 EMS documentation, document control, and records
6.4 EMS maintenance
7. Check: EMS performance and improvement
7.1 How are you doing? - Monitoring and measuring
(ISO 14001 clause 4.5.1)
7.2 Results-based evaluation
7.3 Process-based evaluation: EMS audit (ISO 14001
clause 4.5.4)
7.4 Suppliers, contractors, volunteers, and tenants
8. Act: Correction, prevention, and review
8.1 Improvement mechanisms
8.2 Management review (ISO 14001 clause 4.6)
9. Registration to ISO 14001
9.1 Stages leading to conformance
9.2 Registration procedure
10. Information and assistance
10.1 Obtaining standards, interpretations, and
environmental legislation
10.2 Internet help
10.3 Consultants
10.4 ISO 14001 software demonstration disks
10.5 Registrars
10.6 Training programs
Appendices
A - Glossary
B - Worksheets and information sheets
C - Core elements of ISO 14001
D - Sources and documents
E - Regulations and guidelines
F - Overview of building environmental performance assessment
methods