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A hallmark of the OHSMS approach is continual improvement. 45001:2018 continues this trajectory, stating in §10.3 that:

“…the organization shall continually improve the suitability, adequacy and effectiveness of the OH&S management system: by enhancing OH&S performance; promoting a culture that supports an OH&S management system; promoting the participation of workers in implementing actions for the continual improvement of the system; and, communicating the relevant results of continual improvement to workers, and where they exist, workers' representatives” (71).

The standard defines continual improvement as a “recurring activity to enhance performance,” (49) and reinforces the idea that continual does not mean continuous, that is, the activity does not need to take place in all areas simultaneously. The addition of a separate clause on improvement also emphasizes that the clauses in ISO 45001 do not work independently but rather together. Improvements identified here are a result in part from monitoring and measurements, including management reviews, and addressed in planning as possible new objectives.