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Important first steps in developing and implementing an OHSMS is to ensure there is top management and worker support, as well as sufficient resources. Initial thinking on scope and potential certification issues should be done early in this process. Selecting ISO 45001 is a popular choice. Consideration should also be given to OHSMS's that are specific to a particular country. As well, it is not uncommon for an organization to develop a hybrid OHSMS that integrates aspects of several approaches, such as ISO 45001, ANSI Z10, and OSHA's VPP.

Meetings should be held early in the implementation process with a wide range of stakeholders including senior executives, workers and their representatives, middle managers, and staff functions such as human resources. Prior to conducting any meeting, have clarity on the OHSMS or integrated system that is being implemented. Solicit and document support and concerns. Understand the basis for potential concerns, and hopefully address them. The goal of these meetings is to develop support and alignment with OSHMS implementation. Take these opportunities to recruit people to participate on the implementation team.

In addition to using these meetings to develop support, they also provide a good opportunity to begin collecting information on “context of the organization” and “risks and opportunities.”

It is important in all meetings to discuss and solicit ideas on OHSMS integration with the organization's business and operational processes.

 Meet with the Senior Most Executives. Briefly review the OHSMS elements. Emphasize the following OHSMS elements: management leadership and commitment, OH&S policy, worker participation, responsibility and accountability, and management review. It is critical that executives understand the need for their initial and ongoing documented commitment to the management system. Discussing business and operational process integration is critical with the top executives. Affirming their support for this will valuable when working with middle managers and other personnel throughout the organization.

 Meet with Workers and Their Representatives. The manner in which this is done is a function of the organizations size and culture. In small organizations, such meetings can be informal. In larger organizations or at those with union representation, meet with union representatives and/or other worker representatives first. Review the system's elements. Discuss how worker participation will be accomplished.

 Meet with Middle Managers, Supervisors, and Line Managers. Review the system's elements. Discuss their anticipated role in the development, implementation, and ongoing improvement of the management system.

 Meet with Human Resources. The human resource function is an important participant on the implementation team. Meet with a representative early to discuss the evolving implementation plan. Specifically discuss sections on responsibility and accountability, competence, training, and documentation.

 Other Stakeholder Meetings. Depending upon organizational structures, consider meeting with personnel from– engineering or facility maintenance;– environmental management department, if integration with an existing environmental management system is to be done;– external stakeholders such as medical clinics and/or emergency responders.

With a good understanding of the management system recommendations, management system goals, and organizational dynamics, develop a detailed action plan that lays out the detailed steps you will take. Be prepared to alter your plan based on input from other stakeholders in your organization.