Setting an effective safety and health management system is crucial in order to reduce problem relating to accident and ill in management organizational. It is involve with multiple level of management and stakeholders who empower the organization to the management in handling the safety and health cases and issues in organizational. It is necessary to prepare a well knowledge about safety and health management systems and preparing the framework for setting a certain scale in measuring its performance in this area. The successful or failure of management does showing the capability of the organization in delivering the responsible to management levels . The problem in safe work issues and practices cause by the management commitment and involvement that create improper safety program and procedures, and this crisis keep continuing till present . This paper describes about key element of safety and health management system and measuring the performance in order to get an effective management system in organization that describes the process in achieving effectiveness in management. The literature review will be conducted through the data collection from research findings and defined the strong character of key element in which focusing on measuring performance. A guide on key element performance in occupational safety and health management system is specifically drawn to prepare for a future research
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