Health and Safety - Way to Version 2.0

For years, health and safety aspects of any kind of business are been ignored by organizations and individuals. Especially asbestos and similar substances which have been used within construction and manufacturing industry caused so many ill-health cases around the world.
Luckily, especially in the decade that we are in now, by the help and guidance of national and international organizations like ILO, HSE, health, and safety is being considered within management systems.
Do you think your organization managing health and safety effectively? Or the HSE management system of yours is just on paper and checked and reviewed when only it comes to certification or re-certification process for ohsas18001, or any kind of certification process?
Share your thoughts please, I do value each and every comment on the topic, as a trusted and experienced safety professional.
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