Table 3. Assessment of decision-making process for occupational health service programmes.

	HRA	Programme	Findings
Policy	Risk register policy	OHS programme policy
Leadership		Availability of facilities and infrastructure for monitoring and evaluation processes	Leadership training has been conducted based on employee level through the Employee Orientation programme. However, monitoring has not yet been implemented, while the training is still being conducted. The Jakarta Regional Government provides 40 hours of annual training, which can be run with adaptable topics. Regarding hospital accreditation, there is an incentive for hospitals to implement OHS as part of quality and patient safety measures, including how leadership can drive OHS programmes effectively.
Worker Participation	Workers can complete online/form risk register	Workers can propose OHS programmes	All units are involved, with programmes determined by workers through a designated channel via the sub-division head. The worker participation process is effective. Decision-making originates from the bottom-up, not from the Hospital OSH Unit; instead, proposals are submitted to Hospital OSH Unit for further action.
Contractor Involvement			Contractors can also be involved. There was a case of a workplace accident triggered by third-party work, highlighting the need for this instrument to ensure that third parties comply with occupational health and safety (OHS) standards.