1. Objective
1.1. The objectives of this policy are to:
a) outline the University’s approach to risk management;
b) align the University with best practice AS/NZS ISO 31000:2018 Risk management – Guidelines;
c) establish priorities that enable the University to continue to create value and maintain core operations;
d) establish the roles and responsibilities of staff in risk management; and
e) affirm the University’s commitment to developing a compliance management framework in line with AS ISO 37301:2023 Compliance management systems - Requirements with guidance for use, incorporating a risk-based approach to compliance that supports compliance with legislation and regulation (University’s Regulatory Framework).
2. Scope
2.1. This policy applies to staff and honorary appointees of the University, and to people authorised to undertake University business.
3. Authority
3.1. This policy is made under the University of Melbourne Act 2009 (Vic) and Council Regulation, and supports management of risk according to applicable legislative and regulatory standards and codes to which the University is subject.
4. Policy
4.1. Council, through Council’s Audit and Risk Committee (ARC), is responsible for overseeing and monitoring the assessment and management of risk and compliance.
4.2. Risk is managed in accordance with the University’s Risk Management Framework developed by Legal and Risk. The Risk Management Framework is approved by the ARC on behalf of Council and informed by the advice from the Risk Management and Compliance Committee (RMCC).
4.3. The management of risk aligns with the University’s risk appetite, as approved by Council.
4.4. The Vice-President (Administration & Finance) and Chief Operating Officer oversees the development of the risk appetite statement and advises the University Executive Committee on risk as it relates to strategy and objective setting.
4.5. The Vice-President (Administration & Finance) and Chief Operating Officer also advises on and oversees University wide implementation of the:
a) Risk Management Framework that is consistent with AS/NZS ISO 31000:2018 Risk management – Guidelines;
b) Compliance Management Framework that is consistent with AS ISO 37301:2023 Compliance management systems - Requirements with guidance for useand supports the University’s Regulatory Framework;
c) Critical Incident Management that is consistent with Australasian Inter-Service Incident Management System;
d) Business Continuity Program. Business Continuity is managed in accordance with the standards set out in ISO 22301:2019 Security And Resilience - Business Continuity Management Systems - Requirements and is overseen by the Resources and Operations Sub-Committee (ROS) .
4.6. Risk management and compliance obligations are formally integrated into planning processes and management activities and incorporated into ongoing ‘business as usual’ practices by those with management responsibilities.
4.7. The head of portfolio is responsible for the monitoring and reporting of compliance breaches.
4.8. In the event of a critical incident, the University's response will prioritise:
a) human life, safety and wellbeing;
b) animal life, safety and wellbeing;
c) environmental protection;
d) maintenance of core operations; and
e) the protection of property interests,
taking into account the nature of the incident and relevant circumstances.
5. Procedural principles
5.1. Legal and Risk maintains the:
a) University Risk Register; and
b) University Compliance Obligations Register.
5.2. Legal and Risk:
a) provides risk management advice and training;
b) provides compliance training; and
c) documents process in support of risk management.
5.3. Legal and Risk is responsible for internal audits, taking into account any recommendations made by Risk Management and Sub-Compliance Committee in relation to the conduct of risk-related audits.
5.4. The Vice-President (Administration & Finance) and Chief Operating Officer is responsible for:
a) developing and implementing a University-wide business continuity planning and management program;
b) developing and implementing a University-wide critical incident management program;
c) developing processes to align with the Australian Inter-service Incident Management System; and
d) coordinating the University's response to any critical incident or major business disruption that may occur, in accordance with the critical incident management and business continuity program described in section 5.4(a and b) and the relevant University policies and processes.
5.5. Risks are identified and managed so that:
a) activities on behalf of the University are performed in an informed manner; and
b) areas of risk or potential risk undertaken in day-to-day activities are the responsibility of staff, including persons authorised to undertake University business and/or activities (eg service providers and contractors).
5.6. Staff, including people authorised to undertake University business and/or activities (eg service providers and contractors) have a responsibility to comply with legislative and regulatory compliance obligations so that:
a) activities on behalf of the University comply with applicable laws and related University policies, and are performed in an ethical, lawful and safe manner; and
b) they are aware of areas of legislation/regulation that affect their day-to-day work.
5.7. A breach of the University’s compliance obligations may result in disciplinary and/or legal action.
6. Roles and responsibilities
Role/Decision/Action |
Responsibility |
Conditions and limitations |
Oversee and monitor the assessment and management of risk and compliance |
Council |
Through Council’s Audit and Risk Committee (ARC). |
Oversee development of the University’s Risk Register |
Vice-President (Administration & Finance) and Chief Operating Officer |
Led by Legal & Risk, in consultation with Strategy, Planning and Performance. Taking into account any recommendations by RMCC. To be approved by Council through the Council’s Audit and Risk Committee. |
Oversee development of the risk appetite statement |
Vice-President (Administration & Finance) and Chief Operating Officer |
Led by Strategy, Planning and Performance, in consultation with Legal and Risk. Taking into account any recommendations by RMCC. To be approved by Council through the Council’s Audit and Risk Committee. |
Develop the University's Risk Management Framework |
Legal and Risk |
In collaboration with Strategy, Planning and Performance. Taking into account any recommendations by RMCC. To be approved by Council through the Council’s Audit and Risk Committee. |
Develop the University's risk management process for assessing, evaluating and treating risk |
Legal and Risk |
To be approved by the Vice-President (Administration & Finance) and Chief Operating Officer. |
Incorporate risk management, including compliance obligations and business continuity management, into business practices |
Management |
|
Provide risk advice to the University Executive Committee |
Vice-President (Administration & Finance) and Chief Operating Officer |
Taking into account any recommendations by RMCC. |
Maintain University Risk Register |
Legal and Risk |
|
Support the development of any portfolio, project / operational and controlled entity risk registers |
Legal and Risk |
|
Maintain and administer Enterprise Risk Management System (ERMS) |
Legal and Risk |
|
Provide advice, training and documentation of process to support management of risk |
Legal and Risk |
|
Conduct internal audits to support the management of risk and compliance obligations |
Legal and Risk |
Taking into account recommendations from RMCC and ARC in relation to risk-related audits. |
Develop and implement a University-wide critical incident management program |
Health and Safety |
Program to be reviewed and approved annually by the Vice-President (Administration & Finance) and Chief Operating Officer, informed by advice from RMCC. |
Coordinate the University's response to any critical incident that may occur |
Incident Coordinator |
Supported by the University’s Incident Management Team. |
Develop and implement a University-wide business continuity program |
Vice-President (Administration & Finance) and Chief Operating Officer |
Program to be approved by the Vice-President (Administration & Finance) and Chief Operating Officer, informed by advice from ROS. |
Maintain business continuity plans |
Deans and Portfolio Heads |
Supported by the University’s Business Continuity and Resilience team. |
Identify and manage risk - perform day to day activities in an informed manner adhering to relevant compliance obligations |
Staff including persons authorised to undertake University business and/or activities (e.g. service providers and contractors) |
Identification of risk and non-compliance to be raised/reported to the next most senior person for assessment. |
Administer this policy, including informing and assisting staff on compliance issues and consider complaints of compliance breaches |
Legal and Risk |
|
Maintain University-wide Compliance Obligations Register |
Legal and Risk |
|
Develop and implement Compliance Management Framework |
Legal and Risk |
|
Compliance with relevant compliance obligations |
Staff, students, contractors and service providers |
|
Identify and mitigate compliance risks |
Obligation owner |
|
Deliver specific compliance training |
Legal and Risk |
As identified by the compliance owner in conjunction with Legal and Risk. |
Manage and report non-compliance |
Obligation owner |
Reporting of non-compliance to Legal and Risk and / or Regulators as required. |
7. Definitions
Business continuity planning and management means a process that supports alignment of business planning with potential threats to an organisation and the impacts to business operations; and provides a systematic approach for building organisational resilience and response.
Compliance means meeting the University’s compliance obligations.
Compliance obligations has the same meaning as in the Compliance Management Framework.
Compliance obligations register means a comprehensive list of the compliance obligations of the University’s functions and activities.
Critical incident means an event that may adversely affect the university and requires an immediate response. It is likely to cause significant personal illness or injury, substantial impact to operations and commercial prospects, a degradation of reputation, or lead to an impact on the wider community.
Risk means the effect of uncertainty on objectives.
Risk management means the coordinated activities of identifying, assessing and controlling threats or risks to the University and its activities.
Risk register means the comprehensive list that describes the type of risk and related characteristics, including risk owners; inherent, residual and target risk ratings; controls in place and control effectiveness; and treatment plans.
University Risk Register means a detailed record of risks that could impact the ability of the University to achieve its strategy/long term ambitions. These risks in the register require oversight at the institutional level.
POLICY APPROVER
Council
POLICY STEWARD
General Counsel and Executive Director, Legal & Risk
REVIEW
This policy will be reviewed by 3 December 2025.
Version | Approved By | Approval Date | Effective Date | Sections Modified |
---|---|---|---|---|
1 | Council | 8 July 2013 | 8 July 2013 | N/A |
2 | Governance and Nominations Committee authorised by Council | 23 June 2016 | 21 July 2016 | New version arising from the Policy Consolidation Project, incorporating the Risk Management Policy (MPF1194), Risk Management Procedure (MPF1097) and Compliance Policy (MPF1100). |
3 | Council | 24 August 2017 | 28 August 2017 | Roles and responsibilities updated to improve clarity. |
4 | University Secretary | 24 May 2019 | 31 May 2019 | Amended titles in Sections 4 and 6. |
5 | Vice-Chancellor on behalf of Council under Section 5(5) Vice-Chancellor Regulation | 31 July 2019 | 1 August 2019 | Amended titles in Section 5 and 6. |
6 | Council | 3 December 2019 | 12 December 2019 | Roles and responsibilities updated. Clarification of approach to compliance, critical incident and business continuity management. |
7 | Policy Officer | 5 October 2020 | 5 October 2020 | Corrected references to 'University Executive' to 'University Executive Committee'. |
8 | Executive Director, Legal & Risk and General Counsel | 5 July 2022 | 8 July 2022 | 5.6. changed from 'including people' to 'and people'. |
9 | Council | 7 December 2022 | 7 December 2022 |
Revised wording and responsibilities for Business Continuity Program. Corrected references from ‘RMAG’ to ‘RMCC’. |
10 | Policy Officer | 7 December 2022 | 7 December 2022 | Amended formatting to fix metadata error. |
11 | General Counsel and Executive Director, Legal and Risk | 16 October 2024 | 16 October 2024 | Minor amendments to existing policy |