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Guidelines Part 3

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Guidelines Part 3 Contents

OCCUPATIONAL HEALTH AND SAFETY PROGRAMS

  G3.1 Occupational health and safety program
  G3.1-2 Farm labour contractors and growers
  G3.2 "Less formal" occupational health and safety (OHS) programs

CORRECTION OF UNSAFE CONDITIONS

  G3.11 Emergency circumstances

REFUSAL OF UNSAFE WORK

  G3.12 Refusal of unsafe work

OCCUPATIONAL FIRST AID - Added March 30, 2004

  G3.14 to G3.20 First aid guidelines for employers
  G3.14 First aid attendant certification, qualifications and general responsibilities
  G3.16 First aid assessment
  G3.17 Developing and implementing first aid procedures
  G3.17(1)-1 Implementing an early defibrillation program in the workplace
  G3.18(1) Communications
  G3.18(2) Availability of first aid attendant
  G3.19 First aid records
  G3.20 Multiple employer workplaces
  G3.21 Suspension and cancellation of first aid certificates

FIRST AID SUPPLEMENTARY MATERIALS - Added March 30, 2004

  Assigned hazard rating list
  Types of first aid attendants and training programs
  First aid kits: Recommended minimum contents
  First aid facilities: Recommended minimum criteria
  Emergency vehicles and equipment

YOUNG OR NEW WORKERS

   G3.23 Young or new worker orientation and training

Guidelines Part 3 - Occupational health and safety programs

G3.1 Occupational health and safety program

Issued March 30, 2004; Revised October 26, 2005; Revised May 17, 2006; Editorial Revision February 1, 2008; Editorial Revision February 12, 2009

Regulatory excerpt
Section 3.1 of the OHS Regulation ("Regulation") states:

3.1 (1) An occupational health and safety program as outlined in section 3.3 must be initiated and maintained

(a) by each employer that has

(i) a workforce of 20 or more workers, and

(ii) at least one workplace that is determined under section 3.16 (2) (b) to create a moderate or high risk of injury, or

(b) by each employer that has a workforce of 50 or more workers.

(1.1) If subsection (1) (a) or (b) applies to the employer, the occupational health and safety program applies to the whole of the employer's operations.

(2) Despite subsection (1) an occupational health and safety program may be required in any workplace when, in the opinion of an officer, such a program is necessary.

Purpose of guideline
The purpose of this guideline is to provide criteria for counting workers in an employer's workforce for considering whether an occupational health and safety ("OHS") program is required under section 3.1(1), provide WorkSafeBC prevention officers with factors to consider when exercising their discretion under section 3.1(2); discuss benefits of OHS programs; and reference available information on occupational health and safety management systems.

Criteria for counting workers for the purpose of section 3.1(1)
In determining the number of workers for the purpose of section 3.1(1), the following workers should be considered part of the employer's workforce, regardless of how they or their employers define their status:

  • Workers employed for more than one month
  • Workers who are employed for less than one month, but have worked for the employer periodically.

Note: Other sections of the Regulation and Workers Compensation Act ("Act") also have requirements that relate to the number of workers. For criteria for counting workers for other requirements, see also

Considerations for prevention officers when exercising their discretion under section 3.1(2)
In addition to those employers who are required to initiate and maintain an OHS program under section 3.1(1), some other types of employers should also initiate and maintain health and safety programs. Section 3.1(2) provides that an OHS program may be required in any workplace when, in the opinion of a prevention officer, such a program is necessary.

A prevention officer who encounters a situation where all of the following conditions are present should consider requiring the employer to initiate and maintain an OHS program pursuant to section 3.1(2) of the Regulation:

  • The employer has a workforce of less than 20 workers
  • Those workers are exposed to high risks
  • An OHS program is essential to the health and safety of workers.

In deciding whether to require an OHS program in the above situation, the prevention officer should consider whether such a program could be effectively initiated and maintained by the employer for each workplace where work is being performed for the benefit of that employer.

Benefits of an OHS program for all workplaces
Even though an employer may not be required to initiate and maintain an OHS program, OHS programs can provide a number benefits. For example, OHS programs enable an employer to control its occupational health and safety risks, improve health and safety performance, communicate its health and safety commitments and policies to staff, and provide a framework for attaining its health and safety goals and objectives. Further, OHS programs assist with implementation by delineating roles, responsibilities, and accountability for tasks, including checking and corrective action as the program evolves. A properly implemented OHS program can be expected to reduce injuries and the associated costs of disability and lost production hours.

Occupational health and safety management systems
Whether for a small or large employer, occupational health and safety can be managed in the same way that the employer manages other facets of the organization's activities (e.g. quality, production, environment, finances customer service etc). An occupational health and safety management system (OHSMS) can help organizations reduce or prevent injuries, illnesses and fatalities in the workplace by providing a framework for corporate behaviour in OHS management. An OHSMS relies on commitment, leadership and worker participation to achieve its outcomes.

CSA Z1000-06 Occupational Health and Safety Management is a consensus-based Canadian national standard for occupational health and safety management, created by labour, business, and government representatives. The standard is structured using the Plan-Do-Check-Act approach also used in other management system standards (e.g. ANSI/AIHA Z10-2005, ILO-OSH 2001, OHSAS 18001-1999 and ISO 14001:2004). CSA Z1000-06 includes the following elements:

  • Commitment, Leadership and Participation
    Establishment and maintenance of an OHS Policy
    Roles, responsibilities and accountability for worker and employer representatives

  • Plan
    Incorporation of applicable legal and other requirements
    Hazard identification; risk assessment
    Documentation of OHS objectives and targets

  • Do
    Preventive and protective measures to address identified hazards
    and risks
    Emergency prevention, preparedness, and response
    Competence and training
    Communication and awareness
    Procurement and contracting
    Management of change
    Documentation (document and records control)

  • Check
    Monitoring and measurement of OHS performance and system effectiveness
    Incident investigation and analysis
    Internal audit of OHSMS
    Preventive and corrective action

  • Act
    Management review and continual improvement

All of the elements of the standard are intended to be incorporated into an OHSMS but the extent of the application will depend on the circumstances particular to each organization, such as the nature and location of its operations and the conditions in which it functions.

While not a requirement under the Regulation, WorkSafeBC recommends the use of OHS management systems and endorses CSA Z1000-06 for use by employers in BC.

G3.1-2 Farm labour contractors and growers - Responsibilities and OHS programs

Issued July 5, 2007; Editorial Revision February 1, 2008; Editorial Revision January 1, 2009

Regulatory excerpt
Responsibilities for worker health and safety are established by the Workers Compensation Act ("Act") and the OHS Regulation ("Regulation"). Farm labour contractors are considered to be the employers of the farm workers they provide to agricultural operations. As such they have responsibilities under the Act, for example in section 115. They also have responsibilities under the Regulation, for example for occupational health and safety programs under section 3.1.

Section 115 of the Act states:

115 General duties of employers

Every employer must:

(a) ensure the health and safety of
(i) all workers working for that employer, and
(ii) any other workers present at a workplace at which that employer's work is being carried out, and

(b) comply with this Part, the regulations and any applicable orders.

(2) Without limiting subsection (1), an employer must

(a) remedy any workplace conditions that are hazardous to the health or safety of the employer's workers,

(b) ensure that the employer's workers
(i) are made aware of all known or reasonably foreseeable health or safety hazards to which they are likely to be exposed by their work,
(ii) comply with this Part, the regulations and any applicable orders, and
(iii) are made aware of their rights and duties under this Part and the regulations,

(c) establish occupational health and safety policies and programs in accordance with the regulations,

(d) provide and maintain in good condition protective equipment, devices and clothing as required by regulation and ensure that these are used by the employer's workers,

(e) provide to the employer's workers the information, instruction, training and supervision necessary to ensure the health and safety of those workers in carrying out their work and to ensure the health and safety of other workers at the workplace,

(f) make a copy of this Act and the regulations readily available for review by the employer's workers and, at each workplace where workers of the employer are regularly employed, post and keep posted a notice advising where the copy is available for review,

(g) consult and cooperate with the joint committees and worker health and safety representatives for workplaces of the employer, and

(h) cooperate with the Board, officers of the Board and any other person carrying out a duty under this Part or the regulations.

Section 3.1 of the Regulation states

3.1 When program required

(1) An occupational health and safety program as outlined in section 3.3 must be initiated and maintained

(a) by each employer that has
(i) a workforce of 20 or more workers, and
(ii) at least one workplace that is determined under section 3.16 (2) (b) to create a moderate or high risk of injury, or

(b) by each employer that has a workforce of 50 or more workers.

(1.1) If subsection (1)(a) or (b) applies to the employer, the occupational health and safety program applies to the whole of the employer's operations.

(2) Despite subsection (1) an occupational health and safety program may be required in any workplace when, in the opinion of an officer, such a program is necessary.

Purpose of guideline
The purpose of this guideline is to

  • Provide background information on farm labour contractors (FLCs) and their role as employers of farm workers
  • Describe circumstances in which the contractor has an obligation to establish a formal occupational health and safety program, and lists the elements that would typically be covered in the programs
  • Describe circumstances in which informal programs are required, and what they would include
  • Discuss the occupational health and safety responsibilities of growers who use contractors to provide services of farm workers in their operations
  • Provide five examples of how the responsibilities of FLCs apply to the protection of farm workers, in comparison to the responsibilities of the grower: worker transport vehicles, personal protective equipment, first aid, protection from hazardous materials, and training

Farm labour contractors and their responsibilities as employers
Farm labour contractors are licensed under the Employment Standards Act. Lists of licensed FLCs are maintained by the Employment Standards Branch at http://www.labour.gov.bc.ca/esb/agriculture/flclist.htm, along with information on the crops serviced and the number of workers for which the FLCs are bonded. In April 2007, about 100 FLCs were listed, bonded for approximately 6,900 workers.

Most FLCs provide services to the vegetable, berry, nursery, and greenhouse sectors, but some deal in other sectors such as poultry, tree fruits, and vineyards. Most are based in the Lower Mainland and Fraser Valley, but a number operate elsewhere, particularly in the Okanagan region.

FLCs are considered employers because of the nature of their contractual arrangements with farm workers. As such they have all the responsibilities of employers under the Act and the Regulation.

When do requirements for formal OHS programs apply?
OHS Guideline G3.1 (Occupational health and safety program) provides detailed information on the application of section 3.1 of the Regulation. It discusses how to count workers for the purposes of determining whether a formal occupational health and safety (OHS) program is required, and outlines considerations that will be used by WorkSafeBC prevention officers when exercising their discretion to require a formal OHS program under section 3.2 of the Regulation. A brief summary of the main points from the guideline is provided below.

Workers are included in the count if they are employed for more than a month. In addition they are included if they have currently worked for less than a month but have previously worked periodically for the employer. As noted in section 3.1(1.1) of the Regulation the count of workers covers all the operations of the employer. This is particularly important to an FLC who provides workers to a number of different farming operations. The count is to include all workers who work for the FLC, not just to those assigned to a particular farming operation.

As noted in section 3.1(1) of the Regulation, if an employer employs workers in at least one moderate or high risk operation there must be a formal OHS program if the total workforce in all operations is 20 workers or more. For all other situations there must be at least 50 workers in the count before a formal OHS program is required. (Most FLCs are bonded for workforces of 20 or more workers and are likely to be involved in at least one moderate risk operation.)

The hazard rating for a farm labour contractor is based on the hazard rating for the farming operations to which the FLC provides the workers. Unless a hazard assessment demonstrates otherwise, most of the operations typically serviced by FLCs are moderate risk. Examples include: berry farms, greenhouse operations, vegetable farms, and orchards. In any case where an FLC provides workers to at least one moderate risk operation, the FLC must provide a formal OHS program for all their workers if they have a total workforce of 20 or more workers, regardless of whether the FLC's other workers are engaged in low risk work.

Under section 3.1(2) of the Regulation a prevention officer may require a formal OHS program even if it is not required under section 3.1(1). This may apply where the workforce is less than 20 workers, but the workers are exposed to high risk and it is considered that an OHS program is essential to the health and safety of workers.

(Note that for a grower, the obligations to provide a formal OHS program will also apply at the workplace(s) operated by the grower, depending on the level of risk in the workplace(s) and the total number of workers working in the workplace(s) for the periods of time outlined above.)

What do formal OHS programs include?
Under section 3.3 of the Regulation (Contents of program) the occupational health and safety program must be designed to prevent injuries and occupational diseases, and must include at least the following elements:

  1. A statement of the employer's aims, and of the responsibilities of the employer, supervisors, and workers.
  2. Provision for regular inspection of premises, equipment, work methods, and work practices, at appropriate intervals, to ensure that prompt action is undertaken to correct any hazardous conditions found.
  3. Appropriate written instructions, available for reference by all workers, to supplement the Regulation.
  4. Provision for the prompt investigation of incidents to determine the action necessary to prevent their recurrence.
  5. The maintenance of records and statistics, including reports of inspections and incident investigations, with provision for making this information available to the joint committee or worker health and safety representative, as applicable and, on request, to a prevention officer, the union representing the workers at the workplace or, if there is no union, the workers at the workplace.
  6. Provision by the employer for the instruction and supervision of workers in the safe performance of their work.
  7. Provision for holding periodic management meetings for the purpose of reviewing health and safety activities and incident trends, and for the determination of necessary courses of action.

An effective program will

  • Identify hazards in the workplace
  • Control the hazards and eliminate or minimize the potential for workplace injuries or illness
  • Be monitored to ensure the program meets its goals and WorkSafeBC requirements under the Act and Regulation

To achieve these objectives the program may need to include additional elements.

What are the requirements for less formal OHS programs in small operations?
These requirements are established by section 3.2 of the Regulation. Such programs must be implemented in all workplaces where formal OHS programs are not required.

The employer has the following three basic responsibilities when implementing and maintaining a less formal program:

  • Hold regular monthly meetings with workers for discussion of health and safety matters
  • Ensure meetings deal with correction of unsafe conditions and practices and the maintenance of cooperative interest in the health and safety of the workforce
  • Maintain a record of the meetings and the matters discussed. This does not mean that formal minutes have to be kept. It is sufficient that a record is kept of when meetings were held, who attended, and the general nature of what was discussed. The record should mention any specific concerns raised by persons attending, and it must be available for inspection by prevention officers

Responsibilities of growers in relation to FLCs
FLCs provide contract labour services to growers. Growers who receive their services also have responsibilities for those workers, typically as employers under section 115(1)(a)(i) & (ii) of the Act and the provisions of the Regulation.

Under section 115 of the Act the grower is responsible for the health and safety of all workers at the grower's workplace, including those of any other employer. Also, depending on the situation, growers may have responsibilities as prime contractors or owners under sections 118 and 119 of the Act respectively.

A prime contractor must

  • Ensure that the activities of employers, workers, and other persons at the workplace relating to occupational health and safety are coordinated
  • Do everything that is reasonably practicable to establish and maintain a system or process in the workplace that will ensure compliance with Part 3 of the Act and the Regulation

An owner must

  • Provide and maintain the owner's land and premises that are being used as a workplace in a manner that ensures the health and safety of persons at or near the workplace
  • Give to the employer or prime contractor at the workplace the information known to the owner that is necessary to identify and eliminate or control hazards to the health or safety of persons at the workplace
  • Comply with Part 3 of the Act, the Regulation, and any applicable orders

(Note: Under section 106 of the Act an owner includes not only a person who owns land outright, but also one who is a tenant, lessee, or occupier of the land or premises.)

Examples of the application of OHS requirements to FLCs and growers
The following examples will assist with an understanding of the application of occupational health and safety requirements to FLCs, and growers who contract for their services.

1. Worker transport vehicles: These are typically owned and operated by FLCs. As such FLCs are responsible for all aspects of safety of the vehicle including condition, maintenance, operation, and use. Requirements apply under provisions such as Part 17 (Worker transportation) of the Regulation, and those under the Motor Vehicle Act.

Growers who contract with FLCs are expected to exercise an oversight function when the vehicle arrives on site. Should they observe any faulty condition of the vehicle or unsafe operation they should draw it to the attention of the FLC to ensure it is corrected. In addition, as owners, the growers have a responsibility to make sure that the site is safe, including any roadway to be used by the worker transport vehicle operated by the FLC.

2. Personal protective equipment (PPE): Part 8 (Personal Protective Clothing and Equipment) of the Regulation provides the applicable requirements. Section 8.2 outlines the obligations of workers and employers. Generally, workers are expected to provide clothing for protection against the natural elements such as weather, and general purpose work gloves, footwear, and safety headgear if needed. However, the Regulation also recognizes that an employer may provide any or all of these items.

An employer must provide any other PPE required for the protection of workers. This might include protective gloves, clothing, or respirators if workers may be exposed to pesticides or other harmful materials, and hearing protection if workers will be working near noisy equipment. Typically, the grower controls the circumstances where workers may be at risk on the worksite and would have the expertise on appropriate PPE. In such cases, the grower would have a primary responsibility for provision of such equipment, but the FLC shares in that responsibility.

3. First aid: Under the requirements for first aid in Part 3 (Rights and Responsibilities) of the Regulation, the FLC is responsible for the provision of first aid for farm workers in their employ. First aid equipment must be provided on worker transport vehicles as required by section 17.10 (Vehicle design), as well as appropriate fire extinguishers. Typically the equipment required will be a Level 1 first aid kit, except where a very small number of workers are transported, in which case a basic kit may be sufficient.

Once workers have been transported to a worksite, the hazard assessment is likely to change, as many agricultural worksites are at least moderate risk. First aid for the FLC's workers would have to be adjusted accordingly. In addition, if the grower employs workers other than those provided by the FLC, then the first aid for the site needs to take account of the total number of workers on site.

As previously mentioned, the grower typically has employer responsibilities on site for workers provided by the farm labour contractor. If in a particular situation the grower is a prime contractor (refer to section 118 of the Act), then section 3.20 of the Regulation requires the grower to do everything that is reasonably practicable to establish and maintain the necessary first aid capability on the site. Unless there is an unusual circumstance, such as a short term situation in which the FLC provides more workers than was originally requested, it will be considered practicable for the grower to provide first aid that covers all workers on site.

4. Protection from hazardous materials: Typically workers employed by FLCs carry out activities such as pruning, thinning, and harvesting. In most cases, if there are hazardous materials present in a workplace, then they are likely to be under the control of the grower.

Under their responsibilities as both owners and employers, growers are required to maintain a safe site, and ensure that FLCs are given the information needed to ensure the safety of the FLC's workers.

Information requirements on hazardous materials are covered primarily in Part 5 (Chemical Agents and Biological Agents) of the Regulation. Most substances to which a worker might be exposed in an agricultural operation (such as many pesticides, corrosive cleaning agents, and fertilizers) are covered by the Workplace Hazardous Materials Information System (WHMIS), which is addressed in sections 5.3 to 5.19. For hazardous substances not covered by WHMIS, such as decomposition gases from silos and manure pits, section 5.2 will apply. Other provisions in Part 5 cover issues such as storage, exposure limits, ventilation, and hazardous wastes.

Part 6 (Substance Specific Requirements) of the Regulation covers requirements for specific groups of substances; for example, pesticides. Among other things, the employer must ensure that pesticides are stored and used safely, are applied by a qualified person, that restricted entry intervals are established after application of a pesticide and appropriate warning signs are posted, and that proper hygiene facilities are provided. In most cases these measures will be the responsibility of the grower.

Restricted entry intervals prohibit entry by a worker into an area in which pesticides are applied unless a worker is properly protected before he/she enters the area. Workers must be protected both before and after the expiry of the entry intervals. The party that controls the use of pesticides on site, typically the grower, has responsibilities to protect workers under these provisions. In addition they have the responsibility to communicate to the FLC all information needed to ensure the safety of the FLC's workers. Depending on the arrangements made between the grower and the FLC, one or both of the parties will be responsible for providing necessary information to workers, and any necessary personal protective equipment that is not the responsibility of the worker under section 8.2 of the Regulation.

5. Training: Under section 115(2) of the Act, an employer has the responsibility to ensure workers are made aware of all known or reasonably foreseeable hazards, as well as their rights and duties under the Act and Regulation, and are provided with the information, instruction, training, and supervision to ensure their health and safety. A number of specific training requirements are covered in the Regulation. Three examples are provided below.

5.1 Orientation: Effective July 26, 2007 under sections 3.22 to 3.25 of the Regulation all young and new workers must receive orientation and training specific to the workplace. New workers include workers who are relocated to a new workplace if the hazards in that workplace are different from the hazards in their previous workplace. These provisions will have substantial application to FLCs in the agriculture sector given that their workers are often assigned to new workplaces. Again, responsibilities may be shared between the grower and FLC on how the various specified training and orientation elements are addressed. It may, for example, be reasonable to expect that the FLC take the lead on providing generic instruction on topics that are not site-specific, with the grower taking responsibility for site specific topics. Records must be kept of the orientation and training provided.

5.2 WHMIS: For hazardous substances covered by WHMIS, the worker must receive the education and training required by sections 5.6 and 5.7 of the Regulation. Section 5.6 deals with general (generic) requirements to ensure workers know among other things the elements of the WHMIS program, and the content required on labels and material safety data sheets (MSDS). Section 5.7 addresses site-specific requirements for training in the safe procedures for controlled products in the workplace.

Again, the FLC and grower may, depending on the arrangements between them, share in the responsibilities for both generic instruction and site-specific training. It may be a typical scenario for the FLC to ensure generic instruction is given, and the grower to cover site-specific training. In the final analysis, the worker must be able to answer the following four questions:

  • What are the hazards of the materials to which I may be exposed?
  • How am I protected from those hazards?
  • What do I do in the event of an emergency?
  • Where do I get more detailed information?

5.3 Forklifts and other on-site equipment: Typically any such equipment is under the control of the grower. Therefore, it will be the grower who has the basic responsibility to ensure workers are trained in the use of the equipment should they be required to operate it, and in the safe procedures to follow for workers who are working in the vicinity of the equipment. The FLC has a responsibility to ensure that adequate training has been provided.

5.4 FLC vehicles: The FLC is responsible for instruction of workers in the use of FLC vehicles used for transporting farm workers to and from the grower's operation. This would include, for example, instruction for the operator in the requirements of the pre-shift vehicle inspection, and for the operator and workers being transported, instruction in the proper procedures to follow in the vehicle, such as the procedures for the transport of materials and tools, and the use of seat belts.

G3.2 "Less formal" occupational health and safety (OHS) programs

Issued October 26, 2005; Revised May 17, 2006; Editorial Revision February 1, 2008

Regulatory excerpt
Section 3.1 of the OHS Regulation ("Regulation") states:

3.1 (1) An occupational health and safety program as outlined in section 3.3 must be initiated and maintained

(a) by each employer that has

(i) a workforce of 20 or more workers, and

(ii) at least one workplace that is determined under section 3.16 (2) (b) to create a moderate or high risk of injury, or

(b) by each employer that has a workforce of 50 or more workers.

(1.1) If subsection (1) (a) or (b) applies to the employer, the occupational health and safety program applies to the whole of the employer's operations.

(2) Despite subsection (1) an occupational health and safety program may be required in any workplace when, in the opinion of an officer, such a program is necessary.

Section 3.2 of the Regulation states:

In any operation where the workforce is less than that referred to in section 3.1(1) the employer must

(a) initiate and maintain a less formal program based on regular monthly meetings with workers for discussion of health and safety matters,

(b) ensure that meetings are directed to matters concerning the correction of unsafe conditions and practices and the maintenance of cooperative interest in the health and safety of the workforce, and

(c) maintain a record of the meetings and the matters discussed.

Purpose of guideline
The purpose of this guideline is to highlight situations where employers are required to implement a "less formal program" under section 3.2, rather than an OHS program under section 3.1, but are still required to implement joint committees under the Workers Compensation Act ("Act"). The guideline also discusses requirements for less formal programs under section 3.2.

OHS programs, less formal programs, and joint committees
Under section 3.2 of the Regulation, less formal programs are required in any operation where the workforce is less than that referred to in section 3.1(1). Note that even where an OHS program under sections 3.1 and 3.3 is not required, an employer may be required to establish and maintain a joint committee under section 125 of the Act.

For example, consider the following situation:

Number of workers 30
Risk level Low
OHS Program required under section 3.1(1)? No
Joint Committee required under section 125(a) of the Act? Yes

In this situation, the employer must meet the requirements of section 3.2 of the Regulation and the requirements in the Act for joint committees.

Requirement for less formal programs
Section 3.2(a) requires that the employer or a person delegated by the employer calls, at least once a month, a meeting of workers present at that time. The employer's obligation under section 3.2(c) to maintain a "record of the meetings" does not mean that formal minutes have to be kept. It is sufficient that a record is kept of when meetings were held, who attended and the general nature of what was discussed. The record should mention any specific concerns raised by persons attending. The record must be available for inspection by prevention officers.

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Guidelines Part 3 - Correction of unsafe conditions

G3.11 Emergency circumstances

Issued August 1, 1999

An officer encountering a situation presenting an immediate danger must act in accordance with section 3.11 of the OHS Regulation with respect to his or her personal safety, and ensure the employer complies with section 3.11 while correcting the unsafe condition.

Normally an officer will refrain from direct involvement in correcting the unsafe condition. If necessary to render assistance, the officer will proceed with caution and within his or her qualifications. The officer must immediately attempt to notify his or her manager.

An officer receiving an inquiry regarding immediate danger to the public will refer the parties concerned to the appropriate authority. If it is not clear who the appropriate authority is, the parties should be referred to the police or fire department responsible for the area where the reported immediate danger exists.

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Guidelines Part 3 - Refusal of unsafe work

G3.12 Refusal of unsafe work

Issued August 1, 1999

An officer investigating a situation under section 3.12(5) of the OHS Regulation will:

(1) Interview the worker or workers refusing to work and the employer's representative to obtain all available information regarding the situation.

(2) Inspect the site of the reported hazard.

(3) Issue an inspection report specific to the site or subject of the reported hazard. If an undue hazard exists, the officer will issue a "stop work" order under section 187, 190 or 191 of the Workers Compensation Act, depending on the nature and seriousness of the hazard. If no immediate danger or undue hazard is observed, the body of the inspection report will note "An investigation of a work refusal under section 3.12 has not identified an undue hazard."

(4) Discuss with the worker(s) refusing to work and the employer's representative the results of the investigation and ensure both understand the procedure for resolving work refusals under section 3.12. The officer will advise the parties of the requirement of section 3.13 of the OHS Regulation that "A worker must not be subject to discriminatory action as defined in section 150 of Part 3 of the Workers Compensation Act because the worker has acted in compliance with section 3.12 or an order made by an officer".

(5) If a violation is observed at the employer's operation in an area separate from the site or subject of the refusal to work, or is observed at the site or subject of the reported hazard but the violation is not considered an immediate danger or an undue hazard, the officer will issue the orders on a separate inspection report.

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Guidelines Part 3 - Occupational first aid

G3.14 to G3.20 First aid guidelines for employers

Issued March 30, 2004; ; Revised November 1, 2004; Editorial Revision February 1, 2008

The first aid guidelines cover the following:

Information regarding WCB Standard OFA1: Certification of Occupational First Aid Attendants - see OHS Guideline G3.14
The employer's responsibility for providing first aid services and transportation to medical aid - see OHS Guideline G3.16
Conducting an assessment to determine the level of first aid service required in the workplace - see OHS Guideline G3.16
First aid procedures - see OHS Guideline G3.17
Implementing an early defibrillation program in the workplace - see OHS Guideline G3.17(1)-1
Communications with the first aid attendant and to obtain assistance - see OHS Guideline G3.18(1)
Availability of the first aid attendant - see OHS Guideline G3.18(2)
Acceptable first aid records - see OHS Guideline G3.19
Multiple employer workplaces - see OHS Guideline G3.20

The following supplementary materials support these guidelines:

Assigned Hazard Rating List
Types of First Aid Attendants and Training Programs
First Aid Kits: Recommended Minimum Contents
First Aid Facilities: Recommended Minimum Criteria
Emergency Vehicles and Equipment

If you wish to print all the first aid guidelines with supplementary materials, these are available in PDF format on the WCB web site:
www2.worksafebc.com/PDFs/firstaid/First_aid_guidelines.pdf (175 KB)

In addition, you may wish to print the first aid assessment flow chart:
www2.worksafebc.com/PDFs/firstaid/First_aid_assessment_flowchart.pdf (56 KB)
and the first aid assessment worksheet:
www2.worksafebc.com/PDFs/firstaid/First_aid_assessment_worksheet.pdf (101 KB)

G3.14 First aid attendant certification, qualifications and general responsibilities

Issued November 1, 2004

Section 3.14 of the OHS Regulation states:

...
"first aid attendant" means a person who holds a valid first aid certificate issued by the Board or by a person recognized by the Board and who is designated as a first aid attendant by the employer;
...

In order to clarify the definition of "first aid attendant" under section 3.14 of the OHS Regulation, qualifications of attendants under section 3.15 of the OHS Regulation, and responsibilities of attendants under section 3.21 of the OHS Regulation, the Board issued WCB Standard OFA1: Certification of Occupational First Aid Attendants.

This standard explains how a person becomes certified to act as an attendant in the workplace, the terms and conditions of certification, the general responsibilities of the attendant in the workplace, and the disciplinary actions the WCB may take if an attendant does not meet his or her responsibilities.

The standard is located at:
www2.worksafebc.com/Publications/OHSRegulation/WCBStandards.asp?ReportID=33295

G3.16 First aid assessment

Issued March 30, 2004; Revised February 1, 2008

Regulatory excerpt
Section 3.16 of the OHS Regulation ("Regulation") states:

(1) The employer must provide for each workplace such equipment, supplies, facilities, first aid attendants and services as are adequate and appropriate for

(a) promptly rendering first aid to workers if they suffer an injury at work, and

(b) transporting injured workers to medical treatment.

(1.1) The type and quantity of equipment, supplies, facilities, first aid attendants and services referred to in subsection (1) must be no less than is required by Schedule 3-A.

(1.2) The quality, maintenance and use of equipment, facilities and methods of transportation referred to in this section must be acceptable to the Board.

(2) For the purpose of complying with subsection (1), the employer must conduct an assessment of the circumstances of the workplace, including

(a) the number of workers who may require first aid at any time,

(b) the nature and extent of the risks and hazards in the workplace, including whether or not the workplace as a whole creates a low, moderate or high risk of injury,

(c) the types of injuries likely to occur,

(d) any barriers to first aid being provided to an injured worker, and

(e) the time that may be required to obtain transportation and to transport an injured worker to medical treatment.

(3) The employer must review the assessment under subsection (2)

(a) within 12 months after the previous assessment or review, and

(b) whenever a significant change affecting the assessment occurs in the employer's operations.

(4) First aid equipment, supplies and facilities must be kept clean, dry and ready for use, and be readily accessible at any time a worker works in the workplace.

Purpose of guideline
The purpose of this guideline is to set out a step-by-step method for employers to follow when conducting an assessment of the workplace to determine an adequate and appropriate level of first aid coverage. These steps cover the requirements listed in section 3.16(2) and (3). The steps are designed to help employers determine which table applies to their workplace and what the required levels of first aid service mean. (See Schedule 3-A Minimum Levels of First Aid Tables 1-6 ("Schedule 3-A") in the Regulation.) Also see, at the end of these Guidelines: First Aid Kits: Recommended Contents, First Aid Facilities: Recommended Criteria, and Emergency Vehicles and Equipment).

Most employers will not need all the information provided in this guideline. A flow chart and worksheet are available to help you do the first aid assessment for your workplace. Where you may need additional information as you work through the flow chart, the chart refers to the appropriate part of the first aid guidelines. These guidelines are also available in PDF: http://www2.worksafebc.com/PDFs/firstaid/First_aid_guidelines.pdf

Employer's responsibility to conduct an assessment
Schedule 3-A in the Regulation specifies mandatory minimum levels of first aid, including what type of first aid kits, facilities, and equipment are required. Schedule 3-A does not specify required contents or criteria for the first aid kits, facilities and equipment. The content and criteria of first aid kits, facilities and equipment should be based on the assessment performed under section 3.16(2). This recognizes that persons working in the workplace will generally have a greater awareness of its circumstances and needs than WorkSafeBC. Employers are expected to exercise good judgment in performing the assessment.

Once employers have identified the required minimum levels of first aid in Schedule 3-A, they should consult the appropriate table in First Aid Kits: Recommended Minimum Contents, First Aid Facilities: Recommended Minimum Criteria, and Emergency Vehicles and Equipment, found at the end of this guideline. Typically, employers would be expected to approximate the recommendations in the appropriate tables. However, after conducting an assessment, the employer may legitimately conclude that the nature of the necessary first aid kit, facility or equipment is different from that which is recommended in the appropriate table. If the recommendations in the tables are not followed, employers are expected to demonstrate that the assessment was conducted diligently and led to a reasonable conclusion about the content or nature of first aid kit, facility and equipment required at the workplace. If their assessment results in levels different from those suggested in the tables, given the circumstances at the workplace, the employer is expected to explain and provide a rationale for the differences. An assessment must not result in levels lower than the mandatory minimums required by Schedule 3-A.

If workers of two or more employers are working at the same workplace at the same time, the prime contractor is responsible for conducting the assessment and providing the first aid services identified by the assessment. See OHS Guideline G3.20.

Conducting the assessment

Step 1:
Identify the workplace.

First identify the workplace for which first aid is required. As a result of this step, you may determine that you have more than one workplace. An assessment of the first aid requirements for each workplace must be done.

Is the workplace at one location only?
For most workplaces with one location, there is one workplace. However, if there is more than one location or if there are lodgings, there may be more than one workplace.

Consider the factors in the following table to see if they apply to your workplace. In any situation, the factors may point to different conclusions. It is then necessary to weigh those factors indicating one workplace against those indicating separate workplaces. After considering all the factors, you should choose the option that provides the greatest level of first aid service.

Location factors

Factor No. Factor Indication of one workplace Indication of separate workplaces
1 Location or locations are under the control of one employer. Yes  
2 Location leased by one employer is part of a larger property which may be leased to others   Yes
3 Locations controlled by one employer are separated by locations controlled by other employers.   Generally yes, but depends on circumstances. See 6.
4 Locations of one employer are more than 20 minutes apart from each other.   Yes
5 A public roadway separates locations of one employer from each other in an urban area.   Yes
6 Locations of one employer are 20 minutes or less from each other in a rural area. Yes  
7 Though adjoining, locations of one employer are separated by physical barriers.   Yes
8 Though controlled by one employer, the locations are under separate administrative structures.   Yes

Lodgings
Lodgings at or near the workplace, generally within 20 minutes, should be considered part of the workplace. First aid service should be based on the total workforce present at the place of work and in the lodgings at any time. This does not apply to a company town or to motels or hotels where workers have lodgings in a nearby town.

The employer providing lodgings may allow other employers on the site to accommodate their workers there. The employer providing the lodgings is responsible for ensuring that first aid service is provided for all workers in the lodgings, unless other arrangements are made.

Lodgings that are not at or near the workplace may be considered a separate workplace. The level of first aid service must be determined by conducting an assessment based on the number of workers in the lodgings. This includes workers such as cooks and cleaners who perform their daily work there as well as others who work elsewhere but spend free time there.

The employer may be able to provide the required first aid services for the lodgings and the workplace by moving the same first aid personnel and equipment from one place to the other as the workers move.

Multiple employer workplaces
See OHS Guideline G3.20 for more information on multiple employer workplaces where there is a prime contractor.

At the end of Step 1
An assessment is required for each workplace identified in Step 1. If you are using the worksheet provided on the web site, fill in a separate sheet for each workplace since the requirements may be different.

Step 2:
Determine the hazard rating as low (L), moderate (M), or high (H).

The workplace can be assigned an overall rating that indicates the nature and extent of the risks and hazards in the workplace. The step-by-step approach in this guideline uses three levels of hazard rating: low, moderate, and high.

(a) Is my industry listed in the Assigned Hazard Rating List?
To assist in the assessment, WorkSafeBC has assigned ratings of low, moderate, and high to various industries in an "Assigned Hazard Rating List." The list reflects the previous Schedule 7 in Part 33 (prior to March 30, 2004). The new designations correspond to former hazard ratings:

C in Schedule 7 = Low (L)
B in Schedule 7 = Moderate (M)
A in Schedule 7 = High (H)

If your industry is not in the "Assigned Hazard Rating List," it is probably because there is a wide variation in the industry as to the job functions, work processes, or tools and equipment. You can calculate a hazard rating using the adjustment calculation in (d) of this step, or you may call WorkSafeBC at 604-276-3100 or toll-free at 1-888-621-7233 and talk to an officer who can help you with this part of the assessment.

(b) Are the job functions, work processes, and tools used in my workplace typical of the industry?
You need to determine if the assigned rating is appropriate and make a rating adjustment if the circumstances warrant it. The overall workplace rating is based on typical job functions, which are designated as low risk or high risk. There is no moderate level for job functions, but the percentage of workers doing high-risk job functions and the amount of time they spend doing those job functions determines whether a workplace has an overall hazard rating of moderate or high.

Generally, to determine the level of risk of a job function, you should analyze the work conducted at the workplace to identify:

    Conditions that exist or may develop during or at the end of the job
    The work processes and the tools or equipment required for the job function
    The past record of injuries, accidents, and other relevant circumstances associated with the job function

The following lists will help you determine whether your workplace has typical low-risk or high-risk job functions.

Typical low-risk job functions

    Administrative and clerical tasks
    Retail tasks
    Service sector tasks (such as hospitality and tourism)
    Professional, financial, and business services
    Training or teaching

Typical high-risk job functions

    Working in the presence of a biological agent designated as a hazardous substance in section 5.1.1 of the Regulation, toxic substance, or chemical, which, if released, would result in workers needing immediate medical treatment as a result of inhalation or eye or skin contact
    Working in the presence of equipment or machinery containing substances under high pressure, substances that may explode or catch fire, or substances that may react dangerously when combined with another process material
    Using tools, equipment, or machinery for high-speed grinding, cutting, chipping, or drilling
    Operating equipment or machinery where rollover is possible
    Working near mobile equipment where there is a possibility of a worker being struck
    Working at elevations
    Entering confined spaces where toxic atmospheres may exist or develop
    Entering excavations greater than 1.2 metres (4 feet) in depth
    Working in proximity to high-voltage lines
    Being exposed to unusual risk of injury due to violence, drowning, animals, heat or cold, or falling objects
    Working with, or in proximity to, firearms or explosives
    Working where there are other hazard factors that may expose workers to risk of serious injury or occupational disease

If you decide that your workplace is not typical of the industry and that the assigned hazard rating is not appropriate, you can assess your level of risk and hazards in another way. See Step 2(d) below.

(c) Consider the type of injuries likely to occur, by looking at past incidents, near-misses, and injuries. Are these typical for this hazard rating?
The evaluation of types of injuries that can potentially occur is important, as varying levels of first aid attendants and supplies are required to promptly render first aid for varying types of injuries. For example, if a first aid attendant may need to move a person on a spine board, the workplace requires a Level 3 attendant or a Level 1 or 2 attendant with a Transportation Endorsement. If you want to know what the different levels of first aid courses cover, you can find this on the first aid web site under "Certification and Training": http://www2.worksafebc.com/Topics/FirstAid/FAQ.asp

Look at past first aid records, incident reports, and WorkSafeBC time-loss claims history to see the type of injuries that have occurred in the past. You may be able to get information on typical injury trends from an industry association or WorkSafeBC.

If the hazard rating from the "Assigned Hazard Rating List" is appropriate, use that rating (L, M, or H) in Step 3. Or you may decide to use a higher hazard rating. If you have determined the appropriate hazard rating, you do not need to do the hazard rating adjustment in Step 2(d), which follows. Record this hazard rating on your worksheet.

(d) Do I want to calculate a different rating, more specific to my workplace?
Instead of using the table, you have the option of determining the hazard level using generally accepted principles and methods. The method in this guideline is one acceptable way to calculate an adjustment and is similar to methods used in other jurisdictions. WorkSafeBC officers may ask to see a written assessment or an explanation of your calculation of hazard rating.

Hazard rating adjustment
The following factors are considered when determining the overall hazard rating of the workplace:

    The primary function of the business and whether it accounts for the majority of the work at the workplace
    The ratio of low-risk job functions to high-risk job functions

The calculations will use the extent of individual worker exposures to establish the overall workplace rating as low, moderate, or high. These ratings determine the appropriate level of first aid service.

Calculating the extent of exposure to high-risk job functions follows these principles:

    A worker's exposure to a hazard is assessed by looking at the percentage of time the worker is exposed to the hazard.
    If a worker is exposed to more than one high hazard at the same time, the percentage of exposure is multiplied by the number of hazards.
    If a worker is exposed to the same or different high hazards at different times, the percentages of exposure are added.

A rating could be adjusted up or down as a result of the calculations. Here is the method for adjusting between low and moderate

    A low hazard rating would be adjusted up to a moderate hazard rating if either of the following occurs:
    • 30% or more of the workers have individual total exposures of greater than 20% to a high-risk job function, or
    • 50% or more of the workers have individual total exposures of greater than 10% to a high-risk job function
    A moderate hazard rating would be adjusted down to a low hazard rating if both of the following occur:
    • 70% or more of the workers have individual total exposures of 20% or less to a high-risk job function, and
    • 50% or more of the workers have individual total exposures of 10% or less to a high-risk job function

Here is the method for adjusting between moderate and high

    A moderate hazard rating would be adjusted up to a high hazard rating if either of the following occurs:
    • 30% or more of the workers have individual total exposures of greater than 75% to a high-risk job function, or
    • 50% or more of the workers have individual total exposures of greater than 50% to a high-risk job function
    A high hazard rating would be adjusted down to a moderate hazard rating if both of the following occur:
    • 70% or more of the workers have individual total exposures of 75% or less to a high-risk job function, and
    • 50% or more of the workers have individual total exposures of 50% or less to a high-risk job function

It is expected that every workplace will have low-risk job functions. Therefore, it is generally expected that employers will start by assuming the workplace has a low hazard rating and will then move to a moderate or high rating if required. Adjustments are calculated from one level to the next, so it is a two-step process to go from low to moderate to high.

Example
To use the above calculations, you will need to identify the job functions for each worker (or for each group of workers doing the same job functions). Find out what percentage of time is spent doing each job function; you will need the percentage of time doing high-risk job functions for the calculations.

For example, in a lumber yard/retail hardware store, there are nine workers. Three workers do the same job. Each spends:

    5% of the time trimming boards with a chop saw (high risk)
    10% of the time operating and working around a fork lift (high risk)
    80% of the time loading stock on dollies (low risk)
    5% of the time doing cleanup (low risk)

Therefore, each of these three workers has an individual total exposure of 15% to high-risk job functions (obtained by adding 5% + 10%). The result is that 33% of the workforce has individual total exposures of 15%.

The remaining six workers do sales and office work, all spending 100% of their time in low-risk job functions. They have no exposure to high-risk job functions.

Although a lumber yard is listed as moderate in the "Assigned Hazard Rating List," this particular lumber yard has lower-than-expected exposures to high-risk job functions. When the adjustment calculation is applied, the moderate hazard rating is adjusted down to a low hazard rating because both of the following conditions apply:

    70% or more of the workers (in this case, 9 out of 9 workers) have exposures of 20% or less to high-risk job functions
    50% or more of the workers (in this case, 6 out of 9 workers) have exposures of 10% or less to high-risk job functions

At the end of Step 2
Record your hazard rating (L, M, or H) on the worksheet and use it in the next step.

Step 3:
Consider surface travel time to hospital.

Tables 1-6 in "Schedule 3-A: Minimum Levels of First Aid" in the Regulation have different levels of first aid service that are based on how long it takes to transport an injured person to a hospital and the number of workers per shift.

The definition of "hospital" for the purpose of the assessment is "a hospital or diagnostic and treatment centre that has an emergency department or resuscitation area and a physician on duty, or immediately available on call, during the hours when workers might need these services."

(a) Does it take more than 20 minutes to travel to hospital (by road or water) during working hours?
The calculation of time is based on the normal time to safely transport an injured worker on a stretcher by land or water, having consideration for the weather, road conditions, traffic patterns, and other factors that may affect travel and are likely to prevail during working hours.

Check that the hospital or treatment facility

    Has an emergency department or resuscitation area
    Has a physician on duty or immediately available on call
    Is open during your working hours

Facilities with the designation hospital, health care centre, clinic, diagnostic and treatment centre, first aid post, and diagnostic facility offer different levels of patient care and various hours of operation. Some of these facilities have B.C. Ambulance bypass protocols in place. Bypass protocols are put in place if the local clinics or hospitals are unable to receive trauma patients during certain hours. The same "bypass" rules may apply to accepting the employer's emergency transportation vehicle or industrial ambulance.

As a result of the hours of service at the nearest treatment facility, you may find that the hospital for the day shift is closer than the hospital available for the night shift, and therefore a different table with different required first aid services would be used for the different shifts.

At the end of Step 3
On the worksheet, record the distance from hospital and the table for your workplace

    Travel time of more than 20 minutes: Use Table 1 for L rating, Table 3 for M rating, or Table 5 for H rating.
    Travel time of 20 minutes or less: Use Table 2 for L rating, Table 4 for M rating, or Table 6 for H rating.

Step 4:
Determine the number of workers on a shift.

For each workplace, the assessment must include the number of workers who may require first aid at any given time. The term "workers" includes managers and supervisors.

(a) Are all the workers at one location during the shift?
If yes, this is the number of workers (including managers and supervisors) to count.

If there are workers who are dispatched from a central workplace or workers in lodgings, they may need to be included in the first aid requirements for the central workplace. You can use the following method to count these workers.

Dispatched workers
Include dispatched workers within 20 minutes' surface travel time from the central workplace

    Count as one worker each dispatched worker who stays within 20 minutes' surface travel time from the central workplace for more than 50% of the shift.
    Count one-quarter of the number of workers who stay within 20 minutes' surface travel time from the central workplace for 10% to 50% of the shift (but are farther away for the rest of the shift).

It is required that dispatched workers who work alone and travel more than 20 minutes from the central workplace carry their own first aid personal kit. See "First Aid Kits: Recommended Minimum Contents."

Workers in lodgings provided by the employer

    Include workers in lodgings at or near the workplace (within 20 minutes' travel time). The number of workers per shift should include all workers on shift and those in the lodgings.
    As determined in Step 1, if the lodgings are more than 20 minutes from the workplace, the lodgings should be considered a separate workplace and have a separate first aid assessment.

(b) How many workers per shift are there?
Count the number of workers for each shift. Use the table you identified in Step 3 and find the number of workers per shift in Column 1.

At the end of Step 4
You have now determined which row in your table to use for each shift. The next step will take you through the remaining columns corresponding to the row you have just identified for the number of workers on a shift in your workplace. If there is more than one shift with different requirements, complete the information for each shift.

Step 5:
Find the required first aid services for your workplace.

Step 5 looks at the required level of first aid coverage needed for your workplace by looking at each column of the row you selected in your table in the previous step. Keep in mind the type of injuries that could potentially occur in your workplace - see Step 2(c). This will help you decide whether the required minimum service is adequate and appropriate for your workplace.

(a) Look at Column 2 of your table from Step 3. What supplies, equipment, and facilities are needed?
Column 1 lists the following:

(b) Is this adequate for the type of injuries expected and the distance to medical treatment?
Consider the past need for first aid services and the type of injuries that are likely to occur in your workplace. If necessary upgrade the facility from that given in the table. See Step 5(f) below for examples.

(c) Look at column 3 of your table. What level of first aid attendant is needed?
Column 3 lists the level of first aid attendant and the number of attendants if more than one is required for your workplace. For information on the levels of first aid certification, see "Types of First Aid Attendants and Training Programs."

(d) Is this adequate for the type of injuries expected and the distance to medical treatment?
Consider the past need for first aid services and the type of injuries that are likely to occur in your workplace. If necessary, upgrade the level or number of attendants from that given in the table. See Step 5(f) below for examples.

(e) Look at Column 4 of your table. What transportation is needed?
Column 4 lists whether an emergency vehicle is required. For recommendations on ETVs and industrial ambulances (and on a mobile treatment centre as an alternative), see "Emergency Vehicles and Equipment."

(f) Are there any barriers to reaching medical treatment?
This question helps you consider whether there is any potential delay in transporting an injured worker to medical treatment. These include the ambulance response time and remote locations.

Consider the factors that affect the response time of the ambulance service

    Distance from the workplace to the ambulance centre
    Availability of a full-time crew or a part-time crew on call
    Obstructions on the access route to the workplace or other barrier likely to delay the arrival of an ambulance service. For example:
    • Regularly recurring temporary obstructions or barriers, such as railway lines used on a daily basis with railcars blocking access at some point in the day
    • Temporary obstructions or barriers of an isolated nature, such as long-term road closure
    • Permanent obstructions or barriers on the access road, such as cross ditching
    Areas in the workplace that are not safely accessible to the ambulance service, such as access which requires specialized training to effect rescue
    Rough terrain or other similar circumstances that prevent the ambulance from accessing the workplace

If an ambulance is not able to access the workplace, appropriate upgrading includes replacing a Level 2 attendant with a Level 3 attendant and supplying ETV equipment to facilitate preparing a patient for transport. See "Emergency Vehicles and Equipment" for more information on ETVs. The ETV should be appropriate for the terrain to be traversed and the injured or ill worker's condition. The situations for upgrading are listed in the tables in Column 5 (Other Considerations).

Keep in mind the types of potential injuries you identified in Step 2(c). Make sure that the level of attendant and the supplies and equipment are sufficient to deal with any identified delays in reaching medical treatment.

At the end of Step 5
You have determined the first aid services appropriate for your workplace. Add this information to the worksheet. First aid services must meet or exceed the minimum levels required in Schedule 3A.

Step 6:
Review your assessment.

The first aid assessment must be reviewed annually or whenever a significant change in operations occurs. Keep written records of the results of your review.

G3.17 Developing and implementing first aid procedures

Issued March 30, 2004

Section 3.17 of the Occupational Health and Safety Regulation states:

(1) The employer must keep up-to-date written procedures for providing first aid at the worksite including

(a) the equipment, supplies, facilities, first aid attendants and services available,

(b) the location of, and how to call for, first aid,

(c) how the first aid attendant is to respond to a call for first aid,

(d) the authority of the first aid attendant over the treatment of injured workers and the responsibility of the employer to report injuries to the board,

(e) who is to call for transportation for the injured worker, and the method of transportation and calling, and

(f) prearranged routes in and out of the workplace and to medical treatment.

(2) The employer must post the procedures conspicuously in suitable locations throughout the workplace or, if posting is not practicable, the employer must adopt other measures to ensure that the information is effectively communicated to workers.

(3) The first aid attendant and all other persons authorized to call for transportation for injured workers must be trained in the procedures.

There are samples of written first aid procedures for reference on the first aid web site under "Forms and Records": http://www2.worksafebc.com/Topics/FirstAid/FAQ.asp

Drills
To ensure the effectiveness of the employer's first aid service, a drill should be held at least once each year to test:

  • Workers' awareness of the way to summon first aid, the effectiveness of the communication system, and the ability of the first aid attendant to respond to being summoned
  • The capacity of the first aid service to treat injuries or illnesses of the type likely to occur in the workplace

Maintaining the system
The employer should assign personnel to manage the first aid service at the workplace. That person's duties should include ensuring that the required attendants, supplies, facilities, and equipment are always available. This would include ensuring that attendants are replaced when they are absent or leave the employ of the employer and that supplies are replenished as they are used.

G3.17(1)-1 Implementing an early defibrillation program in the workplace

Issued September 30, 2004

Section 3.17(1) of the Occupational Health and Safety Regulation states:

The employer must keep up-to-date written procedures for providing first aid at the worksite including

(a) the equipment, supplies, facilities, first aid attendants and services available,

(b) the location of, and how to call for, first aid,

(c) how the first aid attendant is to respond to a call for first aid,

(d) the authority of the first aid attendant over the treatment of injured workers and the responsibility of the employer to report injuries to the Board,

(e) who is to call for transportation for the injured worker, and the method of transportation and calling, and

(f) prearranged routes in and out of the workplace and to medical treatment.

An early defibrillation program in the workplace has three main elements: an automated external defibrillator (AED) that meets acceptable technical standards, oversight by a medical director, and training of first aid attendants and other authorized persons in the use of the AED. These will be supplemented by written procedures.

This guideline sets out technical standards for AEDs, the role of the medical director, training standards for the designated first aid attendant and other authorized persons, and the requirements for written procedures.

An early defibrillation program is not specifically required by the OHS Regulation, but if one is established, then the AED is considered to be first aid equipment, and its use is governed by relevant provisions in the OHS Regulation, particularly section 3.17(1). AED training is not included in WCB occupational first aid course curriculum; therefore, additional training will be required in order for this equipment to be used at the worksite.

Section 3.17(1)(a) requires employers to keep up-to-date written procedures for providing first aid at the worksite including the equipment, supplies, facilities, first aid attendants and services available. If the employer chooses to implement an early defibrillation program the written procedures must outline the program according to this guideline and describe how the equipment will be integrated into the first aid response for that worksite.

The early defibrillation program should be integrated with the employer's emergency first aid response plan.

Because the introduction of an early defibrillation program has potential consequences for the health and safety of workers, it is expected that the employer will consult with the joint occupational health and safety committee, or worker health and safety representative, as applicable, on proposals to introduce the use of AED equipment.

Early Defibrillation Devices - technical standards

These devices (termed automated external defibrillators or AEDs) should meet three minimum criteria to be acceptable for use in the workplace in BC. They should be:

  1. Currently licensed for use as an external defibrillator in Canada by Health Canada (see Health Canada, Medical Devices Bureau of the Therapeutic Products Directorate (http://webprod.hc-sc.gc.ca/mdll-limh/prepareSearch-preparerRecherche.do?type=active&lang=eng),
  2. Automated (semi-automatic) in operation (the only type licensed for use at this time in Canada), and
  3. Capable of storing both electrocardiographic and AED event data.

AED Medical Director

Where an early defibrillation program exists in the workplace, the program should be under the direction of an AED Medical Director. The Medical Director will:

  1. Be a physician licensed to practice medicine in British Columbia by the College of Physicians and Surgeons of British Columbia,
  2. Be familiar with early defibrillation clinical and technical issues,
  3. Be responsible for the security and management of patient clinical information including any electronic data from an AED unit, and
  4. Provide a letter of confirmation to the employer, confirming he or she is the AED Medical Director for that site's early defibrillation program.

The employer at a workplace with an early defibrillation program will make the letter of confirmation from the AED Medical Director available on request of a Board officer, as required under section 179(3) of the Workers Compensation Act.

Training standards for early defibrillation responders

  1. The AED Medical Director will set out in writing, for the employer, the expected criteria to which the early defibrillation responders must be trained.
  2. It is expected that these criteria will meet or exceed the early defibrillation standards of the Heart and Stroke Foundation of Canada and that recertification in early defibrillation will occur yearly.
  3. Among other things, section 115(2)(e) of the Workers Compensation Act requires that the employer provide the information, instruction and training to workers necessary to ensuring the health and safety of other workers at the workplace. For those workers who will use AEDs this includes information and instruction necessary for the safe use of the equipment. Also, section 3.17(3) of the OHS Regulation requires first aid attendants and other persons authorized to call for transportation of injured workers to be trained in these procedures.
  4. The employer is responsible for maintaining records of early defibrillation training and certification for each early defibrillation responder at the worksite. The employer will make these records available on request of a Board officer.

Designated first aid attendant & other authorized persons
Where an early defibrillation program exists in the workplace, the designated first aid attendant is in charge of the emergency first aid care of the patient, including the delivery of early defibrillation until the patient is transferred to a higher medical authority.

This does not preclude other trained individuals in the workplace from administering first aid, cardiopulmonary resuscitation or early defibrillation in the absence of or while awaiting the arrival of the designated attendant.

Written procedures

  1. Written procedures are required by section 3.17(1) of the OHS Regulation and must include any procedures or protocols associated with the employer's early defibrillation program, including the means of designating workers who are authorized to use AEDs, a list of persons so authorized, and the means of use of equipment.
  2. The procedures and protocols should be sanctioned by the AED Medical Director.
  3. The procedure and protocols should also address:
    (a) The assurance of ongoing clinical support for early defibrillation responders.
    (b) Integration of the use of AEDs within the organization's written procedures for providing first aid.
    (c) Clinical documentation (written and/or electronic) of an event where early defibrillation was deployed, including security of and maintenance of this documentation, which is required by section 3.19 of the OHS Regulation
    (d) The storage, inspection, and maintenance of AED equipment (See section 3.17(1)(a)).
G3.18(1) Communications

Issued March 30, 2004

Section 3.18(1) of the Occupational Health and Safety Regulation states:

(1) The employer must provide an effective means for

(a) communication between the first aid attendant and the workers served, and

(b) the first aid attendant to call for assistance.

This guideline suggests suitable means of communication between the first aid attendant and workers.

There is an "effective means" of communication if workers throughout the workplace know how to alert the first aid attendant that service is required. That system could consist of a whistle, siren, series of lights, pager, two-way radios, or portable phones that the first aid attendant would see or hear and that would enable the attendant to know where to respond.

"Assistance" in section 3.18(1)(b) may include assistance from other workers, the B.C. Ambulance Service, or another ambulance service acceptable to the Board.

G3.18(2) Availability of first aid attendant

Issued March 30, 2004

Section 3.18(2) of the Occupational Health and Safety Regulation states:

The employer must not assign, and the first aid attendant must not undertake, employment activities that will interfere with the attendant's ability to receive and respond to a request for first aid.

This guideline discusses how to ensure that the first aid attendant is available to render first aid promptly, as required by section 3.16(1).

In order to provide effective treatment, the equipment, facilities, and attendant must be accessible and first aid must be administered to the worker as soon as practicable after the injury or disease, in accordance with the practices and standards found in the attendant's training program.

The following principles apply in determining whether the first aid service has been properly provided:

  • An attendant should actually be present in the area served, during all working hours. This includes periods such as lunch or coffee breaks when workers are on shift and at the workplace but not actually working.
  • The attendant, equipment, and facilities must be ready to receive the injured worker or to depart to where the worker is situated without delay, usually within 3 to 5 minutes of being summoned. (This allows the attendant time to clean up as needed, either take off coveralls or put on clean coveralls, and obtain the first aid kit.)
  • The location of the central first aid service should be readily accessible. A service will be readily accessible where it is within 10 minutes' walking time (or driving time, where vehicles are normally used for general movement within the workplace) for all workers in a workplace. Alternatively, the service is readily accessible where the attendant can reach injured workers within 10 minutes' walking time (or driving time) to render first aid.

Backup for absent first aid attendant
Absences from the workplace by first aid attendants may be planned (such as vacations or medical appointments) or unplanned (such as travelling with an injured worker to hospital or being absent because of sickness). Since it is foreseeable that planned and unplanned absences will occur, the employer will be expected to have a procedure for dealing with them.

Where planned absences may leave on duty fewer than the required number of attendants, the employer should have a substitute first aid attendant available as soon as the absence commences. With regard to unplanned absences, an absence of up to approximately half a shift is permissible until a replacement attendant is in place.

G3.19 First aid records

Issued March 30, 2004

Section 3.19 of the Occupational Health and Safety Regulation states:

(1) The employer must maintain at the workplace, in a form acceptable to the board, a record of all injuries and exposures to contaminants covered by this Regulation that are reported or treated.

(2) First aid records must be kept for at least 3 years.

(3) First aid records are to be kept confidential and may not be disclosed except as permitted by this Regulation or otherwise permitted by law.

(4) First aid records must be available for inspection by an officer of the board.

(5) Workers may request or authorize access to their first aid records for any treatment or report about themselves.

This guideline outlines what form of record-keeping is acceptable to the Board and what access to records is needed.

Acceptable record-keeping
Records containing the following information are acceptable to the Board:

  • The full name and occupation of the worker
  • The date and time of injury or report of exposure or illness
  • The date and time the injury, exposure, disease, or illness was reported to the employer or employer's representative
  • The name of witnesses
  • A description of how the injury, exposure, disease, or illness occurred
  • A description of the nature of the injury, exposure, disease, or illness
  • A description of the treatment given and any arrangements made relating to the worker
  • A description of any subsequent treatment given for the same injury, exposure, disease, or illness
  • The signature of the attendant or person giving first aid, and if possible, the signature of the worker receiving treatment

Access to records
Policy Item R3.19-1 states:

Where a person is entitled to have access under section 3.19, the access need not extend to all of the records. It should be limited to the minimum necessary to satisfy the purpose for which the access is required. If, for instance, access is required to investigate a claim for compensation, it would be limited to the records of the individual making the claim.

G3.20 Multiple employer workplaces

Issued March 30, 2004; Editorial Revision February 1, 2008

Regulatory excerpt
Section 3.20 of the OHS Regulation ("Regulation") states:

If workers of 2 or more employers are working at a workplace at the same time, the prime contractor must

(a) conduct an assessment of the circumstances of the workplace under section 3.16(2) in relation to all the workers in the workplace, and

(b) do everything that is reasonably practicable to establish and maintain the first aid equipment, supplies, facilities, first aid attendants and services required under section 3.16.

Purpose of guideline
The purpose of this guideline is to discuss the role of the prime contractor in providing first aid services. It also considers situations where a group of employers with adjacent workplaces provide a common first aid service.

Role of the prime contractor
The prime contractor will normally set up a central first aid service for the whole workplace or arrange for a subcontractor to do this. The prime contractor is the person defined under the Workers Compensation Act ("Act") as the owner of the workplace unless the owner enters into a written agreement with another party to assume the responsibilities of the prime contractor.

Where the first aid service is provided by agreement with another person or persons, the following guidelines are recommended:

  • The service should meet the requirements as to hazard classification, distance from hospital, and number of workers per shift of each workplace using it.
  • In considering the accessibility of the service, the demands on it by all workplaces using it must be considered. The number of workers per shift used to determine the level of service is the total number of workers in all these workplaces. In addition, consider any use of the service by members of the public visiting these workplaces.
  • In determining the location of the service, consider the need to provide first aid promptly. Also consider whether any workplaces are likely to create greater hazards and therefore make more use of the service.
  • The level and location of the service must allow for any restrictions on access that may occur at peak work periods.
  • Each employer participating in the service must separately comply with the obligation in section 3.19(1) to maintain records of all injuries and manifestations of disease at their own workplace. The service may also keep central records.
  • The service and each employer must restrict access to any first aid records to the persons authorized by section 3.19(3). Any person who has access to the records must under section 3.19(5) keep them confidential except as required for the legitimate purpose of their access.

The employer retains full legal responsibility for providing all first aid services for the workplace as required by Part 3 of the Regulation. If the service does not meet an obligation imposed on the employer, WorkSafeBC will hold the employer responsible, not the person agreeing to supply the service.

G3.21 Suspension and cancellation of first aid certificates

Issued August 31, 2007

Regulatory excerpt
Section 3.21 of the OHS Regulation ("Regulation") states:

(1) The first aid attendant must

(a) promptly provide injured workers with a level of care within the scope of the attendant's training and this Part,

(b) objectively record observed or reported signs and symptoms of injuries and exposures to contaminants covered by the Regulation, and

(c) refer for medical treatment workers with injuries considered by the first aid attendant as being serious or beyond the scope of the attendant's training.

(2) A first aid attendant must be physically and mentally capable of safely and effectively performing the required duties, and the Board may at any time require the attendant to provide a medical certificate.

(3) The first aid attendant is responsible, and has full authority, for all first aid treatment of an injured worker until responsibility for treatment is accepted

(a) at a place of medical treatment,

(b) by an ambulance service acceptable to the Board, or

(c) by a person with higher or equivalent first aid certification.

Section 195 of the Workers Compensation Act ("Act") provides:

195

(1) If the Board has reasonable grounds for believing that a person who holds a certificate issued under this Part or the regulations has breached a term or condition of the certificate or has otherwise contravened a provision of this Part or the regulations, the Board may, by order,

(a) cancel or suspend the certificate, or

(b) place a condition on the use of that certificate that the Board considers is necessary in the circumstances.

(2) An order under this section suspending a certificate must specify the length of time that the suspension is in effect or the condition that must be met before the suspension is no longer in effect.

Purpose of guideline
This guideline sets out the circumstances in which WorkSafeBC will consider suspending or cancelling a first aid certificate, and discusses the process by which first aid certificates are suspended or cancelled.

Background
Occupational first aid certificates are issued to first aid attendants by first aid agencies on behalf of WorkSafeBC. These agencies enter into an agreement with WorkSafeBC that permits them to issue first aid certificates to individuals.

WorkSafeBC has the authority to suspend or cancel these first aid certificates under s.195 of the Act.

Where a WorkSafeBC certification or prevention officer (officer) learns of circumstances that may indicate a lack of competence or misconduct on the part of a first aid attendant, the officer may consider suspending the attendant's certificate. The Manager of Certification Services may then consider further action, which could involve cancellation of the certificate.

When may a first aid certificate be suspended or cancelled?
Under section 195 of the Act, WorkSafeBC may cancel or suspend a first aid certificate where it has "reasonable grounds for believing" that the holder has

  • Breached a term or condition of the certificate
  • Contravened a provision of Part 3 of the Act or the Regulation

Section 3.21 of the Regulation sets out the requirements for the first aid attendant. The failure of an attendant to meet these obligations would be a contravention of the Regulation for the purposes of s.195 and may provide grounds for the suspension or cancellation of the certificate. Such circumstances would include failing to

  • Promptly provide injured workers with a level of care within the scope of the attendant's training and in accordance with sections 3.14 through 3.21 of the Regulation
  • Objectively record observed or reported signs and symptoms of injuries and exposures to contaminants
  • Refer for medical treatment workers with injuries considered by the first aid attendant as being serious or beyond the scope of the attendant's training
  • Be physically and mentally capable of safely and effectively performing the required duties

Policy D12-195-1 sets out an additional list of inappropriate conduct for first aid attendants, which may be considered to be failing to provide workers with an appropriate level of care under s.3.21, including

  • Smoking while assessing or treating an injured worker and/or while handling oxygen therapy equipment, or permitting others to do so
  • Failing to use the assessment and injury treatment techniques outlined in first aid training courses unless conditions precluded them
  • Conduct that poses an unreasonable threat to the safety and well-being of other workers or the public
  • Removing themselves from being able to see or hear any summons for first aid at a workplace
  • Abandoning an injured worker after beginning assessment or treatment
  • Refusing to treat an injured worker when acting as a designated first aid attendant
  • Treating or transporting an injured worker while impaired or under the influence of drugs or alcohol

Failing to provide competent care, failing to ensure first aid records are kept, and using intoxicants while on duty are common grounds for suspending and/or cancelling of certificates.

Process for suspending or cancelling a first aid certificate
There are two stages to suspending and/or cancelling of an occupational first aid certificate. The first stage, a temporary suspension, involves an officer seizing the certificate from the attendant and forwarding it to the Manager of Certification Services. The second stage involves the Manager of Certification Services reviewing the circumstances leading to the suspension and making a determination on what further action should be taken. The Manager may cancel the certificate, return it to the attendant, or place conditions based on the review.

Stage 1: Officer's Interim Suspension
Before a first aid certificate may be suspended or cancelled, WorkSafeBC must have "reasonable grounds for believing" that a contravention of the Act or Regulation or a breach of the terms of the attendant's certificate has occurred. While a finding of "reasonable grounds" does not require absolute proof that circumstances amounting to non-compliance have occurred, it does require that the officer undertake an investigation of the circumstances in question to ensure the suspension or cancellation is reasonable.

The officer's investigation should include the following:

  1. Review the employer's incident investigation document
  2. Review the worksite written procedures to ensure there is clear direction for attendant response
  3. Inspect attendant training and orientation records
  4. Provide the attendant an opportunity to offer his/her account of the circumstances
  5. Interview all persons who may have relevant information before making the decision to suspend the certificate

Once the investigation is complete, and the officer thinks there are reasonable grounds for concluding that the attendant has failed to comply with the Act, Regulation, or the terms of the certificate, the officer will

  1. Issue an Order to Worker suspending the first aid certificate

    This order must specify the length of time that the suspension is in effect (as required by s.195(2) of the Act). The duration of the suspension may be up to seven days pending review by the manager of Certification Services.

    Note: The officer may also consider issuing orders to the employer or other workplace parties in connection with the circumstances, as appropriate.
  2. Notify the employer of the suspension of the certificate
  3. Forward evidence supporting the suspension, any evidence offered by the attendant in his/her defense, and the outcome of the employer's investigation to Certification Services

Stage 2: Cancellation or Other Action
Once the officer's evidence is forwarded to Certification Services, the Manager of Certification Services will undertake a review of the circumstances and make a final determination with respect to the first aid certificate. This may include issuing a warning, placing a condition on the certificate, further suspension, or cancellation of the certificate.

The type of action the Manager takes will depend on the circumstances of each case. Factors that will be considered include

  • The risk of harm to workers caused by the breach, the potential severity of that harm, and the number of workers put at risk
  • The potential for future risk to workers should the attendant be allowed to continue to provide services
  • Whether the breach was caused by carelessness, recklessness, willful blindness, or intentionally
  • The need to maintain public or stakeholder confidence in first aid services in general

Once the Manager has made a determination, a letter is forwarded to the attendant notifying him/her of the Manager's decision and specifying the conditions under which reinstatement may occur. The letter also advises of the right to appeal. A "Request for Review" form is included with the letter.

The employer is notified if the attendant's certificate is cancelled. The training agency that issued the certificate is also notified of the cancellation.

Review and Appeal
Section 96.2(1)(c) of the Act provides that a person may request a review officer to review "a Board order, a refusal to make a Board order, a variation of a Board order or a cancellation of a Board order respecting an occupational health or safety matter under Part 3." Please refer to the "Reviews and Appeals" section of the OFA1 Standard.

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Guidelines Part 3 - First aid supplementary materials

The following supplementary materials support OHS guidelines G3.14 to G3.20:

Assigned Hazard Rating List

"L" represents low;
"M" represents moderate;
"H" represents high

N.E.S. means not elsewhere specified

Abrasives-Mfg.M
Acetylene Gas-Mfg.H
Acetylene WeldingM
Acids-Mfg.M
Acoustical ContractorsM
Adding Machines-Mfg. or repairsL
Aerials-ErectionH
Air Conditioning Contractors M
Air Transportation-Air PersonnelM
Air Transportation-Ground PersonnelM
Airport ConstructionH
Alcoholic Beverages-Mfg.M
Alkalis-Mfg.M
Aluminum-SmelterH
Ambulance ServiceM
Amusement ParksL
Animal BreedingM
Animal Foods-CanningM
Apartment Buildings-OperationL
Apiary L
Appliance RentalL
Appliances-Household Electrical-Mfg. or Repairs M
Appliances-Transmission Line-installation H
Architecture L
Argent Recovery Process L
Armaments-Mfg. H
Armature Rewinding-Small Motors-No Installation WorkM
Arsenical Products-Mfg. M
Artificial Ice-Mfg. M
Artificial Insemination Station M
Artificial Limbs-Mfg. M
Asbestos Mining H
Asphalt Paving Material-Mfg. H
Asphalt Roofing-Application M
Asphalt Roofing, Shingles, Siding or Tile-Mfg. M
Assaying M
Auctioneering Establishment L
Auto Courts or Trailer Courts L
Automobile Driving Schools L
Automobile Painting, Repairs or Sales M
Automobile Rental L
Automobile Springs-Mfg.M
Awnings-Mfg.M
Babbitt-Mfg.M
Baggage Transfer ServiceM
Bags-Plastic or Paper-Mfg.M
Bags or Trunks-Mfg.M
Bakeries or Distribution of Bakery ProductsM
Barber ShopsL
Barber Supply HousesL
Barrels-Wooden-Mfg.H
Bath Service-SteamL
Batteries-Mfg.M
Beauticians' Supply HousesL
Beauty SalonsL
Beds-Iron or Bedsprings-Mfg.M
BeekeepingL
Belting-Rubber-Mfg.M
Berry FarmsM
Beverages-Alcoholic-Mfg.M
Beverage-Non Alcoholic-Mfg.M
Bicycle Repair ShopsL
Billiard Equipment-Installation or RepairsM
Billiard ParloursL
Biscuits-Mfg.M
BlacksmithingM
Blasting Work as a BusinessH
Blinds-Venetian-Metal-Mfg.M
Blinds-Venetian-Wooden-Mfg.M
Blinds-Window-Cloth-Mfg.M
Boarding Car OperationsL
Boats-Plastic-Mfg.M
Bodies-Truck or Trailer-Mfg.M
Boilers-Installation or RemovalH
Boilers-Mfg.H
Bolts-Mfg.M
BookbindingL
Booming Ground OperationsH
Booming or Log SortingH
Bowling AlleysL
Bowling Equipment-Installation or RepairsM
Bowling-Lawn-ClubsL
Boxes-Cardboard or Plastic-Mfg.M
Bricks-MfgM
Bridge ConstructionH
Bridge ConstructionH
Bridge OperationsL
Broadcasting StationsL
Brooms or Brushes-Mfg.M
Builders Supply YardsM
Building ConstructionH
Building Construction-Non Industrial, N.E.S.H
Building MovingH
Buildings-Apartments or Commercial-OperationL
Buildings-Electrical WiringM
Buildings-InsulationM
Buildings-Steam Cleaning-ExternalM
Bulldozer Operations as a BusinessH
Bus Lines-Maintenance or OperationM
Bus Services-Chartered-OperationL
Buttons-Mfg.L
CabaretsL
Cabinet making without MachineryM
Cable Television ServiceL
Cafes or Coffee ShopsL
Canning Animal FoodsM
Canning MeatsM
Canning or Packing Fruits or VegetablesM
Canning or Processing FishM
Canoes-ConstructionM
Cans-Mfg.M
Canvas Work-Mfg.M
Car WashL
Cardboard Boxes-Mfg.M
Carpenter ShopsM
Carpet LayingM
Carpets-Mfg.M
Cartage or Express ServiceM
Cash Registers-Mfg. or RepairsL
Catering-IndustrialL
Catering, N.E.S.L
Causeways or Jetties-ConstructionH
Cement-Mfg.M
Cement Blocks-Mfg.M
Cement Products-Mfg., N.E.S.M
Cement Work, N.E.S.M
Cemetery OperationsM
Chair Lifts or Ski Tows-OperationM
Charcoal-Mfg.M
Chemicals-Mfg., N.E.S.M
Chicken CatchingL
Chimney CleaningM
Christmas Tree CuttingM
Christmas Tree Farms-OperationM
Cigars-Mfg.L
Clay MiningH
Clay Ornaments-Mfg.L
Cleaning-Buildings-Steam-ExternalM
Cleaning-ChimneyM
Cleaning Compounds-Mfg.M
Cleaning or Dyeing ServiceL
Cleaning-WindowsM
Clerical Employees-Supplying as a BusinessL
ClinicsL
Cloth-Mfg.M
Cloth Window Blinds or Clothing-Mfg.M
Clubs-PrivateL
Coal MiningH
Coal Yards-OperationM
Coffee-RoastingM
Coffins-Wooden-Mfg.M
Cold Storage PlantsH
Collection-FishM
Collection-KelpM
Commercial Buildings-OperationL
Commercial Properties-OperationL
Communication SystemsM
Compressed Sawdust Fire Logs-Mfg.M
Concrete Beams-Prestressed-Mfg.M
Concrete Products-Mfg., N.E.SM
Concrete Work-Reinforced, N.E.SM
Confectionery-Mfg.M
Consulting EngineeringL
Containers-Cardboard or Plastic-Mfg.M
CooperageH
Corrosion-Control-ElectricalL
Cosmetics-Mfg.L
CreosotingM
Crop-dusting or Spraying by AircraftH
Crushing-StoneM
Cultivation-OysterM
Curing HidesM
Curling RinksL
Cushions-Mfg.M
Dairy FarmingH
Dairy Products-DistributionM
Dam-ConstructionH
Dance Halls as a BusinessL
Delicatessen Products-Mfg.M
Delivery ServiceM
Demolition-Bldgs.H
Dental LaboratoriesL
Dental Supply HousesL
Department StoresL
Diamond DrillingH
Diaper ServiceL
Die Casting or Die MakingM
Digging-Water WellH
Display Painting-Shop OnlyL
DistilleriesM
Distribution of Automatic Amusement, Music or Vending Machines or DevicesM
Domestic or other Household EmployeesL
Drapes-Mfg.L
DredgingH
Drilling-DiamondH
Drilling N.E.S.H
Drilling-Oil or Gas Well, N.E.S.H
Drilling-Oil or Gas Well-OffshoreH
Drilling-Water WellH
Driving SchoolsL
Drugs-Mfg.M
Dry-cleaning-ClothingL
Dry Docks-ConstructionH
Dry Docks-OperationH
Drywall ContractorsM
DyeingL
Dykes-Construction or RepairH
Egg FarmingL
Electric ContractorsM
Electric Light and Power Plants-Construction by an Electric Light and Power Company for the purpose of its BusinessH
Electric Light and Power Plants and Lines-OperationM
Electric Lighting Systems-Construction or Installation, N.E.S.H
Electric Railways-Maintenance or OperationH
Electric WeldingM
Electrical Appliances-Household-Mfg. or RepairsM
Electrical Control Panels-Mfg.M
Electrical Corrosion ControlL
Electrical Wiring of BuildingsM
ElectroplatingM
Elevators-Installation-Mfg. or RepairsM
Employers' AssociationsL
Enamelling-MetalM
Enamelling-PorcelainM
Engineering-ConsultingL
Engines-Installation or RemovalM
Engines-Mfg.M
EngravingL
Envelopes-Mfg.M
Equipment-Heavy-Sales, Service, Rental or RepairM
Excavation Work as an industryH
Excelsior-Mfg.M
Explosives-Mfg.H
Exterminating ServiceL
Extracts-Flavouring-Mfg.M
Farm Labour Supply (* Adopt the hazard classification of the commodity group to which labour is supplied.)*
Farm Services (where not directly related to other farming industries. This category covers the use of harvesting equipment)H
Feed LotsH
Feed or Farm Supply DealersM
FerriesM
Fertilizer-Fish-Mfg.M
Fertilizer-Mfg., N.E.S.M
Film DistributionL
FinanceL
Fire-fightingH
Fish-Canning or ProcessingM
Fish CollectionM
Fish Fertilizer or Fish Oil-Mfg.M
Fish WholesalingM
FishingM
Fishing-Independent OperatorsM
Flakeboard-Mfg.H
Floor Cleaning or Floor Waxing ServiceL
Floor LayingM
FloristsL
Flour MillsM
Flumes-ConstructionH
Flying SchoolsM
Food Products-Mfg., N.E.S.M
Food Products-Misc.-Mfg.M
FoundriesH
Freighting, N.E.S.M
Frozen Dinners-Mfg.L
Fruit-Canning or PackingM
Fuel Yards or Fuel DistributionM
Fumigating ServiceL
Funeral UndertakingL
Fur Goods IndustryL
Furnaces-Mfg.M
Furniture-Mfg.M
Furniture Making-without MachineryM
Furniture-Metal-Mfg.M
Furniture-UpholsteringL
GalvanizingM
GaragesM
Garbage Collection ServiceM
Gardening (Exclusive of market gardening) or Landscape GardeningM
Gas-Acetylene-Mfg.H
Gas-Natural-Distribution System Operation (Exclusive of Trans-Provincial Pipeline Systems)M
Gas-Natural-or Oil Pipeline Construction H
Gas or Oil Producers-Explorers-DevelopersH
Gas or Oil Well Drilling, N.E.S.H
Gas or Oil Well Drilling-OffshoreH
Gas or Oil Well Servicing by means of Service RigsH
Gas or Oil Well Servicing by means other than Service RigsH
Gas-Propane-DistributionH
Geophysical ContractorsH
Glass Bottles or Jars-Reconditioning or Mfg.H
Glass Cutting-Polishing-GrindingM
Glass Products-Mfg., N.E.S.M
Golf Courses, Ranges or ClubsL
Grain ElevatorsM
Grain FarmingH
Grain LiningH
Gravel PitsH
Gravel or Tar RoofingM
Gravelling-Roads, Runways or SidewalksM
Greenhouse-OperationM
Guns-Mfg.M
Gypsum-Mfg.M
Hairdressing EstablishmentsL
Hardboard-Mfg.H
Hats-Mfg.L
HaulingM
Hauling LogsH
Hay Farming or HayingH
Health Clubs or SpaL
Heating Equipment-Installation or Servicing, N.E.S.M
Heating Plants or Systems, N.E.S.M
Hides-Curing or Wholesale RawM
Hobby ShopsL
Hog FarmingM
Hop GrowingM
Horse Race CoursesL
Horticultural NurseriesL
Hose-Rubber-Mfg.M
HospitalsL
Hospitals-GovernmentM
Hospitals-VeterinaryL
Hot Metal OperationsH
HotelsL
Household Electrical Appliances-Mfg. or RepairsM
Household or Other Domestic EmployeesL
House Moving or RaisingH
Ice-Artificial-Mfg.M
Ice Cream-Mfg.M
Ice Distribution, Handling or HarvestingM
Ice RinksL
Industrial CateringL
Industrial Properties-OperationL
Industrial TestingM
Ink-Mfg.M
Insecticides-Mfg., N.E.S.M
Installation-Boilers, Engines or MachineryH
Insulating-BuildingsM
InsuranceL
Interior Decorating or Designing ServiceL
Iron Beds-Mfg.M
Iron Works-Ornamental-InstallationM
Irrigation Works-Operation or MaintenanceM
Janitor ServiceM
Jetties or Causeways-ConstructionH
Jewellery-Mfg.L
Junk DealersH
Kelp CollectionM
Kiln DryingH
Kilns-LimeM
Knitting MillsM
Labour UnionsL
Laminated Beams-Mfg.M
Lamp Shades-Mfg.L
Land Clearing or Grading as an IndustryH
Land SurveyingM
Landscape GardeningM
LathingM
Laundry ServiceM
Law BusinessL
Lawn Bowling ClubsL
Lead Articles-Mfg.M
Leather Goods-Repairs, N.E.S.L
Leather Good Shops-Assembly or RepairsL
Lens GrindingL
Licensed Public Houses or Lounges when operated by a separate companyL
Light and Power PlantsM
Lighting Fixtures-Mfg.M
Lighting Systems-Electric Construction or Installation, N.E.S.M
Lime KilnsM
Lime QuarryingH
Linen Supply ServiceL
Linoleum LayingM
LithographingM
LocksmithsL
Lodging Houses-OperationL
LoggingH
Log HaulingH
Log Sorting or BoomingH
Logs-Sawdust-Compressed-Fire-Mfg.M
Lumber-Kiln DryingH
Lumber YardsM
Macaroni-Mfg.M
Machine ShopsM
Machinery-Installation or RemovalM
Machinery-RentalM
Manufacturers' AgentsL
Marina OperationM
Marine Elevators-InstallationM
Marine Railway OperationH
Marine SalvageH
MasonryM
Matches-Mfg.M
Mats-Rubber-Mfg.M
Mattresses-Mfg.M
Meat PackersM
Meat Pies-Mfg.M
Meat Products-Prepared-Curing-Smoking-Mfg.M
Meats-CanningM
Meats-WholesalingM
Medicines-Mfg.L
Messenger ServiceM
Metal Articles-Sheet-Mfg.M
Metal EnamellingM
Metal Furniture-Mfg.M
Metal MiningH
Metal Pipe-Mfg.H
Metal Products-Small-AssemblyM
Metal-Scrap-HandlingH
Metal-Sheet-Erection or RepairsM
Metal-Stamp-AssemblyM
Metal Venetian Blinds-Mfg.M
Metalware-Small-Mfg., N.E.S.M
Microwave SystemsL
Milling-FlourM
Milling-RiceM
Mining-ClayH
Mining-CoalH
Mining-MetalH
Mink FarmingL
Mixed Farming (eg. grains, cattle, hogs)H
Monument Lettering or SettingL
Mops-Mfg.M
MotelsL
Motion Picture Houses-OperationL
Motion Picture ProductionM
Mouldings-Rubber-Mfg.M
Moving BuildingsH
Moving and StorageM
Mucilage-Mfg.M
Mushroom GrowingM
Nails-Mfg.M
Natural Gas Distribution Systems-Operation (Exclusive of Trans-Provincial Pipeline Systems)M
Natural Gas or Oil Pipelines-OperationM
Navigation ServicesH
Neon Signs-Installation or Mfg.M
Night ClubsL
Non-Alcoholic Beverages-Mfg.M
Non-Industrial Building Construction, N.E.S.H
Noodles-Mfg.M
Nurseries-HorticulturalL
Nursing HomesL
Nuts-Mfg.M
Offshore Oil or Gas Well DrillingH
Oil DistributionM
Oil-Fish-Mfg.M
Oil or Gas Producers-Explorers-DevelopersH
Oil or Gas Well Drilling, N.E.S.H
Oil or Gas Well Drilling-OffshoreH
Oil or Gas Well Servicing by means of Service RigsH
Oil or Gas Well Servicing by means other than Service RigsH
Oil or Natural Gas Pipelines-ConstructionH
Oil or Natural Gas Pipeline-OperationM
Oil RefiningM
Optical Goods-Mfg.L
OrchardsM
Ore-Reduction, N.E.S.H
Ornamental Iron Work-InstallationM
Ornamental Iron Work-Mfg.M
Outboard Motors-Repair or ServiceM
Oxygen-Compressed or Liquified-Mfg.M
Oyster-CultivationM
Packing or Canning Fruit or VegetablesM
Packing-MeatM
Pails-Wooden-Mfg.M
Paint-Mfg.M
PaintingM
Painting-AutomobileM
Painting-Show-card or Display-Shop OnlyL
Painting-Steel FrameM
Panels-Electrical-Control-Mfg.M
Paper-Asphalt or Building-Mfg.H
Paper Bags-Mfg.M
Paper HangingL
Paper MillsH
Paper Products-Mfg., N.E.S.M
Paper-Tar-Mfg.M
Parcel Delivery ServiceM
Park OperationsL
Parking LotsL
Patrolmen-PrivateL
Paving Material-Asphalt-Mfg.H
Peanut Butter-Mfg.L
Peat Digging or ProcessingH
Pharmaceuticals-Mfg.L
Phenol and like Petrochemicals, Mfg., N.E.S.M
Photographic Film Processing or Photography StudiosL
Physicians' Supply HousesL
Physiotherapy Equipment-Mfg. or RepairsL
Pianos-Mfg. or RepairsL
Picture FramingL
Piers-ConstructionH
Pile DrivingH
Pilot Car ServiceL
Pipe FittingM
Pipeline-Oil or Natural Gas-ConstructionH
Pipeline-Oil or Natural Gas-OperationM
Pipe-Wooden-Mfg.H
Pitch-Mfg.M
Planing MillsH
Plaster Ornaments-Mfg.L
PlasteringM
Plastic Bags-Mfg.M
Plastic Boats-Mfg.M
Plastic Boxes-Containers-Mfg.M
Plastics-Small Articles-AssemblyL
Plastics or Synthetic Resins-Mfg.M
PlatingL
Plumbing or HeatingM
Plywood-Mfg.H
Pole Manufacturing Plants-Operation-when such operation is conducted as a separate industryH
Police ServicesH
Polish-Mfg.M
Porcelain EnamellingM
Pottery-Mfg.L
Poultry Dressing or ProcessingM
Poultry FarmingL
Poultry Hatcheries (Where not a farming operation)L
Power and Light Plants or Lines-Electric-OperationM
Precision Instruments-AssemblyM
Prestressed Concrete Beams-Mfg.H
PrintingL
Private ClubsL
Private Schools, N.E.S.L
Processing or Canning FishM
Propane Gas-DistributionH
Public Utilities, N.E.S.M
Publishing when accompanied with PrintingM
Pulp or PaperH
Putty-Mfg.M
Quarrying-Gravel, Sand or ShaleH
Quarrying-LimeH
Quarrying-StoneH
Rabbit FarmingL
Race Courses-HorseL
Radar Systems-Installation or MaintenanceM
Radio BroadcastingL
Radios-Mfg. or RepairsL
Railway Construction or Demolition, N.E.SH
Railway Maintenance, N.E.S.H
RanchingH
Real EstateL
Reduction-Ore, N.E.S.H
Refining-OilM
Refrigeration Equipment-Installation or Repairs, N.E.S.M
Refrigerators-Mfg.M
Reinforced Concrete WorkM
Removal-Boilers, Engines or MachineryH
Rental-AppliancesL
Rental-Automobiles or TrucksL
Rental-Machinery-Heavy EquipmentM
Repair-DykesH
Repair-ElevatorsM
Repair-Outboard Motors and other small Gasoline EnginesM
Repair-Refrigeration Equipment, N.E.S.M
Repair-Sheet MetalM
Repair-Steel FrameM
Repair of all VesselsH
Reservoirs-ConstructionH
Resin-Synthetic-Compounds-Mfg.M
Resin-Synthetic-Mfg.M
Rest HomesL
RestaurantsL
Retail StoresL
Rice MillingM
Road ConstructionH
Roads-Gravelling or SurfacingM
Rock Tunnelling, N.E.S.H
Rock Wool-Mfg.M
Roller RinksL
Rolling MillsH
Roofing-Asphalt-Mfg.M
Roofing ContractorsM
Roofing-Tar or GravelM
Roofing-Tar Saturated-Felt-Mfg.M
Roofing Waterproof Fabric-Mfg.M
Rooming Houses having ten or more bedroomsL
Ropes-Mfg.M
Rowboats-ConstructionM
Rubber Belting-Mfg.M
Rubber Goods-Small-Mfg.L
Rubber-Small Articles-AssemblyL
Rubbish RemovalM
Runways-Gravelling or SurfacingM
Sails-Mfg.M
Salts-Mfg.M
Salvage-MarineH
SanatoriaL
Sand BlastingM
Sand PitsH
Sanitation ServiceM
Sash and Door FactoriesH
Sausage or Sausage Casings-Mfg.M
Saw-Mfg. or RepairingM
Sawdust Fire Logs-Compressed-Mfg.M
Sawdust YardsM
SawmillsH
Scaffolding RentalM
Scales-AssemblyM
School Bus Service-OperationL
Schools-Driving-AutomobileL
Schools-MunicipalL
Schools-Private, N.E.S.L
Scrap Metal-HandlingH
Security ServiceL
Seed FarmingM
Septic Tank ServiceM
Service of Outboard Motors or other Small Gasoline EnginesM
Service StationsL
Servicing Heating Equipment, N.E.S.M
Servicing of Oil or Gas Wells by means of Service RigsH
Servicing of Oil or Gas Wells by means other than Service RigsH
Sewer Construction, Sewers or Sewage Disposal Plants or SystemsH
Shale PitsH
Sheep FarmingM
Sheet Metal WorkM
Shingle or Shake MillsH
Shingles-Asphalt-Mfg.H
Shipbuilding-Canoes or RowboatsM
Shipbuilding-SteelH
Shipbuilding-WoodenH
Shipping Services, N.E.S.M
Ships-OperationL
Shoe RepairingL
Shoe-Mfg.M
Shopping Centres-OperationL
Showcard Painting-Shop OnlyL
Sidewalks-Gravelling or SurfacingM
Siding-Asphalt-Mfg.M
SilverplatingL
Sintering-TungstenM
Skating RinksL
Ski-Tows-OperationM
Small Metal Products-AssemblyL
Small Rubber Goods-Mfg.L
Smelter-AluminumH
Snow or Ice Removal as a BusinessM
Soap-Mfg.M
Soya Bean Paste-Mfg.L
Spaghetti-Mfg.M
Spices-packaged-Mfg.M
Spikes-Mfg.L
Spinning MillsM
Spokes-Wooden-Mfg.M
Springs-Automobile-Mfg.M
Stamps-Metal-AssemblyM
Stamps-Rubber-Mfg.M
Stationery-Mfg.M
Staves or Heads-Mfg.H
Steam Bath ServiceL
Steam Cleaning Buildings-ExternalM
Steel FabricationH
Steel Frame Erection or RepairsH
Steel Frame PaintingM
Steel ShipbuildingH
StevedoringH
StockyardsM
Stone CrushingM
Stone Cutting or DressingM
Stores-RetailL
Stoves-Mfg.M
Street CleaningM
Stucco-Mfg.M
Sugar-Mfg.M
Supplying Clerical Employees as a BusinessL
Supplying Manpower other than Clerical Employees as a BusinessL
Surfacing-Roads, Runways or SidewalksM
Synthetic Resin Compounds-Mfg.M
Synthetic Resins-Mfg.M
Syrups-Mfg.L
Tailor ShopsL
Tanks-Erection or InstallationH
Tanneries-OperationM
Tar-Mfg.M
Tar or Gravel RoofingM
Tar Saturated Felt Roofing-Mfg.M
Taxi Cab BusinessL
Tea BlendingL
Telegraph Systems-OperationL
Telephone Systems-OperationL
Television Receivers-Mfg. or RepairsL
Tennis ClubsL
Tents-Mfg.M
Terrazzo LayingM
Terra Cotta-Mfg.M
Testing-Industrial-LaboratoriesM
Textiles-Mfg., N.E.S.M
Theatres-OperationL
ThreshingH
Tile-Asphalt-Mfg.M
Tile ContractorsM
Tiles-Mfg.M
TinningM
Tinware or Tinware Products-Mfg.M
Tires-Rubber-Mfg.M
Toilet Preparations-Mfg.L
Tools-RentalL
Tourist Resorts (Where not a part of a ranch operation)L
Toys-Wooden-Mfg.M
Trade UnionsL
Trailer CourtsL
Trailer Rental or LeasingL
Trailers or Truck Bodies-Mfg., N.E.S.M
Training Walls to Deflect Water-ConstructionH
Tramways or Cable CarsM
Transmission Line Appliances-InstallationH
Transmission Lines or Ducts-ConstructionH
Travelling Wood SawsM
Tree ServiceM
Truck Bodies or Trailers-Mfg., N.E.S.M
Truck RentalL
Trucking, N.E.S.M
Trucking-LogsH
Trunks or Bags-Mfg.M
Tugboat OperationM
Tungsten-SinteringM
Tunnelling, N.E.S.H
Tunnelling-Coal MineH
Tunnelling-Metal MineH
Tunnelling-RockH
Twines-Mfg.M
Typewriters-Mfg. or RepairsL
U-Drive EstablishmentsL
UpholsteringL
Vacation ResortsL
Vacuum Cleaners-Mfg. or RepairsL
Varnish-Mfg.M
Vegetable FarmingM
Vegetable GreenhousesM
Vegetables-Canning or PackingM
Veneer-Mfg.H
Venetian Blinds-Metal-Mfg.M
Venetian Blinds-Wooden-Mfg.M
Vessels-RepairH
Vessels-Steel ConstructionH
Vessels-Wooden-ConstructionH
Veterinary HospitalsL
VineyardsL
Warehouses-Public - OperationM
Washing Machines-Mfg. or RepairsL
Watch Repairs or Mfg.L
Waterproof Roofing Fabric-Mfg.M
Water TransportationM
Water Well Digging or DrillingH
Waterworks or Water Treatment Plants or Systems-Construction or Operation-Not MunicipalH
Waxes-Household-Mfg.M
Weaving MillsM
Weed Control Products-Mfg., N.E.S.M
Weed Control ServiceL
Welding ShopsM
Well Digging or Drilling-WaterH
Wells-Oil or Gas-Servicing by means of Service RigsH
Wells-Oil or Gas-Servicing by means other than Service RigsH
WhalingM
Wharf OperationsH
Wharves-ConstructionH
Wholesale Establishment, N.E.S.L
Wholesale FishM
Wholesale MeatsM
Wholesale Raw HidesL
Wholesalers, N.E.S.L
Window Blinds-Cloth-Mfg.M
Window Blinds-Venetian-Metal-Mfg.M
Window Blinds-Venetian-Wooden-Mfg.M
Window CleaningM
Wire, Wire Fence or Wire Products-Mfg.M
Wood Filler-Mfg.M
Wood PreservingH
Wood Saws-TravellingM
Wood Yards OperationM
Wooden Barrels-Mfg.H
Wooden Box WorksH
Wooden Coffins-Mfg.M
Wooden Pipe-Mfg.H
Wooden Spokes or Toys-Mfg.M
Wooden Venetian Blinds-Mfg.M
Wooden Vessels-ConstructionH
Woodworking ShopsM
Wreckers, AutoH
X-ray Equipment-Mfg. or repairsM
Recommended Minimum Levels of First Aid
Note: As of February 1, 2008, the recommended minimum levels of first aid have been replaced with required minimum levels of first aid. See Schedule 3A - Minimum Levels of First Aid in the OHS Regulation.
Types of First Aid Attendants and Training Programs

WorkSafeBC recognizes three types of Occupational First Aid attendants: Level 1, Level 2, and Level 3. WorkSafeBC has developed training courses for each of these levels as well as endorsement training courses that are available to Level 1, Level 2, and Level 3 attendants.

All certificates and certificate endorsements are valid for 2 years. Extensions of the duration of certificates are not permitted.

Level 1 First Aid Certificate
Level 1 certification requires successful completion of an Occupational First Aid Level 1 training course. This is a 7-hour course. Renewal of Level 1 certification requires successful completion of the full course. In some circumstances, restricted Level 1 certificates may be issued to firefighters employed by municipal fire departments who have not taken the course.

Level 2 First Aid Certificate
Level 2 certification requires participation in a 36-hour training course and passing an examination acceptable to WorkSafeBC. Renewal is normally accomplished by retaking the course and exam; however, the candidate may elect to take the exam without additional training. Based on qualifications and experience, restricted Level 2 certificates may be issued to physicians and registered nurses in hospitals and to firefighters in municipal fire departments who have not taken the course.

Level 3 First Aid Certificate
Level 3 certification requires participation in a 70-hour training course and passing an examination acceptable to WorkSafeBC. Renewal is normally accomplished by retaking the 70-hour course, or a 35-hour refresher course, before taking the exam; however, the candidate may elect to take the exam without additional training.

Transportation Endorsement
A Transportation Endorsement for a Level 1 or Level 2 first aid certificate requires the certificate holder to successfully complete a 7-hour Occupational First Aid Transportation Endorsement training course.

Other training courses, providing they meet specific standards set by WorkSafeBC and are approved by WorkSafeBC, may qualify candidates for equivalent Level 1, 2, and 3 certification, or a transportation endorsement. These other courses, however, cannot be titled Occupational First Aid Level 1, Occupational First Aid Level 2, Occupational First Aid Level 3, or an Occupational First Aid Transportation Endorsement.

First Aid Kits: Recommended Minimum Contents

Schedule 3-A Minimum Levels of First Aid: Tables 1-6 in the OHS Regulation, indicate in Column 2 the level of first aid kit required for different workplaces.

Personal first aid kit
These items must be kept clean and dry. A weatherproof container is recommended.

1 pressure dressing
6 sterile adhesive dressings, assorted sizes, individually packaged
1 wallet-sized instruction card advising the worker to report any injury to the employer for entry in the first aid records, and instructions on how the worker is to call for assistance
6 14 cm x 19 cm wound cleansing towelettes, individually packaged

Basic first aid kit
These items must be kept clean and dry and must be ready to take to the scene of an accident. A weatherproof container is recommended.

12 14 cm x 19 cm wound cleansing towelettes, individually packaged
30 hand cleansing towelettes, individually packaged
50 sterile adhesive dressings, assorted sizes, individually packaged
6 10 cm x 10 cm sterile gauze dressings, individually packaged
2 10 cm x 16.5 cm sterile pressure dressings with crepe ties
2 20 cm x 25 cm sterile abdominal dressings, individually packaged
4 cotton triangular bandages, minimum length of base 1.25 m
2 safety pins
1 14 cm stainless steel bandage scissors or universal scissors
1 11.5 cm stainless steel sliver forceps
6 cotton tip applicators
1 2.5 cm x 4.5 m adhesive tape
1 7.5 cm x 4.5 m crepe roller bandage
1 pocket mask with a one-way valve and oxygen inlet
6 pairs of medical gloves (preferably non-latex)
1 instruction card advising workers to report any injury to the employer for entry in the first aid records, and how a worker is to call for assistance

Level 1 first aid kit
These items must be kept clean and dry and must be ready to take to the scene of an accident. A weatherproof container is recommended for all items except the blankets. Blankets should be readily available to the first aid attendant.

3 blankets
24 14 cm x 19 cm wound cleaning towelettes, individually packaged
60 hand cleansing towelettes, individually packaged
100 sterile adhesive dressings, assorted sizes, individually packaged
12 10 cm x 10 cm sterile gauze dressings, individually packaged
4 10 cm x 16.5 cm sterile pressure dressings with crepe ties
2 7.5 cm x 4.5 m crepe roller bandages
1 2.5 cm x 4.5 m adhesive tape
4 20 cm x 25 cm sterile abdominal dressings, individually packaged
6 cotton triangular bandages, minimum length of base 1.25 m
4 safety pins
1 14 cm stainless steel bandage scissors or universal scissors
1 11.5 cm stainless steel sliver forceps
12 cotton tip applicators
1 pocket mask with a one-way valve and oxygen inlet
6 pairs of medical gloves (preferably non-latex)
first aid records and pen

Level 2 first aid kit
These items must be kept clean and dry and must be ready to take to the scene of an accident. A weatherproof container is recommended for all items except the blankets. Blankets should be readily available to the first aid attendant.

3 blankets
24 14 cm x 19 cm wound cleaning towelettes, individually packaged
150 sterile adhesive dressings, assorted sizes, individually packaged
12 10 cm x 10 cm sterile gauze dressings, individually packaged
4 10 cm x 16.5 cm sterile pressure dressings with crepe ties
10 20 cm x 25 cm sterile abdominal dressings, individually packaged
12 cotton triangular bandages, minimum length of base 1.25 m
2 2.5 cm x 4.5 m rolls of adhesive tape
2 5 cm x 4.5 m rolls of adhesive tape
6 7.5 cm x 4.5 m crepe roller bandages
1 500 ml sterile 0.9% sodium chloride solution (saline) in unbreakable container
1 60 ml of liquid antibacterial soap in unbreakable container
1 universal scissors
1 11.5 cm stainless steel sliver forceps
1 penlight or flashlight with batteries
1 7.5 cm x 4.5 m esmarch gum rubber bandage
6 pairs of medical gloves (preferably non-latex)
1 portable oxygen therapy unit consisting of a cylinder (or cylinders) containing compressed oxygen, a pressure regulator, a pressure gauge, a flow meter and a non-rebreathing mask (may be kept in a separate container from the other supplies)
1 oropharyngeal airway kit (may accompany the portable oxygen therapy unit)
1 manually operated self-inflating bag-valve mask unit with an oxygen reservoir (may accompany the portable oxygen therapy unit)
6 patient assessment charts
first aid records and pen
1 pocket mask with a one-way valve and oxygen inlet

Level 3 first aid kit
The level 3 first aid kit is the same as the level 2 kit except that, in addition, one portable suction unit is recommended.

First Aid Facilities: Recommended Minimum Criteria

Schedule 3-A Minimum Levels of First Aid in the OHS Regulation ("Regulation"), contains the minimum levels of first aid required for various workplaces. Tables 1-6 indicate in column 2 whether or not a first aid facility is required, and, if a facility is required, what type (dressing station or first aid room). This document gives guidance on how to set up a first aid facility and some specific recommendations for dressing stations and first aid rooms. It also includes recommendations for portable oxygen therapy equipment and oxygen powered resuscitators, which may be part of the necessary equipment in the facility, as well as recommendations for the storage and safe-keeping of drugs and medicines if these are kept in the first aid facility.

Under section 3.16(4) of the Regulation, a first aid facility must be kept clean, dry, ready for use and must be readily accessible at any time a worker works in the workplace.

General recommendations for all first aid facilities

Location and access
A first aid facility should be located as near as practicable to the work area or areas it is to serve. It should be a room within a building or, if this is not practicable, a tent, vehicle, or other suitable structure.

The first aid facility should be designed and located for easy entrance to and exit from the facility for a worker requiring stretcher transport. A stretcher should not have to be tipped or turned to enter or exit the first aid facility.

In remote areas, building a first aid facility may not be practicable. However, the facility should be at least of the same design and construction as workers' lodgings. If trailers are provided for workers' lodgings, a trailer should be provided for the first aid facility.

When a tent is used, it should

Be of the same size and have the same equipment as a first aid room or dressing station, as appropriate
Be fitted with a non-porous floor that can be cleaned with soap and water
Have a source of heat that will provide sufficient warmth for good patient care (maintaining body temperature)

A first aid facility may be locked to prevent theft and vandalism or for other appropriate reasons. If so, there must be effective means of immediate access during all working hours.

Utilities
The facility should be adequately illuminated, heated, and ventilated. It should have a sink plumbed with hot and cold running water or, if this is not practicable, an alternative system for supplying fresh, potable water. If showering may be a required treatment for chemical exposure, the facility should have a shower or have a shower facility as near as practicable.

It may be impracticable to plumb a first aid facility in certain situations, such as where the facility is a trailer on a construction site or the work is at a remote location. In these cases, one of the following alternative sources or water, with means to heat it, may be considered until a permanent source of water can be connected:

  • The facility has an internal tank able to hold a minimum of 45 litres (10 gallons) of fresh potable water which can be pumped into the facility's sink. The water in this tank must be changed daily, or changed weekly if treated for the prevention of contamination.
  • The facility is connected to a hose or water line from a fresh potable water outlet that can be pumped into the facility's sink.
  • The facility has an insulated container able to hold about 20 litres (5 gallons) of fresh potable water changed daily to prevent contamination.
  • A fresh water supply company provides fresh water in a bottle or jug attached to a hot/cold dispenser.

Other recommendations
Since the facility must be kept clean and sanitary, a non-porous floor covering is recommended.

The facility should have a notice conspicuously displayed outside the door or in the area, indicating how to call and where to find the attendant.

The first aid facility is also subject to the general requirements relating to workplace premises in the Regulation, for example, sections 6.33 to 6.41 (biological agents) and sections 4.81 to 4.83 (environmental tobacco smoke).

Smoking is not permitted in a first aid facility, and "No Smoking" signs should be conspicuously posted.

Using a first aid facility for purposes other than first aid
A first aid facility may be used for purposes other than first aid if

  • It is immediately available for first aid treatment
  • The facility is not at a remote workplace (more than two hours' surface travel from a hospital)
  • The minimum floor area needed for first aid is maintained
  • Such use will neither impede the treatment of an injured worker nor pose a hazard to workers

Additional recommendations for dressing stations
In addition to the previous recommendations for a facility, a dressing station should be at least 4.3 square metres (48 sq ft). It should have the following dressing station equipment:

3 blankets
6 metal splints, minimum length 60 cm
1 refuse pail with lid
1 package of paper towels
1 bifocal magnifier with head strap, 12.5 cm focus
1 eye cup
6 safety pins
1 11.5 cm stainless steel sliver forceps
1 14 cm stainless steel bandage scissors
1 oral thermometer
1 nail brush
1 penlight or flashlight with batteries
50 patient assessment charts
1 first aid record book, and pencil or pen
1 150 ml liquid antibacterial soap
4 cold packs
20 tongue depressors
50 cotton tip applicators
2 30 gram tubes water soluble burn treatment
1 100 ml liquid adhesive tape remover
100 sterile adhesive dressings, assorted sizes, individually packaged
24 sterile skin closures, individually packaged
6 20 cm x 25 cm sterile abdominal dressings, individually packaged
3 30 cm x 40 cm sterile abdominal dressings, individually packaged
4 sterile eye pads, individually packaged
100 7.5 cm x 7.5 cm gauze sponges
24 7.5 cm x 7.5 cm sterile gauze dressings, individually packaged
24 10 cm x 10 cm sterile gauze dressings, individually packaged
4 7.5 cm x 4.5 m crepe roller bandages
2 10 cm x 16.5 cm sterile pressure dressings, with crepe ties
1 7.5 cm x 4.5 m adhesive crepe bandage
2 2.5 cm x 4.5 m rolls of adhesive tape
2 5 cm x 4.5 m rolls of adhesive tape
1 7.5 cm x 4.5 m esmarch gum rubber bandage
2 5 cm x 1.8 m conforming gauze roller bandages
2 7.5 cm x 1.8 m conforming gauze roller bandages
12 cotton triangular bandages, minimum length of base 1.25 m
1 #01 - 4.5 m tubular finger bandage with applicator
1 500 ml sterile 0.9% sodium chloride solution (saline)
1 kidney basin
1 wash basin
1 cold instrument sterilizer
1 4.5 litre non-rusting germicidal solution for instrument tray
1 chair suitable for treating injured worker with non-porous surface or covered with non-porous material

Additional recommendations for first aid rooms
In addition to the previous recommendations, a first aid room should be at least 9.3 square metres (100 sq ft). It should have:

Storage cupboards
A counter
A toilet, or have a toilet facility as near as practicable

At a remote workplace (more than 2 hours' surface travel time to a hospital), a first aid room should be equipped to provide reasonable overnight care for two injured workers and be used exclusively for first aid purposes.

A first aid room should have the following equipment:

3blankets
1bed approximately 2 m long x 75 cm wide and 75 cm high, with a mattress having a non- porous surface or covered with non-porous material
2pillows with non-porous surface or covered with non-porous material
4sheets
1refuse pail with lid
1package of paper towels
1eye cup
18safety pins
24.5 kg sand bags
111.5 cm stainless steel sliver forceps
115 cm stainless steel thin nosed plier-type forceps
114 cm stainless steel bandage scissors
1universal scissors
1oral thermometer
1nail brush
1penlight or flashlight with batteries
50patient assessment charts
1first aid record book, and pencil or pen
36 14 cm x 19 cm antiseptic towelettes, individually packaged
1150 ml liquid antibacterial soap
1eye lamp, self illuminating, magnifying
6cold packs
12expanded metal splints, minimum length 60 cm
50tongue depressors
100cotton tip applicators
230 g tubes water soluble burn treatment
1100 ml liquid adhesive tape remover
150sterile adhesive dressings
48sterile skin closures
620 cm x 25 cm sterile abdominal dressings, individually packaged
6sterile eye pads, individually packaged
630 cm x 40 cm sterile abdominal dressings, individually packaged
2007.5 cm x 7.5 cm gauze sponges
727.5 cm x 7.5 cm sterile gauze dressings, individually packaged
7210 cm x 10 cm sterile gauze dressings, individually packaged
610 cm x 16.5 cm sterile pressure dressings with crepe ties
22.5 cm x 4.5 m adhesive crepe bandages
42.5 cm x 4.5 m rolls of adhesive tape
35 cm x 4.5 m rolls of adhesive tape
67.5 cm x 4.5 m crepe roller bandages
17.5 cm x 4.5 m esmarch gum rubber bandage
45 cm x 1.8 m conforming gauze roller bandages
47.5 cm x 1.8 m conforming gauze roller bandages
24cotton triangular bandages, minimum length of base 1.25 m
2#0l - 4.5 m tubular finger bandage with applicator
2 500 ml sterile 0.9% sodium chloride solution (saline)
1kidney basin
1wash basin
1cold instrument sterilizer
14.5 litre non-rusting germicidal solution for instrument tray
1 chair suitable for treating injured worker with non-porous surface or covered with non-porous material
1portable urinal, if overnight care may be required
1bedpan, if overnight care may be required

Portable oxygen therapy equipment
When a Level 2 or 3 attendant is necessary at the workplace, portable oxygen therapy equipment should be available. The equipment should

Be capable of supplying 15 litres per minute of oxygen
Contain enough oxygen to supply this rate from the time of initial application to the arrival at medical treatment, plus 15 minutes

Oxygen therapy equipment should comply with CSA Standard CAN/CSA Z305.3.M87, Pressure Regulators, Gauges, and Flow Metering Devices for Medical Gases, or a similar acceptable standard.

"No Smoking" signs or markings should be plainly visible on oxygen therapy equipment.

An oxygen cylinder should be hydrostatically tested on refilling if five years have elapsed since the previous test or, if there has been no previous test, since the date of manufacture. The test date should be marked on the cylinder.

Oxygen powered resuscitators
An oxygen powered resuscitator may be used where a worker is injured and entrapped in a toxic atmosphere. An oxygen powered resuscitator should be maintained and operated in accordance with the manufacturer's specifications.

Only a person trained in the use of the specific equipment should operate it. This training should include a minimum of 4 hours' training in the safe operation of the equipment from the supplier or other qualified person. The training must include all facets of the equipment's operation, handling, and storage. Refresher training or practice should take place every six months, and a training record of the initial, and subsequent, training should be maintained by the employer.

Drugs and medicine
Each drug use should be recorded in the first aid record unless the administration of a drug or medication to a worker is required for a condition that is not work-related. A worker may request an entry be made even if the purpose for taking the drug was not work-related.

Non-prescription drugs
Non-prescription drugs supplied by the employer should be under the control of the attendant or other authorized representative of the employer.

Non-prescription drugs must be used in accordance with the drug manufacturer's recommendations or specific instructions from a physician or qualified practitioner.

Before supplying non-prescription drugs or medications to a worker where there are no specific instructions from a physician or qualified practitioner, the first aid attendant should

Be familiar with the side effects, contra-indications, and indications for use listed by the manufacturer (of particular concern are drugs or medications that cause drowsiness or interfere with alertness and manual dexterity required by workers to perform their duties)
Inform the worker of any side effects or contra-indications
Not supply drugs or medication past the expiry date
Obtain a history of events leading up to the worker asking for relief
Determine if the worker is currently taking any medication and, if so, the appropriateness of taking additional medication
Where required, make an entry in the first aid records

Prescription drugs
A first aid treatment area or kit should not contain prescription drugs and medications unless approved in writing by a physician or qualified practitioner. This includes both prescription drugs for a poison unique to a workplace, such as cyanide or hydrofluoric acid, and prescription drugs for the treatment of a specific worker's condition, such as angina or diabetes. The Compendium of Pharmaceuticals and Specialties should be referenced to determine what constitutes a "prescription" drug.

The storage, safe keeping, and use of prescription drugs and medications must be in accordance with the written instructions given by the prescribing physician or qualified practitioner. Where required, make an entry in the first aid records

Any letter from a physician or qualified practitioner regarding prescription drugs should identify

The specific workplace or worker for which the prescribed drug or medication is required
The specific reasons for use
The method of application
The expiry date of authorization

Emergency Vehicles and Equipment

Schedule 3-A Minimum Levels of First Aid in the OHS Regulation ("Regulation"), contains the minimum levels of first aid required for various workplaces. Tables 1-6 indicate in column 4 whether or not an emergency vehicle is required, and, if an emergency vehicle is required, what type (emergency transportation vehicle or industrial ambulance) is necessary or mandatory or is to be available at the workplace. This document gives guidance on the use of emergency vehicles and the equipment needed and suggests when a mobile treatment centre might be used in place of a first aid facility and emergency vehicle. It also provides recommendations for air transport when that is the primary means to getting an injured worker to medical treatment.

Note that WorkSafeBC does not approve of any particular makes or models of emergency vehicles and does not register vehicles.

General guidelines for emergency vehicles
Emergency vehicles must be maintained and operated in accordance with the general requirements relating to vehicles in the Regulation and with any other applicable statutes and regulations.

Smoking is not permitted in a vehicle when it is used for transporting an injured worker, and a plainly visible "no smoking" sign should be posted in the vehicle.

Location and access
Where a vehicle is needed to transport an injured worker, the vehicle should be immediately available for use and capable of being dispatched to the accident scene within 3 to 5 minutes of being required. It should be located where it will best serve the workers who are most likely to need an emergency vehicle.

The attendant should not operate the vehicle when this may interfere with the required first aid treatment.

Vehicle requirements
Sometimes an employer may have different vehicles used for different parts of the journey to treatment. The following are recommended for each vehicle:

The vehicle should be capable of traversing the area it is intended to serve.
It should have a minimum headroom of 1 metre (3.3 feet).
It should provide protection from the natural elements and dust.
It should provide warmth sufficient for good care for the injured worker, with the patient compartment heated enough to maintain normal body temperature when the injured worker is covered with three blankets. The source of heat must not be a hazard to the occupants of the vehicle when oxygen is in use.
It should have effective voice communication between the operator and the attendant in the treatment area of the vehicle.
It should have a means of effective communication with the scene of an accident. For example:

  • The driver has a two-way radio that has a direct link with another two-way radio at the scene of the injured or ill worker.
  • The driver has a two-way radio that has a link with the employer's central dispatch centre, which has voice communication via a radio or radiotelephone with workers at the scene.
It should have effective communication with the hospital. For example:
  • The driver has a two-way radio that has a direct link with the hospital.
  • A radiotelephone in the vehicle can contact the hospital directly.
  • A two-way radio or radiotelephone in the vehicle has a link with the employer's central dispatch centre, which has voice communication via a telephone or radiotelephone with the hospital.
  • The emergency vehicle is accompanied to the hospital by another vehicle that is equipped with a radiotelephone or two-way radio that can contact the hospital directly and its driver can communicate with the emergency vehicle.
Vehicles that transport injured or ill workers do not need to have mounted emergency lights or an audible signal (such as sirens). Before obtaining this type of equipment, the employer or the company supplying the vehicle should consult with the Department of Licensing and Compliance at the Insurance Corporation of British Columbia (ICBC).

Additional recommendations for an emergency transport vehicle (ETV)
In addition to the general recommendations for emergency vehicles, an ETV should be capable of transporting at least one worker on a stretcher. It should have a means of restraining a stretcher and have enough padding to prevent excessive jarring of the injured worker.

An ETV should contain the following equipment:

1set of hard cervical collars covering all adult sizes (or 2 adjustable hard cervical collars)
1 spine board with handholds, no less than 44 cm x 1.8 m x 2 cm, acceptable to WorkSafeBC, and seven 1.8 m x 5 cm heavy velcro straps or equivalent to secure an injured worker
1 stretcher (Whenever an injured worker may require transport over rough terrain a basket stretcher or other carrying device acceptable to WorkSafeBC must be used. The basket stretcher must have a spine board with handholds and retainer straps and a suitable mattress or padding)
6 blankets (Three of these blankets may be the blankets needed with the Level 1, 2, or 3 kit at the workplace unless weather conditions at the workplace require more for the safe treatment or transport of injured workers, in which case suitable weather-resistant protection may also be needed)
24.5 kg sand bags
2vomitus bags

When a Level 3 first aid attendant is necessary, the following should be added:

1set of splints, to include - 2 splints (1 cm x 10 cm x 1 m notched with 2.5 cm padding)
- 1 splint (1 cm x 10 cm x 1.5 m notched with 2.5 cm padding)

Additional recommendations for an industrial ambulance
In addition to the general recommendations for emergency vehicles, an industrial ambulance should

Be used only for first aid treatment and transportation of injured workers, under the direction of the first aid attendant
Be capable of accommodating at least two workers on stretchers
Have adequate lighting in the patient compartment, allowing the attendant to see and assess the injured or ill worker and complete documentation, without the use of a flashlight
Contain a roll cot or basket stretcher properly secured and cushioned against excessive jarring

An industrial ambulance should contain the same equipment as an ETV plus a set of lower limb splints.

Mobile treatment centre (MTC)
An MTC is an industrial ambulance that also has

A sink with running water or, if this is not practicable, an alternative system for supplying fresh, potable water
Minimum headroom of 1.8 metres (6 feet) in the treatment area, sufficient for the attendant to treat the injured worker
Dressing station equipment

An MTC may be used in place of a first aid facility and emergency vehicle (ETV or industrial ambulance). This is recommended only when all the following circumstances apply:

The workplace does not provide overnight accommodation for workers.
Where the workplace is more than 2 hours' surface travel time from a hospital, another vehicle suitable for transporting an injured worker is also provided.
When used in place of a first aid room, the MTC contains the necessary first aid room equipment.

Air transport
If air transport is the primary or only means of transporting an injured worker to medical treatment, the following arrangements and equipment are recommended:

Make arrangements with an air service, before the start of work, to ensure that an appropriate aircraft will be reasonably available during operations.
The aircraft should be capable of transporting a stretcher patient and a first aid attendant, allowing the attendant sufficient room to provide emergency treatment en route, if required.
A list of radio frequencies to be used between the air carrier and the workplace should be included in the written procedures required by section 3.17(1) of the OHS Regulation. The coordinates of the workplace should be included in the written procedures.
First aid equipment should be suitable for the aircraft to be used, including a stretcher or spine board that will fit in the aircraft and that does not allow movement or excessive jarring of the injured or ill worker during air transport. Employers are responsible for ensuring that attendants are properly trained in the use of the equipment.
If weather or other factors could unreasonably delay the use of aircraft, alternative transportation options should be provided, where practicable.

The attendant has training to decide whether air or surface transportation is most appropriate for the injured or ill worker.

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Guidelines Part 3 - Young or new workers

G3.23 Young or new worker orientation and training

Issued July 26, 2007

Regulatory excerpt
Section 3.23 (Young or new worker orientation and training) of the OHS Regulation ("Regulation") states:

3.23 Young or new worker orientation and training
(1) An employer must ensure that before a young or new worker begins work in a workplace, the young or new worker is given health and safety orientation and training specific to that young or new worker's workplace.

(2) The following topics must be included in the young or new worker's orientation and training:

(a) the name and contact information for the young or new worker's supervisor;

(b) the employer's and young or new worker's rights and responsibilities under the Workers Compensation Act and this Regulation including the reporting of unsafe conditions and the right to refuse to perform unsafe work;

(c) workplace health and safety rules;

(d) hazards to which the young or new worker may be exposed, including risks from robbery, assault or confrontation;

(e) working alone or in isolation;

(f) violence in the workplace;

(g) personal protective equipment;

(h) location of first aid facilities and means of summoning first aid and reporting illnesses and injuries;

(i) emergency procedures;

(j) instruction and demonstration of the young or new worker's work task or work process;

(k) the employer's health and safety program, if required under section 3.1 of this Regulation;

(l) WHMIS information requirements set out in Part 5, as applicable to the young or new worker's workplace;

(m) contact information for the occupational health and safety committee or the worker health and safety representative, as applicable to the workplace.

Purpose of guideline
This guideline is to assist employers and workers in implementing the requirements of s. 3.23. It provides information on

  • The objectives of the orientation and training requirements listed in section 3.23
  • Possible means of delivery of these requirements
  • Where to get further information to assist with the orientation

Objectives of the orientation topics
Under the proposed new section 3.23 employers will be required to provide young and new workers with orientation and training about safe work procedures and how to recognize hazards on the job. It lists a number of topics that must be addressed.

In many workplaces some of the requirements in section 3.23 will already be in place as part of the general safety measures in the workplace. To conduct proper orientation, the topics must be provided to young and new workers.

There may be topics beyond those listed in section 3.23 that an employer would wish to include in the orientation. The Regulation sets a minimum standard, which employers may exceed. In some cases, one or more of the topics may not be applicable in a given workplace and would not need to be included.

In the discussion below any reference to "worker" means "young or new worker."

(a) Name and contact information for the worker's supervisor
The worker must know the identity of the individual(s) responsible for providing work direction to him/her, and how to contact him/her if they are not immediately available. This can be particularly helpful to ensure any ongoing questions in the early period of time on the job are addressed.

(b) The employer's and worker's rights and responsibilities
The worker must be informed about his/her rights and responsibilities and those of the employer under the Workers Compensation Act ("Act") and the Regulation. For example, the worker has the right to be informed about workplace hazards (including WHMIS), the duty to report hazards, the duty to refuse unsafe work, and the right to participate in workplace health and safety activities. The worker should also be advised of the protection from discrimination provisions in the Act, and provisions related to first aid and reporting any injuries and diseases.

(c) Workplace health and safety rules
The worker must be trained in the workplace health and safety rules applicable to the workplace and the tasks the worker will perform. The rules are expected to address any hazards that the worker may encounter, including various types of controls, such as work procedures, use of personal protective equipment, and the safe means of operating equipment.

(d) Hazards to which the worker may be exposed
The worker must be informed about the hazards he/she could encounter while performing assigned work tasks. Depending on the work setting, these hazards may be physical in nature and involve a risk of injury, or may pose a risk of disease (e.g. when handling a hazardous substance). If a worker is in a location that involves contact with the public, the employer must advise of any risks that may arise, including, as applicable, abusive behaviour, robbery, assault, or other possible confrontation.

(e) Working alone or in isolation
If the worker is assigned to work alone or in isolation, the worker must be trained in the policies and procedures to be followed. Under the requirements of the Regulation the employer must set up a system for checking on the well being of the worker. When establishing the system, the employer must consult with the worker on the time intervals to be used. In some cases working alone is linked to a potential for violence in the workplace.

(f) Violence in the workplace
The worker must be provided with orientation and training on the policies and procedures to be followed in the event of violence in the workplace. The worker should be advised of the meaning of the term "violence," which includes any threatening statement or behaviour, and the circumstances in the workplace where a risk of violence may be present. The worker should be trained in the procedures to follow to eliminate or minimize any risk in such situations, for example, when handling money, and opening or closing the business. He/she should also be trained in the steps to take to eliminate or minimize the risk of injury to the worker in the event of an incident.

In part, this topic is already covered under topics (c), (d), and (e). However, instruction in this topic will ensure that the worker is given an understanding of the overall measures in the workplace for protection from violence.

(g) Personal protective equipment (PPE)
The worker must be provided with appropriate orientation and training in the use and care of any personal protective equipment or clothing that the worker is required to use to safely perform his/her work. This is also a requirement under Part 8 of the Regulation, and will help the worker meet his or her obligations to use PPE properly.

(h) Location of first aid facilities, the means of summoning first aid, and reporting illnesses and injuries
The worker must be advised of the location of first aid facilities, the identity of the first aid attendant(s), and how to summon an attendant. This topic also covers the employer's obligation to inform the worker of the procedures to follow to report an illness or injury to WorkSafeBC.

(i) Emergency procedures
The worker must be advised of potential emergency situations that could occur in his/her work location, and trained in the procedures to follow. This topic is a companion to topic (h) on first aid, and addresses other aspects of emergency response, such as evacuation in the event of fire, or if hazardous substances are handled, how to contain a spill of the substance.

(j) Instruction and demonstration of the worker's work task or work process
The worker must be provided with both instruction and demonstration - not simply a verbal description - of work tasks that the worker will be required to perform when he/she begins work. Further training may be required as new tasks are assigned.

The demonstration should address the aspects of the work that will involve safety risks if not performed correctly. For example, if the worker will be operating a piece of mechanical equipment, the employer will need to ensure that all safety points are demonstrated, including the use of guarding and other safety devices, means of equipment startup, and how to follow safe operating procedures.

(k) The employer's occupational health and safety (OHS) program
Under this topic the employer is expected to provide an orientation to the OHS program in the workplace. If a program is required under section 3.1 of the Regulation the orientation would describe the program elements, which are outlined in section 3.3 of the Regulation, and how they are implemented. If, for a small workplace, the program is less formal, then the orientation would be on the elements of the program outlined in section 3.2.

(l) WHMIS information requirements, as applicable to the worker's workplace
This topic is intended to ensure the worker is provided with an orientation on the Workplace Hazardous Materials Information System (WHMIS), and its application to controlled products in the workplace. The orientation should explain the WHMIS hazard classes, and the use of WHMIS labels and Material Safety Data Sheets (MSDS). In addition, there are four WHMIS objectives for training a worker in how to work safely with controlled products. Workers need to know the hazards of the products, how they can protect themselves, what to do in case of an emergency or spill, and where to get more information on the products. The first three of these will already be addressed under other topics such as (c), (d), (h), and (i). To address the fourth, typically workers will need to be informed of where MSDS are located or how they can be accessed if available electronically.

If there are hazardous products in the workplace not covered by WHMIS, the orientation under topics such as (c), (d), (h), and (i) should be given to address safety with those products.

(m) Contact information for the joint occupational health and safety (OHS) committee, or worker health and safety representative
If applicable, the employer must inform the worker on how to contact the joint OHS committee, or the worker health and safety representative.

Delivering the orientation
The employer must determine how to deliver the orientation and training to the worker. However, there are a number of options to consider.

  • Address topics according to applicability: As previously noted, some topics listed in section 3.23 may not be applicable in a given workplace. The employer can adjust the orientation accordingly.
  • Organize topics into groups: Section 3.23 requires that applicable topics be covered in the orientation or training, but not necessarily as separate items. The employer can organize the orientation or training in any manner, as long as the content intended by the topics is addressed. For example, three of the topics involve contact information, and could be presented as a unit. Two of the topics (first aid and emergency procedures) involve a common theme of emergency response. The topics on working alone and violence often cover aspects of the same issue, and could be presented together. Other combinations are also possible.
  • Use generic instruction and orientation coupled with site-specific information: Information on some of the topics listed in section 3.23 may be applicable from one workplace to another while site-specific instructions will only apply at the worksite in question. Generic instruction and orientations can serve as a good basis on which an employer can add employer or site-specific information. Generic instruction and orientation, coupled with site-specific information can be particularly useful where a worker is performing the same work under different circumstances. Examples include circumstances where
    • Employers have with a number of workplaces
    • The industry has highly mobile workers, such as in construction
    • Workers are performing casual or temporary work, such as substitute teachers

In determining the right combination of generic and site specific topics that will meet the requirements of section 3.23, the circumstances of each scenario need to be considered. By way of example, generic topics for workers under the above noted circumstances could include

  • Employer and worker rights and responsibilities
  • Employer's occupational health and safety program
  • Generic aspects of WHMIS
  • Personal protection equipment

Topics that will be site specific include

  • Workplace health and safety rules
  • Name and contact of supervisor
  • Location of first aid facilities
  • Emergency procedures

Generic instruction and orientation could be provided at a corporate or district level. In some cases workers could carry documentation as proof that they have received generic orientation for their respective occupation or trade. Generic orientation and training that includes an expiry date will help ensure that workers receive up to date information.

Where to get further information
Some examples of the various sources of information on orientation and training are

  • The Canadian Centre for Occupational Health and Safety (CCOHS) maintains a web site on which they provide information on various topics, including a number of those listed in section 3.23. Examples include: rights and responsibilities, working alone, WHMIS, and violence in the workplace. CCOHS also maintains a Youth portal on the site, with topics specific to young workers. The home page for CCOHS is found at http://www.ccohs.ca/.
  • WorkSafeBC maintains a Young Worker portal on its web site, which can be accessed at: http://www2.worksafebc.com/Topics/YoungWorker/Home.asp. The portal provides a range of materials and helpful links, including a checklist for training and orientation, a program on rights and responsibilities, and information on typical accidents young workers have experienced.
  • Any health and safety association in an industry may also have information available.

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Disclaimer: The Worker and Employer Services Division issues Guidelines to help with the application and interpretation of sections of the Occupational Health and Safety Regulation and with divisions of the Workers Compensation Act that relate to health and safety. Guidelines are not intended to provide exclusive interpretations but to assist with compliance. WorkSafeBC ("Workers' Compensation Board of B.C.") does not warrant the accuracy or the completeness of the online version of the Guidelines and neither WorkSafeBC nor its board of directors, employees or agents shall be liable to any persons for any loss or damage of any nature, whether arising out of negligence or otherwise, which may be occasioned as a result of the use of the online version of the Guidelines.