INDUSTRIAL HEALTH AND SAFETY PROGRAM

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• INDUSTRIAL HEALTH AND SAFETY PROGRAM
• Enforcement Approach for the Health Care Sector
• March 23, 2004

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Todays Presentation

• Occupational health and safety system
• MOL general enforcement approach in the health
  care sector

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Occupational Health Safety System

• Workplace Safety and Insurance Board
• Health and Safety Associations
• e.g. Health Care Health and Safety Association
• Ministry of Labour

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OHS System - Role of the MOL

• Committed to the prevention of workplace deaths,
  injuries disease by
• Setting standards
• Communicating standards
• Enforcing standards

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Enforcing Standards

• Investigations
• workplace injuries and fatalities
• workplace complaints
• work refusals
• occurrences with no injuries
• Inspections
• priority workplaces, priority hazards

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How to enforce standards in priority workplaces..

• 4.5 million industrial workers total
• Concentrate enforcement on
• Poor performers
• Vulnerable workers
• Self-reliance not evident
• Encourage self reliance in other workplaces

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Priority Workplaces by Sector

• Group workplaces into sectors
• 29 industrial sectors
• Identify priority sectors
• Annual risk assessment to allocate field visits
  by sector
• Develop sector specific enforcement strategies

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Health Care Sector

• Includes
• Acute care facilities
• Long-term care facilities
• Home care services
• Group homes
• Health laboratories
• Doctors offices, clinics
• Social service organizations

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Workplace Regulation - Health Care Facilities

• O. Reg. 67/93 Regulation for Health Care and
  Residential Facilities
• Section 2(1) application to specific types of
  facilities
• Comprehensive workplace regulation
• Written measures and procedures
• in consultation with JHSC or H S representative
• to be reviewed annually

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Health Care Regulation - Coverage
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Written Measures and Procedures
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Other Regulations That May Apply

• WHMIS Regulation (O. Reg. 860)
• X-Ray Regulation (O. Reg. 861 )
• Biological and Chemical Agents(O. Reg. 833 )
• Designated Substance Regulations
• Asbestos on Construction (O. Reg. 838)
• Window Cleaning Regulation (O. Reg. 859)

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Extended Coverage Workplaces

• Some workplaces do not fall under a specific
  workplace regulation such as the Health Care
  Regulation
• e.g. home care services, clinics

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Key Hazards Health Care

• Based on WSIB and MOL data
• Sprains and strains due to overexertion
• Slips,trips, falls
• Communicable diseases
• Hazardous substances
• Struck by objects
• Patient violence

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Enforcement Strategy Health Care

• Multi-disciplinary approach
• Risk based criteria to identify individual
  workplaces to be inspected
• Internal Responsibility System reinforced with
  orders

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Future Directions- Health Care

• Ministers Action Group announced
• Employers, unions, health and safety system
  partners, other experts
• Identify gaps in existing prevention strategies
• Identify best practices, programs, policies and
  standards to reduce injuries and illnesses

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Monitoring Impact

• Field visits - health care
• number of inspections/investigations
• priority firms
• priority hazards
• Appropriate orders, prosecutions, fines
• Requests for training through HSAs
• OHS system collects data on the following
• Fatalities, critical injuries, lost-time and no
  lost-time injuries, occupational illnesses