ACCIDENT/INCIDENT INVESTIGATION PROCEDURE September 2011

9 - 2 A CRITICAL INJURY MUST BE IMMEDIATELY REPORTED Critical injuries consist of any injury which: • places life in jeopardy; • produces unconsciousness; • results in substantial loss of blood; • involves the fracture of a leg or an arm but not a finger or toe; • involves the amputation of a leg, arm, hand or foot, but not a finger or a toe; • consists of burns to a major portion of the body; or • causes the loss of sight in an eye. If any of these serious injuries occur: 1. CALL FOR EMERGENCY SERVICES 2. ADVISE YOUR SUPERVISOR 3. CALL THE BOARD'S HEALTH AND SAFETY DEPARTMENT AT

905-890-0708. An investigative team of Joint Health and Safety Committee Members will respond as soon as possible.

9 - 3

EXECUTIVE SUMMARY ACCIDENT INVESTIGATION PROCEDURE An Accident/Incident is an unplanned, unwanted event which disrupts the orderly flow of activities and may or may not involve injury to people or damage to equipment and materials. An essential part of the Board's Health and Safety program is the investigation of all employee accidents/incidents in the workplace. Incident Investigation Reports (GF390) records the required data and identifies corrective measures, areas of concern and can be used to identify trends. The Incident Investigation Report (GF390) also fulfils the Board's requirement under the Occupational Health and Safety Act to investigate all critical injuries and fatalities and to submit a written report to the Ministry of Labour. The attached sequencing chart details the procedure for reporting an accident/incident. The employee is responsible for notifying their Principal/Supervisor of an accident/incident. In the event of any injury, the employee is also required to contact the Benefits Department in compliance with the Workplace Safety and Insurance Act. The Principal/Supervisor or designate completes and signs an Incident Investigation Report (GF390) as soon as practical after the accident/incident and makes recommendations for corrective actions (i.e. work orders). The report is distributed as noted. If necessary the Health and Safety Department will analyze and follow up with Principal/Supervisor and the Joint Health and Safety Committee. For Healthcare (Medical aid) and Lost time incidents, a copy of the report shall be faxed to the appropriate worker co-chair for the joint health and safety committee (JHSC). This shall be done immediately upon receipt and in any case, no later than 4 days following the occurrence, by the Benefits Department. This is a requirement of the Occupational health and Safety Act For further information on conducting investigations, the Principal/Supervisor or designate should refer to the detailed Accident/Incident Investigation Procedure in the Health and Safety Manual.

9 - 4

Accident/Incident Reporting Sequencing Chart

* IF INJURY IS CRITICAL (SEE PG. 9-2) AS DEFINDED BY THE OCCUPATIONAL HEALTH AND SAFETY AT, CALL HEALTH AND SAFETY IMMEDIATELY!

** IN ABSENCE OF PRINCIPAL/SUPERVISOR FORM IS STILL TO BE FAXED WITHIN 24

HOURS AND BE COMPLETED LATER BY PRINCIPAL

Accident/Incident

Near Miss (No Injury, Lost Time,

Medical Attention)

Injury Health Care, (Medical

Aid), Lost Time *

Report to Principal/Supervisor

(Employee Responsibility)

Report to Principal/Supervisor

(Employee Responsibility) **

Report to Benefits Department by employee or if

unable, then by Principal/Supervisor

Completion of Incident Investigation Report Form by Principal/Supervisor

FAX WITHIN 24 HOURS TO BENEFITS

DEPARTMENT @ 905-890-0421

Benefits Department to fax Health Care & Lost

Time Incident Reports to Worker Co-Chair within

4 days

Distribute all copies within 24 hours

Principal/Supervisor Health & Safety Department

Employee

9 - 5 Table of Contents 1.0 ROLE OF ACCIDENT/INCIDENT INVESTIGATION

1.1 Purpose of the Accident/Incident Investigation

1.2 Benefits of Investigating the Accident/Incident

1.3 Types of Accident/Incident Investigations

1.3.1 The Employer's Report of Accidental Injury or Industrial Disease (WSIB Form # 7)

1.3.2 Critical Injury Report 1.3.3 Violent Incidents 1.3.4 Contact with Student – Mitigating Factors Considered, Incidents

2.0 PLANNING FOR ACCIDENT/INCIDENT INVESTIGATION

2.1 Aspects of the Investigation 3.0 CONDUCTING ACCIDENT/INCIDENT INVESTIGATION 3.1 Steps to Ensure Reporting of Accidents/Incidents

3.2 Information Requirements

3.2.1 Floor Plan

3.2.2 Equipment Inventory

3.2.3 WHMIS Inventory

3.2.4 Incident Investigation Report

3.3 Roles and Responsibilities

3.4 Investigation Procedures

3.4.1 Physical Evidence

3.4.2 Interviewing

3.4.3 Accident/Incident Causation Analysis

3.4.4 Recommendations

9 - 6 1.0 ROLE OF ACCIDENT/INCIDENT INVESTIGATION

Incident Investigation Reports are an essential part of the Board's health and safety program. Investigations of all employee accidents/incidents in the workplace along with recording of required data and appropriate corrective measures identify areas of concern. Analysis of all reports for trends assists in addressing these concerns to prevent future recurrences of accidents/incidents and injuries ultimately ensuring a healthy and safe environment for students, staff and the community.

1.1 Purpose of the Accident/Incident Investigation

An accident is an unplanned, unwanted event which disrupts the orderly flow of activities and may or may not involve injury to people or damage to equipment and materials. An incident is an undesired event, which, under slightly different circumstances, could have resulted in harm to people, damage to property, or loss to process. The goal of accident/incident investigations can be summarized in one word PREVENTION.

1.2 Benefits of Investigating the Accident/Incident

There are many benefits of a prompt and thorough accident/incident investigation.

1. Prompt investigations demonstrate concern for the employee's wellbeing.

2. Effective accident/incident investigations reduce lost time. This directly reduces direct and indirect cost, in both human suffering and financially. Accidents/incidents are not only time consuming, but expensive.

3. Accident/incident investigation and the resulting prevention are tangible evidence of the ability and

efficiency of the Board's health and safety programs. Increasingly, safety performance is coming under scrutiny by employees, government and the public.

1.3 Types of Accident/Incident Investigations

Other types of accident/incident investigations in the Board include: 1.3.1 The Employer's Report of Accidental Injury or Industrial Disease (WSIB Form # 7)

The GAP Handbook Procedure # 310.00 requires any employee having a work-related accident or industrial disease to report this fact to the Benefits Department immediately. The Workplace Safety & Insurance Act requires completion of the WSIB Form # 7 reports for any work related accident or industrial disease where the injured employee requires medical attention. These reports are completed and submitted to the WSIB by the Benefits Department.

1.3.2 Critical Injury Report

The Occupational Health and Safety Act and Industrial Establishment Regulations require investigation of critical injuries and fatalities with a written report, submitted to the Ministry of Labour within forty eight hours of the occurrence. The employer, through the Board’s Health and Safety Department will immediately notify the Ministry of Labour and the worker co-chair of the occurrence of a critical injury or fatality and then submit the report with all the required information.

In the event of a critical injury, the supervisor shall immediately notify the Board’s Health and Safety Department. The supervisor of the injured employee shall do an investigation, complete the Incident Investigation Report, GF 390 and send it by fax to the Health and Safety Department. The Supervisor will also notify the Benefits Department of this employee’s critical injury.

If the worker co chair of the appropriate JHSC chooses to inspect the workplace where this incident occurred, then he/she shall report their findings to the Ministry of Labour.

1.3.3 Violent Incidents 9 - 7 The Board’s Incident Investigation Report (GF 390) was revised to include “violence” as a type of incident. This is a requirement under Bill 168 which amended the Occupational Health and Safety Act. See Section 24 of the Board’s health and Safety manual for details such as definitions, reporting, etc about violence. After the occurrence of a serious violent incident leading to suspension/expulsions, or report to police and, between students, staff members or non students, a Violent Incident Report form must be completed. This is different from a GF 390. See GAP 529.00, Police and School Response Protocol and GAP 533, Physical Restraint.

1.3.4 Contact with Student (striking, kicking, biting, etc), mitigating factors considered, Incidents This definition is aligned with procedure 9.03.05.01 found in the Board’s Safe Schools binder, pages 17-18, which the supervisor has considered while completing the form.

2.0 PLANNING FOR ACCIDENT/INCIDENT INVESTIGATION

Preparing for accident/incident investigations is essential to ensure the reports are accurate and applicable. The Principal/Supervisor is responsible for the health and safety of their employees and investigation of the accident/incident. Completion of the Incident Investigation Report (GF390) with appropriate follow-up assists in meeting this responsibility.

2.1 Aspects of the Investigation

An effective accident/incident investigation identifies the causes of the accident. Every investigation must examine who, what, where, when, and how.

What is an Accident/Incident Investigation

A complete accident/incident investigation includes the objective evaluation of all facts, opinions, statements, physical evidence and related information, as well as defined action steps to reduce the possibility of recurrence.

When is an Accident/Incident Investigated

The best time for an accident/incident investigation is as soon as possible. Facts and details of the accident are clearest and conditions of the accident/incident scene are nearest to those present at the time of the accident/incident. The investigation begins as soon as the needs of the injured employee(s) are addressed.

Why is an Accident/Incident Investigated

The purpose of an accident/incident investigation is to prevent a recurrence of the accident/incident by identifying the root cause(s). With PREVENTION in mind, the focus of the investigation will be simplified.

3.0 CONDUCTING ACCIDENT/INCIDENT INVESTIGATION 3.1 Steps to Ensure Reporting of Accidents/Incidents

An unreported accident/incident may not be investigated, nor its causes corrected. Ensure that all accidents/incidents are reported by:

1. Emphasizing the need to report all accidents including a near miss incident and property damage as

deemed appropriate. Situations cannot be corrected unless they are reported, and an accident/incident could repeat itself with more serious results.

2. Expressing appreciation when an accident/incident is reported. Reinforce dissatisfaction with late

reporting.

9 - 8 3. Acting on all reports immediately. Investigate the accident/incident and take the required corrective

measures. 3.2 Information Requirements

The following information will assist in the accident/incident investigation. 3.2.1 Floor Plan

Using current floor plans visualize the activities at the accident/incident scene and identify the location of equipment and materials that may have been involved.

3.2.2 Equipment Inventory

Know what condition and type of equipment and materials were involved in the accident/incident.

3.2.3 WHMIS Inventory

If a chemical was involved in the accident/incident, find out whether actual and potential sources of chemical exposure were properly controlled. WHMIS inventories must be updated annually and current Material Safety Data Sheets must be available. Ensure that all employees have received training in handling chemicals. Check that chemicals were labelled with pertinent information, such as identification, handling, storage, and waste disposal, according to Workplace Hazardous Materials Information System (WHMIS) requirements.

3.2.4 Incident Investigation Report

The Incident Investigation Report (GF390) must be completed for employee accidents/incidents occurring at schools/administrative buildings and while employees are working, including off site.

3.3 Roles and Responsibilities

Principal/Supervisor

The Principal/Supervisor shall conduct an accident/incident investigation as soon as practical after the accident/incident has occurred. Acquire all information regarding the accident/incident including eyewitness accounts and obtain data from persons having knowledge of the situation.

Where an accident involves a critical injury the Health and Safety Department must be notified immediately. In the case of a serious accident/incident the accident scene must remain undisturbed, except for emergency services.

The Incident Investigation Report (GF390) must be completed immediately upon completion of the investigation and distributed as noted within 24 hrs. Submit copies of work orders, letters, witness statements, and other supplementary information.

When permanent correction cannot be made immediately, temporary measures, such as roping off the area, tagging out equipment or posting warning signs should be utilized.

Superintendents

Where health and safety issues cannot be resolved by the Principal/Supervisor, the Superintendent shall take appropriate action such as providing recommendations, allocating personnel and/or budgetary requirements and consult with Senior Administration.

9 - 9 Health and Safety Department

The Health and Safety Department shall analyze all Incident Investigation Reports (GF390), and where necessary, provide recommendations for corrective action and/or preventive measures on the Incident Investigation Report.

Where recommendations are made, they will be communicated to the Principal/Supervisor. Joint Health and Safety Committee

The Joint Health and Safety Committee may review the Incident Investigation Reports (GF390) and may provide suggestions for corrective action and/or preventative measures. Employees Employees are required to report accidents/incidents to their Principal/Supervisor. During the investigation, employees will provide the Principal/Supervisor with information and assistance which may pertain to the accident/incident or circumstances leading to the accident/incident.

3.4 Investigation Procedures

The steps in an accident/incident investigation are simple:

- gather information - analyze - draw conclusions - make recommendations

The accident/incident investigation process will vary depending on the nature of the accident/incident. Keep an open mind to all possible causes, as preconceived notions may lead down the wrong path with significant factors left uncovered. Make notes of ideas as they occur but try to avoid drawing conclusions until all information is gathered.

For any accident, the priority is medical treatment of the injured and prevention of further injuries. When these matters are under control, the Principal/Supervisor can begin the investigation. Before attempting to gather information, examine the site and identify all witnesses.

3.4.1 Physical Evidence

Physical evidence may be subject to rapid change or obliteration. For this reason it must be recorded first. Check for the following items:

- position of injured person - equipment used - material used - safety device used - position of the appropriate guards - position of the controls of the machinery - damage to equipment

- housekeeping of area - weather conditions - lighting levels - noise levels

A sketch or photograph can be taken of the accident/incident site for further analysis later. Broken equipment, debris and samples of materials involved may be removed for further analysis by appropriate experts.

9 - 10 3.4.2 Interviewing

Interviewing the injured person and witnesses represents another source of information. This should be done as soon as practicable after the accident to ensure the information has not been influenced by others. Interview each person individually at the scene, where it is easiest to obtain a description of the events or in the peace and quiet of an office, where there will be fewer distractions.

It is important to conduct the interview with the witnesses (injured person), in as calm an environment as possible. To assist in establishing a good rapport with the person being interviewed and whose own words you want for the description, here are some Dos and Don'ts:

Do - put the person, who may be upset, at ease

- emphasize the real reason for the investigation - let the person talk - confirm that the statement is correct - make short notes only during the interview

Don't - intimidate the person

- interrupt - prompt - ask leading questions - show your emotions - make lengthy notes while the person is talking.

The actual questions you ask the person will vary with each accident/incident, but there are some general questions that should be asked:

1. Where were you at the time of the accident/incident? 2. What were you doing at the time of the accident/incident? 3. What did you see or hear? 4. What were the environmental conditions (weather, light, noise etc.) at the time? 5. What was the injured person doing at the time? 6. In your opinion, what caused the accident/incident? 7. How might similar accidents/incidents be prevented?

If you were not at the scene at the time, questions are the most straightforward approach to establish what happened. Care must be taken to assess the credibility of any statement made in the interviews. Answers to the first two suggested questions will give an indication of how well the witness was able to observe what happened. An additional technique sometimes used to determine the sequence of events is to replay them as they occurred. Obviously, great care must be taken so that further injury or damage is not incurred. A witness (usually the injured employee) is asked to re-enact in slow motion his/her actions which preceded the accident.

3.4.3 Accident/Incident Causation Analysis

It is important to analyze an accident/incident to determine what cause or reason existed for the accident/incident to have occurred. In the most seemingly straightforward accident/incident, seldom, if ever, is there only a single cause. To ensure that an effective accident/incident investigation is done it is important to look at all five key elements - Tasks, Materials, Environment, Personal and Management.

9 - 11 TASK Review the actual work procedure being used at the time of the accident/incident. Look for answers to questions such as:

1. Was a safe work procedure used? 2. Had conditions changed to make the normal procedures unsafe? 3. Were the appropriate tools, materials available? 4. Were they used? 5. Were safety devices working properly? 6. Was lockout used when necessary?

For most of these questions, a vital subsequent question is "If not, why not?" MATERIAL To seek out possible causes brought about by the equipment and materials used, ask:

1. Was there an equipment failure? 2. What caused it to fail? 3. Was the equipment poorly designed? 4. Were hazardous substances involved? 5. Were they clearly identified? 6. Was a less hazardous alternative substance possible and available? 7. Was the raw material substandard in some way? 8. Should personal protective equipment have been used? 9. Was it used?

Again, each time the answer reveals an unsafe condition, ask why this situation was allowed to exist. ENVIRONMENT The physical environments, and especially sudden changes to that environment, are factors which need to be identified. Note that it is the situation at the time of the accident/incident that is important. For example:

1. What were the weather conditions? 2. Was poor housekeeping a problem? 3. Was it too hot or too cold? 4. Was noise a problem? 5. Was there adequate light? 6. Were toxic gases, dust, fumes present?

MATERIAL

TASK ENVIRONMENT

MANAGEMENT

PERSONAL

9 - 12 PERSONAL The physical and mental condition of those directly involved in the accident/incident must be explored. Bear in mind that you are not investigating the accident/incident so that blame can be laid against someone; but your inquiry would not be complete unless you consider personal characteristics. Some factors will be more permanent; others may vary from day to day:

1. Were employees experienced in the work being done? 2. Had they been adequately trained? 3. Were they physically capable? 4. What was the status of their health? 5. Were they under stress (work or personal)?

MANAGEMENT

Management holds the legal responsibility for the safety of the workplace and therefore the role of the Supervisor and higher management must always be considered in an accident/incident investigation. Answers to any of the preceding questions logically lead to further questions such as:

1. Were safety rules in effect? 2. Were they being enforced? 3. Was adequate supervision given? 4. Had hazards been previously identified? 5. Had procedures been developed to overcome them? 6. Were unsafe conditions corrected? 7. Was regular maintenance of equipment carried out? 8. Were regular safety inspections carried out?

Using this model as guide in accident/incident investigation prevents looking at facts in isolation and assists in trying to uncover all possible causes. While this checklist is only a sample of questions, other more pertinent questions can be asked to better focus on the true root cause. After analyzing the causes it is suggested you go back through the accident/incident step-by-step from the moment of the occurrence, listing the causes as they happened in each step. Note whether your conclusions are supported by direct evidence (physical or documented) or based on eyewitness accounts, or if it is based on assumptions. This serves as a final check on discrepancies which should be explained or eliminated. 3.4.4 Recommendations The final step is to come up with well considered recommendations designed to prevent recurrences of similar accidents/incidents. Make the recommendations as exact and specific as possible to address the causes found in the analysis.

DUFFERIN-PEEL CATHOLIC DISTRICT SCHOOL BOARDINCIDENT INVESTIGATION REPORT

(To Be Completed by SupervisorlDesignate)

A. INJURED EMPLOYEE IDENTIFICATION (FAX THIS FORM WITHIN 24 HRS TO THE BENEFITS DEPARTMENT. 905-890.0421)

1. LAST NAME 2. FIRST NAME 3. WORK LOCATION 4, PRESENT OCCUPATION / YRS 5. DATE OF EMPLOYMENT ID M V

ADDRESS (NO., STREET, APT.) CITYITOWN PROVINCE POSTAL CODE

6. EMPLOYEE # 7. EMPLOYEE HOME PHONE # 8. Full Time LI 9. NAME OF IMMEDIATE SUPERVISORPart Time LIOccasional LI

AFFILLATION: LI JHSC (Secondary Teacher) LI JHSC (CAMEO ) CUPEI4B3/2026/APSSP’Mid Management/ERWs & DECEs OPSEU(LI JHSC (Elementary Teacher/Occasional Teacher)

B. INCIDENT DESCRIPTION Sequence ol events leading to the incident be specifrct

10. INCIDENT LOCATION 11. DATE AND TIME OF INCIDENT 12. DATE AND TIME REPORTED 13. INCIDENT REPORTED TODAM LIPM LIAM LIPM WHOM

14. NAME OF WITNESS(ES) OR PERSON(S) 15. RESULT OF INCIDENT (SEE OVER) 16. NAME, ADDRESS, & TELEPHONE # OFHAVING KNOWLEDGE OF INCIDENT LI First Axi LI Medical Aid PHYSICIAN

C Hazardous Situation LI Lost Time

Date of injury Date of visit

17. DESCRIBE THE WORKERS’ ACTIVITIES AT THE TIME OF INJURY/DISEASE, INCLUDE DETAILS OF EQUIPMENT OR MATERALS USED ANDTHE SIZE AND WEIGHT OF OBJECT BEING HANDLED:

18a. TYPE OF INCIDENT (check appropriate box - see over) 18b. TYPE OF VIOLENT INCIDENT (see over for detinition)LI Contact with student (striking. LI Caught in on or between LI Verbal threat C E-mail threat

kicking. biting. etc). LI Slip/Fall C Other written threat LI Phone call threatmitigating factors considered LI Overexertion a Physical attack LI Attack with a weapon

LI Struck or contact by LI Exposure a Sexual violence LI Domestic violenceLI Struck against/contact with LI Violence (complete lEb also) LI Qtner iexplainiC Other (explain) DESCRIPTIONDESCRiPTION:

If a selection was made from section 18a, please complete section C. If a selection was made from section 18b, please complete section D.

19. PART OF BODY INJURED. DESCRIBE PART(S) OF BODY INJURED, INDICATING. RIGHT (R) OR LEFT (L)

DESCRIPTION:

C. INVESTIGATION OF WORK-RELATED INJURY OR INCIDENT (See section ISa above)

20. WHAT CONDITION CONTRIBUTED TO THE INCIDENT (check appropriate box and explain causes)LI Unsafe equipment LI Operating without authority LI Fire or explosionLI Unsafe design or arrangement LI Failure to secure or warn LI Student actionLI Not guarded or mproperly guarded LI Failure to use personal protective device LI Improper ventilationLI Unsafe position or posture C Hazardous personal attire LI Slippery surfaceLI Improperly labelled or dentitled C Hazardous method or procedure LI Other (explain)

EXPLANAT ON OF CAUSES.

21. ACTIONS TAKEN BY SUPERVISOR TO PREVENT RECURRENCE (check appropnate box)

LI Reinstruction of person involved LI mprove personal protective equipment LI Use Safer MaterialsLI Equipment repair or replacement LI Installation of guard or safety device LI Work Order SubmittedC Correction of congested area LI Action to improve des gnlprocedure C Ongoing support of employeeLI Other (explain) - m ligating factors considered

DESCRIBE ACTION TAKEN TO PREVENT RECURRENCE:_______________________________________________________________

* SIGNATURE OF SUPERVISOR DATE OF REPORT DAE ACTION TAKENThe Supervisor s responsibie to nvestigdte the ,Jodent. to take correct ye arbors where apnlicable to omp ate & sign the Incdent in,esrigato,r .‘heport 3rd215” civIC vi f/sir 24 hours

0. INVESTIGATION OF WORKPLACE VIOLENCE INCIDENT (See section lab above)

22. ACTIONS TAKEN BY SUPERVISOR/PRINCIPAL pinase provide deta Is and check appropr ate boxes seiciw:

LI C’ivii..atiorr aitF persons sviolsed LI PnIce F’reAmbulance Ca’ en LI Ci’ iS Resu’cns Nopf xdLI Ceso,ed at ..or,aScSodi _n’.el LI Reqisi’es Furrier lnvest.ga’.o” Act/c” LI Other Exciiai’t

C “.vvIigdSOC ma v’Oiv,v bGnd 24 hOurs

MuSIC PSi. FREEDOM OF iNFORMATION AND pRoTecTioN OF pRivacy ACT rues s- x’,ru- S S .., ‘A , ‘s’

A’,, -,, ..r,r.rr’, 3 _,r f,,.5 vj” . . ,. ‘, —‘ . . -

‘r ,“- p ‘— ‘i-’r ,4 “rs ‘- White- PrincipalSupervisor Canary — Health arid Satety Department, CEC Goldenrod EmployeeREVISED SEPTEMBER 2011 GF 390

PURPOSE OFTHE EMPLOYEE INCII)ENT REPORT:

• (‘ol lect factual data relating to the occurrence of work injury.• Collect data for completion of report to the W.S.l.13. to provide complete information on which to base a

decision for pa nient.• Collect information required for notification 01 the MOL (Ministry of Labour).• Providc a torm on which to record, investigate and take corrective action ott an incident.• Ensure that corrective action is taken to eliminate recognized causative factors.• Collect factual data to develop statistical records.• Guide the Investigator in making an effective Investigation.

TYPE OF RESULTS:

First Aid Injury - An injury of such minor nature that treatment can be carried out by First-aider.

Health Care (Medical Aid) Injury -A work related incident, which requires medical treatment but does not result inne lost front work.

hazardous Situation - An incident caused by an unsafe act, an unsafe condition or a combination of both in thework environment which could have resulted in property loss and’or physical harm.

Lost ‘lime Injury A work-related injury, which results in time, lost from work beyond the day of the injury.

TYPES OF INCIDENT / DEFINITIONS OF CODES:

Contact with student - an incident in which the employee is subject to an unwelcome or inappropriateaction by a student - mitigating factors considered. See Section 9. Accident/Incident InvestigationProcedure in the Health and Safety Manual

2. Struck or Contact By - a struck or contact by incident is one in which a person has been contacted eitherabruptly or forcefully by some object in motion, (e.g. Box falls oIl shelf, employee jabs needle into finger,person pushing cart runs into another person); or has been contacted non-forcefully by some subsiance oragent which has an injury-upon-contact characteristic, (eg. Employee is splashed by hot or corrosivesolution).

3. Struck against / contact with - a struck against / contact with incident is one in which a person contactseither abruptly and forcefully, some object in his suiToundings, (e.g. Employee strikes leg against desk.person bumps head against cupboard door); or comes into contact non-forcefully with some substance oragent capable of producing injury on the basis of mere non-forceful contact (eg. electrical shock, hot pipe,employee places hand in scalding or corrosive liquid).

4. Caught in, on or betsseen - a caught in, on. or between incident is one in which:

a) a person is trapped in some type of enclosure, or a part of a person’s body is caught fast in sonictype of opening, e.g., a person is caught in an elevator, locked into a refrigerated room, shut intosome type of vessel such as a boiler;

b) a person or some part of his clothing is caught on some protruding object, e.g.. person catches hadon a sharp edge, catches loose clothing on a revolving spindle or on some protruding object:

c) a person is pinched, crushed or otherwise caught between either a moving object and a stationaryobject or between two or more moving objects, e.g., person jams fingers between wheeled cart anddoorway, person catches arm in elevator door, jammed between loaded moving cart and a wall.

5. Slip/Fall - a fall incident can be subdivided into two categories — a foot level fall or a fall to below .A slipor a trip should also be recorded under this category. A foot level fall occurs when a person slips or trips,e.g. a person slips on a foreign matter on floor. A fall to below occurs when a person falls to below thelevel on which he was standing or walking, e.g., a person falls from a ladder, window, chair or on stairs.

a. Oxer-eertion / strain - An over-exertion, strain incident is one in which a person put cxcessie strain onsome part of his body. e.g.. employee strains his hack or some other part of his body, e.g.. an employeestrains back or some other part of hi body lifting equipment, supplies, etc.

Exposure — An exposure incident is one in s hich the employee is exposed to harmful conditions. i.e.:a) toxic gases, tiimes or vapors: b) contagious conditions:c) e’streiues of heat or cold: d) oxs gen dctic tent atmospheres:e) radioactive radiation: 1) intense light brightness.

x. Workplace Violence titeans:• I he exercise of physical force by a person againsi a sorker. in a sorkplace. that causes or could causephysical injury to the worker• An attempt to exercise physical force against a worker, in a workplace, that could cause physical injury tothe worker• A statement or hehas iour that it is re:isonahle for a worker io interpret as a threat to exercise ph\ sicalforce against the sorkcr, in a workplace. that could cause physical iniuru to the n orker.

1-or furt.her Duftdrin—Peei Catholic District School Board procedural infonnation on. Accidents i.ncident.s it on rrtr to St 0 ot on. I leclth md S. r .1 ul