Medical Staff Portal
Corporate Services

OHS Program

The Covenant Health Occupational Health and Safety Program promotes a safe and healthy working environment. It includes legislative requirements and uses established best practices as the standard for achievement.

The program covers all matters that may have an effect on the health and safety of employees during the performance of their duties.

It includes the following seven elements:


The Covenant Health Occupational Health and Safety Program is a comprehensive approach to health and safety that involves management and employees and identifies problem areas and potential solutions.  The Covenant Health Occupational Health and Safety Program integrates best practices in Occupational Health and Safety (OHS) for employees, physicians, contractors and volunteers which systematically eliminates or mitigates workplace hazards and risks, and has ZERO Harm as its goal.

This section includes; the President Message towards Occupational Health and Safety, the Covenant Health – Occupational Health and Safety Policy, Program Requirements (Standards and Guidelines) and the Covenant Health – Program Elements and Components.

Details on Covenant Health’s OHS Program can be found in this document: Introduction to the Program 


Health & Safety Policy (II-130)  

President's Message

For additional resources, click here.

Element 1: OH&S Management

OHS responsibilities among Covenant Health facilities and departments are inter-related, and sites work together in the development, implementation and delivery of the Covenant Health OHS Program.  However, each site, department and employee of Covenant Health has specific responsibilities and accountability for health and safety.

The responsibilities are assigned based upon which position or function is ultimately accountable for them.   Activities that contribute to completing a responsibility may be assigned to employee positions.

By assigning health and safety responsibilities, Covenant Health promotes a culture that values health and safety in work activities and workplaces.

This document assigns health and safety responsibilities and authorities to all positions within the organizational framework of Covenant Health, including the representatives of the various applicable collective bargaining units:

Element 1: Management, Leadership, and Commitment 


Joint Work-Site Health & Safety Committee Bulletin 

Joint Work-Site Health & Safety Committee Minutes

JWHS Committee Terms of Reference Template

For additional resources, click here.

Element 2: Hazard Management

A hazard is a condition or behavior that has the potential to cause an injury, illness, or loss. A hazard assessment is a standard documented process to identify health and safety hazards and evaluate the risk associated with job tasks. It includes a method to determine risk for prioritizing health and safety hazards.

Hazard controls are measures that are implemented to eliminate or reduce the risk of hazards. If an existing or potential hazard to employees is identified during a hazard assessment, the manager must take measures to eliminate or control the hazard.

This document provides details on Covenant Health's Hazard Management process:

Element 2 - Hazard Management

Best Practice for Assessment and Control

Vol 1 - Overview of Best Practices in OHS in the Healthcare Industry

Vol 2 - Control of Biological Hazards

Vol 3 - Control of Chemical Hazards

Vol 4 - Control of Physical Hazards

Vol 5 - Control of Psychological Hazards


Hazard Assessment (Template)

Hazard Assessment Process Guide

Hazard Assessment Job/Task Inventory Sheet (Template)

Emergency Washing Equipment Assessment (Eye Wash/Shower)

Footwear Hazard Assessment Form

Workplace Violence Hazard Assessment Checklist

Workplace Violence Hazard Control Form

For additional resources, click here.

Element 3: Workplace Inspections

An inspection is a planned, systematic evaluation or examination of an operation, activity or workplace that checks or tests against established standards to identify hazards and to recommend corrective measures.

Occupational health and safety inspections are the principal means of identifying potential incident causes.   Inspections help to achieve the following outcomes:

  • They determine the safeguards necessary to protect against hazards before incidents and personal injury occur.
  • They monitor the use and effectiveness of hazard controls and best practices.
  • They monitor compliance with regulations and standards.
  • They demonstrate management commitment to employee health and safety.
  • They promote health and safety with employees.

This document provides details on Covenant Health’s Workplace Inspection process:

Element 3 - Workplace Inspection Process 


Workplace Inspection Checklist (Part 1) 

Workplace Inspection Form (Part 2)

For additional resources, click here

Element 4: Qualifications, Orientation & Training

Employees who carry out tasks on behalf of Covenant Health must be competent to do so. Competence helps to prevent incidents that may result in injury or some form of property damage from occurring.

To improve an employee’s retention of essential health and safety knowledge, training is best accomplished in a staged approach.  Training starts with orientation at commencement of employment or reassignment and progresses to job-specific health and safety training before beginning tasks.

Planned and/or completed training is to be included in the training and development component of employee, supervisor and manager performance reviews.

This document provides details on Covenant Health’s Qualifications, Orientation and Training process:

Element 4 - Qualifications, Orientation, and Training Process.


Departmental Orientation Checklist.

For additional resources, click here.

Element 5: Emergency Disaster Management

Planning ahead is essential to an effective and efficient emergency response. The purpose of Emergency Disaster Response plans is to prevent injury and to minimize property damage in an emergency. Emergency response plans also minimize workplace disruptions and facilitate the continuity of operations in a timely and effective manner after an event.

Emergency response plans provide instruction on how to respond appropriately to emergencies that may affect the workplace. This element has been designed to work in conjunction with the Emergency Disaster Response Manual.

This document provides details on Covenant Health’s Emergency Disaster Management process:

Element 5 - Emergency Disaster Management 

Element 6: Incident Management

When an incident/injury or illness occur at a workplace it is essential for employees, supervisors, and managers to co-operate and address the incident in an appropriate manner.

It is crucial that there is a system in place to respond to and manage such events. This system is to help managers, supervisors, and employees do everything that is reasonably practicable to prevent a similar incident from recurring.

Within the Covenant Health Occupational Health and Safety Program, the incident management system is addressed in two components of this element:

  • Incident Reporting
  • Incident Investigation

This document provides details on Covenant Health’s Incident Management Process:

Element 6 - Incident Management


Work-Related Incident, Injury, & Illness Policy (II-135)  

Employee Incident, Injury & Illness Tip Sheet for Managers

Injured at Work - Employee Reporting Poster 


Employee Incident/Injury Reporting and Investigation Form

For additional resources, click here

Element 7: Program Evaluation

The operation of Covenant Health OHS Program needs continuous evaluation in order to improve health and safety at the workplace. Formal methods exist for such an evaluation and to provide recommendations for change.

Formal evaluations accomplish the following:

  • Reinforce management commitment to the health and safety of employees.
  • Reinforce management leadership for continuous improvement in health and safety.
  • Confirm that Covenant Health OHS Program standard requirements are met and standard processes are followed.
  • Identify the strengths and the opportunities for improvement in health and safety at the workplace.
  • Promote acceptance of health and safety responsibilities, goals and plans.
  • Promote a health and safety culture that engages employees in the continuous goal towards ZERO Harm.

This document provides details on Covenant Health’s Program Administration process:

Element 7 - Program Administration


For COR Audits, forms, posters, etc visit our Resources page.