Maritime Occupational Health and Safety Regulations (SOR/2010-120)

112 Emergency medical and dental care while employees are on board a vessel or landed in a foreign port must be provided free of charge.

Medical Care Ashore

113 Measures must be taken to ensure that employees have access, when in port, to

• (a) outpatient treatment for injury and illness;

• (b) hospitalization when necessary; and

• (c) dental treatment.

First Aid Kit, Medicine Chest, Medical Equipment and Medical Guide

• 114 (1) The employer must provide and maintain for a work place set out in column 1 of Table 1 to this section the type of first aid kit set out in column 2 and a medical guide.

• (2) The first aid kit and its contents, as well as the medical equipment and medical guide carried on board a vessel, must be properly maintained and inspected at regular intervals of not more than 12 months, by a qualified person to ensure that supplies and equipment are properly stored and labelled with directions for their use and their expiry date, that all equipment functions as required and that all supplies have not reached or exceeded their expiry dates and are not set to expire before to the next scheduled inspection date.

• (3) Every first aid kit must be

  • (a) accessible when an employee is on board the vessel; and

  • (b) clearly identified by a conspicuous sign.

• (4) A first aid kit must contain the supplies and equipment set out in column 1 of Table 2 to this section in the applicable quantities set out in column 2.

  	Column 1	Column 2
  Item	Work Place	Type of First Aid Kit
  1	On a vessel with
  	(a) 1 to 5 employees	A
  	(b) 6 to 19 employees	B
  	(c) 20 to 49 employees	C
  	(d) more than 50 employees	D
  2	At a detached work place	E

  	Column 1	Column 2
  		Type of First Aid Kit
  		A	B	C	D	E
  Item	Supplies and Equipment	Quantity per Type of First Aid Kit
  1	Antiseptic-wound solution, 60 mL or antiseptic swabs (10-pack)	1	2	3	6	1
  2	Applicator-disposable (10-pack) [not needed if antiseptic swabs used]	1	2	4	8	–
  3	Bag-disposable, waterproof, emesis	1	2	2	4	–
  4	Bandage-adhesive strips	12	100	200	400	6
  5	Gauze, Roll 2.5 cm × 10 m	2	6	8	12	–
  6	Bandage-triangular-100 cm folded and 2 pins	2	4	6	8	1
  7	Container-First Aid Kit	1	1	1	1	1
  8	Dressing-compress, sterile 7.5 cm × 12 cm approximately	2	4	8	12	–
  9	Dressing-gauze, sterile 10.4 cm × 10.4 cm approximately	4	8	12	18	2
  10	Forceps-splinter	1	1	1	1	–
  11	Manual-First Aid, English — current edition	1	1	1	1	–
  12	Manual-First Aid, French –– current edition	1	1	1	1	–
  13	Pad with shield or tape for eye	1	1	2	4	1
  14	Record-First Aid (section 119)	1	1	1	1	1
  15	Scissors — 10 cm	1	1	1	1	1
  16	Tape-adhesive, surgical 1.2 cm × 4.6 m (not needed if ties attached to dressings)	1	1	2	3	–
  17	Penlight	–	–	1	1	–
  18	Antipruritic lotion 30 ml or swabs (10 packs)	1	1	1	2	–
  19	Bandage-elastic 7.5 cm × 5 m	–	–	1	2	–
  20	Blanket-emergency, pocket size	–	–	–	–	1
  21	Dressing-burn, sterile, 10 cm × 10 cm	1	1	2	2	–
  22	Dressing-burn, sterile, 20 cm × 20 cm	–	–	1	1	–
  23	Hand cleanser or cleaning towelettes, 1 pack	1	1	1	1	–
  24	Malleable splint set with padding	–	1	1	1	–
  25	Stretcher	–	–	1	1	–
  26	Gloves, disposable examination non-latex (pr)	5	10	20	30	5
  27	Mask, barrier device for mouth to mouth resuscitation	1	1	2	3	1
  28	Tongue depressor, disposable	5	5	10	10	–

• 115 (1) Every vessel that is engaged on an unlimited voyage, a near coastal voyage, Class 1 or an international voyage of more than three days’ duration, other than an inland voyage, must carry a medicine chest, medical equipment and the most recent edition of the International Medical Guide for Ships, published by the World Health Organization.

• (2) The medicine chest and its contents, as well as the medical equipment and the International Medical Guide for Ships must be properly maintained and inspected at regular intervals of not more than 12 months by a qualified person to ensure that supplies and medicines are properly stored and labelled with directions for their use and their expiry date, that all equipment functions as required and that all supplies and medicines have not reached or exceeded their expiry dates and are not set to expire before the next scheduled inspection date.

• (3) Every medicine chest must be

  • (a) accessible when an employee is on board the vessel; and

  • (b) clearly identified by a conspicuous sign.

• (4) The employer must provide and maintain a medicine chest with supplies and medicine in accordance with the recommendations of the most recent version of the International Medical Guide for Ships, taking into consideration the particulars of the intended voyage.

116 If a hazard of skin or eye injury from a hazardous substance exists in a work place, shower facilities to wash the skin and eye wash facilities to irrigate the eyes must be provided for immediate use by employees or, if it is not feasible to do so, portable equipment must be provided.

Transportation

117 Before assigning employees to a detached work place, the employer must provide them with the following for that work place:

• (a) suitable means of transporting an injured employee to the vessel, a medical facility or a hospital;

• (b) a person who holds a first aid certificate to accompany an injured employee and to render first aid in transit if required; and

• (c) a means of communication between the detached work place and the vessel.

Posting of Information

• 118 (1) Subject to subsection (2), an employer must post and keep posted in a conspicuous place accessible to every employee on board a vessel

  • (a) a description of the first aid to be rendered for any injury, disabling injury or illness; and

  • (b) information regarding the location of medicine chests.

• (2) At a detached work place, the information referred to in subsection (1) must be kept inside the first aid kit referred to in section 114.

Records

• 119 (1) If an injured or ill employee reports for first aid to a person in accordance with section 110 or if a person who holds a first aid certificate renders first aid to an employee, the person must

  • (a) enter in a first aid record the following information:

    • (i) the date and time of the reporting of the injury, disabling injury or illness,

    • (ii) the full name of the injured or ill employee,

    • (iii) the date, time and location of the occurrence of the injury, disabling injury or illness,

    • (iv) a brief description of the injury, disabling injury or illness,

    • (v) a brief description of the first aid rendered, if any, and

    • (vi) a brief description of arrangements made for the treatment or transportation of the injured or ill employee; and

  • (b) sign the first aid record beneath the information entered in accordance with paragraph (a).

• (2) The employer must keep a first aid record for a period of two years after the day on which information is entered in it.

PART 7Hazard Prevention Program

Development

120 The employer must, in consultation with and with the participation of the policy committee, or, if there is no policy committee, the work place committee or the health and safety representative, develop, implement and monitor a program for the prevention of hazards, including ergonomics-related hazards, in the work place that is appropriate to the size of the work place and the nature of the hazards and that includes the following components:

• (a) an implementation plan;

• (b) a hazard identification and assessment methodology;

• (c) hazard identification and assessment;

• (d) preventive measures;

• (e) employee training; and

• (f) a program evaluation.

Implementation Plan

• 121 (1) The employer must

  • (a) develop an implementation plan that specifies the time frame for each phase of the development and implementation of the prevention program;

  • (b) monitor the progress of the implementation of the preventive measures; and

  • (c) review the time frame of the implementation plan regularly and, if necessary, revise it.

• (2) In implementing the prevention program, the employer must ensure, if feasible, that ergonomics-related hazards are identified and assessed and that they are eliminated or reduced, as required by subsection 124(1), and that any person assigned to identify and assess ergonomics-related hazards has the necessary instructions and training.