Ministry
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FieldVisitReport
Occupotionol
Heolth ond Sofety
Poge I of 8
OHSCoselD: 03232HTBV3l8
FieldVisitno: O3232HTHR336
VisiiDote: 2014-NOV-03
FieldVisitType: FOttOW-UP
Workplocetdentificotion:TORONTOEASTGENERALHOSPITAL
N oti ce lD:
AVENUE, EASTYORK, ON , C A N A D A M4C 3E 7
825 COXWETL
Te l eohone:
(41 6) 461-8272
W ork Force #:
J H SCSto tu s :
Active
Com plet ed %:
3000
NARRATIVE
Pe rs onsCont oc t ed: SEEDETAITED
E B O T AP R E P A R E D N E S S
VisitPurpose:
VisitLocotion:
EMERGENCY
DEPARTMENT
AND COREI.ABORATORY
VisitSummory:
O R D E RISS S U ETDOT H EE M P T O Y E R
Deloiled Norrolive:
l n spec t orM oc Leon o tte n d e d T o ro n toEo s tG e n e rol H osoi tolon October 27,2014to conduct o oroocti ve
i n sp ec t ionin r elot io nto E b o l o p re p o re d n e s s .
Wo rkploc epor t iesc o n to c te d i n c l u d e d :S h e i l oSormon (H & S ),R oseD i Leo(W orkerJH S Cmember), A ndrex Lee
(Mo n oger Lob) ,A m o n d o S to g g (l C P),Ke v i nE d m onson(Monoger E R ),Mi choel A mpom {H & S ),R uby Qui omboo
(R N,E R) Leeonn
r ),C h e ry l N el sorrl sogh(C l i ni colE ducotorE R,Zaffor
,
Lo p i e rre(S u p e rv i s oER
)
K hon (Foci l i ti es
Su p e r v is or )Nic
, ole W o l te rs(R N -ERL),u c y An nH o ri mon(P orter),Li soMohomed (Lob Techni ci on),Mori o R i zzo
(L o b T ec hnic ion- S e n i o rML T ),G l e n d o H o rtl y(L o b Techni ci on),D r.Jeff P ow i s(IP A CA nti mi crobi olS tew ordship
Di rec ior ) .
Pu b l icHeolt hO nt ori o (PH O )h o s d e v e l o p e d o n d m ode ovoi l obl e gui donce moteri olfor H eol i h core foci l i ti e s
wh i c h inc ludest he b e s i o v o i l o b l e e v i d e n c e o n h ow to deol w i th coses(or suspectedcoses)of E bol o V i rus
D i seos e( E V D) .A t ih e ti me o f th i si n s p e c ti o nth e fol l ow i ngdocuments ore bei ng referenced:E bol o V i rus
D i seos e( E V D)I nier i mSo mp l e C o l l e c ti o no n d S u b mi ssi on
Gui de, October 20,2014;D eci si ongui de on sel ection
o f Per s onolP r ot ec ti v eE q u i p me n tfo r Eb o l oVi ru sDi seose- l sol oti onGow ns or S ui tes(October 14,2014);E bol o
.l 990,
Vi ru sDis eos eDir ec t i v e# I l s s u e du n d e r Se c ti o n7 7 .7of the H eol th P rotecti onond P romoti onA ct, R .S .O.
c.
) t he C h i e f Me d i c o l O ffi c e r o f H e o l th(C MOH ).
H .Z(" HP P A "by
At th e iim e of t hisr e p o rt i h e re h q v e b e e n n o c o n fi rmed cosesof E V Di n Ontori o,how ever the heol thcore
syste mm us t r em oin v i g i l o n to n d o s s e s so n y p o ti e nt thot presentsto the w orkpl oce w i th symptomsond
tro ve l/ c ont oc t his t o ryth o t m o y b e s u g g e s ti v eo f Vi rolH emorrhogi cFeveri ncl udi ng E V D .
Th e foc us of t hisinsp e c ti o nw o s i n fe c ti o n p re v e n ti onond control os i t rel otesto E V Dpreporednessw i th on
e mp h os ison or eosm o s t l i k e l yto b e i m p o c te d b y the presentoti onof o suspectcose of E V Dw hi ch i ncl uded
th e Em er genc ydep o rtme n t o n d C o re L o b o ro to r y.
MEASURE
AS
NDPROCEDURE
RA F E T Y
FS
O RW O R K E S
Recipient
,l
Nome
/*lt
* /o
Title
InspectorDoto
JEANETTE
MACLEAN
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
5001Yonge Street,Suite I600
North York,ON, M7A 0A3
Title
Tel: 647-777 -5078
tox: 647-777 -5O14
Signolure
You ore required .l.rdler lhe Ocy'poiionol
WorkerRepresentotive
---Jl)
*i:c I
\
J), L( , '
( - tt ' r ' rr; * , ' ' - i ( ' ( . ' , ' tt ? ' , Y ' i i ' '
Signolure
Heo{rh ond Sofety Acl lo
of this report in o conspicuous pioce ol the workploce
ond provide o copy to the heoith ond sofety
representoliveor ihe joint heolffond sofely commitlee if ony. Foilure
rlywith on order, decisionor requirementof on inspectorison offence under Seclion 66 of the
Occupotionol Heolth ond Sofety Act. You hove the right to oppeol
or decisionwithin30 doys of the dote of the order issuedond to request suspensionof the order or decision
by ning youroppeolond reqLren n wiling on lheopp
conloci the Board by phone oi(al6)3267500q
l{77 339 3335 (lo rree), moi or by webile oi hllp://www.ollb.gov.on.colenglish/homepoge-htm ror mo.e tnlormot on
69040
.$ace
Al lfuarki,jir,.,,
,ohs
,n
Ontario
FieldVisitReport
Occupotionol
Heolth ond Sofety
Poge 2 ol 8
,SCoselD: 03232HTBV3I8
VisiiDote 2014-NOV-03
eld Visiino: 03232HTHR336
Norkplocetdentificotion:
HOSPITAL
TORONTOEASTGENERAT
Fi el dV i si iType: FOLLOW -UP
N oti ce l D :
8 2 5 C OX WE L TAV EN U E, E A S TY OR K , ON , C A N A D A M4C 3E 7
It is importont to note thot the Ebolo VirusDiseoseDireciive issuedby the CMOH wos revised os of October 30,
2 0 1 4 . l t is ex pec t ed t h o i g u i d o n c e mo te ri o lm o y b e revi sedos new i nformoti onor i nsi ghti s goi ned regordi ng
EVD.All workploce porties musi be owore ihot meosuresond procedures must be revisedin light of current
kn o wl e dge ond pr oc t i c e s .
The employer provided o number of documents for review including the following:Mosk Fittesting records for
th e Em er genc yDepo rtme n t;Q P E7 0 0 2
C o n ti n u i n gE ducoti onA ttendonce Log for i he Loborotorydoi ed
; rolH emorrhogi cFever(V H F)P ol i cyond P roceduredoted
Oci o b er 6 & 22, 2014re : D o n n i n g o n d D o ffi n g P PEVi
Octo b e r 25, 2014( wh i c h i n c l u d e sE VD );IEGH- H i g h R i skl sol oi i onP rotocol(D onni ngond D offi ng of P ersonol
for P roper
Pro te c t iv eE quipm en t);T ro i th
n e tro i n e r(n T ) E d u c oi i onfor H i gh R i skP recouti ons;l nstructi ons
TS M340lS peci men
cl e o n ing m et hods f or l T l T e l e c o m m& B i o me d Eq u i p ment;S i gnogefor H i gh R i skP recouti ons;
Ho n d l ing- V ir olHem o rrh o g i c" F e v e r- i n - h o u s eT e s ti ng"
doted October 27,2014;ond emoi l sre: JH S C
co n su lt ot ion.
Al l p o l ic iesond pr oc e d u re sre l o i e d to EV Dw e re re c entl yrevi sedi n October 2014.The i H S C hos hod on
o p p o rtunit yt o c ons ul to n th e d e v e l o p m e n t o n d re vi si ons
of the meosuresond proceduresos evi dent i n
sp e o ki ngwit h o J HS Cw o rk e r m e m b e r o n d e mo i l c o rrespondenceprovi ded by the empl oyer.
The employer is reminded thot meosuresond procedures reloted to worker heolth ond sofety must be
d e ve l o ped ond im ple m e n te d i n c o n s u l to ti o nw i th the j oi nt heol th ond sofetycommi ttee i n occordonce w i th
th e Heolt hCor e ond R e s i d e n ti oFl o c i l i ti e R
secti onB .The empl oyer must ensurethot
s e g u l o i i on(O.R eg67193)
th e re i s J HS Cc ons ulto ti o nre l o te d to me o s u re so n d oroceduresfor w orker sofetvrel oted i o E V D .
E M E R G E N CDYE P A R T M E-NETN T RA
YN D T R I A G E
Up o n e nt r y t o t he em e rg e n c y d e p o ri me n t (E D )s i g noge rel oted to poti entsw ho moy hove symptomsof i l l ness
i s re o d ilyoppor ent . S u p p l i e so f o l c o h o l b o s e d h o n d soni ti zerond procedurol mosksore ovoi l obl e for use by
potients ond otherswho moy presentwith such symptoms.
Screeningprocedures hove been estoblishedfor potients with signs/symptomsof illnessond historyof irovel.
The current olertsreloted fo trovel ore oosted oi the entronce of the ED ond in the triooe oreo.
At th e e nt r onc e of t he E D ,o c l e rk i s s to ti o n e dw i th i n on encl osed borri erthot ol l ow s,orl otrnuni coti on w i th
th e p u b lic t hr ough on e l e c tro n i cd e v i c e . T h e c l e rk dons gl ovesw hen hondl i ng documents to regi stero poti ent
before entry into the ED.The worker wos oble to provide o detoiled descriptionof ihe procedure thot would
be followed in the event o potient presenled with o positivetrovel hisioryond sympioms suggesiive of EVD.
Recipient
Nome
InsoectorDolo
JEANEITE
MACTEAN
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
P R O V I N C I AO
L F F E N C EOSF F I C E R
.l600
5001Yonqe Street,Suite
North York,ON, M7A 0A3
lel: 647-777 -5078
Fox:647-777 -5O14
Title
Signoture
Signotur
Y o i . ro r e r e q u ; r e d u n d e r t h e O c c u p o t i o n o l
Heollh ono Sofety Aci to post
representolive or the joint heollh ond sofely commitlee if ony. Foilure to
{e hg-t"""^-
Worker Representotive
Title
sisnoture
{'r\
of this repod in o consp;cuorJs proce o+ tne worKploce ond prov,oe o copy to the heotth crro sofety
wilh on order, decisicn or requirement of on inspecior is on offence under Seclion 66 of ihe
Occr,potionor Heotlh ond Sofety Aci. You hove rhe right 10 oppeol ony
or decisionwithin30 doys of the dqle of ihe order issuedond to requesl suspensionof the order or decision
by filingyour oppeol ond requesl in writingon the oppropriote formswith 1 Ontorio Lobour RelotionsBoord,505 UniversiiyAve., 2nd Floor,Toronto,Onlorio M5G 2PI . You moy olso
+he
contocl
Boord by phone ol {416) 32G75OAor 1-877-339-3335
(tollf ree), moil or by website ol http://www.olrb.gov.on.colenglish/homepoge.htm
for more informction.
59040
$fffs frt Wark *iiiiri
rons
Fontario
Occupotionol
Heolth ond Sofety
FieldVisitReport
Poge 3 of 8
6 CoselD: 03232HT8V318
,eldVisitno: 03232HTHR336
VisitDote: 2014-NOV-03
Workploce/denfificotion:
TORONTOEASTGENERAL
HOSPITAI
FieldVisitType: FOLLOW-UP
NoticelD:
8 2 5 C O X WE L LAV EN U E, E A S TY OR K , ON , C A N A D A M4C 3E 7
On ce the pot ient pr o c e e d s th ro u g h s c re e n i n g th
, e tri oge nursew oul d be ol erted.A fter donni ng the requi red
PPEwould t hen es c or f th e s u s p e c tp o ti e n t to th e d esi gnotedA i rborneInfecti onl sol oti onR oom (A l l R ).l t w os
o b se rv edin t he ir ioge o re o th e re c o mme n d e d PP Ew os not reodi l yovoi l obl e.Onl y one ki t contoi ni ng o gow n
o n d o p r on wos ov oilo b l e .A ro n d o m s e l e c ti o no f P PEw os ovoi l obl e but not eosi l yoccessi bl e.Forw orkers
p ro vi dingdir ec t c or e to o p o ti e n t w i th s u s p e c tEV Do cori contoi ni ng the requi red P P Ew os stoti oned outsi de
th e Al lRin t he r es us c i to ti o no re o . T h e m o s i re c e n t d i recti verequi resheol th core provi dersof ri skof exposureto
o su spec tc os e of E V Do n d /o r th e i r e n v i ro n m e n tu se the fol l ow i ngP P Efi. t tested N 95respi rotor,goggl es,foce
shield,full body borrier protection, double gloves.The employer is to ensure thot PPErequired io be worn by
wo rke r swho c ould be e x p o s e d to o s u s p e c tEV Dc ose i s reodi l yovoi l obl e i n suffi ci entquonti ti esond i n o
voriety of sizes.An order is issuedto the employer.
Th e e m ploy eris ex peri e n c i n gc h o l l e n g e si n s e c u ri ngo suffi ci entsuppl yof personolprotecti ve equi pment
) i th o hood. A t presentthe empl oyer
i n cl u dingt he r ec om me n d e d p o w e re d o i r-p u ri fy i n respi
g
roi or(P A P Rw
does not hove PAPR's
ond no worker hos been troined on the use of thisproiective equipment. The employer
h o s i d e nt if iedin ihe EV Dm e o s u re so n d p ro c e d u re sthot oerosolgeneroti ng medi col procedures(A GMP s)must
b e o vo ided wit h t he e x c e p ti o n o f i n tu b o ti o n ,m o n u ol venti l oti onor cordi opul monoryresusci toti on(C P R ).W he n
these AGMPsore being performed the worker must weor o Powered Air PurifyingRespirotor.The employer is to
e n su ret hot P P Er equi re d to b e w o rn b y w o rk e rsi s re odi l yovoi l obl e ond w orkersw ho ore requi red to w eor or
u se o n y pr ot ec t iv e eq u i p me n t b e i n s tru c te do n d tr oi ned i n i tsuse,core ond l i mi toti onsbefore w eori ng or usi ng
if for the firsttime ond of regulor intervolsthereofter.
Th e e m ploy er is wor k i n g d i l i g e n tl yi n p ro v i d i n gi n s tructi onond troi ni ngto w orkersw ho moy come i n contoct
with or provide core for o suspect EVDcose however not oll workershove received instructionond troining.
Th e e m ploy er hos ide n i i fi e d th o t o n l y th o s e w h o o re troi ned,tested ond dri l l edon hozords,protecti onsond
e q u i p m ent s hould pr o v i d e c o re . In s p e o k i n gw i th workersduri ng thi si nspecti oni t w os i denti fi edthot w orkers
who would be required to provide core ond/or tronsportlob specimens of suspect EVDcoses hod not
re ce i v ed s uf f ic iented u c o ti o n o n d tro i n i n g .l t i s re q ui redthot ony w orker thot encountersthe hozord of
e xp o su r et o o pot ient w i th (o r s u s p e c te dw i th ) EV Dos port of thei rw ork must be provi ded i nformcti on,
instructionond supervisionnecessoryto proiect themselvesond other workers.An order is issuedto ihe
e mp roy er .
Th ei n s t r uc lionpr ov id e d re l o te d to th e me o s u re sto protect w orkersshoul dbe oppropri ote to the noture ond
type of work performed by o worker ond moy oddressissuessuch os signs,symptomsond screening criterio to
b e u sed,t he not ur e o f E VDo n d h o w i i i s tro n s mi ti ed,how i sol oti onprecouti onsore oppl i ed, poi nt of core ri sk
o sse ssm ent
ond whot PP Ei s re q u i re dw h e n p ro v i d i ngcore to poti ents.
Recipienl
InspectorDoto
MACTEAN
JEANETTE
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
5001Yonqe Street,Suite 1600
Nome
l.lorthYork,ON, M7A 0A3
Tel: 647-777 -5078
Title
WorkerReoresentotive
Title
tox: 647-777 -5014
Signolure
Yo,
r cre
rearrireai
Signot
. rnrJar
l hI c v
C
v v) evev H vr i. ,nvn t i a n a l
Ha^if
h
va n' d , v
(nfatv
Jv,e,
y ^Aea ,l
trnv
Signoture
of ihis reporl in o conspicuous ploce ot the workploce
ond provide o copy io lhe heollh ond sofely,
representoliveor the joint heolfh ond sofeiy committee if ony. Foilurel
with on order, decision or requirement of on inspeclor is on offence under Sectlon 66 of the
occUpo|ioholHeo]1hond5oie|yAci.YoUhoveihen9h]looppeo|on),oide/ordecisionwijh|ndoysofjhe
byfi|jngyoUroppeo|ondreqUe'tjnwriiingonlheopProprioieformswi|hiheoniooLobourRe|o|]onsBooid
conloclihe Boord by phone 01(416)3267500or l€/7 339 33s {lo ffee), moi or by wobs le oi hlip://www.okb.Sov.on.colenglish/homepoge.him ror more niormollon.
69040
Safsf,I $Jarls
iions
rn
#}ontario
Occupotionol
Heolth ond Sofety
FieldVisitReport
Poge 4 of 8
1SCoselD: 03232HT8V318
VisitDoie: 2014-NOV-03
reldVisitno: 03232HTHR336
Workptoce
tdentificotion:
TORONTOEASTGENERAL
HOSPITAL
Fi el dV i si iType: FOLLOW -U P
NoticelD:
8 2 5 C OX WE II A VE N U E, E A S TY OR K , ON , C A N A D A M4C 3E 7
Wi th i ni h e E D A ir bor neIn fe c ti o nl s o l o ti o nR o o msw e r e observedond w i l l be used to i sol otesuspected E V D
po ti e n tsoc c or ding t o t h e e mp l o y e r' sE VDp o l i c y o n d procedures.On observoti onof the moni i ori ngdevi ces of
the isolotionroom it wos noted the negotive pressureolormswere disobled.Focilitieswere questioned ond
were unowore os to why ihe oudible olormswere not working.The supervisorof the ED ond workerswere not
owore os to why the olormswere not working ond were not fomiliorwith the function of the monitoring device.
Th e e mp loy er is t o ens u reth o t e q u i p me n t s h o l lb e i nspected i mmedi otel ybefore i ts use ond of regul ori ntervols
os recommended by the monufocturer; ond operoted by o worker troined in its use ond function. An order is
issu e dto ihe em ploy er.
LABOR A T O RY
S P E CI M EN
M AN AGE M EN T
The employer ouilined the procedure for receiving o suspect EVDspecimen in the Core Lob. Specific
meosuresond procedures outline the procedure for workersin hondling,storingond pockoging the specimen
for tronsportoff-siteto the Public Heolth Loborotoryond Notionol Microbiology Lob in Winnipeg.
In the event o specimen is required the LoborotoryMonoger/Director on coll is notified immediotely to ossist
th e l o b i n pr epor ing f or s u s p e c tE VDs p e c i me n s Al
. l speci mensprocessi ngi s bei ng performed i n o C l ossl l A
biosofetycobinet. The PPEovoiloble in the lob consistsof: N95 respirotorsfoce shields,gloves {double loyer, 12"
cu ff) o n d dis pos oblelo b c o o t. T h e e m p l o y e rre c o g ni zedthe l ob coot i s not suffi ci entond w i l l be repl oced w i th
the recommended fluidresisiont,long sleeved cuffed gown. Whereverpossiblespecimens ore onolyzed using
o closed systemwith deconiominoiion procedures developed for eoch device/equipmeni used.
Porterservice is utilizedto ironsportthe somple from the ED io the Core Lob. The porter is required to weor
glovesond gown for specimen ironsportotionof the "cleon" ironsportbog. Upon deliveringthe tronsport bog
to the lob, the porter is required to remove the PPEond disposeof them in o lobelled biohozord discord bin
ovo i l o b lein t he s pec im e n re c e i v i n go re o o f th e l o b . The empl oyer must ensurethot ol l w orkershondl i ng
s u sp e ctE V Ds pec im en so re o w o re o f th e h o z o rd o n d troi ned on the use ond l i mi toi i onsof P P E .
A l lw o ste inc luding s pe c i m e n tu b e s ,c u v e tte so n d o ther l i qui dond sol i dw oste i s bei ng di sposedof i n
biohozordous(red) cytotoxic woste deslined for incinerotion.
li i sre com m ended t ho i g l o s ss p e c i me n c o l l e c ti o nd e vi ces/contoi nersnot be used unl essthere i s no oi her
oliernotive.
CL EANI NG / W A S T E / ERNON
VI M EN T AL
SE R V IC E S
Recipient
Nome
Title
InspectorDoto
JEANENEMACTEAN
OCCUPATIONAL
HEALTH
& SAFETY
INSPECTOR
P R O V I N C I AOL F F E N C EOSF F I C E R
5001Yonqe Streei,Suite 1600
North York,ON, M7A 0A3
lel: 647-777 -5078
WorkerRepresentotive
Iiile
Fox: 647-777 -5014
Signo\ure
Sigrtolur
&ignorure
fA
Yo! ore required under lhe Occlpoliono! HeoLlhond Sotery Act 10 port d cody of ihis repori ln o conspicLrols ploce oi lhe wo*ploce ond provide o copy io ihe heolln ono sotery
represen1oJ]veorjhejointheo|ihond5ofeiycommi]leifony'Foi|L,eiocbrDpywhonordg'decisionorreqUiremenlofoninspectorisonoffence|Jndsecibn66oi1he
occupo1iono|Heo|1hondsofe|yAc|'Yo!hoVe|hei9h|1ooppeoonyot'gordecaonwlhn]0doy5of|hedo|eof|heodelis5!edondioreq!es15Uspens.oi
byii|ingyo!ropPeolondleqUesiinwritin9onihedpproprio|eiorm5wi|htheon1odoLoboUrRe|oiionsBoord'5o5UniVe]iyAve.'2ndFo
conioci lhe Boord by phone a1(416)3267500cr l$773393335 (rollr.eel, mail or by websiie ot hitp://www.olrb.gov.onco/en9 ish/homepoge.him ror more nrormolion.
69040
fitonrario
$afs AI Warftfr*'i;i*
rions
Jn
Occupotionol
Heolth ond Sofety
FieldVisitReport
Poge 5 of 8
,1SCoselD: 03232HTBV3I8
ield visitno: 03232HTHR336
VisitDote: 2O14-NOV-03
Workplocetdenfificotion:
TORONTOEASTGENERAT
HOSPITAI
FieldVisitType: FOttOW-UP
N oi i ce l D:
8 2 5 C OX WE L I.AV EN U E, E A S TY OR K , ON , C A N A D A M4C 3E 7
Me o sur esond pr oc ed u re sfo r c l e o n i n g o f ro o msu sed for poti entsw i th (or suspected)E V Dhove been i ncl uded
i n th e m eos ur esond p ro c e d u re sti i l e d ," Vi ro lH e m o rrhogi cFever(V H F)such os E bol oV l rusD i seose(E V D )" .
Me o sur esond pr oc e d u re so d d re s sb o th re g u l o rc l e oni ng ond fi nol cl eoni ng ofter o poti ent l eoves the i sol oti on
ro o m ( k nown os t er m i n o lc l e o n i n g ).T h e PP Ee n s e mbl eprovi ded for cl i ni colstoffw i l l ol so be used by those
re sp ons iblef or c leoni n g ro o ms o n d e q u i p me n f u s ed for E V Dpoti ents. C l eoni ng of the i sol oti onroom (of o
su sp ec tE V Dpot ient ) w i l l b e l i mi te dto th o s e tro i n e d i n thi sprocedure i ncl udi ngthe i ermi nolcl eoni ng of the
ro o m.
Ho sp i t olgr ode c leon i n g o n d d i s i n fe c ti o ns o l u ti o n s(B l eochond C l oroxw i pes)w i l l be used for cl eoni ng rooms,
wh i ch is oc c eploble i n o c c o rd o n c e w i th c u rre n i g ui donce.
Al lsi n g leus e it em st ho t o re i n i h e ro o m o f o p o ti e nt w i th E V Dw i l l be di sposedi n bogs ond contoi nersdesti ned
fo r i n c iner ot ion;os is t h e c o s e fo r l i n e n so n d c u rto i ns.A l l used di sposobl eP P Ew i l l ol so be i nci neroted.
It wos reported, ond it is outlined in the meosuresond procedures thot re-usoblemedicol equipment ond
o th e r i t em st hot c onn o t (o r w i l l n o t) b e i n c i n e ro te dw i l l be di si nfectedpri orto l eovi ng the room w hen the room
i s te rminollyc leoned.
MASKF I TT E S T I NG
Personolprotective equipment thot is required to be worn or used by workersmust be o proper fit. The
employer recognized thot workersin the ERore more likelyto don M5 respirotorsos port of iheir doy to doy
work. Mosk fit testing is conducted by the employer every two yeors.The employer hos o systemin ploce to
remind workersos well os nolificofion is sent to monogers/supervisors
to ensureevery worker required to weor o
respiroioris properly fitted every two yeors.ln review of the employersmosk fit tesiing records it wos identified
thot workersore coniinuing to work even though ihey hove noi been fit tested within the required time frome.
The employer is reminded thot oll workerswho ore required io weor personol protective equipment must be
instructedond troined on its core, use ond limiiotionsbefore weoring the equipment for the firsiiime ond ot
regulor intervolsthereofler. The protective equipment provided must be of o proper fit. An order is issuedto the
e mp l o y er .
On Mo ndoy , Nov em b e r 3 ,2 0 1 4 th i sre p o rt w o s d e l iveredi o the w orkpl oce.A l l ordersi ssuedhove been
exploined in detoil to workploce porties.
Recipienl
Nome
Title
InspectorDoto
JEANETTE
MACI.EAN
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
5001Yonqe Street,Suite I600
North York,ON, M7A 0A3
lel: 647-777 -5078
WorkerRepresentotive
Title
Fox:647-777-5014
Signolure
You ore requireo LJnoer tne Occupot;onor
.Signoture
Heoilh ono Sofely Ac+ 10 pos
of lhis repod in o conspicuous ploce ot lhe worko,oce ond provide o copy to tne heolth ond sotely
wilh on order, decision or requirement of on insoeclor is on offence under Section 66 of the
representotiveor the joint heolth ond sofety commitiee if ony. Foilure
occUpoiionoLNeo1hondSofel.'AcJ.YoUhoveiherigh1|ooppeo]onyb'd6ordecisionwithin30do'5of|hedo|eoiiheordis5uedon
byfilingyoUropp€olondrequeninwdiin9on|hoopproprioleformswththeontodoLobo!JrReLoiions8oor[5o5u.ive6iiyAve.'2ndFlo
contocl Jhe Boord by phone ol (416i 3267500 d I'AZ7-339-3335
iiollfrce). moilor by websiie ol hiip://www.oldc.sov.on.co/en9 hh/homepoge.him rof more inrormoiion.
69040
#=on**rio
$af$ fit WAfk l.r,ii,,*:l"rt,l
rtions
on
Occupotionol
Heolth ond Sofety
FieldVisit Report
Poge 6 of 8
rlSCose lD: O3232HTBV3I8
,jieldVisitno: 03232HTHR336
VisitDote: 2014-NOV-03
FieldVisitlype: FOLLOW-UP
Workptoceldentification:
NoticelD:
TORONTOEASTGENERAL
HOSPITAL
825 COXWELT
AVENUE, EASTYORK, ON, CANADAM4C 3E7
Order/sJ/Requirementfsj JssuedIo:
to:
Org/l nd R ol e
Owner
TORO NT OE A S TG E N E R A TH O S PIT A LT, H E
Mo i l i n gA ddr es s :
8 2 5 C O X W E LLA V E, EA STY O R K,O N , C A M 4 C 3E 7
Order{sllRequirement(s}Descnption
Youorerequiredfo complywiththearder(sJlrequiremenffsl
by the dofeslistedbelow.
No
Type
Code
ActReg
Yeor
Sec.
Sub Clouse
Textof Order/Requirement
Comply by Doie
(or-
1 Forl OHSA l99O
03232HTHV337
25
2
h
Pursuonllo clouse 25(2)(h) of the Occupotionol
Heolth ond SofefyAct, RRO,1990:the employer
sholl loke every precoution reosonoble in the
circumsfonces for the protecfion of q worker. At
lhe fime of the inspecfion il wos observed thot
personol protective equipmeni for the protection
of lrioge workers from pofentiolly infectious
moleriol wos not reodily ovoiloble to workers thot
would require it in the emergency deporlment. The
employer sholl loke the reosonoble precoution of
ensuringthot personol protective equipment is
reodily ovoiloble for workers in the trioge oreo
locoled in the emergency deportment. The
employer sholl comply with this order forthwith.
2 TimeU OHSA l99O
03232HTHV338
25
2
o
Pursuontto clouse 25 (2) (o) of the Occupotionol
Heolth ond SqfetyAct, RRO,1990:the employer
sholl provide informotion,instrucfion,ond
supervisionto o worker to proiect the heolth or
sofety of the worker. At the time of this inspection il
wos reported by workers thot sutficient informotion
ond instructionhod not been provided to workers
to protect their heqlth ond sofety when hondling
loborotory specimens ond monoging the core of o
Recipienl
NOme
Tiile
InspectorDoto
JEANETTE
MACTEAN
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
5001Yonqe Street,Suite 1600
North York,ON, MZA 0A3
Title
Tel: 647-777 -5078
WorkerRepresentotive
tox:647 -777-5O14
. . 1
Signoture
69040
Signol
\U"l**^risnoiure
l.t
,ts{_)
i
.,\
Safe ftt WOfk ir,urii,it,r$ii,ii,i
:tions
ron
Fontario
Occupotionol
Heolth ond Sofety
FieldVisitReport
Poge 7 of 8
zHSCoselD: 03232HTBV3l8
FieldVisitno: O3232HTHR336
Visi't
Fi el dV i si iType: FOLLOW -UP
Doie: 2014-NOV-03
Workploceldentification:
N oi i ce l D:
TORONTOEASTGENERAT
HOSPITAL
AVENUE, EASTYORK, ON, CANADAM4C 3E7
825 COXWETL
Order (s) /Requiremenffs/ JssuedIo:
Org/l nd R ol e
Owner
to:
TOR O NI O E A S TG E N E R A LH OS PIT A LIH
, E
Mo i l i ngA ddr es s :
8 2 5 CO X W E T LA V E , EA STYOR K,ON , C A M4 C 3 E7
Orderfs/lRequirement(s)Descnpfioru
Youorerequiredto complywithfhe order(s)lrequirementlsJ
by thedofeslistedbelow.
No
Type
Code
ActReg
Yeor
Sec.
Sub Clouse
Sec.
Comply by Doie
Texlof Order/Requirement
potient with or suspecfed to hove EVD.The
employer sholl provide to the MOt o defoiled
complionce plon outlininghow ond when the
employer plons lo comply with this order
(Referenceorder #3).
3 Plon OHSA l99O
03232HTHV340
Sl
An order mode under subseclion(l) moy require o2014-NOV-07
constructor,o licensee or on employer to submil to
the ministryo complionce plon prepored in the
monner ond including such items os required by
the order.
4 Time OHSA 1990
03232HTHV34r
67
1gg3 44
Pursuontto section 44 of the Heolthcore ond
2014-NOV-07
ResidenliolFocilitiesRegulotion67/?3: lhe
employer sholl ensure equipmenf is operoted by o
worker troined in its use ond funclion. At the time
of this inspection il wos noted thot workers were
not fomilior with the control ond moniloring
devices of the Airborne Infection lsolotion Room
locoted in the Emergency Deportment. The
employer sholl comply with this order on or before
November7,2014.
5 Time OHSA l99O
o3232HTHvU2 67
l gg3
Pursuontto subsectionl0 (l ) of the Heolthcoreond 2014-NOV-07
ResidentiolFocilitiesRegulotion67/93: lhe
Recipient
Nome
Title
l0
lnspector Doio
JEANETTE
MACTEAN
O C C U P A T I O N AHLE A L T &
H S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
5001Yonqe Street,Suite 1600
North York,ON, MZA 0A3
lel: 647-777 -5078
WorkerRepresentotlve
Title
tox: 647-777 -5O14
Signoture
-t'A
Signo
You o'e reqLi'ed Lnder The Occupot.or-ol neolth ond Sofery Act to pos
represenloiive or the joini heolth ond sofety commiltee if ony. Foilure
of this reporl in o conspicuous ploce of the workploce ond provide o copy to the heollh ond sofely
with on order, decision or requiremenl of on inspeclor is on offence under Section 66 of ihe
occ!poiionoHe|thondsofeiyAci'Yo!hove1heighilooppeo|ony\'derordeckjonwiihin3o
byijin9yoUrappeo|ondleqUe5i]nwril]ngon|heoppropio|eformsw]1htheontorjoLoboUrRelotionsBoo
conroci ihe Boord by phone o1 1416132C.7v&q t-A/7'339'3335 (lol free). mol o. by webslle ot hilp://ww.okb.gov.on.co/englsh/homepoge.hlm
69040
rs more inrormorton.
ltr\..
'r ^
tI
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$a$gAt Work iiri:;iu
'J
't
,.tr
F
ctions
,ion
Occupotionol
H e o l t ho n d S o f e t y
H
!
.F
f}
II
lY
rr
\JT
ttario
FieldVisitRepori
Poge 8 of 8
rHSCoselD: 03232HTBV3l8
FieldVisitno: 03232HTHR336
VisitDote: 2014-NOV-03
FieldVisitType: FOLLOW-UP
Workploceldentificotion:
N oti ce l D:
TORONTOEASTGENERAT
HOSPITAL
825 COXWELT
AVENUE, EASTYORK, ON, CANADA M4C 3E7
Order (s) /Reguirernen lfsJ Issued Io:
Org/l nd R ol e
Owner
to:
TORO NT OE A S TG E N ER ATH OS PIT A LT, H E
Mo i l ingA ddr es s :
8 2 5 C O X W E LLA V E , E AS TY O R K, O N , C A M 4 C 3 E 7
Order(s) lRequirementfsJ
Descripfion:
Youorerequiredto complywiththe order(s)/requirementfsj
by thedoles/istedbelow.
No
Type
Code
ActReg
Yeor
Sec.
Sub Clouse
Sec.
Comply by Dote
Textof Order/Requirement
employer sholl ensureo worker who is required by
his or her employer or by this regulotion to weor or
use ony protective equipment sholl be instructed
ond troined in ifs core, use ond limitotionsbefore
weoring or using it for the firsflime ond of regulor
intervolsthereofter ond fhe worker sholl porticipote
in such inslructionond troining. At the time of this
inspecfion. mosk fif festing records indicote thot
the employer requiresthe worker to be tested
every two yeors. According to fhe records, workers
ore continuing io work who hove nof been fit
lested to ensure the protective equipmenf
required fo be worn is o proper fit ond the worker is
owore of its core, use ond limifotions.The
employer sholl comply with this order on or before
November7,2014.
Recipienl
Nome
Title
InspectorDoto
JEANETTE
MACI.EAN
O C C U P A T I O N AHLE A L T H
& S A F E TIYN S P E C T O R
Nome
P R O V I N C I AOLF F E N C EOSF F I C E R
50Ol Yonqe Streel,Suite 1600
North York,ON, MZA 0A3
Tel: 647-777 -5078
WorkerRepresentotive
Title
tox: 647-777 -5O14
'l\
t
Signoture
Signo
lignoture
/ a l
,t / |
\--t-,/
Yo! ore requked underlhe Occupotionol Neo ih ond Soieiy Aci lo posi o +pyA
this report in o corspicuous ploce ol the workp oce ond provlde o copy lo ihe heo ih ond sorely
represenlorive d ihejolnt heo lh ond solery commiil€e ir ony. Foilurelo comDit wiih on dder, decislon or requirement of on lnsoecior is on orrenc€ under Secllon 66 or lhe
occUpoliono|Heo|ihondsofe1yActYoUhoVe|her]ghtiooppeo|onydderordecl5ionwiihin3odoysotihedoieofiheordelissUedon
by fi ing yoLJroppeo ond requ$l in wniing on ihe opproprioie forms wiih lhe Onloio Lobour Re oiions B@rd, 505 UnlveBit Ave., 2nd Floor,Toronlo, Oniorlo Msc 2PL You moy o so
coniocf lhe Boord by phone al 14\6132c7gn d t-A7733a335 (lo lfree). moilor by webslre oi hlip://www.o rb.gov-on.co/english/homepoge.hlm for more inrormolio..
6944D
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