Occupational Health and Safety Act
ONTARIO REGULATION 474/07
NEEDLE SAFETY
Historical version for the period November 23, 2009 to June 30, 2010.
Last amendment: O. Reg. 439/09.
This is the English version of a bilingual regulation.
Definition
1. In this Regulation,
“safety-engineered needle” means,
(a) a hollow-bore needle that,
(i) is designed to eliminate or minimize the risk of a skin puncture injury to the worker, and
(ii) is licensed as a medical device by Health Canada, or
(b) a needleless device that,
(i) replaces a hollow-bore needle, and
(ii) is licensed as a medical device by Health Canada. O. Reg. 474/07, s. 1.
Application
2. This Regulation applies to the following facilities:
1. Every hospital as defined in the Public Hospitals Act.
2. Every private hospital as defined in the Private Hospitals Act.
3. Every institution as defined in the Mental Hospitals Act.
4. Homewood Health Centre Inc.
5. Every laboratory or specimen collection centre as defined in the Laboratory and Specimen Collection Centre Licensing Act.
6. Every psychiatric facility as defined in the Mental Health Act.
7. Every nursing home as defined in the Nursing Homes Act.
Note: On the later of April 1, 2009 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 7 is revoked and the following substituted:
7. Every long-term care home as defined in the Long-Term Care Homes Act, 2007.
See: O. Reg. 317/08, ss. 2, 4 (2) and O. Reg. 21/09, ss. 3, 5 (3).
8. Every home as defined in the Homes for the Aged and Rest Homes Act.
Note: On the later of April 1, 2009 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 8 is revoked. See: O. Reg. 317/08, ss. 2, 4 (2) and O. Reg. 21/09, ss. 3, 5 (3).
9. Every approved charitable institution as defined in the Charitable Institutions Act that is approved, under that Act, as one of the following classes:
i. halfway houses where rehabilitative residential group care may be provided for adult persons,
ii. homes for the aged in which elderly persons may be cared for,
iii. homes where residential group care may be provided for handicapped or convalescent adult persons. O. Reg. 474/07, s. 2; O. Reg. 317/08, s. 1; O. Reg. 21/09, s. 2.
Note: On the later of April 1, 2009 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 9 is revoked. See: O. Reg. 317/08, ss. 2, 4 (2) and O. Reg. 21/09, ss. 3, 5 (3).
Note: On July 1, 2010, section 2 is revoked and the following substituted:
Application
2. (1) This Regulation applies in each of the following circumstances:
1. A worker is to do work requiring the use of a hollow-bore needle on a person for a therapeutic, preventative, palliative, diagnostic or cosmetic purpose, in any workplace.
2. A worker is to do any work requiring the use of a hollow-bore needle, in a workplace listed in subsection (2). O. Reg. 439/09, s. 1 (1).
(2) The workplaces mentioned in paragraph 2 of subsection (1) are the following:
1. Every hospital as defined in the Public Hospitals Act.
2. Every private hospital as defined in the Private Hospitals Act.
3. Homewood Health Centre Inc.
4. Every laboratory or specimen collection centre as defined in the Laboratory and Specimen Collection Centre Licensing Act.
5. Every psychiatric facility as defined in the Mental Health Act.
6. Every nursing home as defined in the Nursing Homes Act.
Note: On the later of July 1, 2010 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 6 is revoked and the following substituted:
6. Every long-term care home as defined in the Long-Term Care Homes Act, 2007.
See: O. Reg. 439/09, ss. 1 (2), 3 (2).
7. Every home as defined in the Homes for the Aged and Rest Homes Act.
Note: On the later of July 1, 2010 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 7 is revoked. See: O. Reg. 439/09, ss. 1 (2), 3 (2).
8. Every approved charitable institution as defined in the Charitable Institutions Act that is approved, under that Act, as one of the following classes:
i. halfway houses where rehabilitative residential group care may be provided for adult persons,
ii. homes for the aged in which elderly persons may be cared for,
iii. homes where residential group care may be provided for handicapped or convalescent adult persons. O. Reg. 439/09, s. 1 (1).
Note: On the later of July 1, 2010 and the day that section 194 of the Long-Term Care Homes Act, 2007 comes into force, paragraph 8 is revoked. See: O. Reg. 439/09, ss. 1 (2), 3 (2).
See: O. Reg. 439/09, ss. 1 (1), 3 (1).
Provision of safety-engineered needles
3. (1) When a worker is to do work requiring the use of a hollow-bore needle, the employer shall provide the worker with a safety-engineered needle that is appropriate for the work. O. Reg. 474/07, s. 3 (1).
(2) Subsection (1) does not apply if the employer is unable, despite making efforts that are reasonable in the circumstances, to obtain a safety-engineered needle that is appropriate for the work. O. Reg. 474/07, s. 3 (2).
Use of safety-engineered needle
4. (1) A worker who has been provided with a safety-engineered needle for work described in subsection 3 (1) shall use the safety-engineered needle for the work. O. Reg. 474/07, s. 4 (1).
(2) Despite subsection (1), the worker may use a hollow-bore needle that is not a safety-engineered needle if he or she believes on reasonable grounds that, in the particular circumstances, the use of a safety-engineered needle would pose a greater risk of harm than the use of the hollow-bore needle. O. Reg. 474/07, s. 4 (2).
(3) In subsection (2), “risk of harm” refers to either or both of the following risks:
1. A risk of harm to the worker or to another worker.
2. If the work involves the use of a needle on a person, a risk of harm to him or her. O. Reg. 474/07, s. 4 (3).
(4) The employer shall develop, establish and provide training for workers to assist them in applying subsection (2). O. Reg. 474/07, s. 4 (4).
Exceptions, emergencies and risks to health
5. (1) Subsection 3 (1) does not apply if all of the following conditions are satisfied:
1. The facility is located in a part of Ontario in which,
Note: On July 1, 2010, paragraph 1 is amended by striking out “facility” in the portion before subparagraph i and substituting “workplace”. See: O. Reg. 439/09, ss. 2, 3 (1).
i. a declaration of emergency made under the Emergency Management and Civil Protection Act is in effect, or
ii. a situation exists that constitutes or may constitute a serious risk to public health.
2. The employer’s supplies of safety-engineered needles appropriate for the work have been exhausted.
3. The risk of harm from postponing the work until a safety-engineered needle appropriate for the work becomes available is greater than the risk of harm from using a hollow-bore needle that is not a safety-engineered needle. O. Reg. 474/07, s. 5 (1); O. Reg. 317/08, s. 3; O. Reg. 21/09, s. 4.
(2) In paragraph 3 of subsection (1), “risk of harm” refers to any or all of the following risks:
1. A risk of harm to the worker or to another worker.
2. If the work involves the use of a needle on a person, a risk of harm to him or her.
3. An immediate or potential risk to the public or to the public interest. O. Reg. 474/07, s. 5 (2).
6. Omitted (provides for coming into force of provisions of this Regulation). O. Reg. 474/07, s. 6.
