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"An Integrated Healthcare Safety Management System - The Link Between Staff and Patient Safety"
An Innovative Total Quality Holistic Approach for Effective Healthcare Safety Management —
Christopher Lipowski (ppt)

Connecting Worker Safety to Patient Safety:
A New Imperative for Healthcare Leaders —
Joseline Sikorski (pdf)

Caring for Caregivers —
Safety and Health Management Systems: A Road Map for Hospitals — U.S. OSHA (pdf)

Through the Eyes of the Workforce
Creating Joy Meaning, and Safer Health Care —
The Lucian Leape Institute (pdf)

Tackling Wasteful Spending on Health: On average, the loss to fraud and error is more than 6% of health expenditure and one third of OECD citizens consider the health sector to be corrupt or extremely corrupt (45% globally) (The Organisation for Economic Co-operation and Development) (pdf)


The MIT EHS Management System


(Krause Bell Group)

Leading health and safety at work (U.K Health and Safety Executive)

Organizational Safety Culture - Linking patient and worker safety (U.S. OSHA - Healthcare)

Measuring Safety Culture by Dr. Peter Strahlendorf, School of Occupational and Public Health, Ryerson University, 2015? (pdf)

Towards an occupational safety and health culture - (OSHWiki2013)

Health and Safety Climate Assessment Project - Health and Safety Climate as an Indicator of Organizational Culture - (PSHSA)


Change Management Leadership Guide - (Ryerson University) (pdf)

Managing Safety in Healthcare -
A Guide for Leaders

Worker Safety in Hospitals (U.S. OSHA)

Recommended Practices for Safety and Health Programs - (U.S. OSHA)

Quality Improvement in Healthcare (YouTube)

Hospital eTool (U.S. OSHA)


1 in 18 patients experiences harm in Canadian hospitals (Canadian Institute for Health Information)

Medical Error ?The Third Leading Cause of Death in the U.S.
- Martin A Makary, Michael Daniel (BMJ Publishing Group Ltd)

The epidemic of fatal medical errors in the U.S. and Canada - by William Charney (Canadian Dimension)

The Science of Improving Patient Safety ? Peter Pronovost, MD, PhD

HealthCareCAN - the national voice of healthcare organizations and hospitals across Canada

Institute for Healthcare Improvement

Institute for Healthcare Communication

Canadian Patient Safety Institute

The Joint Commission -
Environment of Care Standards

Accreditation Canada

A Research Agenda for Advancing Patient, Worker and Environmental Health and Safety in the Health Care Sector

Relationship of Safety Climate and Safety Performance in Hospitals (Health Serv Res. 2009 Apr; 44(2 Pt 1): 399?21)

The Canadian Institute for Health Information (CIHI)

Canadian Hospitals Injury Reporting and Prevention Program (Public Health Agency of Canada)

Waiting Your Turn: Wait Times for Health Care in Canada, 2015 Report (The Fraser Institute)

Measuring Patient Harm in Canadian Hospitals (Canadian Institute for Healthcare Information)

Peter Pronovost, MD, PhD - Patient Safety (YouTube)

Peter Pronovost, MD, PhD - Believing and Belonging Mar 30, 2016 (YouTube)

Insights from the Armstrong Institute - (Johns Hopkins Health System)

Improving Patient and Worker Safety —
(The Joint Commission) (pdf)

Patient Safety and Quality: An Evidence-Based Handbook for Nurses - National Library of Medicine (U.S.)

Safer Healthcare Now - Canadian Patient Safety Institute

Overview of Best Practices in Occupational Health and Safety in the Healthcare Industry (pdf)


Occupational Health and Safety LAW in CANADA (CCOHS)

Canadian Occupational Health and Safety Law Investigations -
Dentons Canada LLP

EH&S Due Diligence —
Strategies for Senior & Middle Management (pdf)

Business Results Through Health & Safety -
This Guidebook is dedicated to those leaders who strive for excellence in their business (pdf)

Journey to Safety Excellence -
(National Safety Council)

Minerva - Improving Business Effectiveness and Reducing Injuries Through Safety Management Education


OHA Emergency Management Toolkit - Developing a Sustainable Emergency Management Program for Hospitals (Ontario Hospital Association (pdf)

Self-contained breathing apparatus (scba) evaluation in support of the fire service - The National Personal Protective Technology Laboratory (NIOSH)

The Emergency Response Safety and Health Database (CDC)

An Emergency Management Framework for Canada - 2nd Edition (Public Safety Canada)

NFPA 1600: Standard on Disaster/Emergency Management and Business Continuity/Continuity of Operations Programs (NFPA)


Firefighter's guide to facing electrical hazards (BC Hydro)

Electrical Safety Handbook for Emergency Responders (Hydro One Networks Inc., Electrical Safety Authority, Oice of the Fire Marshal, and Public Services Health and Safety Associaion 2013)

Canadian Commission on Building and Fire Codes - Online training

Environmental Topics
(U.S. EPA)



Indoor Air Pollution: An Introduction for Health Professionals (U.S. EPA)

Volatile Organic Compounds' Impact on Indoor Air Quality
(U.S. EPA)

Indoor Air Quality Scientific Findings Resource Bank - Topics (Berkeley Lab)

Criteria for a Recommended Standard Occupational Exposure to Heat and Hot Environments (CDC / NIOSH)

and Your Health
(Health Canada)

ANSI/IICRC S520 Mold Remediation

Mold Guidelines for the Canadian Construction Industry - Canadian Construction Association (pdf)

Mold Resources for Schools and Commercial Buildings - (EPA)

Preventing Occupational Respiratory Disease from Exposures Caused by Dampness in Office Buildings, Schools, and Other Nonindustrial Buildings - (NIOSH) (pdf)

Facts About Mold (American Industrial Hygiene Association)

Molds Fact Sheets - Institut national de santé publique - Québec

Mold Resource Center (AIHA)

Workplace Safety & Health (CDC) OHS Topic Index

Worker Safety in Hospitals (U.S. OSHA)

Healthcare Workers - (CDC)

Controlling Health Hazards to Hospital Workers:
A Reference Guide -
Baywood Publishing Co., Inc. (pdf)

Health & Safety Information for Healthcare Workers - (NIOSH)

SHEA - "Safe healthcare for all" (The Society for Healthcare Epidemiology of America)

NIOSH Total Worker Health?/a>

Research Compendium -
The NIOSH Total Worker Health Program (pdf)

Division of Healthcare Quality Promotion - (CDC)


Diseases and Conditions (CDC)

Health Fact Sheets - (WHO)

Health Information - (NIH)

Health Hazard Evaluations (CDC)

PubMed Health Topics - (NIH)

PubMed Health - provides information for consumers and clinicians on prevention and treatment of diseases and conditions (NIH)

Agency for Healthcare Research and Quality - programs offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings

Medscape - leading online global destination for physicians and healthcare professionals worldwide, offering the latest medical news and expert perspectives; essential point-of-care drug and disease information

Mayo Clinic - Patient Care and Health Information

PubMed - National Center for Biotechnology Information, U.S. National Library of Medicine

The MERCK Manuals Online Medical Library

Medical Encyclopedia - (University of Maryland Medical Center)

Guidelines for Communicable Disease Prevention and Controlfor Child Care Settings - (Nova Scotia Public Health 2015) (pdf)

The Office of Disease Prevention and Health Promotion - (U.S. Department of Health and Human Services)

The Genetic and Rare Diseases Information Center (GARD / NIH)

Health Conditions - Explore the signs and symptoms, genetic cause, and inheritance pattern of various health conditions (NIH - Genetics Home Reference)

Alphabetical Index of Parasitic Diseases (CDC)

The National Center for Emerging and Zoonotic Infectious Diseases - (CDC)

Vector-borne diseases - (WHO)

Parasites (CDC)

DPDx - Laboratory Identification of Parasitic Diseases of Public Health Concern (CDC)

Tickborne Diseases of the United States - A Reference Manual for Health Care Providers, Fourth Edition, 2017 - (CDC)

Types of Fungal Diseases - (CDC)

Diseases and Conditions - Harvard Health Publications - (Harvard Medical School)

CDC Expert Commentary - This content is designed to deliver CDC's authoritative guidance directly to Medscape's physicians, nurses, pharmacists, and other healthcare professionals

Division of High-Consequence Pathogens and Pathology (CDC)

MedWatch: The FDA Safety Information and Adverse Event Reporting Program (U.S. FDA)

Drugs and Health Products (MedEffect Canada)

Drugs A-Z List
(RxList Inc.)

Drugs, Diseases and Procedures -
Medscape Reference

Drug Alerts and Statements (U.S. FDA)

DailyMed (NIH / National Library of Medicine)

PMC Canada - (PubMed Central Canada)

National Institute of Neurological Disorders and Stroke (NIH)

Work-related Diseases and Occupational Diseases: The ILO International List

National Institute of Allergy and Infectious Diseases (NIAID)

Haz Map - Occupational Diseases Search
(U.S. National Library of Medicine)

U.S. National Library of Medicine - Databases

International Statistical Classification of Diseases and Related Health Problems 10th Revision 2016 (WHO)

Agency for Toxic Substances and Disease Registry

NIOSH Occupational Health Safety Network (OHSN)

The Centre for Research Expertise in Occupational Disease (CREOD)

American College of Occupational and Environmental Medicine (ACOEM)

European Agency for Safety & Health at Work


CDC Podcasts

Podcasts ?Health & Safety (CCOHS)

Publications and Products (NIOSH)

Information Resources - (NIOSH)

Advances in Preventive Medicine – Open Access Journal

PLOS - a peer-reviewed open access scientific journal published by the Public Library of Science

PMC Journals - PubMed Central?/a>

Canadian Medical Association Open Access Journal

U.S. National Library of Medicine

Safety+Health magazine - (National Safety Council)

mBio - " online-only, open access journal. mBio offers streamlined review and publication of the best research in microbiology and allied fields" (American Society for Microbiology)

Hospital News - Open Access (Digital Editions)

Healthcare Safety Videos - (WorkSafeBC)

The CDC Learning Connection

Ontario Public Services Health and Safety Association Resources

Links To Professional Associations - (IRSST)

WorkSafeBC Health Care and Social Services Injury Prevention Resource List

U.S. OSHA Index

U.S. OSHA Compliance Assistance Quick Start for Healthcare

Institut de recherche Robert-Sauvé en santé et en sécurité du travail Québec (IRSST)

The Canadian Centre for Occupational Health and Safety (CCOHS)

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The Campbell Institute at the National Safety Council


Public Health Agency of Canada

Population Health – Association of Faculties of Medicine of Canada

Division of Foodborne, Waterborne, and Environmental Diseases (CDC)

Food Safety and Nutrition Resources for Healthcare Professionals (FDA)

The National Center for Emerging and Zoonotic Infectious Diseases (CDC)

Water-related Diseases, Contaminants, and Injuries By Type (CDC)

Legionnaires' Disease - A problem for health care facilities (CDC)

TED and YouTube - PRESENTATIONS (links)

Pinnacle Enterprises Canada
Healthcare Safety Info-eLink™
"Committed to Promoting Healthcare Occupational Health and Safety Management Performance Excellence
Because all Patients Deserve Safe Care

To successfully achieve high quality safe, error-free patient care, continuous improvement of occupational health and safety working conditions must be a priority. My goal in this effort is to provide a high quality comprehensive user-friendly website with well-organized Internet links to credible sources of health and safety information primarily focused on the healthcare sector. Healthcare Safety Info-eLink?is a not-for-profit service provided as a personal contribution by Christopher Lipowski, CRSP, for occupational health, safety, and industrial hygiene professionals who are dedicated to advancing healthcare quality safety practice excellence for staff and patients. As well, there is a link at the bottom of this home page that provides useful information on health, safety and environmental topics for the general public.


Maximize Efforts to Improve Safe Patient Care in Hospitals through improving Healthcare Workplace Health and Safety Conditions and Practices. To close the gap between best practice and common practice by encouraging hospitals to reach levels of quality and safety that are comparable to those of the best high-reliability organizations.


Data on the Canadian workforce has consistently indicated that healthcare workers are at greater risk of workplace injuries and more mental health problems than any other occupational group. In the U.S. for example:

Health Care is the second-fastest-growing sector of the U.S. economy, employing over 12 million workers. Women represent nearly 80% of the health care work force. Health care workers face a wide range of hazards on the job, including needlestick injuries, back injuries, latex allergy, violence, and stress. Although it is possible to prevent or reduce health care worker exposure to these hazards, health care workers actually are experiencing increasing numbers of occupational injuries and illnesses. Rates of occupational injury to health care workers have risen over the past decade. By contrast, two of the most hazardous industries, agriculture and construction, are safer today than they were a decade ago, NIOSH.

In addition to this unacceptable situation, many patients suffer preventable care-related adverse events (AEs) during hospitalization. AEs among hospital patients are unintended injuries or complications resulting in death, disability or prolonged hospital stay that arise from health care management. A study in 2004 funded by CIHI and the Canadian Institutes of Health Research found that 7.5% of adult medical or surgical patients suffered adverse events in hospital, about one third of which were deemed preventable. Although most patients recover within six months, each year between 9,250 and 23,750 Canadian adults experience a “preventable” adverse event in hospital and later die, according to the study, Baker et al. 2004. The Institute of Medicine's "To Err is Human: Building a Safer Health System" reported: "The human cost of medical errors is high. Based on the findings of one major study, medical errors kill some 44,000 people in U.S. hospitals each year. Another study puts the number much higher, at 98,000." IOM. In Canada, healthcare acquired infections or nosocomial infections, affect more than 220,000 people annually resulting in excess of 8,000 deaths in Canadian hospitals each year. Therefore, patient safety in Canadian healthcare organizations has become an increasingly important topic and led to the creation of the Canadian Patient Safety Institute (CPSI). A study by the CPSI estimated the economic burden of adverse events in Canada in 2009-2010 was 1.1 billion dollars. This estimate did not include the direct costs of care after hospital discharge, or societal costs of illness, such as loss of functional status or occupational productivity. To address the issue of identifying strategies for improving patient care, much valuable effort has been focused on application of new technologies, developing better communication and coordination among clinicians, and creation of a patient adverse (sentinel) event information database to be shared by hospitals for learning purposes, Canadian College of Health Service Executives - ppt. However, a growing body of research indicate that healthcare worker health and safety conditions are not just an important but an essential factor associated with the quality of patient care, Yassi, A. For example, OSHA (U.S.) reports that workplace safety also affects patient care. OSHA recommends hospitals develop a health and safety management system with a holistic approach that integrates patient safety and employee safety programs, Safety and Health Management Systems: A Road Map for Hospitals. Dr. Lucian Leape endorses OSHA Programs on Health Care Worker Safety: "Many of us in medicine have long recognized that hospitals can be dangerous places not only for patients who are at risk of experiencing a medical error or an adverse event, but also for nurses, physicians, and other health care workers", Institute for Healthcare Improvement (IHI) / National Patient Safety Foundation (NPSF). The 2004 Canadian Adverse Events Study suggested, "The greatest gains in improving patient safety will come from modifying the work environment of healthcare professionals, creating better defenses for averting adverse events and mitigating their effects", The Role of Healthcare Environments in Shaping a Safety Culture - Lowe, G.S. The Joint Commission published a monograph recently stating that greater awareness of the potential synergies between patient and worker health and safety activities is required, Improving Patient and Worker Safety. One major step that healthcare institutions can take toward championing patient and healthcare worker safety, according to the monograph, is becoming a high-reliability healthcare organization (HRO) -- described as "systems operating in hazardous conditions that have fewer than their fair share of adverse events". The monograph also identifies functional management systems and processes, strategies and tools that have been used to successfully integrate health and safety activities. A report by The Lucian Leape Institute presents details on healthcare safety challenges. Therefore, efforts to increase the quality of hospital occupational health and safety conditions and practices can be expected to have a direct positive impact on patient safety outcomes and an overall reduction in healthcare costs.
One strategy to achieve sustainable healthcare safety performance excellence is to implement an "Integrated Healthcare Safety Management System", a holistic approach that manages patient and staff safety programs together. Since the first step toward solving a problem is to understand it and knowledge is essential for advancing meaningful safety improvement initiatives to their maturity, this web service was founded to provide a simplified and efficient means of accessing credible, useful healthcare safety information.
Christopher Lipowski, CRSP


Christopher J. Lipowski, CRSP
Healthcare Occupational Health and Safety Professional
first and former McGill University Health and Safety Officer
is founder and webmaster of Healthcare Safety Info-eLink?/strong>
This website is dedicated to the memory of Z.J. Lipowski, M.D.
author of:
"The Theory of Attractive Stimulus Overload"

"Affluence Information Inputs and Health"
"Viruses, Immunity, and Mental Disorders"
"Psychosomatic Medicine and Liaison Psychiatry, Selected Papers"

Linkedin - Christopher J. Lipowski, CRSP


Professional Ethics For the OHS Professional
Dr. Peter Strahlendorf (ppt)

International Code of Ethics for Occupational Health Professionals (pdf)

American Board of Industrial Hygiene Code of Ethics


Burnout Among Health Professionals and Its Effect on Patient Safety - Audrey Lyndon, PhD (Agency for Healthcare Research and Quality)

Guidance on the management of psychosocial risks in the workplace (BSI)

Preventing Suicide: A Technical Package of Policy, Programs, and Practices (CDC)

Canadian Institute of Stress - (Dr. Richard Earle, Ph.D. is an internationally respected and published authority on stress and controlling its impacts on productive wellbeing both in individuals and in rapidly changing workplaces)

Improving Work Functioning and Mental Health of Health Care Employees Using an E-Mental Health Approach to Workers' Health Surveillance: Pretest朠osttest Study - {"Working as a nurse involves dealing with a range of potential workplace stressors, such as psychological and emotional demands [1]. Unsurprisingly, mental health complaints including burnout, posttraumatic stress, anxiety, and depression are quite common in nurses [2]. Impaired mental health can have adverse effects endangering the health and safety of the nurses themselves but also of their patients [3,4]. Consequently, it seems worthwhile to pay preventive attention to the mental health and work functioning of nurses."} - Sarah M. Ketelaar et al (Saf Health Work. 2014 Dec; 5(4): 216?21)

CAN/CSA-Z1003-13/BNQ 9700-803/2013 (R2018) - Psychological Health and Safety in the Workplace "Psychological health and safety (PHS) is embedded in the way people interact with one another on a daily basis, it is part of the way working conditions and management practices are structured. Bearing this in mind mental health is a significant challenge across workplaces. The Canadian Mental Health Commission has reported that, in any given year, one in five people in Canada will experience a mental health problem or illness, with a cost to the economy well in excess of 50 billion dollars. A Psychological Health and Safety Management System can help an organization identify hazards that can contribute to psychological harm to the worker. It is a preventive approach that assesses your workplaces practices and identifies those areas of concern." (CSA Group - SPE Z1003)

Psychological health and safety in the workplace ?Prevention, promotion, and guidance to staged implementation - (CAN/CSA-Z1003-13/BNQ 9700-803/2013, National Standard of Canada)

Psychological barriers to safety "Cognitive shortcuts, senior leadership behaviours may be harming your culture" - (Ren閑 Gendron, Canadian Occupational Safety, Feb 5, 2018)

Guarding Minds at Work - A Workplace Guide to Psychological Health and Safety (Centre for Applied Research in Mental Health and Addiction, 2018)

StressAssess Workplace Edition - StressAssess is an online survey tool designed for workers and managers who are interested in assessing psychosocial hazards in the workplace, to anonymously, collectively and confidently identify issues (Occupational Health Clinics for Ontario Workers, 2018)

500,000 Canadians miss work each week due to mental health concerns (By Carmen Chai Senior National Online Journalist, Health Global News)

National Academy of Medicine Launches 'Action Collaborative' to Promote Clinician Well-Being and Combat Burnout, Depression, and Suicide Among Health Care Workers (The National Academies of Sciences, Engineering, and Medicine)

How to facilitate the adoption of organizational interventions to prevent mental health problems in the workplace? - ( IRSST - October 10, 2017)

Health and Psychosocial Issues (Quebec Portail sant?mieux-阾re)

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Healthy Work Environments Best Practice Guidelines (pdf)

Mental Health Commission of Canada findings set a 'new normal' in the workplace (Maria Gergin - Borden Ladner Gervais LLP)

Case Study Research Project Findings - The National Standard of Canada for Psychological Health and Safety in the Workplace, 2014-2017 (Mental Health Commission of Canada) (pdf)

Health-care organizations commit to improving mental health - HealthCareCAN - (Thomson Reuters, Occupational Safety)

Are you a giver or taker - Talks to help you find the ideal employee - Organizational psychologist Adam Grant (TED)

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Watch your step! Falls are sending more Canadians to the hospital than ever before (Canadian Institute for Health Information, July 5, 2018)

Psychosis: an autoimmune disease? - (Adam A. J. et al, Immunology: Volume152, Issue3, 2017)

What happens when the immune system goes rogue? - (TEDMED - Autoimmune disease investigator Betty Diamond)

Stanford's Dr. Jose Montoya on Chronic Fatigue Syndrome (Stanford Health Care, 2011) (YouTube)

A reboot for chronic fatigue syndrome research (Nature; 2018)

The gut朾rain connection: triggering of brain autoimmune disease by commensal gut bacteria (Hartmut Wekerle, Rheumatology, Volume 55, Issue suppl_2, 1 December 2016)

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The evolving epidemiology of Clostridium difficile infection in Canadian hospitals during a postepidemic period (2009?015) (CMAJ June 25, 2018 190 (25) E758-E765)

Occupational Injuries Causing Permanent Physical or Mental Impairment - Highest-risk groups and risk-influencing variables (IRSST)

Emissions of Ultrafine Particles and Volatile Organic Compounds from Commercially Available Desktop Three-Dimensional Printers with Multiple Filaments - (Azimi P., et al:Environ Sci Technol. 2016 Feb 2;50(3):1260-8)

3D Printer Safety (The University of Vermont)

Time to eradicate HTLV-1: an open letter to WHO (Human T-cell leukaemia virus 1 (HTLV-1) is the most potent carcinogenic oncovirus and potentially the most oncogenic risk factor including chemical carcinogens) - Fabiola Martin, Yutaka Tagaya, Robert Gallo - The Lancet: Volume 391, No. 10133, p1893?894, 12 May 2018

NIH-funded pre-clinical study links gut microbes and the immune system to a genetic disorder that can cause stroke and seizures - NIH, May 18, 2017)

Formaldehyde Confirmed as Known Human Carcinogen -
The National Academies of Sciences, Engineering, and Medicine

Potential health hazards for students exposed to formaldehyde in the gross anatomy laboratory - Raja DS1, Sultana B. (J Environ Health. 2012 Jan-Feb;74(6):36-40)

Formaldehyde Exposure in Gross Anatomy "Your classroom work in gross anatomy will expose you to formaldehyde. This document will inform you of the potential hazards formaldehyde exposure and describe the protective equipment you should wear and the procedures to follow to limit your exposure." - University of Pennsylvania, Environmental Health & Radiation Safety

Safety and Health Management Systems and Joint Commission Standards - A Comparison (U.S. OSHA)

The Environmet of Care and Health Care- Associated Infections - An Engineering Perspective - (The American Society for the Healthcare Engineerig of the American Hospital Association)

Illnesses from Mosquito, Tick, and Flea Bites Increasing in the US (CDC, May 1, 2018)

Guillain-Barr?syndrome (NIH)

Chemical Brain Drain - "How Environmental Pollution Impairs Brain Development and How to Protect the Brains of the Next Generation" - Videos

More than 200,000 patients get infections every year while receiving healthcare in Canada; more than 8,000 of these patients die as a result - (Public Health Agency of Canada)

Approximately 10,000 Canadians Die Every Year as a Result an Infection Acquired in Health Care Buildings - Introduction to CSA Z317.13 - Public Health Ontario - (pdf)

Dirty hospitals: Hidden camera investigation (CBC Marketplace)

What You Need to Know About ISO 45001: It's a Leading Concern.
" Top management needs to set the tone for ISO 45001 conversation throughout the organization. If leadership is viewed as unwilling converts who resist a change for good and, instead, operate solely on the singular principle of meeting minimum requirements rather than wholly embracing the underlying philosophy of the standard, there will be potential risk for repeated accidents and efforts to improve the safety culture. The fundamental difference of from previous standards is an emphasis on the need for a responsible approach from the very top tier of management to provide a safe workplace embracing concerns for worker safety and well-being as the basis for decision making" - Chris J Ward, Intelex Technologies Inc. (pdf)

ISO/FDIS 45001:2017 ?Occupational Health and Safety Management Systems- Final Publication of ISO 45001 March 2018 (ANSI)

Publication of ISO 45001:2018 - Occupational health and safety management systems - The International Organization for Standardization has published ISO 45001:2018 - Occupational health and safety management systems (link is external). This new standard could have broad applications in Canada
(2018-03-12, Standards Council of Canada)

Ontario Nurses Association - "In Ontario, the health-care sector has some of the highest rates of workplace injuries and illnesses ?even greater than construction, mining and manufacturing. Yet, health-care employers lag far behind their industrial counterparts in addressing occupational health and safety issues. If workers are not protected from health and safety hazards, patients and the public are not protected either"

Leading to Safety: How Top Organizational Leaders Impact Safety - Prepared for: WorkSafe Saskatchewan by: Sean Tucker, June 2016 (pdf)

Dysfunctional Organizations and Leadership - Med Jones, President of International Institute of Management

The negative effects of workplace injury and illness on workplace safety climate perceptions and health care worker outcomes - Deirdre McCaughey et al. (Safety Science, Elsevier B.V., Volume 51, Issue 1, January 2013)

CCHSA Accreditation: A Change Catalyst toward Healthier Work Environments - Wendy Nicklin and Melissa Barton (Longwoods Publishing Corporation, HealthcarePapers, 7(Sp) January 2007: 58-63.doi:10.12927/hcpap..18674)

Study of Leading Indicators for Occupational Health and Safety Management Systems in Healthcare (Ontario)
This project, funded by the Ministry of Labour, will examine a new approach to strengthening the occupational health and safety system in healthcare settings - "Ontario's healthcare sector employs more than 800,000 employees with hospitals being the largest employer. Every day, healthcare workers encounter physical risks from repetitive lifting and moving, chemical risks, risks of infection and threats of violence. For the past five years the healthcare sector has ranked second highest for lost-time injury rates (injuries that result in lost time from work) among the 16 Ontario sectors, with female healthcare workers currently ranked the highest among all occupations for lost-time claims (WSIB, 2014). In addition, approximately $2.5B is spent yearly on occupational injuries (WSIB, 2012). Despite an increased focus on improving Ontario's Occupational Health and Safety System, the injury statistics are not improving significantly. One of the potential keys to changing this trend is the development of a culture of healthy and safe workplaces, including the effective utilization of leading indicators within Occupational Health and Safety Management Systems (OHSMS). (Ontario Ministry of Labour / Public Services Health and Safety Association)

Culture of Safety - "The concept of safety culture originated outside health care, in studies of high reliability organizations, organizations that consistently minimize adverse events despite carrying out intrinsically complex and hazardous work. High reliability organizations maintain a commitment to safety at all levels, from frontline providers to managers and executives" (Agency for Healthcare Research and Quality, June 2017)

Physician engagement: A Multistep Approach to Improving Well-Being and Purpose - Alan H. Rosenstein, MD, MBA (June 1, 2015, Patient Safety and Quality Healthcare)

Developing a Safety Culture in the Healthcare Workplace - UL is an American safety consulting and certification company

Optimizing Safety Through Leading Indicators by Carrie Young and Todd Lunsford | Sep 20, 2017, EHS Today)

Using lagging and leading indicators for the evaluation of occupational safety and health performance in industry
Int J Occup Saf Ergon. 2015 Jul 3; 21(3): 284?90

Overview of Best Practices in Occupational Health and Safety in the Healthcare Industry (Work Safe Alberta - May, 2011)

Leading Indicators for Workplace Health and Safety: a user guide (Work Safe Alberta)

Study details extent of violence faced by hospital workers - (Sheryl Ubelacker, The Canadian Press, November 25, 2017)

Flu may be spread just by breathing, new study shows; coughing and sneezing not required (Maryland School of Public Health - January 18, 2018)

The Next Pandemic: Hospital Management (AHC Media LLC)

Getting Ahead of the Next Pandemic: Is the World Ready? (CDC Newsroom - October 26, 2017)

Canadian Pandemic Influenza Preparedness: Planning Guidance for the Health Sector - (Government of Canada 2017-10-04)

Health problems and disinfectant product exposure among staff at a large multispecialty hospital (American Journal of Infection Control Volume 45, Issue 10, 1 October 2017, Pages 1133-1138)

Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update (Volume 85, No. 2 : 2017 Gastrointestinal Endoscopy)

Manual Material Lifting: a pain in the neck, back - "In Ontario, ergonomic interventions are legislated only for those in the health care sector and are especially limited in scope; They do not take into account injuries caused by repetitive, awkward or forceful work" - (Workers Health and Safety Centre of Ontario Federation)

Does Ontario's Occupational Health and Safety Act Address MSDs? - "Although there is no specific section in the Occupational Health and Safety Act or Regulations that is dedicated to workplace ergonomics or MSD hazards, there are many sections that are used by MOL inspectors to enforce protection of Ontario workers" (Ontario Ministry of Labour, 2009)

CSA-Z412-00 (R2016) - Guideline on Office Ergonomics

The work of emergency medical technician-paramedics: Understanding the risks in order to prevent musculoskeletal disorders (IRSST)

Covers for Hospital Bed Mattresses: Learn How to Keep Them Safe (U.S. Department of Health and Human Services)

Z1005-17 - Incident investigation - This Standard replaces CAN/CSA-Z796, Accident information, published in 1998 (Canadian Standards Association)

The Role of Food in Hospitals - Key informants noted that, as anchor institutions rooted in their communities, hospitals are role models for wellness, good nutrition, and healthy food. ... There is an increased understanding that patients need nutritious, appealing food that tastes good in order for them to eat, regain their strength, and heal (Tracy Murphy, HealthCareCAN)

Night Shift Work and Breast Cancer Incidence: Three Prospective Studies and Meta-analysis of Published Studies (R.C. Travis et al - JNCI J Natl Cancer Inst (2016) 108 (12)

Workers exposed to chemotherapy drugs at increased risk for cancer, organ damage, reproductive issues - Nurses, pharmacists and housekeeping staff all must be aware of this toxic hazard - Amanda Silliker, Canadian Occupational Safety, (06/05/2018)

NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 - (pdf)

NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings: Proposed Additions to the NIOSH Hazardous Drug List 2018

Impact of workplace cancers widely underestimated - "Occupational cancer is the number 1 cause of workplace death" (by Amanda Silliker, Canadian Occupational Safety)

Workplace exposures account for a significant number of cancers in Ontario: Report - Solar radiation, asbestos among top cancer-causing exposures (Canadian Occupational Safety - 10/11/2017)

Costs related to asbestos exposure much higher than original estimates: IWH - Price tag of new cases of work-related mesothelioma, lung cancer soars to $2.35 billion (Canadian Occupational Safety - 09/19/2017)

The economic burden of lung cancer and mesothelioma due to occupational and para-occupational asbestos exposure - Emile Tompa et al - (BMJ: Occupational and Environmental Medicine)

The Government of Canada proposes new regulations to protect Canadians from exposure to asbestos (News Release, January 5, 2018) "Breathing in asbestos fibres is known to cause cancer and other devastating illnesses. Our government is committed to reducing the risks of exposure to asbestos. That's why we are moving forward with these regulations to ban asbestos and asbestos products. My department will continue to increase awareness of simple steps that Canadians can take to avoid exposure to asbestos." Ginette Petitpas Taylor, Minister of Health; "Too many Canadians know first-hand the devastating health problems that can result from exposure to asbestos at home or at work. By launching these new, tougher rules to stop the manufacture, import, use, and sale of asbestos, we are following through on our promise to protect all Canadians from exposure to this toxic substance." Catherine McKenna, Minister of Environment and Climate Change

McGill University is receiving $70 million from the federal government for renovations. - $33 million for the Stewart Biology Building, where Asbestos will be removed - (CTV News, October 5, 2017)

McGill University Executive Committee of the Board of Governors, on the recommendation of the Building and Property Committee, approved the completion of the design and the fit-out of swing space for the Redevelopment of the West Wing of the Stewart Biology Building. The scope of the overall project INCLUDES COMPLETE ASBESTOS REMOVAL, NEW FIREPROOFING OF THE STRUCTURE. (October 5, 2017) -
{Note: Chris Lipowski, first and former McGill Health and Safety Officer discovered asbestos in the Stewart Biology building ventilation system and reported this to W. Wood, Safety Manager, and senior administration in 1999}

Canadian Federal government revises occupational exposure limit for asbestos - Employers must have asbestos exposure management program - 07/13/2017 (Canadian Occupational Safety - Thomson Reuters)

Asbestos-Linked Cancer on the Rise (Carcinogens in the News - CAREX Canada)

Technical guideline to Asbestos exposure management programs - (Government of Canada , 2018-02-05)

Guidance for the Encapsulation of Asbestos Containing Materials - ( Asbestos Removal Contractors Association, 2015 )

Respirable Crystalline Silica: Breathe Easier - CAREX Canada reports that approximately 380,000 Canadians are exposed to silica at work, primarily in the construction sector. According to 2011 cancer statistics from CAREX, 570 lung cancer cases (2.4% overall) were attributed to occupational exposure to crystalline silica in Canada. (CCOHS)

Silica (Crystalline) - (CAREX Canada)

Rockport Cobb Hill Women s Paulette Flat Svart Vans Menns Chukka Boot Core Classics Svart hvit Jacques Levine Pyramid Stud - Lær Wedge Women s Slipper Metallisk Multi Yosi Samra Kvinner Samantha Ballett Flat Sienna / sukkermelon Timberland Women s Somers Falls Chelsea Boot Lys Taupe Nubuck Merrell Menns ytterste Vent Vanntette Vandringssko Boulder , Skechers Bobs Women s Bliss Fashion Slip-on Flat Brun Vevd , Nine Seven Genuine Lær Kvinner Pekket Toe Chunky Heel Lace Up Håndlaget Dressy Business Pumps Sko Svart , Drew Shoe Women s Paradise II Velco Slip-on Taupe Calf Chaco Women s Ember Hiking Boot Castle Merrell Women s Siren Sport Q2 Hiking Sko Støvete Oliven Jambu Women s Cherry Blossom Mary Jane Flat Rød / Cream Aquatalia av Marvin K. Women s Emerson Nappa Mule Svart , Ariat Women s Darlin Work Boot, naturlig mørk brun, 10 B US Naturligvis mørk brun , Walking Cradles Women s Heidi Pump Svart Patent Lizard Print Bernie Fru Kvinner Catniss Svart / gunmetal El Naturalista Women s Ng11 Alhambra Chukka Boot Svart / Svart , Glerups Modell B Bensin Easy Spirit Women s Traveltime Mule Svart / Sølv Patent Sperry Top-Sider Women s Shearwater Snow Boot Greige / Tan Sam Edelman Kvinner Greta Flat Sandal Gullkaramell Wayne Geitlær SOREL Women s Tofino Ii Peatmoss / Black , Stetson Women s Reagan Western Boot brun Durango Kvinners DRD0183 Western Boot Tan Blue Denim , Dr. Martens Women s Allana Chukka Boot Svart Kaitlyn Pan Pinnet Toe Studded Slingback High Heel Leather Pumps Svart Patent / Naken Trim / Gold Studs , Sirkus av Sam Edelman Women s Baker Wedge Sandal elfenbein , Cole Haan Kvinners Giselle Mid II Espadrille Wedge Sandal Riverside / Denim , Black Diamond Momentum Climbing Shoe - Menn Aske , Yellow Box Women s Sawyer Wedge Sandal Svart

Control of Drywall Sanding Dust Exposures - "When silica is present, workers may also face an increased risk of silicosis and lung cancer" - (CDC)

Developing a Silica Exposure Control Plan (WorkSafe BC)

Dust Sampling, Equipment Choice, Equipment Use, Interpreting Results - Bill Walsh, CIH, Galson Laboratories (pdf)

Nurses' uniforms: How many bacteria do they carry after one shift? (J Public Health Epidemiol. 2012 Dec; 4(10): 311?15)

Study Shows Nurses' Scrubs Become Contaminated with Bacteria in Hospitals - Sarah Avery (The Society for Healthcare Epidemiology of America - Aug. 29, 2017)

Are Hospital Floors an Underappreciated Reservoir for Transmission of Clostridium Difficile and Methicillin-resistant Staphylococcus aureus?

Antibiotic-Resistant Gonorrhea - Drug-Resistant Gonorrhea: An Urgent Public Health Issue (CDC)

Antibiotic / Antimicrobial Resistance (CDC)

WHO publishes list of bacteria for which new antibiotics are urgently needed

Economic burden of healthcare-associated infections: an American perspective - Patricia W Stone, PhD, FAAN

"We are not ready": Experts warn world is unprepared for next Ebola-size outbreak (CBC)

Antibiotic Prescribing and Use Be Antibiotics Aware (formerly Get Smart about Antibiotics) is a national effort to help fight antibiotic resistance and improve antibiotic prescribing and use (Antibiotic Prescribing and Use - CDC)

Drug-resistant 'nightmare bacteria' show worrisome ability to diversify and spread (Harvard T.H. Chan School of Public Health)

Antibiotic Resistance - Containing Unusual Resistance (CDC)

Hospital Sinks May Be Awash in 'Superbugs' (MedlinePlus, 2017)

Antibiotic-resistant plasmids flourish in hospital plumbing - (Science Daily - American Society for Microbiology, February 6, 2018)

The Potential for Airborne Dispersal of Clostridium difficile from Symptomatic Patients (Oxford Journals Volume 50, Issue 11)

NDM-1 Superbug - Dr. R V S N Sarma, MD., MSc (Canada) FIMSA, Senior Consultant physician

Candida auris Interim Recommendations for Healthcare Facilities and Laboratories (CDC)

Herpes Simplex Surveillance Protocol for Ontario Hospitals ?Ontario Hospital Association and the Ontario Medical Association (2016)

Indoor Particulate Matter (U.S. EPA)

Ultrafine Particles : Efficacy of N95 Respirators in Conditions Representative of Human Breathing (IRSST)

Printer Emitted Particles: Are they safe? (Center for Nanotechnology and Nanotoxicology, T.H. Chan Harvard School of Public Health)

Nanoparticle exposures from nano-enabled toner-based printing equipment and human health: state of science and future research needs - Pirela SV et - Crit Rev Toxicol. 2017 Sep;47(8):678-704.

Work Disability Prevention Management System Standard Development Project (CSA Group)

Robotic Surgical Tools Tough to Keep Clean - Findings suggest better cleaning procedures, more monitoring of instruments would help (MedlinePlus / NIH)

New NIOSH Center to Study Safety and Health Implications of Occupational Robots

NIOSH Study Finds Widespread Use of Scavenging Systems to Control Waste Anesthetic Gases During Medical Procedures, but Other Recommended Controls Lacking

Understanding the Role of Contaminated Air in Healthcare Acquired Infections (Webinar) - Infection Control Today

Z316.5-15 Fume Hoods and Exhaust Systems Standard - (CSA)

Effects of work practices and upper body movements on the performance of a laboratory fume hood - Ahn, K. et al.,J. Chem. Health Safety (2016)

A research university's rapid response to a fatal chemistry accident: Safety changes and outcomes (Journal of Chemical Health and Safety)

Moisture Control Guidance for Building Design, Construction and Maintenance - U.S. EPA (pdf)

Mold remediation in a hospital - Toxicol Ind Health. 2009 Oct-Nov; 25(9-10):723-30 (NCBI)

Preventing Hearing Loss Caused by Chemical (Ototoxicity) and Noise Exposure (U.S. OSHA / CDC)

A support tool for choosing respiratory protection against bioaerosols (IRSST)

CAN/CSA-Z1001-18 - Occupational health and safety training standard (CSA - second edition, 2018)

Work-Related Asthma and Mitigating Employee Exposures to Cleaning Chemicals and Disinfectants (ABIH, March 12, 2018)

Work-related Asthma Prevention Program - Health Care Professionals and Work-Related Asthma (California Department of Public Health)

The 11th Revision of the International Classification of Diseases (ICD-11) (WHO




The Quality Worklife-Quality Healthcare Collaborative defines a healthy healthcare workplace as: A work setting that takes a strategic and comprehensive approach to providing the physical, cultural, psychosocial and work/job design conditions that maximize health and well-being of healthcare providers, quality of patient outcomes and organizational performance. "A fundamental way to better healthcare is through healthier healthcare workplaces. It is unacceptable to work in, receive care in, govern, manage and fund unhealthy healthcare workplaces."QWQHC.

“Many healthcare leaders are reluctant to commit to the goal of “High-Reliability“ because they regard it as unrealistic, unachievable or a distraction from their current serious fiscal and regulatory pressures. One of the important roles for policymakers and stakeholders is to encourage, persuade and demand that healthcare organizations embark on this journey. The Joint Commission also encourages and invites them to join us on the journey to High-Reliability, because all patients deserve safe care.”
~ Mark R. Chassin, M.D., FACP, M.P.P., M.P.H. President and Chief Executive Officer, The Joint Commission

“Workplace safety is inextricably linked to patient safety. Unless caregivers are given the protection, respect, and support they need, they are more likely to make errors, fail to follow safe practices, and not work well in teams.”
~ National Patient Safety Foundation, Lucian Leape Institute.

Last updated July 2018

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The National Institute for Occupational Safety and Health (NIOSH)

Occupational Health Topics (MedlinePlus)

Occupational Health for Healthcare Providers (Medline Plus / NIH)


Reproductive Health and the Workplace

Occupational Cancer Research Centre

ATSDR Toxic Substances Portal - Health Effects of Exposure to Substances and Carcinogens - (CDC)

Chemical Carcinogen Policy - (NIOSH)

Silica (Crystalline) - (CAREX Canada)

Monographs on the Evaluation of Carcinogenic Risks to Humans - (IARC)

Known and Probable Human Carcinogens (American Cancer Society)

Occupational Lung Diseases (European Lung White Book)

Occupations or Occupational Groups Associated with Carcinogen Exposures - (CCOHS)


Erionite (NIH)

Malignant Mesothelioma - Health Professional Version - (NIH)


National Institute of Environmental Health Sciences - Environmental Health Topics


NIOSH Training for Nurses on Shift Work and Long Work Hours

CMA Guide to Physician Health and Well-Being (pdf)

PHYSICIAN HEALTH - Canadian Medical Association Policy 2017

Occupational health related concerns among surgeons (Int J Health Sci (Qassim). 2016 Apr; 10(2): 279?91)

Management of Physician Fatigue - Policy of the Canadian Medical Association

Strategies for coping with stress and building personal resilience for physicians (pdf)

CanMEDS Physician Health Guide (pdf)

Handbook of Occupational Hazards & Controls for Healthcare Administrative Workers (pdf)

Occupational Traumatic Injuries Among Workers in Health Care Facilities ?United States, 2012?014 (CDC) (pdf)

Occupational Health and Safety Risks in the Healthcare Sector - European Union

Hazard Evaluation System and Information Service Publications (California Department of Public Health)

Occupational Safety and Health Topics (NIOSH)

U.S. Department of Health and Human Services - Specialized Information


Communicating the Risk of Violence - A Flagging Program Handbook for Maximizing Preventative Care - (Public Services Health and Safety Association, Ontario) (pdf)

Workplace Violence Prevention for Nurses Course - CDC

Preventing workplace violence in the health care sector - Read this report on how we're working to reduce violent incidents in health care workplaces and boost safety for staff and patients (Ontario Ministry of Labour

Preventing Interpersonal Violence in the Workplace - process tool (IRSST)

FRYE Women s Ellie Ellie s Mule Mule taupe 6a5ee44 -

Workplace Violence Assessment Tools ?in any Sector (Ontario Public Services Health and Safety Association)


Infection Prevention and Control Canada - (IPAC)

Healthcare-associated Infections - Protecting Healthcare Personnel - (CDC)

Summary of Infection Prevention Practices in Dental Settings - (CDC)

Infection Control Assessment Tools (CDC)

Healthcare-associated Infections (CDC)

Sepsis - Healthcare Professional (HCP) Resources (CDC)

Protecting HealthCare Workers from Infectious Diseases: A Self-Assessment Tool (pdf) (PSHSA)

Infection Control - Guidelines Library (CDC)

Top CDC Recommendations to Prevent Healthcare-Associated Infections

Nosocomial and Occupational Infections (PHAC)

Healthcare-Associated Infections桪ue Diligence (PHAC)

National Healthcare Safety Network - (Public Health Ontario)

CAN/CSA-Z317.13-12 - Infection control during construction, renovation, and maintenance of health care facilities - (CCOHS)

Information for Healthcare Providers {re: Flu} - (CDC)

Applying High Reliability Principles to Infection Prevention and Control in Long Term Care - (The Joint Commission for Accreditation)

ProMED-mail - A Program of the International Society for Infectious Diseases

Flu Activity & Surveillance (CDC)

Influenza - (WHO)

Current WHO global phase of pandemic alert: Avian Influenza A (H5N1)

Emerging Infectious Disease - (CDC)

Infection Prevention and Control Canada

Infectious Diseases (PHAC)

NOROVIRUS - For Public Health Professionals (CDC, 2016)

Infection Prevention and Control Resource Manual for Continuing Care (Alberta Health Services)

Infectious Disease Topics (Center for Infectious Disease Research and Policy, University of Minnesota)

The Infectious Diseases Society of America

CME from CDC: What You Need to Know About Infection Control

Global Alert and Response - Disease Outbreak News

Viruses of Special Concern - PANDEMIC INFLUENZA Monitoring for Influenza Viruses - (CDC)

Enterovirus D68 for Health Care Professionals - (CDC)

National Center for Immunization and Respiratory Diseases - Division of Bacterial Diseases

Community-Acquired Infections - Sandra G Gompf, MD, FACP, FIDSA (Medscape)

National Action Plan for Combating Antibiotic-Resistance Bacteria in U.S. (pdf)

Global guidelines on the prevention of surgical site infection - (WHO)

"Antimicrobial resistance threatens the very core of modern medicine and the sustainability of an effective, global public health response to the enduring threat from infectious diseases" (WHO)

Antibiotic Prescribing and Use in Doctor's Offices (CDC November 13, 2017)

Antibiotic Resistance Threats in the United States, 2013 - (CDC) (pdf)

FRYE Women s Ellie Ellie s Mule Mule taupe 6a5ee44

CDC Core Elements of Hospital Antibiotic Stewardship Programs

Critically important antimicrobials for human medicine (WHO - 5th revison 2017)


Physician's Guide to the California Ergonomics Standard

Elements of Ergonomics Programs - (NIOSH) (pdf)

Safe Patient Handling and Mobility - (CDC)

Pipetting Ergonomics - Eppendorf AG

Computer Workstations eTool - (U.S. OSHA)

Computer Workstation Ergonomics: Self-Assessment Checklist - (HIH)

Carpal Tunnel Syndrome Fact Sheet - (U.S. NIH)

Materials Handling: Heavy Lifting - (U.S. OSHA)

Office Environment - Health and Safety - (NIOSH)

Oregon Coalition for HealthCare Ergonomics (OCHE)

Pains & Strains in the Workplace Tool -
(Ontario Ministry of Labour)


NIOSH Manual of Analytical Methods (NMAM) 5th Edition ("An Industrial Hygienist should determine the sampling protocol, considering analytical accuracy, cost, and optimum sample number")

Risk Assessment ?Recommended Practices for Municipalities and Industry - Canadian Society for Chemical Engineering (pdf)

Risk Assessments Tools in the Laboratory - (ACS Division of Chemical Health & Safety)

Identifying and Evaluating Hazards in Research Laboratories (pdf) - (ACS)

CDC Laboratory Training

Glossary of Common Terms - "This document is part of a series of documents on industrial ventilation and includes a description of the most important terms used in industrial ventilation" (CCOHS)

Substitution of Chemicals - Considerations for Selection (CCOHS)

SDS Search - (CCOHS)

Toxic Substances Portal (CDC)

Pocket Guide to Chemical Hazards - (NIOSH)

CAN/CSA-Z1002-12 (R2017) - Occupational health and safety - Hazard identification and elimination and risk assessment and control

SKC Guide to OSHA/NIOSH/ASTM Air Sampling Methods

Chemical Laboratory Safety and Security: A Guide to Developing Standard Operating Procedures - National Academy of Sciences (2016)

Threshold Limit Values (TLVs? and Biological Exposure Indices)

Prudent Practices in the Laboratory - National Research Council

Strategic Approach to International Chemicals Management: –
Health Sector Focus - (WHO)

Mules & Clogs

Haz-Map: Information on Hazardous Chemicals and Occupational Diseases by Jay A. Brown, M.D., M.P.H.

Transitioning to Safer Chemicals: A Toolkit for Employers and Workers (U.S. OSHA)

PubChem Search - Includes Safety and Hazards

TOXNET Databases - (NIH)

GESTIS Substance Database (information system on hazardous substances of the German Social Accident Insurance)

OSHA (U.S.) Annotated Table Z-1 (2013)

U.S. OSHA Technical Manual

Promoting a Culture of Safety in Academic Chemical Research (2014) (National Academy of Sciences)

Laboratory Health and Safety Handbook - (WorkSafe BC) (pdf)

Chemical Emergencies (CDC)

Laboratory Chemical Safety Manual - University of British Columbia (pdf)

Center for Nanotechnology and Nanotoxicology - (Harvard T.H. Chan School of Public Health)

Toxic Substances Portal for - Toxicological and Health Professionals (ATSDR)

Agency for Toxic Substances and Disease Registry Index - (CDC)

ToxGuides?- are quick reference guides providing information such as chemical and physical properties, sources of exposure, routes of exposure, minimal risk levels, children's health, and health effects (ATSDR)

International Programme on Chemical Safety - (WHO)

International Chemical Safety Cards (NIOSH)

Chemical Safety Information from Intergovernmental Organizations (IPCS)

Society of Toxicology

Chemical Hazards Emergency Management for Hospitals - U.S. Department of Health & Human Services

Occupational Chemical Database - (U.S. OSHA)

Laboratory Safety Guidance - (U.S. OSHA)


Diagnosing "vulnerable system syndrome": an essential prerequisite to effective risk management
by J. T. Reason, et al (pdf)

Hazard Identification, Risk Assessment and Control /
Risk Management

Hierarchy of Controls - Controlling exposures to occupational hazards - (NIOSH)

CANUTEC - Canadian Transport Emergency Centre operated by the Transportation of Dangerous Goods (TDG) Directorate of Transport Canada

NIST Chemistry WebBook

National Pesticide Information Center

U.S. HHS and USDA Select Agents and Toxins - (CDC)

Hospital Respiratory Protection Program Toolkit: Resources for Respirator Program Administrators (U.S. OSHA; May 2015)

Sequence for Putting on Personal Protective Equipment (PPE) - (CDC)

Online Module - Correct Procedures for Donning and Doffing PPE

Respiratory Protection (U.S. OSHA)

Hospital Respiratory Protection Program Toolkit (NIOSH) (pdf)

Hospital Respiratory Protection Resources (NIOSH / NPPTL)


Health Physics Society

Questions and Answers in Magnetic Resonance Imaging - (Allen D. Elster, MD FACR, Wake Forest School of Medicine)

Guide for Radon Measurements in Public Buildings (Health Canada)

Radon Information- (United States Environmental Protection Agency)

European Lung White Book (European Respiratory Society)


A Support Tool for Choosing Respiratory Protection Against Bioaerosols - (IRSST)


Canadian Biosafety Standard - Second Edition (2015)

Biosafety in Microbiological and Biomedical Laboratories (CDC 5th Edition)

Sampling and characterization of bioaerosols - William G. Lindsley et al (NIOSH)

Biosafety - ABSA International

Basic Biosafety On-demand Module - ABSA International

Guideline for Disinfection and Sterilization in Healthcare Facilities (CDC)

Disinfection & Sterilization Infection Control Guidelines (pdf)

National Biomonitoring Program - Chemical Factsheets (CDC)



The Institute for Work & Health - a Canadian leader in work injury and disability prevention research (IWH)