Canada Labour Standards Regulations

• (a) 

  Name of employer:
• (b) 

  An identification of the affected employees:
• (c) 

  Address or location of workplace:
• (d) 

  Hours of work in each work day:

  in each work week

  (The number of hours in a work day and in a work week may be specified by attaching the work schedule of the affected employees.)

• (e) 

  Number of work days in the work schedule:
• (f) 

  Number of weeks in the work schedule:
• (g) 

  Number of days of rest in the work schedule:
• (h) 

  Where one or more general holidays occur in a week, the weekly standard hours shall be reduced by:
• (i) 

  The number of days for which the employee is entitled to wages in the 30 days preceding a holiday in order to qualify for general holiday pay:

  (The number of days in paragraph (i) must be equal to the number of work days in the work schedule multiplied by three and divided by the number of weeks in the schedule)

• (j) 

  The maximum number of hours that may be worked:

  in a week

  in a work schedule

• (k) 

  The method of calculating general holiday pay is:
• (l) 

  Date the work schedule comes into effect: / /
• (m) 

  Date the work schedule expires: / /
• (n) 

  Date the notice was posted: / /

Note:

• 1 Any hours worked in excess of the daily hours of work set out in paragraph (d) and in excess of a weekly average of 40 hours over the work schedule are payable at the overtime rate.

• 2 This work schedule is posted in accordance with subsections 170(3) and 172(3) of the Canada Labour Code. These require that notice of the work schedule be posted for at least 30 days prior to its coming into effect and that the employer and 70% of affected employees agree to the schedule. Subsection 5(2) of the Canada Labour Standards Regulations requires that details of the work schedule be posted and kept posted as long as the modified work schedule is in effect.