Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada

Search

Aviation Occupational Health and Safety Regulations (SOR/2011-87)

Regulations are current to 2025-05-05 and last amended on 2025-03-26. Previous Versions

SCHEDULE 2(Subsection 10.7(2))

Image of Canadian flag
Employment and Social Development CanadaEmploi et Développement social CanadaPROTECTED B WHEN COMPLETED

Reporting Year:

EMPLOYER’S ANNUAL HAZARDOUS OCCURRENCE REPORT (Onboard)

Instructions on how to complete the form can be found at Canada.ca/workplace-health-safety-annual-reports

Employer’s legal nameBusiness number
Employer’s operating name (if different from above)
Mailing address
Name of contact personBusiness telephone
Mailing addressEmail
SignatureDate
Work Place InformationInjury DataEmployment Data
Work Place IDWork Place NameHeadquarters

(Y/N)

Work Place Reference NumberAddress

(Street, City, Province, Postal Code)

Number of Disabling InjuriesNumber of DeathsNumber of Minor InjuriesNumber of Other Hazardous OccurrencesTotal Number of Hours WorkedTotal Number of EmployeesIn Operation

(Y/N)

Date Ceased 

YYYY-MM-DD

Comments:
Comments:
Comments:
Comments:
ESDC-NHQ LAB1195 E
Canadian flag

PART 11Repeal and Coming into Force

Repeal

 [Repeal]

Coming into force

 These Regulations come into force on the day on which they are registered.

 

Date modified: