Health and Safety Checklist for Students

Sinai Health (SH) is committed to providing a safe environment for all students. Under the Occupational Health
and Safety Act (OHSA) employers must provide instruction, information, policies and procedures to safely
conduct work. Employers must take every reasonable precaution to protect the health and safety of students.

How to use the checklist

1. Preceptors are required to provide a health and safety orientation on the student’s first day on-site using
this checklist as a guide.
2. If a section is not relevant to your particular placement, please enter N/A.
3. Contact Occupational Health and Safety (OHS) x3907 at Mount Sinai (MSH) or x2802 at Bridgepoint
(BAH) with any questions.
4. Student and preceptor sign the completed checklist, and the student uploads a scanned copy to their
NirvSystem account. If the student does not have a NirvSystem account, a scanned copy can be
emailed to safety.msh@sinaihealth.ca or safety.bah@sinaihealth.ca

Item  Details
Review the following:
o COVID-19 symptoms and the process if experiencing symptoms:
https://www.sinaihealth.ca/staff/covid-19-information-for-our-people/
Calling in sick o Responsibility of students with even one mild symptom to stay home and contact
OHS 416-586-4800 x7425 (MSH) or 416-461-8252 x2803 (BAH)
o Exchange contact information for student, preceptor, and back-up preceptor for
communication in the event of student or preceptor unexpected absence
Review the process for responding if a student is involved in a workplace incident:
o If first aid treatment is required, report to the OHS Clinic at MSH (60 Murray
Workplace Street, 1st floor) or BAH (G.057). Hours of operation: M-F, 7:30am-3:30pm
Incidents and o If OHS is closed or major medical attention is required, visit the Mount Sinai
Illnesses Emergency Department
o Students and their preceptors must complete an incident report (SAFER) for all
work-related incidents/illnesses/hazards
Review student responsibilities under the OHSA including:
Occupational
Health and o Compliance with all SH policies (e.g. Scented Products and Fragrances Policy)
Safety Act o Reporting hazards, equipment malfunctions, contraventions and incidents to
(OHSA) their preceptor
Roles and o Not engaging in behaviour that may endanger themselves or others
Responsibilities
o Knowing and exercising their three OHSA rights (to know, participate, & refuse)
Personal Protective Equipment (PPE) such as gloves, gowns, or face shields may
Personal be required for specific tasks and areas. Review the following:
Protective o Student responsibility to inspect PPE before use; report defects to the preceptor
Equipment o Process for selecting and accessing appropriate PPE (clinical PPE selection
(PPE) guides are available on the unit and also on the COVID-19 Information &
Resources page on the MSH Intranet and BAH Portal)

Revised: Apr 2021

 Students must be made aware of:
o Information on potentially aggressive patient behaviours and the process to
request support to enable safe patient care
o Chemical and biological hazards (e.g. procedures for Blood Borne Pathogens,
hazardous drugs, anesthetic gases, etc.) and how to follow-up with exposures
Area-Specific o Hazards in the physical environment including slip, trip, and fall hazards,
Hazards and patient/material handling, etc.
Safety
o Location of WHMIS/SDS binder
Practices
o Location and use of eyewash stations
o Emergency contact information for the department & hospital
o Unit/building-specific evacuation procedures (if additional assistance will be
required during an evacuation, contact OHS to set up a personal plan)
o Student responsibility to seek out this information if also placed in other areas
Review and reiterate with your student:
o Universal Masking Policy: A procedure mask must be worn in all public and
Outbreak clinical areas of the hospital. Face shields are also required in some areas
Mitigation o Physical distancing: Maintain physical distance (2m/6ft) from your colleagues as
Procedures much as possible, even when wearing a mask
during COVID- o Meals: Only eat in designated areas; remove mask only while eating, maintain
19 physical distance; do not share food
o Additional information is available on the COVID-19 Information & Resources
page on the MSH Intranet and BAH Portal
At Sinai Health, students are permitted to participate in the direct care of COVID-19
positive patients if the preceptor deems the student has the required knowledge,
Learner Scope skills, judgement, and access to PPE to do so safely. However, some schools place
of Practice and restrictions on student scope of practice that are unique to that program.
COVID-19
o Discuss any restrictions to the student’s scope of practice, noting if there are any
patient populations or tasks to which the student cannot be assigned
My preceptor has provided a basic health and safety orientation as outlined above and I agree to comply with
the organizational policies and practices outlined in this checklist.

Student Name (print clearly):

Student Signature:

Date:

I have reviewed the information covered in this document with the above student and will provide adequate
supervision to ensure the student demonstrates compliance with the above organizational policies and
practices throughout their placement.

Preceptor Name (print clearly):

Preceptor Signature:

Date: