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Soumettez une demande au Service Installation à l'aide des options proposées.
Incidents et nuisances
Formulaire #10 2025: Déclaration d’incident et/ou de nuisance
Les champs obligatoires sont marqués d'un astérisque*
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Votre collaboration est essentielle pour garantir un environnement de travail sécuritaire et agréable pour tous."}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"d1a26347-d58a-4960-972c-2635e45b7502"},"content":[{"type":"text","text":"À quoi sert un formulaire de déclaration d’incident et/ou de nuisance"}]},{"type":"heading","attrs":{"level":3,"localId":"6d90098d-8d86-46bd-bd4a-d65e73003974"},"content":[{"type":"text","text":"Objectif","marks":[{"type":"strong"}]}]},{"type":"paragraph","attrs":{"localId":"d7f5642a-a632-4f3f-abce-ca93d8886d94"},"content":[{"type":"text","text":"Le formulaire de déclaration d’incident ou de nuisance est un outil essentiel pour "},{"type":"text","text":"assurer la santé, la sécurité et le bien-être des employés","marks":[{"type":"strong"}]},{"type":"text","text":". Il permet de :"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"dd3367ee-bdbe-4142-bb3a-4d4b2b8af200"},"content":[{"type":"text","text":"Recueillir des informations précises","marks":[{"type":"strong"}]},{"type":"text","text":" sur tout événement ou nuisance constaté dans le milieu de travail."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"c0185890-4b43-45e9-9243-1ca89624d6fb"},"content":[{"type":"text","text":"Analyser rapidement la situation","marks":[{"type":"strong"}]},{"type":"text","text":" afin de mettre en place des mesures correctives appropriées s'il y a lieu."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"e2e65b9c-0502-46aa-abdd-7b0087f515dc"},"content":[{"type":"text","text":"Prévenir les risques futurs","marks":[{"type":"strong"}]},{"type":"text","text":" en identifiant les causes et en améliorant les pratiques."}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"2b213663-4859-4c50-824d-3b47acbc02a7"},"content":[{"type":"text","text":"But","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"fe421f9f-b101-483f-809c-dfbb01ebff21"},"content":[{"type":"text","text":"Protéger les employés","marks":[{"type":"strong"}]},{"type":"text","text":" contre les risques physiques, psychologiques ou environnementaux."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"e0aa8676-1865-4eca-8e97-168b3911b993"},"content":[{"type":"text","text":"Maintenir un environnement de travail sain et respectueux","marks":[{"type":"strong"}]},{"type":"text","text":", en réduisant les nuisances (bruit, odeur, comportements inappropriés, etc.)."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"621f31c7-15b3-421a-95f4-00a90110b80b"},"content":[{"type":"text","text":"Assurer la conformité","marks":[{"type":"strong"}]},{"type":"text","text":" avec les normes légales et les politiques internes."}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"3fb479a0-fdce-4dc9-b776-75f578c483dd"},"content":[{"type":"text","text":"Pourquoi c’est important ?","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"2a621bcb-3925-46f6-8471-6aa19c19a23e"},"content":[{"type":"text","text":"Chaque signalement contribue à "},{"type":"text","text":"améliorer la qualité de vie au travail","marks":[{"type":"strong"}]},{"type":"text","text":"."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"c33521ff-ceeb-4449-9314-5b34a0b7d944"},"content":[{"type":"text","text":"Il permet de "},{"type":"text","text":"agir rapidement","marks":[{"type":"strong"}]},{"type":"text","text":" avant qu’un problème ne devienne critique."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"73562b75-35b5-4cea-ac4f-13cb918e0678"},"content":[{"type":"text","text":"Il favorise une "},{"type":"text","text":"culture de prévention et de transparence","marks":[{"type":"strong"}]},{"type":"text","text":"."}]}]}]},{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":8},"layout":"default","localId":"d26a1e97-c4b7-40c7-90f9-7ad06d085a33"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"6708b771-e44d-418a-8cc5-8abf6e945c05"},"content":[{"type":"text","text":"Responsabilités et devoirs"}]},{"type":"heading","attrs":{"level":3,"localId":"aa157019-ca69-49f3-9c08-a81b05da146c"},"content":[{"type":"text","text":"Employeur"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"cb1dfbd0-f10b-44bd-b441-c612fa70b002"},"content":[{"type":"text","text":"Notifier immédiatement","marks":[{"type":"strong"}]},{"type":"text","text":" (dans les minutes qui suivent) en cas de "},{"type":"text","text":"décès ou blessure grave","marks":[{"type":"strong"}]},{"type":"text","text":" (critically injured) :"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"a8e78bfb-b7ea-4ec7-96cc-c7505aa2a077"},"content":[{"type":"text","text":"Appeler le "},{"type":"text","text":"911","marks":[{"type":"strong"}]},{"type":"text","text":", puis informer le "},{"type":"text","text":"Ministère du Travail","marks":[{"type":"strong"}]},{"type":"text","text":", le "},{"type":"text","text":"comité/joint health and safety committee","marks":[{"type":"strong"}]},{"type":"text","text":" et, le cas échéant, le "},{"type":"text","text":"syndicat","marks":[{"type":"strong"}]},{"type":"text","text":". "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/reporting-workplace-incidents-and-illnesses"}}]},{"type":"text","text":", "},{"type":"text","text":"[wsib.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsib.ca/en/operational-policy-manual/employers-initial-accident-reporting-obligations"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"04eefa63-839d-4e1c-8219-8c331478dea4"},"content":[{"type":"text","text":"Ne pas altérer la scène, sauf pour limiter des risques spécifiques. "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/reporting-workplace-incidents-and-illnesses"}}]}]}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"36addcc6-e55f-45bd-8794-a45a0de7d1df"},"content":[{"type":"text","text":"Soumettre un rapport écrit","marks":[{"type":"strong"}]},{"type":"text","text":" dans les "},{"type":"text","text":"48 heures","marks":[{"type":"strong"}]},{"type":"text","text":" au ministère, au comité/joint HS et au syndicat, avec les détails exigés (employeur, blessé, circonstances, témoins, mesures préventives). "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/reporting-workplace-incidents-and-illnesses"}}]},{"type":"text","text":", "},{"type":"text","text":"[ohsinsider.com]","marks":[{"type":"link","attrs":{"href":"https://ohsinsider.com/how-to-comply-with-new-ontario-ohs-incident-reporting-requirements/?print=print"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"ce0c949b-9f04-45eb-b233-23d75bda8951"},"content":[{"type":"text","text":"Déclarer à la WSIB","marks":[{"type":"strong"}]},{"type":"text","text":" via le "},{"type":"text","text":"Formulaire 7","marks":[{"type":"strong"}]},{"type":"text","text":" dans les "},{"type":"text","text":"3 jours ouvrables","marks":[{"type":"strong"}]},{"type":"text","text":" si l’employé nécessite des soins médicaux, un arrêt ou une adaptation du travail > 7 jours. 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Il permet de :"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"dd3367ee-bdbe-4142-bb3a-4d4b2b8af200"},"content":[{"type":"text","text":"Recueillir des informations précises","marks":[{"type":"strong"}]},{"type":"text","text":" sur tout événement ou nuisance constaté dans le milieu de travail."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"c0185890-4b43-45e9-9243-1ca89624d6fb"},"content":[{"type":"text","text":"Analyser rapidement la situation","marks":[{"type":"strong"}]},{"type":"text","text":" afin de mettre en place des mesures correctives appropriées s'il y a lieu."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"e2e65b9c-0502-46aa-abdd-7b0087f515dc"},"content":[{"type":"text","text":"Prévenir les risques futurs","marks":[{"type":"strong"}]},{"type":"text","text":" en identifiant les causes et en améliorant les pratiques."}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"2b213663-4859-4c50-824d-3b47acbc02a7"},"content":[{"type":"text","text":"But","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"fe421f9f-b101-483f-809c-dfbb01ebff21"},"content":[{"type":"text","text":"Protéger les employés","marks":[{"type":"strong"}]},{"type":"text","text":" contre les risques physiques, psychologiques ou environnementaux."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"e0aa8676-1865-4eca-8e97-168b3911b993"},"content":[{"type":"text","text":"Maintenir un environnement de travail sain et respectueux","marks":[{"type":"strong"}]},{"type":"text","text":", en réduisant les nuisances (bruit, odeur, comportements inappropriés, etc.)."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"621f31c7-15b3-421a-95f4-00a90110b80b"},"content":[{"type":"text","text":"Assurer la conformité","marks":[{"type":"strong"}]},{"type":"text","text":" avec les normes légales et les politiques internes."}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"3fb479a0-fdce-4dc9-b776-75f578c483dd"},"content":[{"type":"text","text":"Pourquoi c’est important ?","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"2a621bcb-3925-46f6-8471-6aa19c19a23e"},"content":[{"type":"text","text":"Chaque signalement contribue à "},{"type":"text","text":"améliorer la qualité de vie au travail","marks":[{"type":"strong"}]},{"type":"text","text":"."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"c33521ff-ceeb-4449-9314-5b34a0b7d944"},"content":[{"type":"text","text":"Il permet de "},{"type":"text","text":"agir rapidement","marks":[{"type":"strong"}]},{"type":"text","text":" avant qu’un problème ne devienne critique."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"73562b75-35b5-4cea-ac4f-13cb918e0678"},"content":[{"type":"text","text":"Il favorise une "},{"type":"text","text":"culture de prévention et de transparence","marks":[{"type":"strong"}]},{"type":"text","text":"."}]}]}]},{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":8},"layout":"default","localId":"d26a1e97-c4b7-40c7-90f9-7ad06d085a33"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"6708b771-e44d-418a-8cc5-8abf6e945c05"},"content":[{"type":"text","text":"Responsabilités et devoirs"}]},{"type":"heading","attrs":{"level":3,"localId":"aa157019-ca69-49f3-9c08-a81b05da146c"},"content":[{"type":"text","text":"Employeur"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"cb1dfbd0-f10b-44bd-b441-c612fa70b002"},"content":[{"type":"text","text":"Notifier immédiatement","marks":[{"type":"strong"}]},{"type":"text","text":" (dans les minutes qui suivent) en cas de "},{"type":"text","text":"décès ou blessure grave","marks":[{"type":"strong"}]},{"type":"text","text":" (critically injured) :"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"a8e78bfb-b7ea-4ec7-96cc-c7505aa2a077"},"content":[{"type":"text","text":"Appeler le "},{"type":"text","text":"911","marks":[{"type":"strong"}]},{"type":"text","text":", puis informer le "},{"type":"text","text":"Ministère du Travail","marks":[{"type":"strong"}]},{"type":"text","text":", le "},{"type":"text","text":"comité/joint health and safety committee","marks":[{"type":"strong"}]},{"type":"text","text":" et, le cas échéant, le "},{"type":"text","text":"syndicat","marks":[{"type":"strong"}]},{"type":"text","text":". "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/reporting-workplace-incidents-and-illnesses"}}]},{"type":"text","text":", "},{"type":"text","text":"[wsib.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsib.ca/en/operational-policy-manual/employers-initial-accident-reporting-obligations"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"04eefa63-839d-4e1c-8219-8c331478dea4"},"content":[{"type":"text","text":"Ne pas altérer la scène, sauf pour limiter des risques spécifiques. 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"},{"type":"text","text":"[wsps.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsps.ca/resource-hub/articles/workplace-incidents-find-out-when-and-how-to-report-them"}}]},{"type":"text","text":", "},{"type":"text","text":"[oohsc.ca]","marks":[{"type":"link","attrs":{"href":"https://oohsc.ca/wsib-workplace-accident-incident-near-miss-investigation/"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"5b04efba-1949-454b-8ae2-1b73a23912da"},"content":[{"type":"text","text":"En cas de harcèlement ou nuisance","marks":[{"type":"strong"}]},{"type":"text","text":" : mettre en place une "},{"type":"text","text":"enquête appropriée","marks":[{"type":"strong"}]},{"type":"text","text":" (objective, confidentielle, documentée, effectuée dans un délai raisonnable, idéalement < 90 jours). "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/workplace-harassment-investigation-employer"}}]},{"type":"text","text":", "},{"type":"text","text":"[gowlingwlg.com]","marks":[{"type":"link","attrs":{"href":"https://gowlingwlg.com/en-ca/insights-resources/articles/2024/employers-duty-to-investigate"}}]}]}]}]},{"type":"heading","attrs":{"level":3,"localId":"7f1ade5f-e2a3-4101-a50d-724c217e8e4c"},"content":[{"type":"text","text":"Employé(ée)"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"61eeffcc-e2f5-4e14-bbd0-6d6d4699bac4"},"content":[{"type":"text","text":"Signaler immédiatement","marks":[{"type":"strong"}]},{"type":"text","text":" tout incident à son "},{"type":"text","text":"superviseur ou employeur","marks":[{"type":"strong"}]},{"type":"text","text":", même pour incident mineur ou presque-accident. "},{"type":"text","text":"[wsps.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsps.ca/resource-hub/articles/workplace-incidents-find-out-when-and-how-to-report-them"}}]},{"type":"text","text":", "},{"type":"text","text":"[oohsc.ca]","marks":[{"type":"link","attrs":{"href":"https://oohsc.ca/wsib-workplace-accident-incident-near-miss-investigation/"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"1734c310-56df-4cc0-b8b3-f83a8518454b"},"content":[{"type":"text","text":"Compléter le formulaire interne","marks":[{"type":"strong"}]},{"type":"text","text":" ou fournir les informations nécessaires (date, lieu, description, témoins, suggestion de mesures correctives)."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"9b880186-0c9d-4174-a4bd-f98d59c7c077"},"content":[{"type":"text","text":"Collaborer à l’enquête","marks":[{"type":"strong"}]},{"type":"text","text":" : fournir témoignages et éléments utiles."}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"4d2ee99d-2af2-402a-9975-28622b53f3a0"},"content":[{"type":"text","text":"Droits"}]},{"type":"heading","attrs":{"level":3,"localId":"b9b382d5-c1be-4f63-bcae-f1db0d4f7e59"},"content":[{"type":"text","text":"Employeur"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"c60f649a-2302-4c61-bcf1-a16e09bff471"},"content":[{"type":"text","text":"Produire un "},{"type":"text","text":"rapport complet et motivé","marks":[{"type":"strong"}]},{"type":"text","text":" dans les délais."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"e64bceaa-1360-4875-97b7-5b35fcf97de8"},"content":[{"type":"text","text":"Corriger ou compléter les rapports (auprès du ministère ou de la WSIB)."}]}]}]},{"type":"heading","attrs":{"level":3,"localId":"f4e0fb18-1fa8-44a5-a436-f3eff37d0fde"},"content":[{"type":"text","text":"Employé(ée)"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"53dc4682-f5a4-40aa-aced-033127bef0c8"},"content":[{"type":"text","text":"Protection contre les représailles","marks":[{"type":"strong"}]},{"type":"text","text":" (whistleblower, travailleur en santé et sécurité protégée). "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/workplace-health-and-safety"}}]},{"type":"text","text":", "},{"type":"text","text":"[ontario.ca]","marks":[{"type":"link","attrs":{"href":"https://www.ontario.ca/page/reporting-workplace-incidents-and-illnesses"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"1b7bb36e-f6ac-4b77-a2ff-593ac492a92e"},"content":[{"type":"text","text":"Accès aux résultats de l'enquête","marks":[{"type":"strong"}]},{"type":"text","text":", aux mesures mises en place, à toute évolution sur la sécurité."}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"da55ef67-4093-412b-8d1f-caa5657c4280"},"content":[{"type":"text","text":"Droit de déposer un dossier WSIB","marks":[{"type":"strong"}]},{"type":"text","text":" : obtenir des *"},{"type":"text","text":"prestations","marks":[{"type":"em"}]},{"type":"text","text":", soins médicaux et indemnités via Form 7. "},{"type":"text","text":"[wsib.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsib.ca/en/employers-report-injury-disease-form-7-reference-guide-businesses"}}]},{"type":"text","text":", "},{"type":"text","text":"[wsib.ca]","marks":[{"type":"link","attrs":{"href":"https://www.wsib.ca/en/operational-policy-manual/employers-initial-accident-reporting-obligations"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"5499d17a-aea8-4754-a068-4aaacaaea053"},"content":[{"type":"text","text":"Porter plainte","marks":[{"type":"strong"}]},{"type":"text","text":" auprès du ministère du Travail si l’employeur déroge à ses obligations."}]}]}]},{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":10},"layout":"default","localId":"2dd42a28-9ef7-4251-a781-ee12afc17e95"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"169ee013-8109-46bf-840e-780398aecc84"},"content":[{"type":"text","text":"Anonymat"}]},{"type":"paragraph","attrs":{"localId":"db45313c-410d-4179-af44-2a348418f19c"},"content":[{"type":"text","text":"Les employés ont la possibilité de remplir le formulaire de déclaration d’incident et/ou de nuisance de manière anonyme."}]},{"type":"paragraph","attrs":{"localId":"91b3b9f4-2f21-413f-87a7-7a58ff00359e"},"content":[{"type":"text","text":"Toutefois, il est important de noter que l’anonymat limite la capacité de l’employeur à effectuer un suivi complet, à clarifier les faits ou à mettre en œuvre des mesures correctives personnalisées. "}]},{"type":"paragraph","attrs":{"localId":"b52bddf8-68f9-4263-8645-88b45309bac6"},"content":[{"type":"text","text":"Dans ces cas, seules des actions générales de prévention ou d’amélioration pourront être envisagées."}]},{"type":"rule"},{"type":"paragraph","attrs":{"localId":"d7a5e898-e182-4438-9cb0-ed6a06c76d87"},"content":[{"type":"text","text":"Lorsque le formulaire est rempli de manière anonyme, l’employeur peut prendre connaissance de l’incident ou de la nuisance, mais certaines actions sont restreintes :"}]},{"type":"orderedList","attrs":{"order":1},"content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"df834942-633e-4d1b-bae7-65beaaa1be90"},"content":[{"type":"text","text":"Impossibilité de clarifier les faits","marks":[{"type":"strong"}]},{"type":"hardBreak"},{"type":"text","text":"Sans contact avec le déclarant, il est difficile de confirmer les détails, obtenir des précisions ou vérifier la véracité des 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