Health and Safety Excellence Program Registration Form

Incomplete or incorrect application information will not be processed. Please verify all information submitted is correct.

Only returning IHSA members whose action plans have closed within the last 60 days will be eligible to enroll with IHSA at this time.

For more information please visit https://www.ihsa.ca/HealthAndSafetyExcellenceProgram
21 Voyager Court South - Etobicoke, ON, Canada M9W 5M7
Phone: 416-674-2726 - Toll Free: 1-800-263-5024 - Email: excellenceprogram@ihsa.ca- www.ihsa.ca



Health and Safety Excellence Program Registration Form

Once this service agreement is submitted and approved by IHSA, you will be contacted to process your payment. 

For more information please visit https://www.ihsa.ca/HealthAndSafetyExcellenceProgram or email excellenceprogram@ihsa.ca

Small Business with 1 to 49 Employees

There is a of $895 + HST for small businesses, which covers the following:
  • Direct access to subject matter experts, IHSA resources and networking.
  • One free e-learning registration: Introduction to Hazard & Risk Management course.
  • Opportunity to participate in meetings/webinars related to health and safety management system topics.
  • Pre-submission to WSIB desk review and report.
  • Two-hour consultation with an IHSA Health and Safety Management System Consultant (assist with topic selection/topic development/topic submission for WSIB validation).
This fee is non-refundable and applies annually or on completion of an action plan, whichever is first. Additional mandatory timelines apply throughout the program.


Medium Businesses with 50 to 99 Employees

There is a fee of $1,750+ HST**** for medium businesses, which covers the following:

  • Direct access to subject matter experts, IHSA resources and networking.
  • One free e-learning registration: Introduction to Hazard & Risk Management course.
  • Opportunity to participate in meetings/webinars related to health and safety management system topics.
  • Pre-submission to WSIB desk review and report.
  • Four-hour consultation with an IHSA Health and Safety Management System Consultant (assist with topic selection/topic development/topic submission for WSIB validation). This may be scheduled over more than one session.
This fee is non-refundable and applies annually or on completion of an action plan, whichever is first. Additional mandatory timelines apply throughout the program.
Large Businesses with 100 or more Employees

There is a fee of $3,985 + HST for large businesses, which covers the following:

  • Direct access to subject matter experts, IHSA resources and networking.
  • One free e-learning registration: Introduction to Hazard & Risk Management course.
  • Opportunity to participate in meetings/webinars related to health and safety management system topics.
  • Pre-submission to WSIB desk review and report.
  • Four-hour consultation with an IHSA Health and Safety Management System Consultant (assist with topic selection/topic development/topic submission for WSIB validation). This may be scheduled over more than one session.
This fee is non-refundable and applies annually or on completion of an action plan, whichever is first. Additional mandatory timelines apply throughout the program.
Have you applied to SOSE or do you plan to apply this year?*
SOSE = MLITSD program "Supporting Ontario's Safe Employers"

Accounts who have achieved recognition under the Supporting Ontario's Safe Employers (SOSE) program are not eligible for participation in HSEp. 

Please contact us at excellenceprogram@ihsa.ca before registering if you have any questions about this.

Enter your company's legal name
Enter your company's trade name
Enter company's WSIB account number
Enter your company's WSIB firm number
First Contact Name *
Enter your company's representative title
Enter contact's phone number

Enter contact e-mail address.
Second Contact Name*

Enter contact e-mail address.
Firm Address*
Which Type of Employer are you?*
Note: This is used to assist in determining eligibility for rebates
Are you a Small, Medium, or Large Business?*
Note: This helps us verify registration fees and eligibility for any incentive programs
Occupational Health and Safety Jurisdiction:*
Note: This helps us understand how we can best help you in the program
Are you currently COR Certified or registered?*
Note: This information is only used in determining how best to assist you within HSEp. COR(TM) is NOT required for HSEp
Which COR(R) standard are you certified to?
Note: This information is only used in determining how best to assist you within HSEp. COR(TM) is NOT required for HSEp
Have you previously been registered with a different provider?

Please Note: Your topic selection may be limited. Please click this link COR™- HSEp


Terms and Conditions of Participation

  • Employers agree to adhere to the requirements as outlined in the WSIB Health and Safety Excellence program – Guidelines for program members.
  • Employers agree to adhere to the program provider requirements set out by IHSA including meeting specific deadlines for topic selection, plan, do, check and act phases.
  • Participation in the program is 365 days from topic selection or 30 days from payment if no topics are selected.

Eligibility 

  • Firms require an active WSIB account to be eligible.
  • Both Schedule 1 and Schedule 2 firms can participate; however, financial rebates are available for Schedule 1 firms only.
  • Firms must be in good standing with the WSIB.
  • Participation requires the firm to register with an official WSIB program provider.
  • No allowed traumatic fatality claims from the date your action plan was approved to the date the rebate is issued.
    (If a business is waiting on a decision regarding a workplace fatality claim, they’re not eligible for a rebate until a decision about that fatality is made.)
  • IHSA requires firms to remain in good standing with respect to our provider requirements including deadlines for topics selection, plan, do, check and act phases.

Participant’s Consent

I hereby agree to allow the Infrastructure Health & Safety Association (IHSA) to collect, store, and use my name, address, and purchase information in accordance with IHSA's Privacy Policy. I understand that if the personal information compiled by IHSA is incorrect, IHSA will correct the information upon my request and provide me with confirmation. I further understand that if I am not satisfied with the manner in which IHSA handles my personal information, I may contact the Privacy Commissioner for the Province of Ontario.



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