The Organization shall:

  1. Ensure the development and maintenance of an effective health and safety program;
  2. Investigate and respond to patient injuries, illness, and safety incidents in compliance with applicable regulations;
  3. Investigate and respond to workplace injuries, illness, and safety incidents in compliance with applicable regulations;
  4. Analyze its health and safety data, at least annually, to identify and respond to trends and recurring areas of concern, assess individual employee performance, and ascertain department-specific versus systemic issues; and
  5. Assign staff or hire consultants with appropriate level of access, experience, and expertise to oversee its health and safety program.