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Health Care Sector Injury Statistics

Safe At Work Ontario
  • Issued: August 19, 2016
  • Content last reviewed: August 2016

Disclaimer: This resource has been prepared to help the workplace parties understand some of their obligations under the Occupational Health and Safety Act (OHSA) and regulations. It is not legal advice. It is not intended to replace the OHSA or the regulations. For further information please see full disclaimer.

Sector overview

Some quick facts:

  • More than 800,000 workers are employed in Ontario’s health care sector.
  • They work at more than 6,000 hospitals, long-term care homes, retirement homes, community care and other workplaces across the province.
  • Health care ranks second highest[1] for LTIs among all sectors in Ontario.

The LTI rate in the health care sector was 1.33 per 100 workers in 2014. This ranks above the overall LTI rate in Schedule 1 employers of 0.92 per 100 workers, but is a decrease from the 2013 health care LTI rate of 1.39 per 100 workers. Only one other sector in Ontario exceeds the total number of LTIs in the health care sector. Table 1 below shows how the number of LTIs, non lost time injuries (NLTIs) and the LTI frequency rate has changed for Ontario’s health care sector from 2010-2014. Over this time, the LTI frequency rate for the health care sector has decreased from 1.81 to 1.33.

Table 1: Ontario health care injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 8,181 6,956 7,378 6,704 6,508
LTI frequency rate 1.81 1.51 1.54 1.39 1.33
Total number of NLTIs 13,217 13,298 13,757 14,189 14,778

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Ontario’s health care sector is diverse and complex. Table 2 below shows its labour force is generally increasing.

Table 2: Ontario labour force - health care sector
2009 2010 2011 2012 2013 2014 2015
718,000 747,600 767,100 782,500 807,500 816,300 828,600

Source: Statistics Canada. Table 282-0008 - Labour force survey estimates (LFS), by North American Industry Classification System (NAICS), sex and age group (CANSIM (database) (Accessed: March 14, 2016).


Graph 1 and table 3 below show how the LTI counts have changed for the most common occupational health and safety hazards in the health care sector from 2010-2014.

Graph 1: Health care: Schedule 1 allowed LTI counts by PSHSA injury type

The line graph shows how lost time injury counts have changed for the most common occupational health and safety hazards in the health care sector from 2010-2014. The data is also presented in tabular format below.
Table 3: Health care Schedule 1 allowed LTI counts by PSHSA injury type
PSHSA injury type 2010 2011 2012 2013 2014
Contact with/struck by object 643 639 678 670 611
Exposures 1,288 864 1,260 934 1,061
Falls 1,262 1,216 1,155 1,210 1,259
Fires and explosions 7 2 6 2 1
Machinery 49 56 58 63 83
MSD client handling 1,665 1,330 1,230 1,137 1,142
MSD other 2,118 1,763 1,845 1,595 1,390
Motor vehicle incidents 181 121 155 155 147
Not classified 162 164 238 211 141
Not coded 13 2 7 12 8
Transportation 13 12 15 20 13
Workplace violence 696 658 624 638 680

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, rolling June 2011 to 2015 data snapshots, courtesy of Public Services Health and Safety Association (PSHSA)


Graph 2 and table 4 below show the most common occupational health and safety hazards for the health care sector, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 2: 2014 LTIs by hazard across health care

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in the health care sector. The data is also presented in tabular format below.
Table 4: 2014 LTIs by hazard across health care
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 611 9%
Exposures 1,061 16%
Falls 1,259 19%
Machinery 83 1%
MSD client handling 1,142 17%
MSD other 1,390 21%
Motor vehicle incidents 147 2%
Not classified 141 2%
Other (fires and explosions, not coded, transportation) 22 0%
Workplace violence 680 11%
Total 6,536 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Health and community care services are provided in a variety of complex settings. Seven settings are covered by the Ministry of Labour Health Care Health and Safety Program:

  • Long-term care homes (homes for nursing care)
  • Retirement homes (homes for residential care)
  • Hospitals
  • Nursing services
  • Supported group living residences and other facilities (group homes)
  • Treatment clinics and specialized services
  • Professional offices and agencies.

Graph 3 and table 5 below show the LTI counts have changed for all of the health care settings (rate groups) from 2010-2014.

Graph 3: Health care allowed Schedule 1 LTI counts by rate group (2010-2014)

The line graph shows how the lost time injury counts have changed for all health care settings from 2010-2014. The data is also presented in tabular format below.
Table 5: Health care allowed Schedule 1 LTI counts by rate group (2010-2014)
Rate group 2010 2011 2012 2013 2014
Long-term care homes 2,247 1,837 2,134 1,830 1,691
Retirement homes 294 224 230 216 302
Hospitals 3,147 2,536 2,516 2,200 2,158
Nursing services 881 801 896 894 961
Supported group residences and other facilities 637 632 634 620 545
Treatment clinics and specialized services 711 669 696 701 645
Professional offices and agencies 264 257 272 243 206

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Graph 4 and table 6 below show how the LTI frequency rates have changed for all of the health care settings (rate groups) from 2010-2014.

Graph 4: Health care sector: LTI frequency by rate group (2010-2014)

The line graph shows how the lost time injury frequency rates have changed for all health care settings from 2010-2014. The data is also presented in tabular format below.
Table 6: Health care sector: LTI frequency by rate group (2010-2014)
Rate group 2010 2011 2012 2013 2014
Long-term care homes 3.21 2.56 2.85 2.47 2.25
Retirement homes 2.14 1.72 1.65 1.48 2.03
Hospitals 1.61 1.28 1.23 1.07 1.05
Nursing services 2.1 1.88 1.85 1.79 1.83
Suppported group living residences and other facilities 3.49 3.44 3.33 3.22 2.94
Treatment clinics and specialized services 1.05 0.97 0.97 0.95 0.95
Professional offices and agencies 0.58 0.55 0.58 0.53 0.46

Source: WSIB Enterprise Information Warehouse (EIW) Firm Experience Schema, November 2015 snapshot for all years, courtesy of Public Services Health and Safety Association (PSHSA).

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Injury statistics in health care settings

For each setting, common hazards are listed. Select each hazard to go to a hazard description, inspection focus and resources for compliance.

Long-term care homes

Long-term care homes are government funded and regulated by the Ministry of Health and Long-Term Care under the Long-Term Care Homes Act, 2007. These homes generally offer higher levels of personal care and support (such as 24-hour nursing services or personal support) than offered by retirement homes or supportive housing.

Table 7 below shows how the number of lost time injuries (LTIs), non-lost time injuries (NLTIs) and the LTI frequency rate have changed for long-term care homes from 2010-2014.

Table 7: Long-term care homes injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 2,247 1,837 2,134 1,830 1,691
LTI frequency rate 3.21 2.56 2.85 2.47 2.25
Total number of NLTIs 3,454 3,625 3,637 3,694 3,750

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Common hazards in long-term care homes include, but are not limited to:

Graph 5 and table 8 below show the most common occupational health and safety hazards for long-term care homes in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 5: LTIs by hazard for long-term care homes, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in long-term care homes. The data is also presented in tabular format below.
Table 8: LTIs by hazard for long-term care homes, 2014
Hazard Number of LTIs Percentage of total LTIs
Contact with/struck by object 138 8%
Exposures 496 29%
Falls 242 14%
Machinery 14 1%
MSD client handling 363 21%
MSD other 250 15%
Not classified 31 2%
Other (motor vehicle incidents, not coded) 7 0%
Workplace violence 160 9%
Total 1,701 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Retirement homes

Retirement homes provide residential services primarily to seniors who are generally able to care for themselves but may require some support with daily activities. Services and levels of care vary at these operations. Workers at these operations include nursing staff, personal support workers and support service staff such as housekeepers and kitchen staff.

Table 9 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for retirement homes from 2010-2014.

Table 9: Retirement homes injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 294 224 230 216 302
LTI frequency rate 2.14 1.72 1.65 1.48 2.03
Total number of NLTIs 365 358 318 367 384

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


The Retirement Homes Act, 2010 establishes mandatory care, safety and administrative standards for retirement homes in Ontario. The act is administered by the Retirement Homes Regulatory Authority. For more information, see the act and its regulations.

Common hazards in retirement homes include, but are not limited to:

Graph 6 and table 10 below show the most common occupational health and safety hazards for retirement homes (homes for residential care) in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 6: LTIs by hazard for retirement homes, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in retirement homes. The data is also presented in tabular format below.
Table 10: LTIs by hazard for retirement homes, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 32 11%
Exposures 92 31%
Falls 46 15%
Machinery 8 3%
MSD client handling 50 17%
MSD other 63 21%
Motor vehicle incidents 1 0%
Not classified 4 1%
Workplace violence 5 2%
Total 301 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Hospitals

Hospitals are the largest employers in the health care sector. Their activities include diagnosis and short-term treatment for patients with a wide range of diseases and injuries. Hospitals vary in the types of services they offer. Included are general hospitals, rehabilitation hospitals, extended care hospitals, psychiatric hospitals, addiction hospitals, paediatric and other specialty hospitals.

Table 11 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for hospitals from 2010-2014.

Table 11: Hospitals injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 3,147 2,536 2,516 2,200 2,158
LTI frequency rate 1.61 1.28 1.23 1.07 1.05
Total number of NLTIs 5,842 5,584 5,984 5,971 6,207

Common hazards in hospitals include, but are not limited to:

Graph 7 and table 12 below show the most common occupational health and safety hazards for hospitals in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 7: LTIs by hazard for hospitals, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in hospitals. The data is also presented in tabular format below.
Table 12: LTIs by hazard for hospitals, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 210 10%
Exposures 394 18%
Falls 337 16%
Machinery 47 2%
MSD client handling 412 19%
MSD other 460 21%
Motor vehicle incidents 12 1%
Not classified 47 2%
Other (not coded, transportation) 8 0%
Workplace violence 240 11%
Total 2,167 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Nursing services

Nursing services include agencies that provide temporary or long-term professional health services (including nursing and medical), other health and community care services (such as non-professional physical and personal care) and home support services (such as homemaking).

Table 13 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for nursing services from 2010-2014.

Table 13: Nursing services injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 881 801 896 894 961
LTI frequency rate 2.1 1.88 1.85 1.79 1.83
Total number of NLTIs 1,169 1,321 1,435 1,621 1,862

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Health care personnel in this group can include dental technicians and hygienists, physiotherapists, nursing staff and personal support workers.

Common hazards in nursing services include, but are not limited to:

Graph 8 and table 14 below show the most common occupational health and safety hazards for nursing services in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 8: LTIs by hazard for nursing services, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in nursing services. The data is also presented in tabular format below.
Table 14: LTIs by hazard for nursing services, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 57 6%
Exposures 24 2%
Falls 295 31%
Machinery 5 1%
MSD client handling 236 24%
MSD other 212 22%
Motor vehicle incidents 76 8%
Not classified 22 2%
Other (not coded, transportation) 2 0%
Workplace violence 35 4%
Total 964 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Supported group living residences and other facilities

Supported group living residences primarily provide residential care for people who require care or support, including people with developmental disabilities, mental health disabilities and/or substance abuse problems. Activities include providing care for residents who have decreased physical capacity or cognitive ability and require supervision and assistance with daily living. Residents may also require other types of support related to emotional or psycho-social needs through social and recreational services.

Table 15 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for supported group living residences and other facilities from 2010-2014.

Table 15: Supported group living residences and other facilities injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 637 632 634 620 545
LTI frequency rate 3.49 3.44 3.33 3.22 2.94
Total number of NLTIs 853 849 837 897 922

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Common hazards in group living residences and other facilities include, but are not limited to:

Graph 9 and table 16 below show the most common occupational health and safety hazards for supported group living residences and other facilities (group homes) in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 9: LTIs by hazard for supported group living residences and other facilities, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in group homes. The data is also presented in tabular format below.
Table 16: LTIs by hazard for supported group living residences and other facilities, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 60 11%
Exposures 18 3%
Falls 108 20%
Machinery 3 1%
MSD client handling 63 12%
MSD other 129 24%
Motor vehicle incidents 9 2%
Not classified 10 2%
Other (fires and explosions, transportation) 3 1%
Workplace violence 144 26%
Total 547 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Treatment clinics and specialized services

Treatment clinics and specialized services include drug and alcohol treatment centres, public health clinics, Community Care Access Centres, community clinics and skills development programs. Activities include continual assessment and rehabilitative treatment for non-institutional patients whose physical or mental condition is expected to improve.

Table 17 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for treatment clinics and specialized services from 2010-2014.

Table 17: Treatment clinics and specialized services injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 711 669 696 701 645
LTI frequency rate 1.05 0.97 0.97 0.95 0.95
Total number of NLTIs 1,028 1,080 1,046 1,096 1,149

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Common hazards in treatment clinics and specialized services include, but are not limited to:

Graph 10 and table 18 below show the most common occupational health and safety hazards for treatment clinics and specialized services in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 10: LTIs by hazard for treatment clinics and specialized services, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in treatment clinics and specialized services. The data is also presented in tabular format below.
Table 18: LTIs by hazard for treatment clinics and specialized services, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 94 15%
Exposures 26 4%
Falls 168 26%
Machinery 5 1%
MSD client handling 13 2%
MSD other 216 33%
Motor vehicle incidents 22 3%
Not classified 22 3%
Transportation 2 0%
Workplace violence 80 12%
Total 648 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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Professional offices and agencies

Professional offices and agencies include doctors’ clinics, dental surgery clinics, other allied health professional clinics, and medical laboratories and specimen collection centres in a community setting. Activities include the private practice of medicine or a specialty of medicine — in individual or group practice — by registered physicians and surgeons.

Table 19 below shows how the number of lost time injuries (LTIs), non lost time injuries (NLTIs) and the LTI frequency rate have changed for professional offices and agencies from 2010-2014.

Table 19: Professional offices and agencies injury statistics
Statistics 2010 2011 2012 2013 2014
Total number of LTIs 264 257 272 243 206
LTI frequency rate 0.58 0.55 0.58 0.53 0.46
Total number of NLTIs 506 481 500 543 504

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, April 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)


Common hazards in professional offices and agencies include, but are not limited to:

Graph 11 and table 20 below show the most common occupational health and safety hazards for professional offices and agencies in 2014, demonstrating the percentage of LTIs each of the hazards resulted in.

Graph 11: LTIs by hazard for professional offices and agencies, 2014

The pie chart shows the percentage of lost time injuries for the most common occupational health and safety hazards in professional offices and agencies. The data is also presented in tabular format below.
Table 20: LTIs by hazard for professional offices and agencies, 2014
Hazards Number of LTIs Percentage of total LTIs
Contact with/struck by object 20 10%
Exposures 10 5%
Falls 63 30%
Machinery 1 0%
MSD client handling 5 2%
MSD other 60 29%
Motor vehicle incidents 26 13%
Not classified 5 2%
Transportation 1 0%
Workplace violence 16 8%
Total 207 100%

Source: WSIB Enterprise Information Warehouse (EIW) Claim Cost Analysis Schema, June 2015 data snapshot, courtesy of Public Services Health and Safety Association (PSHSA)

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ISSN 1923-6239 (online)

Disclaimer: This web resource has been prepared to assist the workplace parties in understanding some of their obligations under the Occupational Health and Safety Act (OHSA) and the regulations. It is not intended to replace the OHSA or the regulations and reference should always be made to the official version of the legislation.

It is the responsibility of the workplace parties to ensure compliance with the legislation. This web resource does not constitute legal advice. If you require assistance with respect to the interpretation of the legislation and its potential application in specific circumstances, please contact your legal counsel.

While this web resource will also be available to Ministry of Labour inspectors, they will apply and enforce the OHSA and its regulations based on the facts as they may find them in the workplace. This web resource does not affect their enforcement discretion in any way.