All businesses covered by the Workplace Safety and Insurance Act (WSIA) are required to have first aid equipment, facilities and trained personnel in all workplaces.
First aid requirements
All businesses covered by the WSIA must follow the first aid requirements in the
.First aid requirements apply to all employees regardless of their employment status and for all workplaces, including off-site work locations.
Choosing your first aid training provider
You must select a WSIB approved provider for workplace first aid training. Some providers may claim to be “approved in all Canadian provinces and territories,” but that doesn’t mean they’re necessarily approved by us.
Review our list of approved training providers and if you’re not sure if a first aid training provider is WSIB-approved, you can email first_aid@wsib.on.ca to confirm before you purchase services.
First aid program updates
We’re updating our first aid program to help create safer workplaces and ensure Ontario is up to date with current Canadian first aid standards. Our updated first aid program is expected to launch in 2026 and will include:
- a new training approach to align with the current Canada Standard Association (CSA) criteria
- a refreshed first aid provider network to ensure existing training providers meet new program requirements and potential new training providers have an opportunity to join the program
All current first aid requirements remain in place and we’ll provide more information on our program updates, as available.
FAQ's
First aid program updates
Why are you updating the first aid program?
We periodically need to review our first aid program to ensure Ontario is up to date with current Canadian first aid standards. This will help us ensure businesses receive better first aid training, leading to safer workplaces for the people of Ontario.
When do you anticipate implementing the updated first aid training program?
Our updated first aid program is expected to launch in 2026. We’ll provide updates on the new program as available.
Are you updating Regulation 1101?
No, Regulation 1101 is not changing at this time.
Will the WSIB be adopting CSA workplace first aid training standards (in alignment with other Canadian jurisdictions)?
Yes, our aim is for our new training approach to meet the current CSA criteria.
Are you accepting new applications from prospective first aid training providers?
We aren’t currently accepting any new applications from prospective workplace first aid training providers. We anticipate opening recruitment to prospective first aid training providers once we’ve updated the training standard. We’ll inform those who’ve previously expressed interest in becoming a first aid training provider directly and will update our website with information as available.
If you’d like to be added to the list of potential providers, please email first_aid@wsib.on.ca and we’ll let you know when we’re considering new providers.
General
Who requires first aid certification?
All businesses covered by the WSIA are required to have first aid equipment, facilities, and trained personnel in all workplaces.
What first aid training does my business need to provide?
All businesses in Ontario covered by the WSIA must provide first aid training to their employees. The required training depends on the number of employees per shift:
- For workplaces with five or fewer people working on any one shift, at least one person must have an emergency first aid certificate. This program is 6.5 hours long and is offered by organizations across the province.
- For workplaces with six or more people working on any shift, at least one person must have a standard first aid certificate. This program is 13 hours long and is offered by organizations across the province.
Who counts as a worker for the purposes of first aid?
As outlined in the WSIA, a worker is a person who has entered into or is employed under a contract of service or apprenticeship. You can review the WSIA for more information.
Who can be a first aider?
A dedicated first aider must hold an appropriate certificate and be able to provide prompt treatment. For example, you shouldn’t choose someone to be a first aider if they often work off-site or in closed-door meetings.
What is the required ratio of first aiders to employees?
There is no required ratio of trained first aiders to total employees under
. You must have at least one person on site at all times who has a valid first aid certificate.You should assess your workplace to determine how many first aiders you need based on things like the size and layout of your workplace. For example, a first aider should be able to reach an injured person within two minutes.
All employees, regardless of their employment status, must be given first aid treatment when they need it.
Is my business responsible for covering the cost of first aid training and supplies?
Yes. Businesses are required to cover the cost of first aid training and supplies. This includes covering wage costs for an employee’s time while they’re completing an approved first aid training program.
Where should I have a first aid kit?
First aid kits should be part of a first aid station. You should place first aid stations strategically throughout your workplace. Your first aid stations should include:
- a first aid kit
- the “In case of injury poster (Form 82)”
- a first aid inspection card
- a list of the first aiders in that area
Where should you have first aid stations? How many should you have?
First aid stations should be placed where people can easily access them for quick treatment at any time. This will look different for each workplace. You need to assess your workplace to ensure first aid stations are readily available. First aid stations must be easy to find and near an employee who has a valid first aid certificate.
All vehicles used for work purposes, including personal vehicles, should also have a first aid kit and supplies.
What contents are required in first aid kits?
The list is different depending on the size of your business.
Your workplace can meet Regulation 1101 first aid kit obligations by supplying either the Regulation 1101 First aid kit requirements or the Canada Standard Association (CSA) Z1220-17 first aid kit.
You can find a list of required items in sections 8 to 13 of the
first aid requirements.You should also include a CPR mask or other barrier device and non-latex gloves in various sizes in your first aid kit. Over-the-counter medications cannot be included in first aid kits.
Businesses must inspect first aid equipment at least once every three months.
How many first aid kits are required in my workplace?
There is no ratio of first aid kits to employees. You need to make sure that first aid kits are easily accessible so that people can reach or access a first aid kit quickly.
A first aid kit should be portable and shouldn’t be kept in a locked cabinet, drawer or room. It should be in an area where it is visible or marked with a sign identifying its location.
Where can I find first aid boxes (or kits)?
You can put together a first aid kit using the first aid kit/room lists in our
or you can purchase ready-made first aid kits from a supplier of your choice. We don’t endorse any particular first aid kit vendor.Where can I find the mandatory “In Case of Injury” poster required for all first aid stations?
You can order or download and print a new in case of injury poster (Form 82).
Should over-the-counter medication, prescription medication or ointments be included in first aid kits?
Over-the-counter medications cannot be included in first aid kits.
Don’t provide medication to someone who has been injured or is ill. It could lead to an allergic reaction or could mask the severity of the injury or illness, which could delay getting needed medical attention.
In training, first aiders aren’t taught to use these items. Providing medication or applying ointment is outside the scope of what first aiders are taught to do.
EpiPens® aren’t required under Regulation 1101 and shouldn’t be included in the first aid kits.
Are there alternative supplies workplaces can include in first aid kits?
Yes, some alternatives are approved for first aid kit contents. They include:
- dressing forceps = single use tweezers
- dressing scissors = single use scissors
- denatured ethyl alcohol = single use antiseptic wipes
- adhesive plaster and dressing = adhesive bandages
- instrument sterilizer = no longer used by first aiders – use single use items and discard
- enamel footbath = can use a stainless steel bowl.
Is my business required to have automated external defibrillators (AED) at our workplace?
AEDs aren’t required under Regulation 1101.
What are the requirements for employees who work off-site or in small crews?
The first aid requirements for employees working off-site are the same as for employees working on-site (e.g., first aid stations and certified first aiders).
All work crews must have adequate first aid supplies and a trained first aider according to the size of the crew.
What are the requirements for people working alone or at home?
Regulation 1101 doesn’t have requirements around people working alone. However, working alone should be considered a hazard. All employees should have access to first aid supplies. As a best practice, employees who work alone should have emergency first aid training.
What is required to comply with Ministry of Education Regulation 137/15 of the Child Care and Early Years Act?
If you have questions about Regulation 137/15 of the Child Care and Early Years Act, you can contact the Ministry of Education. We administer first aid Regulation 1101 under the WSIA.
Certification and recertification
How do I get certified or recertified?
You should contact an approved first aid training provider to get certified or recertified.
Who can deliver first aid training?
Training must be delivered by a WSIB-approved first aid training provider. First aid training providers can subcontract to independent third-party providers. The names of these subcontracted providers are not included in the list of WSIB-approved providers.
All certificates for workplace first aid training, including those provided through independent third-party training providers, must be issued by the WSIB-approved provider to be compliant with Regulation 1101.
If you’re not sure if a first aid training provider is subcontracted by a WSIB-approved provider, you can contact the approved provider to confirm before you purchase a service.
How often does training need to be renewed?
Most first aid certificates are valid for a maximum of three years. Training providers may set a higher standard and issue their certificates with a two-year validation period.
Before your certificate expires you’ll need to complete the training again to maintain your certification.
You can renew your standard first aid certificate one time by completing a one-day standard first aid renewal course with the original provider before your original certificate expires. The new certificate will state “renewal” on it.
If you’ve already renewed your standard first aid certificate once, you’ll need to earn a new certificate from an approved provider when your renewed certificate expires.
Is there an option to complete first aid training online?
There are some approved blended programs that use online learning for first aid theory, with skill demonstrations in a classroom with an instructor.
There are currently no approved online-only programs that meet the criteria for first aid training. Online-only programs don’t allow participants to show that they’ve learned the required skills.
Is cardiopulmonary resuscitation (CPR) training the same as first aid training?
No, CPR training isn’t the same as first aid training. There is a CPR component to first aid training we recognize. Any of the following, when taken as part of an approved emergency first aid or standard first aid program, would meet the requirements for the CPR component in Regulation 1101:
- CPR A: includes CPR techniques for adults only
- CPR B: includes CPR techniques for adults and children
- CPR C: includes CPR techniques for adults, children and infants
- CPR-HCP (Healthcare provider): covers all aspects of CPR skills and theory for adult, child and infant victims, including rescue breathing (artificial respiration) and the use of AEDs and bag-valve-masks (BVM)
Does the WSIB accept certificates from other provinces?
Yes. If you have a first aid certificate from an approved provider in another province, we’ll accept the certificate until it expires. After the certificate expires, you must complete your first aid training with a WSIB-approved provider in Ontario.
Have questions?
Have questions? You can email us at first_aid@wsib.on.ca. We’ll respond within two to five business days of receiving your question.