Human Resources Policies & Forms
(also see: Recruitment & Retention, Labour Relations, Payroll or Workplace Safety & Health)
| Policy # | Title | Rationale | Date | Summary | Link |
|---|---|---|---|---|---|
| ORG.1511.PL.003.FORM.01 | Exit Interview Survey | Jun 2, 2025 | |||
| ORG.1511.PL.011 | Relocation Assistance | Jun 2, 2025 | |||
| ORG.1510.SG.002 | Equivalecy of Nursing Students to work as a Health Care Aide Guideline | Jun 2, 2025 | |||
| ORG.1511.PL.009 | Employee Recognition | Jun 2, 2025 | |||
| ORG.1513.PL.006 | Inclement Weather and Work | May 19, 2025 | |||
| ORG.1510.PL.013 | Performance Evaluation | May 19, 2025 | |||
| ORG.1510.PL.018 | Code of Conduct Policy | May 19, 2025 | |||
| ORG.1513.PL.003 | Workplace Safety Health Committees | May 19, 2025 | |||
| ORG.1513.PL.001 | Violence Prevention Program | May 19, 2025 | |||
| ORG.1513.PL.001.SD.01 | Provincial Healthcare Violence Prevention Program Operational Procedure | May 19, 2025 | |||
| ORG.1513.PL.005 | Reporting and Investigating Serious WSH Incidents | May 19, 2025 | |||
| ORG.1513.PL.002 | Reasonable Accommodation | May 19, 2025 | |||
| ORG.1513.PL.004 | Right to Refuse Dangerous Work | May 19, 2025 | |||
| ORG.1510.PL.005 | Respectful Workplace | May 19, 2025 | |||
| ORG.1513.PL.007 | Workplace Safety and Health | May 19, 2025 | |||
| ORG.1510.PL.010 | Conflict of Interest | May 19, 2025 | |||
| Quality Service Award Nomination Form | Apr 24, 2025 | ||||
| MNU Full Time Hours Salary Enhancement Part Time Nurse Identification Form | Feb 19, 2025 | ||||
| Applicant Tracking Screening Tool | Nov 19, 2024 | ||||
| Job Posting Request | Nov 13, 2024 | ||||
| Position Description Template | Nov 1, 2024 | ||||
| Template Activity Description | Aug 14, 2024 | ||||
| Manager Checklist Regarding Illness or Injury | Jul 30, 2024 | ||||
| Return to Work Schedule | Jul 16, 2024 | ||||
| Request for Return to Payroll Form | May 6, 2024 | ||||
| Request for Leave of Absence Form | May 6, 2024 | ||||
| Volunteer Reference Check Form | May 1, 2024 | ||||
| Template Letter to accompany RCMP | May 1, 2024 | ||||
| Template Letter to accompany RCMP – French | May 1, 2024 | ||||
| Template Letter to RCMP | May 1, 2024 | ||||
| Template Hours of Service Record | May 1, 2024 | ||||
| Functional Abilities Form | May 1, 2024 | ||||
| SWP Training Sign in Sheet | Apr 11, 2024 | ||||
| CEO Career Achievement Award Nomination | Apr 5, 2024 | ||||
| Service Excellence Team Award Nomination | Apr 5, 2024 | ||||
| ORG.1511.PL.012 | Out of Scope Mobility with Employer Orgnaizations | This is a standard out of Scope Mobility with Employer Organizations provincial policy and currently Southern Health does not have such a policy (To promote growth and development of out of scope (OOS) staff. To increase recruitment and retention. To offer stability to this valuable sector of our workforce. To support heath system transformation. | Apr 2, 2024 | ||
| Manitoba Personal Tax Credit Form Federal | Feb 28, 2024 | ||||
| 2024 Manitoba Personal Tax Credit Form | Feb 28, 2024 | ||||
| New Employee Policies Sign Off Info Sheets Checklist | Feb 19, 2024 | ||||
| TD1 Federal | Dec 20, 2023 | ||||
| TD1 MB | Dec 20, 2023 | ||||
| TD1 Federal Worksheet | Dec 20, 2023 | ||||
| TD1 MB Worksheet | Dec 19, 2023 | ||||
| Leave of Absence | Nov 27, 2023 | ||||
| File Summary Form | Aug 3, 2023 | ||||
| QHR_SignIn_Electronic Submission Template Reserved Acts | Jul 1, 2023 | ||||
| ORG.1510.PL.013.FORM.01 | Performance and What Matters to You Conversation Form | Jan 13, 2023 | |||
| ORG.1314.FORM.011 | Additional Service Log Rehab Services | Oct 14, 2022 | |||
| ORG.1314.FORM.003 | Position Control Create Delete Modify Form | Sep 29, 2022 | |||
| ORG.1511.PL.011.FORM.01 | ROS Agreement Relocation Assistance | Jul 28, 2022 | |||
| Work from home safety checklist | Jun 15, 2022 | ||||
| Application and agreement to work from home | Jun 12, 2022 | ||||
| ORG.1511.PL.001 | Dress Code Attire and Grooming | Apr 26, 2022 | |||
| ORG.1513.PL.007.SD.02 | Workplace Safety and Health Statement of Commitment | Apr 27, 2021 | |||
| ORG.1513.PL.007.SD.01 | Workplace Safety and Health Program | Apr 27, 2021 | |||
| Volunteer Induction Worksheet | Jan 15, 2021 | ||||
| ORG.1510.PL.004.FORM.01 | Regional Orientation Registration Form | Feb 7, 2020 | |||
| ORG.1314.FORM.002 | Payroll Discrepancy Form | Jan 27, 2020 | |||
| ORG.1314.FORM.001 | Payroll Advice Form | Jan 27, 2020 | |||
| ORG.1510.PL.004 | Regional Orientation Program | Sep 27, 2019 | |||
| ORG.1510.PL.005.SD.01 | Respectful Workplace Procedures Manual | Sep 21, 2019 | |||
| ORG.1511.PL.008.FORM.01 | Return of Service Agreement For Existing Employees | Sep 5, 2019 | |||
| ORG.1513.SG.002 | Person of Interest Standard Guideline | Apr 25, 2019 | |||
| ORG.1513.PL.006.FORM.01 | Person of Interest Safety Plan and Safe Workplace Notification Guide | Apr 25, 2019 | |||
| Transfer And Mobility Assessment | Apr 12, 2019 | ||||
| ORG.1511.SG.001 | Student Incentive Grant and LPN to BN Education Bursary for Existing Employees | Apr 12, 2019 | |||
| ORG.1511.SG.001.FORM.02 | Student Incentive Grant Practical Nursing Application | Apr 12, 2019 | |||
| ORG.1511.SG.001.FORM.01 | Student Incentive Grant Application | Apr 12, 2019 | |||
| ORG.1511.SG.001.FORM.03 | LPN to BN Education Bursary Application | Apr 12, 2019 | |||
| ORG.1511.PL.008.FORM.02 | Interest Free Loan Promissory Note | Mar 22, 2019 | |||
| ORG.1511.PL.008 | Professional Development Training Education Assistance | Mar 22, 2019 | |||
| ORG.1511.PL.007 | Professional Credentialing | Feb 26, 2019 | |||
| ORG.1511.PL.003 | Exit Interview | Jan 15, 2019 | |||
| ORG.1511.PL.006 | Take Our Kids To Work | Sep 28, 2018 | |||
| ORG.1511.PL.006.FORM.01 | Take Our Kids To Work Agreement and Undertaking | Sep 28, 2018 | |||
| ORG.1511.PL.005 | Job Shadowing | Sep 28, 2018 | |||
| ORG.1511.PL.005.FORM.01 | Personal Health Information Act Information and Agreement for Persons Job Shadowing | Sep 28, 2018 | |||
| ORG.1511.PL.004 | Anti Nepotism | Jun 6, 2018 | |||
| Waiver Declining Union Representation | Mar 6, 2018 | ||||
| ORG.1510.PL.013.SD.01 | Performance Conversations Discussion Guide | Jan 18, 2018 | |||
| ORG.1510.PL.013.FORM.02 | Performance Evaulation Learning Plan | Jan 18, 2018 | |||
| ORG.1510.PL.013.SD.02 | Performance Evaulation Tips For Coaching Effectively | Jan 18, 2018 | |||
| ORG.1510.PL.013.SD.03 | Performance Conversations FAQs | Jan 18, 2018 | |||
| ORG.1513.PL.004.SD.01 | Investigating Safety Concerns And Right To Refuse Dangerous Work Algorithm | Dec 2, 2017 | |||
| ORG.1513.SG.001.FORM.02 | Violence Prevention Program Care Plan | Nov 30, 2017 | |||
| ORG.1513.SG.001.SD.03 | Violence Prevention Program Alert Symbol | Nov 30, 2017 | |||
| ORG.1513.SG.001.SD.04 | Violence Prevention Program Alert Symbol Use Care Labels Small Avery5167 | Nov 30, 2017 | |||
| ORG.1513.PL.003.SD.01 | Workplace Safety Health Terms of Reference Committee | Oct 6, 2017 | |||
| ORG.1513.PL.003.SD.02 | Workplace Safety Health Inspection Checklist | Oct 6, 2017 | |||
| ORG.1513.PL.003.SD.03 | Workplace Safety Health Inspection Summary Report | Oct 6, 2017 | |||
| ORG.1513.PL.003.FORM.01 | Workplace Safety Health Committee Minute Template | Oct 6, 2017 | |||
| Return to Work Weekly Report | Aug 15, 2017 | ||||
| ORG.1513.PL.004.FORM.01 | Workplace Safety and Health Concern Form | May 26, 2017 | |||
| ORG.1513.PL.004.FORM.02 | Workplace Safety and Health Investigation Summary Report | May 26, 2017 | |||
| ORG.1510.PL.002 | Employee Identification | Mar 23, 2017 | |||
| ORG.1510.PL.002.FORM.01 | Photo ID Request Form | Mar 22, 2017 | |||
| ORG.1510.PL.014 | Request for Leave | Mar 20, 2017 | |||
| ORG.1510.PL.014.FORM.01 | Request for Leave Form | Mar 20, 2017 | |||
| ORG.1513.SG.001 | Violence Prevention Program for Health Care Workers Patient Risk Screening and Alert System | Mar 1, 2017 | |||
| ORG.1510.PL.010.FORM.01 | Conflict of Interest Disclosure Form | Mar 1, 2017 | |||
| ORG.1510.PL.010.SD.01 | Conflict of Interest Procedures Failure to Disclose and Appeals | Mar 1, 2017 | |||
| ORG.1513.SG.001.FORM.01 | Screening Tool and Alert for Violence and Agression Tool | Mar 1, 2017 | |||
| ORG.1510.PL.003 | Discretionary Leave Out of Scope Managers | Dec 12, 2016 | |||
| ORG.1510.PL.017 | Bereavement Leave | Dec 12, 2016 | |||
| ORG.1513.SG.001.SD.01 | Violence Prevention Quick Screen for Violence or Agression Reference Sheet | Aug 31, 2016 | |||
| ORG.1510.PL.005.FORM.01 | Respectful Workplace Complaint Form | Aug 31, 2016 | |||
| Template Volunteer Tracking Sheet | Jul 26, 2016 | ||||
| Reference Check | Jul 25, 2016 | ||||
| ORG.1511.PL.002 | Scent Fragrance Awareness in the Workplace | Jul 7, 2016 | |||
| ORG.1511.PL.002.SD.01 | Scent Fragrance Awareness in the Workplace Managers Guidelines | Jul 7, 2016 | |||
| ORG.1513.PL.002.SD.01 | Disability Management Procedure | Jun 28, 2016 | |||
| ORG.1510.PL.016 | Social Media | May 3, 2016 | |||
| ORG.1510.PL.012 | Attendance | Apr 19, 2016 | |||
| ORG.1510.PL.011 | Probationary Period | Mar 11, 2016 | |||
| ORG.1510.PL.015 | Chemical Impairment | Feb 19, 2016 | |||
| ORG.1510.PL.008 | Public Interest Disclosure Whistleblower Policy | Jul 16, 2015 | |||
| ORG.1512.PL.001 | Discipline and Notice of Discharge | Jul 10, 2015 | |||
| ORG.1510.PL.006 | Security Checks for Employment | Jul 10, 2015 | |||
| Office Ergonomics Self Assessment Form | Oct 20, 2014 | ||||
| ORG.1510.PL.001 | Vacation Leave Management and Non Union Employees | Oct 14, 2014 | |||
| Reference and Background Check Waiver | Jul 25, 2014 |