.,.-,.; OtNONClAllON(LoI - /0 "._8 opp/i.:'fM. -lIIIJooello...

pro'-'-. L.N..s. d. 1981. cbop. P-12.1, art. Z)

FORM\JLEI

INFORMATION

(huv/4c/alOff'"...hQUw.A,,'.S.N.B.IWI... 1'.21.l.Ll)

FORM I

CANADAPROVINCE OF mw BRUNSWICK

CANADAPROVINCE DU NOUVEAU-BRUNSWICK

Thi$ b the intormlilion of Luc Mazerollc, HeaI1h and Safety Officer for Lcs pr6$~te$ constituent la dtnoncialion de Luc Mazerolle, agent dethe Workplaco Heahb, Safety and Compen5ation CoIIUDission, acting for I'hy~tnc cI de la 56curite du ColllJIlission de ]a ~te. de ]a 56curit6 el deand on behalf of Her M,jesty, Thc Queen. l'indel!Ulisalion des aIX:id~ts au trlivail. agissant au nom ou pour Ie

compte de sa Maje5t6, 1& Rein..

The informant says that: he has reasonable and probable grounds to ~ denonciataJr d~1ate quc: il a des motifs probables el raisonnables debc1ieve and does believc that: croire ct oroit que:

DENIS MORIN:

I. between July I, 2009 and JanllatY 5, 2011, both datesinclusive, at or ncar the Town of Grand Falls in the Provill<:e ofNew Brunswick, being an employer, did \DI1awfulIy fail to complywith subsection 9(I)(a) of the Oct:"upalional Health and SolelyA~t, to wit: did fail to Take all reasonable precalltions to ensure thehealth and safety of employees by pennitting the use of a tool,namely an Elcctrolux Floor Polisher, for II pwpose for which itwas not intended, thereby committing an offence contrary to andin violation of subsection 47(1) of the Occupational Health andSafety Act of the Province of New Brunswick and amendmentsthereto.

2. betw~en October I, 2010 and JanllatY 5, 2011, both datesinclusiv~, at or near the Town of Grand Falls in the Province ofNew Brunswic.)l:, being an employer, did unlawfully fail to complywith subsection 9(1)(8) of the Occupational Health and SafelyAct. to wit: did fail to take all reasonable precautions to ensure thehealth and safety of employees by permitting the use of a faultyextension cord in an area of the store commonly known as the"Tire and Lube Express," or "TLE," thereby committing anoffence contrary to and in violation of subsection 47(1) of theOccupational Health and Safely Act of the Province of NewBrunswick and am~ndments thereto.

3. between Novei1lber 1,2010 and January 5, 201), bodl dat~inclusive, at or near die Town of Grand Falls in the Province ofNew BrWl$wick, being an employer, did unlawfully fuiI to co~plywith subsection 9(2)(b) of the Occupational Heath and SafetyAct, to wit; did fail to acquaint an employee with any hamrds inconnection with the use of a tool or machine, namely anElectrIIlux Floor Polisher, in an area of the store commonlyknown as the "Tire and Lube Expres5," or "TLE," therebycommitting an offence contrary to and in violation of sub5ection47(1) oCthe Occupational Health and Safety Act of the Provinceof New BrWl5wick and amendments thereto.

Signatur.Signed

Sworn 10 (or Solemnly affLrmc:d) bc:forc: llic: at

Grand Fall..New Brunswick. this.L-dilY of n.""rn""r 2011

#~-_./~~-- ~ ~ -';~ Qflh~~;C~ ~UI't

I'ait ~OU~ ~erment (0" Affirme ~o[ennellemenl) devaIIl moi a

(1rnnrl.~..ult . Nouvc:au-BrullSwick

Ic 6de=mh,e 2011

e~~~ ~~ ~__:_I-Juge de 18 Cour provincial.

6LELELi'99g Et:9t iial/9a/lil~no:) A~ Sll'i.:l910/19 ~d

DENIS MORIN;

1. ,EtaDt 1m employeur. entre Ie I" juillet 2009 et Ie 5 janvier2011, C\lS deux dates comprises, ~ ou pr6s de la Ville de Grand-Sault. dans la province du Nouveau-Brunswick, a omis de seconformer a l'alinea 9(1)a) de la Lot Sur l'hygiene er fa securiteau Travail, c'est-a-dire : a omis de prendre tOlneS lei precautioDSraisonnables pOur proteger la sante et la securite des salaries enpermettant I'utilisation d'un outil, soit une polisseuse a plancherElec1rolux, pour un usage auquel il n'6lait pas destine,commettant ainsi une infi'action et contrevenant au paragrapbe47(1) de ladite Loj de la province du Nouveau-Brunswick et deses modifications.

2. Etant un employeur, entre Ie I"' octobrc 2010 et Ie 5 janvier2011, ccs deux dates comprises, a Oil pres de la Ville de Grand-Sault, daDS la province du Nouveau-Bmnswick, II omis de seconformer ~ Palin6a 9(1)a) de Ia Loi 3U1' I 'hygiene er fa securiteau Travail, c'est-a-dire : a omis de prendre routes les precautionsraisonnables pour proteger la sante et la s~te des salaries enpermettant ('utilisation d'une ralionge defectueuse dans 1m endroitdu magasin communement appele Ie « garage », co=ettant ainsiune infioaction et coQtl'evenant au paragraphe 47(1) de ladite Lotde la province du Nouveau-Brunswick et de ses modifications.

3. Etant un employetlr. entre Ic I"' novembre 2010 et Ie 5 janvier20 II, ccs deux dates comprises, a ou pres de la Villc de Grand-Sault, dans Ia provincc du Nouveau-Brunswick, a omis de seconformer a l'aJin6a 9(2)b) de la Loi Sur I'hygiene et La seCll/'iteau travail, c'est-a-dire : a omis d'informer un slllari6 des dangersrelativement a I'usage d'un outil ou d'une machine, soit uncpolisscuse A planchet Electrolux, daIi-' un cndroit du magasincommun6lIient appele Ie « garage», commettant ainsi uneinftaction et contreventmt au paragraphe 47(1) de ladite Lai de Ia

province du Nouveau-Brunswick et de ses modifications.

DENONCIATIO~(lAls., /a _tlt.'6 opPIWbk"K¥ lhj,.odolU

P,Q"'-tI«... LN..B. do19i1. dilp. P.ZZ.l..rt~)

FORMULE I

INFOl(MA TION(Pro.lII,to! Off Pr..odk,. Act, S.N.s. 1917,

c.P.22.1,..2)

FORM)

CANADAPROVINCE OF NEW BRUNSWICK

CANADAP~OVINCE DU NOUVEAU-BRUNSWICK

See attached Appendix' A . ,

Voirattacheanne:le 'At

Siglll'dSignllture

l~nOJ I\O~d Sll\t ~9 6LELEL"9Q9 gt:gt tt0~/90/~tpQ/1Q 39'1d

,r '~--ur--=

Fait sous serment (0" Affinne solcnneilcment) devalJl moi a

- Grsncl.!;.,lIlt Nouveau-Bnmswick

Ie - 6 d.cemb~ 201]

Swom to (or $olemnJy affirmed) before mc at

nrand Fall. ,New Brnnswick, this

~dayof~ember 2011

A~endiX 'A' I Annexe A

Wal-Mart Canada Corp., ope ting as Wal-Mart Canada Corp., faisant affaireWKI.Mart Stores, Inc. and Wal art B.C. so us Ie nom de WaJ~Mart Stores, Inc. etHoldings 2 ULC: Walmart B.C. Holdings 2 ULC :

I

I. between July I, 2009 and Ja1uary 5,2011, both dates inclusiye, at or near theTown of Grand Falls in the Pro' ce ofNew BrWlSwick, being an empl yer, didunlawfully fail to comply with s section9(1)(a) of the Occupational He /th andSafety Act, to wit: did fail to e allreasonable precautions to ensure e healthand safety of employees by permi . g the

use of a tool, namely an Electrol FloorPolisher, for a purpose for which it was notintended, thereby committing an offencecontrary to and in violation of s section47(1) of the Occupational He ih andSafe!)! Act of the Province' NewBrunswick and amendments theret'

2. between October 1,2010 and J uary 5,2011, both dates inclusive, at or ear theTown of Grand Falls in the Pro ince ofNew Brunswick, being an emplo er, didw1lawfully fail to comply with N section9(1)(a) of the Oc,-upational He th andSafe!)! Act, to wit: did fail to e allreasonable precautions to ensw-e healthand safety of employees by penni ing theuse of a faulty extension cord in area ofthe store commonly known as the" ire andLube Express," or "TLE," therebycommitting an offence contrary to and inviolation of subsection 47(1) of theOccupational Health and Safety AI' ' of theProvince of New BrW1Swicl and8n1endments thereto.

3. bevween Jttiy 1, 2009 and Jaduary 5,2011, both dates inclusive, at or near theTown of Grand Falls in the Province QfNew Brunswick, being an employer. didunlawfully t'ail to comply with subsection9(1)(c) of the Occupational Health andSafety Act, to wit: did fail to ensure thatemployees comply with the Act '~dRegulations by failing to ensure employeescomplied with the requirements for tool usein clauses 82(2)(a), (b), (c) and (e) of theGeneral Regulation (91-191), therebycoIIWitting an offence contrary to and inviolation of subsection 47(1) of theOccupational Health and Safety Act of theProvince of New Brunswick andamendments thereto.

Appcndix 'A' I Anne", 'A'

10~/90/~1:91pgegl-'\I;j~enx>f\O'ddpB/lB 39\1,

1. Etant un empfoyeur, entre Ie l"r juillet2009 et Ie 5 janvier 2011, ces deux datescomprises, a ou pres de la Ville de Grand-Sault, dans la province du Nouveau-Brunswick, a omis de se conformer al'alinea 9(1)a) de la Loi SUI' i'hygiene et fasecurite' au travail, c'est-a-dire : a omis deprendre toutes les precautions raisonnablespour proteger fa sante et la securite dessalaries en permettant l'utilisation d'unDutil, soit une polisseuse a plancherefectroluX, po]J! un usage auquef i1 n' etaitpas 'destine, commettant ainsi unei~tio~ et contrevenant auparagraphe 47(1) de ladite Loi de laprovince du Nouveau-Brunswick et de sesmodifications.

2. Etant un employeur, entre Ie lor octobrc2010 et Ie 5 janvier 2011, ces deux datescomprises, a ou pres de Ii1 Ville de Grand-Sault, dans la province du Nouveau-Brunswick, a omis de se conforn1er al'alwea 9(1)a) de la Loi sur I 'hygiene et Lasecurite au travail, c'est-a-dire : a omis deprendre toutes les precautions taisonnablespour proteger la sante et la secunte dessalaries en permettant l'utilisation d'unerallonge defectueuse dans un endroit dumagasin communement appele Ie« garage », commettant ainsi une infractionet contrevenant au paragraphe 47(1) deladite L()i de la province du Nouveau-Brunswick et de ses modifications.

3. Etant un employeur, entre Ie 1'" juillet2009 et Ie 5 janvier 2011, ces deux datescomprises, a QU pres de la Ville de Grand-Sault, dans la province du Nouveau-BfWlswick, a omis de se conformer al'alinea9(I)c) de la Lol sur i'hygiene ef iasecwjte au travail, c'est-a-dire : a omis deveiller a. c.e que les salaries se cont'ornlaient,a la Loj et aux reglen1ents en omettant des'assurer qu'ils respectaient Ies exlgencesrelatives a I'utilisation d'outilsconformement aux aIineas 82(2)a), b), c) ete) du Regiement general 91-191,commettant ainsi Wle infraction etcontrevenant au paragraphe 47(1) de laditeLo; de la province du Nouveau-Brunswicket de ses modifications.

4. between July 1, 2009 and January 5,2011, both dates inclusive, at or near theTown of Grand Falls in the Province ofNew Brunswick, being an employer, didwllawfully fail to comply with subsection9(2)(a.l) of the Occupational Health andSafety Act, to wit: did fail to ensure that theplace of employment, namely the area ofthe store commoI1ly known as the "Tire andLube Express," or "TLE," was inspected bythe employer at least once a month toidentify any risks to the health and safetyof the employees, thereby committing anoffence contrary to and ill violation ofsubsection 47(1) of the OcctlpationalHealth and Safety Act of the Province ofNew Brunswick and amendments thereto.

i 5. between July I, 2009 and Jan~ 5,2011, both dates inclusive, at or near the

, Town of Grand Falls in the Province ofi New Brunswick, being an employer and ani owner of a tool, did unlawfully fail tol comply with subsections 80(a) and (b) of

the General Regulation (91-191) Wlder theOccupational Health and Safety Act, to wit:did fail to ensure that a tool, namely anElcctrolux Floor Polisher, was inspectedbefore use and repaired or replaced ifnecessary and was maintained in proper

! working condition, thereby conunitting an: offence contrary to and in violation ofi subsection 47(1) of the Occupational

Health and Safety Act of the Province ofN"w Brunswick and amendments thereto.

6. betWeen July 1, 2009 and January 5,2011, both dates inclusive, at or near theTown of Grand Falls in the Province ofNew Brunswick, being an employer;, didunlawfully fail to comply with subsection81(b) of the General Regulation (91-191)under the Occupational Health and SafelyAct, to wit: did fail to ensure thatemployees were instructed to use a tool,namely an Electrolux Floor Polisher, onlyfor the specific purpose for which it wasdesigned, thereby committing an offenCecontrary to and in violation of subsection47(1) of the Occupational Health aiidSafety Act of the Province of NewBrunswick and amendments thereto. :

Appcndi" 'A'r AllOt". 'A' 2

9t:9t ttB~/9B/~t:LpgegGLE,l~no:) ~ Sll~.:!9~9/E9 39\1,

4. Erant un employeur, entre Ie 1 ~r juillet

2009 et Ie 5 janvier 2011, ces deux datescomprises, a ou pres de La Ville de Grand-Sault. dans la province du Nolweau-Brunswick, a omis de se conformer al'alinea 9(2)a.l) de la Loi sur I'hygiene etla securite au travail, c'est-a-dire : a omisde s'assurer qu'un lieu de travail, soitl'endroit du magasin communement appeleIe « garage II, etait inspecte par l' employeurau moins une fois par mois pour y reperertout risque pour la sante et la securite dessalaries, commettant ainsi une infraction etcontrevenant au paragraphe 47(1) de laditeLoi de la province du Nouveau-Brunswicket de ses modifications.

'. .

5. 'Etant ~ employeur et proprietaire d'unoutil, ~tre lel!!1 juillet 2009 et le 5 janvier2011, ces deux dates comprises, a. ou presde li YUle de Grand-Sault, dans la provincedu . Nouveau-BrunsWick, a omis de se

confonner aux alineas 80a) et b) duReglemern general 91-191 etabli en vertude la Lo; sur I'hygiene et la ,s'ecurite autravail, c'est-a~dire : a oris de s'assurerqu'un outi1, soit une polisseuse a p1ancherElectrolux, est examine avant qu'on nel'utilise et repare ou remplace au besoin etmaintenu en bon etat de fonctionnement,commettant ainsi une infraction etcontrevenant au paragraphe 47(1) de IaditeLoi de Ia province du Nouveau-Brunswicket de ses modifications.

6. Etant UIi employeur, entre Ie 101 juillet2009 et Ie 5 janvier 2011, ces deux datescomprises, a ou pres de la Ville de Grand-Sault, dans la province du Nouveau-Brunswick, a oris de se contormet' a.l'aJinea SIb) du Regfemenr general 91-191etabli en vertu de la L(Ji sur I 'hygiene et fasecurife au travail, c'est.a.-dire : a omis des'assurer que les salaries etaient entraines autiliser un Dutil, soit tine polisseuse aplancher EIeCtrolux, aux seules fins pourlesqueUes il a ete con9u, commettant ainsitine infrRction et contrevenant auparagraphe 47(1) de ladite Loi de laprQYiilce du Nouveau-BrunsWick et de sesmpdifications.

7. between July 1, 2009 and January 5,2011, both dates inclusive, at or near theTown of Grand Falls in the Province ofNew Brunswick, being an employer, didunlawfully fail to comply witll clause83(b)(ii) of tIle General Regulation (91~191) under ti1e Occupational Health andSafety Acr, to wit: did fail to ensure that anelectric power operated hand tool, namelyan Electrolux Floor Polisher, is tested forthe effectiveness of the double insulation orbonding to ground before each use by acontinuity tester or ground fault circuitinterrupter, thereby committing an offencecontrary to and in violation of subsection47(1) of the Occupational Health andSafety Act of the Province of NewBrunswick and amendments thereto.

8. between October 1, 2010 and JanuarY 5,2011, both dates inclusive, at or near tileTown of Grand Falls in the Province ofNew Brunswick, being an employer, didunlawfully fail to comply with sections287.2 of the General Regula/ion (91-191)under the Occupational Health and SafetyAct, to wit: did fail to ensure that electricalequipment is suitable for its use and that itis maintained and modified in accordancewith ti1e manufacturer's specifications bypermitting the use of a faulty extensioncord in an area of the store commonlyknown as the "Tire and Lube Express," or"TLE," thereby committing an offencecontrary to and in violation of subsection47(1) of the Occupational Health andSafety Act of the Province of NewBrunswick and amendments thereto.

Appendix 'A' I AJlncxe "A' 3

91:91 110Z:/90/Z:1GLELELpge91~ ~ SI~~9p0/p0 39~d

7. Etant un emp1oyeur, entre le 1 er jui11et

2009 et le 5 janvier 2011, ces deux datescomprises, a ou pres de la Ville de Grand-Sault, dans la province du Nouveau-Brunswick, a omis de se conformer ausous.alinea 83b)(ii) du R~glementgeneral 91-191 etabli en vertu de la Loi surl'hygiene et La securite au travail, c'est-a-dire: a omis de s'assurer qu'un outil amain electrique. soit une polisseuse aplanchet Electrolux, etait vCrifie avantchaque usage en ce qui conceme sa doubleisolation ou sa mise a la terre au moyend'1.1n appareil de controle de la continuiteou d'un disjoncteur de fuite. commettantainsi une infraction et contrevenant auparagraphe 47(1) de ladite Loi de laprovince du Nouveau-Brunswick et de ses

modificatio~.8. Etant Un employeur, entre le 1 er octobre

2010 et Ie 5 janvier 2011, ces deux datesc~mprises, a ~u pres de la Ville de Grand-~ault, dans la province du Nouveau-Bronswick, a oinis de se conformer auparagraphe 287.2 du Reglementgeneral 91-191 etabli en vertu de la Loi sur"hygiene ef la securite au travail, c'est-a-dire : a omis de s'assurer que I'equipementelectrique emit approprie a son usage etqu'il etait entretenu et modifi6conformement aux specifications dufabricant en permettant l'utilisation d'unerallonge d6fectueuse dans l'endroit dumagasin communement appel6 le« garage », commettant ainsi une infractionet contrevenant au paragraphe 47(1) deladite Loj de la province du Nouveau-Brunswick et de sos modifications.