• (a) 

  Name of employer:
• (b) 

  An identification of the affected employee or employees:
• (c) 

  Address or location of workplace:
• (d) 

  Hours of work in each work day:

  In each work week :

  (The number of hours in a work day and in a work week may be specified by attaching the work schedule of the affected employee or employees.)

• (e) 

  Number of work days in the work schedule:
• (f) 

  Number of weeks in the work schedule:
• (g) 

  Number of days of rest in the work schedule:
• (h) 

  Where one or more general holidays occur in a week, the weekly standard hours shall be reduced by:
• (i) 

  [Repealed, SOR/2014-305, s. 12]
• (j) 

  The maximum number of hours that may be worked:

  in a week

  in a work schedule

• (k) 

  The method of calculating general holiday pay is:
• (l) 

  Date the work schedule comes into effect: / /
• (m) 

  Date the work schedule expires: / /
• (n) 

  Date the notice was posted: / /

Note:

• 1 Any hours worked in excess of the daily hours of work set out in paragraph (d) and in excess of a weekly average of 40 hours over the work schedule are payable at the overtime rate.

• 2 This work schedule is posted in accordance with subsections 170(2) and (3) and 172(2) and (3) of the Canada Labour Code. These provisions require that notice of the proposed work schedule be posted for at least 30 days prior to its coming into effect and that the affected employee or at least 70% of affected employees, as the case may be, approve the schedule. Section 5 of the Canada Labour Standards Regulations requires that details of the modified work schedule be posted and kept posted as long as the work schedule is in effect.