Canada Labour Standards Regulations

• (a) 

  Name of employer:
• (b) 

  An identification of the affected employees:
• (c) 

  Address or location of workplace:
• (d) 

  Number of weeks in the averaging period:
• (e) 

  Information to establish that there is an irregular distribution of hours of work that is necessitated by the nature of the work in the industrial establishment:
• (f) 

  Reasons for the length of the averaging period:
• (g) 

  Date the averaging of hours of work comes into effect:  /  / 
• (h) 

  Date the averaging of hours of work ends: / /
• (i) 

  Date the notice was posted: / /

Note:

This notice is posted in accordance with section 6 of the Canada Labour Standards Regulations which requires that the employer notify affected employees of details of the averaging of hours of work at least 30 days before the averaging takes effect and also requires that the information contained in this notice remain posted for the duration of the averaging of hours of work.