2026 PSAC PRAIRIES REGIONAL HEALTH & SAFETY CONFERENCE

• Speakers: Inspiring voices discussing the importance of H&S and the role of committee members

• Workshops: Engage in sessions building off current and relevant health and safety issues.

• Networking Opportunities: Connect with like-minded individuals across the region committed to creating a safer work environment.

Thursday, November 19 – Travel to Conference

Friday, Saturday & Sunday, November 20-22 – Conference days

Sunday, November 22 – Conference ends and Travel home

Chateau Lacombe Hotel – Edmonton, AB

10111 Belllamy Hill NW

Edmonton, Alberta

T5J 1N7

• Want to improve working conditions
• Will actively engage in advocating, lobbying and working improvements to health and safety
• Will engage in conversations with PSAC members to advocate for ensuring workplaces are healthy in all aspects

Allocations will honour our goal of an inclusive event that is reflective of our diverse membership, including Components, Directly Chartered Locals, Regionally Based Separate Employer Locals, Equity, and Young Workers.

Priority in the selection process will be given to those that have demonstrated a commitment to their workplace’s health and safety advocacy. We will contact your component to ensure those selected will be in a position to share and apply their learnings in the workplace.

National Officers are encouraged to apply to attend. Any National Officers selected to attend will be expected to be reimbursed all costs with attending by their component. PSAC regional funding for this convention will be limited to those that that are active in the workplace in resolving health and safety hazards.

PSAC Prairies will provide travel, accommodation, meal and incidental allowances, loss of salary, and reimbursement of family care costs in accordance with the PSAC Travel and Family Care policies.

There are approximately 60 participants spots.

About the Prairies Regional H&S Conference, please contact Clint Wirth, PSAC Prairies Regional H&S Representative at wirthc@psac-afpc.com

Should you have any questions regarding the administration of this conference, please contact Carla Blois, Administrative Assistant at bloisc@psac-afpc.com

Members are to fully complete the online application form below.

All applicants will be contacted by September 22nd to advise if they have been accepted as a participant.

APPLICATION DEADLINE AUGUST 6, 2026 4:00pm AB – 5:00pm SK/MB (MDT)

Application - Select all that apply. NOTE: With this application, I authorize use of the information above for the Participants List, to be distributed at the Regional Health & Safety Conference. (Please indicate any special requests in this regard.) *

• I am a PSAC Prairies member in good standing

Personal Information

Name *

First

Last

Chosen Name (If different from Employer records)

PSAC ID number *

Component/DCL *

Local/Branch number *

Home/Personal Email *

Cell phone number *

(or home phone number if no cell)

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Workplace Information

I am a regional committee member, policy committee member, workplace committee or H&S representative.

• Regional H&S committee member
• National or regional policy committee member
• Workplace committee member
• H&S representative
• N/A

Please provide the name, email address and personal phone number of your RVP/NVP or PSAC Rep for DCL's. This may be used confirm your active role in Workplace Health and Safety.

First

Last

RVP/NVP Cell phone

RVP/NVP Email

Participant Profile

What Health and Safety events and Conferences have you attended?

What is your priority for Health and Safety in your workplace?

What actions will I take after the conference to share the information and initiatives of the conference with others?

Travel, Loss of Salary and Accommodations

Travel arrangements will be in accordance with the PSAC Travel Policy. Approved participants will be contacted individually regarding travel arrangements.

Do you require loss of salary?

• Yes
• No

Please include the following in your response: The day and scheduled hours. EXAMPLE: Friday, Nov 20th - 8am-4pm

A screen shot of your APPROVED LEAVE will be required for reimbursement.

Accommodations

Approved participants in travel status will have a room reserved

Accommodation for disabilities

The PSAC Accommodation Policy strives to ensure that PSAC courses are barrier-free for members with disabilities. Members will be asked to specify their accommodation needs in order to facilitate their participation at this course.

Check off if applicable

• I am a member with a disability and require accomodation

Accommodation Requirements:

Please let us know the nature of any disability and the type of accommodation you might require - so we can create an inclusive event for all.

Emergency contact - Name

First

Last

Emergency contact - Phone number

Equity Self-Id (check off all that apply)

• I am 35 years of age and under:
• I am a member of the 2SLGBTQIA+ community:
• I am an Indigenous person: An Indigenous person is a member of a First Nation, a Métis or an Inuit community.
• I am racially visible: A racially visible person in Canada is non-white in colour or race, regardless of place of birth.
• I self-identify as a woman:
• I am a person with a disability: For equity purposes, "person with disabilities" means persons who experience barriers arising from impairments of a physical, mental, sensory, psychiatric or learning nature.
• I agree that the PSAC may use the information provided in the Self-ID section for administrative purposes: This could include seeking your participation in equity/diversity committees, conferences, and conventions and sending you information about PSAC equity/diversity initiatives.

ACKNOWLEDGEMENT: With this application, I agree that, if selected, I will attend and participate in all sessions of the Health and Safety Conference. Prior to the conference I will review the policies on human rights, anti-harassment and scent free environments to be provided and understand my responsibilities in accordance with them

• Yes

Is there any other relevant information would like to add to your application that will assist in the selection process?

Possible Observer Status

• Yes
• No

In the event that you are not selected as a full delegate to the event, would you be interested in an opportunity to be on site, in "Observer Status"? Information on the observer process will be shared after the selection process has been completed.

Submit