The History of IUOE Local 727

Our Story

Historically, up to the late 1990s, privately owned companies registered as Ambulance Operators, using different medical and operational tools and protocols, serviced Nova Scotia.

Employees who would assume the role of a first responder for these companies were primarily labelled ‘Ambulance Attendants.’ The training program at that time consisted of a few weeks of classroom and did not include ‘advanced’ skills; in many cases, there was no prerequisite for training to become an Ambulance Attendant.

There were, however, as an example, a few ambulance operations, such as the one at the Victoria General Hospital in Halifax, that provided a greater level of care than the standard.

A few Ambulance Operator employees (Attendants) took it upon themselves to attend programs such as the one offered at Pittsburgh, Pennsylvania, so they might practice a greater skill-­‐set than was the norm for Nova Scotia at that time. Hence, under this early service design, there were varying levels of applicable practical and technical skills which could be offered to the general public.

In the late 1990s

EMC Medical Care Inc. began acquisition of the pre-existing regional and township private operations, and through the process of creating a single provincial operation, advocating advanced skills training and including provincial medical oversight, the local service was on its way to becoming what is arguably one of the best provincial systems employing some of the highest trained Paramedics in the world.

Notably, some of those early attendants who were a critical part of the earlier system involved in the emergence of the current setup remain in the system today; in field, representative, leadership, managerial, and oversight positions. Those most senior persons represent as many as 1350 collective years of operations experience and system knowledge.

With the intent to form a provincial Ambulance service came the need for one Bargaining Agent (union) to negotiate and guard language, rights and permissions for all of the Nova Scotia paramedics employed in this new system under one operator.

The province's Labour Board mandated a ‘run-­‐off vote’ between the unions that were the bargaining agents for a few of the private operators. The Successor to that vote was the N.S.G.E.U that, from the inception of the provincial service to 2002, was the bargaining agent.


In 2002 the provincial paramedic membership felt the need to seek different representation. After completing the formal processes associated with that task, the new bargaining agent was the International Union of Operating Engineers (IUOE) Local 968.

Why are we called ‘Operating Engineers’ when we are paramedics, not construction workers?

The local Union is an autonomous Local under the umbrella of the International Union of Operating Engineers (IUOE) International Office in Washington DC.

Initially, the provincial Paramedic's journey within the Operating Engineers Union started with the IUOE Local 968 at an office in Kentville, NS. In Local 968, Paramedics were under their own Collective Agreement. Still, they were in a Local Union with University Employees, Trades Workers, Steam Engineers and other non-­‐ Paramedic employees (no disrespect to the other professions).

After a majority of the provincial Paramedics in Local 968 petitioned the International Union for an autonomous Local that could be theirs alone with no other professionals in it, the IUOE Local 727 was formed in 2007. Life Flight is also in Local 727 and Transport Operators/Clinical Transport Operators, which joined in 2021.

Local 727 is dedicated to those who perform emergency services or support for EMC Medical Care Inc.
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Nova Scotia Paramedics IUOE Local 727

We are the Nova Scotian Paramedic Union and represent all ground ambulance and flight Paramedics, Flight Nurses and Transport Operators/Clinical Transport Operators.


Mailing address
PO Box 38013 Dartmouth
Nova Scotia, B2B 1X2