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This goal of this article is to illustrate the limits of management methods that are disembodied from the real activity. We give as an example the "top-down" management of occupational health training for personal care workers in geriatric organizations in the Province of Quebec. We used a qualitative study with 9 semi-structured interviews to determine which factors favoured the application of this training, and we describe three main results. Firstly, the personal care workers’ activity was structured in terms of work rhythms and time markers. Secondly, personal care workers used temporal regulation strategies that were not taught in the initial training. Finally, the OHS content of the training program was not respected very often. We consequently recommend the participation of these workers in the development and implementation of these programs.