Corporate

58 | 310-BZN-01-ISDO 5. Measures – Lack of Evaluation of Effectiveness of Training Provide incentive to complete training practical components Develop anonymous surveys from workers to get real information without fear of reprisal – MSD concerns, ideas to fix concerns, what is working Increase collaboration with workers post-training (feedback loop) Increase worker internal responsibility system (IRS) awareness Develop resource for conducting effective incident investigation, including outcomes, specific injuries and clear root causes, to help identify potential gaps in training

• Slide Number 1
• Table of Contents
• RA RCA project overview
• Introduction
• Industry Selection
• A Collective Process
• Introduction (1)
• Risk Assessment Workshop
• WSPS Communications – Risk Assessment Results
• RCA workshop Results
• Risk Statement
• Participant List: Subject Matter Experts
• RCA Results
• Identified Primary Causal Factors
• Category Breakdown – 35 Primary Causal Factors
• Voting Process – Level of Importance
• Top 10 Primary Causal Factors
• Employer vs. Workshop Results
• Worker vs. Workshop Results
• Employer vs. Worker Results
• Top 10 Comparison
• Recommendations
• Final Workshop Recommendations and Conclusions
• Next steps – Rca workshop
• Next Steps
• Slide Number 27
• Appendix A – Fishbone diagrams
• Primary Causal Factors
• Slide Number 30
• Slide Number 31
• Slide Number 32
• Slide Number 33
• Slide Number 34
• Slide Number 35
• Appendix B – Controls/Solutions for top primary causal factors
• 1. Process – Inadequate Training
• 1. Process – Inadequate Training (1)
• 1. Process – Inadequate Training (2)
• 1. Process – Inadequate Training (3)
• 1. Process – Inadequate Training (4)
• 1. Process – Inadequate Training (5)
• 1. Process – Inadequate Training (6)
• 1. Process – Inadequate Training (7)
• 2. Environment – Poor Workstation Design/Layout
• 2. Environment – Poor Workstation Design/Layout (1)
• 2. Environment – Poor Workstation Design/Layout (2)
• 2. Environment – Poor Workstation Design/Layout (3)
• 2. Environment – Poor Workstation Design/Layout (4)
• 3. People – Poor Technique
• 3. People – Poor Technique (1)
• 3. People – Poor Technique (2)
• 3. People – Poor Technique (3)
• 3. Culture – Lack of Effective Supervision
• 3. Culture – Lack of Effective Supervision (1)
• 3. Culture – Lack of Effective Supervision (2)
• 5. Measures – Lack of Evaluation of Effectiveness of Training
• 5. Measures – Lack of Evaluation of Effectiveness of Training (1)
• 5. Measures – Lack of Evaluation of Effectiveness of Training (2)
• 5. Environment – Lack of Storage Capacity
• 5. Environment – Lack of Storage Capacity (1)
• 5. Environment – Lack of Storage Capacity (2)
• 5. Environment – Lack of Storage Capacity (3)
• 7. People – Fatigue
• 7. People – Fatigue (1)
• 7. People – Fatigue (2)
• 7. People – Fatigue (3)
• 8. Process – Inadequate/Lack of Safe Work Practices (SWPs)
• 8. Process – Inadequate/Lack of Safe Work Practices (SWPs) (1)
• 8. Process – Inadequate/Lack of Safe Work Practices (SWPs) (2)
• 8. Process – Inadequate/Lack of Safe Work Practices (SWPs) (3)
• 8. Tools & Machines – Incorrect Use of/Failure to Use Equipment
• 8. Tools & Machines – Incorrect Use of/Failure to Use Equipment (1)
• 8. Tools & Machines – Incorrect Use of/Failure to Use Equipment (2)
• 8. Tools & Machines – Incorrect Use of/Failure to Use Equipment (3)
• 10. Process – Inadequate Staffing
• 10. Process – Inadequate Staffing (1)
• Appendix c – workshop contacts
• Workshop Contacts
• Disclaimer
• Slide Number 81