Corporate

3 | 130-CDE-01-ISDO Table of Contents Risk Statement Identified Causal Factors & Top 10 Primary Causal Factors Top 5 Immediate Actions Root Cause Analysis workshop results Fishbone Diagrams Top 10 Primary Causal Factors and Recommended Controls/Solutions Workshop Contacts Appendices

• Slide Number 1
• Disclaimer
• Table of Contents
• RA RCA project overview
• Introduction
• Industry Selection
• An Engaging and Collective Process
• Risk Assessment Workshop
• WSPS Communications – Risk Assessment Results
• RCA workshop Results
• Risk Statement
• Participant List: Subject Matter Experts/Voting Participants
• Participant List: Non-Voting Support
• RCA Results
• Identified Primary Causal Factors
• Category Breakdown – 26 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
• Top Workshop Recommendations
• Next steps – Rca workshop
• Next Steps
• 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. CULTURE – Cutting Corners, Unsafe Practices
• 1. CULTURE – Cutting Corners, Unsafe Practices (1)
• 1. CULTURE – Cutting Corners, Unsafe Practices (2)
• 1. CULTURE – Cutting Corners, Unsafe Practices (3)
• 1. CULTURE – Cutting Corners, Unsafe Practices (4)
• 2. PEOPLE – Inadequate Training for Supervisors
• 2. PEOPLE – Inadequate Training for Supervisors (1)
• 2. PEOPLE – Inadequate Training for Supervisors (2)
• 3. PEOPLE – Rushing
• 3. PEOPLE – Rushing (1)
• 3. PEOPLE – Rushing (2)
• 4. PEOPLE – Inadequate Training for Workers
• 4. PEOPLE – Inadequate Training for Workers (1)
• 4. PEOPLE – Inadequate Training for Workers (2)
• 5. CULTURE – KPIs Prioritize Production Over Safety
• 6. ENVIRONMENT – Lack of Storage, Leading to Awkward Lifting
• 6. ENVIRONMENT – Lack of Storage, Leading to Awkward Lifting (1)
• 7. PROCESS – Lack of SWPs for MSD Prevention
• 7. PROCESS – Lack of SWPs for MSD Prevention (1)
• 8. CULTURE – Historical Mindset that MSDs are Expected
• 8. CULTURE – Historical Mindset that MSDs are Expected (1)
• 8. CULTURE – Historical Mindset that MSDs are Expected (2)
• 8. CULTURE – Historical Mindset that MSDs are Expected (3)
• 9. PROCESS – Tasks are Physically Demanding
• 9. PROCESS – Tasks are Physically Demanding (1)
• 9. PROCESS – Tasks are Physically Demanding (2)
• 10. MEASURES – Lack of MSD Internal Reporting
• Appendix c – workshop contacts
• Workshop Contacts
• Slide Number 66