Corporate

3 Table of Contents • Industry selection • Risk Assessment results leading up to Root Cause Analysis workshop Risk Assessment (RA) Root Cause Analysis (RCA) project overview • Risk Statement • Identified Causal Factors & Top 10 Primary Causal Factors • Top 5 Immediate Actions • Acknowledgements 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
• A Bipartite and Collective Process
• Risk Assessment Workshop
• WSPS Communications – Risk Assessment Results
• Communications Campaign for Industry Stakeholders
• RCA workshop Results
• Risk Statement
• Participant List: Subject Matter Experts
• Identified Primary Causal Factors
• Slide Number 15
• 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
• Final Workshop Recommendations and Conclusions
• Acknowledgements – Thank You!
• 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. Category: Culture – Leadership Commitment
• 1. Category: Culture – Leadership Commitment (1)
• 1. Category: Culture – Leadership Commitment (2)
• 2. Category: Process – Inadequate training
• 2. Category: Process – Inadequate training (1)
• 3. Category: Process – Inadequate supervision
• 3. Category: Process – Inadequate supervision (1)
• 4. Category: Environment – Load being handled (dimensions)
• 5. Category: People – Improper postures
• 5. Category: People – Improper postures (1)
• 6. Category: Environment – Inadequate workplace design
• 7. Category: Process – Lack of management of change program
• 8. Category: Measures – Lack of/Improper use of Hazard Identification and Risk Assessment (HIRA)
• Slide Number 50
• 9. Category: Tools and Machines – Inadequate equipment selection
• 10. Category: Culture – Inadequate reporting
• Appendix c – workshop contacts
• Workshop Contacts
• Slide Number 55