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Culture, leadership, systems, and processes all play significant roles in whether or not exposure is controlled in the workplace. We know that when leadership is focused on production over safety, incidents are more likely because more exposures go uncontrolled. We also know that when work schedules and overtime demands require people to work in a fatigued state, errors will be more frequent. And we know that when safe processes are not given the level of management oversight required, more errors occur.