To the Local Joint Health and Safety Committee / Health and Safety Representative  at

__________________________

  Insert work location and city

I, _________________________________, am experiencing an overburdening situation

                             Name

on my route. Although the Corporation claims in Appendix K that they are committed to ensuring the health and safety of employees, upon reporting this situation to my supervisor, I believe that the issue was not addressed in a satisfactory manner. As stated in Appendix K, “A ‘one size fits all’ approach will not work, so we must find the right solution to each problem”. Therefore I am hereby requesting that the Local Joint Health and Safety Committee and/or Health and Safety Representative conduct the necessary investigation to determine if there is an overburdening situation. The possible solutions may involve changing the placement of relay boxes, additional relay boxes or additional authorized relay drops.

If an agreement cannot be reached or if Canada Post does not implement the decision of the Committee, I will be filing a grievance in order to resolve the issue.

Name____________________________________

Route Number_____________________________

Work Location____________________________