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Sustainability, Global Reporting Initiative, Corporate Social Responsibility, Lean, Continuous Improvement, Kaizen and “Green” are terms and initiatives that relate to each other as well as safety and environment, but often cause confusion. This paper first puts the various strategic issues into context to help participants better understand the “big picture” of strategic issues. The triple bottom line of sustainability (People, Planet and Profit or 3Ps) is a major issue for any organization. Attainment of sustainable growth demands continuous improvement in both manufacturing and design. The paper addresses how continuous improvement based on Dr. Deming's principles should be the benchmark for leading culture change. Included in this organizational culture change is occupational safety woven into the company's DNA. A relatively new concept, the marriage of lean and safety becomes the enabler for continuous improvement and long-term sustainable growth.