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While research on workplace safety spans across disciplines in medicine, public health, engineering, psychology, and business, research to date has not adopted a multilevel theoretical perspective that integrates theoretical issues and findings from various disciplines. In this chapter, we integrate research on workplace safety from a variety of disciplines and fields to develop a multilevel model of the processes that affect individual safety performance and safety and health outcomes. In doing so, we focus on cross-level linkages among national, organizational, and individual-level variables in relation to the exhibition of safe work behavior and occurrence of individual-level accidents, injuries, illnesses, and diseases. Our modeling of workplace safety is intended to fill a theoretical gap in our understanding of how the multitude of individual differences and situational factors interrelate across time to influence individual level safety behaviors and the consequences of these actions, and to encourage research to expand the limits of our knowledge.

Road trauma remains a significant concern internationally. Traffic crashes rank within the top three leading causes of death for individuals aged between 15–44 years old, with nonfatal casualties occurring at around 30 times the rate of fatal incidents. Historically, road safety research has not captured factors relating to driving purpose. However, more recently, researchers have focused on the importance of driving for work. Over a third of traffic volume represents commuting or driving in the line of employment; improving workplace road safety practices represents a tangible way of reducing road trauma. This chapter considers the link between safety culture and best practice in workplace road safety. It is argued that best practice is not a term to define individual safety practices, but a system of practices that create a culture of safety. This research uses data collected on organizations workplace road safety practices within the Australian context. This data has been collected by the National Road Safety Partnership Program (NRSPP); an initiative that constitutes a network of organizations and academics working together to develop a positive road safety culture. Twenty-four case studies are presented of organizations that have implemented workplace road safety programs to improve their safe driving culture. Qualitative analysis was conducted to systematically categorize the safety initiatives and their indicators of success. Almost all case studies expressed the importance of developing a safety-first culture in the workplace. Third-party regulation, internal policy and corporate social responsibility form the foundation of workplace safety. However, it was the culture and attitude towards the safety initiatives that achieved effectiveness in the long-term. The findings of this research support the argument that best practice is best achieved when integrated within a culture that values and prioritizes safety, rather than implemented in isolation to other elements in the workplace system.

The modern workplace contains many physical and interpersonal hazards to employee physical and psychological health/well-being. This chapter integrates the literatures on occupational safety (i.e., accidents and injuries) and mistreatment (physical violence and psychological abuse). A model is provided linking environmental (climate and leadership), individual differences (demographics and personality), motivation, behavior, and outcomes. It notes that some of the same variables have been linked to both safety and mistreatment, such as safety climate, mistreatment climate, conscientiousness, and emotional stability.

It is estimated that we spend at least a third of our working lives in the workplace and the duration of this, due to the extension of working lives through legislative changes and increased pension ages, is set to increase. Ageing of the workforce is a growing concern but health and safety issues cannot be used as an excuse for not employing older workers. A healthy workplace is one where the risks are managed and where workers and their managers work together to improve the work environment and protect the health of the workers. Furthermore, linking this to personal health resources and the local community can improve the health of all involved. Within the workplace this includes both the psychosocial and physical work environment. To create a healthy workplace there is a need to ensure risk management measures are in place and our older workers participation in risk assessment and risk reduction programmes. In addition to this, targeted occupational health promotion programmes may be beneficial. There are few integrated policies with regard to age and work but research does identify good practice, including participation of employees in change measures, senior management commitment and taking a life-course approach. While there are challenges in relation to age-related change, the work ability concept can improve understanding. The use of a comprehensive approach such as Age Management can help employers who have a critical role in making the workplace age-ready.

This chapter uses symbolic interactionism as a theoretical framework for considering data produced during two in-depth ethnographic investigations: one at Orco, a minerals processing facility; the other at RTE, the Rail Transport Executive of an urban region in Australia. It discusses the value of symbolic interactionism in revealing the detailed importance of interaction between managers and workers and, particularly, within specific workgroups. It argues that regular, repeated and intense interaction such as characterizes daily work in high-pressure occupations helps establish subcultures. It is then comparatively easy for a subculture group to develop its own values and meanings in opposition to those promulgated by management. The two case studies differ significantly around the organizational value placed on investigating injuries and accidents. In the Orco workplace, injury statistics are clearly communicated and workers believe that the “zero injury workplace” is a management priority. In the RTE, transit officer injuries are kept confidential and workers believe that a major purpose of investigations is to show how individual workers are at fault. In both cases, however, the work group has developed an informal safety culture at odds with that promoted by managers.The conclusion drawn by the end of the chapter is that managers seeking to influence the safety cultures of workers in dangerous and fraught occupations should pay close attention to the ways in which those workers operate at a symbolic distance from management. They should engage with the workers to understand the symbolic value placed by frontline staff upon the meanings attributed to safe work practices, and should collaborate together to develop a shared safety culture in which workers are protected by active management engagement in their symbolic reality. Where this occurs, workers’ perspectives are appreciated at the same time as their practices become more regulated and aligned with managerial wishes. Symbolic interactionism offers a rich perspective that takes into account the dynamism of changing circumstances and that works outwards from the thought processes of individuals through to interactions across entire organizations.

Occupational injury in the health care sector in the United States rates among the highest of all industries. Specific to hospital support service workers (e.g., Food & Nutrition, Environmental Services), studies have shown that injury rates for support service workers tend to be among the highest of hospital personnel, and yet there is a shortage of research investigating the safety climate of these workers. Therefore, the purpose of this study is to examine safety perceptions of support service workers. Surveys were used to measure safety climate leadership factors (per the AHRQ's Survey of Patient Safety Culture) to determine if they are related to individual safety perceptions, as well as ratings of work unit safety. Following established safety climate research, we examined the role of the work environment (e.g., supervisor support and work unit culture) on safety perceptions. We found that both supervisor and organizational safety leadership are positively related to individual safety perceptions and supervisor support. Organizational safety leadership and work unit culture were positively related to work unit safety rating. Our findings demonstrate that the antecedent factors and pathways that promote a positive safety climate among health care providers functions in a similar manner for support service workers. These findings contribute to a better understanding of occupational safety of this understudied work group and provide evidence to hospital administration that developing a strong safety climate among support service workers is not entirely different from what is required to promote a robust safety climate across an organization.

Hospitals within the United States consistently have injury rates that are over twice the national employee injury rate. Hospital safety studies typically investigate care providers rather than support service employees. Compounding the lack of evidence for this understudied population is the scant evidence that is available to examine the relationship of support service employees’ perceptions of safety and work-related injuries. To examine this phenomenon, the purpose of this study was to investigate support service employees’ perceptions of safety leadership and social support as well as the relationship of safety perception to levels of reported injuries.

A nonexperimental survey was conducted with the data collected from hospital support service employees (n=1,272) and examined: (1) relationships between safety leadership (supervisor and organization) and individual and unit safety perceptions; (2) the moderating effect of social support (supervisor and coworker) on individual and unit safety perceptions; and (3) the relationship of safety perception to reported injury rates. The survey items in this study were based on the items from the AHRQ Patient Safety Culture Survey and the U.S. National Health Care Surveys.

Safety leadership (supervisor and organization) was found to be positively related to individual safety perceptions and unit safety grade as was supervisor and coworker support. Coworker support was found to positively moderate the following relationships: supervisor safety leadership and safety perceptions, supervisor safety leadership and unit safety grade, and senior management safety leadership and safety perceptions. Positive employee safety perceptions were found to have a significant relationship with lower reported injury rates.

These findings suggest that safety leadership from supervisors and senior management as well as coworker support has positive implications for support service employees’ perceptions of safety, which, in turn, are negatively related to lower odds of reporting injuries.

Hospitals in North America consistently have employee injury rates ranking among the highest of all industries. Organizations that mandate workplace safety training and emphasize safety compliance tend to have lower injury rates and better employee safety perceptions. However, it is unclear if the work environment in different national health care systems (United States vs. Canada) is associated with different employee safety perceptions or injury rates. This study examines occupational safety and workplace satisfaction in two different countries with employees working for the same organization.

Survey data were collected from environmental services employees (n = 148) at three matched hospitals (two in Canada and one in the United States). The relationships that were examined included: (1) safety leadership and safety training with individual/unit safety perceptions; (2) supervisor and coworker support with individual job satisfaction and turnover intention; and (3) unit turnover, labor usage, and injury rates.

Hierarchical regression analysis and ANOVA found safety leadership and safety training to be positively related to individual safety perceptions, and unit safety grade and effects were similar across all hospitals. Supervisor and coworker support were found to be related to individual and organizational outcomes and significant differences were found across the hospitals. Significant differences were found in injury rates, days missed, and turnover across the hospitals.

This study offers support for occupational safety training as a viable mechanism to reduce employee injury rates and that a codified training program translates across national borders. Significant differences were found between the hospitals with respect to employee and organizational outcomes (e.g., turnover). These findings suggest that work environment differences are reflective of the immediate work group and environment, and may reflect national health care system differences.

This introductory chapter provides an overview of the South African mining sector’s contribution to the national economy. It also discusses the socio-economic challenges that the sector has faced in terms of operational efficiency, productivity and safety. The chapter then briefly discusses the formal and informal organisational aspects of restructuring work processes in the South African mining industry. It concludes with a synopsis of each of the chapters of this book.

The emerging industrial revolution referred to as Industry 5.0 is focusing on leveraging human creativity with intelligent and autonomous systems to derive user-friendly work environment for the businesses. Industry 5.0 stresses on people centric work ecosystem, zero accident policy and the well-being of labour within the production processes. This approach of Industry 5.0 to obtain human-centric safety solutions through the deployment of digital technologies deduces workplace accidents and costs leading to the development of Safety 4.0. This chapter aims to investigate the opportunities and challenges of Safety 4.0 and its enabling technologies aspiring towards the greater impact on safety management. Further, we have proposed a framework for the role of human centric digital transformations concerning safety in the manufacturing industry propelling Safety 4.0. Concluding, we discuss the implications for managers and practitioners. We found that Safety 4.0 will strengthen industrial safety, and instead of reacting to accidents, the concept evolved towards a preventive and proactive approach for a healthy industrial ecosystem.