Determinants of safety outcomes and performance: A systematic literature review of research in four high-risk industries

Unable to comply with regulations: How deterrent and social learning factors contribute to workplace safety violation

BACKGROUND

Workplace safety violation is a significant challenge for global enterprises. However, prior studies have generated inconsistent findings, which calls for a holistic framework to reveal the complex causality between antecedent conditions and workplace safety violations in high-risk industries.

OBJECTIVE

By embracing deterrence theory and social learning theory, this study aimed to examine how punishment (i.e., perceived punishment certainty and perceived punishment severity), shame (i.e., perceived shame certainty and perceived shame severity) and coworker safety violations (CSV) combine into configurational causes of employee safety violations (ESV).

METHODS

A two-wave sampling approach was used to obtain 370 usable samples from various high-risk industries in China. The confirmatory factor analysis was performed to test construct validity, and an emerging fuzzy set qualitative comparative analysis (fsQCA) was conducted to explore the complex causality between ESV and its multiple antecedents.

RESULTS

The fsQCA results indicate that no single antecedent condition is necessary for predicting high ESV, but three distinct configurations of multiple antecedents equivalently lead to high ESV. Among all configurations, a lack of perceived punishment severity, a lack of perceived shame certainty and severity, and high CSV play important roles in explaining ESV.

CONCLUSIONS

This study represents a pioneering endeavor utilizing fsQCA to explore how different combinations of punishment, shame and social learning antecedents contribute to high ESV, which goes beyond previous research focusing on antecedents independently and offers new insights into interconnected antecedents of ESV and their complex causality.

Expanding Behavioral and Occupational Health Research in Military Police

INTRODUCTION

It is important to understand the behavioral and occupational health needs of military police personnel, a high-risk and understudied population.

MATERIALS AND METHODS

The incidence rates of behavioral and occupational conditions were examined from the years of 2005 to 2021 from the Defense Medical Epidemiology Database. Single-sample chi-square analyses were performed to analyze the differences in the incidence rates across demographic groups relative to population density.

RESULTS

There were moderate-to-large increases in sleep-related disorders and mood or stress-related disorders. There were also patterns of overrepresentation or underrepresentation in diagnoses of various conditions by sex, age group, marital status, race, service branch, and pay grade.

CONCLUSIONS

It is important to provide tailored resources and programming to employees in high-stress settings to help prevent or manage behavioral and occupational health conditions and reduce the stigma surrounding the utilization of such resources and programs.

A practical framework to develop and prioritize safety interventions to improve underground coal miners' safety performance

BACKGROUND

Improvement of workers' safety performance is an integral and essential part of safety management. Relevant safety interventions to improve workers' safety performance are generally difficult to establish when there is a wide range of occupational hazards and at-risk individuals' features.

OBJECTIVE

This study aimed at formulating a practical approach to develop and prioritize potential safety interventions based on occupational and individual risk factors perceived by workers to promote workers' safety performance.

METHODS

A simple framework developed to identify and prioritize the suitable safety interventions. This framework made use of data collected using standardized and validated questionnaire and domain experts' opinions. Pearson correlation coefficients, exploratory factor analysis, and multiple linear regression were used to identify significant risk factors associated with workers' safety performance. Data were collected by interviewing 202 coal mine workers with occupational injuries, and their immediate supervisors from three mines.

RESULTS

Safety performance was associated with the occupational factor-domain (poor working condition, poor safety environment, poor job satisfaction, and high job stress) only (regression coefficient = 2.14, p < 0.01). The following interventions were identified and prioritized to promote workers' safety performance: provide fair compensation to workers, job-specific and safety training, promotion policy, achievable targets, relevant perks/benefits, safety training awareness, workplace lighting, ventilation network, sensitize the management, associate safety performance to promotion, and develop team spirit.

CONCLUSION

Our approach helps to identify and prioritize the most relevant interventions to promote safety at work when there are multiple risk factors.

The influence of hazard control and prevention toward safety behaviors and safety outcomes in coal-fired power plants using PLS-SEM

INTRODUCTION

The electrical utility industry, which plays a vital role in sustaining other sectors, contributes to high occupational accident rates in the utility industries. The high accident rate shows that there has been insufficient effort made to control unsafe actions and conditions in the workplace. This study aims to examine the influence of hazard control and prevention as leading indicators of safety behaviors and outcomes in coal-fired power plants in Malaysia.

METHODS

This quantitative research was conducted by distributing survey questionnaires randomly to five coal-fired power plants in Peninsular Malaysia. A total of 340 respondents were involved in this research. Partial least squares structural equation modeling (PLS-SEM) analysis was performed using SmartPLS to validate and examine the relationship of the proposed model.

RESULTS

The results validate the construct of hazard control and prevention consisting of planning, action, managing, and verifying, while the safety outcomes construct consists of occupational accidents, fatal accidents, near misses, and lost time injuries. The results indicate that hazard control and prevention significantly relate to safety compliance, safety participation, safety motivation, and safety knowledge. Moreover, safety outcomes were influenced negatively by hazard control and prevention through safety compliance.

CONCLUSION

The model provides a better understanding of the influence of hazard control and prevention on safety behavior and outcomes.

PRACTICAL APPLICATIONS

The model can be used as guidance for practitioners and researchers in planning and implementing hazard control and prevention to improve health and safety in the workplace.

A fuzzy Bayesian network DEMATEL model for predicting safety behavior

Objectives. Safety behavior significantly affects safety performance in the workplace. This study aimed to develop a Bayesian network (BN) model for managing and improving safety behavior. Methods. This study was carried out in the chemical industries in Iran. The data were gathered by a questionnaire consisting of 13 variables including organization safety priority, systems design, safety communication, safety education, work strategy, human-system interaction, mental workload, environmental distractions, work pressure, fatigue, sleepiness, safety knowledge and locus of control. The BN structure was created using the fuzzy decision-making trial, evaluation laboratory method and expert opinions. Belief updating was used to determine variables with the strongest effect on safety behavior. Results. Locus of control, organization safety priority and safety knowledge were the best predictors of safety behavior. Moreover, it was found that improving organization safety priority and safety knowledge is the best intervention strategy to improve safety behavior significantly. Conclusions. BN is a powerful tool that can model causal relationships among variables. Improving organization safety priority and safety knowledge can lead to the maximum possible level of safety behavior.

Safety not guaranteed: Investigating employees' safety performance during a global pandemic

The COVID-19 pandemic threatened employees' health and safety more than any event in recent years. Although millions of employees transitioned to working from home to mitigate infectious disease exposure, many worksites re-opened amid the pandemic as high infection rates persisted longer than expected. Safety guidelines were issued by the Centers for Disease Control and Prevention, the World Health Organization, and other national initiatives to improve the health and safety of employees returning to on-site work. The current work addresses predictors of infection control safety behaviors in a general working population that largely lacks infection control training and expertise. Drawing from Neal and Griffin's model of safety behavior, we investigated organizational factors (i.e., perceived safety climate, safety-related organizational constraints, occupational risk of COVID-19 exposure) and individual factors (i.e., infection control safety attitudes, conscientiousness, and risk aversion) associated with employees' infection control safety behaviors shortly after returning to on-site work during the pandemic. Survey results from 89 full-time employees across industries demonstrated that the organizational and individual factors accounted for 51.19 percent of the variance in employees' infection control safety behaviors. Organizational factors accounted for 49.02 percent of the explained variance, and individual factors accounted for 50.98 percent of the explained variance. Conscientiousness, perceived safety climate, safety-related organizational constraints, and infection control safety attitudes explained significant variance in employees' infection control safety behaviors, while the occupational risk of COVID-19 exposure and risk aversion did not. Organizations may benefit from considering employees' conscientiousness and safety attitudes during employee selection as well as enhancing their organization's safety climate and mitigating safety-related organizational constraints.

Adapting, adopting, and advancing change: A framework for future research in the psychology of occupational safety

INTRODUCTION

While there are numerous reviews of the research on the psychology of occupational safety, these studies provide weak guidance on where the research should go next. Accordingly, we introduce a simple framework for thinking about future research in this area: the adapting, adopting, and advancing change framework. This framework summarizes how external, technological, and theoretical developments have driven research in the psychology of occupational safety and uses these observations as evidence to imagine ways in which they may continue to do so.

METHOD

We critically reviewed seminal research in the psychology of occupational safety using the adapting, adopting, and advancing change framework. Adapting to change means considering external changes such as the fluctuating nature of work and the labor market. Adopting change refers to incorporating the latest technological and technical advances to facilitate more robust research methods and analyses. Finally, advancing change refers to theoretical advances and how they will push psychology of occupational safety research forward.

RESULTS

We highlight several avenues for future research that emerge at the convergence of the framework's three themes, including developing the safety skill construct, assessing variation in demand appraisals on safety outcomes, distinguishing safety climate from related constructs, and examining safety constructs that are usually considered as outcomes (e.g., injuries) as predictors instead.

CONCLUSIONS

In doing so, we provide a clear structure to help researchers better identify the most effective directions for future research on the psychology of occupational safety.

Linking mental health to safety behavior in construction workers: The mediating effect of work ability and sleep quality

BACKGROUND: The severity of occupational accidents and injuries in the construction industry is the greatest across all industries. Few studies have examined the causal relationships among physical and psychological variables affecting the safety behavior of construction workers. OBJECTIVE: This study aimed to investigate the relationships among three factors (metal health, work ability and sleep quality) influencing the safety behavior of construction workers. METHODS: This cross-sectional study was conducted on 204 workers in civil construction projects in Iran. The data were gathered via self-reporting questionnaires. The acquired data were analyzed by the Smart PLS3 software using structural equation modeling with the partial least squares (PLS) regression approach. RESULTS: The R square revealed an acceptable fineness of the structural model. Similarly, as Q square values were higher than 0.15 for all factors, the predictability of the model was approved. The direct effect of mental health on safety behavior was not significant, but work ability and sleep quality had significant direct effects on safety behavior. Moreover, a decrease in mental health significantly reduced construction workers’ sleep quality and work ability. CONCLUSION: The results of this study prove that sleep quality and work ability mediate the relationship between mental health and safety behavior. The deterioration of construction workers’ mental health can increase the risk of unsafe behavior and occupational injuries. Therefore, appropriate measures need to be taken to maintain and improve the mental health of construction workers.

Shipbreaking in Bangladesh: Organizational responses, ethics, and varieties of employee safety

INTRODUCTION

The dismantling of large ocean-going ships at the end of their productive use, or shipbreaking, has a poor reputation for employee safety in some developing countries. India and Bangladesh have recently come to dominate the global shipbreaking industry in terms of the tonnage of scrapped and recycled ships and the work is reportedly hazardous, posing significant ethical and practical risks to employee health and safety. This study aims to investigate the veracity of this reputation by identifying how different shipbreaking firms manage workplace safety, and their reasons for doing so.

METHODS

Drawing on in-depth case-based research at three shipbreaking firms in Chittagong, Bangladesh, data were collected from governmental representatives, industry experts, and NGO's through interviews, site observations, and industry reports. Safety performance data (number of injuries and fatalities) were collected between 2014 and 2019 and verified from different sources.

RESULTS

In contrast to uniformly poor outcomes, the findings show better but uneven practices of workplace safety among the three shipbreaking firms, a phenomenon that we describe as 'varieties of employee safety.' The better performing shipbreaking firms on safety outcomes had higher managerial commitment towards improving safety, provided personal protective equipment (PPE) and training, adopted formal management systems such as external certification, and had more robust management processes concerning workplace safety in place.

CONCLUSIONS

Management agency or choices towards strengthening workplace safety can positively influence safety performance outcomes in Bangladesh shipbreaking firms. We also contend that there is a close relationship between management ethics and occupational risk management in the workplace. This is a relatively novel perspective for health and safety research. Practical applications: Our empirical insights challenge common assumptions that safety practices in the shipbreaking industry in developing nations like Bangladesh are homogenous and consistently of low standard. This provides policymakers, the media, and safety practitioners with the opportunity to showcase best practices, whilst also identifying how safety in shipbreaking can be further improved for firms that are poor in their safety performance.

Measuring Safety Climate in the Construction Industry: A Systematic Literature Review

Recent studies on safety in various fields use the concept of safety climate to explain the causes of safety accidents. Many studies attempt to measure the safety climates and identify the causes for accidents in the high-risk construction industry. Studies have shown that the higher the level of the safety climate, the lower the accident rate at construction sites. Methods of measuring safety climate, including the NOSACQ-50 survey, have been presented. Studies on the methodology of measuring safety climate should be continued to improve reliability and precision. Although many studies have been conducted to measure safety climate, such as questionnaires, regression analysis, and suggestions for safety climate measurement methods, there are few studies on a systematic literature review of them. This requires a systematic literature review (SLR) of the studies conducted so far. This study conducted an SLR on the definition and measurement methods of safety climate in the construction industry published since 2000, when safety climate’s impact on accidents began to be established. This review study utilized the PRISMA method, analyzed 735 studies, and selected 57 papers finally. SLR was carried out for selected research works, and the results were summarized. There are three methods to measure safety climate: literature survey, questionnaire, and data analysis. Factor analysis, development of measuring model, development of questionnaire, statistical analysis, and machine learning were investigated as their sub-methods. This study’s results can be used as fundamental sources for improving existing methods and developing new methods of measuring safety climate in the construction industry.

Modeling the causes-effect relationships among major accident predictors based on a fuzzy multi-criteria decision-making method

BACKGROUND

Finding the best practices for accident prevention is possible by identifying the influential factors affecting accident occurrence and their interactions as well as implementing corrective actions for the root cause factors.

OBJECTIVE

This study was aimed to determine the cause-effect relationships and the interaction of the influential factors affecting accident occurrence and determine the critical root factors.

METHODS

This study was carried out based on the opinions of a panel of experts and used the fuzzy DEMATEL method.

RESULTS

The results showed that "organization safety attitude", "safety communication", "work and safety training" and "safe design of systems" are root cause variables. Also, "work and safety knowledge" and "experience in the job" are individual cause variables.

CONCLUSIONS

Organizational factors and some of individual variables are the critical factors that affect the occurrence of accidents. Therefore, corrective actions for accident prevention should primarily focus on the correction of these variables.

Safety-Specific Passive-Avoidant Leadership and Safety Compliance among Chinese Steel Workers: The Moderating Role of Safety Moral Belief and Organizational Size

Despite the documented relationship between active-approaching leadership behaviors and workplace safety, few studies have addressed whether and when passive-avoidant leadership affects safety behavior. This study examined the relationship between two types of safety-specific passive-avoidant leadership, i.e., safety-specific leader reward omission (SLRO) and safety-specific leader punishment omission (SLPO), and safety compliance, as well as the moderating effects of an individual difference (safety moral belief) and an organizational difference (organizational size) in these relationships. These predictions were tested on a sample of 704 steel workers in China. The results showed that, although both SLRO and SLPO are negatively related to safety compliance, SLPO demonstrated a greater effect than SLRO. Moreover, we found that steel workers with high levels of safety moral belief were more resistant to the negative effects of SLRO and SLPO on safety compliance. Although steel workers in large enterprises were more resistant to the negative effects of SLPO than those in small enterprises, the SLRO-compliance relationship is not contingent upon organizational size. The current study enriched the safety leadership literature by demonstrating the detrimental and relative effects of two types of safety-specific passive-avoidant leadership on safety compliance and by identifying two boundary conditions that can buffer these relationships among steel workers.

Economic Stressors, COVID-19 Attitudes, Worry, and Behaviors among U.S. Working Adults: A Mixture Analysis

Since the unfolding of the novel coronavirus global pandemic, public health research has increasingly suggested that certain groups of individuals may be more exposed to the virus. The aim of this contribution was to investigate whether workers grouped into several latent classes, based on two perceived economic stressors, would report different levels of enactment of the Centers for Disease Control (CDC) recommended behaviors to prevent the spread of such virus. We also tested propositions regarding the potential differential predictors of compliance behavior, differentiating between cognitive (i.e., attitudes toward the CDC guidelines) and affective (i.e., COVID-specific worry) predictors. Using a longitudinal dataset of 419 U.S. workers, we did not find significant differences among the levels of CDC guidelines enactment across three latent classes, representing a range of economic vulnerability. We found that cognitive attitudes were a significantly stronger predictor of compliance with CDC guidelines for workers in the most economically secure class, whereas worry was a significantly stronger predictor of compliance for the most vulnerable counterpart. We discuss these findings in light of the Conservation of Resources theory and other health behavior theories, being mindful of the need to further understand the differential impact of this health and economic crisis on employees facing economic stressors.

Exploring the Differences in Safety Climate Among Mining Sectors

Currently, the US mining industry is encouraged, but not required to adopt a formal health and safety management system. Previous research has shown that the adoption of such systems has been more difficult in some subsectors of the mining industry than others. Given the interdependencies between management systems and safety climate in addition to their predictive utility of incidents, it is important to assess differences in the perceptions of safety climate among mining subsectors in the USA. If significant differences exist, then mining subsectors may not necessarily be able to adopt a one-size approach to system implementation. To that end, the National Institute for Occupational Safety and Health assessed mineworkers' perceptions of several individual and organizational safety climate constructs. Participants consisted of 2945 mineworkers at coal, industrial mineral, and stone/sand/gravel mine sites throughout 18 states. Linear regressions were used to answer the research question. The results suggest that coal miners, in comparison to those miners in industrial mineral and stone/sand/gravel sectors, had significantly less favorable perceptions on each of the organizational climate constructs measured (i.e., organizational support, supervisor support and communication, coworker communication, engagement/involvement, and training) (p < 0.001 in all cases). Importantly, these results parse out organizational indicators to show that perceptions are not only lower in one area of organizational or supervisor support. Rather, engagement, training, and communication practices were all significantly lower among coal miners, prompting considerations for these significant differences and actions that can be taken to improve system practices.

Developing Concentration Index of Industrial and Occupational Accidents: The Case of European Countries

Background

From only frequency rate of industrial accidents, it is difficult to define the industry composition of accident statistics in a nation. This study aims to propose and develop a new index for measuring the degree of concentration of industrial accidents using the concept of the Herfindahl-Hirschman Index in the case of European countries.

Methods

Using the concept of the Herfindahl-Hirschman Index, the concentration index of accidents in the country is developed, and the conditions of European countries are compared using indexes of frequency rate and concentration ratio.

Results

The frequency rate and concentration ratio of fatal and nonfatal accidents in European countries are compared. According to the economic condition and geographical position, different patterns of accidents concentration are presented in terms of frequency rate and concentration ratio.

Conclusion

We develop the concentration index of industrial and occupational accidents that identifies the industrial ratio of accident occurrence, and the differentiated strategy can be formulated such as approaches to reducing frequency and prioritizing target industries.

Determinants of Occupational Safety Culture in Hospitals and other Workplaces-Results from an Integrative Literature Review

Background: The aim of the present study was to obtain an overview of occupational safety culture by assessing and mapping determinants in different workplaces (hospital workplaces and workplaces in construction, manufacturing, and other industry sectors) using an already established theoretical framework with seven clusters developed by Cornelissen and colleagues. We further derived implications for further research on determinants of occupational safety culture for the hospital workplace by comparing the hospital workplace with other workplaces. Methods: We conducted an integrative literature review and searched systematically for studies in four research databases (PubMed, Web of Science, CINAHL, and PsycINFO). The search was undertaken in 2019, and updated in April 2020. Results of the included studies were analyzed and mapped to the seven clusters proposed by Cornelissen and colleagues. Results: After screening 5566 hits, 44 studies were included. Among these, 17 studies were conducted in hospital workplaces and 27 were performed in other workplaces. We identified various determinants of an occupational safety culture. Most studies in hospital and other workplaces included determinants referring to management and colleagues, to workplace characteristics and circumstances, and to employee characteristics. Only few determinants in the studies referred to other factors such as socio-economic factors or to content relating to climate and culture. Conclusions: The theoretical framework used was helpful in classifying various determinants from studies at different workplaces. By comparing and contrasting results of studies investigating determinants at the hospital workplace with those addressing other workplaces, it was possible to derive implications for further research, especially for the hospital sector. To date, many determinants for occupational safety culture known from workplaces outside of the healthcare system have not been addressed in studies covering hospital workplaces. For further studies in the hospital workplace, it may be promising to address determinants that have been less studied so far to gain a more comprehensive picture of important determinants of an occupational safety culture in the hospital sector.

Exploring patterns of multiple climates and their effects on safety performance at the department level

INTRODUCTION

This paper represents a first attempt to fill a gap in research about different specific climates and safety outcomes, by empirically identifying patterns of climates and exploring the possible effect of different climates at the department level on some specific safety outcomes. The first objective was to explore how different specific climates (safety, communication, diversity and inclusion) can be associated to each other, considering the department level of analysis. The second objective was to examine the relationships between those patterns of climates with safety performance (compliance and participation behaviors).

METHOD

A total of 429 blue-collar workers in 35 departments answered a questionnaire covering safety, diversity, inclusion, and communication climate measures. Cluster analysis was performed to identify clusters of departments with different climate patterns and their impact on safety compliance and safety participation behaviors. Subsequently, a hierarchical multiple linear regression was conducted at the individual-level to test the effect of climate patterns, by controlling for some sociodemographic variables.

RESULTS

Results showed the existence of four differentiated clusters of departments. Three of those clusters showed homogenous patterns (coherent association among perceptions of low, medium and high climates) and one heterogeneous (low and medium perceptions). The findings also revealed that the higher the climates perceptions, the higher the levels of safety participation and safety compliance, with safety participation being more affected than compliance.

CONCLUSIONS

The present research showed the associated effects of some organizational climate factors, such as fair treatment, inclusion, safety and communication within the organization, which had not been previously studied in their combined relationships, on safety behaviors. Practical applications: Several other organizational climate factors, such as fair treatment, inclusiveness and communication, may play an important role in safety, showing the importance of broadening the focus on safety climate as one of the main predictors of safety behaviors.

Values-in-action that support safe production

INTRODUCTION

Safe production is a sustainable approach to managing an organization's operations that considers the interests of both management and workers as salient stakeholders in a productive and safe workplace. A supportive culture enacts values versus only espousing them. These values-in-action are beliefs shared by both management and workers that align what should happen in performing organizational routines to be safe and be productive with what actually is done. However, the operations and safety management literature provides little guidance on which values-in-action are most important to safe production and how they work together to create a supportive culture.

METHOD

The researchers conducted exploratory case studies in 10 manufacturing plants of 9 firms. The researchers compared plant managers' top-down perspectives on safety in the performance of work and workers' bottom-up experiences of the safety climate and their rates of injury on the job. Each case study used data collected from interviewing multiple managers, the administration of a climate survey to workers and the examination of the plant's injury rates over time as reported to its third party health and safety insurer.

RESULTS

The researchers found that plants with four values-in-action -a commitment to safety, discipline, prevention and participation-were capable of safe production, while plants without those values were neither safe nor productive. Where culture and climate aligned lower rates of injury were experienced.

DISCUSSION AND CONCLUSION

The four value-in-actions must all be present and work together in a self-reinforcing manner to engage workers and managers in achieving safe production. Practical application: Managers of both operations and safety functions do impact safety outcomes such as reducing injuries by creating a participatory environment that encourage learning that improves both safety and production routines.

Investigating the nonlinear effect of ego depletion on safety compliance: The moderating role of rumination

INTRODUCTION

A general view in previous research is that employees are reluctant to follow safe work procedures when confronting the shortage of self-control resources. However, this argument is constrained by the restricted view of ego depletion. To fill this gap, this study constructs the nonlinear relationship between ego depletion and safety compliance drawing from the perspective of dual-process theory.

METHOD

Regression analysis and hierarchical linear model are used to test our hypothesis.

RESULTS

By investigating 241 medical staffs, we find that the relationship between ego depletion and safety compliance is U-shaped. This U-shaped relationship is replicated through 221 daily data for 50 medical staffs. In addition, the U-shaped relationship between ego depletion and safety compliance can be enhanced by rumination.

DISCUSSIONS

Findings of our study contribute to providing a nuanced explanation about the effect of ego depletion on safety compliance. Also, this study has important implications for High Reliability Organizations to motivate depleted employees to engage in safety compliance behaviors.

Hazard function deployment: a QFD-based tool for the assessment of working tasks - a practical study in the construction industry

Despite the efforts made, the number of accidents has not significantly decreased in the construction industry. The main reasons can be found in the peculiarities of working activities in this sector, where hazard analysis and safety management are more difficult than in other industries. To deal with these problems, a comprehensive approach for hazard analysis is needed, focusing on the activities in which a working task is articulated since they are characterized by different types of hazards and thus risk levels. The study proposes a methodology that integrates quality function deployment (QFD) and analytic network process methods to correlate working activities, hazardous events and possible consequences. This provides more effective decision-making, while reducing the ambiguity of the qualitative assessment criteria. The results achieved can augment knowledge on the usability of QFD in safety research, providing a basis for its application for further studies.