This review of eleven initiatives found mixed outcomes, with five successful initiatives associated with significant reductions in injury rates and positive subjective feedback.

Four other initiatives were either too young or too small scale to provide clear results and the remaining two did not appear to have made progress.

We used an abbreviated HSE safety climate questionnaire, HSG48 question set and safety culture maturity model to assess impacts. A HSE ‘policy model’ is provided to inform future engagement and support of targeted initiatives, along with suggestions on further development of good practice in respect of targeted initiatives.

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