Preface xix Author Biographies xxiii 1 Total Worker Health®: Introduction and Overview 1 Deborah R. Roy 1.1 Introduction and Definitions 1 1.2 Five Elements of TWH 6 1.3 Hierarchy of Controls 9 1.4 Getting Started 11 1.5 Organizational Core Values 13 1.6 Identification of Metrics 14 1.

7 Strategy 16 1.8 Tools for a Comprehensive Approach 19 1.9 Why Use the TWH Approach 20 1.10 Expanding OSH Practice 22 References 23 2 Risk Assessment for Total Worker Health® 27 Pam Walaski 2.1 Introduction 27 2.2 Fundamentals of Risk Assessment 29 2.2.1 Risk Identification 30 2.

2.2 Risk Analysis 33 2.2.3 Risk Evaluation 34 2.3 General Risk Assessment Tools 36 2.3.1 Risk Identification Tools 36 2.3.

2 Risk Analysis Tools 37 2.3.3 Risk Evaluation Tools 39 2.4 Tools Specific to TWH 39 2.5 Identifying the Top Risks to Worker Well-being in an Organization 41 2.6 Essential Elements of Applying TWH 42 2.7 Managing TWH Risk Through Hierarchy of Risk Treatment 46 2.8 TWH in Practice Focusing on Risk Management 49 2.

8.1 TWH for Opioid and Abuse of Other Substances 49 2.8.2 Tobacco Use 50 2.8.3 Worker Burnout 51 2.8.4 Health Literacy 52 2.

9 Conclusion 54 References 55 3 Connecting the Dots: ESG/Sustainability, Human Capital, and Total Worker Health® 59 Kathy Seabrook 3.1 Introduction 59 3.2 The Case for People, Human Capital, and Total Worker Health® 59 3.3 The Purpose of People 61 3.4 What is ESG and Sustainability-Related Risk? 62 3.5 The People, Employees, Workers, and Human Capital Connection 63 3.6 Integrating into the Business 65 3.7 More about the #TrueNorthTest 66 3.

8 People and TWH Value Creation 68 3.9 Jacobs: One Million Lives 70 3.10 Where to Start the ESG, Sustainability, Human Capital, and TWH Journey? 71 3.11 Keys to Success: Integrating TWH, HC, ESG, and Sustainability 71 3.12 Mapping It Out 72 3.13 Risk Management and Covering Your Bases 74 3.14 Integrated Risk Management 75 3.15 Integrated Reporting, Materiality Assessment, and Decision-Making 76 3.

16 Summary and Conclusion 79 References 81 4 Bringing Total Worker Health® into the Boardroom 85 Fay Feeney 4.1 Introduction 85 4.2 Human Capital Management 85 4.3 Board Structure and TWH 91 4.4 Vuca 92 4.5 Five Business Risks and TWH 93 4.6 The Business and Regulatory Environment Applied to TWH 94 4.6.

1 ISO 45001:2018 - Occupational Health and Safety Management Systems - Requirements with Guidance for Use 98 4.7 What Safety and Health Professionals Need to Know About Corporate Governance 99 4.8 Advocating for TWH by Engaging the C-Suite 100 4.8.1 Concerns the CEO Must Evaluate 100 4.8.2 Questions Directors May Ask 101 4.8.

3 ROI as Support 102 4.8.4 Topics Safety Professionals Can Bring into the Boardroom 103 4.9 Understanding What Business Leaders Care About 105 4.10 Becoming an Indispensable Partner Across the Organization 105 4.10.1 Materiality 106 4.11 Advancing TWH with CEOs and Boards of Directors 106 4.

12 TWH and the Future 107 4.13 Bringing TWH into the Boardroom 108 References 109 5 Total Worker Health® and Insurance 111 Christine Sullivan 5.1 Introduction 111 5.2 Types of Insurance 113 5.2.1 Workers'' Compensation Insurance 113 5.2.2 Transitional Duty 115 5.

2.3 Implementing a Return-to-Work Program 116 5.2.4 Americans with Disabilities Act 117 5.3 Health Insurance 118 5.3.1 Employee Assistance Programs as Part of a Total Worker Health® Program 118 5.4 Evaluating Your Insurance Program 120 References 121 6 TWH in Safety and Human Factors Accident Investigations and Development of Safety Interventions and Strategies 123 Rosemarie Figueroa-Jacinto 6.

1 Introduction to Total Worker Health®, Safety, and Human Factors/Ergonomics 123 6.2 Sample Domains Within HF/E: 124 6.3 TWH Applied to Accident/Incident Investigations 125 6.4 Life Cycle of an Accident Investigation - Outside of Litigation 128 References 132 7 Technology Interventions and Support for Total Worker Health® 135 Linda Tapp 7.1 Introduction 135 7.2 Technology as Part of a TWH Program 137 7.3 Health and Safety Applications (Apps) to Support TWH 140 7.3.

1 Physical Health Management Platforms 141 7.3.2 Mental Health Management Platforms 142 7.3.3 Health-Related Communication and Employee Education Management Platforms 142 7.4 Wearable Technology for TWH 143 7.4.1 Wearable Stress Trackers 148 7.

4.2 Smart Clothing and Personal Protective Equipment (PPE) 148 7.4.3 Exoskeletons 149 7.4.4 Roadblocks and Hurdles 151 7.5 The Role of Gamification 152 7.5.

1 Using Personas, Game Mechanics, and Motivators in a TWH Program 154 7.5.1.1 Personas 154 7.5.1.2 Game Mechanics 154 7.5.

1.3 Motivators 154 7.5.1.4 Storytelling 156 7.6 Conclusion 156 References 156 Endnote 162 8 Ergonomics, the Aging Workforce, and Total Worker Health® 163 Rachel Michael 8.1 Introduction to an Aging Population 163 8.2 Introduction to Workplace Ergonomics 166 8.

2.1 Summary 167 8.3 Ergonomics Programs 167 8.3.1 Regulatory Environment and Program History 168 8.3.2 Why Ergonomics Efforts in Health and Safety Programs Fail 172 8.4 Ergonomics as a Leading Indicator for TWH 174 8.

5 Ergonomics, Ageing, TWH, and Business Metric Alignment 175 8.6 Ergonomic Design for an Aging Workforce 178 8.6.1 Physical and Cognitive Design Considerations 178 8.7 TWH Implementation Guideline as a Framework for Improved Ergonomics 186 8.8 Designing for the Future 188 References 191 9 Mental Health and Total Worker Health® 193 Subena Colligan 9.1 Introduction 193 9.2 Understanding Mental Health 195 9.

3 Reasons for Mental Health Conditions 197 9.4 The Advantages of Addressing Mental Health in the Workplace 198 9.5 Mental Health and Safety in the Workplace 200 9.5.1 Physical Harm 201 9.5.2 Injuries and Accidents 201 9.5.

3 Chronic Health Conditions 202 9.5.4 Psychological Harm 202 9.5.5 Excessive Workload and Burnout 202 9.5.6 Lack of Psychological Safety 202 9.5.

7 Job Insecurity 202 9.5.8 Discrimination and Prejudice 203 9.6 Burnout and the Toll of Toxic Workplaces 203 9.6.1 Toxicity in the Workplace 205 9.7 Rest 206 9.8 Approaches to Promote Mental Well-being in the Workplace 207 9.

8.1 Establishing a Mental Health Policy 207 9.8.2 Offer Mental Health Training 207 9.8.3 Consider Collaborating with Mental Health Providers 208 9.8.4 Alternative Work Arrangements 208 9.

8.5 Employee Assistance Programs 208 9.8.6 The Importance of Breaks 209 9.8.7 Promote Supportive Work Environments 209 9.8.8 Encourage Communication 209 9.

8.9 Provide Mental Health Resources 209 9.8.10 Enable Adequate Rest 209 9.9 Cultivating Mental Health in the Workplace 210 9.9.1 Encouraging Support from Top Management 210 9.9.

2 Encourage Employee Involvement 210 9.9.3 Acknowledge Mental Health Awareness Days 211 9.9.4 Incorporate into the Mission 211 9.9.5 Encourage Work-Life Balance 211 9.10 Future Directions in Mental Health and Total Worker Health 211 9.

11 Assessing Mental Health Programs 212 9.11.1 Clearly Define Objectives 213 9.11.2 Seek Employee Feedback 213 9.11.3 Analyze Data and Metrics 213 9.11.

4 Collaborate with Mental Health Experts 213 9.12 Conclusion: The Significance of Addressing Mental Health in the Workplace 213 References 214 10 Total Worker Health® for a Remote Workforce 217 Tanya M. Conole 10.1 Introduction 217 10.2 What Is Remote Working and Who Is a Remote Worker? 218 10.2.1 What Is Remote Working? 219 10.2.

2 Who Is a Remote Worker? 219 10.3 Balancing the Equation 220 10.4 The Impact of Physical Isolation on the Remote Workforce 222 10.4.1 Organizational Isolation and Loss of Workplace Social Connectivity 222 10.4.1.1 Organizational Isolation 223 10.

4.1.2 Loss of Workplace Social Connectivity 224 10.5 Impact on Workforce Performance and TWH 226 10.5.1 Gathering Information and Obtaining Assistance 226 10.5.2 Loss of Soft Information (Social Cues) Regarding Workload and Progress 227 10.

5.3 Collaboration 228 10.5.4 Decision Making, Work Allocation, and Performance Evaluations 228 10.6 The Dual Edges of Remote Work 230 10.7 Alternatives to in-Person Conversations and Their Impact on Remote Workers TWH 230 10.7.1 Quality of Communication 231 10.

7.1.1 Why Is the Quality of Communication So Important for Remote Workers? 231 10.7.1.2 In-Person Communication 232 10.7.1.

3 The Impact of Virtual Meetings on the Quality of Communication 233 10.7.1.4 Eye Contact 234 10.7.1.5 The Impact of Email and Text on the Quality of Communication 235 10.7.

2 The Willingness to Speak up or Contribute 236 10.7.2.1 Isolation 236 10.7.2.2 Speaking up and Not Being Heard 237 10.7.

3 Meeting Fat.