This research explored the use of the Leadership and Worker Involvement Toolkit by five construction small and medium-sized enterprises (SMEs) to gain an understanding of how it is applied in practice and the associated benefits as well as challenges. The toolkit is available on the Health and Safety Executive’s (HSE’s) website to assist SME dutyholders in making health and safety (H&S) improvements through the adoption of leadership and worker involvement practices. The findings from this research provide insights for HSE and industry on how to encourage construction SMEs to improve leadership and worker involvement in H&S, using the toolkit as a source of advice. How SMEs apply the toolkit will depend on their own business needs, but the research provides evidence that engaging the workforce in H&S matters contributes to improved H&S performance and business gains.
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