title: Working in light vehicles--a review and conceptual model for occupational health and safety.
abstract: Occupational light vehicle (OLV) use is the leading cause of work related traumatic deaths in Westernised countries. Previous research has focused primarily on narrow contexts of OLV-use such as corporate fleet vehicles. We have proposed a comprehensive systems model for OLV-use to provide a framework for identifying research needs and proposing policy and practice interventions. This model presents the worker as the locus of injury at the centre of work- and road-related determinants of injury. Using this model, we reviewed existing knowledge and found most studies focused only on company car drivers, neglecting OLV-users in non-traditional employment arrangements and those using other vehicle types. Environmental exposures, work design factors and risk and protective factors for the wider OLV-user population are inadequately researched. Neither road- nor work-related policy appropriately addresses OLV-use, and population surveillance relies largely on inadequate workers compensation insurance data. This review demonstrates that there are significant gaps in understanding the problem of OLV-use and a need for further research integrating public health, insurance and road safety responses. The model provides a framework for understanding the theory of OLV-use OHS and guidance for urgently needed intervention research, policy and practice.
authors.affiliation: Centre for Occupational and Environmental Health, Department of Epidemiology & Preventive Medicine, Medical School, Monash University, The Alfred Hospital, Commercial Road, Melbourne, Vic. 3032, Australia. Rwth.Stuckey@med.monash.edu.au
authors.forename: Rwth
authors.initials: R
authors.lastname: Stuckey
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Lamontagne
authors.forename: Malcolm
authors.initials: M
authors.lastname: Sim
mesh_terms: D000062:Accidents, Occupational / Q000401:mortality* / Q000517:prevention & control; D000063:Accidents, Traffic / Q000401:mortality* / Q000517:prevention & control; D000328:Adult; D001315:Australia; D002423:Cause of Death; D005260:Female; D006291:Health Policy; D006801:Humans; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles / Q000706:statistics & numerical data*; D009104:Multiple Trauma / Q000401:mortality* / Q000517:prevention & control; D016272:Occupational Health; D012307:Risk Factors; D012931:Social Environment