Each contact person used their own existing and usual communication channels to approach employers. In doing so, the contact persons were provided by the research team with a flyer with brief information about the study a recruiting text to post on their website, social media or the newsletter and the link to the survey. First, contact persons referred to us by existing contacts within sector organizations in the cleaning, care, transport and construction sectors were informed about the study and asked to distribute the survey among their SME members. In order to reach enterprise representatives, three different strategies were applied. Thus, SMEs with up to 250 workers have the greatest need for an improved implementation of measures to prevent musculoskeletal and mental health disorders. In addition, while 69% of businesses with 250 or more workers had used the service of an expert dealing with the ergonomic design and set-up of workplaces, only 56% and 40% of businesses with 50–249 workers and 10–49 workers, respectively, made use of these services. However, this was the case in only 40% of businesses with 50–249 workers and 31% of businesses with 10–49 workers. For instance, the European survey of enterprises on new and emerging risks (ESENER) showed that 54% of business with 250 or more workers had an action plan to prevent work-related stress. The implementation gap is particularly pronounced in small- and medium-sized enterprises (SMEs) with 250 or less workers. However, their implementation lagsbehind. These range from interventions targeting the work organization and the work environment to those targeting individual health-related behaviors. There are numerous preventive health measures available to target risk factors for musculoskeletal and mental health disorders at the workplace. These findings can serve as a support for developing strategies for implementing preventive health measures in SMEs.
These were (1) available resources (both finances and staff), (2) complexity of implementation of measures, (3) awareness, (4) knowledge and expertise, (5) availability of time, (6) employer and worker commitment, (7) workers’ openness for measures, (8) communication, (9) workers’ trust and autonomy and (10) integration in organizational policy. The determinants of implementation according to enterprise representatives were associated with 10 distinct themes. Survey data showed that the focus of prevention efforts by SMEs is on improving working conditions and complying with legally required occupational health requirements, while lifestyle measures are rarely implemented. The interview transcripts were analyzed using an inductive approach. In addition, semi-structured interviews were conducted with 18 enterprise representatives. An online survey was completed by 79 SME representatives (e.g., owners, HR professionals and occupational health and safety officers) in the cleaning, care, construction and transport sectors. The aim of this study was to investigate determinants for the implementation of measures to prevent musculoskeletal and mental health disorders from the perspective of enterprise representatives in Dutch SMEs. Nevertheless, preventive health measures are insufficiently implemented, especially in small and medium-sized enterprises (SMEs) with up to 250 employees. They also said that the forest department is in the process of establishing weighing bridge at Pudu Vadavalli and at Hasanur after which overloaded lorries will not be allowed on the section.The workplace is an ideal environment for promoting workers’ health. Officials said that such bars would be installed at the check-post at Bannari. Officials on Thursday installed the bars on Kollegal Road, near Hasanur check-post. However, due to stiff opposition from lorry owners and drivers, the bars were removed within a few days after installation. The Regional Transport Office installed height restriction bars at Bannari and Hasanur check-posts so that vehicles with over 4.2 metre cannot pass through it. Also, other heavy vehicles were not allowed to use the road from 6 p.m. Senior officials from the district administration, Regional Transport Office, district police, forest department and the national highways jointly inspected the road and decided to completely ban movement of vehicles with 12 wheels. Since breakdown of heavy vehicles while negotiating the 27 hairpin bends is frequent on the ghat road that passes through the Sathyamangalam Tiger Reserve, it affects movement of vehicles with goods which move frequently on the road. With frequent breakdown of heavy vehicles on Dhimbam Ghat Road disrupting vehicle movements between Tamil Nadu and Karnataka, Regional Transport Office has installed height restriction bars near the Hasanur check-post on Dindigul – Mysuru National Highway 948 here.
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