RT Journal Article SR Electronic T1 A structural equation modelling approach examining the pathways between safety climate, behaviour performance and workplace slipping JF Occupational and Environmental Medicine JO Occup Environ Med FD BMJ Publishing Group Ltd SP 476 OP 481 DO 10.1136/oemed-2014-102496 VO 72 IS 7 A1 David I Swedler A1 Santosh K Verma A1 Yueng-Hsiang Huang A1 David A Lombardi A1 Wen-Ruey Chang A1 Melayne Brennan A1 Theodore K Courtney YR 2015 UL http://oem.bmj.com/content/72/7/476.abstract AB Objective Safety climate has previously been associated with increasing safe workplace behaviours and decreasing occupational injuries. This study seeks to understand the structural relationship between employees’ perceptions of safety climate, performing a safety behaviour (ie, wearing slip-resistant shoes) and risk of slipping in the setting of limited-service restaurants.Methods At baseline, we surveyed 349 employees at 30 restaurants for their perceptions of their safety training and management commitment to safety as well as demographic data. Safety performance was identified as wearing slip-resistant shoes, as measured by direct observation by the study team. We then prospectively collected participants’ hours worked and number of slips weekly for the next 12 weeks. Using a confirmatory factor analysis, we modelled safety climate as a higher order factor composed of previously identified training and management commitment factors.Results The 349 study participants experienced 1075 slips during the 12-week follow-up. Confirmatory factor analysis supported modelling safety climate as a higher order factor composed of safety training and management commitment. In a structural equation model, safety climate indirectly affected prospective risk of slipping through safety performance, but no direct relationship between safety climate and slips was evident.Conclusions Results suggest that safety climate can reduce workplace slips through performance of a safety behaviour as well as suggesting a potential causal mechanism through which safety climate can reduce workplace injuries. Safety climate can be modelled as a higher order factor composed of safety training and management commitment.