Injury Prevention

How Safety Managers Can Reduce Workplace Falls Through Balance, Wellness, and Training

National Safety Month is an ideal time for safety managers to address one of the most common causes of workplace injuries: slips, trips, and falls.


 

According to data from the Bureau of Labor Statistics, falls, slips, and trips accounted for 26% of all non-fatal injuries resulting in days away from work in 2024. With an injury rate of 22.6 per 10,000 workers, that makes falls, slips, and trips the third most common workplace injury type, narrowly behind contact incidents and overexertion injuries. While warning signs and hazard controls are important components of a safety program, preventing falls with simple steps that address both workplace conditions and employee readiness are essential as well.

Safety leaders can lead the charge in company culture, actively reducing risk before injuries occur. By incorporating elements like balance training, wellness initiatives, and employee education into existing safety programs, organizations can take meaningful steps toward preventing falls.

Key Takeaways for Safety Managers:

    • Falls, slips, and trips remain among the leading causes of workplace injuries.
    • Employee balance, fatigue, and physical conditioning can influence fall risk.
    • Wellness and injury prevention programs can support existing safety initiatives.
    • Simple exercises and stretching routines can be incorporated into daily safety activities.
    • A proactive approach helps reduce injuries, workers' compensation costs, and lost workdays.
    • Download a free industrial workplace safety checklist covering general safety, emergency preparedness, ergonomics, and more.

Workers stretching together during a pre-shift warm up

Injury Prevention Beyond Traditional Safety Training

Many fall prevention efforts focus on environmental hazards such as housekeeping, footwear policies, or ladder safety. While these remain essential, safety managers should also consider factors that affect an employee's ability to maintain balance and move safely throughout the workday.

1. Balance as a Safety Skill

Balance is often overlooked as a workplace safety topic, yet employees rely on it constantly. Whether walking across a manufacturing floor, climbing stairs, stepping on and off equipment, or working at elevation, balance plays a critical role in preventing falls.

Safety managers can incorporate balance-focused activities into existing wellness or injury prevention initiatives by:

    • Including balance awareness in safety meetings and warm-ups.
    • Providing educational materials on balance and fall prevention.
    • Encouraging participation in workplace conditioning programs.

Even a few minutes of balance-focused movement before a shift can help reinforce safe movement habits.

2. Address Fatigue and Sleep Health

Fatigue is a significant but often underrecognized workplace risk factor. The CDC recommends that adults receive at least seven hours of sleep per night, and research consistently shows that injury rates increase among employees who regularly receive insufficient sleep.

While safety managers cannot (and should not!) actively monitor employee sleep schedules, there are steps that can be taken to promote better sleep for employees. Employees should be aware of wellness programs that offer sleep aids or education. Additionally, ensuring that there is no excessive overtime and that schedules are consistent can help employees maintain a healthy balance in their rest.

Employers can provide education and create workplace practices that reduce fatigue-related risks to address employee health.

3. Support Employee Wellness Programs

Physical conditioning, mobility, and flexibility all contribute to safer movement patterns. Employees who maintain better mobility and strength are often better equipped to recover from slips, trips, or unexpected changes in footing.

Example programs may look like:

    • Stretch-and-flex programs.
    • Workplace conditioning initiatives.
    • Educational campaigns focused on musculoskeletal health.

The added benefits often extend beyond fall prevention, contributing to improved comfort, reduced discomfort complaints, and greater employee engagement.

Five Exercises Safety Managers Can Incorporate into Safety Programs

Many organizations utilize brief warm-up routines before shifts begin. These exercises can be incorporated into existing safety and wellness programs to help improve balance, coordination, and lower-body strength.

1. Weight Shifts

Program Objective

Improve weight transfer and balance awareness.

Implementation

During pre-shift warmups:

    • Have employees stand with feet hip-width apart.
    • Shift weight to one side.
    • Lift the opposite foot slightly.
    • Hold briefly before switching sides.

Safety Benefit

Weight shifts help employees develop greater control when changing directions or recovering from a stumble.

2.  Single-Leg Balance

Program Objective

Enhance balance and core stability.

Implementation

    • Stand on one leg.
    • Slightly bend the standing knee.
    • Focus on a fixed object.
    • Build toward a 30-second hold.

Safety Benefit

This exercise develops stability that employees use throughout the workday when navigating uneven surfaces, stairs, or obstacles.

3. Squats

Program Objective

Increase lower-body strength and stability.

Implementation

    • Stand with feet shoulder-width apart.
    • Lower into a controlled squat.
    • Keep the chest upright and core engaged.
    • Return to standing.

Safety Benefit

Stronger legs and hips improve stability and may help employees better recover from trips or slips.

4. Heel-to-Toe Walking

Program Objective

Improve coordination and dynamic balance.

Implementation

    • Walk forward with the heel touching the toes of the opposite foot.
    • Continue for approximately 20 steps.
    • Advance to backward walking when appropriate.

Safety Benefit

This movement trains balance during walking, a critical workplace activity.

5. Back Leg Raises

Program Objective

Strengthen the hips, legs, and lower back.

Implementation

    • Stand tall.
    • Extend one leg behind the body.
    • Hold briefly.
    • Return and repeat on the opposite side.

Safety Benefit

Improved lower-body strength contributes to better balance and body control.

 

The Business Case for Balance Training

Balance training may appear simple, but its impact can be significant.

Employees rely on balance throughout their workday when:

    • Walking stairs.
    • Entering and exiting vehicles.
    • Carrying materials.
    • Navigating crowded workspaces.
    • Working around equipment.
    • Traversing uneven surfaces.

The Bureau of Labor Statistics reported there were 479,000 days away from work (DAFW) cases from 2023-2024 attributed to slips, trips, or falls. While not every fall can be prevented through exercise alone, improving employee readiness and movement quality can be an important component of a comprehensive prevention strategy.

Worker wearing safety harness to protect against fall risk

Building a Comprehensive Fall Prevention Program

Safety managers should view balance and wellness initiatives as one component of a broader fall prevention strategy. The most successful programs integrate multiple prevention strategies rather than relying on a single solution. By building a foundation of strong pillars, you are also creating multiple layers of safety nets to catch employees if they ever “trip up”.

Examine the safety program you have in place and see if they are missing any of the following elements. A comprehensive safety program is essential for the long-term reduction of injuries and risk.

An effective program may include:

  • Hazard Identification
  • Employee Education
  • Ergonomic Assessments
  • Stretching and Conditioning Programs
  • Safety Culture Development

Tripping hazard sign

Supporting Long-Term Musculoskeletal Health

Fall prevention and musculoskeletal health are closely connected. Employees who possess adequate strength, mobility, flexibility, and balance are often better prepared to perform their job tasks safely.

National Safety Month provides an excellent opportunity to evaluate current fall prevention efforts and identify opportunities for improvement. By combining traditional safety controls with balance training, fatigue management, and wellness initiatives, safety managers can build a more comprehensive strategy for reducing workplace falls and creating a safer work environment.

 


Frequently Asked Questions:

How can safety managers reduce workplace falls?

Safety managers can reduce workplace falls by combining hazard identification, employee training, ergonomic assessments, fatigue management, and workplace conditioning programs that improve balance and mobility.

Why should safety managers include balance training in safety programs?

Balance is a critical component of safe movement. Improving balance can help employees navigate stairs, uneven surfaces, equipment access points, and other workplace challenges more safely.

How does fatigue contribute to fall risk?

Fatigue can reduce reaction time, coordination, awareness, and decision-making ability, increasing the likelihood of slips, trips, and falls.

What exercises can be included in a workplace warm-up program?

Weight shifts, single-leg balance exercises, squats, heel-to-toe walking, and back leg raises are simple movements that can support balance and stability.

How do wellness programs support workplace safety?

Wellness programs can improve strength, mobility, flexibility, and overall physical readiness, helping employees perform job tasks safely while supporting injury prevention efforts.

 


More Occupational Safety Information:

https://www.bls.gov/opub/mlr/2016/article/injuries-from-falls-to-lower-levels-2013.htm

https://www.osha.gov/stop-falls

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