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However, in looking at the breakdown of the number of accidents, a low frequency index can correspond to a high number of accidents for a given profession. This is the case for numerous professions comprising mostly small enterprises, for example, the masonry and heavy construction work sectors and the catering industry. The car repair sector is a characteristic example. Although the frequency index is lower in the very small enterprises in this sector, most accidents occur in these companies.

The effective implementation of prevention in companies is reflected either in the existence of a health and safety management system or an action plan adjustment of work stations or equipment, training, organisational changes, etc.

Studies show such measures are rarely implemented in small enterprises. There is room for improvement if the prevention approaches take into account the observations made in the Enterprise Survey on New and Emerging Risks ESENER , which are, by increasing order of importance: These conclusions mirror those of another study commissioned by INRS which highlights that prevention takes a backseat to other more pressing issues related to the continuity of the activity funding, commercial development, etc.

To that is added the lack of connection between small enterprises and prevention bodies. An important characteristic of small companies relates to their organisation: Prevention, which requires legal, technical and health knowledge, is a complex topic that is difficult to grasp by small enterprises because of their lack of in-house skills in these fields that would enable them to adopt prevention messages which are often quite conceptual. Most often, this results in a lack of prevention organisation and planning.

However, centralisation of management can also be an asset, driving the entire enterprise to adopt a prevention approach.

Lastly, small enterprises express very few needs in terms of prevention apart from some form of support or operational tool in order to comply with legal obligations. On the basis of these elements, a certain number of principles that contribute to the success of prevention approaches can be highlighted: Prevention programmes, which are heavily based on technical skills, often address prevention from a risk perspective.

This approach does not hold the attention of small enterprises either because they do not break down their activity according to risk, or because they do not always find operational elements specific to their activity in these approaches. By addressing prevention from a job perspective, small enterprises become more receptive to the prevention messages that directly concern their activity. This approach also enables the introduction of prevention measures adapted to these companies. Approaches directed at small enterprises must take into account the obstacles mentioned above: Introducing a company assistance, to close the gap between intention and action, can encourage the company to take an interest in prevention.

This support can take the form of regional meetings, training sessions, a telephone assistance service, etc. In this case, it may require minimal resources focusing on the approach objectives and stages, with deadlines being set to spur the company into action.

To minimise resources devoted to this support, the approach should promote actions that the company can carry out on its own. IT tools can be used for that purpose. Partnerships are necessary for implementing approaches aimed at small enterprises, particularly because of the large number of companies concerned.

They enable the action to be spread to a greater number of enterprises. The type of partner depends on the objective set: The choice is made among the following categories:. Other non-prevention relays that are closely tied to companies, such as insurance firms and accountants and training centres are also potential partners that enterprises easily address about issues not relating to occupational risks. These relays can play a role in raising awareness of companies or rallying them, and also in recommending approaches when these are designed for autonomous use.

Depending on the activity sector, clients can contribute to making health and safety requirements be taken into account, in the same way that material and product suppliers can steer companies towards safer products and techniques. The complexity of prevention approaches for small companies, in terms of partnerships, resources, duration, etc.

An approach is constructed in six stages See Fig 4 and can be applied regardless of the target. In the case of small enterprises, it is important to specifically identify their needs and draw on those needs to produce a suitable offer. These stages must follow the order indicated. Since there can be frequent interactions between several stages, it is possible to go back to a stage several times. Starting a project by building a prevention offer, without any knowledge of the target and its needs, presents the risk of being ill-adapted to the target or completely out of sync with the need.

First, better knowledge of the target is required, in particular, the number of enterprises concerned, the number of employees, accident statistics indicators, the structure of the profession, training programmes, techniques implemented, etc. Social Security provides accident statistics for each profession. The next stage consists in seeking out the needs of the target, which, initially, are envisaged in very broad terms: This stage can be carried out using tools borrowed from marketing strategy telephone surveys, online questionnaires, etc.

Needs can be expressed in different ways need for information, training, support, etc. The type of need will depend on the adoption of prevention in the company and the relevant resources available. The third stage consists in segmenting the target: It is this homogenous target segment that will be the subject of reflection concerning the prevention offer.

The segments can be done with the enterprises having the same activities, or with the similar number of employees, or with companies where an accident occurred, The actual design of the offer includes actions intended for the target and must be consistent with the previous stages. This is a complex and sometimes resource-intensive operation. It requires a strategic objective or outcome to be clearly formulated, which will then be broken down into several operational objectives.

For small enterprises, preference must be given, initially, to easily achievable prevention approaches, with quick and visible effects, in order for them to not be discouraged. For example, the introduction of collective or personal protective equipment is a means of motivating very small enterprises to invest in prevention.

Different types of tools may be developed or reused if they exist to construct this prevention offer. Regardless of the type, tools for very small companies must be easily accessible, simple and quick to use, if possible, with the necessary and sufficient information allowing it to be used autonomously. INRS studies reiterate that it is indeed necessary to approach small companies with operational and realistic tools, and to give priority to prescriptive messages and to tools combining risk identification with concrete solutions.

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In the light of this situation, the French Labour Code now requires the appointment of an in-house person in charge of employee protection and occupational risk prevention activities in the company Article L.

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Approaches directed at small enterprises must take into account the obstacles mentioned above: Approaching very small companies requires methods adapted to their size and culture.

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