“You will only see it, if you understand it” or occupational risk prevention from a management perspective.

Evidence of a managerial influence on occupational risk prevention is largely lacking. The incidence of major accidents in high-hazard sectors of industry does not show a downward trend. Also, the decline of fatal occupational accidents in industrialized Western countries may well be attributed to the growing employment in the relatively safe service sectors and to a phenomenon known as export of hazards. Looking more closely at accidents and disasters, we now believe they are not only caused by direct physical events, nor by human errors alone. They have their roots in organizational settings and in the sociotechnical system companies are active in. Whatever their cause, we know that (major) accidents almost always take us by surprise. Despite all our efforts and systems, we seem unable to foresee or predict these events. It seems our management systems are looking at the wrong items. Critics from small- and medium-sized enterprises also point in that direction; management systems are too bureaucratic and lack a focus on hazard and risk identification. Apparently, we fail to incorporate the main ingredients of accident causation in our management systems. This article will discuss current models and presentations. In reference to the title of this article, the possibility to integrate these presentations into management systems will be discussed. This article is based on the presentation given at the 4th International Conference on Occupational Risk Prevention, Sevilla, Spain, May 10–12, 2006. © 2008 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]