From: "Secretary, ACS Division of Chemical Health and Safety" <secretary**At_Symbol_Here**DCHAS.ORG>
Subject: [DCHAS-L] Effectiveness of joint health and safety committees: A realist review.
Date: Mon, 2 Dec 2013 08:40:17 -0500
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Message-ID: EA786A51-8E01-43B9-85CC-6FA0AF3F9DB3**At_Symbol_Here**

The summary article is in the American Journal of Industrial Medicine
The complete report can be found at

Date: Mon, 2 Dec 2013 05:22:58
From: Michael Sholinbeck
Subject: Effectiveness of joint health and safety committees: A realist review

*Citation: * Yassi A, Lockhart K, Sykes M, Buck B, Stime B, & Spiegel JM. (2013).
Effectiveness of joint health and safety committees: A realist review.
*American Journal of Industrial Medicine*, *56*(4), 424-438. *Abstract:*

*BACKGROUND:* Joint health and safety committees (JHSCs) are widely acknowledged as important to a healthy and safe work environment. However, it is also generally believed that having a JHSC is necessary but not sufficient; the JHSC must be effective.

*METHODS:* A systematic review was undertaken to find empirical studies regarding the effectiveness of JHSCs; realist review methodology was applied to determine context-mechanism-outcome patterns. Experts from across Canada and from various sectors and perspectives including government, employers, and unions, were brought together to inform the synthesis.

*RESULTS:* Thirty-one studies met inclusion criteria. Mechanisms identified as important determinants of JHSC effectiveness across various jurisdictions include adequate information, education and training; appropriate committee composition; senior management commitment to JHSCs; and especially a clear mandate with a broad scope and corresponding empowerment (through legislation and/or union presence).

*CONCLUSIONS:* Consistent empowerment mechanisms emerge as determinants of successful JHSCs across contexts despite few evidence-based details for best practice implementation. Intervention research is warranted.

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