Abstract
The economic impact of a combined behavioral and ergo-nomic safety intervention in two self-insured manufacturing organizations over four years was assessed through use of utility analysis. Overall utility of the safety intervention programs for both organizations was positive, with rates of return of direct costs in worker's compensation exceeding 10:1 in some cases. These data are among the first to address the economic costs and benefits of safety interventions, and show that whereas safety interventions can be costly and payoffs sometimes delayed, the long-term economic impact can be substantial.