Table 2.

Themes identified from site visits, NIOSH Essential Elements, and NIOSH Fundamentals of Total Worker Health.

Themes identified from site visits	Essential elements major categories	Fundamentals major categories
VOI/ROI
Organizational factors	Organizational culture and leadership	Element 1: Demonstrate leadership commitment to worker safety and health at all levels of the organization.
Program design	Program design	Element 2: Design work to eliminate or reduce safety and health hazards and promote worker well-being. Element 4: Ensure confidentiality and privacy of workers.
Engaging employees	Program implementation and resources	Element 3: Promote and support worker engagement throughout program design and implementation.
Low-cost strategies	Program implementation and resources	Element 2: Design work to eliminate or reduce safety and health hazards and promote worker well-being. Element 4: Ensure confidentiality and privacy of workers. Element 5: Integrate relevant systems to advance worker well-being.
Evaluation	Program evaluation
Integration		Element 5: Integrate relevant systems to advance worker well-being.