Occupational Health Challenges Research Articles

Musculoskeletal disorders and risk factors in the modern era: results from the Specchio cohort

Abstract Background Musculoskeletal disorders (MSDs) represent a major challenge for occupational and public health, but data are scarce in Switzerland or concentrated on a few sectors of activities. The aim of this study is to provide results on the prevalence and risk and protective factors of MSDs in the general working-age population of the Geneva canton, Switzerland. Methods A cross-sectional analysis was conducted as part of Specchio population-based cohort study. Prevalence and associations between MSDs and sociodemographic variables, individual behaviour (smoking, physical activity, sleep), health conditions (BMI, chronic diseases), physical and psychological risks at work were examined using regression models. The impact of teleworking was also evaluated. Results 2’733 participants took part in the survey, of which 38% were men, and mean age was 50. Overall prevalence of MSDs was 74% among men and 84% among women. 80% of the individuals experience back pain and 56% shoulder pain. Among individuals who experienced MSDs, 55.2% consulted a healthcare professional. The risk factors for MSDs were female sex (OR = 1.95; 95% IC = 1.55-2.28), body mass index (obese) (2.2; 1.51-3.32), lower education (1.77; 0.84-4.37), smoking (1.65; 1.19-2.35), exposure to physical risks (3.54; 2.78-4.51), stress at work (effort-reward imbalance) (3.23; 2.45-4.29) and a poor work-life balance (2.36; 1.88-2.97). The prevalence of MSDs remained high among workers who telework (78% versus 84% in working population). Conclusions This study, carried out in a large population-based cohort, confirmed several risk factors for MSDs. These results will contribute to the implementation of prevention strategies, especially as teleworking has gained in importance in recent years, which may have aggravated workers’ isolation and stress, sedentariness, and poor body posture. Main message: These data confirm the weight of musculoskeletal disorders and will help implementation of prevention health strategies. Key messages • The relationship between psychosocial risks at work and the occurrence of Musculoskeletal Disorders (MSDs) persists even following adjustment for exposure to physical risks and individual risk factors. • The prevalence of musculoskeletal (MSDs) disorders remained high among workers who telework.

A Hazardous Duty: Occupational Health Challenges for Traffic Police at Koshi Province

Abstract Background: Traffic police officers are integral to maintaining urban traffic flow and safety, yet their occupational roles expose them to a variety of health hazards. This study investigates the spectrum of occupational health hazards faced by traffic police officers in Koshi Province. Methods: A cross-sectional study was conducted involving 175 traffic police officers in Koshi Province. Data were collected through structured questionnaires, physical examinations, and environmental assessments. The study evaluated the prevalence of various health issues and their association with identified occupational hazards. Results: Findings reveal high prevalence rates of respiratory ailments (35%), musculoskeletal disorders (28%), stress and anxiety (40%), hearing impairments (15%), and exposure to vehicular pollutants. Environmental assessments indicated significant levels of noise, particulate matter, and exhaust fumes in traffic hotspots. Statistical analysis identified prolonged exposure duration as significant predictors of adverse health outcomes. Conclusion: Traffic police officers in Koshi Province are susceptible to multiple occupational health hazards, necessitating comprehensive intervention strategies include enhancing protective measures, implementing regular health screenings, and establishing mental health support systems. Keywords: Occupational health hazard, traffic police, Koshi Province

Occupational health and safety among farmers: a comprehensive study in Central Anatolia, Turkey

BackgroundThe agricultural sector is vital for food production, economic stability, and environmental sustainability. However, it also poses significant occupational health and safety challenges due to factors such as heavy machinery usage, exposure to chemicals, and challenging environmental conditions.MethodThis cross-sectional study involved 366 farmers affiliated with the Yozgat Chamber of Agriculture in Turkey. Data on demographic characteristics, occupational factors, and work accidents were collected with interview technique between May and August 2023. While descriptive data were expressed as categories with numbers and percentages, chi-square analysis was used to compare the obtained answers with the status of having or not having a work accident. Binary logistic regression analysis was used to estimate the effect of independent variables on the probability of having a work accident.ResultsThe study revealed that 33.0% of farmers experienced work accidents in the last year. Most accidents occurred during work shifts (28.8%) and in the fall season (34.8%). Factors contributing to accidents included lack of personal protective equipment (51.5%) and transportation-related issues (36.4%). Logistic regression analysis indicated that working more than 8 h daily, working 5 days or more per week, and using bus/minibus transportation significantly increased the likelihood of experiencing work accidents.ConclusionFindings underscore the importance of implementing effective occupational health and safety measures, including proper training, provision of personal protective equipment, and improving transportation safety. Addressing these issues can enhance the well-being of agricultural workers and contribute to a safer working environment in the sector.

An Overview of the Prevalence and Effects of Back Pain among Nurses in Zambia

Topic: This mini-review addresses the critical issue of back pain among nurses in Zambia, highlighting the occupational health challenges they face within a resource-limited healthcare system. Type of Review: This is a literature mini-review synthesizing recent research findings and theoretical frameworks relevant to back pain in nursing. Main Focus: The review focuses on the prevalence, causes, and potential interventions for back pain among Zambian nurses, emphasizing the need for culturally relevant health messaging and systemic changes within the healthcare environment. Gaps Identified: While existing literature outlines various factors contributing to back pain, there is a notable lack of longitudinal studies assessing the long-term effectiveness of proposed interventions, as well as limited exploration of broader systemic issues within the Zambian healthcare infrastructure. Conclusions: Addressing back pain among Zambian nurses requires a comprehensive approach that includes tailored educational initiatives, effective workload management, and improvements in ergonomic support within healthcare settings. Practical Implications: The findings suggest actionable strategies for healthcare institutions to enhance nurse well-being, which in turn can improve patient care quality. Policy Implications: Policymakers are encouraged to implement systemic changes that address staffing shortages and improve workplace ergonomics, thereby fostering a healthier work environment for healthcare professionals. Relevance: This mini-review contributes to the ongoing discourse on occupational health in resource-limited settings, offering insights that are valuable for researchers, healthcare practitioners, and policymakers striving to enhance the working conditions and health outcomes for nurses worldwide.

Occupational health and well-being challenges and opportunities in theory and practice

Occupational health and well-being challenges and opportunities in theory and practice

ANALISIS PENERAPAN KESELAMATAN DAN KESEHATAN KERJA (K3) DALAM MEMINIMALISIR RESIKO KERJA PADA PT. POS INDONESIA (PERSERO) KANTOR CABANG GUNUNGSITOLI

In carrying out their duties, employees and office staff of PT. Pos Indonesia (Persero) Gunungsitoli Branch is faced with several occupational safety and health (K3) challenges. Observation data shows that as many as 75% of accidents occur in the field during package delivery, 15% occur during sorting activities, and the remaining 10% occur in administrative activities. Of the total accidents, 75% are caused by human error, such as carelessness or lack of knowledge about safety practices. Meanwhile, 25% was caused by unsafe and intensive environmental conditions, including storage facilities that were not neatly arranged and lack of warning signs. The aim of this research is to determine the Implementation of Occupational Safety and Health (K3) at PT. Pos Indonesia (Persero) Gunungsitoli Branch Office. This research method uses qualitative research with a descriptive approach. The research results show that PT. Pos Indonesia (Persero) Gunungsitoli Branch Office has so far implemented occupational safety and health implementation but it has not been optimal so there is still a lot that needs to be improved, including increasing K3 awareness and improving facilities and infrastructure. The conclusion of this research is that work accidents that occur are generally due to a lack of awareness and compliance with applicable K3 regulations, as well as a lack of work safety equipment. So it is recommended to make efforts to identify occupational safety and health practices, including analyzing compliance with regulations, as well as providing and improving facilities and infrastructure.

Investigating the Effectiveness of a Workplace Musculoskeletal Disorders Management Program.

Musculoskeletal disorders (MSDs) present a major occupational health challenge, especially among office workers. Objective: To evaluate the effectiveness of a workplace intervention program for managing MSDs and measure its impact on presenteeism/absenteeism and health status. Methods: This semi-experimental study was conducted between May 2019 and October 2022 in Greece and involved 247 office workers randomly assigned to early and late intervention groups. The intervention included a seminar on ergonomics and proper workstation practices with a demonstration of exercises. Data were collected by the SF-36, the Standardised Nordic, and the Work Productivity and Activity Impairment Questionnaires. Results: In the early intervention group (n = 143), presenteeism significantly decreased (p = 0.045), from a mean value of 0.11 to 0.07, but not absenteeism. Significant improvements were observed in physical (p = 0.007) and mental health (p = 0.012). Reductions in pain were recorded for the neck (p = 0.032), shoulders (p = 0.015), wrists (p = 0.014), upper back, lower back, hips, and knees (p = 0.044 for each). In the late intervention group (n=104), there were no significant changes in absenteeism or presenteeism. Mental health improved significantly (p = 0.008), and reductions in pain were noted for the neck (p = 0.001), wrist (p = 0.0005), and upper back (p = 0.001). Conclusions: This workplace intervention program proved effective both in reducing pain in various body areas and reducing presenteeism, and improved physical and mental health were observed in the intervention groups while absenteeism remained unchanged.

Occupational Risk Management in OHS Based on Risk Assessment and Control

Abstract Nowadays, occupational risk management presents a significant challenge for enterprises and occupational health and safety (OHS) services. Economic changes drive efforts to verify working conditions and optimize production processes involving human participation. Employers are obligated to provide safe and hygienic working conditions using all available technical and organizational solutions. However, many enterprises still marginalize the correlation between reliable occupational risk assessments and employee absenteeism. Employers often fear high economic costs with potentially low returns. Such actions often stem from the lack of precise analyses clearly determining the costs of inadequate employee safety and ignorance of the possible consequences of workplace accidents. A well-prepared occupational risk assessment can beneficially impact employee safety, company profits, and the reduction or elimination of material and financial losses. This article discusses appropriate remedial measures for accurately determining occupational risk levels and the elements of its control. The reliability of the assessment will determine the effectiveness of the adopted OHS policy and management overall.

Occupational Health and Safety Challenges Faced by Caregivers and the Respective Interventions to Improve their Wellbeing

This research aimed to identify the occupational health and safety issues in caregivers' workplaces: physical hazards, psychological demands, and organisational dimensions. This concerned broad physical dangers for workers, including musculoskeletal diseases, infection risks, toxic materials and substances, fatigue, and extended working hours. Additionally, the existing works explored the impact of psychological factors such as emotional exhaustion, compassion stress, burnout, stress, anxiety, and even secondary traumatisation on caregivers. Furthermore, it analysed the systematic issues related to workplace violence, lack of personnel, poor training and professional development, and having fewer protective gear and safety measures. The research has illustrated various interventions and practices that might enhance occupational safety and caregivers' wellbeing. These include organisational policies and procedures, such as establishing safe operating procedures, ensuring adequate protective gear is supplied to workers, and promoting a healthy company culture with efficient support networks. Risk prevention measures in this subdivision include safe patient handling procedures recognised as necessary in reducing physical risks, ergonomic workstation and equipment design, and stretching and exercise promotion. Moreover, the study revealed that while mental support and wellbeing were deemed essential for the workforce, which includes EAP, stress control, and mental toughness, seminars, as well as support groups, were considered insufficiently developed. The study finally demonstrated the importance of policy and legal advocacy based on enhancing occupational health and wellness standards, better workers' compensation and benefits, and raising public awareness.

Participatory action research: A tool to develop occupational health and safety education for new immigrant workers

Immigrant workers are a growing segment of Canada’s labour force, essential to its economy and society. Yet, they face occupational health and safety (OHS) challenges due to communication barriers, limited training, scarce resources, and workplace discrimination. This study sought to design learning resources to enhance the understanding of OHS in Canadian workplaces among new immigrant workers, drawing from their personal experiences. Through participatory action research, nine immigrant workers took part in six online sessions over three months, where they identified problems, discussed education, reflected, and decided on actions. Key issues raised included inadequate training, unawareness of OHS rights, hesitation in reporting safety concerns due to fear of backlash, and facing psychological threats like discrimination. This research illuminated the complex interplay of cultural and communication differences in OHS. Consequently, five education modules, rooted in real-world insights, were developed, emphasizing the significance of OHS, psychological risks, Canadian workplace norms, communication, and vital resources. This PAR successfully developed OHS learning modules, which not only tackle challenges and provide solutions for new immigrant workers but also craft with cultural sensitivity and lived expertise. These tools are tailored to equip new immigrant workers with the knowledge and confidence needed to enhance their OHS practices.

Occupational Health, Psychosocial Risks and Prevention Factors in Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual, and Other Populations: A Narrative Review

Despite advances in legislation and social attitudes, workplace discrimination against sexual and gender minority populations remains prevalent, posing significant psychosocial risks. This study aims to explore the occupational health challenges faced by LGBTQIA+ populations, examining factors of discrimination, support, and prevention strategies. Methods: A narrative review of articles from the Scopus, PubMed, and Web of Science databases was carried out, focusing on studies published between 2011 and 2024. Articles in English, Spanish, and Portuguese were considered. Results: 359 studies were identified, and 11 articles were selected for analysis. The findings reveal pervasive discrimination experienced by LGBTQIA+ workers in the workplace, impacting their mental health and job satisfaction. Factors influencing disclosure of sexual or gender identity at work were identified, including workplace characteristics and anti-discrimination policies. Conclusions: Promoting inclusive and supportive work environments is crucial to the well-being of LGBTQIA+ employees. Recommendations include strengthening anti-discrimination protections, improving education and training on LGBTQIA+ issues, and promoting explicit communication about support and equality. Despite progress, more research is needed to address gaps in understanding and effectively promote the occupational health of sexual and gender minority populations.

The Digital Economy and Hybrid Work Call for a Review of Compensation Criteria for Musculoskeletal Disorders.

Work-related musculoskeletal disorders (WRMSD) pose a significant occupational health challenge in Europe. The digitization of the economy substantially reshaped the nature and organization of work. The proliferation of hybrid working, characterized by a combination of office-based and remote work, has been accelerated by the COVID-19 pandemic. This review covers hybrid forms of work, their impact on WRMSDs, and the potential implications for WRMSD compensation. Approximately 30-40% of the European workforce could potentially transition to hybrid forms of work. Hybrid work arrangements can result in prolonged static postures of the trunk, neck, and upper limbs without adequate breaks, thereby increasing the risk of neck and lower back pain. As teleworking and hybrid working become more prevalent, an increase in non-specific WRMSDs is anticipated among the working population. In many countries, claims for WRMSDs necessitate a formal diagnosis by a healthcare professional. However, cases of non-specific WRMSDs, such as cervicalgia or chronic shoulder pain, - commonly observed in sedentary workers engaged in predominantly low-intensity, prolonged static work amid visually and cognitively demanding tasks - often do not meet the criteria for compensation as occupational diseases. The compensation system and/or the criteria for compensation must be adapted to accommodate the rise of telework, necessitating evolving criteria for compensation that address both medical and risk exposure considerations.

Prevalence of Work-Related Thumb Pain among Clinical Physical Therapists of Rawalpindi & Islamabad

Background: Work-related musculoskeletal disorders (WRMSDs) are prevalent among healthcare professionals, significantly affecting physical therapists due to their hands-on treatment techniques. These disorders, particularly involving the thumb, result from repetitive stress and poor ergonomics, leading to chronic pain and functional impairment. Despite extensive research on WRMSDs in other body regions, the specific prevalence of thumb pain among physical therapists in Pakistan remains underexplored. This study aims to investigate the prevalence and contributing factors of work-related thumb pain among clinical physical therapists in Rawalpindi and Islamabad, addressing a critical gap in the current understanding of occupational health challenges faced by these professionals. Objective: The study was conducted to find out prevalence of work-related thumb pain among clinical physiotherapists of Rawalpindi & Islamabad. Methods: A descriptive cross-sectional study was conducted from September 2022 to February 2023 in Rawalpindi and Islamabad. Data was collected from 270 physiotherapists using self-structured questionnaire. Sample size was calculated using Slovin’s formula with confidence interval 95% and keeping margin of error 0.05%. Non-probability convenient sampling technique was used for collection of data. Data was analyzed by using SPSS version 26. Results: Out of 270 participants, 130 complained of thumb pain whereas 140 had no pain. The overall mean age of sample was 28.15±5.39. Among males 52(43.3%) had thumb pain and 68(56.7%) had no thumb pain. Females 78(52.0%) had thumb pain and 72(48.0%) had no thumb pain. 218(80.7%) participants were working from 1-5 years, 62(23%) worked for less than 15 hours per week, 84(31.1%) worked for 5 hours per day, 108(40%) treated up to 5 patients per day. Moderate intensity pain was present in 82(30.4%) participants. Mostly 67(24.8) were affected with MP joint pain site. Conclusion: Thumb pain was prevalent among clinical physiotherapists. Females were having more thumb pain as compared to male participants. The intensity of pain prevalent was moderate on NPRS. This thumb pain is due to their professional techniques including manual therapy, ischemic pressure release and massage. Most of the participants reported thumb pain due to mobilization and manipulation techniques.

Qualitative Study to Explore the Occupational and Reproductive Health Challenges among Women Tobacco Farm Laborers in Mysore District, India.

Tobacco farm laborers are primarily women and children working for very low wages. The aim of this study was to explore occupational and reproductive health challenges faced by women tobacco farm laborers in Mysore District, India. We conducted interviews and six focus group discussions among 41 women tobacco farm laborers. Codes and themes were generated based on deductive and inductive approaches using the socioecological model. Participants reported symptoms of green tobacco sickness including headaches, back pain, gastric problems, weakness, and allergies during menstruation, pre-natal, and post-natal periods. Participants had poor awareness about the health effects of tobacco farming, and there were gender inequalities in wages and the use of personal protective equipment. Participants received support from family and community health workers during their pregnancy and post-natal period. Women reported wanting maternity benefits from the tobacco board, as well as monetary support and nutritional supplements. There is a need for health education about the environmental dangers of tobacco among farm laborers, and more supportive policies for women farmworkers during pregnancy and post-natal periods.

Navigating occupational safety and health challenges in sustainable infrastructure projects: a comprehensive review

Ensuring occupational safety and health (OSH) is paramount in infrastructure projects due to their inherently high-risk nature and the increased likelihood of accidents. Despite its importance, numerous obstacles impede the successful adoption of OSH measures in these settings. Addressing these challenges is key to not only implementing OSH protocols effectively but also to improving working conditions and managing other operational facets like quality and environmental concerns, ultimately resulting in better infrastructure developments. Adopting proactive OSH strategies is crucial for preventing significant accidents and fostering a safety culture within infrastructure projects. This review focuses on identifying the primary obstacles and barriers to effective OSH in infrastructure projects, laying the groundwork for improving safety performance in the sector. It highlights organizational and legislative issues as the foremost challenges due to their direct impact on safety culture, resource distribution, compliance, and accountability. Although factors related to environmental and safety practices are deemed less critical, they are nonetheless vital for comprehensive risk management and the promotion of a safe working environment. Tackling these issues is imperative for cultivating a strong safety culture and safeguarding the health of workers on infrastructure projects. It is also essential to acknowledge the distinct OSH challenges presented by different construction scenarios to devise customized safety measures and effectively reduce risks. This review emphasizes the necessity of recognizing the unique aspects of each construction project, addressing specific dangers, and meeting regulatory demands to achieve thorough safety management.

Incidence of Needle Stick Injuries and Behavior After Injuries Among Nurses in Sulaimani Hospitals

Background: Needle-stick injuries cause occupational health and safety challenges for healthcare workers on a global scale. Needle-stick injuries can potentially expose individuals to dangerous blood-borne pathogens. Objectives: To determine the prevalence of needle stick injuries and their main causes, as well as the nurse’s behavior after being injured by needle stick injuries. Methods: A self-reported cross-sectional study was conducted in Sulaimani city governmental and non-governmental tertiary hospitals in the Kurdistan Region of Iraq. The data was collected by constructing a questionnaire form from 300 nurses who provide medical care by non-probability convenience sampling from October 1, 2022, to March 1, 2023. Results: 74.3% of the 223 nurses who participated in the study experienced needle stick injuries. The needle syringe (88.7%) was the most common tool involved. The sterilization of wound area 48.9% was the number-ranked action of the nurses after injury, followed by pushing the injured area 28.4% to drain blood. Most of the nurses did not receive post-injury prophylaxes (57.4%) or send their blood to additional tests (73.1%). Conclusions: Syringe needles were a major cause of the needle sticks, which injured three out of four participants. Additionally, the nurses' top priority after receiving a needle stick was to sterilize the exposed portion of the wounds.

Occupational Health Challenges for Aviation Workers Amid the Changing Climate: A Narrative Review.

Although there are many forecasts regarding the impact of climate change on the aviation sector, a critical but frequently neglected dimension is the occupational safety risks faced by aviation professionals. This narrative review explores the potential impacts of the changing climate on the health and safety of aviation personnel. Furthermore, we examine the significance of resilience in helping these workers adapt and effectively manage climate-related challenges in their professional lives. Climate change poses increasing threats to the well-being of flight personnel through elevated temperatures, heightened ultraviolet radiation exposure, increased mental workload from extreme weather events, and other psychological stressors. Building resilience through workforce training, planning, and adaptation can reduce vulnerability. In future research, the iterative process of selecting measurement components to gauge the impact of climate change should balance feasibility, relevance for stakeholders, and accurately capturing exposure effects. For instance, while salivary cortisol measures stress biologically, assessments of depression or burnout may provide more nuanced insights on pilot health for industry decision-makers managing climate impacts. In conclusion, a strategic emphasis on enhancing the physical and psychological well-being of the aviation workforce is imperative for facilitating a more efficient adaptation within the sector. This is of paramount importance, considering the critical function that aviation serves in fostering human connectivity. Consequently, it is essential for regulatory bodies and policymakers to prioritize the safeguarding of employee health in the face of climate change challenges.

Occupational Health and Safety Challenges Faced National Disaster Management Personnel

This study aims to look into how health and safety concerns affect the job performance of National Disaster Management Organization (NADMO) personnel in the Bono Region. Hazards, poor training, and psychological well-being are significant factors determining the efficiency of disaster response activities in the study. The study adopts a descriptive (case study) research design, emphasizing the importance of a comprehensive plan to solve these difficulties. The target population consists of 127 people from the municipal offices of Sunyani East, Wenchi, and Berekum. Purposive and simple random sampling selects 75 respondents from various departments and units. Self-administered questionnaires containing open-ended and closed-ended items are used to collect data. The data suggest that health concerns may have an impact on coworkers’ job performance among those who have had accidents. However, statistical significance is weak. Positive management relationships following fatal accidents have a minor correlation with better NADMO results, underlining the need for additional factors in the model. The relevance value supports the suggestion of organizing periodic health and safety lectures as an intervention to alleviate difficulties. Among the recommendations prioritizing comprehensive training, guaranteeing access to Personal PSafety equipment, addressing psychological well-being, and increasing organizational support.

Navigating Industrial Relations and Occupational Health and Safety Challenges in the Vuca Era: A Case Study Exploration and Analysis

This paper explores the intersection of Industrial Relations (IR) and Occupational Health and Safety (OHS) in the Volatile, Uncertain, Complex, and Ambiguous (VUCA) era. Industrial relations, vital for fostering harmonious workplaces, are challenged by the rapid changes in the VUCA world. Likewise, OHS faces new dynamics in ensuring workplace safety amid uncertainties. The VUCA era’s impact on IR is analyzed, highlighting volatility’s effects on labor markets, uncertainty in planning, complexity in diverse workplaces, and ambiguity in role clarity. Case studies in the healthcare and banking industries exemplify adaptive strategies. Key areas of focus include the evolution of health and safety policies, the role of flexible work arrangements, the dynamics of employment development in Industry 5.0, the impact of job creation laws in Indonesia, and the significance of workforce diversity. Findings emphasize the importance of evidence-based policies, agile practices, and a human-centric approach in navigating the challenges of the VUCA era in the realm of IR and OHS. Suggestions for future research explore diverse industry impacts and effective strategies for managing workforce diversity.

Using online wellness assessment to screen for risk of lowered work ability, burnout, depression and anxiety in occupational health: A cross-sectional study.

An increasing prevalence of disability and sickness absences related to mental health highlights the need to find scalable measures to identify common occupational health challenges early on. This study (1) investigates how well current work ability measures capture psychosocial occupational health challenges, (2) examines how online wellness questionnaire data are linked to these challenges and (3) suggests a limited set of questions for screening employees. A total 709 employees filled out a wellness survey, the Work Ability Index, the Bergen Burnout Indicator and screening questions for generalized anxiety disorder and depression. The survey question clusters and previously identified domains of wellness were used to examine the correlations between the domains and occupational health indicators. Linear models and stepwise Akaike information criterion model reduction were used to identify questions that most explained variation in each challenge. The strongest questions were combined into a set, and recursive partitioning was used to form a screening tool for occupational health. Despite over 80% of participants having good perceived work ability, we found a simultaneous anxiety risk in 22%, depression risk in 30%, some burnout symptoms in 7% and presenteeism in 36% of the participants. Correlations between several wellness domains and occupational health indicators were found. We identified eight questions that could be used to screen for a combined risk of lowered work ability, burnout, anxiety or depression. Our results demonstrate current measures not being sufficient to capture employees' mental health and suggest a brief set of questions to identify employees at risk.