Organizations involved in the reduction of risk, emanating from hazardous events, play an important role in influencing the responses of households to reduce disaster risk either by the enforcement of regulations or by encouraging the adoption of best practices. One way this can be done is by examining ways to enhance knowledge exchange, better understanding of household safety behaviours and improved perceptions of risk. Further, micro-level research approaches are needed to examine how organizations involved in risk reduction and households interact in order to understand the contributing factors that hamper effective decision making and actions to reduce disaster risk in small island developing states (SIDS) of the Caribbean.This study investigates how organization's disaster risk reduction (DRR) approaches have incorporated risk perception, safety behaviours, and knowledge into their internal DRR plans. This case study took place in Barbados, a SIDS in the Caribbean. Qualitative data were collected from semi-structured informant interviews (n = 33). Findings of the key stakeholder interviews revealed that most organizations lacked systematic approaches to engage households and lacked clear impact pathways in the theory of change and did not strategically target identified vulnerable population subgroups for the desired behavioural change. There was a noted gap in understanding how risk perception influences and shapes risk and safety behaviours at the household level. Based on the results of this research strategies employed to reduce risk and build resilience can include key ways to integrate how the use of safety culture, and risk perception can enhance knowledge exchange for the development and improvement of place-specific DRR strategies.