RoSPA warns of fatal risks from workplace drink and drug misuse

One in three UK workers have admitted to or witnessed substance use or addictive behaviours during working hours, according to a new report on workplace safety.
The Best Practice Guide for Managing Drink and Drug Misuse in the Workplace, published by the Royal Society for the Prevention of Accidents (RoSPA) in partnership with Dräger Safety UK, highlights the growing risks posed by alcohol, drugs, and prescription medications in the workplace.
The guide warns that impairment from drugs or alcohol can slow reaction times, reduce hazard perception, and impair judgement — particularly in safety-critical roles such as operating heavy machinery or driving heavy goods vehicles.
Even employees driving to or from meetings are considered at-risk, as workplace road safety increasingly includes the issue of drug-driving.
RoSPA found that 40 per cent of industrial accidents are linked to substance misuse.
The economic impact is also substantial, with workplace hangovers alone estimated to cost up to £1.4 billion a year, and total productivity losses from impairment reaching £7.3 billion.
Research by Dräger shows that 83 per cent of employees would comply with workplace drug and alcohol policies, and 71 per cent support testing for all workers.
The guide recommends a combined approach using education, consent-based testing and rehabilitation. It also highlights modern testing technologies such as saliva and breath analysis, as well as alcohol interlock systems that prevent vehicle engines from starting if a positive test is detected.
Mark Burrup, Drug and Alcohol Testing Expert at Dräger Safety UK, said:
“Today’s testing technologies are highly advanced and designed to be discreet and non-invasive, typically involving a quick saliva swab and/or a single breath sample into a breathalyser to indicate whether an employee has taken drugs or alcohol.
“In our experience, drug and alcohol testing programmes are well-received by employees as they understand that these measures play a vital role in maintaining a safe and responsible working environment for everyone.”
Caitlin Taylor, Road Safety Manager at RoSPA, said:
“Driving under the influence – whether from alcohol, drugs, or prescription medication – is a live safety threat. Businesses have a duty to prevent harm, not just to employees but to every road user. We’re calling for a cultural shift in how UK workplaces manage impairment. With lives at stake, proactive policies and testing are essential to safeguarding both workers and the public.”
RoSPA and Dräger are encouraging employers to review and strengthen their workplace safety policies and ensure staff are aware of the support and testing options available.
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