The Occupational Safety and Health Administration (OSHA), the federal government agency charged with enforcing workplace health and safety, has been missing in action during this pandemic. So what can a responsible company do to operate successfully without becoming a hotbed for COVID-19 transmission? Requiring face coverings, implementing thorough sanitation practices, and providing paid leave for all are critical, but businesses should be careful not to ignore a too-often missing element: the voices of their workers themselves.

Workers have a key role to play in designing and implementing new, on-the-job health practices—and even more so in the absence of enforceable federal standards. If they aren’t able to speak up when they spot a problem, we risk prolonging this crisis, deepening the economic pain, and ultimately losing more lives. 

MIT research has shown that companies with empowered frontline staff who have trusting, collaborative relationships with management are better at quickly identifying challenges and developing and implementing new solutions. This makes intuitive sense—workers know better than anyone how to do their jobs best, what risks they face, and how to solve problems in the workplace. 

In these types of high-trust, high-opportunity workplaces, workers may be more likely to flag unsafe conditions and propose fixes because they have received thorough training, feel valued, have open communication with management, and don’t fear retribution. 

This is all in line with what hospitals have discovered in fighting the novel coronavirus. Nurses and other frontline staff were critical in developing life-saving innovations, such as keeping IV pumps and ventilation control panels outside of patient rooms so they can be adjusted without entering, which both reduced transmission risk and preserved vital personal protective equipment (PPE). 

But industries like retail and logistics have long been characterized by low pay, inadequate benefits, and, unfortunately in many cases, antipathy to workers speaking up. How can companies rapidly reinvent their relationships with their frontline staff to strengthen public health and, ultimately, their own operations?  

One key first step is to create explicit ways for workers to directly weigh in on on-the-job health and safety practices. In unionized workplaces, this is a key role that unions have played effectively across many industries. For example, in April, grocery store workers flagged customer behavior as one of their biggest health risks, so United Food and Commercial Workers launched the #ShopSmart campaign to promote simple, safer practices. By July, nonunionized grocery stores like Walmart had followed suit and required everyone in the store—customers and staff—to wear masks. 

Nonunionized workplaces would also benefit from hearing directly from their workers and partnering to make the workplace safer. Companies should consider launching participatory workplace health and safety planning processes. This would involve inviting frontline staff to partner in designing and implementing new measures aimed at reducing transmission risk—taking into account a given business’s layout, flow of goods and people, and organizational culture—and responding effectively when workers fall sick. In fact, this approach draws on a model that is common in Europe and in fact is credited as one of the reasons German companies emerged so strongly from the Great Recession of 2008. 

In structuring a participatory workplace health planning process, the experiences of hospital nurses are again instructive. Nurses found that working safely isn’t only about PPE and sanitation, but also a much broader range of practices, from using technology in new ways to changing job descriptions. For example, nurses used social media to rapidly disseminate and workshop lessons learned across the country and globe, and developed a new role called a “runner,” whose sole task was to expedite supplies to critical cases. The breadth and creativity of the nurses’ innovations illustrate the importance of empowering workers to codesign workplace health and safety processes.

But workers will have the freedom necessary to innovate and provide meaningful input into on-the-job health practices only if employers create a transparent and collaborative work environment where there are no reprisals for flagging concerns. For example, employers must immediately alert their staff when someone falls sick. There have been far too many stories of workers contracting or even dying of COVID-19, and their colleagues not being told or being told far too late—endangering not only them but also potentially other customers, friends, and family. Workers must also be protected from any retaliation for alerting management to unsafe situations or working collectively with colleagues to address them.

Worker empowerment is not just a public health issue—it’s also a racial justice issue, as thousands of Black essential workers reminded us last month as they joined the Strike for Black Lives. The National Employment Law Project found that nearly 75% of Black workers worked outside the home during the peak of the pandemic, versus under half of white workers, and Black workers are more than two times as likely as white workers to experience retaliation by employers for raising concerns about COVID-19.  

Today, inspired by uprisings across the country, many companies are standing with the Movement for Black Lives and also committing to greater diversity in their boards and C-suites. But, especially in the context of a pandemic, racial justice also means providing a safe work environment so that frontline workers—who are disproportionately Black and other people of color—don’t fall sick or die because of avoidable risks and aren’t unfairly penalized when they express concerns. 

The terrifying truth is that even as businesses across the country reopen, we don’t yet fully know how to prevent workers and customers from getting sick. Who better to help answer that question than the people who see up close, every day, the way that workplace safety measures are actually playing out in our stores, factories, farms, hospitals, and restaurants? 

Frontline workers like security guards, house cleaners, and grocery store clerks deserved greater respect long before the pandemic began. Now our lives depend on businesses truly giving them a voice.

Sharon Block is executive director of the Labor and Worklife Program at Harvard Law School.

Rachel Korberg is a program officer with the Ford Foundation’s Future of Work(ers) initiative.