The United Steelworkers (USW) Local 959 safety committee leapt into action a few years ago after discovering that more and more workers at the Goodyear plant in Fayetteville, N.C., were exposed to knife injuries on the job.

Committee members solicited workers’ input on how to address the hazard and then collaborated with the company to provide cut-resistant gloves, introduce more safely designed knives and take other steps to bring the crisis under control.

“It was our No. 1 injury at the plant,” recalled Ronald Sessoms, Local 959 safety chairman. “Now, we’ve almost eliminated it.”

It isn’t enough to mark Workers Memorial Day on April 28 by grieving for the thousands of Americans who lost their lives on the job over the past year. Only a renewed, unrelenting commitment to workplace safety will properly honor their memory and ensure none died in vain.

That’s especially true in light of COVID-19, which pushed the death toll higher than usual and endangered workers like never before. The pandemic underscored the need for constant vigilance against threats as well as the importance of giving workers a meaningful voice in combating them.

No one knows the hazards and risks better than the people facing them every day. A strong union contract helped to entrench that philosophy at Fayetteville, where worker input not only led to the reduction of knife-related injuries but resulted in better ventilation, the elimination of certain hazardous chemicals once used at the plant and even adjustments to a machine that helped to avert a head-injury risk.

“Our job is not to sit behind a desk,” Sessoms said of his USW committee representatives, all of them former production workers who now perform union health, safety and environment (HSE) responsibilities under the contract with Goodyear. “We want to be very accessible.”

He and the other USW safety representatives walk the sprawling complex to look for hazards, evaluate hazard controls and confer with 96 “safety coaches”—full-time production workers who volunteer as union safety liaisons in the plant’s many departments.

However, committee members realize that plant-wide safety really hinges on leveraging the eyes, ears and expertise of all 2,000 USW members there, and that’s why they stop on the shop floor to communicate with workers about their concerns.

Target Zero, an injury-prevention program that the USW and Goodyear negotiated more than a decade ago, provides another way to raise red flags.

The patient intended to commit suicide and knew the worker making his bed at Essentia Health-St. Mary’s Medical Center in Duluth, Minn., stood in the way.

So he crept up behind the caregiver, grabbed the cord to the call bell and began choking her with it.

Only chance saved her, recalled Tuan Vu, a longtime hospital worker who was on duty in another part of the facility that day, noting the woman’s colleagues rushed to the rescue after the struggle inadvertently activated the call bell.

The U.S. House just passed a bipartisan bill, the Workplace Violence Prevention for Health Care and Social Service Workers Act, to curtail the rising epidemic of assaults on doctors, nurses, certified nursing assistants, case managers and others on the front lines of care.

The legislation, now before the Senate, requires hospitals, clinics, medical office buildings and other facilities to develop violence-prevention plans that cover the unique needs of each workplace.

For example, Vu said, a plan requiring that only specially trained behavioral health workers care for suicidal patients would have been one possible way to avert the near-strangulation of his co-worker a few years ago. She was assigned to the patient’s room that day even though she wasn’t a mental health specialist.

The Occupational Safety and Health Administration (OSHA) would enforce the violence-prevention act  and intervene if workers experience retaliation for reporting safety lapses.

“Having this type of legislation would put our safety at the forefront,” explained Vu, a behavioral health technician at Essentia and unit president of United Steelworkers (USW) Local 9460, which represents thousands of workers at more than a dozen northern Minnesota medical facilities. “It’s not something people should be desensitized to.”

“I’m a big guy. I’m not so worried about myself,” said Vu, who’s had racial epithets hurled at him and endured bites, kicks, punches and inappropriate touches over the years. “But I worry about some of my co-workers.”

Health care professionals are five times more likely to encounter violence on the job than other Americans. The crisis has festered for years. Workers face assaults from patients with substance abuse, dementia or cognitive issues, and they’re attacked by patients’ stressed-out family members.

Chris Sova and his co-workers at Bay County Medical Care Facility endured years of staffing shortages before COVID-19 made a grim situation even worse.

Workers sacrificed vacations and other personal time to keep the Essexville, Mich., facility operating as patients and staff members fell ill to the coronavirus and management struggled to recruit reinforcements.

Just like a road can be patched only so many times before falling apart, America’s battered health care system and other long-neglected infrastructure can no longer continue functioning with Band-Aids and stopgap fixes.

That’s why President Joe Biden’s $2 trillion American Jobs Plan not only earmarks money for crumbling highways and bridges but makes much-needed investments in school buildings, education and training, hospitals and airports, water systems, utilities, broadband, manufacturing facilities and health care services that are strained to the breaking point.  

All require attention now because they work together like cement to keep society functioning.

“If you don’t have healthy people, you don’t need roads,” remarked Sova, a licensed practical nurse, third-generation nursing home worker and unit president of United Steelworkers (USW) Local 15301-1.

The pandemic underscored America’s need both to make major investments in infrastructure and to take the sweeping, holistic approach that Biden laid out.

For example, it’s crucial to revitalize manufacturing supply chains to ensure the nation can produce sufficient supplies of face masks and other critical items, upgrade transportation systems to speedily move goods around the country, modernize school facilities to produce globally competitive citizens and build the communications networks that enable Americans to learn and work from anywhere.

And the pandemic, which so far has claimed more than 561,000 lives and infected about 31 million people in the U.S., not only showed the importance of providing affordable health insurance but creating a more robust health care system with the capacity to meet Americans’ needs.

“It’s collapsing right now,” Sova said of the nation’s health care infrastructure.

He noted that facilities and providers around the country need higher Medicaid reimbursement rates so they can recruit adequate numbers of workers, provide decent wages and benefits, combat understaffing, improve workplace safety, offer opportunities for advancement and put an end to the grueling overtime that’s dangerous both for caregivers and the people they serve.