I don't see any evidence of the culture change that is required to make a real difference. CSCS cards can be obtained by passing a simple touch-screen test; they do not mean that the holder has had any effective safety training.
I see a twofold problem. First, whereas employed people usually have a training structure in place for them, the self-employed do not have the time (or motivation) to attend courses. Second, the shortage of skills in the industry means that if a candidate says they have had health and safety training, they are likely to be hired without too many questions being asked.
With the continuing rise in death and injury, particularly to the self-employed, something radical and innovative needs to be done.
Postscript
Tony Wilson, managing director, Helmsman
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