The document outlines six secrets of the world's safest companies based on benchmarking studies. The secrets are: 1) all injuries are predictable and preventable through tools like failure mode and effects analysis and job safety analysis; 2) compliance alone is not enough and prevention-driven approaches are better; 3) companies should take a proactive balanced scorecard approach using leading safety indicators; 4) safety is owned by operations, not just the safety department; 5) safety should be defined as everyone's job and part of performance reviews; and 6) safety should be viewed as a strategic business element given the high costs of injuries.