The document discusses the changing drivers for health and safety initiatives in organizations. For large corporations, the primary driver is now effectiveness of initiatives rather than moral, legal, or business cases. Mid-sized companies have some variability but also prioritize effectiveness. Small to medium businesses have the most variability, but owners generally do not want to see people hurt. For these organizations, emerging drivers are expected legislative changes and client requirements for verifiable health and safety processes. It is important to understand an organization's values and drivers to identify the most effective approach for a health and safety initiative.