This document discusses innovation in occupational health and safety (OHS) management systems through a design thinking approach. It provides 8 rules for OHS innovation that emphasize understanding user needs, getting real-time feedback, removing unnecessary features, and designing for all users rather than just the lowest common denominator. The document contrasts treating employees as captives versus customers of the OHS system. It also outlines principles of creative confidence like learning from failure, embracing ambiguity, and iterating solutions versus avoiding failure and minimizing ambiguity. Finally, it suggests gathering feedback from employees on how to improve an organization's OHS management system to make it more human-centered.