In this report the results of a literature search and the results of a questionnaire and expert seminar on accident prevention in Europe are presented. The contributions of the politicians and other participants at the European conference as well as the conclusions of and the expert opinions expressed during the workshops have also been integrated in this report (Annex 3). In Chapter 2 the relation between accident prevention and changes in the world of work are described. Also, the effect of these changes on the nature of work accidents are discussed in Chapter 2. In Chapter 3 we look at successful prevention strategies that take into account this changing world of work. Conclusions and needs for further research are formulated in Chapter 4.