Mental health is a workplace safety concern: Pie Insurance

Mental health is the number one workplace safety concern for employees, according to Pie Insurance's 2025 Employee Voice on Workplace Safety Report. Thirty-two percent of employees said mental health was their top safety concern.

The online survey was conducted by YouGov with responses from 1,021 small business employees working full or part-time in the U.S.

Thirty-six percent of those employees report workplace stress affects their lives, 67% said they have workplace safety concerns and 28% said they never received formal safety training. 

John Swigart, CEO of Pie Insurance, said in the report: "When nine in ten employers feel confident about workplace safety but only six in ten employees share that confidence, the disconnect is clear. That gap isn't just a workplace issue, it's a resilience issue. Small businesses thrive when their people feel genuinely safe and supported. Our goal with this research is to help employers see the reality their workers are experiencing so they can create environments where both employees and businesses succeed."

Pie Insurance released the 2025 State of Workplace Safety Report in April. YouGov conducted the online survey, which includes responses from 1,018 small businesses in the U.S. including business owners and decision-makers. Seventy-five percent of small businesses experienced workplace injuries in the past year and 50% of injuries were reported as preventable, according to the report.

More than half, 58% of surveyed employees witnessed workplace injuries in the past year, 45% of witnessed injuries could have been prevented, the employees estimated, but 17% are hesitant to report safety issues. 

More insights:

Twenty-five percent of employees predict mental health and burnout to be the biggest safety challenge over the next five years. Labor shortages were cited by 14%, aging workforce and physical limitations was 12%, AI and task automation 9% and climate-related risks with 6%.