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Evaluating the use of Virtual Reality in Work Safety: A Literature Review

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 Evaluating the use of virtual reality in work safety: a literature review
Simone Grassini1 and Karin Laumann1
1
Department of Psychology, Norwegian University of Science and Technology (NTNU), Høgskoleringen 1,
7491 Trondheim, Norway.
E-mail: simone.grassini@ntnu.no
E-mail: karin.laumann@ntnu.no

Addressing the challenges related to the safety of the work routines is one of the top priorities for any
modern industry, and constant investments are explicitly tailored to reduce work-related risks and to train
employees to follow safety procedures. Technological progress and the widespread adoption of immersive
visual technologies are nowadays offering the exciting possibility of improving the quality of safety training
programs. Virtual Reality is one of the technologies that is gaining significant recognition in the field of safety
training, and that may add a variety of benefits compared to traditional training programs.
Virtual reality provides companies with the possibility of training employees for safety procedures and risky
operations in a safe and controlled environment, promising to reduce costs, as well as to promote the quality of
the training. Furthermore, the technology may allow potentially dangerous procedures that now require the
physical presence of operators to be performed remotely, without reducing performances. The fast development
of newer, cheaper, and more versatile virtual reality head-mounted displays is creating new opportunities for the
adoption of the technology in many industries, ranging from construction to heavy manufacturing, mining, and
even food and beverage production. The present review analyses the current published scientific literature
reporting the use of virtual reality in work safety and attempts to evaluate the benefits and drawbacks that come
with the use of this technology. Furthermore, the listed and analysed the fields of application of virtual reality
regarding work safety and critically examines possible problems of the technology.

Keywords: Virtual Reality, Virtual Environments, Safety, Work, Training, Performance, Human Factors.

1. Background entertaining uses as in gaming, for example.

Virtual Reality is often described as an
artificial environment created by computer
algorithms (Luciani, 2007). According with the
formulation reported by the online version of the
Oxford Dictionary (Lexico), VR is “The
computer-generated simulation of a three-
dimensional image or environment that can be
interacted with in a seemingly real or physical
way by a person using special electronic
equipment, such as a helmet with a screen inside
or gloves fitted with sensors.” The immersive
experience of VR is often used to promote the
user’s sense of presence (see North & North,
2016; Grassini & Laumann, 2020). The user’s
experience of a VR environment is commonly
stimulated in one or several senses of
perception. Historically, VR devices have
focused on stimulating the sense of vision, but
newer technologies of VR wearable headsets are
putting a significant effort into integrating audio
feedbacks (using headphones).
There is a wide range of tools on the market
that can mediate immersive VR experiences.
Among the most popular are the head-mounted
devices (HMDs), focused primarily on
Proceedings of the 30th European Safety and Reliability Conference and
the 15th Probabilistic Safety Assessment and Management Conference
Edited by Piero Baraldi, Francesco Di Maio and Enrico Zio
Copyright  c ESREL2020-PSAM15 Organizers.Published by Research Publishing, Singapore.
ISBN/DOI: TBA
With a modern HMD, a user wears a headset
and interacts with the virtual world using
controllers with his/her hands. Those headsets
have been divided in four different types (see
Dużmańska, Strojny, & Strojny, 2018). Stand-
alone (working without additional equipment),
smartphone-based (working using the
computational power of the smartphones), PC-
based (working with a PC), and console-based
(working using a gaming console). Stand-alone
devices are improving their standards, quickly
filling the quality gap between them and PC-
based devices (see the developments made with
the Oculus GO and Oculus Quest). Stand-alone
HDMs offer many advantages compared to the
other alternatives. They are more powerful than
smartphone-based displays, and more portable
and easier to use compared with the PC and
console-based alternatives. Furthermore, the fact
that stand-alone HDMs do not require a high-
performance computer to function makes them
generally more cost-effective, increasing the
possibility of adoption of such technology by a
wider audience, for example, companies and
organizations commonly not among early
 Proceedings of the 30th European Safety and Reliability Conference and
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adopters of modern visualization technologies.
Additional devices have been proposed to
produce multisensory stimulations in order to
increase the sense of presence for the user
during the simulation. For example, the use of
specifically designed treadmills can create the
illusion of a variety of motions in the VR
(Sinitski et al., 2018).
When talking about virtual reality, health
and safety considerations need to be considered.
Some people have reported experiencing a
variety of uncomfortable symptoms during the
use of VR. Those symptoms are commonly
described with the umbrella term of simulator-
sickness (sometimes cyber-sickness). Many
symptoms are reported to be connected to
simulator sickness in the scientific literature,
among them: nausea, headache, uncomfortable
stomach, numbness, etc. (Johnson, 2005). The
wide prevalence of symptoms among the general
population using VR may potentially slow down
the acceptance of the technology (Filigenzi, Orr,
& Ruff, 2000).
Simulated environments have a long story
of uses and have been implemented in many
areas of work. However, only a few uses of this
technology have been directly linked to work
safety. Recent attempts in this direction can be
seen also outside industry, as, for example, in
the field of road safety, where the work of
Schwebel et al. (2016) identified the use of VR
as a viable way to teach children how to
properly behave at a street crossing. Several
published literature reviews (Bhoir & Esmaeili,
2015; Guo et al., 2017; Li et al., 2018) have
attempted to understand the use of VR in
construction safety to train workers on safety
procedures.
The development and progressive adoption
of VR can be an excellent opportunity to shape
training modules on specific industry needs. VR
provides company and organizations with the
opportunity to train people in security
procedures and operations in known and safe
environments. VR training can thus help
operators prepare for stressful real-life
emergencies. Research supporting the
implementation of Virtual Reality in the
workplace has often reported results that suggest
that VR training may be a valuable resource to
teach and employees about safety (Sacks,
Perlman, & Barak, 2013).
When talking about safety in relation with
training it is necessary to consider the theoretical
perspective on safety itself. Traditionally, safety
has been described as the condition were the
possible number of adverse outcomes was the
lowest possible to achieve (Safety-I). However,
different perspectives on safety have been
theorized (see Hollnagel, 2018). Safety II has a
high focus what goes right (safety) rather than
how things goes wrong (not safety).
Furthermore, a Safety II perspective puts its
focus on ensuring that as much as possible goes
right on “normal performance.” A Safety II
framework also proposes the development of
systems able to cope with unpredictable
conditions, rather that excluding that
unpredictable conditions may happen in safe
operations. Hollnagel, (2018), proposed the
complementary role of Safety I and Safety II
theoretical approaches.
1.1 The present study
The present review aims to give an overview
of the current published literature on the use of
virtual reality in work safety, listing benefits and
problems with the use of the technology. In
particular, the research questions that will be
analyzed are the following: 1) How and for
which industries has VR been used to improve
work safety? 2) From these studies, how
effective is the use of VR in improving safety
performance? 3) Which methods have been used
to study/evaluate the effectiveness of VR on
safety measures? 4) Which theoretical
perspectives have been taken on safety in these
studies (Safety I or II)?.
2. Methods
A literature search was performed to
understand the use of VR in work safety and its
positive and negative aspects. Literature was
retrieved from the following databases of
scientific research: Google Scholar, Web of
Science, and Scopus. The articles were retrieved
using combinations of the keywords: “VR”,
“Virtual AND Reality”, “AND work AND
safety”. The article search was restricted from
January 2014 to October 2019, to select only the
most recent applications of VR technology, as
the topic is highly sensitive to technological
development. Articles including first-hand
experimental results and review articles were
included. Only articles specifically investigating
work-related safety were included. A total of 16
articles were reported in the present article (see
Table 1 for an overview of their findings).
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Authors Year Field Purpose of the Evaluation Safety VR benefits reported

study method type
Colombo, 2014 Chemical Create an accident Objective I Improved operator responses
Nazi, & scenario to test VR- performance time and accuracy of actions.
Manca based training for measured on key
decision making. performance
indicators

Kozlak et 2014 Energy VR-based training NA Mixed VR showed to be an effective

al. for machinery in oil method of training, due to
and gas rigs. the enhanced sense of scene
realism.

Bhoir & 2015 Construction Review article NA Mixed The technology can be useful
Esmaeili trying to identify for training, however, has not
pros and cons of the been yet widely
use of virtual reality implemented. Furthermore,
in the construction experienced workers report
field. preferring traditional hand-
on training.

Grabowski 2015 Mining Evaluation of virtual Subjective II Users considered the VR

& reality training for assessment training program as useful.
Jankowski underground coal reported by the Miners reported positive
mining. trainees effects of the VR training as
long as three months after the
training session.

Zhao & 2015 Construction Testing the use of NA I Demonstrates the

Lucas VR to increase development and utilisation
construction safety. of a training program that is
based on VR. The training
program can offer a safe
working environment where
users can effectively rehearse
tasks with electrical hazards
common in the construction
industry.

Le et al. 2015 Construction A VR environment Questionnaires I VR platforms showing

was used as and interviews social/collaborative
educational way to situations are able to improve
train to safety in construction safety as well as
construction work. health education.

Luo et al. 2015 Chemical Development and NA NA The proposed platform is

test of a new more friendly and similar to
integrated the reality, and therefore has
simulation platform advantages for training
using VR and operators.
dynamic model.

Nazir & 2015 Chemical Discuss two case Performance I VR has the potential to
Manca studies that show measured in the become important for
how VR can ability to follow training, spatial learning,
improve process procedure knowledge improvement,
safety. (sequence) and performance assessment.
Thanks to this new kind of
training, abnormal situations
and incidents/accidents may
be prevented.
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Pedro, Le, 2015 Construction Elaborate a Interface, Mixed VR offers a valid medium for
& Park framework for effectiveness, improving the identification
integrating safety and performance of possible work hazards,
into construction evaluation transfer of knowledge, and
methods education (mixed engagement of the training
through interactive methods). students.
virtual reality.

Ahmad 2016 Chemical Testing a training NA I A complex scenario where

et al. scenario for the realistic malfunctions are
process of included, can be beneficial
homogeneously for training operators,
catalyzed biodiesel enhancing the learning curve.
production. Various
malfunctions were
included in the
scenario.

Nedel et al. 2016 General Testing the use of Questionnaire NA Listing behavioural patterns
Immersive VR and that predispose to risk
technology to physiological exposure.
decrease safety measures (heart
hazards in the rate).
context of
workplaces in
developing
countries.

Cardoso et 2017 Energy Increase safety in NA NA Virtual reality offers the

al. power-electric possibility to train personnel
systems. in the safety procedures to be
followed in power stations.

Guo, Yu, 2017 Construction Review of articles NA Mixed The technology can be useful
& using VR both in the phases preceding
Skitmore technology for the work (training), both
construction works. during the work phases,
especially if integrated with
sensors for displaying danger
into the environment.
However, more development
is needed to make the
technology more effective.

Higgins 2017 General Evaluate the NA NA Being aware of the future use
possibility to of virtual reality in work and
effectively use VR safety.
in work safety.

Li et al. 2018 Construction Review of virtual Performance Mixed Critical review of work
and augmented (assessment of safety and its relation to
reality used in the physical damage virtual reality.
context of and visual
construction safety attention)
and behavior during
earthquakes.

Patle et al. 2019 Chemical Review of the NA Mixed The use of VR for operator
and Energy literature on VR- training simulator improve
based operator the sense of presence in the
training simulators. trainee and increase the
effectiveness of the training.

Table 1. Summary of virtual reality applications in work safety. The articles are ordered by year of
publication. NA: Not Applicable.
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3. Results and discussion
The retrieved articles (see Table 1 for an
overview) showed that adopting VR
technologies as an integrated part of the work
safety training has the underlying assumption
that such technology may aid operators to better
perform safety procedures or to avoid hazardous
situations in the workplace.
3.1 Field of application and effectiveness
Most of the reviewed articles are
focused on the construction and chemical
industries (see, e.g. Bhoir & Esmaeili, 2015;
Guo, Yu, & Skitmore, 2017; Li et al., 2018).
Interestingly, Bhoir and Esmaeili (2015) pointed
out that, even if the research community seems
unanimously convinced of the possibilities that
VR offers for increasing work safety, in practice
the number of companies using such technology
for safety training is still very small.
Furthermore, when safety professionals were
asked, they reported that they prefer hands-on
traditional training compared to a VR simulated
one. Guo, Yu and Skitmore (2017) pointed out
that VR technology found a valid use during the
pre-construction period, improving safety
training and facilitating the listing and
management of work hazards. During the
construction work, immersive technologies as
VR can help to monitor workers’ safety
behavior and, thanks to sensors, to implement
safety warnings for the operators. However, the
authors pointed out that many of the possible
applications of the technology are limited by the
current technology. Li et al. (2018) reported that
in numerous cases, VR systems were found
efficient for training in the identification of work
hazards, safety training, and safety inspection.
They conclude that present challenges, such as
the overall improvement of the VR training,
calls for a further collaborative effort at a
technical, experimental, and organizational
level.
Other articles in the field of construction
industry have identified VR as a valid
instrument to train hazard identification (Zhao &
Lucas, 2015; Le et al., 2015; Pedro, Le, & Park,
2015). Pedro, Le and Park mention that this
technology has a positive effect in increasing the
engagement of the students participating in
safety training.
In the field of mining, an article
(Grabowski & Jankowski, 2015), showed
promising results on the technology, with the
miners reporting that the training was useful and
had a positive effect on their work for an
extended period of time (three months). The
authors recommended owners of training
facilities to cooperate with mining companies to
introduce VR training as part of basic safety
training for the newer employers. Cardoso et al.
2017 reported that the use of VR in their
experiment reduced both time and costs for
simulation, training, and control of power utility
substations. In the field of energy, further efforts
have been made to evaluate the effectiveness of
VR-based safety training. Kozlak et al. (2014)
tested a VR-based system focused on the
operation of a machinery for oil and gas rigs.
Their results showed the usefulness of VR-
training and of the increased sense of realism
that this visualization method can provide.
The use of VR-simulators for training
purposes has also been widely explored in the
field of the chemical industry. Colombo et al.
(2014) elaborated a virtual scene involving an
excavator provoking an accident in a pipe
carrying a stream of pressurized liquid butane.
The VR-training reportedly made the operators
quicker and better in their decision making after
the accident. Nazir and Manca (2015) confirmed
with their case-study analysis that VR-training
has shown future potential for increasing work
safety. Luo et al. (2015) developed a virtualized
version of an ethylene plant, using a realistic 3D
model of the plant with which one could interact
dynamically via the control simulator. Their
results confirmed the advantages of using a VR
simulator, citing the enhanced realism of the
scene and the higher user-friendliness of the
scenario. Ahmad et al. (2016) developed virtual
reality training scene aimed at simulating a
homogeneously catalyzed biodiesel production
process, including realistic malfunction
scenarios such the failure of several components
of the plan, arguing the potential use of such
realistic training decreased possible work
accidents.
Patle et al. (2019) comprehensively
analyzed the literature on virtual environments
for safety training in the processing industry. In
their article, the authors analyzed simulated
scenarios for emergency safety procedures in
several industrial examples (e.g. chemical
processes and oil and gas rigs). The authors
argue that a considerable economic investment
is needed to implement safety procedure
simulation training in VR compared to
traditional simulators: the starting costs are
higher due to the specialized expertise needed to
 Proceedings of the 30th European Safety and Reliability Conference and
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create a good VR environment. However,
according to Patle et al. (2019), the investment
brings added value and a significant return on
investment. This is due to the ability to allow the
systematization of the knowledge, while
maintaining the experience, the expertise and the
skills inside the plan. Large-scale
industries/processes that have higher risk factors
may benefit more from an investment on VR-
based simulation training than small-scale
industries.
Many of the reviewed articles put their
emphasis on how VR can make work
environments safer. In addition to a safe training
environment, VR training can be designed using
different potential hazard perspectives, and
operators can experience the effects of their
choices or actions (Higgins, 2017). The VR
scenario gives the operators the freedom to fail,
and to experience a simulation of the
consequences of their actions.
The cost-effectiveness of the VR in
training is another often cited reason for
developing these environments (Grabowski &
Jankowski, 2015; Le, Pedro, & Park, 2015). The
hope is that VR training would reduce the cost
of real hands-on training. Traditional training
sessions require, for example, the presence of an
instructor, and often long trips in working hours
for the employers to reach the training facilities.
VR training could provide a valuable training
alternative that has a high starting cost (mainly
for the developing of the software and the
purchase of hardware) but does not require the
employers to move from their usual work
facility. The development of newer, more
affordable, and more portable head-mounted VR
equipment may facilitate the implementation of
these technologies in the near future.
The articles in the literature also showed
the challenges that this technology faces at this
stage. According with some studies (Bhoir &
Esmaeili, 2015; Guo, Yu, & Skitmore, 2017) the
current technological level is limiting the use of
VR for safety application, and more needs to be
done both on technology and adoption.
Moreover, Bhoir and Esmaeili (2015)
reported that experienced workers prefer
traditional training over VR. It is possible that
different groups of employers may have
different preferences for training. Furthermore,
more experienced workers are commonly older
than younger ones, and therefore less
experienced with the use of modern visual
technologies, and more susceptible to unpleasant
physiological symptoms (simulator sickness)
during the use of VR (Johnson, 2005). A further
possible drawback of the technology that could
crucially limit its adoption rate at this stage is
the high rate of users that experiment
uncomfortable physiological symptoms when
exposed to VR. A study investigating road
safety training in VR (Deb et al. 2017) reported
that approximately 11% of participants
participating to the study withdrew from the
experiment due to simulator sickness
symptoms. Simulator sickness seems to be
predicted by a number of factors, including
age, sex, and previous use of similar
technologies (Davis, Nesbitt, & Nalivaiko,
2014), therefore it could be possible that some
workplaces or target-groups may be more
viable for the use of VR technology than
others. Furthermore, due to the recent
development of these technologies, little is
known about the health effects of long-term
usage of VR systems, and this aspect deserves
future attention.
3.1 Methods of measures and
Theoretical perspectives on safety
The studies analyzed use mixed methods
of evaluation of the effectiveness of the
training, with few of them explicitly
mentioning an attempt to quantitatively and
objectively assess its performance (Colombo,
Nazi, & Manca, 2014; Nazir & Manca, 2015;
Li et al., 2018). Only one of them tried to use
psychophysiological measurements (heart rate)
to assess the impact of the training on users’
physiology (Nedet et al., 2016).
None of the articles analyzed explicitly
state the theoretical background for safety
training using the safety categories theorized in
Hollnagel (2018). The authors of the present
article have evaluated every paper included in
the review in light of the theoretical perspective
of safety theory. From this evaluation, Safety I
seem to be the safety theory more in the focus of
the VR-based trainings, especially regarding
procedures to avoid procedural mistakes.
4 Conclusion
The construction and chemical
industries are more active in studying the
possibilities for the adoption of VR
technologies, but attempts have also been
reported in the mining and energy industries.
The wide use of VR training for work safety in
these industries may be related to the high
 Proceedings of the 30th European Safety and Reliability Conference and
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intrinsic danger that operators are exposed to
when working with inflammable and pressurized
chemicals or with heavy construction
machinery. A higher potential safety risk
justifies the higher starting costs of developing
complex VR scenes (as argued in Patle et al.,
2019)
Most of the reviewed articles reported
that virtual reality training can somehow help
people prepare for real life emergency scenarios.
Furthermore, it has been argued that the use of
VR in the work environment will not only
improve worker behavior, increasing their risk
awareness during their real-life work, but could
be also influence their routine behaviors in an
unconscious way, and therefore affect the safety
culture (Rebelo et al. 2018).
Some authors have pointed out the
immaturity of the technology at the current stage
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