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FOREWORD By Staff Transportation Research Board PREFACE Transit administrators, engineers, and researchers often face problems for which in- formation already exists, either in documented form or as undocumented experience and practice. This information may be fragmented, scattered, and unevaluated. As a conse- quence, full knowledge of what has been learned about a problem may not be brought to bear on its solution. Costly research findings may go unused, valuable experience may be overlooked, and due consideration may not be given to recommended practices for solv- ing or alleviating the problem. There is information on nearly every subject of concern to the transit industry. Much of it derives from research or from the work of practitioners faced with problems in their day-to-day work. To provide a systematic means for assembling and evaluating such use- ful information and to make it available to the entire transit community, the Transit Co- operative Research Program Oversight and Project Selection (TOPS) Committee author- ized the Transportation Research Board to undertake a continuing study. This study, TCRP Project J-7, âSynthesis of Information Related to Transit Problems,â searches out and synthesizes useful knowledge from all available sources and prepares concise, documented reports on specific topics. Reports from this endeavor constitute a TCRP re- port series, Synthesis of Transit Practice. The synthesis series reports on current knowledge and practice, in a compact format, without the detailed directions usually found in handbooks or design manuals. Each re- port in the series provides a compendium of the best knowledge available on those meas- ures found to be the most successful in resolving specific problems. This synthesis will be of interest to transit staff concerned with proactively addressing operator health and wellness issues at their agencies. The report documents current in- formation on prevention and intervention strategies and resources that can be used by transit agencies. It offers survey information obtained from individuals with the respon- sibility for managing health and wellness programs. This synthesis covers the state of the practice at 14 U.S. transit agencies of various sizes, operating different modes, in diverse locales around the nation. This report from the Transportation Research Board provides insight into the health and wellness issues faced by bus and rail operators, the impacts of these issues on opera- torsâ ability to be productive employees, and programs that transit agencies have imple- mented to improve the health status of operators. It integrates information from an exten- sive literature review with survey responses, as well as from follow-up telephone calls and e-mail contacts. Case study information was collected from six agencies. A panel of experts in the subject area guided the work of organizing and evaluating the collected data and reviewed the final synthesis report. A consultant was engaged to collect and synthesize the information and to write the report. Both the consultant and the members of the oversight panel are acknowledged on the title page. This synthesis is an immediately useful document that records the practices that were acceptable within the limitations of the knowledge available at the time of its preparation. As progress in re- search and practice continues, new knowledge will be added to that now at hand.