Most workers in Canada and internationally are employed in small and medium-sized enterprises. Ensuring health and safety in such workplaces presents enduring and unresolved challenges to occupational health systems. Dr. Eakin’s research has examined how working conditions and health-related practices in small workplaces are shaped by their distinct features and social relations, and by the regulatory and service environment that governs them. Drawing on a series of her studies, Dr. Eakin will “unpack” some prevailing assumptions and approaches to prevention, return to work and service provision to this sector, and suggest how they might be reframed. She will al so describe how the injured worker community and Ontario’s Workplace Safety and Insurance Board have used this body of research.