OHS services · Professional uses · Human oversight

AI can support an OHS service when the task is precise.

Reviewing a document, finding a source, structuring observations or preparing training: value does not come from “AI” in general, but from a limited use that can be tested and corrected.

An evaluated example. A study published by INRS in June 2026 tested a language model as a second reader of occupational physician recommendations. It shows genuine potential, but not an ability to replace the occupational physician.

Limited taskHuman referenceDecision retained
Between two sides
Thomas Cole’s The Oxbow, a landscape divided between a dark storm and a luminous valley transformed by human activity
Thomas Cole
The Oxbow · 1836

Between the storm and the valley, the landscape rests in an uncertain balance. The work reminds us that every promising use must be considered from both sides: what it improves and what it may make fragile if its effects are not observed. View the painting at The Met ↗

PST 5 · 2026–2030

France’s national plan makes AI at work an occupational health issue.

Under Objective 3, France’s Occupational Health Plan 2026–2030 states that AI-related transformations should be introduced through consultation, protect working conditions and be assessed through their real effects. Sub-action 3.1.1 provides for a national Observatory for AI at Work, led by Anact.

01Investigate both sides.

PST 5 calls for evidence on AI as a tool for preventing occupational risks and improving working conditions, while also examining AI systems and their uses as possible sources of occupational risk.

02Produce evidence that supports action.

The plan provides for quantitative and qualitative studies, experiments, training, webinars, and practical tools and methods that can turn findings into prevention measures.

03Give OHS services a defined role.

Annex 3 calls them “pivotal actors”. It asks them to contribute evidence on AI with Présanse and Anact, while adopting a measured use of AI in their own activities.

For an inter-company occupational health service (SPSTI), the task is therefore twofold: test clearly bounded professional uses with care, and observe what AI deployment changes in client organisations — workload, autonomy, skills, teams and occupational risks.

Source: France’s Occupational Health Plan 2026–2030, Action 3.1.1, pp. 44–45, and Annex 3, pp. 154–156. Read the official document (French) ↗

01 / Where AI may help

Six concrete uses with clearly defined human responsibility.

Except for the review case presented below, these uses are possibilities to experiment with and assess in each service.

01 · Occupational medicine Studied use

Review the wording of a recommendation.

Identify ambiguous wording, an implicit obligation, unnecessary information or a disclosure risk before transmission.

Humans retain: work-post analysis, final wording, decision and signature.
02 · All occupations Use to test

Query internal documentation.

Retrieve a protocol, risk sheet or procedure from a controlled repository, with sources shown in the answer.

Humans retain: verification of the source, its date and its applicability to the case.
03 · Prevention Use to test

Structure field observations.

Group notes by theme, prepare a synthesis and surface missing information before collective analysis.

Humans retain: observation, interpretation, prioritisation and proposed measures.
04 · Training Use to test

Prepare cases and materials.

Produce variants of a situation, discussion questions or an initial outline adapted to participants’ occupations.

Humans retain: objectives, content validity and teaching.
05 · Quality Use to test

Identify incomplete files.

Check for expected sections or flag a formal inconsistency without automatically assigning a risk level to the worker.

Humans retain: access to the file, interpretation and any resulting action.
06 · Administration Use to test

Reduce repetitive tasks.

Prepare a message, classify a non-medical request or rephrase practical information in more accessible language.

Humans retain: exception handling and validation before sending.
What must not be automated

Fitness for work, clinical direction, individual worker assessment or a prevention decision cannot be inferred from a model output without professional judgement and the work context.

02 / An example published by INRS

AI-assisted review, evaluated on one precise task.

I authored this study, published by INRS in June 2026. It evaluates support from a language model without delegating the consultation, the drafting of the recommendation or the medical decision.

Références en Santé au Travail · TF 335 · June 2026

The model acts only as a second reader.

The o1 model reviewed 385 medical recommendations that had already been written and contained no identifying information. It looked for five predefined defects: imprecision, ambiguity about obligation, information outside Annex 4, an implicit job change and disclosure of medical or personal information.

Essential limitation. The study measures detection of wording defects. It does not assess consultation quality or effects on health and job retention.

Read the full article on the INRS website
74.6%
Overall agreement

The model and the multidisciplinary consensus reach the same assessment.

1.45%
Missed errors

The consensus identifies a defect that the model did not flag.

0
Observed hallucinations

In this sample and under this precise protocol; the result is not a general guarantee.

Cautious interpretation

These results are promising for tightly controlled review support. They concern one model and one task, with no measurement of clinical effects. The occupational physician remains responsible for analysis, wording and validation.

03 / Build a pilot in an OHS service

Evaluate the use before trying to scale it.

A useful pilot begins with a measurable question and a human reference. It must also allow a return to the previous way of working.

01

Choose a narrow task.

A recurring, correctable problem distinct from the clinical decision.

02

Establish the reference.

A set of cases assessed by professionals using explicit criteria.

03

Protect the data.

Minimisation, appropriate hosting, limited access and no unnecessary identifiers.

04

Test in parallel.

The model acts as a second reader without changing the usual process.

05

Measure errors.

Agreement by criterion, over-detections, missed defects, time saved and new review workload.

06

Decide collectively.

Continue, correct or stop based on documented results and effects on work.

04 / Allocate responsibilities

A service-wide project, not a tool left to a few users.

Professionals must be able to define the criteria, limits and situations in which the system must not be used.

Physicians and nurses
ContributionDefine cases, the professional reference and unacceptable errors.
ResponsibilityRetain clinical interpretation and validation of every output used.
Risk prevention specialists, ergonomists and psychologists
ContributionDescribe work situations and the pilot’s organisational effects.
ResponsibilityPrevent an automated synthesis from replacing field analysis.
Assistants and administrative teams
ContributionIdentify repetitive tasks, exceptions and information needs.
ResponsibilityReport the actual correction workload and errors affecting service users.
Leadership, DPO and IT
ContributionOrganise the contract, data, access, security and monitoring.
ResponsibilityProvide the means to stop use and inform the relevant bodies.
Works council and employee representatives
ContributionExamine consequences for occupations, workload, autonomy and skills.
ResponsibilityRequest a documented review before any wider rollout.

Use in OHS services · Training · Research

Would you like to discuss a pilot or the study?

Describe the intended task, professionals concerned, data used and what you want to measure. The discussion may cover use-case selection, the evaluation protocol or effects on work.

Professional contact on LinkedIn · article available on the INRS website