The transport sector is one of the growing sectors in the European economy and highly affected by change: a growing proportion of women, migrant and part-time workers, rapid ageing of the workforce and many technological innovations. Transport workers are exposed to multiple physical risks, suffer violence, and many have unusual working times and repetitive and monotonous work. The consequences are high accident rates, musculoskeletal disorders, stress and fatigue. This report reviews the OSH risks of a wide variety of transport occupations, by analysing statistics and studies, and through selected case examples of prevention. The report has a broad scope: it covers all transport subsectors (rail, water, air and road) and is intended for both those working in the sector and policymakers.