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Same Level Fall Prevention Series Part III: Slip-Resistant Footwear

- May 15, 2018 by Brian Piñon, CSP (View all posts by Brian)

The use of slip-resistant footwear is a common response to slippery conditions in the workplace. Part III in our Same Level Fall Prevention Series will cover the general effectiveness of this type of footwear, and program elements that will enhance your risk reduction effort.

Every step we take requires a minimum amount of friction between the flooring surface and shoe sole. When the horizontal force behind our step is enough to overcome the provided friction, a slip occurs. Slip-resistant shoes are specially designed to reduce the risk of a slip by providing a higher level of friction than typical footwear. Their effectiveness is based upon an open tread design and a soft rubber sole material. The open tread gives liquid somewhere to go and channels it out from under the shoe to make hydroplaning less likely. The softer rubber sole material is more flexible and provides a better “grip” on floor surfaces. A 2010 study of 475 fast food restaurant workers found that the mean self-reported rate of slipping was 54% lower for those wearing slip-resistant footwear.

Currently, there are no minimum requirements regulating at what point a manufacturer can market a shoe as slip-resistant. A look at the testing results from a manufacturer showed that the performance among models varied considerably. When measured on wet, oily quarry tile, the coefficients of friction of shoes marketed as slip-resistant ranged from .41 to .76. A 2011 restaurant study found that for each .1 decrease in the coefficient of friction, the rate of slipping increased by 21%. This is a strong case for employers to research their vendors and establish a preferred models list. Many vendors will provide testing results upon request.

The effectiveness of slip-resistant footwear not only varies among models, but degrades with use. A 2014 study of fast food workers found that there was no statistically significant difference in the self-reported rate of slipping between workers who wore slip-resistant shoes with at least 6 months of wear and those who wore shoes not marketed as slip-resistant. The workers who replaced their worn slip-resistant shoes experienced an average reduction in slip rate of 55%. Any employer requiring the use of slip-resistant footwear will benefit from establishing replacement guidelines.

To maximize the reduction in risk that slip-resistant shoes can provide, employers should implement a formal written program. It should include guidelines for shoe selection, purchase, reimbursement and replacement. Careful consideration should be given in selecting a vendor, establishing a list of preferred models, determining whether workers will be reimbursed, and developing a minimum standard for shoe replacement.

If you did not have a chance to review Part 1 of my series, The Surprising Impact of Floor Cleaning Methods or Part 2 Three Floor Cleaning Mistakes That are Working Against You, please take a minute and check them out.


Verma SK, Chang WR, Courtney TK, et al  A prospective study of floor surface, shoes, floor cleaning and slipping in US limited-service restaurant workers. Occupational and Environmental Medicine Published Online First: 08 October 2010. doi:10.1136/oem.2010.056218

Verma S. K., Chang W. R., Courtney T. K., Lombardi D. A., Huang Y. H., Brennan M. J., Mittleman M. A., Perry M. J. Workers’ Experience of Slipping in US Limited Service Restaurants. Journal of Occupational & Environmental Hygiene. 2010;7(9):491–500