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Currently, health and wellbeing approaches at an aviation organisational level are not addressing both human and safety needs. This issue has been intensified since the COVID 19 pandemic. This paper reports on the findings of a survey pertaining to aviation worker wellbeing and organisational approaches to managing wellbeing and mental health. The survey was administered at two different time periods during the COVID 19 pandemic (2020 and 2021). Collectively, feedback was obtained from over 3000 aviation workers. Survey feedback indicates that aviation workers are experiencing considerable challenges in relation to their health and wellbeing. These challenges are not being adequately addressed at an organisational level, which creates risk both from an individual and flight safety perspective. The descriptive findings of both surveys along with a regression analysis is used to make a principled case for augmenting the existing approach to managing aviation worker wellbeing (including mental health), at both an organisational and regulatory level. It is argued that aviation organisations, with the support of the regulator should implement a preventative, ethical and evidence-based strategy to managing wellbeing and mental health risk. Critically, aviation organisations need to advance and integrated health, wellbeing, and safety culture. This necessitates an alignment of human, business, and safety objectives, as articulated in concepts of corporate social responsibility (CSR) and responsible work. Critically, this approach depends on trust and the specification of appropriate protections, so that aviation workers feel safe to routinely report wellbeing levels and challenges, and their impact on operational safety.<\/jats:p>","DOI":"10.1007\/s10111-022-00711-5","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T10:04:02Z","timestamp":1660730642000},"page":"75-117","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["The case for change: aviation worker wellbeing during the COVID 19 pandemic, and the need for an integrated health and safety culture"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-744X","authenticated-orcid":false,"given":"Joan","family":"Cahill","sequence":"first","affiliation":[]},{"given":"Paul","family":"Cullen","sequence":"additional","affiliation":[]},{"given":"Keith","family":"Gaynor","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,8,17]]},"reference":[{"issue":"2","key":"711_CR1","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1037\/1076-8998.5.2.278","volume":"5","author":"TD Allen","year":"2000","unstructured":"Allen TD, Herst DEL, Bruck CS, Sutton M (2000) Consequences associated with work-to-family conflict: a review and agenda for future research. 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Captain Paul Cullen declares that he has no conflict of interest. Sohaib Anwer declares that he has no conflict of interest. Prof Keith Gaynor declares that he has no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Ethics approval was granted by the Research Ethics Committee (REC), School of Psychology, Trinity College Dublin, Ireland.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}