Enhancing occupational safety among gas station workers in Egypt: a quasi-experimental evaluation of an educational intervention

Objectives. Gas station workers in low and middle-income countries face multiple occupational health and safety (OHS) hazards, yet the effectiveness of structured safety interventions remains underexplored. This study aimed to evaluate the impact of a structured OHS educational program on knowledge, attitudes and practices among gas station workers. Methods. A pre-post design was conducted with 120 workers. Validated tools were used to assess knowledge, attitude and practice (KAP) before and 4 weeks after a three-session training program. Results. Significant improvements were observed in all KAP domains (p < 0.001). Mean knowledge scores increased from 15.4 ± 4.2 to 31.8 ± 3.6, attitude scores from 8.2 ± 2.1 to 13.5 ± 1.4 and practice scores from 4.1 ± 1.8 to 8.6 ± 1.2. Post intervention, 79.2% of workers demonstrated good knowledge, 81.7% showed positive attitudes and 78.3% exhibited satisfactory practices. Post-intervention attitude was strongly correlated with practice (r = 0.615, p < 0.01). Education level and pre-intervention knowledge were significant predictors of post-intervention practice scores (R² = 0.45, p < 0.001). Conclusion. The structured OHS educational program significantly enhanced workers' knowledge, attitudes and practices. Tailored training strategies targeting workers with lower educational levels are recommended.