Published: 2022-07-27

Prevalence of foot problems associated with wearing safety footwear in factory employees

Shruti A. Dumbhare, Raziya M. Nagarwala, Ashok K. Shyam, Parag K. Sancheti


Background: In majority of heavy industries and factories safety footwear is a mandatory safety obligation, thus a necessity for workers in industrial settings, contributing to foot problems, interfering with work capacity. Therefore, there is an urgent need to find prevalence of foot problems occurring due to safety footwear. To find the prevalence of foot problem associated with wearing safety footwear in factory employees.

Methods: Factory employees working in industrial setting wearing safety footwear for prolonged duration on regular basis were included in the study. Subjects having any recent ankle and below knee fractures in last 6 months were excluded. Samples were collected from different industrial settings, with the help of a self-made questionnaire. Descriptive analysis of the data collected was done and the responses were converted into percentiles and represented in graphical form.

Results: 62.50% subjects complain pain in the heel and bottom of the foot (plantar fasciitis), 50.83% pain in the foot (radiating up to calf), 47.50% excessive heat/wet condition, 30.83% hard dead skin on the pressure areas of the foot (foot corn), 12.50% blisters/swelling on the foot, bump/bulge on the joint at the base of the big toe (bunion), numbness of great toe, 10.83% interference with blood circulation. 43.34% employees the intensity of pain caused by wearing safety footwear interfere with their working capacity. For 43.34% employees the intensity of pain caused by wearing safety footwear interferes with their working capacity.

Conclusions: It can be concluded that there is significant prevalence of foot problems caused due to wearing safety footwear. These foot problems limit the working capacity of the individual.


Prevalence, Foot problems, Safety footwear

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Kuzel MJ. Footwear Characteristics and Potential Implications on Worker Safety. In ASSE Professional Development Conference and Exposition, 2011. Available at: Accessed on 28 June 2022.

Red wing shoes. A Guide to OSHA'S Footwear Regulation, 2016. Available at: Accessed on 28 June 2022.

Kwon JY, Campbell JT, Myerson MS, Jeng CL. Effect of a steel toe cap on forefoot injury pattern in a cadaveric model. Foot Ankle International. 2011;32(4):443-7.

Huebner A, Schenk P, Grassme R, Anders C. Effects of heel cushioning elements in safety shoes on muscle–physiological parameters. Int J Industrial Ergonomics. 2015;46:12-8.

Suo Q, Zhang D. Investigation and identification of factors affecting migrating peasant workers’ usage of safety footwear in the Chinese construction industry. Int J Occupational Safety Ergonomics. 2017;23(3):424-30.

Ulubeyli S, Kazaz A, Er B. Health and safety perception of workers in Turkey: a survey of construction sites. Int J Occupational Safety Ergonomics. 2014;20(2):323-38.

Khabia V, Haral P. Community Awareness of Risks Related to Footwear Problems. IJHSR. 2017;7(6):218-23.

Marr SJ, Quine S. Shoe concerns and foot problems of wearers of safety footwear. Occupational medicine. 1993;43(2):73-7.

Bang CH, Kim TG, Kim JS. Evaluation of slip resistance of safety footwear using novel equipment. Key Engineering Materials. 2015;627:461-4.

Tsai YJ, Powers CM. Increased shoe sole hardness results in compensatory changes in the utilized coefficient of friction during walking. Gait Posture. 2009;30(3):303-6.

Bang CH, Kim TG, Kim JS. Evaluation of slip resistance of safety footwear using novel equipment. In Key Engineering Materials. 2015;627:461-4.

Conti SF, Silverman L. Epidemiology of foot and ankle injuries in the workplace. Foot Ankle Clinics. 2002;7(2):273-90.

Ochsmann E, Noll U, Ellegast R, Hermanns I, Kraus T. Influence of different safety shoes on gait and plantar pressure: a standardized examination of workers in the automotive industry. J Occupational Health. 2016:15-0193.

Schwarzkopf R, Perretta DJ, Russell TA, Sheskier SC. Foot and shoe size mismatch in three different New York City populations. J Foot Ankle Surg. 2011;50(4):391-4.

Mancuso G, Cavrini G, Berdondini RM, Mancuso M. Skin lesions and other foot problems associated with safety footwear. Giornale italiano di medicina del lavoro ed ergonomia. 2017;38(4):261-4.