Mental health and psychosocial risks are increasingly recognised as critical issues in road transport. The 2019 ILO Guidelines underline that the organisation of work in the sector—characterised by long hours, tight deadlines, high responsibility and economic pressure—can have significant impacts on drivers’ mental wellbeing. Stress, fatigue and anxiety are common, particularly where drivers face unrealistic delivery schedules, income insecurity or pressure to meet performance targets
Isolation and lone working are key contributing factors. Drivers often spend long periods alone, away from family and support networks, with limited opportunities for social interaction. This can lead to loneliness, reduced morale and increased vulnerability to mental health challenges. Exposure to difficult working environments, including traffic congestion, unsafe rest areas and the risk of violence or harassment, can further exacerbate stress.
Precarious employment and income instability can also contribute to psychosocial strain, particularly for drivers who are paid per delivery or depend on fluctuating workloads. The ILO Guidelines highlight that these factors can impair concentration and decision-making, increasing safety risks for both drivers and other road users.
Addressing psychosocial risks requires recognising them as an integral part of occupational safety and health, linked to how work is structured and managed.