This article illustrates Towers Watson's works with some of the most safety conscious organizations in the world to help them understand and improve their safety culture and performance. Towers Watson do so by accurately measuring and benchmarking employee attitudes and helping our clients proactively manage culture as true leading indicators of safety performance. They start by understanding the organization’s unique culture and set of challenges. Next, they draw from a database of best practice questions to tailor the Towers Watson Best Practice Safety Culture Survey to the organization’s culture and issues. The survey is grounded in the latest safety performance research and tested with some of the foremost global leaders in safety practice. Each survey question is examined for clarity, reliability and action orientation.