Background Workers fabricating engineered stone face high risk for exposure to respirable crystalline silica (RCS) and subsequent development of silicosis. In response, the California Division of Occupational Safety and Health (Cal/OSHA) performed targeted enforcement inspections at engineered stone fabrication worksites. We investigated RCS exposures and employer adherence to Cal/OSHA's RCS and respiratory protection standards from these inspections to assess ongoing risk to stone fabrication workers. Methods We extracted employee personal air sampling results from Cal/OSHA inspection files and calculated RCS exposures. Standards require that employers continue monitoring employee RCS exposures and perform medical surveillance when exposures are at or above the action level (AL; 25 μg/m3); exposures above the permissible exposure limit (PEL; 50 μg/m3) are prohibited. We obtained RCS and respiratory protection standard violation citations from a federal database. Results We analyzed RCS exposures for 152 employees at 47 workplaces. Thirty‐eight (25%) employees had exposures above the PEL (median = 89.7 μg/m3; range = 50.7–670.7 μg/m3); 17 (11%) had exposures between the AL and PEL. Twenty‐four (51%) workplaces had ≥1 exposure above the PEL; 7 (15%) had ≥1 exposure between the AL and PEL. Thirty‐four (72%) workplaces were cited for ≥1 RCS standard violation. Twenty‐seven (57%) workplaces were cited for ≥1 respiratory protection standard violation. Conclusions Our investigation demonstrates widespread RCS overexposure among workers and numerous employer Cal/OSHA standard violation citations. More enforcement and educational efforts could improve employer compliance with Cal/OSHA standards and inform employers and employees of the risks for RCS exposure and strategies for reducing exposure.

Sedentary behaviour among primary school students has been associated with unfavourable health outcomes, which have been believed to be exacerbated by distance learning during the COVID-19 pandemic. We present the methodology used to design and develop interventions to increase physical activity in 4th grade students using a participatory, systems approach while online learning. Preliminary formative evaluation of training has indicated a positive reception by the stakeholders. This study highlights the importance of a systems approach to engage stakeholders in the betterment of our students’ health.