Artificial intelligence (AI) is increasingly being introduced into workplaces, raising expectations for improved efficiency and safety while also generating new challenges for occupational safety and health (OSH). However, empirical evidence on how AI is adopted, perceived, and governed in everyday workplace settings remains limited, particularly from the perspective of workers. This descriptive, cross-sectional, web-based survey aimed to describe the current state of AI adoption in Japanese workplaces and to examine participants’ perceptions of AI-related OSH risks, organizational responses, and accountability related to AI use. The survey was conducted in June 2025 among 1000 employed adults registered with an online survey panel in Japan. AI adoption was still limited in this sample: 5.8% of participants reported that AI had been fully implemented in their organizations, and 16.6% reported partial adoption. In addition, 78.9% reported no work experience related to AI. Across AI-related OSH risk items, approximately 39%–42% selected “Not applicable/AI not used,” and responses among those for whom at least 1 risk item was applicable were frequently concentrated in the “Neither” category. Organizational measures to address AI-related OSH risks appeared unevenly implemented, although human final review of AI outputs was among the more frequently reported measures. Regarding the perceived need for preventive measures, 36.5%–44.6% of participants considered measures such as transparency and explainability, workplace applicability verification, clear allocation of responsibilities, and collaboration with OSH experts to be necessary to some extent or very necessary. Responsibility for AI-related decisions was most frequently attributed to organizations and senior management that decided to adopt AI, and 59.5% of participants indicated that legal reform mandating accountability for AI decisions and actions was necessary or conditionally necessary. These findings suggest that AI use in Japanese workplaces remains at an early stage for many participants, with limited direct experience and uncertainty regarding AI-related OSH risks and organizational responses. Responsible AI use in OSH may require workplace-level guidance to identify AI-related risks, preserve appropriate human oversight, and clarify responsibility and accountability across multiple stakeholders.
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