Bacground: Agriculture is one of the most hazardous industries in the EU. Statistics and studies show great differences in national injury and illness rates, as well as approaches and support for prevention of these adverse outcomes. Methods: The goal of this COST Action is to reduce the burden of work-related deaths, injuries and illnesses in agriculture. This Action has five objectives that contribute to achieving the main goal: 1) Identifying and evaluating health and safety programmes and approaches on the national level. 2) Identifying knowledge, attitudes, behaviours and priorities among farmers regarding safety, health and risk management. 3) Identifying effective models for training and integration of vulnerable populations (including refugees and young workers) into the agricultural workforce. 4) Developing means and indicators for monitoring progress and evaluating impact of interventions in agriculture. 5) Disseminate results to stakeholders and the agricultural community. Results: A total of 50 Members and 18 Substitutes from 30 countries have joined the SACURIMA Action. Work has been initiated according to the Memorandum of Understanding published on the COST website. Conclusions: This COST Action will produce evidence-based recommendations to inform national initiatives and efforts. The results will be made available to the scientific community, policy makers, vocational training, administrative and insurance personnel, farmers and practitioners working towards better social sustainability and safety culture in agriculture.