INTRODUCTION: This systematic review investigates the effects of monetary and non-monetary incentive schemes on the safety performance of truck drivers, a critical concern within the road freight industry. METHOD: The review analyzes 18 studies and dissects the impact of compensation levels, compensation methods, and non-monetary benefits on drivers' safety behaviors. RESULTS: The findings show that, in general, higher levels of compensation, both through selection and incentive effects, enhance safety performance by attracting more skilled drivers and incentivizing adherence to safety protocols. However, the structure of these compensations, particularly piece-rate wages, and payment for non-driving hours, reveals a double-edged sword
while incentivizing productivity, they inadvertently promote unsafe driving behaviors such as excessive speeding and insufficient rest due to economic pressures. Conversely, non-monetary incentives, though under-researched, show potential for improving safety outcomes by enhancing job satisfaction and work environment quality. PRACTICAL APPLICATIONS: This review highlights the need for future research on safety incentives to evaluate the full extent of the intersection between incentives, safety culture, and working conditions. It advocates for holistic compensation strategies that foster a safety culture in the trucking industry, marking a new direction for improving driver behavior.