This chapter begins with a list of guidelines to initiate and sustain a culture-change process aimed at achieving a Total Safety Culture. Three support processes were identified to maintain employees' long-term commitment and involvement in a culture-change effort — leadership, communication, and recognition. The chapter covers some essentials of effective leadership. Psychologists have studied leadership rigorously for over 50 years in an attempt to define the traits and styles of good leaders. Passion to achieve a Total Safety Culture can be fueled by clarifying goals and tracking progress. Because most people really care about reducing personal injuries, even to people they do not know, the motivation to lead others will spread naturally throughout a work culture when people believe they can have personal control over injuries. Effective leaders trust in their own abilities to achieve. The self-confidence needed to give safety feedback can be initiated with appropriate education and training, and can be maintained with coaching, communication, and recognition.