The project team sought to develop and help implement reasonable, sustainable safety interventions for mechanics by understanding their daily work practices and exposure to substances like used motor oil. The group met with mechanic shops in small groups to discuss known research on the health effects of heavy metal exposures, suggest solutions, and assess their feasibility. They also conducted surveys to collect data on mechanics’ understanding of the issue and work practices. The project collected data from several hundred mechanics and was able to provide a variety of suggestions to decrease exposure-related health risks. Suggestions included hand washing, eating with utensils instead of hands, regular medical checkups, use of long-sleeved shirts, washing clothing at shops instead of in the home, and storage of used oil in suitable closed containers. Future projects may use this data to implement policy and structures of funding to ensure access to protective equipment and infrastructure such as motor oil recycling. This project was completed through the Duke Engage Ghana program, and is part of a multi-year research and service initiative.