Truck driving is one of the most challenging jobs in the country. Not surprisingly, heavy vehicle drivers carry a higher burden of chronic disease, injury, and poor mental health, in comparison to other occupations (Abd Dabrh et al, 2014). Truck drivers represent the second highest occupational group, after construction workers, at risk of suicide (Andersen, et al 2010). The Health in Gear program is a health and wellness initiative for truck drivers, developed in collaboration with drivers, for the driving community. Health in Gear is an initiative of the OzHelp Foundation, a national suicide prevention organisation and has been funded by the National Heavy Vehicle Regulator’s (NHVR) Heavy Vehicle Safety Initiative (HVSI). The program supports drivers in achieving optimal wellness through access to key information in accessible health tips. The program also includes the ‘Truckies Tune Up’ (TTU) – a physical roadside health check with follow up support, counselling, and referrals to other services as required.