OSHA's Top 10 - NOT AGAIN ?

Recently, Hal Macomber in his Reforming Project Management blog, wrote a great article entitled "OSHA’s Top Ten Violations for 2006 — More of the Same", and pointed out the ongoing pattern of construction infractions, which as he points out, is not that dissimilar from the previous pattern of cases.  Hal correctly states that while strides have been made by many companies, people are being injured in roughly the same numbers as they have been for the last 15 years.
Benjamin Franklin's famous quote  "The definition of insanity is doing the same thing over and over and expecting different results", would seem to apply here.
Why, one might ask, would any construction firm owner be willing to endure the disruptions and costs associated with OSHA violations, or worse yet, the injuries and financial and reputational consequences that come with violations that aren't caught in time?
I have always asserted that you pay for a training program, whether you have one or not.  I also have found from many years of running construction businesses that the mandated OSHA 10 does not go nearly far enough.  Safe practices are built into construction businesses - they are not an not an add on.  OSHA awareness is not something you DO - it is something your firm IS.
Would firm owners, if they thought about the "real" economic cost associated with implementing this type of safety attitude, be willing to make the investment in training and practices to make a real difference?  Is the problem predominantly the smaller less experienced contractors that have yet to "get it" and are looking at the quick way, (versus the right way) to get the job done?