ACST - Association de Conseil en Santé au Travail

What ACST - Association de Conseil en Santé au Travail does

ACST (Association de Conseil en Santé au Travail) is a French non-profit occupational health service (Service de Santé au Travail Interentreprises) founded in 1960 and headquartered in Illkirch-Graffenstaden, Grand Est. Operating under French association law (loi 1901) with NAF code 8621Z, ACST is mandated by French labor law to provide occupational health monitoring to companies in the Eurométropole de Strasbourg area. It serves 4,000+ member companies and follows 50,000+ employees across 251 professions and 433 business activities, with 74% of member companies being very small businesses (TPE) under 10 employees. Its governance structure includes a board of directors (Conseil d'administration), supervisory commission, and medico-technical commission.

ACST's service portfolio is organized around three pillars delivered through its 'Offre socle' core package: (1) professional risk prevention including field-based risk analysis, ergonomics, metrology, and management of physical, chemical, and psychosocial risks; (2) individual health monitoring covering enhanced (SIR) and standard medical follow-up, pre-return and return-to-work visits, vaccinations, and complementary examinations; and (3) prevention of professional disengagement through a multidisciplinary Cellule PDP. Service delivery is supported by 9 medical centers across the Strasbourg area, a dedicated training center in Hoenheim, and a multidisciplinary team of approximately 24 doctor-secretary pairs plus specialized staff (trainer, ergonomist, metrology technician, prevention engineer). The technology layer comprises a PHP/MySQL website, a LearnDash-based e-learning platform (formation.acst-strasbourg.com), the Medtra-powered Espace Adhérent member portal, and ADMDP's 'Mon Approche Prévention' and 'Mon Document Unique' DUERP-creation tools.

Revenue is generated through annual membership fees (cotisations) billed to affiliated companies, scaled by employee count and risk profile. Pricing is quote-based and not publicly disclosed. The organization supplements its core services with sector-specific training (early childhood, large-scale retail, home cleaning) including a Virtual Reality-based CPRM manual handling program, and a dedicated offering for self-employed workers ('Offre spécifique – Travailleurs indépendants'). ACST participates in national networks including Présanse (240+ services), CISME (270+ services), and the GEST public interest group, and partners with CNAM, OPPBTP, and INRS for prevention resources. Recent operational activity has focused on facility modernization, including new headquarters (2022), Lingolsheim center relocation (December 2025), and a new Faubourg de Saverne center (2026).

Name

ACST - Association de Conseil en Santé au Travail

Legal name

Association de Conseil en Santé au Travail

Website

https://acst-strasbourg.com

Company type

Private

Founded year

1960

Operating status

Operating

Headcount range

11–50 employees

Short description

ACST is a French non-profit occupational health service that provides mandated medical monitoring, workplace risk prevention, and training to 4,000+ member companies and 50,000+ employees across the Eurométropole de Strasbourg via 9 medical centers and a multidisciplinary team.

Ownership category

akta.pro rank

Headquarters

HQ city

Illkirch-Graffenstaden

HQ country

France

HQ region

Europe

Offices10 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Membership/Subscription Fees: Companies pay membership fees (cotisations) to access occupational health services. Fees are based on employee count and cover preventive services, medical visits, and training.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

ACST is a non-profit occupational health service (Service de Santé au Travail Interentreprises) that provides mandated workplace health services to member companies in the Strasbourg metropolitan area. Its core offering is the 'Offre socle' (core service package) covering professional risk prevention (risk analysis, ergonomics, metrology, DUERP support), individual employee health monitoring (medical visits, pre-return and return-to-work visits, vaccinations), and prevention of professional disengagement through a multidisciplinary PDP Cell. Services are delivered through 9 medical centers and supported by an online member portal (Espace Adhérent) and an e-learning/training platform.

Product overview

ACST operates as an occupational health service (Service de Santé au Travail Interentreprises) serving the Strasbourg/Eurometropole area with a multi-product service portfolio centered on three pillars: (1) professional risk prevention (including field-based risk analysis, ergonomics, and psychosocial risk support via its multidisciplinary team), (2) individual health monitoring (medical visits including SIR-enhanced, standard, pre-return, and return-to-work visits, plus vaccination), and (3) prevention of professional disengagement through its PDP Cell. The core service is the 'Offre socle' package included with membership. ACST also delivers training and awareness services through its Training Platform (LearnDash-based) including e-learning modules, in-person sensibilisations on topics like screen work, manual handling, and noise, and a DUERP workshop. A dedicated portal (Espace Adhérent) manages membership administration. Specialized sector-specific training covers early childhood, large-scale retail, and home cleaning sectors.

Differentiator

Problem solved

Functional benefit

Brands

• ACST Formation: Training platform offering e-learning modules and in-person training sessions for occupational health and safety awareness

Products and services

• Offre socle (Core Service Offering) Foundational service package covering three pillars: professional risk prevention (risk analysis, DUERP support, ergonomics, metrology), individual health monitoring (medical visits, pre-return visits, workplace adaptations), and prevention of professional disengagement (PDP Cell, RQTH guidance, social support). Included with company membership.
• Analyse de risques (Risk Analysis) Field-based risk analysis services conducted by a multidisciplinary team to identify and evaluate workplace hazards across all sectors served by ACST.
• Ergonomie (Ergonomics) Ergonomic expertise provided by an in-house ergonomist to optimize workstation design, working postures, and reduce musculoskeletal risks.
• Risques physiques (Physical Risks) Assessment and prevention services for physical occupational risks including noise exposure, vibration, thermal conditions, and other physical hazards.
• Risques chimiques (Chemical Risks) Evaluation and management of chemical risks in the workplace, including handling of safety data sheets (FDS) and exposure monitoring.
• Risques psycho-sociaux (Psychosocial Risks) Assessment and support for psychosocial risks including stress, harassment, and workplace violence, leveraging frameworks such as Karasek and Siegrist models.
• Sensibilisations (Awareness Training) Group awareness sessions covering screen work ergonomics, manual handling, noise risks, first aid, and sector-specific topics such as early childhood care and large-scale distribution, included with membership.
• Modules E-Learning (E-Learning Modules) Online training modules covering topics such as gestures and postures, available through the LearnDash platform. Includes an evaluation quiz requiring 80% pass rate for certification.
• Suivi individuel renforcé (SIR – Enhanced Individual Monitoring) Enhanced medical monitoring for workers exposed to asbestos, lead, carcinogenic/mutagenic/reprotoxic agents, biological agents groups 3 and 4, ionizing radiation, hyperbaric risk, working at height, and heavy manual handling.
• Suivi individuel simple (Standard Individual Monitoring) Standard periodic health monitoring for all employees, including pre-employment, periodic, and return-to-work visits.
• Vaccination Preventive vaccination services including COVID-19 (Pfizer/Moderna), available for adherent employees via appointment at ACST medical centers.
• Permanence sociale (Social Work Service) Social worker consultations to support employees facing workplace difficulties related to health, disability, or professional reintegration.
• Cellule PDP – Prévention de la Désinsertion Professionnelle (Vocational Disengagement Prevention Cell) A multidisciplinary cell comprising doctors, occupational health nurses, social assistants, and psychologist-ergonomists that supports employees at risk of leaving employment due to health conditions, coordinating with CAP EMPLOI, social security, and other partners.
• Atelier d'accompagnement au DUERP (Document Unique Workshop) Workshop accompanying employers in creating their Document Unique d'Évaluation des Risques Professionnels (DUERP), using the online tool Mon Approche Prévention and ADMDP platform.
• CPRM – Connaître et Prévenir les Risques liés à la Manutention Manual handling risk prevention training sessions available for general sectors and specialized sectors including early childhood, large-scale retail, and home cleaning, with duration ranging from 1.5 to 4 hours. Includes virtual reality-based training for the large distribution sector (CPRM training).
• Offre spécifique – Travailleurs indépendants (Specific Offer for Self-Employed) Dedicated service package for self-employed workers not covered by traditional occupational health services, tailored to their specific prevention and monitoring needs.

Quantifiable outcome

• 50,000 employees and 4,000 companies followed across 9 sites
• +2 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

Six partnerships are on record, tiered core and minor.

• GEST (Groupement d'Intérêt Public)coreStrategic or Co-development PartnerGEST is a public interest group that coordinates occupational health services. ACST partners with GEST to provide webinars on workplace health topics including COVID-19 management, occupational stress, and workplace safety.
• ADMDPcoreTechnology or IntegrationADMDP provides online tools including 'Mon Approche Prévention' (self-diagnostic tool) and 'Mon Document Unique' (DUERP creation tool) integrated into ACST's member services.
• OVHminorOthersWeb hosting provider for ACST's websites and online services.
• CNAM (Caisse Nationale d'Assurance Maladie)coreStrategic or Co-development PartnerPartnership for occupational risk prevention resources. CNAM provides funding and resources for workplace safety initiatives that ACST promotes through its training programs.
• OPPBTP (Organisme Professionnel de Prévention du Bâtiment et des Travaux Publics)coreStrategic or Co-development PartnerBTP sector prevention organization providing guides and resources that ACST references and promotes for construction industry occupational health.
• INRS (Institut National de Recherche et de Sécurité)coreOthersNational research institute for occupational accident and disease prevention. ACST references INRS materials and resources in its training and prevention activities.

Scale indicators8 records

Recent moves11 records

Expansion highlights5 records

Direct peers

• CIAMT: Major French SSTI in the Île-de-France region offering the same membership-based occupational medicine services (medical monitoring, risk prevention, training) under the same national regulatory framework as ACST.
• KERIALIS: French SSTI providing occupational health, prevention, and training services to member companies across multiple regions with a comparable TPE/PME customer base and service catalogue.
• AGESTRA: Sister occupational health service (Service de Santé au Travail Interentreprises) also operating in the Eurométropole de Strasbourg area. AGESTRA serves the same local market with a parallel membership model, making it ACST's closest direct competitor.
• ALIANSANTE: Network of occupational health services across multiple French regions operating under the same SSTI framework as ACST, providing médecin du travail services, DUERP support, and member training.
• SSTRN - Santé au Travail Loire-Atlantique: Occupational health service covering the Nantes/Loire-Atlantique region with a comparable inter-company membership model, multidisciplinary prevention teams, and digital member portal — a strong operational analog to ACST.
• Pôle Santé Travail: Large SSTI in the Hauts-de-France region delivering the same inter-company occupational health service offering — risk analysis, medical visits, training — to a comparable mix of TPE and PME member companies.
• AMETIF: Île-de-France SSTI offering identical services (suivi individuel, risk analysis, ergonomics, training) to a similar mix of small and mid-sized member companies under French loi 1901 governance.

Broad incumbents

• WorkCare: US-based occupational health and wellness provider offering on-site clinics, telemedicine, and injury management — illustrates the broader category of contracted occupational medicine that competes for employer health budgets globally.

Others

• Doctolib: ACST already uses Doctolib for vaccination scheduling. Doctolib's broader telehealth and appointment platform represents an enabling/adjacent player that could either remain a partner or expand into adjacent occupational health workflows.
• INRS: French national research and reference institute for occupational risk prevention. ACST cites INRS materials in its training programs. INRS is an upstream reference/ecosystem participant rather than a direct competitor.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/acst-association-de-conseil-en-sante-au-travail

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ACST - Association de Conseil en Santé au Travail