In France, **58.7%** of platform delivery workers have experienced at least one work-related accident, according to a survey called Santé-Course, conducted by the Institut de recherche pour le développement (IRD) and the Institut national des études démographiques (Ined), with the support of Médecins du Monde and delivery worker associations. The survey, published in March 2026, involved 1,004 delivery workers in Paris and Bordeaux. The average gross hourly wage is 5.83 euros. Delivery workers in France work an average of 63 hours per week, earning 1,480 euros gross per month, or 880 euros net after expenses. Nearly three quarters rent a third of a bike, averaging 528 euros per month in rental costs. Almost all respondents were born abroad. Among delivery workers who had accidents on bicycles, 78% were injured, but 97% claim no right to compensation from the platform. Nearly a third has no health coverage. Additionally, 45% suffer from moderate to severe psychological distress, and 49% show symptoms of moderate to severe depression. In New York, more than one out of two food delivery workers reports a work injury, according to a survey published on September 29, 2026. The injury rate among New York delivery workers reaches 48 per 100 full-time equivalents, more than five times the national average for couriers. The survey, conducted by the City University of New York (CUNY) School of Public Health in collaboration with the Worker's Justice Project, interviewed 561 delivery workers in the spring of 2026. Over 80% believe the app dictates their speed, route, or schedule. Forty percent suffer from severe psychological distress. Delivery workers in both France and New York report being subject to algorithmic management, with many feeling constantly monitored by the app. In France, 74% of delivery workers say they follow instructions strictly out of fear of being disconnected, and 63% do not know how deliveries are assigned. The authors of the French report describe this as a "high degree of subordination" toward the platforms. These findings come as the European directive 2024/2831 on platform work, which establishes a presumption of employment and regulates algorithmic management, must be transposed before December 2, 2026. However, the French Minister of Labor, Jean-Pierre Farandou, admitted France would not meet this deadline. Médecins du Monde and the Houses of Delivery Workers demand that the Social Security cover accidents. The surveys note limitations, including the lack of a reliable register, leading to direct recruitment of delivery workers on the street, which may not be statistically representative of the entire profession. Additionally, the surveys rely on self-reported data rather than medical records, and they describe associations between working conditions and health without establishing a cause-and-effect link. The French report also highlights that 64.4% of the delivery workers interviewed do not have a residence permit. Without prior regularization, any reclassification as an employee would be ineffective, as nine out of ten undocumented delivery workers would stop full-time deliveries if they were regularized.