The research explores the occupational health and safety (OHS) status in the construction industry of Mymensingh City, Bangladesh. The study uses a mixed-methods approach, involving surveys, interviews, and literature review, to examine the implementation of the Occupational Health and Safety Management System (OHSMS) in the city. Key findings from the study expose notable gaps in the provision of safety measures within the construction industry. A significant 80% of the surveyed workers reported not receiving the necessary safety equipment, while 85% expressed dissatisfaction with the adequacy of safety training provided before commencing their tasks. The observation of workplace hazards by 77% of respondents underscores the necessity for a more robust safety management system. Furthermore, 70% of participants questioned the adequacy of authority responsibility during workplace hazards. The availability of Personal Protective Equipment (PPE) and first aid resources presented a mixed scenario, with 66% lacking necessary PPE and only 34% reporting its provision. On a positive note, 31% of respondents noted the presence of first aid kits in their workplace. Access to fundamental amenities such as clean drinking water and sanitation is largely positive, with 92% having access to clean drinking water and 38% reporting proper sanitation facilities. PPE usage frequency is infrequent and a significant 82% of respondents reported experiencing accidents on construction sites, highlighting the urgent need for comprehensive safety interventions. To address these gaps, the research proposes practical recommendations, including enhanced safety training programs, strengthened regulatory compliance, safety culture promotion, investment in safety technology, worker empowerment, community engagement, and public awareness campaigns.

Key words: Occupational health and safety, Construction industry, PPE, Management system.