Abstract
Over an 11-year period (1990-2000), a questionnaire survey on work environmental management and health management was conducted on workplaces using hazardous substances, such as dust, lead, and organic solvents. Survey data were used to elucidate the management practices regarding the work environment and worker health. In several industries, a relationship was not necessarily observed between the results of work environment measurement and medical surveillance. Moreover, according to the kind of hazardous substances used, not only work environmental management but also other factors such as gender and duration of work can affect the results of medical surveillance. Careful and comprehensive assessment of the achievements of work environment and health management is necessary to prevent occupational diseases.