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Many companies today are willing to implement a management system that promotes safe and healthy work environments, reduce accidents, comply with the current legal framework and improve overall performance. Therefore, we intend to propose a plan to optimize safety and health management in a sanitation company. Occupational health and safety is a set of multidisciplinary activities aimed at improving, preserving and conserving the health of the working population, ensuring the highest physical, mental and social level in the different activities. The objective of this book is to transmit and propose the planning stage of an occupational health and safety management system in a sanitation company using risk control and prevention techniques, thus contributing to the well-being and performance of workers and continuous improvement, taking as a reference the International Standard OHSAS 18001.