Occupational safety and health in general is concerned with preserving and protecting human and facility resources in the workplace. The analysis in this paper are focused on helping people by preventing them from being injured or becoming ill due to hazards in their workplaces. According to the statistical data for the last couple of years there is a fairly high rate of fatal accidents at work in the Republic of North Macedonia. What is more concerning is that some of the accidents at work are not reported because the workers do not have a regulated employment status. The main reason for that is the content and non-implementation of the legal arrangements of the occupational safety and health. The analysis will be made more specifically to the Law on Safety and Health of the Republic of North Macedonia as the basic legal framework that regulate this matter. The main goal is to detect the shortcomings and provide necessary amendments to the legal framework for the occupational safety and health in order to increase the protection of workers in their workplaces. Some of the recommended amendments are the following: extension of protection to those categories of workers not covered by the legal acts; appropriate regulation of the employer's liability for the damage that the worker has suffered at the workplace and in relation to the work; adoption of provisions regulating the work under drugs that may adversely affect the physical and mental capability of the worker; introduction of provisions that oblige the occupational safety officer to cooperate with the authorized healthcare institution for performing health examinations of the workers; strengthening the supervision by the State Labor Inspectorate.