The current situation regarding Occupational Health and Safety in Macedonian companies and institutions is not satisfying. Very often these issues are neglected by the management. There is also a lack of transparency in terms of accident reporting. Therefore, Macedonia is far behind the EU average in terms of registered injures at works. This paper deals with some of the most frequent barriers and irregularities in this field, by analyzing the results from the survey conducted among the employees in Macedonian companies and institutions. The participants are divided into 3 groups - public entities and state administration, large companies and small and medium enterprises. The survey outcome indicates that the awareness, transparency as well as investments in this area are still not sufficient. Moreover, there is a lack of skilled and trained professionals in this field, especially in state-owned entities.